Katie Horneshaw @KatieHorneshaw
ND writer/harm reduction advocate. @Unharm/@AODMediaWatch/ @SMARTrecoveryAU/ @PeningtonNews/Graduate psychology [email protected] muckrack.com/katie-horneshaw Melbourne Joined April 2011-
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Under-medicating people who are known to have a tolerance (and therefore require far *higher* doses of analgesia) is cold-blooded torture. That simple.
Under-medicating people who are known to have a tolerance (and therefore require far *higher* doses of analgesia) is cold-blooded torture. That simple.
@VintageVamp17 @KatieHorneshaw My pain specialists never ever examine MRI images. It’s ridiculous that they are leaving the analysis to the radiologist.
@shdwstar @KatieHorneshaw I am 77 and in extreme pain. 5 compression fractured spine segments and severely pinched neck foramen. A lumbar laminectomy that failed to help right sciatica. Partially cracked right hip. I am thankful that I have a great doctor but cannot tell him the truth.
@ph0ssy_jaw @KatieHorneshaw Same for me. I tried to get a stupid Physiatrist to understand I was diagnosed with ADHD at the age of nine to no avail. They always play it safe. Since the FDA put a black box around Xanex, they really think that is a law, rather than caution. Never plea to any Physiatrist
This is what makes me so sad... people provide these disclosures from a place of vulnerability a trust, to demonstrate that they are ready to forge an honest clinical relationship. The clinician often presents *trust* as their rationale for asking. Then BAM, up go the walls.
This is what makes me so sad... people provide these disclosures from a place of vulnerability a trust, to demonstrate that they are ready to forge an honest clinical relationship. The clinician often presents *trust* as their rationale for asking. Then BAM, up go the walls.
@leonardeo60 @KatieHorneshaw It's sad, we should be able to get the care we need AND be able to be as honest as possible about our medical history and our past without it essentially blacklisting us, making it impossible to ever get the *gold standard* of care, but ineffective off label meds, ie Seroquel.
This is why I say a single disclosure can follow you for life
This is why I say a single disclosure can follow you for life
This is info one can easily access without writing off their human rights. I'm a journo & I know *immensely* more about drug interactions than any GP so far. Not their fault- they aren't specialised/ are overworked, so often recycle misinfo by accident. Good info IS available.
This is info one can easily access without writing off their human rights. I'm a journo & I know *immensely* more about drug interactions than any GP so far. Not their fault- they aren't specialised/ are overworked, so often recycle misinfo by accident. Good info IS available.
@thomasjwwalters @WentschE @DopefiendPhD @shdwstar @MaxSpikeAl @KatieHorneshaw Consider the benefits of getting rid of the prescription only model e.g. bu.edu/articles/2019/…
If you haven't been through this, imagine knowing- every single day- that at any time, your basic physical needs may cease to be met and your entire life plunged into ever increasing pain, with no recourse available to you beyond begging...
Our discussions re connection, trust and belonging in banned drug using spaces are some of my favourite on the platform. Sharing a persecuted social position is inherently intimate- here is someone who gets it. It creates the conditions for deeply honest connections.
Our discussions re connection, trust and belonging in banned drug using spaces are some of my favourite on the platform. Sharing a persecuted social position is inherently intimate- here is someone who gets it. It creates the conditions for deeply honest connections.
PSA, see below. This is disgusting. I had never thought of it from this angle before. They get you all 'recovered' and then take away the meds you need to function. Great for recovery maintenance!
PSA, see below. This is disgusting. I had never thought of it from this angle before. They get you all 'recovered' and then take away the meds you need to function. Great for recovery maintenance!
I hear this story all the time. Friends get in touch asking my advice after being sweet-talked into disclosing drug use during a diagnostic assessment. They do it to show honesty & willingness to engage with the process, then wonder why treatment has been denied. Disillusioning.
I hear this story all the time. Friends get in touch asking my advice after being sweet-talked into disclosing drug use during a diagnostic assessment. They do it to show honesty & willingness to engage with the process, then wonder why treatment has been denied. Disillusioning.
