@DrKimSue This is so critical to understanding the problems in our current social construction of MOUD treatment. Even the way we measure 'retention' has to evolve.

@DrKimSue @DrSarahWakeman But statins are often inappropriately prescribed, cause their own harm, and the conditions it treats can be better addressed with lifestytle changes.

@DrKimSue The paradigm switch to MAT has been extremely important in combating the opioid crisis, and it all comes from remodeling our understanding of addiction. A very underrated accomplishment in public health and medicine this century

@DrKimSue Exactly! I know people who could taper down later, once their sobriety was stable. And some who couldn't but who are on appropriate dosage so they are productive and happy.

@DrKimSue @DrKimSue makes a great analogy here. I’d also venture that OUD patients are even more likely to thank their providers for bupe than STEMI pts are to say thanks for the statin. One of the joys of treating OUD with MOUD (bupe and methadone).

@DrKimSue After an MI, we advise patients to avoid cheeseburgers. But we don’t subject them to a body fluid analysis at every visit - sometimes forcing them to urinate in front of a staff member - and withhold or withdraw their medication if results show they have eaten a cheeseburger.

@DrKimSue I implore you to dm please. “Lived Experience” 🤚 I was RX Oxycodone for 3 monthly PRP injections in 2011. Struggled to stop RX pills until 2015 when I was given Suboxone. Never used H/F or 💉 For 7 years I struggled to stop Suboxone, Oh how naive I was. Hardest drug to stop

@DrKimSue Love it

@DrKimSue Patients don’t come in every week to make sure they’re taking statins and they certainly don’t steal to get it.

@DrKimSue @hilaryagro i been on suboxone for 4 years and i just got hired by a healthcare org that actually saw that as a bonus to my employment bc of the knowledge and empathy it gave me for the patients i’d be helping. that’s exciting to see. but to your point, without it i’d be dead. 100%.