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whitequark's profile
whitequark
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@whitequark

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whitequark

@whitequark

http://whitequark.org  · http://llvm.moe  · http://powerlinesinanime.tumblr.com  · working on quantum computers for a living · DMs open · she

Joined July 2010

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    1. hedge.bat  🦇 🦇 🦇‏ @hedgeberg Sep 22
      Replying to @hedgeberg @alt_kia

      Also "pain is the fifth vital sign" was one of the worst pieces of marketing propaganda for an addictive substance imaginable

      1 reply 0 retweets 2 likes
    2. hedge.bat  🦇 🦇 🦇‏ @hedgeberg Sep 22
      Replying to @hedgeberg @alt_kia

      That being said I doubt anyone has any intent to "reduce supply" by shutting down prescription opioid suppliers thanks to lobbyists, so point is moot.

      1 reply 0 retweets 0 likes
    3. Kia‏☆‏ @alt_kia Sep 22
      Replying to @hedgeberg

      they absolutely have, plenty of people with legit chronic pain are finding it much harder to get prescriptions for opioid medications that they've been on safely for a while

      1 reply 0 retweets 6 likes
    4. hedge.bat  🦇 🦇 🦇‏ @hedgeberg Sep 22
      Replying to @alt_kia

      So, there's an issue there, which is that opioids are not a good solution for long-term chronic pain treatment. They lose efficacy as they build addiction. Opioids were introduced purely for end-of-life treatment or pain which is untreatable by any other means.

      2 replies 0 retweets 0 likes
    5. whitequark‏ @whitequark Sep 22
      Replying to @hedgeberg @alt_kia

      this is not true. we do not have evidence that opioids are not a good solution for long-term chronic pain treatment because we have never properly studied it.

      1 reply 0 retweets 2 likes
    6. whitequark‏ @whitequark Sep 22
      Replying to @whitequark @hedgeberg @alt_kia

      all that we do know is that there is a limited evidence of dose-dependent risk of adverse effects. e.g. see https://www.ncbi.nlm.nih.gov/pubmed/25581257  (2015)

      1 reply 0 retweets 1 like
    7. hedge.bat  🦇 🦇 🦇‏ @hedgeberg Sep 22
      Replying to @whitequark @alt_kia

      Interesting, but definitely does not jive with what I've heard from other folks who are medical professionals. I'll need to review, appreciate the reference. Worth noting that I am not a medical professional, so if you have more information than I do then I can't really argue.

      2 replies 0 retweets 0 likes
    8. whitequark‏ @whitequark Sep 22
      Replying to @hedgeberg @alt_kia

      unfortunately, bias and ignorance in medical professionals is widespread. to give you an example you are probably familiar with, consider trans healthcare in the US. opioids aren't a cure-all, but they are safe and effective when used appropriately, including for long-term pain.

      2 replies 1 retweet 3 likes
    9. whitequark‏ @whitequark Sep 22
      Replying to @whitequark @hedgeberg @alt_kia

      I think if I had to condense it to one tweet, here's a hard fact. Opioid withdrawal isn't life-threatening. It isn't even particularly unpleasant, it basically feels like flu. There is no reason a regular human cannot just sit through opioid withdrawal with a cup of tea.

      1 reply 0 retweets 0 likes
    10. whitequark‏ @whitequark Sep 22
      Replying to @whitequark @hedgeberg @alt_kia

      To compare, alcohol and benzodiazepine withdrawal are medical emergencies and easily lead to death. And at least in the US, there are lots of doctors that prescribe benzodiazepines for long-term management of anxiety, which is incredibly irresponsible and often makes it worse

      1 reply 0 retweets 1 like
      whitequark‏ @whitequark Sep 22
      Replying to @whitequark @hedgeberg @alt_kia

      Most of the stereotypical horrible symptoms of opioid withdrawal is just chronic pain returning in full force after months or years of not feeling it. Imagine how a herniated disc must feel if it suddenly snaps back into existence.

      11:33 PM - 22 Sep 2018
      • 1 Like
      • Kia‏☆
      1 reply 0 retweets 1 like
        1. New conversation
        2. hedge.bat  🦇 🦇 🦇‏ @hedgeberg Sep 22
          Replying to @whitequark

          Honestly no explanation needed. If I have 2 people whom I know to be more knowledgeable than me here telling me I'm wrong, I don't have the background or evidence to contradict and won't until I personally do my own research.

          1 reply 0 retweets 0 likes
        3. hedge.bat  🦇 🦇 🦇‏ @hedgeberg Sep 22
          Replying to @hedgeberg @whitequark @alt_kia

          Tbh trust you and @alt_kia's combined knowledge more than I trust an old memory of an interaction with a friend who's a medical professional. Prior to this I had no contra-indicators to demonstrate that common rhetoric on opioids was wrong, so I appreciate the input.

          0 replies 1 retweet 2 likes
        4. End of conversation

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