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Dr. Michael Schatman Profile
Dr. Michael Schatman

@headdock

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Editor-in-Chief - Journal of Pain Research, Faculties of Anesthesiology, Perioperative Care & Pain Medicine, and Division of Medical Ethics - NYU

Kingston, MA
https://t.co/IGlkAt5fau
Joined March 2021
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@headdock
Dr. Michael Schatman
@headdock
3 years
Published today in JAMA Oncology - Our response to the ludicrous study that suggested 20% of cancer patients misuse their pain medications, and a criteria for defining such includes "asking for an opioid by name". REALLY?!?!?!?! #BadScienceCanResultInPainPatientPersecution
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@headdock
Dr. Michael Schatman
@headdock
2 years
For those not aware, my dearest buddy, Jeff Fudin passed away a couple of hours ago, gratefully peacefully. Not only was he a dear friend & beloved dad & grandfather, but an amazing pain scientist and patient advocate. Please remember him in your thoughts and prayers. #BroBroJeff
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@headdock
Dr. Michael Schatman
@headdock
1 year
Opioid-Free Discharge After Pancreatic Resection Can Be Achieved, Study Shows Yes, opioid-free discharge CAN be achieved. The question, however, is whether there is a reason that it SHOULD be achieved.
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Opioid-Free Discharge After Pancreatic Resection Can Be Achieved, Study Shows

Findings offer a blueprint for other hospitals to reduce post-surgical opioid use

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
Received my faculty appointment today to the NYU School of Medicine, Department of Anesthesiology, Perioperative Care, and Pain Medicine. Excited about training Anesthesiology residents and Pain fellows in biopsychosocial pain management!
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@headdock
Dr. Michael Schatman
@headdock
11 months
Progressively, I see more anti-opioid sentiment from my pain medicine colleagues. I will continue, however, to preach opioid moderatism until my last breath.....
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@headdock
Dr. Michael Schatman
@headdock
3 years
Well, this new article is a nightmare. Check out the list of authors - full of anti-opioid zealots. The word "prescription" appears 114 times! Consistent use of pre-2012 data to "prove" current over-prescription. An ethical travesty!
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Responding to the opioid crisis in North America and beyond: recommendations of the Stanford-Lancet...

Responding to the opioid crisis in North America and beyond: recommendations of the Stanford-Lancet Commission

pubmed.ncbi.nlm.nih.gov
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@headdock
Dr. Michael Schatman
@headdock
2 years
Thanks, PROP, for perpetuating absurdities, encouraging too much of the medical community to continue to commit absolute atrocities against patients with pain and those of us who try to treat them.
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@headdock
Dr. Michael Schatman
@headdock
2 years
As promised, the article indicting anti-opioid zealots for playing "fast and loose" with the truth...and with the data. With esteemed friends/colleagues @JeffreyFudin , @JeffJBettinger , & @GhanaboyPharmd . PLEASE RETWEET - this needs to be disseminated.
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@headdock
Dr. Michael Schatman
@headdock
2 years
Remarkable. CMS to cover chiropractic, with no evidence-basis for chronic pain, motivated to do so because it's "non-opioid". Science at its worst.....
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@headdock
Dr. Michael Schatman
@headdock
3 years
More evidence that the wealthy are provided with access to superior pain management. When will our society begin to recognize the need to look at pain management not as a commodity, but as a fundamental human right?!?!
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@headdock
Dr. Michael Schatman
@headdock
3 years
Excited about today's submission of "Misinterpretation of the ‘Overdose Crisis’ Continues to Fuel Misunderstanding of the Role of Prescription Opioids" with colleagues @JeffreyFudin , @JeffJBettinger , & @GhanaboyPharmd . CPPs will love it, anti-opioid crusaders..not so much.
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@headdock
Dr. Michael Schatman
@headdock
3 years
More for-profit insurance company horrors. Pain patients often have nowhere else to go but EDs, and this is being taken off of the plate. In 2015, I posited that insurers would rather just see "expensive" CPPs expire. This is more evidence of such.
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UnitedHealthcare to Crack Down on 'Non-Emergent' ED Claims

Emergency physicians group characterized new policy as 'direct violation' of current standard

