Daniel Wolfe
@wolfenycExec. Director of @UCJointCPH, UCSF/Berkeley program working at intersection of computation, public health practice and equity. Views and retweets my own.
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@Laiglo
Harm reduction thinking, affordably priced medicine, minimal police involvement, and other key lessons from HIV for the COVID 19 response. My blog here: opensocietyfoundations.org/voices/10-less…
Returning to "X" after an absence, and with good news that my @UCJointCPH program colleague @IdaSim recognized by @STATnews as one of 50 most shaping health science. Work on democratizing data for diabetes management--with @commons_prjct--called out! buff.ly/3IgaBT6
Scandalous and routine. A symptom of system thinking obscuring humanity and common sense.
CPP stable for a decade on hydrocodone. Supposedly inconsistent pill count. Never had an issue. Nurse Called and told her to drop 50% in 1 day and she can’t talk to the dr. Pt asked about quick drop and told if she has w/d from taper to go to ER. Dr refuses to call pt.
Inspiring, bold project to bring the ethos of open science, shareable code, and brilliant clinicians, computer scientists, and patient advocates to transform use and impact of health data. Proud to be part. @UCJointCPH @Idasim @ucbids @commons_prjct @2i2c_org @BerkeleyDataSci
So excited to partner with @BerkeleyDataSci, @UCBIDS, @commons_prjct, @drjessilyn We will bring an open scalable approach to sensor-based care, starting with @UCSFDGIM and @UCSFDiabetes This project shows the power of bringing @UCSF and @UCBerkeley together through @UCJointCPH
Algorithmic injustice: UnitedHealth used machine learning to push Medicare patients off rehab services--despite claims that algorithms were meant to guide, rather than dictate, decisions. Via .@statnews by @caseymross and colleagues.
So right, and so we’ll deserved!
Over the moon to be on #TIME100Next list of emerging leaders globally. Amazing company to keep! So much love to teams @RemedyAlliance @UNC who make the #harmreduction and science happen. time.com/collection/tim… @ejwheeler9 @UNCpublichealth @UNC_IPRC @TIME @TaraLaw27
Unlocking the mysteries of the autonomic nervous system--pain while unconscious, interactions between mind and gut, and much more. @SandyaPhD to bring her cutting-edge work to @UCjointCPH, @BerkeleyDataSci, @UCSF_BCHSI and others in the field in 2024.
Thrilled to announce that Dr. Sandya Subramanian @SandyaPhD will join CPH in 2024! We're blown away by Dr. Subramanian's work developing new technologies and methods to study interactions between the brain, autonomic nervous system, and body--can't wait to have her at CPH!
High school students from underserved communities rocking it on AI and health. Talk about Next Generation evidence.
Young, gifted and using AI--@ai4allatUCSF students present work on miscarriage, endometriosis and more at summer symposium, July 28 10:30-12:30 PT. And @UCJointCPH co-director @DrMayaPetersen delivers wisdom in her keynote speech to start (10:30-11:15). Will be fierce.
Excited and proud to start new role as ED of @UCJointCPH , groundbreaking program of UCSF and UC Berkeley working at the intersection of machine learning, computation, clinical/public health practice and equity. Brilliant colleagues and important work ahead.
I can’t think of a group more desperately in need of hearing @speakingabtpain Kate is a sterling clear voice for the perspective of people with pain, whose survival & safety has been- in every way- an afterthought for most people at every #RxSummit
Happy to be in Atlanta for the #RxSummit2023 talking about the importance of shared decision-making and individualized care of people with pain & gaps and barriers in care, especially for those who use #RXopioids to manage pain. @theNAMedicine #ChronicPain
My op-ed for @LATimes with @LeoBeltsky on the devastating impact of @DEAHQ proposed teleprescribing rules. latimes.com/opinion/story/…
Insurance denials, hospitals prescriptions, fraud detection—algorithm driven but rarely tested for accuracy or unintended side effects.
This @statnews investigation finds that “insurers are using unregulated predictive algorithms, under the guise of scientific rigor, to pinpoint the precise moment when they can plausibly cut off payment for an older patient's treatment.” statnews.com/2023/03/13/med…
Though indeed, that prescription may well be under your name in the prescription drug monitoring program and used in the algorithm assigning you an overdose risk score! So double thanks for nothing (and sending her/him get well wishes).
