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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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    1. Atul Gawande‏Verified account @Atul_Gawande 4 Nov 2017

      The global pain gap: >25m people die in agony without access to opioids @TheLancethttp://wb.md/2yvqfIE 

      12 replies 149 retweets 171 likes
      Show this thread
      Atul Gawande‏Verified account @Atul_Gawande 4 Nov 2017

      US: too much opioids; W Europe about right; many places nearly none. Lack of pain relief is a global injustice. http://www.thelancet.com/commissions/palliative-care …pic.twitter.com/mAcCVncuTH

      2:08 PM - 4 Nov 2017
      • 184 Retweets
      • 179 Likes
      • Ravi Shah Anna Lakoma, MD HMS Palliative Care Ollie Minton Guy Schofield Pedro Soriano TheButterflyProtocol™ Punreet K. Bhatti Exasperated Ninja
      13 replies 184 retweets 179 likes
        1. New conversation
        2. Dr Ken Miller, DPT‏ @kenmpt 6 Nov 2017
          Replying to @Atul_Gawande @GavinPrestonMD @TheLancet

          One reason US has too much opiate use is big pharma advertising. Look at advertising ramping up for hyzingla.

          4 replies 0 retweets 2 likes
        3.  🌟 🌵Shelley ﻦ  🇺🇸  🌟‏ @shelley_bean60 7 Nov 2017
          Replying to @kenmpt @Atul_Gawande and

          I believe that ship sailed. It's past tense now. Opioids are becoming obsolete in pain treatment. #MedicalTorture #OpioidCrisisUpsideDown

          1 reply 2 retweets 8 likes
        4. Dr Ken Miller, DPT‏ @kenmpt 7 Nov 2017
          Replying to @shelley_bean60 @Atul_Gawande and

          Appropriate Opiate deprescribing for those being treated for chronic pain with opiates needs to happen. Also, pain science approach needs to be added. @SanDiegoSummit

          8 replies 0 retweets 3 likes
        5.  🌟 🌵Shelley ﻦ  🇺🇸  🌟‏ @shelley_bean60 7 Nov 2017
          Replying to @kenmpt @Atul_Gawande and

          Will you help stand up for those in chronic #IntractablePain? Drs are abandoning patients and many now getting on anti opioid bandwagon. ERs turning ppl away who are suffering. Many resorting to #SuicideDue2Pain

          1 reply 6 retweets 16 likes
        6. Dr Ken Miller, DPT‏ @kenmpt 7 Nov 2017
          Replying to @shelley_bean60 @Atul_Gawande and

          Unfortunately, many patients that have chronic pain taking opiates get little relief of pain as the opiate itself is causing pain- Opiate induced hyperalgesia. Must focus on non- pharm approach for success. Pain from central sensitization of nervous system.

          16 replies 0 retweets 1 like
        7. Chronic Pain‏ @chronicpainwar 7 Nov 2017
          Replying to @kenmpt @shelley_bean60 and

          Many patients myself included get excellent pain relief from opioids, one size does not fit all in medicine

          3 replies 2 retweets 13 likes
        8. PainResearchEducation‏ @SanDiegoSummit 7 Nov 2017
          Replying to @chronicpainwar @kenmpt and

          It was a HUGE mistake for physicians to stop allowing prescriptions with nothing in place. That is a travesty.

          2 replies 0 retweets 6 likes
        9. Chronic Pain‏ @chronicpainwar 7 Nov 2017
          Replying to @SanDiegoSummit @kenmpt and

          I agree better treatment needs to be developed but stopping the treatment of pain before doing so if a failure that will reach far beyond pain. Patients no longer trust DR's and that will impact society for decades

          2 replies 4 retweets 11 likes
        10. 7 more replies
        1. New conversation
        2.  🌟 🌵Shelley ﻦ  🇺🇸  🌟‏ @shelley_bean60 7 Nov 2017
          Replying to @Atul_Gawande @TheLancet

          Lack of pain relief has now become an injustice in the US. Many are suffering due to recent overreaching policy. #SuicideDue2Pain has become very real. Doctors have abandoned opioid treatment in droves #OpioidCrisisUpsideDown

          1 reply 3 retweets 11 likes
        3.  🌟 🌵Shelley ﻦ  🇺🇸  🌟‏ @shelley_bean60 7 Nov 2017
          Replying to @shelley_bean60 @Atul_Gawande @TheLancet

          Please watch embedded video. New series started yesterday. #Truth is finally being told #OurPain #ShareOurPain #MyCaringFriendshttp://www.lasvegasnow.com/news/ourpain-the-other-side-of-opioids/852432872 …

          0 replies 2 retweets 5 likes
        4. End of conversation
        1. New conversation
        2. Lelena‏ @LelenaPeacock 5 Nov 2017
          Replying to @Atul_Gawande @TheLancet

          There's a massive trend towards #MedicalTorture in the USA right now. Legitimate #IntractablePain patients are denied #PainRelief. #Spoonies

          3 replies 2 retweets 12 likes
        3. lee h. alderman‏ @reversechapter 6 Nov 2017
          Replying to @LelenaPeacock @Atul_Gawande @TheLancet

          Yes, the same kind of logic (arbitrary averaging of individual people) is the reason so many are suffering.

          0 replies 1 retweet 5 likes
        4. End of conversation
        1. New conversation
        2. SweetPea‏ @WhereWeAreNowUS 4 Nov 2017
          Replying to @Atul_Gawande @TheLancet

          But are newer opioids genuinely better/safer than morphine?

          2 replies 1 retweet 1 like
        3. SweetPea‏ @WhereWeAreNowUS 4 Nov 2017
          Replying to @WhereWeAreNowUS @Atul_Gawande @TheLancet

          2/2 Or simply, newer opioids under patent protection, earn pharm co’s far more so pushed harder than morphine?

          3 replies 0 retweets 0 likes
        4. ek‏ @ekwolekmd 4 Nov 2017
          Replying to @WhereWeAreNowUS @Atul_Gawande @TheLancet

          I'm a Canadian pediatric palliative dr - "newer" opioids may have fewer side effects and in some cases can be administered more effectively

          0 replies 0 retweets 2 likes
        5. End of conversation
        1. New conversation
        2. Matt Smith‏ @Peccavi_ultum 7 Nov 2017
          Replying to @Atul_Gawande @TheLancet

          On what do you base that Europe is "about right" ??

          1 reply 0 retweets 1 like
        3. lee h. alderman‏ @reversechapter 7 Nov 2017
          Replying to @Peccavi_ultum @Atul_Gawande @TheLancet

          It's incredible, isn't it? Mindless drivel. It's just "too much" because it's not the same average number. Not the right amount of suffering here, too much suffering there. How did we get here? We've hit a speedbump on our way to growing knowledge.

          0 replies 0 retweets 2 likes
        4. End of conversation
        1. New conversation
        2. Chris Maher‏ @CGMMaher 4 Nov 2017
          Replying to @Atul_Gawande @PaulGlasziou @TheLancet

          Worryingly Australia looks as fat as North America on that opioid infographic.

          1 reply 0 retweets 1 like
        3. End of conversation

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