🧵 4/ … contest the appropriation is to petition UVA d Health for a hearing at which we would be required to attend in person. UVA Health is well aware the value of the travel expenses alone would be at least as great as the $96 we were contesting. How is this NOT a scam?

🧵 3/ … her over on a suspected DUI-D that ended up being a case of severe hypoglycemia in a diabetic. (She was recklessly driving 30 miles below the speed limit while searching for safe shoulder space to pull over). The UVA Health letter advises us that the only way to …

🧵 2 … We receive a letter from the State of VA informing us we were due a refund check for $96. 3 days later we receive a letter from UVA Health informing us they were taking that $ as payment toward a $271 debt for a blood draw a cop required my wife to take after pulling

🧵 1 UNIVERSITY OF VIRGINIA HEALTH (UVA HEALTH) ABSCONDING W/ RESIDENT REFUND CHECKS June, 2018. My wife was never told she owed $. That there was a patient responsibility. She was never billed. No debt collector ever called. Credit report never amended. 8 years go by …

Dear Doctor, When did you stop giving a damn abt your pain patients? When did you forsake the courage of your convictions & the wisdom of your education & experience for the will of politicians, bureaucrats, & public health officials who fail to grasp the mission of Medicine

🧵 20/… And bc McMartin School investigators hired by the county government utilized the authors of MICHELLE REMEMBERS to orient them toward their interview subjects. Why you have cops pretending to faint in the proximity of suspected fentanyl (or endure genuine panic attacks)

🧵 19/ … remains of infants to conceal evidence. These people were never called out. Good people went to trial and in many cases prison for crimes they never committed simply because no one on a jury or in homes across America wanted to appear to doubt a child

🧵 18/ … pharmacists, & law enforcement — is sensational. The notion of dentists as drug dealers … sensational … much like the tales of delusional women proclaiming on Sally Jesse Raphael to have recalled under hypnosis that they ate infants and made candles out of the

🧵 17/ … the absurdity of the Guidelines but instead embraced the entire Government narrative bc it is sensational. The conspiracy angle is sensational. The alleged ignorance of prescribers — calling out doctors for knowing less abt the meds they prescribe than their patients,

🧵 16/ … history, patient’s physical constitution as it bears on pharmacokinetics & pharmacodynamics, & patient’s psychology which includes attitudes toward a wide variety of clinical intervention, life goals & challenges / stressors. The media should have called out

🧵 15/ … by one’s liver enzyme profile (tolerance). These and other contributing sources of variability necessitate that a trained physician make these dosing determinations based on his or her unique knowledge of the patient, the patient’s medical condition, patient’s medical

🧵 14/ … patient-centered. 90 MME cannot possibly guide all patients who vary widely in pain source / type (diagnosis), treatment history (habituation over weeks / months / years / decades of use), & sensitivity to pain & to pain medication mediated

🧵 13/ … — and any doctor should readily understand that presenting this figure as if it could possibly have universal meaning & application across all patients — violates the principle at the foundation of Medicine. Medicine is inherently individualized — essentially

🧵 12/ … secrecy in violation of Federal law. The Guidelines on the face of it are absurd bc it presents this specific quantity — 90 MME — as a threshold at which the risk of overdose compounds. Now this number is based on some very shoddy meta-analytic & conversion techniques

🧵 11/ … & Floridian closed its loopholes in state law. But Frieden & Kolodny decided to misattribute the epidemic of addiction & overdose to overprescribing within the mainstream medical community. With that in mind, the Guidelines committee was chartered & staffed in

🧵 10/ …learned of the consequences of the American Pain Clinic criminal pill mill enterprise, which exposed each of 28,000 clients to ~ 200 tablets of Roxycodone at a 30 mg strength, they decided something had to be done. The FBI had already shut down the criminal pill mills

🧵 9/ … & the man who was appointed Director of the CDC. They were colleagues years earlier while employed by the New York Department of Health, where they were paid to offer area addiction specialists $10,000 to prescribe buprenorphine. Years later when they

🧵 8/ … They not only sought them out as consultants but they made them the sole source of expertise on the subject. Now how does something as bizarre as this happen? Well it happened because it originated in the friendship btw anti-opioid lobby founder Andrew Kolodny

🧵 7/ … (AKA “opioids”) is at the center of a pay-to-prescribe conspiracy btw Big Pharma & physicians to profit from addicting millions. This notion took on credibility when the CDC sought out the anti-opioid crusaders as consultants on the 2016 Opioid Prescribing Guidelines.

🧵 6/ … But what if I were to tell you the “Opioid Crisis” was spawned by the same mechanisms? For decades a splinter group operating on the fringes of the medical community launched a crusade to sell the Government & the public the notion that prescription pain medication