Jarratt Pytell

Addiction medicine MD and researcher at @CUAnschutz. Improving primary care for people using drugs. By way of @LSUHealthNO | @BayviewMedicine | @Hopkins_GIM

[Jarratt Pytell @JarrattPytell]

@BenjaminLinas Like that time a world class institution dropped coverage for elderly folks who live in the same community? https://t.co/ttpyQnsCLc

[Stefan Kertesz, MD, MSc @StefanKertesz]

1/Here is DEA’s complete safety plan for legacy pain patients left stranded when they just shut down a California doc who saw “opioid refugees”

It’s a list of ERs!😨

DEA closed down a doc.

Within days, one I previously interviewed is dead by suicide and another is scrambling

[Jarratt Pytell @JarrattPytell]

@DrCindyCooper @BrownHospMed Fresh water exposure including municipal water! Tragic story from 2015 in Louisiana when a child died from Naegleria. It was found in the water supply. https://t.co/dbX3ZRTf0y

[Jarratt Pytell @JarrattPytell]

@PaulNWilliamz Great thread! Dosing NRT by nicotine levels is also in your toolbox. Checking prior to quit date and then while on NRT to adjust.

[Jarratt Pytell @JarrattPytell]

@TamiMark2 @pewtrusts @RTI_Intl Long list of recommended PROMs to consider to monitor recovery. Implementing PROMs alone is a Herculean effort. When, how often, what mode? Any update on the APA/CMS collab referenced?

[Ayesha Appa @AyeshaAppaMD]

Feeling powerless to harness the reachable moment when patients using stimulants are hospitalized with infection? Worried about patient-directed discharge?
Us too.

Check out my poster (virtually!!) describing our pilot of a novel adaptation of contingency management... 1/10

[Paxton Bach MD, MSc @Paxbach]

Fantastic work by @AyeshaAppaMD! CM is low hanging fruit - it’s cheap, effective, easily adaptable to so many settings, and yet still widely unavailable. We can do better!

[Jarratt Pytell @JarrattPytell]

@NIAAAnews Hot off the press! @MarinaGaeta1 et al show patients prefer person-first descriptors. Decrease stigma & be patient-centered is a win for all. https://t.co/qu1ncVqlZH

[Jarratt Pytell @JarrattPytell]

@XimenaLevander Congratulations!

[Jarratt Pytell @JarrattPytell]

@DrMoPPC Great talk. If I remember, you took some heat for it.

[Jarratt Pytell @JarrattPytell]

@CchristmColleen @meggerber @FriedbergEric @CancerGeek @GIMaPreceptor @EricLast3 @InduPartha @dhpomerantz @gabrieldane @myheroistrane @DrKJobbins @AlgaseLeslie @ashapandu22 @ORourkeJr @StevenMurphyQD Option 2: replace time spent on ROS with the following structured questions at the end of visit, 1) anything else? 2) are you sure nothing else? 3) seriously, my hand is on the doorknob, is there anything else?

[Eric Topol @EricTopol]

An isolation period of 5 days after Covid is totally inadequate for most people. New report from >63,000 people. Negative rapid tests are an essential guide
https://t.co/M0P4nQLhCE @JAMANetworkOpen

[Jarratt Pytell @JarrattPytell]

@steveaschmd @JournalGIM @StanfordHP Well @ekhbrown, lots of work at multiple levels. Add this to your to-do list.

[Jarratt Pytell @JarrattPytell]

@POTUS 🙏🙏 Don’t stop. Do heroin and cocaine next.

[Jarratt Pytell @JarrattPytell]

@kat_hoffman_ @JAMANetworkOpen Took me to school! @especially_APT add this to your reading list

[Stefan Kertesz, MD, MSc @StefanKertesz]

1/I want to highlight a new way selling out one’s academic profile- here a @JohnsHopkinsDOM doc has made his Twitter channel a “sincere” advertisement for an inhaler, “sponsored” by AstraZeneca

The false statement by the faculty member is concerning

[Paul Joudrey @PaulJoudreyMD]

Our @FreeMethadone coalition created a sign on letter asking @samhsagov, the DEA, @ONDCP44 , and congress to reform methadone treatment for opioid use disorder

PLEASE ADD YOUR VOICE AND SHARE #methadone

Link to sign on letter -👇👇👇👇

https://t.co/cpzuTLKTBb

[Jarratt Pytell @JarrattPytell]

@JessicaBmoreMD @SusanMirabalMD @MedEdChat @MedEdPGH @DraOrozco14 @MCW_Kern @CchristmColleen @jesscolburn @NMaruthur @kavitachapla @meggerber Fellow @BayviewMedicine alumni @LarochelleMarc could drop some knowledge

[Jarratt Pytell @JarrattPytell]

@JessicaBmoreMD @SusanMirabalMD @MedEdChat @MedEdPGH @DraOrozco14 @MCW_Kern @CchristmColleen @jesscolburn @NMaruthur @kavitachapla @meggerber Many thoughts! Patients with chronic pain are treated like pariahs in healthcare systems. Keep an open mind and recognize that the are often traumatized when interacting with clinicians. Forced tapers can be harmful and should be the last intervention you consider.