David Lawrence

94 posts

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David Lawrence

David Lawrence

@_DavidLawrence7

Internist and addiction medicine physician @LosAngelesVA, @DGsomUCLA. Passionate about health-systems innovation, student of #HarmReduction. Thoughts my own.

Los Angeles, New Orleans Katılım Nisan 2011
363 Takip Edilen129 Takipçiler
David Lawrence
David Lawrence@_DavidLawrence7·
Though opioid overdose is a leading cause of disability and death, health systems lack incentives to make meaningful investments in proven overdose prevention services. #ACSC designation could change that. @DrHsuPsychiatry
JAMA@JAMA_current

💬 Viewpoint: Designating opioid overdose as an ambulatory care sensitive condition (#ACSC) could expand access to evidence-based prevention, improve care quality, and reduce avoidable hospitalizations. ja.ma/49bnFpH

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David Lawrence
David Lawrence@_DavidLawrence7·
Should opioid overdose be designated as an ambulatory care sensitive condition? We think so. Huge gratitude for @DrHsuPsychiatry 's vision & leadership in drafting this piece, & for the fabulous contributions of our twitterless co-authors Peter Capone-Newton and Lillian Gelberg.
JAMA@JAMA_current

💬 Viewpoint: Designating opioid overdose as an ambulatory care sensitive condition (#ACSC) could expand access to evidence-based prevention, improve care quality, and reduce avoidable hospitalizations. ja.ma/49bnFpH

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David Lawrence retweetledi
Elana Gordon
Elana Gordon@Elana_Gordon·
There’s a tragic feature in our nation’s soaring overdose crisis: all too often fatal od’s occur when someone’s alone. As in, no one’s there to call 911, to give a lifesaving antidote. ⁦Enter hotlines and biosensors. New from @DavidOvalle305⁩ & me: washingtonpost.com/health/2024/10…
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David Lawrence
David Lawrence@_DavidLawrence7·
@DGlaucomflecken @thecurbsiders It’s all about the wordplay: it’s not unreasonable... In the context of…. I wouldn’t fault you if… definitely could consider… will continue to monitor… end any list with etcetera, where etc actually means you can’t think of any more things but want to suggest you can, etc
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Dr. Glaucomflecken
Dr. Glaucomflecken@DGlaucomflecken·
Talking to @thecurbsiders on the podcast today. What kind of internal medicine things can I say to impress them?
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Stephen Murray, MPH, NRP
Stephen Murray, MPH, NRP@stephenHRNRP·
DEA continues to promote their work “reducing supply” against the backdrop of worsening deaths and are just totally free from scrutiny. More funding, more seizures, more deaths. It’s nonsensical. Why are they exempt from any requirement of evidence that it works or helps?
Stephen Murray, MPH, NRP tweet media
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David Lawrence
David Lawrence@_DavidLawrence7·
Amazing panel at the VA national OTP conference today with JC, SAMHSA, DEA, and VA leadership all taking questions from the field about the confounding rules governing the provision of life-saving methadone care.
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David Lawrence
David Lawrence@_DavidLawrence7·
@olsonplanner Thank you for this! I meet these criteria. All loans including undergrad are currently direct loans. Any action I need to take to get the recount? Or is it just those whose undergrad loans are not direct who need to take action and apply to consolidate by 4/30?
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Tyler Olson, EA
Tyler Olson, EA@olsonplanner·
How to get bonus PSLF payments for your medical school loans! 💁🏼‍♀️💁🏼💁🏼‍♂️ IDR Waiver expires on 4/30/24!!
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Chelsea L. Shover, PhD
Chelsea L. Shover, PhD@ChelseaLShover·
Making slides for a quick talk about drug checking, and PowerPoint has this (excellent) automated suggestion:
Chelsea L. Shover, PhD tweet media
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Francisco Alvarez
Francisco Alvarez@fnalvarez·
Wonder how many patients have stopped taking acamprosate because it’s dosed as 666mg? Couldn’t they have used 667?
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ASAM
ASAM@ASAMorg·
A 50-year-old law limits many Americans’ access to addiction treatment that is right for them.  To learn more about pending legislation to reform methadone access, click here:  asam.org/advocacy/natio…
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Stuart Ray
Stuart Ray@soupvector·
@MKIttlesonMD Wrong: HCV HIV Right: HCV antibody positive, SVR 2022, F0-F1 fibrosis by elastography in 2022, low risk for reinfection HIV with CD4 450 in 10/2023 (nadir 20), HIV RNA not detected since 2015, currently taking TDF+FTC+BIC
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Michelle Kittleson MD PhD
Michelle Kittleson MD PhD@MKIttlesonMD·
#TipsForNewDocs Past medical history-- Wrong: - AF - DM Right: - Persistent AF managed w/rate control/anticoag, CHA2DS2-VASc 3 - Type 2 DM, Hgb A1c 7.5% 7/20, no end-organ dz The PMH should provide descriptions of dz severity. Don't list- stratify! #kittlesonrules
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ASAM
ASAM@ASAMorg·
Powerful recovery voices lead open letter to Congress, urging access to methadone treatment through addiction specialists. Let's challenge status quo & support recovery. Read their letter @HouseCommerce @EnergyCommerce @JudiciaryGOP @HouseJudiciary @HELPCmteDems @GOPHELP
Faces & Voices@FACESandVOICES

Take a look at our new blog post (faces.ly/MOTAA-blog) and stay informed about policy that affects recovery practices on a national level. #recovery #advocacy #facesandvoices #legislation #reform #policy #addiction

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Caroline Raymond-King, MD PhD
Caroline Raymond-King, MD PhD@CarolineAKing23·
Out today in @Health_Affairs: If you have a child that needs residential treatment for OUD, the average out-of-pocket cost for a month of treatment is $26,353. Twenty-three states in the US have no residential treatment facility, or don't have one that accepts Medicaid. ⬇️
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David Lawrence
David Lawrence@_DavidLawrence7·
@StefanKertesz This second finding is the one lacking a bit from the discourse. Non-MOUD psychosocial models aren’t just inferior to moud, they’re worse than no tx at all! Yet remain prevalent, sustained by state & federal payors who don’t require any evidence-based OUD standard of care.
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Stefan Kertesz, MD, MSc
Stefan Kertesz, MD, MSc@StefanKertesz·
Medication treatment for opioid use disorder was associated with ⬇️ relative risk for OD death by 34-38% Non-medication treatments in state licensed facilities were associated with 2-fold ⬆️ overdose death risk, compared to not treating at all sciencedirect.com/science/articl…
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Keşfet

@DrHsuPsychiatry @DavidOvalle305 @Jam_Asam @jordanalaks @JessicaTaylorMD @DGlaucomflecken @thecurbsiders @CPDDorg