If you want to change behavior, show the data. So proud of Anahita Rabiee adding to evidence behind safety of naltrexone in cirrhosis.

Among 2940 patients with cirrhosis started on naltrexone for AUD, zero cases of DILI was identified!
#livertwitter

sciencedirect.com/science/articl…

Remarkable RCT from Norway demonstrating that starting HCV treatment in the hospital with newly diagnosed HCV among PWIDs is superior to deferring therapy to outpatient care in achieving HCV cure.

Results argue for broader use. Håvard Midgard SELIHEP doi.org/10.1093/cid/ci…

🔖Excited to share a piece on a topic near and dear to my heart - how we manage AUD in patients with alcohol-associated liver disease. Shoutout to Sasha Deutsch-Link, MD for her mentorship and expertise in this field!

sciencedirect.com/science/articl…

#livertwitter Duke IM Residency

We actually have things we can do to help people with alcohol use disorder - help them with cravings and cut down/cease alcohol use. considering ~4% of ED visits may be related to alcohol, this is a BIG deal
Listen: foamcast.libsyn.com/naltrexone-for…
Read: foamcast.org/2023/09/06/nal…

Privatized, medicalized public health is not in fact public health at all.

How about leave the medicine to the doctors and the decisions to the women.

Happy to (finally) share this piece - the culmination of a little hard work and a lot of mentorship.🙏
journals.asm.org/doi/10.1128/aa…
Will Eward, Nick Turner, Alexander Lazarides, Daniel Evans, Nicole Levine, Duke IM Residency

New in NEJM: Most US hospitals do not offer evidence-based #addiction care. This missed opportunity harms patients, is an urgent need.

We describe how policymakers can incentivize & facilitate change. I'd love to partner w CMSGov SAMHSA others 🧵/1
nejm.org/doi/full/10.10…

Harm reduction is an essential strategy to keep people who use drugs alive until they can get into recovery. I am issuing a standing order for pharmacies across the State to carry naloxone and dispense it without a prescription beginning Monday. More here: health.ny.gov/diseases/aids/…

I often take care of people after suicide attempts. When they explain why they tried to die, a large proportion say they could no longer see “the point” in life. “There’s no meaning for me, no reason to live.” Most clinicians push against this idea to dissuade people from it. 1/