Latest in saga of failed incretin prescriptions: Zepbound denied individual with BMI 42. Told to prescribe Contrave (maybe works for 10 pounds) Wegovy (can't get it anywhere) or Saxenda (daily injection, modest weight loss). Thanks you glorious pharma-benefits manager!

Desserts for tonight, pears with pistachios poached in Samos wine baked in my favorite Greek παδελλα, accompanied by Italian style cookies from Antoine's bakery.

Spent 29 minutes prescribing,, Type 1 diabetes, hypoglycemia. Pharmacy benefits changing. Why don't prescriptions carry over? Why does one company deny Kwik pen but OK with Novolog? Etc, etc. I see smattering of patients. Multiply into busy practice. No wonder there's burn out!

Hmm. Try untested therapy that disrupts hypothalamic-gonadal axis hoping it will inhibit myostatin & reverse aging??? Zero /dd Ever consider bimagrumab? For the human guinea pig -- actual data & less risk. fortune.com/2023/12/21/bry…

File under 'Harvard Doesn't Get It!' University Presidents Defend 'Open Discourse' When Confronted on Antisemitism Surge at Hearing nationalreview.com/news/universit…

My dad, here with two grandkids, died this day 2019 at age 99. Valued his family above all. Also enjoyed a good steak (well done) with a beer, bread & a lot of feta cheese. Still miss him. Lived in occupied Greece during WWII, came to US became loyal citizen. Εωνια η μνήμη. 🇬🇷

The brutality of the Hamas attacks on Israeli civilians isn't complicated. What's complicated is what end game Hamas is playing and how it justifies it to the tyranny they impose on the population they are allegedly governing.

Hmmm so AAP is pro gastric bypass & pro semiglutide, but anti low-carb diet?

Hmmm, I am just trying to understand their principles

Great piece by my colleague, Jody Dushay, on challenges of prescribing GLP-1R agonists for obesity. Ted Kyle BIDMC Department of Medicine
statnews.com/2023/09/15/weg…

Multiple swallowtail butterflies along with monarchs and black swallowtails visiting aptly named butterfly bush. Taking advantage of warm sunny day

As MD, I no longer trust experts. Vaccinated, Covid x1. Eat out twice/ week. Will change if community disease burden changes - ICU admits, waste water titers. I'm just done! Know 3 people my age died of cancer last 2 months. Lots of stuff can kill you, why focus on one?

X - the thing I did NOT WANT TO SEE on my problem sets in college. I much preferred the 💯%. Ugh!

Hummingbirds hovered all day over the wygeleia!

Purple irises and pink lupines - middle of New Hampshire. Note wild strawberries on the right. Pulling those out. Lovely day!

Once every hundred puzzles or so this happens.

Wordle 700 2/6

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Just heard from a colleague that ChatGPT is great at writing DEI affirmation statements now needed for hires and promotions at academic institutions. 🧐

Having spent 30+ years as PI in academia and now 5 years in Pharma 💯endorse this position.