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Surgeon_General's profile
U.S. Surgeon General
U.S. Surgeon General
U.S. Surgeon General
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@Surgeon_General

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U.S. Surgeon GeneralVerified account

@Surgeon_General

U.S. Surgeon General VADM Jerome M. Adams. (Note: Tweets prior to 9/12/17 were from previous Surgeons General.)

Washington, DC
surgeongeneral.gov
Joined January 2012

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    1. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      1/? GM twitter! Let’s reset the discussion on pain management and opioid misuse. First, we must acknowledge/ I’ve always felt and said that we have a crisis of un and undertreated pain in the US, and it can lead to suicide, self medication w illicits, and other bad outcomes.

      170 replies 102 retweets 276 likes
      Show this thread
    2. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      2/? We also have an overdose crisis in our country. It is NOW largely fueled by fentanyl, but there traditionally have been, and still are many people who first become dependent due to opioids prescribed to them - or diverted from others to whom they were over prescribed.

      38 replies 25 retweets 59 likes
      Show this thread
    3. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      3/? It both can be and is true that many people benefit from opioids, while others who are getting them are seeing more downside than upside. Not either/ or. Examples of the latter are many patients (especially peds) getting dental extractions, and most with migraines.

      19 replies 23 retweets 51 likes
      Show this thread
    4. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      4/? Thats why I highlight opioid alternatives where evidence suggests they provide as good or better risk/benefit. Im NOT anti-opioids, but pro better pain management. I want to ensure those who benefit from opioids get them, & those who might benefit from other meds get those.

      29 replies 29 retweets 96 likes
      Show this thread
    5. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      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!

      42 replies 37 retweets 122 likes
      Show this thread
    6. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      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.

      17 replies 24 retweets 85 likes
      Show this thread
    7. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      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.

      16 replies 17 retweets 43 likes
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    8. U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      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.

      14 replies 16 retweets 48 likes
      Show this thread
      U.S. Surgeon General‏Verified account @Surgeon_General 13 Jul 2019

      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

      4:46 AM - 13 Jul 2019
      • 24 Retweets
      • 103 Likes
      • Jim r Wes Finalle Richard Crocker cindymcdaniels54@gmail.com Jim Hanson Boone 🌊♿ DPVA Disability Caucus ♿🌊 ... Claudia Carrera
      88 replies 24 retweets 103 likes
        1. New conversation
        2. PainWarriorsUnite - C50 Tamera Stewart‏ @fightpaindaily 13 Jul 2019
          Replying to @Surgeon_General

          Thank you sir for putting this out there! Most CPPs understand opioid sparing w/o ☝️pain is a good thing, although our anger shows 1st! Many of us have lost nearly everything b/c of this hysteria. I would ❤️ 2 work towards 👇 stigma & shame we feel just from needing pain meds!

          1 reply 3 retweets 23 likes
        3. The Urban Fatbiker‏ @urbanfatbiker 13 Jul 2019
          Replying to @fightpaindaily @Surgeon_General

          Thank you for polite response to SG. Yes we are angry. I am a survivor of HIV and cancer. I now can't manage pain or take your @tylenol. Millions DID have care, LOST IT, due to LAW, enacted based on LIES. Many dead, more each day. ACKNOWLEDGE THAT, then let's discuss.

          1 reply 5 retweets 20 likes
        4. 3 more replies
        1. New conversation
        2. P. Hillman‏ @PHillman20 13 Jul 2019
          Replying to @Surgeon_General

          Con't. Most of all, don't generalize pain for specific conditions, procedures. There will be many exceptions to your consensus. When you generalize, the exceptions are perceived as "drug seeking" or with OUD. Take a lesson from Univ. of Mich Hospital ER.'s destigma campaign...

          1 reply 2 retweets 7 likes
        3. Donna J‏ @soofriends 13 Jul 2019
          Replying to @PHillman20 @Surgeon_General

          This is important. If a study shows that opioids don't work for 75% of fibromyalgia patients, we see everyone screaming, NO OPIOIDS FOR FIBRO!!! Meanwhile that 25% that they did work for are forgotten and left to suffer. We need INDIVIDUALIZED treatment.

          2 replies 1 retweet 12 likes
        4. 5 more replies
        1. Teri Peters‏ @hipEchik 13 Jul 2019
          Replying to @Surgeon_General

          This is big government bs. Read the oncologist whose patient couldn't get a fill because the Walgreens pharmacist said no. Right now, on your watch, it's pain patients who are suffering. Addicts are not suffering. We are. This is on the Trump administration. Period.

          0 replies 4 retweets 13 likes
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        1. New conversation
        2. Amy Dunnavant‏ @jdginlr 13 Jul 2019
          Replying to @Surgeon_General

          One problem is as CPPs, we don’t trust the government making the rules for pain care. After those horrid guidelines, and the CDC has let hundreds suffer and die before clarifying them, and it hasn’t helped CPPs getting their meds back. We need action NOW.

          1 reply 1 retweet 3 likes
        3. Amy Dunnavant‏ @jdginlr 13 Jul 2019
          Replying to @jdginlr @Surgeon_General

          We need you and all of your government official friends to help pain patients get their medications back before more people die. This is happening on your watch. Let our doctors take care of us. I don’t think worrying about dental procedure pain mgt is a priority.

          0 replies 1 retweet 3 likes
        4. End of conversation
        1. New conversation
        2. PainfullyDisabled (Karla)‏ @karlarabel1 13 Jul 2019
          Replying to @Surgeon_General

          2/ $$$, so why not give pts. an incentive for what is not used. This way there would be less "drugs" on the street, and patients who need them for longer periods/life as w/ #ChronicPain could get what they need. And tell the DEA they cannot practice medicine, let Drs. do that!

          2 replies 1 retweet 6 likes
        3. PainWarriorsUnite - C50 Tamera Stewart‏ @fightpaindaily 13 Jul 2019
          Replying to @karlarabel1 @Surgeon_General

          That really could work!

          0 replies 1 retweet 2 likes
        4. End of conversation
        1. New conversation
        2. Erma Whipple‏ @ErmaWhipple 14 Jul 2019
          Replying to @Surgeon_General

          He is GUILTY of continually allowing the FDA/CDC/DEA to persecute LEGITIMATE, LEARNED Pain Specialists and Clinics. He continues to adhere to the CDC opiod prescribing "guidelines," which by their own admission is based on faulty inaccurate data and half-truths, thereby forcing..

          1 reply 2 retweets 6 likes
        3. Leann Rehm‏ @LeannRehm 14 Jul 2019
          Replying to @ErmaWhipple @Surgeon_General

          Hey @DiaWall @41actionnews @AGEricSchmitt When will Missouri start leading the way out of federally sanctioned torture of pain patients, veterans, accident victims, when? Start protecting our doctors, tell the FEDs to jump in a deep lake, maybe show em Devil's Icebox...

          0 replies 0 retweets 3 likes
        4. End of conversation

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