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
Hot of the presses: Our effort to get the term "Failed Back Surgery Syndrome" replaced with "Persistent Spinal Pain Syndrome" - which is far less stigmatizing and marginalizing. Please retweet!
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@headdock
Dr. Michael Schatman
@headdock
3 years
Yep.....
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@headdock
Dr. Michael Schatman
@headdock
3 years
YES!!!!!! They finally caved!!!! @JeffreyFudin , @EricaWegrzyn , @menaraouf92 - It took 3 years after we wrote the article (), but CDC finally fessed up!!!!
@Irishbrat1966
Kelly L.⭐⭐
@Irishbrat1966
3 years
Check out the new disclaimer from the CDC..
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@headdock
Dr. Michael Schatman
@headdock
2 years
This has been an awful week for CPPs, with the loss of 2 vocal and effective scientist/advocates - @JeffreyFudin & @tal7291 . May each of their memories be a blessing, and let us pray that other scientist/advocates try to pick up some of the slack!
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@headdock
Dr. Michael Schatman
@headdock
1 year
Important new article on the imperative of not doing away with opioids for chronic pain!
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@headdock
Dr. Michael Schatman
@headdock
3 years
This is one of the most outstanding articles I've ever read on the plight of chronic pain patients. My understanding is that it will soon be open access, at which time I will post a link to it. ALL CPPs and providers should make a point of reading this important work!!!
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@headdock
Dr. Michael Schatman
@headdock
4 years
The "Alaskan Assassin", Dr Heath McAnally, is at it again - Vilifying the oxycodone molecule with his "review" of literature (cherry-picked, which is reprehensible) - & concluding that oxycodone is the most "addictive" opioid. ZERO empirical support here!
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Opinion | Op-Ed: Oxycodone Is the Most Addicting Prescription Opioid

A thorough review of the data and history makes this clear

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
Perhaps the best paper I've ever read on the marginalization and stigmatization of chronic pain patients, written from a philosophical, bioethical perspective. Outstanding work!
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@headdock
Dr. Michael Schatman
@headdock
3 years
Over 1,000 MA residents died of opioid overdoses so far this year Absolutely DISGUSTING reporting from @amysokolow of the Boston Herald. She reports 92% of opioid deaths in MA are due to fentanyl, yet her article has a photo of OxyContin as its lead. 🙄🙄
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@headdock
Dr. Michael Schatman
@headdock
3 years
Well, this certainly makes me nervous (perhaps a benzodiazepine would help?). The next thing we know, some genius at CDC will start putting together a 2022 CDC Benzodiazepine Prescribing Guideline Task Force. "Paging Dr. Koloopy!" 😳😳😳😳🙄🙄🙄
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CDC: Benzo-Involved Overdoses on the Rise

Concerns grow about illicit versions

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
2 years
Yet ANOTHER study clearly demonstrating that even during the throes of the prescription opioid crisis, draconian state policies on prescribing did NOTHING to reduce overall opioid OD mortality. How many studies will it take until policymakers wake up!!!
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U.S. state policies on opioid prescribing during the peak of the prescription opioid crisis:...

Opioid prescribing policies in U.S. states at the peak of the prescription opioid epidemic had modest mortality benefit, and did not reduce non-prescription opioid overdose mortality. A strong...

pubmed.ncbi.nlm.nih.gov
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@headdock
Dr. Michael Schatman
@headdock
2 years
For all those who question science, the development of chronic pain may just about be solved. We've wrongly been trying to block inflammation in acute pain: Senior authors are my dear friends & frequent co-authors, Luda Diatchenko & Massimo Allegri. Bravo!
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Blocking Inflammation May Lead to Chronic Pain

Inflammation keeps acute pain from turning chronic, suggesting that anti-inflammatory treatments might prolong pain in the long term.

www.genengnews.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
Important new study! Gabapentinoids have their uses, but DO NOT prescribe them without justifiable cause simply in order to reduce opioid consumption in patients with neck or low back pain!!!!
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A Retrospective Analysis of Gabapentinoid and Opioids to Opioid Monotherapy for Pain Relief in...

