Must read 🧵:

Roald Dahl on Measles: "Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it.

I had a walk today and thought about the relationship between civility, discomfort, and abuse.

Some of you know that “civility” is one of my hard “ugh” triggers. This thread will explain why.

I published a paper in June ‘23 on Medicaid buprenorphine prior auths. Then I was part of a day-long panel led by SAMHSA on access to high dose buprenorphine Dec ‘23. It’s Dec ‘24 & the FDA is changing the label to help facilitate broader access.This is why I do research.
www.fda.gov/drugs/drug-s...

Excellent, truthful, blog post by @minzlicht reflecting on his reflections of studying stereotype threat, and leaving it behind.

www.speakandregret.michaelinzlicht.com/p/revisiting...

Want a specific example of the death by a thousand cuts that is #PriorAuthorization?

Here is an example from yesterday in clinic

A short 🧵

I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma

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[Why] is furosemide susceptible to malabsorption from "gut edema"?

When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."

It's a comment unique to furosemide.

But is it accurate?

Two vital pieces of info b4 Black Friday:

1. Price trackers have proven that Amazon has been slowly hiking prices so they can pretend to slash them on Black Friday/Cyber Monday. There are no actual deals. Just the appearance of them.

2. Amazon workers are on strike

www.google.com/amp/s/amp.th...

In the new year, I'll be starting a role focused on primary care & the policy/politics of change (more to share soon).

This issue is everywhere, with good reason. It's also important to understand the context.


A short thread for the curious (yes, I promise there are colourful charts)-

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I have had the privilege of working with communities globally and in the US, including in rural northern New England, for more than two decades. One thing that I've learned is that communities do not want "experts" to rationalize double standards in healthcare or downplay risks to their health. 1/

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🤔Why does chronic hepatitis C infection "require" the intermediary of cirrhosis in order to cause hepatocellular carcinoma (HCC)?

Chronic hepatitis B can "skip" this step, going directly from chronic infection to HCC.

Why the difference?