SunshineMakesMeHappy

newbie here learning the ropes, please bear with me!

[SunshineMakesMeHappy @makes_sunshine]

How many dimwitted people in the audience thought this was binding do you think?? 🤣🤣🤣
#MaskItOrCasket
#MaskMandate

[Shelby Harris @_shelbyharris]

Happening now at the ⁦@BuncombeSchools⁩ meeting. In response to this morning’s mask mandate, a group of people have “overthrown” the school board while the elected board is on recess.

[SunshineMakesMeHappy @makes_sunshine]

@_shelbyharris @BuncombeSchools 🤣🤣 How many dimwitted people believed this was binding? What idiots!

[SunshineMakesMeHappy @makes_sunshine]

@MarkHoofnagle @RyanMarino That is crazy ! Crap like that w/o more context is giving medicine a bad name.

While I'm sure it uncovers some needed cases that otherwise would've been missed , I'm betting it stigmatizes far more who don't need any interventions.

[SunshineMakesMeHappy @makes_sunshine]

@SpicyPurritos @kathygriffin Well said & you totally asked nicely. I wish Kathy only the best & pray that she hears 🙏

[SunshineMakesMeHappy @makes_sunshine]

@kathygriffin Did the Tylenol work? I hope it went well!! It doesn't work for many othrs in tremendous pain who take #opioidRX to function. We DON'T want to be suicidal from #forcedtapers & #pain. Pls be kind to othr cancer & #painpatients who rely on #painmeds- Pls dont throw us under the bus

[SunshineMakesMeHappy @makes_sunshine]

@headdock @sleepingkoala45 @fightpaindaily @Angelsgal02 @fn_what @hope411adcock @aander1987 @purplemamabear @GhanaboyPharmd @ThomasKlineMD @SpicyPurritos @MikeMcAulay3 @life_is_art___ @Chronic_FLKeys @NitaGhei Hearing ICU's are seeing patients receiving low dose in ER's ending up on vent requiring heavy sedation. Don't know if anyone studied this yet but also hear of Nursing organizations "looking into" the safety of Ketamine- they too are seeing sometype of bad reactions

[SunshineMakesMeHappy @makes_sunshine]

@headdock @sleepingkoala45 @fightpaindaily @Angelsgal02 @fn_what @hope411adcock @aander1987 @purplemamabear @GhanaboyPharmd @ThomasKlineMD @SpicyPurritos @MikeMcAulay3 @life_is_art___ @Chronic_FLKeys @NitaGhei I know plenty of ppl who have good results with their CRPS from Ketamine, not knocking it there or if nothing else works or as another tool in toolbox - knocking it as a replacement for meds that already work.

AND ppl need to be more aware some ppl have psychotic breaks on it

[SunshineMakesMeHappy @makes_sunshine]

@HoogtRobert @JennaEllisEsq @tweetlelidy Y E L L O W STICKER

Y E L L O W BADGE 😉🤔🤓🧐

[SunshineMakesMeHappy @makes_sunshine]

@HoogtRobert @JennaEllisEsq @tweetlelidy Srry no can do, already taken. Anti-mask sign Is a yellow star badge worn at mask protests

Ppl might think the unvaccinated the same as those who were starved, r*ped, gassed & burnt alive in ovens.

Rite along w/ those "tortured" & forced to wear a piece of cloth on their face

[SunshineMakesMeHappy @makes_sunshine]

@CarolG68390237 @lindyflies @JennaEllisEsq Ummm Down? You do know Florida is 4th in the United States for deaths?

3rd for positive cases? The only states that have more deaths is NY, CA & TX. The next one behind FL (5th) has like 10,000 LESS deaths.

Not sure how u feel this is stellar?
https://t.co/wHx53VmakS

[SunshineMakesMeHappy @makes_sunshine]

@ChrisHealth3 @lindyflies @JennaEllisEsq You mean a percentage of the population will continue to have less colds, less flu's and other contagious conditions? Yeah, that will be awful.

[SunshineMakesMeHappy @makes_sunshine]

@CMerandi Great job !!

[SunshineMakesMeHappy @makes_sunshine]

VA #OUD Study "Over 40% of patients with opioid-related diagnosis codes did not meet OUD criteria."

[Pooja Lagisetty @PoojaLagisetty]

We need more robust and nuanced methods of identifying and categorizing opioid use-related diagnoses.

https://t.co/lO2LhbO430

(6/7)

[SunshineMakesMeHappy @makes_sunshine]

Problem of #OUD diagnosis in #Veterans

#savingUsToDeath

[Pooja Lagisetty @PoojaLagisetty]

Why is this problematic?

Researchers and policy makers often evaluate national claims to identify patients with OUD to focus interventions--particularly #MOUD. In this sample the #PPV of this ICD code was only 57.7% which impacts our ability to effectively reach patients. (5/7)

[SunshineMakesMeHappy @makes_sunshine]

Dr Pooja Lagisetty #OUD #Veteran Study con't
18.9% on #painMeds #opioidRX
#savingUsToDeath

[Pooja Lagisetty @PoojaLagisetty]

In fact, 18.9% were on long-term opioid therapy for chronic #pain without signs of aberrant use. (4/7)

[SunshineMakesMeHappy @makes_sunshine]

Dr Pooja Lagisetty #OUD #Veteran Study continued with Ben Howell OUD Study
#savingUsToDeath

[Pooja Lagisetty @PoojaLagisetty]

We found >40% of Vets didn't actually meet "high likelihood of OUD" upon chart review.

This is similar to what Ben Howell's team has found:

(3/7)

[SunshineMakesMeHappy @makes_sunshine]

Dr Pooja Lagisetty #OUD #Veteran Study continued
#savingUsToDeath

[Pooja Lagisetty @PoojaLagisetty]

Not very. We did a chart review of >500 Vets with an ICD code for OUD and divided them into four categories:

1) high likelihood of OUD
2) limited aberrant opioid use
3) prescribed opioid use without evidence of aberrant use
4) insufficient information

(2/7)

[SunshineMakesMeHappy @makes_sunshine]

Dr Pooja Lagisetty, #Veteran #OUD Study
40% doesn't meet criteria
18.9% On #painMeds
#savingUsToDeath

[Pooja Lagisetty @PoojaLagisetty]

ICD diagnostic codes are used to measure prevalence and treatment outcomes of #OUD. But how accurately do they describe patients’ #opioid use?
A new paper:
🧵(1/7)

https://t.co/O0STZpUxPs

[SunshineMakesMeHappy @makes_sunshine]

OUD Study 35% misdiagnosed
#savingUsToDeath