'People aren't actually nicer to you they're just faking it because you have seniority' OK cool maybe they should fake it to the intern who's slept three hours in the past two days then got yelled at because they watched someone die and then filled out the paperwork in blue ink.

Our Bridge clinic at SF General is expanding --we are hoping to hire some incredible staff who care about people who use drugs and alcohol! Hiring for navigators, clinic supervisor, medical assistant--RN and social worker JDs coming soon. Please spread the word!

'If cities expect to help reduce our nation’s overdose crisis...their leaders need to enact compassionate, effective drug policies and ensure fair access to public space at the same time.'

Professor Brandon del Pozo, PhD, MPA, MA writing in the The Boston Globe bostonglobe.com/2024/04/25/opi…

Higher first 30-day buprenorphine doses were associated with reduced opioid-involved overdose death and death from other causes, supporting benefit of higher dosing in reducing mortality; journals.lww.com/journaladdicti…

To celebrate William Shakespeare's 460th birthday, here are his 46 best (and strangest) insults:

Kagan: could you criminalize the status of homelessness?

lawyer: that's not a status

Kagan: yes it is

Does criminal justice involvement affect willingness to use a OPC? A study by People, Place & Health Collective (PPHC) that examined that question amongst people who use drugs, found no significant difference between those who had CJI and those who didn’t. Read the study review: tinyurl.com/studypphc

The single most powerful presentation I have seen in recent memory was about work toward ending solitary confinement from Amend. If you don’t know their work, you should. amend.us

In search of a med student/resident/addiction fellow interested in writing up a journal article summarizing the literature and current practices on methadone missed dose policies with me and marginalutilite 🙏 👀

“Everybody is impacted. Everybody's hurting”: Grief, loss and the emotional impacts of overdose on harm reduction workers' by Gillian Kolla, PhD et al (2024) via International Journal of Drug Policy...how is your community dealing with grief in regards to the overdose crisis?

LInk: sciencedirect.com/science/articl…

Love this diagram that shows the landscape of AI/ML with the alphabet soup #SHMConverge24 Society of Hospital Medicine by Zhe Chen

As measles becomes more prevalent in the community (and news headlines), carceral facilities should not be overlooked in this pending public health issue.

thelancet.com/journals/lanpu…

Alysse Wurcel

👏👏👏 to ASAM for putting on this kind of stellar plenary panel of superstars: Aaron Ferguson Yngvild Olsen Ruth Potee, MD, FASAM

Really important article on the availability of medication for opioid use disorder in the New York State prison system since mandated to do it in 2022. Their data with low % of Black pts on these live-saving medications suggesting racialized disparities in access

Unpopular take: framing the physician as the person best equipped to deal with patients’ spiritual struggles or loneliness feels a little like a backslide towards paternalism.

(But yes, we should be aware of how these things inform a patient’s health)