AbstractObjective. We compared the reduction in pain and opioid consumption in patients with chronic spinal pain on concomitant gabapentinoids and opioids

academic.oup.com
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@headdock
Dr. Michael Schatman
@headdock
2 years
@GhanaboyPharmd , @ChadDKollas and I just submitted a scathing editorial on anti-opioid zealots' pathetic lies in interviews, and how they're damaging CPPs. We're confident that it will be published shortly, although given our assessments, we're simply "cautiously optimistic". 🤞
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@headdock
Dr. Michael Schatman
@headdock
3 years
This detailed piece on PROP's misapplication of bad "science" with @JeffJBettinger , @GhanaboyPharmd & the great @JeffreyFudin will make some much needed waves! We anticipate publication & posting either late next week or the beginning of the following one. #PainPatientAdvocacy
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@headdock
Dr. Michael Schatman
@headdock
3 years
To call the SPACE study "the best evidence" against prescription opioids for chronic pain is laughable, demonstrating a horrific misapplication of junk science. Thanks for posting. You'll soon be reading a robust responding editorial regarding your false claims.
@supportprop
PROP
@supportprop
3 years
Prescription opioids continue to contribute to the rise in drug overdose deaths -
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@headdock
Dr. Michael Schatman
@headdock
3 years
Amazing new article on physician liability for suicide by patients who they cut off of opioids by the even more amazing Mark Rothstein. For those who can access the full text, it's a must-read!!!!
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Physician Liability for Suicide after Negligent Tapering of Opioids - PubMed

The precipitous and medically contraindicated reduction or "tapering" of opioids for patients with chronic pain due to serious medical conditions has caused needless suffering and, increasingly,...

pubmed.ncbi.nlm.nih.gov
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@headdock
Dr. Michael Schatman
@headdock
3 years
Wow!!! Important study!!! What the hell are the anti-opioid crusaders going to say in response to these data?!?!?!
@RachaelHorning
Rachael Horning
@RachaelHorning
3 years
@headdock @lockedoutofvenu @GhanaboyPharmd @life_is_art___ @CDCInjury Holy crap. 🖤 #cpp #opioidhysteria
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@headdock
Dr. Michael Schatman
@headdock
3 years
In a new article in the NYT, @erikvance , the author, perpetuates the grave injustice being done to CPPs, as he writes, "In 2020 more than 93,000 people died from drug overdose, with about 70 percent caused by opioids" - highlighting the "evils" of prescription opioids. Shameless!
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@headdock
Dr. Michael Schatman
@headdock
3 years
Another argument against methadone and buprenorphine for pain management. In addition to risks and efficacy issues, what does it feel like to pick up your pain meds at a pharmacy and have everyone there assume that you have an OUD?
@carrie4502
Carrie G
@carrie4502
3 years
@lakeparkcpl @Elianok10 @SpicyPurritos @NAbleism @KimmMathiesen @JustWinks @ThomasKlineMD @headdock @russell90367011 @Technovore1 @JSG_54 @kris_lovaas @Chronic_FLKeys @NitaGhei @secondchances09 @DebM01279692 @GEugenics @hope411adcock @SarahSaysHi2U @EbCummings1 @sky_dvr @dau1776 @CContrarus @OpioidHysteria @wittywax1 @ChadDKollas @HR4peopleinpain @process_x @ibdgirl76 @docroland @WriterMera @onnaroll66 @bluelilly40 @Nashkitty66 @TheDarkGift_ @eullrich11 @StopBadDocs @lockedoutofvenu @Deeenst @Canada_NV @chattyknana @maryann19711 @Vlynx5 @SweetDeals16 @Royalacresrod @soofriends @aander1987 @life_is_art___ @fightpaindaily @Kazeself The stigma’s the worst. No one in pain should feel shame. Chronic pain is debilitating enough, without the stress of “what does this pharmacist or other health care professional think of me?” 😢
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@headdock
Dr. Michael Schatman
@headdock
3 years
Interesting that the anti-opioid crusaders push topical analgesics as the "safe and effective alternative to opioids". We all know about the limited efficacy. And now, this.....
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@headdock
Dr. Michael Schatman
@headdock
2 years
The latest book release from PROP board members, in which they argue against the premise that we have a right to pain relief. 🙄🙄🙄
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@headdock
Dr. Michael Schatman
@headdock
9 months
Overdose Death Notices Plus Guidance Sink Opioid Prescribing Am I the only one who sees this as a grotesque form of emotional manipulation?!
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Overdose Death Notices Plus Guidance Sink Opioid Prescribing

Doctors who were told about deaths and given planning prompts wrote fewer opioid scripts

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
So get yourself vaccinated, Einstein!
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@headdock
Dr. Michael Schatman
@headdock
3 years
@SaraBB85187280 Sara - This is why I wrote the letter-to-the editor. Having practiced and advocated for CPPs for decades, my opinion is that the best patients are generally informed ones. And I'll keep on calling out flawed research that's harmful to CPPs.
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@headdock
Dr. Michael Schatman
@headdock
11 months
In Gaza, they're forced to perform surgeries without ANESTHESIA. In the US, they're CHOOSING to perform surgeries in some locales without adequate ANALGESIA. We are indeed reverting into a third-world country.....
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Surgeries Without Anesthesia; CDC Expands Traveler Testing; Human Skull for Sale