What a surprise! It's almost like there's a connection between criminalization and drug-related harms/deaths🤔
What a surprise! It's almost like there's a connection between criminalization and drug-related harms/deaths🤔
@Taschna_ @DrVinayLakra I spoke a lot about how harmful it is to expect "histories" from people and that it's a human rights violation to remove the choice. We don't owe anyone our story, our trauma, our memories. Those are ours.
People that use heroin and 'function normally' are being protected from prohibition by their privilege. If you are poor and dependent on heroin under a prohibitionist system, functioning normally is impossible.
Stephen Murray, MPH, .. @stephenHRNRP
14K Followers 7K Following Husband/dad / #HarmReduction Program Manager /Paramedic from @ThisAmericanLife Ep809 TheCall /Director Mass Overdose Helpline. he/him. VIEWS MINE!
Claire Zagorski, MSc,.. @clairezagorski
16K Followers 5K Following Transdisciplinary translational drug scientist at @PhARMProgram + @LSHTM. Drug War Activist, Stubborn Leftist Texan, Artist, Paramedic, O-Chem Fan. she/her/ella
Brian Hackel @Brian_A_Hackel
8K Followers 8K Following Supervisor, Overdose Prevention Center | @_onpointNYC Washington Heights | M.S. @VCU | Opinions are my own (TW: graphic) | NO media inquiries
Garrett Reuscher @GarrettReuscher
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Hilary Agro 🍄 @hilaryagro
54K Followers 3K Following Anthropology PhD candidate @UBC: Drug use, policy, culture + prohibition 💊 | Rave mom | Organize, decolonize + abolish billionaires 🌹 she/her
Kim Sue, MD, PhD @DrKimSue
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Garth Mullins @garthmullins
15K Followers 3K Following Host @crackdownpod, band: Low Dead Space, VANDU veteran, drugstore cowboy, policy analyst, shop steward, PhD(c), blind. Be safe-Keep 6
Morgan Godvin @MorganGodvin
24K Followers 3K Following opinions my own | former prisoner | justice + health @HiJAction | harm redux @beatsoverdose | second gen donor conceived queer | veterans | she 🌈
Ryan McNeil @RS_McNeil
12K Followers 2K Following Assoc Prof @Yale (Medicine, Public Health, Anthro) | Director, Harm Reduction Research @YaleADM | Co-Creator @crackdownpod | partner @lb_dilley | Opinions Own
rob korobkin, mph �.. @robkorobkin
4K Followers 3K Following I help provide homes to 70 low income survivors of trauma and incarceration across Maine (he/him). Dad, husband, dog friend. @busph #harmreduction #housing
Lauren Semrau @LaurenSemrau
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Julian Buchanan, PhD @julianbuchanan
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Maia Szalavitz @maiasz
33K Followers 3K Following Contributing Opinion Writer, New York Times. OUT NOW IN PAPERBACK: Undoing Drugs. Award winning neuroscience journalist. Quit cocaine & heroin in 1988.
Leo Beletsky @LeoBeletsky
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Bev Schechtman🇮�.. @ibdgirl76
10K Followers 4K Following Wife, mom of 2 girls & an Aussiedoodle, Crohn’s, PsA, PTSD, sexual abuse survivor, chronic pain advocate. VP/Researcher for The Doctor Patient Forum/DPP
Peter Grinspoon, M.D. @Peter_Grinspoon
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BR⚢KE @BabblingBrookeA
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Pinky 🌹 @callmepinky157
14 Followers 5K Following your fav 🎶 music 🎧 junkie 🎵 follow my main: @pinkyb00ty
Anas ❤️ @titianas776309
71 Followers 5K Following your fav 🎶 music 🎧 junkie 🎵 follow my main: @anastasiaxcutie
Anasta 💝 @Shubham40570966
70 Followers 5K Following your fav 🎶 music 🎧 junkie 🎵 follow my main: @anastasiaxcutie
Michael Montoya @MichaelMon000
2K Followers 6K Following lf there is anything that a man can do well, l say let him do it.....
