TaoistAgnostic

Politically independent. Hospital physician (not medical advice). Posts about politics, economics, medicine, science. Also a movie fan. Opinions my own.

[TaoistAgnostic @ganthbaker]

@TheTennisLetter Who said that? He is most definitely not.

[TaoistAgnostic @ganthbaker]

@no_me_jodar He missed three overheads in the late stages of the match. 1) a sitter (maybe more of a volley) at set point in the 4th, 2) this one at a break point, 3) match point.

[TaoistAgnostic @ganthbaker]

@TennisPublisher all time: Ferrer
active: Ruud

[TaoistAgnostic @ganthbaker]

@MaryBowdenMD Why is corrupt sleaze-ball Hotez in any sort of leadership position?

[TaoistAgnostic @ganthbaker]

@JC_by_AMS 👏 👏 👏 We want our physicians to be healthy. Physicians should not be required to report mental health treatment or diagnoses unless they are actively impaired.

[TaoistAgnostic @ganthbaker]

@RevTChristopher Letting these kids get away with this is lose/lose. When they become adults, they will almost certainly end up in prison, after causing more and more harm. There must be consequences.

[TaoistAgnostic @ganthbaker]

@scoopmalinowski I thought it was cringe. I think she said it after a previous tournament win, then Nike made it a slogan. She seemed uncomfortable saying it out of obligation to her sponsor during her speech, and the audience was lukewarm.

[TaoistAgnostic @ganthbaker]

@DrKrisEdward @BolkonskyAndrey @iatrogenicaware In my experience, many patients on long-term benzos are completely miserable but definitely don’t want to stop the benzo. Many will take an SRI to treat the inevitable anxiety associated with benzo tolerance.

[TaoistAgnostic @ganthbaker]

@NormalGayPsych I know some wonderful teachers, but the teachers’ union as an organization is perhaps the most toxic political force in the country.

[TaoistAgnostic @ganthbaker]

@NormalGayPsych In 2010, I was a Democrat voter. Then the Wisconsin teacher strikes happened. I criticized this online and was viciously attacked by leftists (unfriended, verbal abuse, veiled threats). I haven’t voted Democrat since (although I have voted 3rd party).

[TaoistAgnostic @ganthbaker]

@didem5654 110

[TaoistAgnostic @ganthbaker]

@Hopingflower @DrKrisEdward @iatrogenicaware I am on your side. PSSD is not well established in the US (generally not discussed in training, no black box warning). I am advocating for stronger quality evidence so that the message gets out.

[TaoistAgnostic @ganthbaker]

@ompsychiatrist Unfortunately there is some truth to this. There is wide variation in prescribing patterns among psychiatrists. For those who are employed, there can be pressure to prescribe in a manner that satisfies the institution, or risk loss of job or bad references.

[TaoistAgnostic @ganthbaker]

@libsoftiktok Female groomers are just as creepy as male groomers.

[TaoistAgnostic @ganthbaker]

@DrKrisEdward @george_tapered @BolkonskyAndrey @iatrogenicaware Ugh. Not appropriate. I have seen patients take them specifically for libido reduction, with full consent of the patient or surrogate decision-maker.

[TaoistAgnostic @ganthbaker]

@DrKrisEdward @BolkonskyAndrey @iatrogenicaware I am aware of this. Sexual side effects while taking SRI’s are well-known and, in my opinion, should generally be reviewed with the patient prior to initiation. Less well-understood is persistence after discontinuation.

[TaoistAgnostic @ganthbaker]

@Summer__Crane @manquak1 @DrKrisEdward @iatrogenicaware You have a point. I haven’t seen any published case reports about PSSD, but I will look some more. I understand that not all medical reality is in the form of published research. My point is that published evidence is more likely to cause change in general practices.

[TaoistAgnostic @ganthbaker]

@hanna_pssd @DrKrisEdward @iatrogenicaware Good point. There is one sentence that PSD may occur in “some cases.” To be clear: I am on your side. I believe that SRI’s have some therapeutic role but are generally over-prescribed. Thank you for the discussion.

[TaoistAgnostic @ganthbaker]

@BasedPsychMD What I see a lot: a patient jumps from doctor to doctor, no shared EMR, patient doesn’t know what they are taking, more meds get piled on, patient probably isn’t taking them correctly, no way to clean this up in 15 min appointment.

[TaoistAgnostic @ganthbaker]

@hanna_pssd @DrKrisEdward @iatrogenicaware I am not dismissing the possibility of PSSD. There will need to be more published research to establish PSSD as a risk of SRI’s.