Health news and commentary from around the Web gathered by MedPage Today staff

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
11 months
OIH indeed exists, but based on the empirical data and my 35+ years in practice, it's hardly "common", and most likely "rare". The term has been weaponized by anti-opioid zealots in their misguided efforts to eradicate opioid analgesia altogether.
@blu_noz_pitbull
Church of the Almighty Pit Bull
@blu_noz_pitbull
11 months
@headdock What do you think about OIH? (opioid-induced hyperalgesia). I was told by my therapist that it's common. I have a story that STRONGLY refutes that, but I'm curious if you think it's common and happens in most people on LTOT.
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@headdock
Dr. Michael Schatman
@headdock
11 months
A shout out to the health insurance industry, hospital corporations, and, of course, our good friend at PROP! 🙄
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@headdock
Dr. Michael Schatman
@headdock
1 year
Excellent article on antidepressant for pain management. Pharma has hyped them (as have anti-opioid zealots) WITHOUT adequate evidence of efficacy.
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Millions of people are prescribed antidepressants for chronic pain. Do they work? | CNN

A new review of prior research has found that most antidepressants used to relieve chronic pain are being prescribed without sufficient reliable evidence of their effectiveness.

www.cnn.com
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@headdock
Dr. Michael Schatman
@headdock
4 years
Hey everyone. Some asshat hacked my account, and it's been obliterated. Back to the drawing board....
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@headdock
Dr. Michael Schatman
@headdock
10 months
This is a sad reality. How unfortunate that so many patients want to believe that DEA is currently the culprit, when it's actually bozos like these on Arkansas State Medical Board who are intimidating prescribing physicians and lifting licenses.
@PainPtFightBack
Anne Fuqua
@PainPtFightBack
10 months
And this is how physicians are pressured to involuntarily taper patients… From the December 7, 2023 meeting of the Arkansas State Medical Board He’s being criticized for “a core of 20-30 patients in the 100 MME range”
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@headdock
Dr. Michael Schatman
@headdock
3 years
Another important article on laws and opioid prescribing by Drs. Bulls, Goodin, et al.. However, while exemptions for cancer patients may help them, why not for noncancer pain patients, as the pain mechanisms are identical?
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Exemptions to state laws regulating opioid prescribing for patients with cancer-related pain: A...

In this review of state-level legislation, current limitations on opioid prescribing are summarized and detailed information is provided on exemptions for patients with cancer. The majority of states...

pubmed.ncbi.nlm.nih.gov
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@headdock
Dr. Michael Schatman
@headdock
9 months
Unhappy & angry about this. Those who've practiced since the 80s remember when AIDS was a death sentence, & we all lost droves of pts. PrEP was a game changer. Now, greedy insurance copays & deductibles are up, & pts at risk are disenrolling. #ManyWillDie
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Co-Pays Hurt PrEP Use, Study Suggests

Even small increases in costs are projected to reduce PrEP fills, increase HIV infections

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
Excited to be having dinner tonight in Las Vegas with good friend @DanLairdMD !
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@headdock
Dr. Michael Schatman
@headdock
4 years
Well, this is a lovely pile of excrement. Complete with University of Washington addiction psychiatrist, Andy Saxon (a big-time PROP sympathizer) suggesting that chronic pain is a "psychiatric disorder". Absolutely reprehensible!
New Study Says CDC Guidelines Had Minimal Effects on Opioid Prescribing

Opioid prescriptions are nearly stable after CDC guidelines from 2016 started limiting use of opioids.

www.medscape.org
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@headdock
Dr. Michael Schatman
@headdock
1 year
Great to be in Italy lecturing at @RomaPainDays . The European pain gurus emphasize the imperative of adequate analgesia, unlike the jackwagons from PROP who claim that pain relief is unimportant, and that the only important metric is function. #Balance
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@headdock
Dr. Michael Schatman
@headdock
3 years
This is completely asinine!!! PROP leading pharmacy-led opioid tapering programs?!?!?!?!
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“We Need to Taper.” Interviews with Clinicians and Pharmacists About Use of a Pharmacy-Led Opioid...

