the idea that more enforcement can solve drug problems has been falsified 1000x over & yet we still re-run the experiment. fentanyl is a difficult issue, but doubling down on the policies that brought us fentanyl is ridiculous.

Rain & Cold forecasts have triggered Weather protocols … 1/19 - 1/23 these shelters will be accepting walk-ins:

#BREAKING: New research on involuntary treatment for Substance Use Disorder finds forcing people into treatment to promote abstinence … DOESN’T WORK. Within the first two months after discharge, 96.4% of the 1,083 participants had relapsed. Recovery is HARD. For treatment to

Circling back to London Breed's Prop F because <excuse my french but> WTF: 1. Data do not suggest compulsory treatment is effective. ncbi.nlm.nih.gov/pmc/articles/P… 🙏 Steffanie Strathdee, PhD 🗡️ 🦠Superbug Slayer🗡️ & team 2. Fine, you don't like data or fair, these are heterogeneous studies. Stick w/me.. 🧵1/4

BREAKING: Compassion clubs could be the solution we’re looking for! Long 🧵incoming… This is BIG NEWS! When I talk about the need for a regulated drug supply, people always ask me what widespread distribution of safer drugs could look like. Would we sell measured doses of

DoxyPEP: Strategy by which men-who-have-with-men (MSM) & transgender women can take doxycycline as post-exposure prophylaxis after sex to prevent syphilis & chlamydia (gonorrhea needs vax). Astounding city-wide data from San Francisco -50% drop in both with DoxyPEP guidance.

Insurance companies have weaponized the prior authorization process, reports this The New York Times video op-ed This delays or stops care 1 in 3 doctors assert such delays have caused death or harm to patients Doctors’ offices have to hire staff purely to handle prior authorization

a personal update: I recently signed onto my 1st faculty role at a hospital I’ve admired since a kid. Grateful for the chance to delve into research close to my heart and work w patients + colleagues who inspire. Thanks to all who've been part of this journey 🙏🏾🙂 UCSF DGIM at ZSFG

The core problem

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)

Amid recent policies further criminalizing poverty, cautiously optimistic about our SFDPH Street Med program: long-acting injectable antiretrovirals show promise for people experiencing homelessness with or at risk for HIV. Read more in POZ Magazine: poz.com/article/longac…

Residency interviews are really the original ERAS tour

Noah Bush, 8 years old, was found drowned in Jesup, Georgia in May 2024. He went out to play with neighborhood kids & never came home. After finding his body in a small body of water the sheriff’s office immediately announced it was accidental & for two months they did nothing.

Our latest pub explores how psilocybin therapy may reduce HIV-related shame, a factor contributing to substance use and Tx challenges. While further research is needed, these data suggest possible new directions for HIV care. nature.com/articles/s4159… #HIV #addiction #psychedelics

Written by my amazing friend and The Osler Medical Residency co-ACS Dr. John Woller, one of the very best doctors and educators I know. Amidst his family’s grief, he is still working to dispel myths about fentanyl exposure 🥺 nytimes.com/2024/08/04/opi…