2/? “Unfortunately, some policies and practices purportedly derived from the guideline have in fact been inconsistent with, and often go beyond, its recommendations.”
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1/? I’ve been getting questions/ concerns lately, including yesterday at @ClevelandClinic, about the @CDCgov pain guidelines, and unintended impact on patients they were never intended for. Providers and hospitals, PLEASE read this article!https://www.nejm.org/doi/full/10.1056/NEJMp1904190 …
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3/? A consensus panel highlighted these inconsistencies including inflexible application of recommended dosage/duration thresholds & policies encouraging hard limits & abrupt tapering of drug dosages, causing sudden opioid discontinuation or dismissal of patients from a practice.
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3/? The panel also noted the potential for misapplication of the recommendations to populations outside the scope of the guideline, eg sickle cell crises, advanced cancer, & perioperative setting.
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4/? Opioids are STILL being overprescribed and inappropriately prescribed to too many patients, and the
@CDCgov guidelines are an important way to address this. BUT... we MUST NOT hurt some patients in the process by inappropriately applying the guidelines.Show this thread -
5/ Again, providers/ prescribers/ policy makers, PLEASE read the above article. We must
inappropriate prescribing, but we CAN do this without hurting patients the guidelines were NEVER meant to apply to! 
pic.twitter.com/4MjJfsXiQpShow this thread
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A press conference reiterating this, by your office, CDC, FDA & HHS would help matters. States created their own guidelines. Drs are scared to treat people w medical necessity for
#OpioidMedication. If states took action, Drs would follow. Until then, it will only get worse. -
Far too many
#suicides in pain community, including drastic increase within#Veterans.#palliativecare#incurable#RareDiseases#cancer#intractablepain ALL being force tapered, some even exempt from guidelines. It's horrific for millions of Americans. We need immediate action. - 3 more replies
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You SHOULD be getting inquiries. US Govt must enact AMA Resolution 235 as mandated policy for all healthcare and law enforcement Agencies. No physician should fear sanctions for prescribing whatever a patient needs to control pain -- including opioids. CDC guidelines must go!
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You are one of the only non CPP advocates that I hear say this loud and clear Red. I concur. The PDMP must be made a PHYSICIANS EYES ONLY system & include ALL RXs as well, if it's not decided to be abandoned altogether.
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Until CDC guidelines are repealed, states will continue making laws, Medical boards/DEA/AGs will continue to harass/prosecute. Good docs' lives have been ruined. It's happening. Risk is too great to treat patients. MUST REPEAL CDC GdLs. PDMP for docs only. MUST STOP DEA/AG
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Here's a recent example of CDC G/Ls applied as law to prosecute a Michigan doctor treating palliative care patients: https://amp.detroitnews.com/amp/1284722001?__twitter_impression=true … CC:
@NBCNightlyNews,@mayadusenbery,@Liz_Llorente,@greggutfeld,@nytimes,@JanHoffmanNYT,@abbygoodnough@HuffPost,@ArtL7,@maiasz - 2 more replies
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