Appreciate this op-ed from @suenlw. Denying people access to life-saving methadone is discrimination. Sadly, methadone policy and stigma have a reciprocal relationship. More stigma, worse policy. Bad policy sustains stigma. And people die. truthout.org/articles/physi…

Most patients with sepsis don't need anti-anaerobic antibiotics. But most get them anyway. Why not, what's the harm? I worry the harm is considerable. Our new study in JAMA Internal Medicine: using a 15-month pip-tazo shortage to answer this question. 1/n jamanetwork.com/journals/jamai…

Each congenital syphilis case is a failure of our fractured healthcare system, which is particularly bad in the US south -- and exacerbated by factors such as substance use disorder, unstable housing, and poor prenatal care. Should be "never" events. doi.org/10.1093/cid/ci…

The Opioid Crisis: Harm Reduction vs. Harm - very relevant in San Francisco Lev Facher from STAT moderates a panel with: * Braunz Courtney of @heppac1992 * Keith Humphreys Keith Humphreys Stanford University * Ayesha Appa Ayesha Appa UC San Francisco #STATBreakthrough

A absolutely riveting panel on opioid treatment at #STATBreakthrough Could not stop watching Ayesha Appa, Keith Humphreys, and Braunz Courtney of @heppac1992 ping-ponging back and forth about harm reduction.

I didn’t want my friend to inject heroin. But I really, really didn’t want her to overdose & die alone at 25. I wish she were alive & using today. Or alive & getting help. Or alive & sober. Alive & anything is better than dead, no matter what people who hate drug users say.

Sharing a little morsel of a paper that I am excited abt bc it might represent a new way to measure success in SUD research one day. Hair testing to measure past month substance use and eventually🤞🏽quantify use (e.g., measure REDUCED use not just abstinence)

Dislike getting consults for opioid overdose on buprenorphine 😬😬😬😬😬😬 One person was on 16mg, second after first dose sublocade…. so could have had more bupe in their systems but still… 😬😬😬😬😬😬

Arriving in #Montreal for my first #CPDD and the delightful customs officer asked whether I was nervous and prepared. God bless 🇨🇦🇨🇦🇨🇦

Does CA have contingency management figured out? Listen to what Rick Rawson, Steve Higgins (CM celebs) and I have to say abt getting optimal stimulant addiction treatment to as many Californians as possible. Tradeoffs 🔥v thoughtful, least sensational media take on CM 👏🏽

Drug overdose deaths may be decreasing — but not for everyone salon.com/2024/10/05/ove… with quotes from Dr. Nabarun Dasgupta Dan Ciccarone Ricky N. Bluthenthal

Out today in JAMA Internal Medicine: We find #violence against people experiencing #homelessness is 30x ⬆️ than what the general public experiences each year. We analyze factors associated with this violence and implications for practice & policy. @MKushel UCSF Benioff Homelessness and Housing Initiative UCSF DGIM at ZSFG

A few yrs ago, ⁦Alysse Wurcel MD MS FIDSA⁩ gathered a group of ID/SUD physicians ⁦IDWeek⁩, & ID-CIRCUS was born: the ID Coalition for improving Care 4 ppl using Substances. This yr, Dr Madeline McCrary made us official with swag 🎪. This is the energy we need to transform care!

Viewpoint from @MInczeMD, Caty Simon, and @suenlw examines recent US #methadone policy advances, including the 72-hour rule and Modernizing Opioid Treatment Access Act. ja.ma/3YpJspv

The opposite of ikigai 😆

Goodbye X-friends! Please come find me on bsky.app/profile/ayesha…!