Chase Samsel, MD, FAACAP

Psychiatrist & pediatrician tx physically ill kids @ Boston Childrens Hospital (associate TD), Dana-Farber Cancer Institute, Harvard Med. Views mine. he/him/his

[Team Talarico @TeamTalaricoHQ]

BREAKING: Ken Paxton’s own lawyer just endorsed James Talarico:

“I defended Ken Paxton for years in the impeachment trial and in state criminal cases. But in my view, I think Ken has lost sight of his core mission, which is to represent the people of Texas. 

And unlike Ken, I believe that you, James, believe in unity over division and that you know how to assemble not only Democrats but Independents and Republicans and we need that right now. 

We need unity, we don't need any more division and that's why I'm supporting you.”

[Dylan Byers @DylanByers]

New statement from Scott Pelley:

There has never been anything in America like 60 Minutes.

The Sunday tradition is the most successful program of any kind in history. For more than a decade, its innovative growth on every major online platform has extended its reach to countless millions around the world. This spring, at the end of our 58thseason, 60 Minutes grew rapidly with an unheard-of 9% jump in viewers on CBS.

“60” has been the number-one program in America for decades because our beloved audience finds integrity, quality, and humanity in our stories. When stewardship of the program passed to my colleagues and me, our responsibility was to expand energetically into a new age of media technology while preserving the values our audience expects. Now, the new owner of our network is casting this legend aside, apparently to curry a moment of favor with the Trump administration.

The waste is heartbreaking.

Last month, 60 Minutes lost its DNA when our entire senior leadership and two of our best on-air correspondents were cruelly fired without cause. Good people were silenced because they stood up for our audience. They stood for fairness against the forces of political bias; they stood for professionalism against chaos.

For my part, new management has instructed me to inject falsehoods and bias into a politically sensitive story. I’ve been told to include assertions that are unverified. To date, in every case, I have managed to ignore these instructions or refuse them. Recently, politicians have been invited to choose correspondents for interviews on the broadcast. Giving politicians control over 60 Minutes interviews is not how this is done. Finally, incompetence and unprofessionalism in the new management have wreaked havoc. In a case involving one of my stories, the entire program came within 19 minutes of not getting on the air at all.

At 60 Minutes, we have fought harder than anyone knows to save the program that became an American icon. We owed that to our millions of viewers. I am deeply moved by the thousands of wishes we have received to “keep up the good fight.” Most of the men and women of CBS News are still in that fight. But now the collapse of values at the top has become untenable. The leadership of 60 Minutes is no longer recognizable. The principles I hold dear are gone, and so I must leave as well.

I depart after 37 years at CBS with one emotion—a heart brimming with gratitude for the men and women of CBS News who encouraged and enriched my work, very often at the risk of their own lives. I pray for a day when those people and their ideals are honored again—a day when sanity, competence, and courage return.

Scott Pelley

[Acyn @Acyn]

Talarico: I’m an eighth-generation Texan. I’ve been eating barbecue since before Ken Paxton’s first indictment. And if all they have on me is lying about me being a vegan, I feel pretty good about our chances this November.

[Rivian @Rivian]

June 9 is the big day. 🙌 R2 officially launches!

✉️ Order invitations begin
⚡️ Customer deliveries start
🚘 Demo drives open at all Rivian Spaces

Don’t miss out—learn more at https://t.co/1yGqkAvuqg. 🔗

[Mark Cuban @mcuban]

If you want more doctors doing house calls, not selling their practices and going to work for the big HC conglomerates, make public med school free.

A little gov intervention, so that rather than having 100s of thousands in debt guiding their decisions , they can do primary care or be a family physician and spend as much time with patients as they want.

They can take cash. They can take chickens.

If you had 250k after almost a decade of school, do you think that would impact your decisions ?

And if you own a big HC conglomerate, does knowing they are drowning in debt impact your decision and how you compete and contract with them ?

Fuck yeah it does.

You pressure them till they have to sell out to you in an acquihire. They can’t afford to survive on their own and every huge HC company takes advantage of them

About 32k students enter med school and DO school a year. 75k for a grant each. Thats 2.4b annually for each class.

That’s it.

You want better healthcare for everyone. That’s the place to start.

[Elisabeth Potter MD @EPotterMD]

I woke up to a message from New Hampshire. A bill had made it to the state Senate — one that Representative Julie Miles championed after watching me do peer-to-peer calls with insurance reviewers who weren't qualified to be making decisions about my patients. I'm a surgeon in Texas. I had no idea this had traveled that far.

Between cases at Redbud today, I fired off emails to NH Senate members, logged into a YouTube Live, and watched HB 1554 pass.

Here's what it does:
✅ Requires peer reviewers to be actual peers — credentialed, named, with their NPI number and specialty certification on the line
✅ Allows physicians to communicate with that peer reviewer at any point in the prior auth process — not just after a denial or on appeal

This is a patient-centered, common-sense reform. And it happened because someone posted something. Told the truth. Did the right thing.

Thank you, Representative Julie Miles and Senator Tim McGough. New Hampshire just set a standard. I hope other states are paying attention.

Get involved. Speak up. You never know what good it might do.

