Tweets
- Tweets, current page.
- Tweets & replies
- Media
You blocked @DrKimSue
Are you sure you want to view these Tweets? Viewing Tweets won't unblock @DrKimSue
-
Pinned Tweet
A short Christmas wish list: 1) people aren’t sent to jail or prison for drug use 2) OTC naloxone 3) overdose prevention sites - legal, funded, ready to use 4) reparations to communities of color ravaged by war on drugs policies. What else am I missing? Too much to ask?
Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Kim Sue, MD, PhD Retweeted
Reality is that these meds have been shown to reduce overdose risk in correctional settings & during post-release period. Yes, there are complexities. And yes, community needs to do better. But we mustn’t let those reasons prevent us from implementing programs that save lives. 6/
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
Kim Sue, MD, PhD Retweeted
A court in Virginia takes on the real death penalty: the way inadequate, underfunded and understaffed medical care kills and maims prisons at far greater rates than actual executions.https://www.washingtonpost.com/local/legal-issues/after-four-inmate-deaths-judge-finds-medical-care-at-virginia-prison-unconstitutional/2019/01/03/ecc7cad0-0f6f-11e9-84fc-d58c33d6c8c7_story.html …
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
Great work, will add that all ED providers can counsel with some
#harmreduction pearls if pt declines rx/tx/addiction consult: 1) don’t use alone, make sure others check on you 2) test for fentanyl if possible, go slow 3) ensure naloxone on hand 4) try to avoid polysubstance usehttps://twitter.com/liebschutz/status/1081240108957868032 …
Thanks. Twitter will use this info to make your timeline better. UndoUndo -
In the Crimson Care Clinic I helped found at
@harvardmed at Nashua Street Jail, Harvard undergraduates set up MassHealth every week (among so many other things). It’s one critical step among many to ensure care upon returning home.Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
Correctional health=community health. Some key points from
@lac_news report: Medicaid termination unnecessary, enrollment prior to discharge + physical card, with linkages to community - health services available! https://bit.ly/2En2uFZ pic.twitter.com/7VJR9Ke6O6
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
Kim Sue, MD, PhD Retweeted
For the first time IN HISTORY, I have a commitment for hearings on
#MedicareForAll. We’re one step closer to all Americans having access to quality, affordable health care.https://www.washingtonpost.com/powerpost/democrats-plan-to-hold-hearings-on-medicare-for-all/2019/01/03/7051eccc-0f6c-11e9-84fc-d58c33d6c8c7_story.html?utm_term=.6ea10070238c …Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
Kim Sue, MD, PhD Retweeted
"This approach is not a treatment for PWUD, but a treatment for the toxicity of Canada's drug supply and a century of criminalization. Harm reduction in its purest form, protection from the drug policy that is lowering life expectancy across Canada."https://bit.ly/2RtmmNa
Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Read
- atypical OD presentations in the era of fentanyl/analogues. 31% of 1581 ODs had atypical features incl: rigidity of jaw -could interfere w airway access, chest wall rigidity- with ventilation, stiff fingers - difficult to get pulse oxim. Are you seeing these features?https://twitter.com/timgthr/status/1077304712465018880 …Thanks. Twitter will use this info to make your timeline better. UndoUndo -
How many people will die in 2019 from lack of access to basic medical care and addiction tx in US jails, prisons and detention centers??
When ppl are forcibly detoxed off opioids and cravings not treated with MAT, the loss of tolerance can mean using even once can be fatal.https://twitter.com/pdxlawgrrrl/status/1080480045418729473 …Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Kim Sue, MD, PhD Retweeted
To the list.... - No prior auth for BUP in all 50 - 72 hr law changed to “can dispense/Rx up to 3 days to bridge”/Waiver be gone - Naloxone: OTC AND covered by insurance - Enhanced inpt/outpt reimbursement for evidence based OUD Tx (meds!) - QI for Good Sam Lawshttps://twitter.com/DrKimSue/status/1080195688145842177 …
Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Structural violence is exposing those already worse off to even more harms. People who depend on the IHS underserved, historically wronged. My brief time at IHS in Rosebud SD showed me how much chronic poverty affects health including substance use.https://nyti.ms/2GNmym8
Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Kim Sue, MD, PhD Retweeted
This article by
@camillebains1 is the first to focus on the lives of people after a non-fatal overdose event. this is very important. and difficult to discuss. it's a test of one's capacity to be shocked by the#overdose crisis, esp in the#DTEShttps://twitter.com/starvancouver/status/1079830839687561218 …Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Kim Sue, MD, PhD Retweeted
New year. New private health insurance policy. New premiums (probably higher). New deductible (probably higher). New network of doctors (probably narrower). But it doesn't have to be this way. Let's demand a system that works:
#SinglePayer#MedicareForAll.pic.twitter.com/VbbQyFVAKe
Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Draft of 2019
#drugpolicy goals: 1. OAT in all US jails/prisons and low threshold bupe 2. Syringe access in all 50 states 3. Encouraging research/education for tx of drugs besides opioids 4. Legal operating overdose prevention sites in the US What else should we do together?Thanks. Twitter will use this info to make your timeline better. UndoUndo -
Benzodiazepine withdrawal is serious, extremely difficult, often overlooked. In a hospital, like alcohol w/d, it is a condition req doctor be present on the floor at all times (both can lead to possibly fatal seizures). In jail, not treating it and neglecting pt—> tragic resultshttps://twitter.com/keribla/status/1079811098902257666 …
Thanks. Twitter will use this info to make your timeline better. UndoUndo -
I do believe our efforts now are even more necessary to shift the curve on premature/tragic deaths by overdose. Medication is one powerful tool we have. I counsel patients not interested in OAT about the chronic nature of opioid use dx- to help live a week, a month, years.
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
Another paper by the same group estimated years of potential life lost (YPLL) as 18 years. 48.5% of the cohort was dead in 1996 (heroin overdose, chronic liver disease, accidents). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2039886/pdf/nihms-22020.pdf …
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
This is notably before the era of fentanyl, which makes ongoing use/abstinence cycles even more deadly and dangerous, and before the era of more widespread tx with medication. I think many of us care about the black portion-- the percent who died prematurely.
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
Some people were eventually able to achieve abstinence (easier with more years). Many periods of yrs of abstinence alternating with use. A quarter still "relapsed" even after 15 years of abstinence. Many were daily drinkers or did other drugs.
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo -
I think it's useful to examine this old paper that followed a CA-based cohort of male heroin users over 33 years. Years of heroin use ranged from 0.8-50 years (mean 30.3). Opioid use disorder is a tough, chronic disease. Such a high percentage died. https://jamanetwork.com/journals/jamapsychiatry/fullarticle/481765 …pic.twitter.com/Cfa6aOG7R8
Show this threadThanks. Twitter will use this info to make your timeline better. UndoUndo
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

