Heather Henderson, PhD, CAP, CRPS
@anthro_EMMedical Anthopologist. Addiction Specialist. Social EM. Gamer. Mom. #FirstGen Striving to humanize the emergency medicine experience.
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I often think about this: I did a highschool talk where I told students "drug users aren't bad ppl, they often face challenging circumstances." A 16 year old came up to me and said, "thank you for saying drug users aren't bad ppl. My dad died of an overdose but I don't tell…
Just posted a photo instagram.com/p/CqLY_JIOM26B…
"The war on drugs shows that when medicine is criminalized and politicized, harm to patients and doctors increases, while the activities that the laws are intended to curb continue or even increase." nytimes.com/2022/07/26/opi…
This comment from a physician is defensive, stigmatizing, and disgraceful. I have spent significant reflexive time over the years trying to improve my practice to better serve and welcome all patients, so I can have "the bedside manner that suits" PWUD instead of blaming ppl
This has to stop happening. Point blank. Even if you aren’t a professor. Even if you do every drug under the sun. People deserve care. Drug users rarely get it. This scenario all to common in EM 🤕 words drug use shuts down care.
I had the most astonishing, embarrassing, and inadequate experience of my life with @UVAhealth last night/early this AM. The symptoms started at around 8:30p (1/many)
"You guys are there for us in a way..you don’t even understand…& that to me is the definition of selfless & admirable, &..only promotes positive public health effects” - @IDEATPA Interviewee by @BreeCasper & Drs. @krigg01 & Romero-Daza
Can we stop saying 'drug addicts' and move to terms such as people who use/people who experience dependency? We can't discuss progressive policy and continue to use stigmatised and disempowering language.
OK let’s just say this is my first encounter with a real life harm reduction billboard and I flipped out with happiness. All cities and states should have such affirming anti-stigma campaigns 😍 Dr Nyaku spreading the word in New Jersey @Rutgers_ADM @NJHarmReduction @VitalStrat
This should be everywhere, especially #Florida
I had the most astonishing, embarrassing, and inadequate experience of my life with @UVAhealth last night/early this AM. The symptoms started at around 8:30p (1/many)
If you are working in healthcare, especially w/PWUD, you should not be using the term “substance abuse.” Really says a lot about how you view the patients you are taking care of, whether it’s conscious or unconscious bias.
😂 #drugsandbugs But also, tolerance. Familiarize yourself with it, then titrate MOUD accordingly until <5 COWS score.
First wkend back on ID after Addiction fellowship. Felt so good to ask abt unpasteurized dairy + spelunking in Ohio river valley again. Felt less good to get pushback against increasing methadone for a pt with OUD-related endocarditis awaiting valve replacement. A 🧵… [1/8]
Hurricanes, delta variant + so many ongoing emergency conditions show how urgently we need to flex and adapt life-saving methadone access and continue to innovate for harm reduction and treatment programs. #freemethadone
“Deliberate Torture” #endstigma
A person who injects drugs goes into the ER with severe abdominal pain. Their pain is ignored. They tell the nurse that they need a shot of morphine. The doctor not only denies them access to it but also stigmatizes them for their needle marks. They go home, use illicitly & OD.
“dads with cats for evidence-based drug policy”
Say this even louder for the people at the top 👏🏻👏🏻👏🏻 + stop switching people off Buprenorphine to Methadone when they don’t want it because you get funding breaks for methadone patients
A person who injects drugs goes into the ER with severe abdominal pain. Their pain is ignored. They tell the nurse that they need a shot of morphine. The doctor not only denies them access to it but also stigmatizes them for their needle marks. They go home, use illicitly & OD.
Im almost 4 months sober from fentanyl. I just finished my 2 month Outpatient (IOP) program. My family would sooner piss on me then congratulate me. Maybe Twitter can fill the void. Give Miyah a congrats and a lil love perhaps? <3
🧵A THREAD 🧵 1) I've been doing harm reduction work for 15 years and I've learned a few lessons about how to talk about it with people who aren't quite there yet. I presented on this a few years ago and I'm going to share my slides and talking points here with you today -
Our goal as #EMS in administering Narcan is to restore respiratory drive — not to “wake up” or “get rid of the high” for our patients. It is cruel to slam 8mg in 3 minutes. Fix hypoxia first with BVM, give small doses of Narcan, and be patient. #HarmReduction
There are those who claim that addiction is a progressive illness where the ends are always the same: jails, institutions, and death. But you know what? Those are only the inevitable ends of addiction in the context of the drug war, an unregulated drug supply, and punishment.
Building strong children is easier than repairing broken adults cnbc.com/2020/12/08/har…
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