Anasta 💝 @anastiiiii1525
52 Followers 5K Following gamer squad 🚀 hihi 🌈👾 follow my main: @anastasiaxcutie
Maude 😈 @maudexoxx80901
51 Followers 5K Following your next tattoed 5'2 girlfriend 🙈 follow my main: @xMaudeHottie
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Anasta 💘 @anastiiiii1408
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Robert Smith @robert77621
131 Followers 560 Following originally from Denmark, but I do live in LaBelle FL. i love to make new friends, happiness is free..
Prof Catherine Lido @CatherineLido
805 Followers 2K Following Social Psych #intersectional #gender #inequalities @uofgeducation @urbanbigdata Pro-families of addiction #stigmareduction #abuserecovery. Own views
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DAYTIME GEOFF @geoff_mak
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50 Followers 166 Following I am an entrepreneur, author, and advocate for those looking to heal from trauma. My new book, Coming Full Circle, on #psychedelics and trauma work, is out now.
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3K Followers 3K Following Fmr Medical Director, Rhode Island Department of Corrections Clinical Educator, Addiction Researcher at Alpert Medical School @ Brown
Addiction Science @ U.. @AddSciMIMH
528 Followers 690 Following We develop, implement, evaluate, and refine scientifically rigorous programs for people who use drugs and others impacted by addiction.
adriana @moonlightami
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Richard Longflop @SuboxoneSux
23 Followers 47 Following New Yorker.🗽Venting about my experience with the horrific OTP system in the US and these doctors trying to intimidate and force everyone onto buprenorphine.
Ell Stringer 💉x5 @EllandHStringer
127 Followers 1K Following PartyVoteGreen💚. Decolonial-intersectional-feminist. 🇳🇿🥝✡️🇵🇱🇩🇪🇬🇧in🇨🇦Tiohtià:ke on stolen land.Tangata Tiriti.Views my own🍉🌈☕️🤦🏼♀️BLM. NZRN😷
Douglas Laird @DouglasBioxyzen
797 Followers 2K Following HepCV experienced UVic BC student PSYCH/THEA. Past rapporteur/chair HepCBC. Cleared 2013, 2nd IFN w/ DAA. HCV and overdose epidemic KT. 30 years recovery.
VK.PubHealthInformati.. @VKPubHealthInf1
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Matthew James @Matthew86173654
89 Followers 149 Following
Mör Agonistos • Hu.. @humanedrug
1K Followers 3K Following tryin' like hard to not blow my cover • drug legalization · Linux nerd · security · kubernetes · locksport • older+wiser • root • ⛔$CRYPTOSCAM • won’t block you
Atika J @Atikatika9jJ
413 Followers 872 Following CEO @ the J healthcare Initiative | sciencing | lived experience with unstable housing. First gen immigrant| Substance Use Healthcare | Views are mine.
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Psychedelic Society @Psychedeli57575
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Seven x @Sevenx479751
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James Wyatt @jameswyatt1122
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CPMH 2023 | Amsterdam.. @psychiatryforum
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238 Followers 1K Following MSW. The Fall enthusiast (the group, not the season).
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Aimee Sinclair @MsALibertine2
810 Followers 1K Following PhD candidate #peersupport #madstudies Seeker of complexity, radical kindness, good coffee & opshops. Tired. A lot. 💗💜💙 (she/her)
Semidelic @semidelic
143 Followers 680 Following
Dr Anastacia Elle Rya.. @AnastaciaRyan
3K Followers 3K Following Lecturer @UofGlasgow Chair @YoungWomenScot 🧡 Women & Children at the Margins research @phf_uk RJ Women Lead @RecoveringJust1 🕊️Founder @SISU_Group & Mother 🦋
Kate @ClubEtak
308 Followers 4K Following Interested in people. Mostly retweet unless impassioned or intoxicated. Retweet ≠ endorsement. I aim to be kind but sometimes fail.
