James Shear MD

Hospice and Palliative Medicine Physician, Pain Treatment Advocate, Anesthesiologist, Patient Care Advocate. “Healthcare Is A Right”

[James Shear MD @jshearmd]

Chronic Pain Patients effectively treated with a multi-modal plan which included opioids were abandoned after the 2016 CDC Guidelines. Physicians treating them have faced state and federal legal battles. I participated in a Podcast to address this:
Listen

https://t.co/TIkJq397nR

[James Shear MD @jshearmd]

@DanLairdMD We ALWAYS punish those who have a need (Food Assistance) (Pain) and do the right thing because of the fewer who might take advantage of the system (cheat) or develop an illness. (addiction) We should be able to do much better for those who are hungry or in pain.

[James Shear MD @jshearmd]

@charise_lee @EPotterMD Healthcare should not be a commodity from which to make a profit. https://t.co/2YzFOWsI8k. It should only be a job in which to make a living, by helping others. Our system is obscene and immoral. How can we fix it?

[James Shear MD @jshearmd]

@EpiEllie Reminds me of SNL Bag ‘O Glass with Dan Aykroyd. Check it out on YouTube

[Dr Ellie Murray, ScD @EpiEllie]

Some of y’all forget the reason we have food safety regulations is because companies used to do things like adding chalk to spoiled milk so it looked normal.

Regulations don’t exist because governments enjoy them. They exist because pure unadulterated capitalism would kill us.

[James Shear MD @jshearmd]

@JReinerMD I don’t believe this is actually going on!
It is either a nightmare, or I have transcended into an alternate universe.
If I can get him to say his name backwards will he go away?

[James Shear MD @jshearmd]

@Rick_Pescatore Hospice and Palliative doctor here. I second your opinion and advice. Gratitude itself can be very therapeutic. Its benefits can change your life.

[James Shear MD @jshearmd]

@OGdukeneurosurg For Profit

[James Shear MD @jshearmd]

@JeromeAdamsMD @ABoleynGirl As an aside; Why does Medicare cover a specific (kidney) organ? Why not other transplants; liver, lung, heart? I’m sure there is a reason, but does it make sense?

[James Shear MD @jshearmd]

@LauraMiers Hopefully this is changing.
Covid, especially regarding Post Covid Diseases, has a special trick that is like that which has been ascribed by many to Satan.
It tricks you into thinking it does not exist!

[James Shear MD @jshearmd]

@MaxJordan_N There should be a system in which the ED physician can advise admission and know immediately if there is pushback re: coverage. If the doc still thinks it’s advisable, there should be an authorization discussion at that time. Patients should not get suprises after admission.

[James Shear MD @jshearmd]

@ThomasKlineMD @plwin49 @crystalmurphy28 @VIoletTailor @ezmirellda @RogueWolf2001 @DebraHa98356883 @KatMelcher @CarolKennon4 @SpeakPain2Power @PenelopeZahn @Shadybug60 @Deeenst @Faithgirlee @Lisaandbarry777 @kaake_rn @SpicyPurritos @lil23rdss @PainPtFightBack @MartineBeaumie8 @MaryinKansas @TerryColey5 @sexton_cecilia @Irishbrat1966 @sureuwanttoknow @shdwstar @Bilked2TheBrink @bitchin_p @CContrarus @shounenrobot @PainSteals @KatTwisted @kirsten_klang @WizardPuzzle @humanedrug @SpartanRyan13 @JSG_54 @PainPlayhouse @RachaelHorning @katman_steven @ForensicMHSA @WandaMoCats @BlkBettyALBurn @Madeinavalon @VelaRosieZazu @Pain_Speaking Dependency can refer to having adverse effects if a drug/medication is stopped abruptly. This is true of opioids, (withdrawal) but also occurs with many others, such as beta-blockers, blood pressure meds. (Often referred to as “rebound.”) Dependency is not addiction.

[James Shear MD @jshearmd]

@ThomasKlineMD @plwin49 @crystalmurphy28 @VIoletTailor @ezmirellda @RogueWolf2001 @DebraHa98356883 @KatMelcher @CarolKennon4 @SpeakPain2Power @PenelopeZahn @Shadybug60 @Deeenst @Faithgirlee @Lisaandbarry777 @kaake_rn @SpicyPurritos @lil23rdss @PainPtFightBack @MartineBeaumie8 @MaryinKansas @TerryColey5 @sexton_cecilia @Irishbrat1966 @sureuwanttoknow @shdwstar @Bilked2TheBrink @bitchin_p @CContrarus @shounenrobot @PainSteals @KatTwisted @kirsten_klang @WizardPuzzle @humanedrug @SpartanRyan13 @JSG_54 @PainPlayhouse @RachaelHorning @katman_steven @ForensicMHSA @WandaMoCats @BlkBettyALBurn @Madeinavalon @VelaRosieZazu @Pain_Speaking The latest DSM-5 ( from 2013) now has 11 criteria for “addiction.” 2 of them are dependency and tolerance. However, if you are on Rx’d opioids as part of a medical plan, these 2 criteria do not “count” toward the definition of addiction. Dependency is not always addiction.

[James Shear MD @jshearmd]

@CMerandi @ibdgirl76 OIH does occur, is real, but is very rare. It should not be a reason to avoid opioids for pain when appropriate. Those treating patients with opioids should know how to diagnose OIH, and how to treat it effectively. It is not a reason to stop all opioids.

[Ziyad Al-Aly, MD @zalaly]

I’ll be speaking at the @NIH RECOVER: Treating #LongCovid workshop on September 23. I’d love to include input from the community. Please share your thoughts.
Workshop goals are here:
https://t.co/jD7zhFmdYq

[James Shear MD @jshearmd]

@DGlaucomflecken First, all healthcare should be Not-For-Profit. There should be NO shareholders, only “stakeholders.” Cost is important, but profit should not be in the mix. Complex, but must be done. Where to begin?

[James Shear MD @jshearmd]

@LauraMiers Is this an evolutionary adaptation of Covid to adapt the brain to complacency for its effects and existence?

[James Shear MD @jshearmd]

@LauraMiers So, so disappointing.

[James Shear MD @jshearmd]

@JeromeAdamsMD Covid is like satan. Its special trick is to make you believe it doesn’t exist. (Perhaps, an actual viral strategy affecting the brain!)

[James Shear MD @jshearmd]

@CContrarus @CMerandi Pain relief should be a right.
Yes, the doctors arrested did not turn him into an addict.
But did they take advantage of a wealthy individual with the disease of addiction?

[James Shear MD @jshearmd]

@CMerandi I would hope it would discourage unethical doctors from doing what they did to Perry. No good/ethical doctor would give anyone ketamine to be injected at home. Unfortunately, there ARE unethical doctors.