Well. Our cat is now on buprenorphine (for post-injury pain control), and I can officially say that our pets have better, easier, quicker access to bupe than all the humans I know who would like treatment for opioid use disorder. Thanks for nothing, US Drug Enforcement Agency!
Terrible—a disincentive for overdose prevention when what is needed is incentives to make naloxone more accessible! Also, what metric will they use to approve/deny?
It has finally happened!! I prescribed naloxone for harm reduction (pt w/cancer pain requiring opioid analgesia) and the health insurer is asking for a Prior Authorization on the naloxone (which they required for a PA on the opioid). 🤦🏻♂️ @AmerMedicalAssn @DGlaucomflecken
So impt to move from general aggregate effects to more nuanced analysis of factors leading to risk/OD/suicide or protection. Hope the recent VA announcement about no opioids save bupe for chronic pain does not swell the pool (or diminish impact of the findings)
1/Our study to examine suicides after Rx opioid reduction has been FUNDED It’s called CSI:OPIOIDs-V We’ll look at suicides in Veterans & non-Veterans Our outcome target is to help clinicians & healthcare organizations act to prevent these deaths
And stay tuned for machine learning/natural language processing to soon scan medical records and score people for risk of OD/restrict opioid prescription based on same! #Wordsmatter indeed!
With @ScottWeinerMD et al. looked at use of stigmatizing terms that @NIDAnews #WordsMatter recommends against (like “abuse” “addict” “clean/dirty”) among 30k patient charts w/ SUD, found 61% had stigma terms by NLP, disproportionately ⬆️ % for Black pts & those w/ Medicaid. 1/2
No sooner has CDC revised its harmful and restrictive guideline on pain prescription than this from the VA. Sad to see and bad for chronic pain patients. painnewsnetwork.org/stories/2023/2…
Homelessness is a health issue. So many of us seeing patients who have been evicted living in cars or hotels or streets, doubled up, vulnerable to assault or theft, losing meds, substance use increased. Rx is a policy issue: stable permanent affordable housing.
Evictions are on the rise in NYC: Nearly 4,400 households have been kicked out of their apartments since a freeze on most evictions expired last January This is happening as NYC’s homelessness crisis surpasses record levels My story for @Gothamist gothamist.com/news/nyc-evict…
Yes. And for real access, must be cheaper. A dollar's worth of medicine surrounded by patented, overly expensive nose spray mechanism may not get us there, though government could help there too.
Over the counter naloxone has been something long needed (non-Rx). It is super safe and life-saving. We must increase access to naloxone. It also has to get into the hands of people who use drugs most likely to use it. npr.org/2022/12/13/114…
Narrative that the DEA "missed" predicting fentanyl use ignores their role in accelerating it by inserting themselves--including w/methadone, bupe etc--in the doctor/patient relationship. As @maiasz notes, basic problem is control & contain mindset (which Washpo reinforces).
So tired of this played out and false narrative. It's time for the Post to stop carrying water for the DEA and find a different drum to beat
Hard to know whether to be glad or sad. Another instance of economists (like Doleac before)producing research that fails basic tests of validity by public health standards—and then we object, we are cast as anti-evidence. I guess that’s why magazine is called the Economist?
So tired of this played out and false narrative. It's time for the Post to stop carrying water for the DEA and find a different drum to beat
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Who to follow
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Kasia Malinowska
@OSFKasia -
Support.Don't Punish
@SDPcampaign -
Harm Reduction International
@HRInews -
International Network of People who Use Drugs
@INPUD -
International Journal of Drug Policy
@ijdrugpolicy -
Release Drugs - @releasedrugs.bsky.social
@Release_drugs -
The Global Commission on Drug Policy (GCDP)
@globalcdp -
IDPC
@IDPCnet -
DrugReporter
@RRFdrugreporter -
Martin Jelsma
@MartinJelsmaTNI -
Centre on Drug Policy Evaluation
@drugpolicyctr -
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@HarmReduction -
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Gloria Lai
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