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5/? I understand many chronic pain patients feel unheard- I HEAR YOU- and I am appreciative for your feedback. Whenever I speak on opioids, I ALWAYS discuss the need to protect chronic pain patients/ not pull the rug out from under them. We must NOT target the wrong people!
6/? We must stop swinging the pendulum to extremes, and find a better balance between getting opioids to those who most benefit from them, while minimizing them for those who don’t. Opioids are BOTH being overprescribed to SOME populations, and under prescribed to others.
7/? Eg overprescribing is well documented in OR setting. Many don’t need/take all opioids prescribed & when not properly stored/ disposed of, they can be diverted. It’s why as an anesthesiologist I highlight opioid sparing anesthetics- because for many we CAN 
periop opioids.
8/? Ive also tried to respond to questions/ comments on twitter in real time- a risk as some may feel my entire position is based on 1 reference/ study that is a specific reply to a different person/ question. We review the totality of the data before taking official positions.
9/ I hope we can work together to achieve better pain management for all- those acute and chronic patients who benefit from opioids, & those populations for whom there are reasonable and often better alternatives (both pharmacologic and non pharmacologic). #betterpaincontrol4all
The new "FDA Opioid Labeling Accuracy Act" is classic extremist generalization. @Sen_JoeManchin and @SenatorBraun assume "chronic pain" is the overprescribed population. But "chronic pain" includes a bewilderingly diverse array of myriad rare and UNDERprescribed conditions.
@ReeseSTyrell
Isn't that just awful .
A bill like that will only make overdoses rise when legitimate pain patients are forced to the streets to find some kind of pain relief so they can go to work, etcetra.
I doubt that bill passes, but the nerve.
That's downright evil.
While your sentiment is appreciated it is just so much lip service still!!!
WE NEED HELP NOW!!
We are destroying our organs in desperation!!
Get the DEA out of our doctor office! The harm will take years to reverse at this rate!!!
#SuicideDueToPain
Surgeon General, pls do something about the forced tapers inflicted upon CPPs who have been compliant, especially those who responsibly used their meds for sometimes decades. These are causing incredible pain, disability, unemployment and suicide. This is a shameful medical era
As a patient with Complex Regional Pain Syndrome (CRPS/RSD). I appreciate your acknowledging the FACT that opioid pain medications do help. Without them, I probably wouldn't be here today, as my pain is extreme and unbearable without them. I have tried all other alternatives.pic.twitter.com/HKbxceNI38
pain patients have been targeted and have been abandoned by docs and government
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