[Javeed Sukhera MD PhD @javeedsukhera]

Antipsychotics are powerful medications originally designed to treat conditions like schizophrenia and bipolar disorder. But increasingly, they're being prescribed to children and teens and the U.S. leads most of the world in doing so.

[Rivian @Rivian]

The R2 configurator is live. Explore paint colors, interiors, wheels and more. Head to our website and start building.

[Om Prakash, MD @ompsychiatrist]

With everything going viral about SSRI withdrawal right now, I need to speak up as a psychiatrist.

Withdrawal is real. We absolutely need better slow tapering and honest info from day one. But the success stories are getting totally drowned out.

In my practice, I see patients who were suicidal and couldn’t get out of bed now back at work, laughing, living again. Panic attacks that used to control their whole world gone. Moms and dads with crushing OCD finally able to be there for their kids without rituals running everything. SSRIs have genuinely helped millions get their lives back.

Don’t let the media hype scare away people who truly need them. If an SSRI pulled you or someone you love out of hell, reply and share your story Let’s hear the other side too.

[MrBuckBuck @MrBuckBuckNBA]

Inside The NBA: While discussing Jason Collins' passing, Charles Barkley: "We live in a homophobic society ... anybody who think we ain't got a bunch of gay players in all sports, they're just stupid."

Via @ESPNNBA

[Awais Aftab @awaisaftab]

I'm a bit annoyed that NYT has settled on the title “Here’s What Psychiatrists Mean When They Say You Have A.D.H.D.” (presumably because it got more engagement) rather than the prior title “We’re Thinking About Mental Health Diagnoses All Wrong,” because the piece isn't really about ADHD. It's just an example I used in one passage.

[Awais Aftab @awaisaftab]

For more of my thoughts on ADHD and stimulants, see: ADHD Beyond Stimulants, and Stimulants Beyond ADHD

https://t.co/oynG47ECLw

[Chase Samsel, MD, FAACAP @ChaseSamsel]

100%. Thank you, Dr @awaisaftab

[Awais Aftab @awaisaftab]

When patients ask, “What disorder do I really ‘have’?” the honest answer is usually more interesting and messier than a single label. I wrote for the @nytimes on what I wish people understood about diagnoses and the nature of mental health problems.

https://t.co/ua2g6PzeAZ

[Tyler Black, MD @tylerblack32]

Without prescribing a medication, if i manage a patient for a year, including 2x weekly hour long therapy, and weekly meetings with their family, totaling over 150 hours of face-to-face time, my total billings would be far less than $45,000.

Yet somehow i'm a "pharma shill."

[Chase Samsel, MD, FAACAP @ChaseSamsel]

@evolutionarypsy @daven_md R1S or R2 all the way. Handles Massachusetts winter fine. If you stop every 3-4 hours for a break anyways on longer trips, it’s 20-30 minutes at the charger instead of 5-10 at the pump. Hybrids are 2.5x the cost per mile.

[Rivian @Rivian]

“We are really excited to be producing R2 for our customers. The vehicle is incredible – it’s the result of all the hard work and dedication of the Rivian team. I can’t wait for customers to experience R2!” - @RJScaringe

Read more: https://t.co/R5K09Eufut

[Jenna Taglienti @jenna_taglienti]

I wrote this in a moment I never would have chosen. A sudden pause that made me see my life clearly.

The meaning of our work is profound. This experience simply helped me see more clearly what matters most.

“Time is Finite” JAMA

https://t.co/IwkKdyeEWx

[Chase Samsel, MD, FAACAP @ChaseSamsel]

@m_in_has Yes - what parents and clinicians noticing. Glad for the affirmation. Directing to the effective and appropriate treatments and harm reduction from ineffective and inappropriate is 🔑. Yes to CT/NY hang!

[Chase Samsel, MD, FAACAP @ChaseSamsel]

Very excited to share our pediatric catatonia clinical pathway in acute medical care settings consensus study is out in the Journal of the Academy of Consultation-Liaison Psychiatry.

There’s a link good til the end of May for the pdf here: https://t.co/YiknIzCtXQ

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[Trudy Wu, MD @TrudyWuMD]

Incredibly touched by this. Please take a minute to read today. An important message for physicians everywhere

[Jose Ramos Vivas @joseramosvivas]

Especial médicos🩺⚕️🏥👨🏻‍⚕️👩🏻‍⚕️.
Os dejo esta carta en JAMA. Se la pondré a mis alumnos en la próxima clase:
He elegido estas frases :
👇🏻⏰
«La medicina puede tener un significado extraordinario. Pero no puede sustituir el estar presente en tu propia vida. El mundo puede necesitarnos como médicos. Pero las personas que nos aman nos necesitan como nosotros mismos. Y ese es el rol que nadie más puede llenar.»

«La residencia refuerza la lección de que las instituciones están diseñadas para perdurar más allá de los individuos. En cambio, las familias no.»

«Creo en formar a la próxima generación. Creo en el significado de este trabajo. Lo que ha cambiado es mi disposición a absorber el desgaste sin cuestionarlo.»

«Ya no estoy dispuesta a seguir posponiendo la vida. La medicina exige mucho. Y nosotros damos profundamente. Pero no puede tomarlo todo.»

«El significado de mi trabajo es profundo. El significado de mi presencia en casa es irremplazable.»