Trish Rios @RiosTrish0817
17 Followers 72 Following NLCC Navigator, Harm Reduction Community Health Worker 14 years in remission from SUD
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170 Followers 724 Following
Bobbi Jo Kellogg @BobbiKellogg
971 Followers 3K Following 59 years old. Married. Disabled furbaby Mama. Chronic pain survivor. Ask to DM please.
Tell Penn Medicine: S.. @savewright4
4 Followers 33 Following A coalition of Philly-based harm reduction orgs fighting to stop Penn Medicine cutting addiction medicine services. #patientsoverprofit #housingishealthcare
Kym Davis @kymdavis73
537 Followers 4K Following Frequent Sleeper with Bursts of Wakeful Eccentricity. Jesus & Family Lover. Autoimmune/Chronic Illness Fighter. Patient Advocate #Sjogrens #JIA (She/Her)
Stephen Murray, MPH, .. @stephenHRNRP
14K Followers 7K Following Husband/dad / #HarmReduction Program Manager /Paramedic from @ThisAmericanLife Ep809 TheCall /Director Mass Overdose Helpline. he/him. VIEWS MINE!
guyfelicella @guyfelicella
23K Followers 2K Following Trusted Harm Reduction & Recovery Expert Inspirational Speaker sharing my story of overcoming addiction, mental health and homelessness. Opinions are my own.
Claire Zagorski, MSc,.. @clairezagorski
16K Followers 5K Following Transdisciplinary translational drug scientist at @PhARMProgram + @LSHTM. Drug War Activist, Stubborn Leftist Texan, Artist, Paramedic, O-Chem Fan. she/her/ella
Zachary Siegel @ZachWritesStuff
22K Followers 5K Following writer, ghostwriter, researcher: @harpers, @nytmag, @nymag, @newrepublic, @thenation, @vice, @slate & my newsletter
Brian Hackel @Brian_A_Hackel
8K Followers 8K Following Supervisor, Overdose Prevention Center | @_onpointNYC Washington Heights | M.S. @VCU | Opinions are my own (TW: graphic) | NO media inquiries
Garrett Reuscher @GarrettReuscher
11K Followers 883 Following Your friendly neighborhood harm reduction psychotherapist. LMSW. He/Him. Views are my own. You'll like the way I tweet. I Garrett-ee it.
Hilary Agro 🍄 @hilaryagro
54K Followers 3K Following Anthropology PhD candidate @UBC: Drug use, policy, culture + prohibition 💊 | Rave mom | Organize, decolonize + abolish billionaires 🌹 she/her
Kim Sue, MD, PhD @DrKimSue
24K Followers 3K Following Addiction medicine physician, med anthropologist @YaleMed @YaleADM| previously @harmreduction @MGHMedicine @HarvardMed| Author: Getting Wrecked| donuts| she/her
Sheila Vakharia PhD M.. @MyHarmReduction
18K Followers 3K Following Opinions Mine | Deputy Director at @DrugPolicyNerds |@DrugPolicyOrg | Author 'The Harm Reduction Gap' | Order: https://t.co/Ty0f7cKHLm
tracey helton mitchel.. @traceyh415
12K Followers 3K Following tweets are my own; Naloxone! author-The Big Fix. Featured in The NYT & NPRs Fresh Air, anti racist, MH issues, repped by @lynnjohnstonlit
Garth Mullins @garthmullins
15K Followers 3K Following Host @crackdownpod, band: Low Dead Space, VANDU veteran, drugstore cowboy, policy analyst, shop steward, PhD(c), blind. Be safe-Keep 6
Drug Policy Alliance @DrugPolicyOrg
103K Followers 2K Following The nation’s leading org promoting drug policies grounded in evidence, health, equity, & human rights. #NoMoreDrugWar ED: @kassandra_fred. 501c4: @drugpolicyact
Morgan Godvin @MorganGodvin
24K Followers 3K Following opinions my own | former prisoner | justice + health @HiJAction | harm redux @beatsoverdose | second gen donor conceived queer | veterans | she 🌈
Ryan McNeil @RS_McNeil
12K Followers 2K Following Assoc Prof @Yale (Medicine, Public Health, Anthro) | Director, Harm Reduction Research @YaleADM | Co-Creator @crackdownpod | partner @lb_dilley | Opinions Own
Lauren Semrau @LaurenSemrau
4K Followers 5K Following i like sitting on stoops 'problem child' of a psychiatrist
Julian Buchanan, PhD @julianbuchanan
11K Followers 868 Following Promoting Risk Reduction & Human Rights over 4 decades Retired Prof/Drug Worker Pākehā/Scouser #J4T97 #EndProhibition Podcast https://t.co/BYtI8DRJ8n
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12K Followers 957 Following Doctor; Drug law reform; Board, Australian Tobacco Harm Reduction Association; Foundation President, International Harm Reduction Association (1996-2004)
Carl Hart @drcarlhart
60K Followers 1K Following Prof. @Columbia; Author, Drug Use for Grown-ups: https://t.co/98wYzjyw8F
Bev Schechtman🇮�.. @ibdgirl76
10K Followers 4K Following Wife, mom of 2 girls & an Aussiedoodle, Crohn’s, PsA, PTSD, sexual abuse survivor, chronic pain advocate. VP/Researcher for The Doctor Patient Forum/DPP
