Dr Paul Grinzi
@drgrinzi.bsky.social
Aussie General Practitioner & Medical Educator Drug & Alcohol/Addiction Med. #gpdu #FOAMed Views my own. Tweets not medical advice #justagp
www.royalparkmedical.com.au
www.royalparkmedical.com.au
It's time to normalise MATOD (Medication Assisted Treatment of Opioid Use Disorder).
It's easier to prescribe oxycodone than buprenorphine.
These are preventable deaths.
www.abc.net.au/news/2025-07...
It's easier to prescribe oxycodone than buprenorphine.
These are preventable deaths.
www.abc.net.au/news/2025-07...
The 'huge' Aussie death toll that gets 'very little attention'
There have been more than 2,000 fatal overdoses in Australia for the 10th year in a row, according to a new analysis by the Penington Institute.
www.abc.net.au
July 1, 2025 at 9:28 PM
It's time to normalise MATOD (Medication Assisted Treatment of Opioid Use Disorder).
It's easier to prescribe oxycodone than buprenorphine.
These are preventable deaths.
www.abc.net.au/news/2025-07...
It's easier to prescribe oxycodone than buprenorphine.
These are preventable deaths.
www.abc.net.au/news/2025-07...
Sadly, a planned family vacation to the US is looking less likely by the day. If we went, it wouldn't be a vacation. ☹️
June 10, 2025 at 2:49 AM
Sadly, a planned family vacation to the US is looking less likely by the day. If we went, it wouldn't be a vacation. ☹️
Reposted by Dr Paul Grinzi
Once again, Australian election results prove how awful choropleth maps are for data visualisation.
"Land doesn't vote, people do."
#rstats code to reproduce animation here: github.com/emitanaka/oz...
"Land doesn't vote, people do."
#rstats code to reproduce animation here: github.com/emitanaka/oz...
May 4, 2025 at 8:57 AM
Once again, Australian election results prove how awful choropleth maps are for data visualisation.
"Land doesn't vote, people do."
#rstats code to reproduce animation here: github.com/emitanaka/oz...
"Land doesn't vote, people do."
#rstats code to reproduce animation here: github.com/emitanaka/oz...
Reposted by Dr Paul Grinzi
"a faecal immunochemical test-based programme was non-inferior to a colonoscopy-based programme for colorectal cancer-related mortality"
-so an easier test, among invitees, was as good as a more complex one. Excellent news for Australia's over 50s at-home, mail-in, faeces screening testing program.
-so an easier test, among invitees, was as good as a more complex one. Excellent news for Australia's over 50s at-home, mail-in, faeces screening testing program.
The first randomized trial comparing fecal occult blood testing (every other year) testing and (one-time) colonoscopy. No significant difference in colon cancer mortality among >56,000 participants
www.thelancet.com/journals/lan... @thelancet.bsky.social
www.thelancet.com/journals/lan... @thelancet.bsky.social
March 29, 2025 at 11:39 PM
"a faecal immunochemical test-based programme was non-inferior to a colonoscopy-based programme for colorectal cancer-related mortality"
-so an easier test, among invitees, was as good as a more complex one. Excellent news for Australia's over 50s at-home, mail-in, faeces screening testing program.
-so an easier test, among invitees, was as good as a more complex one. Excellent news for Australia's over 50s at-home, mail-in, faeces screening testing program.
"I am so sorry that we have failed this little sweetheart: not just doctors, but all of us."
Yep
Yep
How do we engage with anti-Medicine narratives? How do we balance listening and telling? How do we value people's lived experiences but reject dangerous narratives, pseudoscience and fake healers?
Things I've been thinking about, in the wake of precious little Elizabeth Struh's death.
Things I've been thinking about, in the wake of precious little Elizabeth Struh's death.
We are seeing anti-medical, anti-science narratives everywhere – how can GPs like me respond? | Mariam Tokhi
January 30, 2025 at 6:01 AM
"I am so sorry that we have failed this little sweetheart: not just doctors, but all of us."
Yep
Yep
Reposted by Dr Paul Grinzi
Wild seeing so many supposed Christians enraged to see a female Bishop stand up for the teachings of Christianity of compassion, mercy, standing with the downtrodden & welcoming the stranger. Those angry need to take a good hard look at themselves & ask what faith do you have?
January 23, 2025 at 10:56 PM
Wild seeing so many supposed Christians enraged to see a female Bishop stand up for the teachings of Christianity of compassion, mercy, standing with the downtrodden & welcoming the stranger. Those angry need to take a good hard look at themselves & ask what faith do you have?
The first female President of the US!
So now we are all legally female
The Trump executive order against trans people defines "female" and "male" *at conception.* Not birth. This is fetal personhood language (in addition to being scientifically inaccurate). www.whitehouse.gov/presidential...
January 21, 2025 at 2:39 AM
The first female President of the US!
