Medicine’s response to America’s largest public-health crisis
Sarah WakemanProud to work w/ @ml_barnett@ScottWeinerMD but real honor is getting to know & care for people like Nick who shares his story & highlights “recovery” not simple, straight path but rather journey of many steps crucial to celebrate positive changes @Harvard
A federal judge ordered the Essex County House of Correction to provide the medication.
Sarah WakemanImportant work by @ACLU_Mass although it is ridiculous that continuing lifesaving treatment for a medical condition is something that still requires legal action considering Estelle v. Gamble.
In an effort to reduce opioid addiction, doctors are cutting back on pain medication — and sometimes leaving patients to suffer.
Sarah WakemanImportant piece by @maiasz on why reducing #opioid prescribing alone will not solve the #overdose crisis but can cause very real harms including rising fentanyl & heroin related deaths in context of unsafe drug supply & suicide.
J Gen Intern Med. 2019 Jan 10. doi: 10.1007/s11606-018-4807-x. [Epub ahead of print]
Sarah WakemanIntegrating substance use disorder treatment into primary care reduces hospital bed days and emergency department visits. Not only is it the right thing for health systems to do but also the smart thing to do! @MassGeneralNews @MGHMedicine
The small, communal toilet was in the corner of the pod, enclosed by a short stall that did nothing to keep the smell of diarrhea, vomit, and blood from overtaking the unit.
Sarah WakemanHorrifically cruel to make people suffer thru untreated opioid withdrawal- not to mention potentially deadly. Not offering medication treatment for addiction during incarceration also increases risk of death after release. Thanks @elizabethbrico
Overdose mortality fell 5 percent in 2017, but the latest data suggest a similar drop will not be seen in 2018.
Sarah Wakeman90% of overdose deaths in Massachusetts involve #fentanyl, only 37% involve heroin & 17% involve prescription opioids. This is a #poisoningcrisis. We know what works- #harmreduction, meds for OUD, #SCS. Need continued expansion #thirdwave #overdosecrisis
The language of addiction is changing, so should the way we identify ourselves in recovery also change?
Sarah Wakeman“I now think of myself as a person w/ substance use disorder in remission. I think of myself 1st in context of my personhood & noticed a change...I’m able to empathize w/ myself & think of my condition as something that can be healed” @elizabethbrico
Our beloved Madelyn Ellen Linsenmeir died on Sunday, October 7. While her death was unexpected, Madelyn suffered from drug addiction, and for years we feared...
Sarah WakemanBeautiful portrait & wise words to docs/nurses: “if you treat [ppl w/ addiction] w/ the compassion & respect they deserve, thank you. If instead you see a ‘junkie’ or thief or liar rather than a human being in need of help, consider a new profession.”
Overdoses in public bathrooms are turning baristas and other service workers into unwitting first responders.
Sarah Wakeman#overdose in bathrooms glaring reminder why we need #SCS #SIF. As @jonathan_giftos points out alternative to supervised site is not no use- it’s riskier use alone in bathroom or alley. In current reality #naloxone training for businesses important.
Without access to effective addiction treatment, which includes medications that are not accessible in PA prisons, people in addiction turn to drastic measures such as smuggling drugs and risk more years in prison and losing visitation privileges....
Sarah WakemanOn point piece by @abgutman “The issue is not how people are smuggling substances into prisons but why they do it in the first place.” Best way to decrease demand? Offer effective #addiction treatment within correctional facilities.
Its federal lawsuit asks that the Essex County House of Correction be required to provide methadone to an Ipswich man who has relied on the medication to maintain his sobriety.
Sarah WakemanLots of lip service to talking about #addiction as public health issue but reality on the ground very different w/ unequal standards for care & routine denial of life saving treatment in corrections. Thanks @ACLU_Mass fighting for fair treatment
The biggest concern: The bill, despite being largely positive, doesn’t go far enough.
Sarah WakemanThorough & thoughtful review by @germanrlopez of the pending opioid legislation. To truly address the #OverdoseCrisis we need a massive infusion of funding and a fundamental restructuring of the addiction treatment system.
Americans struggling with addiction need treatment and reduced access to deadly drugs. They do not need a taxpayer-sponsored haven to shoot up.
Sarah WakemanNo surprise that op-ed full of stigma & misinformation would also use language like “abuse” & “addict.” Apparently Mr. Rosenstein’s solution to the public health crisis of #overdose is to shame, stigmatize, incarcerate people, & double down on #WarOnDrugs
Rhode Island inmates get opioid replacements while they’re locked up and it seems to be keeping them from overdosing when they get out.
Sarah WakemanRhode Island leading the way thanks to people like Dr. Jody Rich. Access to medication for opioid #addiction treatment should be standard of care everywhere- including in correctional facilities.
It seems like everywhere we turn these days, screaming headlines declare our nation to be under siege by what has been deemed the “opioid epidemic.” If y...
Sarah WakemanImportant piece by @BrookeM_Feldman on harms caused by white-washing the #opioidcrisis & not repairing damage caused by #warondrugs approach to black & brown people who use drugs. #Racism has always been intertwined with drug policy & approaches.
SIFs are widely supported by doctors on the front lines of addiction treatment who point to mountains of evidence. Opponents lean on pop psychology concepts like “normalization” and “enabling.”
Sarah Wakeman“Pretending that supervised injection facilities don’t work is convenient. Because stripped of that veneer of dispassion, the arguments against them aren’t just ill-informed, they’re callous. They’re deadly.” Thank you @NestorARamos@BostonGlobe