AbstractObjective. To identify factors that influence or interfere with referrals by primary care providers (PCPs) to a pharmacist-led telephone-based prog

academic.oup.com
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@headdock
Dr. Michael Schatman
@headdock
4 years
@docroland @ThomasKlineMD @WriterMera @Technovore1 @hope411adcock @onnaroll66 @SpicyPurritos @OpioidHysteria @HR4peopleinpain @bluelilly40 @Nashkitty66 @Sarahkirk40 @TheDarkGift_ @eullrich11 @StopBadDocs @Chronic_FLKeys @lockedoutofvenu @Deeenst @Canada_NV @chattyknana @maryann19711 @Vlynx5 @SweetDeals16 @secondchances09 @Royalacresrod @soofriends @DebM01279692 @EbCummings1 @russell90367011 @CContrarus @aander1987 @life_is_art___ @fightpaindaily @Kazeself @JustWinks @JoshBloomACSH @RepKatiePorter @NPR @NPRHealth @JeffreyFudin @drcarlhart @BethDarnall @twebber02 @CDCgov @CDCDirector I think that the "guideline" has been bastardized and weaponized to the detriment of tens of millions of chronic pain sufferers. I think that's more than enough. 😳
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@headdock
Dr. Michael Schatman
@headdock
4 years
All very curious. I estimate that 40% of my patients were clinically obese (BMI>30). Few smoked. They'd show me pictures of themselves prior to the onset of their pain. How does one NOT gain weight when disabled?! In PI cases in court, defense attys have blamed pts who are obese.
@HR4peopleinpain
Crushingit
@HR4peopleinpain
4 years
@CContrarus @russell90367011 @Chronic_FLKeys @EbCummings1 @headdock @Grace516G @Nashkitty66 @Cyanytlas @maryann19711 @SpicyPurritos @Vlynx5 @SweetDeals16 @secondchances09 @Royalacresrod @Sarahkirk40 @soofriends @hope411adcock @DebM01279692 @onnaroll66 @eullrich11 @aander1987 @life_is_art___ @fightpaindaily @Kazeself @StopBadDocs @Canada_NV @JustWinks @JoshBloomACSH @RepKatiePorter @NPR @NPRHealth @JeffreyFudin @drcarlhart @BethDarnall @twebber02 it feels almost like dr placing all responsibility in patient, riding in a theory situated in a theory of causation. i don’t smoke, but i know some who struggle with obesity & doctors wouldnt treat their pain. claimed pain eill disappear when obesity does. I felt badly for them.
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@headdock
Dr. Michael Schatman
@headdock
3 years
Great. DEA is FINALLY warning about this. Thousands have already died, and it could be millions over the next decade. Many of whom are likely to be CPPs chased to the streets in response to devolving prescribing patterns. #ReformIsNeededNow
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DEA Chief Warns About Fake Prescription Drugs Containing Fentanyl

More than 8.4 million fake pills seized since end of September

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
Excited about going to Las Vegas next week to lecture on "Rebalancing Pain Medicine"!
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@headdock
Dr. Michael Schatman
@headdock
3 years
@ibdgirl76 @aander1987 @FollowingForFu2 @fightpaindaily @LynnRWebsterMD I've treated plenty of men who were sexually abused in their youths. They all had chronic pain, none had an SUD. I've treated plenty of sexually abused women, as well, and perhaps 2 out of of hundreds suffered from SUDs. I just don't buy the data!
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@headdock
Dr. Michael Schatman
@headdock
11 months
Excited to have learned today about the acceptance of our paper. "Dishonest Physician Reviews: Challenging Physician Online Reviews and the Appeals Process" by the Journal of Medical Systems. Time to make some noise about this travesty, particularly as it affect pain physicians.
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@headdock
Dr. Michael Schatman
@headdock
2 years
Despair not! The team of @GhanaboyPharmd , @ChadDKollas & @headdock are about halfway through writing a scathing editorial for @JPainResearch on the horrific lies and misrepresentations perpetrated by the anti-opioid zealots in the WSJ article. #TruthWillPrevail
@ibdgirl76
Bev Schechtman🇮🇱
@ibdgirl76
2 years
Kolodny: “media got the updated CDC guideline wrong. They’re more strict not less.” Also Kolodny: “CDC softening the GL is due to industry funding.” Sooooooo, which is it? More strict? Less? Does it depend on the day and what lawsuit he’s working on?
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@headdock
Dr. Michael Schatman
@headdock
2 years
Just printed in Current Pain & Headache Reports. We found no evidence supporting pill counts as an effective measure for mitigating risks associated with opioid analgesia.
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Pill Counting as an Intervention to Enhance Compliance and Reduce Adverse Outcomes with Analgesics...

