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
Oct 24Member-onlyCondition: CriticalThe US Healthcare system is collapsing. People stopped caring about us seemingly weeks into the pandemic, and then they vilified us. Those who aren’t paying attention to the state of those currently in medicine, and more importantly the pipeline of those entering or potentially entering medicine, need to start paying attention and becoming significantly concerned. I…Healthcare3 min readHealthcare3 min read
Oct 24Member-onlyBuprenorphine for Pain ManagementBuprenorphine is FDA approved for the treatment of acute and chronic pain as well as for the treatment of opioid use disorder. Buprenorphine is a semi-synthetic opioid. Buprenorphine is a partial opioid agonist at the mu-opioid receptor. The mu-opioid receptor is directly involved in pain control and pain sensation. Therefore…Chronic Pain2 min readChronic Pain2 min read
Aug 29The Fogen Effect and Junk ScienceScientific evidence shows that mask-wearing is effective at limiting community transmission; claims… Well-designed studies that account for confounding have reported that widespread mask-wearing reduces the spread of…healthfeedback.org1 min read1 min read
May 31Member-onlyKnowledge Overconfidence and Anti-Consensus ViewsCaveat: I am not a psychiatrist nor am I the physician treating the individuals discussed here. I am not trying to make diagnoses from online behavior or activity. I am only noting here that these specific behaviors align with specific enumerated traits as listed in the DSM-V. …Misinformation7 min readMisinformation7 min read
May 22Member-onlyFear-Mongering and Stigmatizing Medications is Only Harming You and Your CommunityThe current trend among the chronic pain community — unfortunately driven by some of their loudest advocates — is to stigmatize medications which can highly effective for many patients and for the right conditions. One of the main targets of this stigmatizing misinformation is buprenorphine. Why? …Buprenorphine7 min readBuprenorphine7 min read
Mar 21Member-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-only“Correct Use Doesn’t Equal Abuse” Is A Problematic Statement And I Need You To Stop Saying It.No, you aren’t better than people with opioid use disorder. Instead, you’re perpetuating the stigma that harms you. Let me explain. As a matter of grammar, the statement “correct use does not equal abuse” is unfalsifiably true. Ok, so then how can a true statement also be problematic? Enter, stigma. …Health4 min readHealth4 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 EvidenceCervical artery neck dissections are a known though uncommon complication of neck manipulation or rapid rotational force applied to the neck, particularly in an extended position. Cervical artery dissections occur in an estimated 1:20,000 neck manipulations but there are LOTS of manipulations performed each day . Yet despite this evidence…2 min read2 min read