Reposted by Dr Paul Grinzi
They banned abortion & TikTok before assault weapons…
THEY BANNED ABORTION & TIKTOK BEFORE ASSAULT WEAPONS.
THEY BANNED ABORTION & TIKTOK BEFORE ASSAULT WEAPONS.
January 17, 2025 at 4:09 PM
They banned abortion & TikTok before assault weapons…
THEY BANNED ABORTION & TIKTOK BEFORE ASSAULT WEAPONS.
THEY BANNED ABORTION & TIKTOK BEFORE ASSAULT WEAPONS.
Reposted by Dr Paul Grinzi
There are so many things I would ban before TikTok, including SUVs and assault weapons…
January 19, 2025 at 1:42 AM
There are so many things I would ban before TikTok, including SUVs and assault weapons…
Reposted by Dr Paul Grinzi
The alternative medicine industry has flipped the meaning of placebos. Don’t be fooled.
My latest on what I'm calling the ShamWow Fallacy.
www.mcgill.ca/oss/article/...
My latest on what I'm calling the ShamWow Fallacy.
www.mcgill.ca/oss/article/...
The ShamWow Fallacy or How Placebos Were Redefined
If I told you that an all-natural remedy performed just as well as a placebo in a clinical trial, how would you interpret that? Proponents of so-called complementary and alternative medicine often cla...
www.mcgill.ca
December 29, 2024 at 7:43 PM
The alternative medicine industry has flipped the meaning of placebos. Don’t be fooled.
My latest on what I'm calling the ShamWow Fallacy.
www.mcgill.ca/oss/article/...
My latest on what I'm calling the ShamWow Fallacy.
www.mcgill.ca/oss/article/...
Reposted by Dr Paul Grinzi
This is such an important paper
.....along with @timsenior.bsky.social's eloquent use of modern lexicon
.....along with @timsenior.bsky.social's eloquent use of modern lexicon
If this is true - that "unhurried conversations are a fulcrum around which effective health care operates" - (spoiler: It is definitely true) - then Medicare is an incentive to the enshittification of health care in Australia.
@annfammed.bsky.social has published our paper on unhurried conversations in clinical care www.annfammed.org/content/22/6... The unhurrried conversation is at the heart of effective healthcare.
December 19, 2024 at 7:40 PM
This is such an important paper
.....along with @timsenior.bsky.social's eloquent use of modern lexicon
.....along with @timsenior.bsky.social's eloquent use of modern lexicon
Reposted by Dr Paul Grinzi
Seconded. All in favor?
Motion to ban the term hysterical from ever being used in reference to female patients or the issues that affect them.
December 14, 2024 at 1:44 AM
Seconded. All in favor?
I delusionally thought this was satire.
What if I told you private insurers can even require “prior authorizations” for delivering a baby
Surely childbirth is free of charge. I thought all treatment for children under 18 was free in US too.
December 13, 2024 at 12:42 AM
I delusionally thought this was satire.
December 12, 2024 at 10:05 AM
Why GP’s are the real superheroes!
YouTube video by Melbourne Mothers
youtu.be
December 8, 2024 at 3:05 AM
Reposted by Dr Paul Grinzi
Recent polling data shows that 75% of Americans now see addiction as a health issue, not a criminal justice issue. But our laws haven't evolved to reflect that, even as our leadership claim to agree. My latest for @theguardian.com. 🧵
🧪 #medsky #drugsky
www.theguardian.com/us-news/2024...
🧪 #medsky #drugsky
www.theguardian.com/us-news/2024...
Most in US view substance use as health issue, but many states treat it as crime
More than half of states treat drug possession as a felony, even as 75% of Americans say it’s a health problem, poll says
www.theguardian.com
December 6, 2024 at 3:35 PM
Recent polling data shows that 75% of Americans now see addiction as a health issue, not a criminal justice issue. But our laws haven't evolved to reflect that, even as our leadership claim to agree. My latest for @theguardian.com. 🧵
🧪 #medsky #drugsky
www.theguardian.com/us-news/2024...
🧪 #medsky #drugsky
www.theguardian.com/us-news/2024...
Reposted by Dr Paul Grinzi
This is really interesting, but completely focussed on the individual.
No mention of food security, employment, housing, poverty.
"Lifestyle therapy" can surely only work where you have favourable social determinants of health.
No mention of food security, employment, housing, poverty.
"Lifestyle therapy" can surely only work where you have favourable social determinants of health.
A national primary-care based trial is the largest ever to determine whether lifestyle therapy is as good as psychological care for improving mental and cardiometabolic outcomes for Australians with serious mental illness.
https://buff.ly/3ZuLRzY #medsky #healthcare #aushealth #research
https://buff.ly/3ZuLRzY #medsky #healthcare #aushealth #research
December 5, 2024 at 10:22 PM
This is really interesting, but completely focussed on the individual.