There is paucity in data regarding pill count importance in pain management. Pill count is a very important tool to monitor compliance of opioids use which in turn can prevent several complications...

pubmed.ncbi.nlm.nih.gov
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@headdock
Dr. Michael Schatman
@headdock
3 years
And the shameless attacks on women in pain by researchers continue....😳
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@headdock
Dr. Michael Schatman
@headdock
3 years
Excited about writing the first draft of our paper today, "Spinal Cord Stimulation and Opioids: Dispelling the Myth of the Goal of Opioid Eradication". We believe that this may have an impact on the lying of unlicensed physicians about the "inferiority" of nonopioid treatments.
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@headdock
Dr. Michael Schatman
@headdock
2 years
Outstanding story in ProPublica on how Cigna (and other for-profit insurers) are literally murdering patients through "blind rejection" of treatment. This is so morally reprehensible....
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@headdock
Dr. Michael Schatman
@headdock
4 years
@jonathanstea @tiktok_us Absolutely frightening. This is way beyond "no proof of efficacy", as it's at a point of "no proof of safety". #PrimumNonNocere
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@headdock
Dr. Michael Schatman
@headdock
1 year
I get great pleasure in bringing a patient's 7-8 pain down to a 3-4, as such a clinically significant decrease translates as much improved quality of life. Do I wish I could help make patients pain-free? Sure, but why BS them? I drum this into my fellows, who are excellent.
@Sixxwitch1
Stephaine Bessette
@Sixxwitch1
1 year
@headdock @ibdgirl76 The thing that was hardest to come to terms with as cpp is that I'll never be pain free. And that definitely changed my perspective on pain mgmt.
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@headdock
Dr. Michael Schatman
@headdock
3 years
With dear friends @LynnRWebsterMD and @JeffreyFudin at @PAINWEEK in Las Vegas.
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@headdock
Dr. Michael Schatman
@headdock
3 years
@ibdgirl76 @KenSycspng @JSG_54 @process_x @StefanKertesz @CanadaPain @US_FDA An evidence-based opioid Guideline has never been written. Take this from one who's sat on opioid guideline writing committees. They're not even "consensus-based". Rather, a group of bullies take control, threaten members via group-think, & then claim that their BS is "evidence".
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@headdock
Dr. Michael Schatman
@headdock
2 years
Celebrating Father's Day with my beloved son, 4800 feet up Mt. Moosilauke in NH. #FeelingBlessedAndGrateful
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@headdock
Dr. Michael Schatman
@headdock
2 years
Especially for @jonathanstea , @crackedscience , and all of the other highly intelligent individuals in the Twitterverse who share my disdain for "alternative facts".
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@headdock
Dr. Michael Schatman
@headdock
2 years
Was recently invited and joined an amazing subgroup on Facebook, "Pain Physicians Group". If a key opinion leader has a patient moving to a new area, he/she makes sure that the patient has new options of other key opinion leaders! Great concept, and top grade care is continued!
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@headdock
Dr. Michael Schatman
@headdock
2 years
Cop or doctor? In new policy, Hennepin Healthcare tells physicians to choose one job This is an outstanding article on the need to either be practitioners or law enforcement stooges. Bravo to the author!!! All CPPs should read!
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Cop or doctor? In new policy, Hennepin Healthcare tells physicians to choose one job

The decision to ban staff from moonlighting as law enforcement marks a change of course for the medical system and has prompted at least one doctor to choose policing over the hospital.

www.startribune.com
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@headdock
Dr. Michael Schatman
@headdock
9 months
Sure, the government will get the xylazine crisis under control. Just as they did with the illicit fentanyl crisis. 🙄Again, how many reasons does the government need to NOT set up a widespread pharma-grade diamorphine safe-injection site program?!?!?!
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U.S. Attempts to Get Its Xylazine Problem Under Control

If a bill to schedule the veterinary sedative becomes law, will that be enough?

