Finally, a reveal of sorts.

It took long enough.

Where’s St. Patrick when we need him?


A dear friend of mine sent me a link to a webpage.

I have been recovering from a nasty bout of viral gastroenteritis, brought home as a belated Christmas present from my children’s school, along with a few forgotten cardboard decorations covered in Satan’s powder (ie glitter).

I opened the link I was sent and to my surprise (why after all these years should I have been surprised?)

I saw OHA — Oregon Health Authority, Oregon HERC Committee, yada, and then I saw something new that hasn’t appeared with what has gone on over all these months and meetings regarding their plots and plans of abruptly force tapering their state Medicaid patients off their opioid medications to <a class="markup–anchor markup–p-anchor" href="https://link.medium.com/NfyTLgpRlT&quot; data-href="https://link.medium.com/NfyTLgpRlT&quot; rel="noopener nofollow" target="_blank" style="background-color: transparent; color: inherit; text-decoration: none; -webkit-tap-highlight-color: rgba(0, 0, 0, 0.54); background-repeat: repeat-x; background-image: url(" data:image svg+xml;utf8, “); background-size: 1px 1px; background-position: 0px calc(1em + 1px);”>zero and having them do <a class="markup–anchor markup–p-anchor" href="https://sciencebasedmedicine.org/bait-and-switch-in-oregon-substituting-quackery-for-opioids-for-medicaid-patients/&quot; data-href="https://sciencebasedmedicine.org/bait-and-switch-in-oregon-substituting-quackery-for-opioids-for-medicaid-patients/&quot; rel="noopener nofollow" target="_blank" style="background-color: transparent; color: inherit; text-decoration: none; -webkit-tap-highlight-color: rgba(0, 0, 0, 0.54); background-repeat: repeat-x; background-image: url(" data:image svg+xml;utf8, “); background-size: 1px 1px; background-position: 0px calc(1em + 1px);”>other stuff’.

I saw a list of “contributors”.

This was a new list of people, but the names (most of them) were familiar to me.

I sighed.

Written was <a class="markup–anchor markup–p-anchor" href="https://www.oregonpainguidance.org/guideline/tapering/&quot; data-href="https://www.oregonpainguidance.org/guideline/tapering/&quot; rel="nofollow noopener" target="_blank" style="background-color: transparent; color: inherit; text-decoration: none; -webkit-tap-highlight-color: rgba(0, 0, 0, 0.54); background-repeat: repeat-x; background-image: url(" data:image svg+xml;utf8, “); background-size: 1px 1px; background-position: 0px calc(1em + 1px);”>this,

Below are some guidelines and tools that will help prescribers assess and weigh risks versus benefits, and decide whether tapering is indicated.

For tapering to be successful, clinicians must approach the taper as an alliance with the patient with the goal of improving their safety and quality of life.

Contributors:

These tools, guidance, and resources for tapering were collected and developed by the Oregon Pain Guidance Clinical Advisory Group, Tapering Workgroup. The workgroup participants and contributors include:

Dr. Jane Ballantyne — University of Washington Dept. of Anesthesia & Pain Medicine

Dr. Roger Chou — OHSU Department of Medical Informatics & Clinical Epidemiology and Department of Medicine

Dr. Paul Coelho — MD Salem Health

Dr. Ruben Halperin — Providence, Dept. of Medical Education and OHSU Affiliate Associate Professor, Dept. of Medicine

Dr. Andrew Kolodny — Brandeis

Dr. Anna Lembke — Stanford University School of Medicine, Psychiatry and Behavioral Sciences and Addiction Medicine

Dr. Jim Shames — Jackson County Health and Human Services

Mark Stephens — Change Management Consulting

Dr. David Tauben — University of Washington Dept. of Anesthesia & Pain Medicine

Read the rest of Heather’s article @

https://medium.com/@heatherzamm/clarity-in-oregon-as-the-snakes-slither-in-8c2bcd6d8abf