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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 31 Oct 2017

    Grim data: One in ten who overdose and are revived by naloxone die within a year.http://www.bostonglobe.com/metro/2017/10/30/percent-rescued-narcar-mass-died-within-year-new-study-says/qj0T6kA2Tn91Rmh5FTUDGM/story.html?et_rid=1822197458&s_campaign=todaysheadlines:newsletter …

    6:15 AM - 31 Oct 2017
    • 374 Retweets
    • 308 Likes
    • Barbara McGrath NeuroNerd Sheila Wren anne creaton Lorenzo Lopez-Mercad E. HarvardHealthWrites Punreet K. Bhatti teresa zymroz
    47 replies 374 retweets 308 likes
      1. New conversation
      2. Elise Paradis  🤯‏ @ep_qc 31 Oct 2017
        Replying to @Atul_Gawande

        Reframe as 9/10 saved survived for at last another year. :)

        2 replies 3 retweets 30 likes
      3. 1 more reply
      1. New conversation
      2. Richard Laing‏ @richlaing 31 Oct 2017
        Replying to @Atul_Gawande

        Do any clinicians genuinely believe that reversing the overdose is all that is required? "Great they've woken up...job done!!!"

        2 replies 3 retweets 4 likes
      3. Addleben‏ @Addleben 31 Oct 2017
        Replying to @richlaing @Atul_Gawande

        Sometimes that's all you're able to do though. Patients may not be ready to accept further help at the time. Still gives them a chance.

        0 replies 1 retweet 4 likes
      4. End of conversation
      1. Bruce Lambert‏ @bruce_lambert 31 Oct 2017
        Replying to @Atul_Gawande

        Surprised it's only 1 in 10. Naloxone is rescue, not treatment or cure. Many stories of rescued patients OD'ing again later the *same day*.

        0 replies 2 retweets 13 likes
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      1. New conversation
      2. gradschool whisperer‏ @TJ__Murphy 31 Oct 2017
        Replying to @Atul_Gawande

        ummm...doesn't that mean that 9 of 10 who were on death's door are still alive?

        2 replies 0 retweets 12 likes
      3. gradschool whisperer‏ @TJ__Murphy 31 Oct 2017
        Replying to @TJ__Murphy @Atul_Gawande

        I'm not sure if I should use this one in my biostats course, or my pharmacology course. I teach both.

        0 replies 0 retweets 3 likes
      4. End of conversation
      1. Lance Shaver‏ @LanceShaver 31 Oct 2017
        Replying to @Atul_Gawande

        Honestly, I don't know if I find it that grim. For 9/10 people who were on the verge of death to still be alive a year later...that's hope.

        0 replies 0 retweets 15 likes
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      1. JoyritR‏ @JoyritR 31 Oct 2017
        Replying to @Atul_Gawande @ASlavitt

        So 90% do not die within a year? I don't think anyone believes naloxone fixes the problem, it just gives recipients another chance.

        0 replies 1 retweet 4 likes
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      1. New conversation
      2. Scott Weiner‏ @ScottWeinerMD 31 Oct 2017
        Replying to @Atul_Gawande

        Thanks, Atul, for tweeting about my study. 10% mortality = extremely high. Median age was 54. Baseline death rate for that age is 0.4%.

        1 reply 1 retweet 6 likes
      3. 1 more reply
      1. DanaBlankenhorn‏ @danablankenhorn 31 Oct 2017
        Replying to @Atul_Gawande

        Or: 90% of those who overdose and are revived by naloxone are still alive a year later. http://www.bostonglobe.com/metro/2017/10/30/percent-rescued-narcar-mass-died-within-year-new-study-says/ …

        0 replies 0 retweets 6 likes
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      1. Angelo Sibilio‏ @angelo_sibilio 31 Oct 2017
        Replying to @Atul_Gawande @ASlavitt

        How many people who are not revived by Narcan die within the next year?

        0 replies 1 retweet 2 likes
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      1. Kathie Gordon‏ @kathiegmt 31 Oct 2017
        Replying to @Atul_Gawande

        Guess that also means 9 survived that year?

        0 replies 0 retweets 6 likes
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      1. Erin Hamilton‏ @miltonsk 31 Oct 2017
        Replying to @Atul_Gawande

        Compared to CPR survival rates, naloxone looks pretty effective. But we should be doing much better for treatment after overdose.

        0 replies 1 retweet 1 like
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      1. Lonni Sawin‏ @sawin_lonelle 31 Oct 2017
        Replying to @Atul_Gawande @ASlavitt

        Naloxone is not a cure for addiction.It saves their lives but they go right back and shoot up again.Missing a MAJOR step here America.

        0 replies 0 retweets 3 likes
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      1. Will Schill‏ @wps2010 31 Oct 2017
        Replying to @Atul_Gawande @picardonhealth

        Sad. In Ontario, most don’t want to give personal info to get free kit. Think government is watching. No Health Card=no free kit.

        0 replies 1 retweet 1 like
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      1. samuraidoctor‏ @samuraidoctor 31 Oct 2017
        Replying to @Atul_Gawande

        So very sad...suspect it is worse here in NH, where we have even fewer treatment options.

        0 replies 1 retweet 1 like
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      1. Patty Caldwell‏ @tiredofgop 31 Oct 2017
        Replying to @Atul_Gawande @ASlavitt

        How do you shut down a *Business*? LOOSE Consumers... Hospital Doctors & Lawmakers just don't get it.Seriuosly HELP the Addict suffering.pic.twitter.com/xZpo0zz2eF

        0 replies 1 retweet 1 like
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      1. Don De Tina‏ @donnyd 31 Oct 2017
        Replying to @Atul_Gawande

        Exactly: Naloxone + safe injection sites + rehab funding are all required.

        0 replies 0 retweets 4 likes
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