Breaking: Our exhaustive paper on liver toxicity of various herbs/ plants used in Ayurveda, Naturopathy, Unani, Siddha and Homeopathy (Ayush) systems of alternative medicine is out now (free to read)
journals.lww.com/md-journal/ful… with Arif Hussain Theruvath

This paper was initially an invited…

Excellent qualitative paper on natural recovery strategies related to AUD

I happened to be on the FDA Committee for this product. Many news agencies wanted to interview me recently; my testimony is in the public record. That said: I can't see how this product will help inform evidence based, patient-provider decisions. #stigma nbcnews.com/health/health-…

The dual epidemics of chronic pain and opioid misuse make it clear that treating pain as a symptom is not enough. NIH NCCIH is driving research that can help us better understand our own built-in mechanisms of pain resolution. bit.ly/3IRueRM

'The Coding Logic of Interoception' - in depth review of the neurobiology and systems neuroscience of interoception focusing on clear sensory mechanisms annualreviews.org/content/journa…

‘A healing journey’ - mandatory reading for anyone who works with people living with pain.
Joletta Belton - patient advocate
#NZPS24 pubmed.ncbi.nlm.nih.gov/33751119/

This is what I thought would happen? Looks like it’s working with each use but no significant benefit after a while

What does ketamine feel like? I kept a diary of my six treatments. wapo.st/3IRnP90

Adding further to the evidence base that cannabis isn’t helpful for people with pain

Even the VA does not recommend using cannabinoids in PTSD or acute stress disorder. They scoured the literature. Patient stories does not equate evidence.
I hear many stories that it does not help. Should that be evidence?

acpjournals.org/doi/full/10.73…

I’m thrilled to give this keynote at NIH, Helene M. Langevin, M.D. ! I will be speaking about how we can generate upward spirals of positive affect and cognition to heal suffering and move towards the apex of meaning in life.

A friend mentioned that in view of the Alabama decision that frozen embryos are children, she intends to list hers for tax deductions.

When my cohost Saul proposed a podcast about his efforts to counter 'racist ideas' affecting him as a doctor I was skeptical.

'If this is about racism, why aren't we asking on a Black guest?' I asked.

Saul quoted Toni Morrison: 'White people have a very serious problem, and…

This is so true in chronic pain recovery
Consistency is the king

I recently finished walking 1000 miles round Wales after a diagnosis of 'severe heart failure.'

In my column The BMJ I consider how doctors put people in pathological boxes instead of exploring their potential. Just out.

bmj.com/content/384/bm…

public-inspection.federalregister.gov/2024-01693.pdf

Brilliant 🧵. Trying to predict suicide is a stab in the dark (at best).
Assessment needs to move away from low/medium/high risk and toward about immediate/medium/long-term protective and safety factors.

Nice review w/ facts
Not sure of the assumptions
these tiny molecular changes drive and shape the complex Long Covid experience of the patient?!!
Even if all these molecular stuff are fixed, pt needs to put in the effort which they are unable to despite their desire to do so?!!

Now in print: a study with team incld. Jessica Merlin Katie Fitzgerald Jones PhD, ACHPN,CARN-AP Devon Check on cancer survivors with chronic pain, how they experience pain management—and how providers can communicate to better alleviate pain. #hapc #chronicpain #pallcareresearch buff.ly/3tX4sYl

Ideally, 'dediagnosing' perfect partner to 'deprescribing' in reducing harmful psych & medical excesses.

Practically, diagnoses that should be written in pencil are instead set in stone- so easy to give wrong diagnoses/so hard to erase them.

Great piece: sciencedirect.com/science/articl…

This view of deterministic and probabilistic causality is pertinent to multimorbodity and most chronic diseases too- not just for neuroscience