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
2 years
The Supreme Court has effectively just outlawed women's reproductive rights. For CPPs - Is there any reason to believe that broadly outlawing adequate analgesia (patients' rights) will not be next? Is this not the time for more radical yet effective political activism?🤔
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@headdock
Dr. Michael Schatman
@headdock
3 years
What's happening with opiophobia is a horror. Now, PCPs in my area are not accept patients on ANY controlled substance, including C4s and C5s. We are an abomination!
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@headdock
Dr. Michael Schatman
@headdock
2 years
@DecrimAdvocate @JeffreyFudin @JeffJBettinger @GhanaboyPharmd They continue to lose support at a rapid rate. The media is no longer interested in them, which drives Koloopy insane.
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@headdock
Dr. Michael Schatman
@headdock
9 months
Amazing true story of FDA, PROP BS, flawed RADARS data....and more. Patients with pain will want to read this. Please retweet!!!!
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Groups Blast FDA's Opioid Abuse Surveillance Proposal

RADARS system's ties to Purdue Pharma undermine the reliability of its data, they say

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
2 years
Coming to print early next week......
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@headdock
Dr. Michael Schatman
@headdock
2 years
I hope that all read Dr. Lynn Webster's brief, excellent article in Anesthesiology News on the new CDC Opioid Prescribing Guideline falling short of what patients in pain really need. Great job @LynnRWebsterMD !
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@headdock
Dr. Michael Schatman
@headdock
1 year
For those interested in offering public comment on the American Psychological Association's Draft Guideline for the Treatment of Chronic Musculoskeletal Pain, it is now available for reading and commenting at this link: Patients - Please be heard!
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@headdock
Dr. Michael Schatman
@headdock
3 years
Yup.....
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@headdock
Dr. Michael Schatman
@headdock
3 years
The Journal of Pain Research Impact Factor score just came in, jumping from 2.386 the previous year to a remarkable 3.133! Outstanding work @JPainResearch , @EricaWegrzyn , @dsayed1 , @ErikaPetersenMD , @krishmdphd , @BobTwillman , @TimAtkinson77 , @SMeghani_PhD , & other senior editors!
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@headdock
Dr. Michael Schatman
@headdock
3 years
@maiasz @JeffJBettinger , @GhanaboyPharmd & @JeffreyFudin address this issue in detail in our upcoming article on PROP's misrepresentation of "science" to perpetuate myths that sway public opinion in order to promote their misguided agenda. Stay tuned!!
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@headdock
Dr. Michael Schatman
@headdock
2 years
The Supreme Court has been screwing up for months, stripping Americans of their fundamental rights. It appears that they got this one right, however, and it should be a game changer for patients with pain.
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@headdock
Dr. Michael Schatman
@headdock
10 months
Just putting the finishing touches on our thought-provoking analysis, "'Catastrophization', Its Weaponization, and Opiophobia: A Perfect Landscape for Unnecessary Harms, or 'Catastrophization About Catastrophization'? Looking forward to review and publication!! #ProPatient
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@headdock
Dr. Michael Schatman
@headdock
10 months
Nice job, Bev! As you're aware, I know @DrZoffness , and am not blocked. However, I do see her throwing around the 80% figure (which was ludicrous in 2013, and more so in 2023) is irresponsible, at best. These inaccuracies are SO very damning for patients in need of analgesia!
@ibdgirl76
Bev Schechtman🇮🇱
@ibdgirl76
10 months
Yesterday, Dr. Rachel Zoffness lied (or spread misinfo) on a podcast. She is a college professor and knows better. These lies need to be stopped. I broke it down in this video. Debunking Lies from Pain Psych. Dr. Rachel Zoffness via @YouTube
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@headdock
Dr. Michael Schatman
@headdock
3 years
This is clearly prudent advice....
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@headdock
Dr. Michael Schatman
@headdock
3 years
@AjayManhapra @GhanaboyPharmd On the other hand, "multimodal" treatment is meant to be opioid-sparing, not opioid-eradicating.
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@headdock
Dr. Michael Schatman
@headdock
1 year
Let's all be honest about pain management. Let's share information on evidence-based treatments. Let's avoid passing judgement on studies on which we're not qualified to do so. Let's each trust at least one person...as only then, we'll begin to be able to trust ourselves.
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@headdock
Dr. Michael Schatman
@headdock
2 years
@AjayManhapra Ask the millions who've been involuntarily tapered, Ajay. Ask them how frigging happy they are with their QOL since being left high and dry, usually without access to any helpful treatments. It's a humanitarian crisis, and people like you continue to perpetuate it.
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@headdock
Dr. Michael Schatman
@headdock
1 year
Armageddon....
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FDA announces new safety label changes for opioid pain medicines

