100%

Ooh I've never considered that aspect of it before. That sounds deserving of its own story. I bet there's all kinds of therapies that just got grandfathered in

Impossible

Serum ammonia level determination in known cirrhosis

Universal secondary SBP prophylaxis (caveat, guidelines still recommend this)

Universal Abx prophylaxis after UGIB in cirrhosis (same caveat)

Is docusate high-stakes enough? I know it's true but its so blah

Lol

Thanks so much, Moises! We loved having you and I personally learned a lot!

Congratulations, Joel!! Well-deserved!

I have definitely made arguments that, in retrospect, were not persuasive enough. Someone telling me why they weren't persuaded would be very useful!

(I thought that was a more constructive response than "I'm not convinced! 😂)

I agree, it feels like we are living through a big shift in how people search for medical information.

I remember learning about using MeSH terms to search PubMed in medical school- how far we've come !

“I can tell you personally, hot dogs are very slippery,” the fire chief said. “I did not know that.”

Im not sure why bluesky has me permanently tuned in to the Paul Williams show, but I'm here for it!

I mean, you have identified two of (im guessing) many important causes for the observation that many fewer people prescribe buprenorphine than could - very valuable!

Though I also wonder what else, besides prejudice and stigma, contributes to this "not my area" problem. Intimidation? Inertia? Suspicion of new drugs?

Great point Paul. I am reminded of physicians I worked with over the years who never really made it a priority to learn about HIV medications.