Some doctors are abandoning the long-held belief that treating addiction is impossible without talk therapy.
Sarah WakemanGreat piece on much needed low threshold treatment “The most complex patients are tired of your treatment & have been through the wringer 20 times & even if they would benefit would never go back to those intensive programs” @DrJoshuaDLee
Nearly all doctors can prescribe opioids. A group of doctors, experts, and a member of Congress are pushing to treat one addiction treatment the same way.
Sarah WakemanWe are in the midst of a public health crisis. It makes no sense to make it hard for healthcare providers to offer lifesaving treatment or for patients to face innumerable hurdles trying to access it. #XtheXWaiver @LeoBeletsky @levfacher
Federal prosecutors dust off an ’80s war on drug law to go after Seattle and Philly for trying to save lives.
Sarah Wakeman“The only thing [overdose prevention] sites encourage is safer drug use for people who are already using drugs and unable to or do not wish to stop.” Great quote by @BrookeM_Feldman in fantastic piece by @ZachWritesStuff
Would we fix our prisons if we could see what happens inside them?
Sarah Wakeman“Most disturbing were the images that seemed to echo the most painful aspects of African-American history. Many convincing arguments have been made that our penal system was at least partly designed to extend control of black people and their labor.”
The president will need to start listening to health experts if he’s going to eradicate the virus in the country.
Sarah WakemanTo effectively address HIV we must support #MedicaidExpansion, #harmreduction (in particular syringe services), and effective OUD treatment. So long as we criminalize PWUD we will be pushing some of our most vulnerable into the shadows
Two men allege that they are unlawfully being held in a prison rather than sent to a treatment facility, even though they have not been charged with a crime.
Sarah Wakeman@PLSMA files suit against civilly committing men to correctional settings for SUD. Great quote “In a civilized society, no one should be sent to prison for a disease.” Thanks @felicejfreyer for covering and @LeoBeletsky for insight.
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.