Intermittent Chance o.. @SpiralDeeArts
340 Followers 691 Following Weary Artwitch: summoning weirdness from traditional media and AI. GenX snark fairy.
Smoke Works @SmokeWorksBos
3K Followers 2K Following Promoting safer smoking / alternatives to injection for drug consumers and harm reduction programs: Procurement, Capacity Building.
Kym Davis @kymdavis73
537 Followers 4K Following Frequent Sleeper with Bursts of Wakeful Eccentricity. Jesus & Family Lover. Autoimmune/Chronic Illness Fighter. Patient Advocate #Sjogrens #JIA (She/Her)
Bobbi Jo Kellogg @BobbiKellogg
971 Followers 3K Following 59 years old. Married. Disabled furbaby Mama. Chronic pain survivor. Ask to DM please.
Christine Dutton @MentallyEnable
74 Followers 385 Following Blogger, lifelong learner, possible poet, music lover, harm reduction resource provider, South Florida girl born & raised, survival of what life puts on my path
Vinay Lakra @DrVinayLakra
1K Followers 574 Following Past President, The Royal Australian & New Zealand College of Psychiatrists. Divisional Director, Mental Health. Ex Deputy Chief Psychiatrist VIC.
Sean Molloy (he/him) @SeanJMolloy
3K Followers 980 Following Passionate about advancing community health | #Design #Innovation #Quality | 🇮🇪🇨🇦 | #EBike guy
Laura Monico PhD @DrCoachLaura
306 Followers 1K Following Clinical Research Scientist @pelagohealth Friends Research • Advocate/Harm Reductionist • Lived experience • Thoughts are my own 🏳️🌈💉💊
Complex Health Austra.. @ComplexHealthAu
180 Followers 664 Following Grassroots #CSX collective #ComplexHealth #ChronicHealth #MedicalNeglect #Trauma #MedicalGaslighting #Inaccessibility [email protected]
Darci Skiber @DarciSkiber
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alex.station @alexxstation
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1K Followers 862 Following Lecturer, lawyer, social worker, mother, grandmother, not in that order! Criminal justice, prisons, courts, law reform.
Rhys Cohen @rhyscohen
3K Followers 973 Following 🇦🇺 drug nerd | policy officer at @PeningtonNews | advisory board @Lambert_Usyd | views are my own
Donna @DaviMaree
2K Followers 1K Following Nanny to Aubrey May. I quit smoking on the 7/10/13 by switching to vaping. Proud Mum of identical adult twin girls. Both first UNI qualified in family.
Pete Lee • Emeritus.. @PeteLeeUs
641 Followers 2K Following Tech Product Mgmt • Policy Advisor, DNC Environment & Climate Crisis Council • Disaster Responder/ EMT / Ham Radio • Opinions mine, RT≠endorsement, YMMV 🇺🇦
Fenstar @FenstarDeLuxe
714 Followers 1K Following
Crystal *Ceasefire In.. @ItsCrystalSue
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SedatedSociety @Haylesurfer
72 Followers 218 Following Rejoiner, Anti-Facist, Surfer, Sea, Father, Liverpool FC, Peace
*•.¸.𝐻𝑒𝓂�.. @HempEdification
2K Followers 2K Following Hemp the herb, Cannabis sativa L can save the planet! It grows easily and can supply humanity with everything. Science and fact should replace ideology and myth
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883 Followers 1K Following Chiari pt…dedicated high school science/math teacher and avid traveler until the 2016 cdc gl & my insurance co derailed my life. I live for my next beach trip
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885 Followers 3K Following seeking to end discrimination based around drug use & complex mental health issues / in memory of my brother Evan / Board @crew_2000 / work @ SFAD
ams @amsinthenorth
342 Followers 390 Following Born and raised Torontonian, working in harm redux in the near North. PWLE, advocate. Thoughts my own. #saveTHESPOT- SCS is now closed 💔
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175 Followers 212 Following 🍷💊 Grassroots health promotion | 🗞 Subscribe to get some different kinda gear in your inbox weekly in 5 minutes or less 👇
ermha365 @ermha365
245 Followers 705 Following We're a specialist #notforprofit supporting people of all ages with complex mental health and disability.
