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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 Apr 17

    We have the treatment for opioid addiction. It works. It cuts deaths by 80%. But we are not funding it and giving it. Here is what happens when we do.https://www.statnews.com/2018/02/14/medication-assisted-treatment-inmates/ …

    1:32 AM - 17 Apr 2018
    • 641 Retweets
    • 1,217 Likes
    • Erica Szymanski Miranda van Tilburg Donald Larsen MD MBA MHA Yuri Quintana Syed Iqbal simnani SUD Institute Ariadne Labs Irma Rastegayeva at #xMed✨ Innovation Catalyst Joyce Moore
    23 replies 641 retweets 1,217 likes
      1. New conversation
      2. Nikhil D. Patil, MPH‏ @npatil55 Apr 17
        Replying to @Atul_Gawande

        I wouldn’t call it treatment for #opioid “#addiction” but rather a way to reduce opioid-related deaths. Also a pretty small sample size in sample w/ low external validity since RI is fairly unique. Regardless, it’s important to test these types of programs & fund research.

        2 replies 1 retweet 10 likes
      3. josh f‏ @jfanae Apr 17
        Replying to @npatil55 @Atul_Gawande

        Is there a reason why you put addiction in quotation marks? Also, there’s plenty of other data that shows that OAT/MAT works, full stop. This study just highlights a unique situation where it was implemented.

        1 reply 0 retweets 3 likes
      4. Nikhil D. Patil, MPH‏ @npatil55 Apr 17
        Replying to @jfanae @Atul_Gawande

        i used quotations b/c i want to emphasize OAT/MAT has been shown to reduce mortality from overdoses, but is not a full treatment for addiction. basically, let's be clear on outcomes reported. treatment also requires long-term psycho-social therapy. Rx alone is insufficient.

        2 replies 0 retweets 11 likes
      5. josh f‏ @jfanae Apr 17
        Replying to @npatil55 @Atul_Gawande

        fair response, and i totally agree. thanks for clarifying :)

        1 reply 0 retweets 7 likes
      6. Nikhil D. Patil, MPH‏ @npatil55 Apr 17
        Replying to @jfanae @Atul_Gawande

        and thank you for challenging me on my tweet. helped me reflect on whether i was using the right language to convey my thoughts. also encouraged me to dive into data on #OAT/#MAT effectiveness... #opioids #addiction

        0 replies 0 retweets 7 likes
      7. End of conversation
      1. Eugene ‏ @Alwaystrue84 Apr 17
        Replying to @Atul_Gawande @ChelseaClinton

        We rise and fall together as a ‘people’ And who’s to say how much each persons worth A single life we save can send a ripple A single ripple that can spread across the earth

        0 replies 4 retweets 4 likes
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      1. Andrew Pleasant‏ @andrewpleasant Apr 17
        Replying to @Atul_Gawande

        Prevention-as sadly seems always the case in the U.S. sick care system - has been even more neglected by funding streams.

        0 replies 2 retweets 3 likes
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      1. New conversation
      2. Dusty Boots‏ @Marines4MAGA Apr 17
        Replying to @Atul_Gawande

        As usual, take away one opioid and replace it with another. People have also been addicted to methadone and suboxone for many years. Big pharma loves it. They get the profits from either one or the other. More studies need to be done with non-opioids such as ibogaine. 1/

        1 reply 0 retweets 1 like
      3. Dusty Boots‏ @Marines4MAGA Apr 17
        Replying to @Marines4MAGA @Atul_Gawande

        From what I've read, Ibogaine has had huge success rates for many addictions. But it's illegal in the U.S. and some other countries. Why? Because it's a natural herb that big pharma cannot profit from. We need to quit substituting one opioid with another. The testimonies 2/

        1 reply 0 retweets 2 likes
      4. Dusty Boots‏ @Marines4MAGA Apr 17
        Replying to @Marines4MAGA @Atul_Gawande

        I've read, people say that one or two treatments with Ibogaine and some ongoing therapy afterwards and they have no withdrawals or need to use again. This is the type of treatment we need. Cut out big pharma.

        0 replies 0 retweets 1 like
      5. End of conversation
      1. Cathy Cooke FRPharmS‏ @Cleverestcookie Apr 21
        Replying to @Atul_Gawande @AlanJCard

        Only need to look at evidence from UK, standard practice in prisons for over 10yrs

        0 replies 1 retweet 1 like
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      1. Ryan Marino‏ @RyanMarino Apr 17
        Replying to @Atul_Gawande @heroinreport

        Having tools to treat any other condition and repeatedly choosing not to use them would otherwise be negligence

        0 replies 0 retweets 4 likes
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      1. Karinna Saxby‏ @ksaxb Apr 17
        Replying to @Atul_Gawande @croakeyblog

        @SonjaKass

        0 replies 0 retweets 2 likes
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      1. Having Said That  🗣‏ @Lalaej Apr 18
        Replying to @Atul_Gawande @mswhitecoat

        #KratomSavesLives 1. Natural-in the coffee family. 2. It is NOT an opiate. 3. Has been used in Indonesia for hundreds of years. 4. Should not be mixed w/any opiate

        0 replies 0 retweets 1 like
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      1. Daniel Christianson‏ @datahoarse Apr 17
        Replying to @Atul_Gawande

        Daniel Christianson Retweeted Heather Sher MD. (All opinions are my own)

        & now w/the #ExecutiveOrder requiring current employment in order to get that treatment & #Medicaid being the #1 access to treatment for those in the depths of addiction... How many struggling #addicts hold jobs before #treatment? #MAT #buprenorphinehttps://twitter.com/hshermd/status/985824454830895104 …

        Daniel Christianson added,

        Heather Sher MD. (All opinions are my own) @hshermd
        In my eyes as a physician, a work requirement for Medicaid demonizes the poor and doesn’t address the complexity of the problems my indigent patients face or propose viable sustainable solutions to their plight of illness, joblessness, and poverty. https://www.npr.org/2018/04/15/602665997/new-medicaid-requirements-signals-trump-crackdown-on-public-assistance-programs …
        0 replies 0 retweets 1 like
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      1. Richard J Torres‏ @rjkeats_98 Apr 17
        Replying to @Atul_Gawande @ReneeFiredup

        All this sudden interest in treating addicts now that they're not minorities is remarkable. In a sad way

        0 replies 0 retweets 1 like
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      1. Jason Schwartz‏ @JasSch1 Apr 17
        Replying to @Atul_Gawande

        Preventing death is clearly important. In Being Mortal you discussed problems with safety being the outcome that overrode all others. What other outcomes are important? What does their global wellness look like? What care would facilitate full recovery from a treatable condition?

        0 replies 0 retweets 1 like
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      1. A Hero of Our Time‏ @randalsmith10 Apr 17
        Replying to @Atul_Gawande

        Tomahawk missiles baby!

        0 replies 0 retweets 1 like
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      1. New conversation
      2. billy moose‏ @billymoose Apr 17
        Replying to @Atul_Gawande

        @KnowYourStuffNZ

        1 reply 0 retweets 1 like
      3. 1 more reply

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