FDA announces new safety label changes for opioid pain medicines

www.fda.gov
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@headdock
Dr. Michael Schatman
@headdock
4 years
This is crap perpetuated by dishonest fools (1 of 1000? 1 of 10,000?) that perpetuates the myth of the "prescription opioid crisis". The media needs to stop being so heavy-handed regarding these very isolated perturbations!!!
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@headdock
Dr. Michael Schatman
@headdock
3 years
My podcast with Joe Tatta on the role of the health insurance industry in destroying pain management in the United States, now available. About a 45 minute listen:
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@headdock
Dr. Michael Schatman
@headdock
2 years
Yet another (well done) systematic review/meta-analysis providing NO support for reducing LTOT. When will regulators start to read this science and allow it to inform policy?!?!?!
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Efficacy of interventions to reduce long term opioid treatment for chronic non-cancer pain:...

PROSPERO CRD42020140943.

pubmed.ncbi.nlm.nih.gov
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@headdock
Dr. Michael Schatman
@headdock
2 years
@AjayManhapra @maiasz @NitaGhei @CarlynZwaren The diagnosis of an OUD has been manipulated to include all pain patients on opioids, even those who demonstrate no aberrancy whatsoever. I had thought that you were sufficiently smart not to buy into shitty data, Ajay.
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@headdock
Dr. Michael Schatman
@headdock
3 years
Shaw was so right....
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@headdock
Dr. Michael Schatman
@headdock
10 months
Wait! No way! Keith Humphreys gave an interview on OD deaths and DIDN'T mention prescription opioids?!?! Be still my heart!! This is more evidence of PROP fading into irrelevance!
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Experts Highlight Drug Overdose Deaths Among Seniors During Senate Hearing

Early CDC data suggest the problem is worsening

www.medpagetoday.com
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@headdock
Dr. Michael Schatman
@headdock
3 years
Great news! The editorial office @JPainResearch helped expedite the process of getting this paper through revision, and it now appears likely to be in print (and posted) by Monday!! My coauthors and I are excited, and grateful to @DovePress !
@headdock
Dr. Michael Schatman
@headdock
3 years
This detailed piece on PROP's misapplication of bad "science" with @JeffJBettinger , @GhanaboyPharmd & the great @JeffreyFudin will make some much needed waves! We anticipate publication & posting either late next week or the beginning of the following one. #PainPatientAdvocacy
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@headdock
Dr. Michael Schatman
@headdock
3 years
This is exciting! Some of the top pain researchers in the country have published a study on strategies for reducing opioid stigma in cancer pain patients. This certainly represents a good start, and will hopefully generalize to noncancer pain patients.
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Framework for opioid stigma in cancer pain - PubMed

Millions of patients with cancer pain are treated with prescription opioids each year. However, efforts to mitigate the ongoing opioid crisis result in unintended consequences with opioid pain...

pubmed.ncbi.nlm.nih.gov
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@headdock
Dr. Michael Schatman
@headdock
3 years
What an amazing article!!!! I wish it were available to post more than the brief abstract. Good to see people still caring about ethics pertaining to patients with pain and those who treat them.
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@headdock
Dr. Michael Schatman
@headdock
3 years
No one seems to give a damn about the CPP suicide issue, which is appalling.
@joannelovesjas
Joanne
@joannelovesjas
3 years
@headdock I want to scream every time I hear a celeb say they had a "prescription drug problem." All of us normal people now have a "pain problem" and the suicide rate keeps going up.
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@headdock
Dr. Michael Schatman
@headdock
2 years
Once again, disingenuous zealots using correlational data to claim causality for "stemming the prescription opioid crisis". This is the worst example of bad science out there, and is morally reprehensible.
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Letter About Patient's Fatal Overdose Lowers Opioid Prescribing

"Dear Doctor" letters reduce opioid scripts up to a year after receipt, a new study found.

www.medscape.com
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@headdock
Dr. Michael Schatman
@headdock
10 months
Nothing strange about it. In a large, retrospective study, the authors found that more than half of all surgery were under-prescribed opioids post-operatively. Nothing strange, just more opiophobia killing patients and dissuading them from undergoing needed surgeries.
@AjayManhapra
Ajay Manhapra
@AjayManhapra
10 months
This is one of the strangest papers in pain and opioids I’ve seen.
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@headdock
Dr. Michael Schatman
@headdock
2 years
@AjayManhapra @maiasz @NitaGhei @CarlynZwaren Got any reliable data to support your ridiculous assertion, Ajay? No, I didn't think so.....
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