PinnedThe Footnotes of A Life In MedicineA pediatric emergency physician was once telling me about a book that he was writing about his life and his experiences in the emergency department, about the lives saved and all of the crazy stories from over the years. He noted how he had followed up on some of the…2 min read2 min read
4 days agoMember-onlyAt long last, the “X-waiver” is finally eliminatedThe federal omnibus appropriations package that was signed into law by President Biden in January 2023 included language originally from the Mainstreaming Addiction Treatment (MAT) Act, which eliminated the requirement that healthcare providers possess a Drug Enforcement Administration (DEA) DATA 2000 waiver, or “X-waiver,” to prescribe buprenorphine to treat opioid…Opioids3 min readOpioids3 min read
Mar 5Member-onlyIs “Correct Use Doesn’t Equal Abuse” A Problematic Statement?Yes. Let me explain. As a matter of grammar as a literal statement, “correct use does not equal abuse” is unfalsifiably true. Ok, so then how can a true statement also be problematic? Enter, stigma. The reason that a person would utilize such a statement. Pups be as a form…Health3 min readHealth3 min read
Jan 28Member-onlyThe Legal Battle over California’s AB2098Let’s talk about the recent legal cases involving California’s AB2098 — the bill addressing physicians spreading COVID-19 and COVID-19 vaccine misinformation in the setting of a physician-patient relationship: Law aimed at doctors who spread COVID-19 misinformation is put on hold by judge A federal judge in California has temporarily blocked the enforcement of AB 2098, a weeks-old state law intended to…www.latimes.comAb20982 min readAb20982 min read
Jan 24Member-onlyChiropractic Neck Manipulation and Cervical Artery Dissections / Strokes: The EvidenceI’ve face a lot of pushback over a TikTok video that I made discussing this uncommon complication of neck manipulation or rapid rotational force applied to the neck, particularly in an extended position and suggested to never allow a chiropractor to manipulate your neck. An estimated 1:20,000 manipulations but there…2 min read2 min read
Dec 22, 2022Member-onlyGuest Post — By Edward Nirenberg: mRNA Vaccines and Antibody InductionSo this paper in Science is an interesting paper with important findings that I think merit discussion: “Class switch towards non-inflammatory, spike-specific IgG4 antibodies after repeated SARS-CoV-2 mRNA vaccination” Here’s the gist: everyone thinks of neutralization when it comes to antibodies (that is — stopping viruses from infecting cells) and…4 min read4 min read
Oct 17, 2022Member-onlyCOVID Vaccines and Science CommunicationI received my first dose of the Pfizer-BioNTech COVID vaccine, now called “Comirnaty” on December 22nd, 2020. I cannot tell you how amazing that felt, finally being able to have some level of protection from a respriatory virus which we saw first hand causing suffering and death both of patients…2 min read2 min read
Oct 12, 2022Member-onlyThe Alex Jones Verdict is a Wake Up CallI watched the verdicts read out live in the civil suit against Alex Jones by the families of the Sandy Hook victims, and I have to say that I look forward to seeing Jones have to declare bankruptcy. These numbers are incredible, and well deserved. The final total comes out…Extremism3 min readExtremism3 min read
Sep 23, 2022Member-onlyBivalent COVID VaccinesThe bivalent boosters (with half BA.4/BA.5 and half ancestral variant) were designed to produce antibodies and immune memory to Omicron, and have demonstrated pan-Omicron efficacy as shown in studies just released over the last few days. Keep in mind that Pfizer and Moderna had already performed human trials in a…Covid-194 min readCovid-194 min read
Sep 22, 2022Member-onlyThe FDA’s REMS Restriction limits access to Self-Managed Abortions (SMAs)Did you know that the FDA has a restriction called the Risk Evaluation and Mitigation Strategy (“REMS”) for mifepristone — 1 of the 2 drugs used for self-managed abortions (SMAs) or medication abortions in early pregnancy? The FDA previously announced its intention to exercise enforcement discretion for the in-person dispensing…Abortion3 min readAbortion3 min read