Gail Gazelle, MD, MCC @GailGazelleMD
15K Followers 780 Following Helping Physicians Thrive in a Broken System | @HarvardMed | @InstofCoaching | 500+ Doctors Coached | Free Group for Burned Out Women in Medicine 👇
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37 Followers 252 Following Harm reductionist person in remission from substance use disorder. Lover of arts and social justice issues
Psych FI @psych_finance
9K Followers 4K Following Funding research into mental health and psychedelics and supporting legalization to bring in the psychedelic renaissance. Psych NFTs and DAO coming soon.
Trin Tempest @TrinTempest
823 Followers 1K Following ⚧ Trans non-binary | Mad-ND | Queer AF | Disabled | Spoonie. Decriminalize sex work. ACAB. No TERFS/SWERFS/Fascists. I identify as a Problem. My views are mine.
BrooklynDad_Defiant!�.. @mmpadellan
1.3M Followers 42K Following Proud papa. Perpetually pissed. #BlueWave2024, #Feminist. Author of The Liddle'est President. 👉Sr. Advisor, @ReallyAmerican1👈👀
Steve Schmidt @SteveSchmidtSES
1.6M Followers 232 Following
Molly Jong-Fast @MollyJongFast
1.1M Followers 7K Following subscribe to fast politics https://t.co/8oCGnjfIKm follow me on instagram https://t.co/bZreuBOHrV @vanityfair special correspondent & MSNBC
Gisele Barreto Fetter.. @giselefetterman
224K Followers 4K Following “Oh! That gentleness! how far more potent is it than force!” ❤️🇧🇷🇺🇸👩🏼🚒🚒
Lars Stephenson @LarsStephenson
107 Followers 545 Following Adult-Gero DNP. Thankful for: my queer and trans ancestors, public health, the outdoors. They/Them, Views My Own
Echo Wyche (She/Her) @echo_brandy
435 Followers 737 Following Harm Reductionist, Unapologetically Liberal,Pro-Choice, Healthcare for All, Decrim drug use, End Mass Incarceration, 🌈ally, Housing 1st, Equity matters
Topical Depression Ka.. @kastaliamedrano
4K Followers 3K Following deputy editor @Filtermag_org | cohost @StimUsersCall with @SF_USU | @WGAEast | she/her, meth user, good listener horrible emailer
Erinpiprazole MD⚕�.. @erinpiprazole
417 Followers 1K Following amateur cat masseuse, she/her psychiatry PGY-1 Detroit➡️Chicago (views=/=medical advice or institutional opinion)
Rosi-Germal @Rosie34039872
847 Followers 1K Following #PainPatientsAreNotAddicts #Ifyougetscarycreepytexts itsmyexhusbandnotme@realmarlasinger This thread explains it well.. x.com/katiehorneshaw…
THREAD: here's my go at convincing the unconvinced... Person B is white, rich and uses heroin purchased online with clean needles they have home-delivered Person B is poor, black & housing insecure & has to hustle all day to buy heroin from a street dealer, at constant risk
@julianbuchanan x.com/katiehorneshaw…
Why do I say NEVER disclose your drug use to a Doc? "Shouldn't it depend on the Doctor?" It should, but it doesn't. If you tell a clinician that you've used illicit drugs, expect that info to be accessible to other docs/hospitals/pharmacies/police/Gov orgs- indefinitely.
@MaxSpikeAl @KatieHorneshaw @WentschE What insane opioid dependent person would rely on doctors for pain mitigation? Absurd.