No mention of food security, employment, housing, poverty.
"Lifestyle therapy" can surely only work where you have favourable social determinants of health.
No mention of food security, employment, housing, poverty.
"Lifestyle therapy" can surely only work where you have favourable social determinants of health.
Reposted by Dr Paul Grinzi
This.
So full of love.
Wonderful collaboration.
So full of love.
Wonderful collaboration.
Coldplay - ALL MY LOVE (Official Video) (Directors' Cut)
YouTube video by Coldplay
youtu.be
December 6, 2024 at 8:12 PM
This.
So full of love.
Wonderful collaboration.
So full of love.
Wonderful collaboration.
Reposted by Dr Paul Grinzi
www.abc.net.au/news/health/...
Life saving Naloxone. A new program of over the counter treatments saving lives.
Life saving Naloxone. A new program of over the counter treatments saving lives.
'Everyone was freaking out, screaming': Naloxone nasal spray may save lives
Young Australians are taking the opioid reversal drug naloxone with them on nights out. We've unpacked what it is and how it works, and busted some myths along the way.
www.abc.net.au
December 5, 2024 at 8:36 PM
www.abc.net.au/news/health/...
Life saving Naloxone. A new program of over the counter treatments saving lives.
Life saving Naloxone. A new program of over the counter treatments saving lives.
Do you incorporate some cycling into your routine?
Exercise as medicine.
www.cyclingweekly.com/fitness/what...
Exercise as medicine.
www.cyclingweekly.com/fitness/what...
What's the biking equivalent of 10,000 steps a day?
The phrase 'gotta get my steps in' has become part of everyday life. But what if there were a simpler, faster way to meet your daily activity needs?
www.cyclingweekly.com
December 5, 2024 at 8:37 PM
Do you incorporate some cycling into your routine?
Exercise as medicine.
www.cyclingweekly.com/fitness/what...
Exercise as medicine.
www.cyclingweekly.com/fitness/what...
Reposted by Dr Paul Grinzi
At a conference in London with several hundred people, most critical care doctors.
Coughing. Every session. Almost non-stop.
The only mask I have seen is on my own face.
I don’t get why people feel ok about this given the mountains of evidence accumulating around viral long term sequelae.
Coughing. Every session. Almost non-stop.
The only mask I have seen is on my own face.
I don’t get why people feel ok about this given the mountains of evidence accumulating around viral long term sequelae.
December 5, 2024 at 4:28 PM
At a conference in London with several hundred people, most critical care doctors.
Coughing. Every session. Almost non-stop.
The only mask I have seen is on my own face.
I don’t get why people feel ok about this given the mountains of evidence accumulating around viral long term sequelae.
Coughing. Every session. Almost non-stop.
The only mask I have seen is on my own face.
I don’t get why people feel ok about this given the mountains of evidence accumulating around viral long term sequelae.
Reposted by Dr Paul Grinzi
Reminder that our opinion on masks aren’t in a vacuum
Anti-maskers have made oncology clinics and public spaces *more* hostile to mask wearers than they were before Covid began
It’s extra important we loudly promote masking to protect cancer patients www.cancertherapyadvisor.com/features/lac...
Anti-maskers have made oncology clinics and public spaces *more* hostile to mask wearers than they were before Covid began
It’s extra important we loudly promote masking to protect cancer patients www.cancertherapyadvisor.com/features/lac...
Lack of Mask Mandates Leaves Cancer Patients Feeling Unprotected
A lack of mask mandates at cancer centers and elsewhere has left cancer patients feeling unsafe and abandoned by society.
www.cancertherapyadvisor.com
December 4, 2024 at 4:39 AM
Reminder that our opinion on masks aren’t in a vacuum
Anti-maskers have made oncology clinics and public spaces *more* hostile to mask wearers than they were before Covid began
It’s extra important we loudly promote masking to protect cancer patients www.cancertherapyadvisor.com/features/lac...
Anti-maskers have made oncology clinics and public spaces *more* hostile to mask wearers than they were before Covid began
It’s extra important we loudly promote masking to protect cancer patients www.cancertherapyadvisor.com/features/lac...
The importance of having naloxone available where and when it is needed.
The importance of recognising signs of overdose.
www.abc.net.au/news/health/...
The importance of recognising signs of overdose.
www.abc.net.au/news/health/...
'Everyone was freaking out, screaming': Naloxone nasal spray may save lives
Young Australians are taking the opioid reversal drug naloxone with them on nights out. We've unpacked what it is and how it works, and busted some myths along the way.
www.abc.net.au
December 4, 2024 at 11:44 PM
The importance of having naloxone available where and when it is needed.
The importance of recognising signs of overdose.
www.abc.net.au/news/health/...
The importance of recognising signs of overdose.
www.abc.net.au/news/health/...