@MaxSpikeAl @KatieHorneshaw @WentschE I've literally had friends wake up mid surgery because doctors didn't want to "overmedicate" a "junkie". They're not going to be more careful with you because they know you're using drugs. They're going to treat you like a liability and they care less if you survive/suffer
@MaxSpikeAl @KatieHorneshaw @WentschE Also, you're opioid dependent, who cares if the doctors would give you their crappy little pain killers? They're not going to give you anything near what you can buy on your own, faster and cheaper than filling a script for some garbage percoset or what have you.
@DopefiendPhD @KatieHorneshaw @WentschE @MaxSpikeAl Therefore patients have to educate themselves best they are able & manage their needs themselves. Healthcare as a whole—generally, is no longer relevant, it’s politicised, incompetent and corrupt in covering up & enabling protection of highly paid jobs. It needs a forced rebuild.
@KatieHorneshaw @WentschE @MaxSpikeAl *average medical doctor. There's outliers.
@KatieHorneshaw @WentschE @MaxSpikeAl Engaging with med drs. has really emphasized to me how their knowledge about illicit drugs/drug use is so limited that their knowledge-base generally hovers around that of an average middle class 5 year old. The issue is THEY aren't aware of where their knowledge-base ends.
@KatieHorneshaw @WentschE @MaxSpikeAl Also, while I certainly value education and expertise, to pretend these qualities are limited to those who have had the privilege of gaining them formally via state-sanctioned institutions is disingenuous.
@DopefiendPhD @KatieHorneshaw @WentschE @MaxSpikeAl Average medical doctor isn’t interested in life long learning. Medical associations, “reform = slow process”. Chronic illness /pain /neurodivergent /self med-user patients funnelled to MH services because arrogance. We don’t have a Right to Healthcare while ‘progress’ is stifled.
@KatieHorneshaw @DopefiendPhD @MaxSpikeAl This didn’t use to be as much of a problem before the digitization of health records/prescription data and the accompanying hysteria over controlled substances. I used to be able to have frank off the record discussions with providers and that info was not being transmitted.
@WentschE @MaxSpikeAl @KatieHorneshaw Certainly. I think it's up to personal discretion to decide when and where. But I always caution people who are rather green and not used to being treated like a "junkie". It can come as cruel shock when it happens to someone for the 1st time - esp in their moment of need.
@WentschE @MaxSpikeAl @KatieHorneshaw Imo the risk of harm from disclosure is usually greater than non-disclosure.
@VintageVamp17 @KatieHorneshaw My pain specialists never ever examine MRI images. It’s ridiculous that they are leaving the analysis to the radiologist.
@ph0ssy_jaw @KatieHorneshaw Same for me. I tried to get a stupid Physiatrist to understand I was diagnosed with ADHD at the age of nine to no avail. They always play it safe. Since the FDA put a black box around Xanex, they really think that is a law, rather than caution. Never plea to any Physiatrist
@shdwstar @KatieHorneshaw I am 77 and in extreme pain. 5 compression fractured spine segments and severely pinched neck foramen. A lumbar laminectomy that failed to help right sciatica. Partially cracked right hip. I am thankful that I have a great doctor but cannot tell him the truth.
@leonardeo60 @KatieHorneshaw This was exactly the thing I made the naive mistake of -- thinking I could have an honest human to human interaction w/ the psych about how I only had problems w/ opiates bc of it's chemical dependence, but never once misused my Adderall, nor PRN Xanax. Now I feel blacklisted.
@leonardeo60 @KatieHorneshaw It's sad, we should be able to get the care we need AND be able to be as honest as possible about our medical history and our past without it essentially blacklisting us, making it impossible to ever get the *gold standard* of care, but ineffective off label meds, ie Seroquel.
@KatieHorneshaw There is a way out which some of us use on GPs etc. Only admit to having used cannabis in countries/ states where it was/ is legal. For many people for decades that was only Amsterdam, unless they had been in India in the right years. Now nearly half of USA to have used it in.
@KatieHorneshaw Oregon is legalising all the drugs and most GPs won't know that the Portuguese system is not legalisation.
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