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Matt Katz, MD 🟦
@subatomicdoc.bsky.social
Radiation oncologist caring for people in diverse mill cities in MA/NH. Hacker mentality. Side hustle = clinical research. Super power = seeing dead spots. Neutral good. He/him. subatomicdoc.com
384 followers378 following509 posts
Reposted by Matt Katz, MD 🟦
LHlaurahelmuth.bsky.social

This one goes out to anybody who has ever picked up a feather and wondered how they work (short answer: they're amazing) 🧪 www.scientificamerican.com/article/why-...

Why Feathers Are One of Evolution’s Cleverest Inventions
Why Feathers Are One of Evolution’s Cleverest Inventions

Fossil and living birds reveal the dazzling biology of feathers

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MKsubatomicdoc.bsky.social

Here is a paper on cancer communities. Each platform has pros/cons. ascopubs.org/doi/10.1200/... My hope had been to make it work so people can curate health content better. I’m not sure how, until a platform adequately addresses trust & safety.

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MKsubatomicdoc.bsky.social

There are mainstream and health related platforms that have a lot of very valuable information to help people. We had hashtag communities on Twitter where patients, doctors, others all collaborated together. The caveat is: sharing your data, and does the platform protect your search and posts?

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MKsubatomicdoc.bsky.social

It depends how one defines the group you’re looking at to estimate the risk. And misuse, addiction/use disorder are different situations. In my area, cancer, the risk is low. That said, the problem becomes when someone in family, friends takes them from someone with valid need getting the Rx.

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MKsubatomicdoc.bsky.social

We are headed there. Already cannabis legal in enough states that eventually that will change. Research is also ongoing on the therapeutic use of some other drugs. In the right settings, some of them may be helpful. We do need quality research to understand it better.

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MKsubatomicdoc.bsky.social

Chronic, not chromic 🙂

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MKsubatomicdoc.bsky.social

I agree that chromic or severe pain requires treatment and opioid habituation risks are low in those with pain. The problem had been giving 2 weeks’ worth after a simple surgery, or not trying other milder options in short term pain. That came from sense of undertreating pain in the 1990s.

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MKsubatomicdoc.bsky.social

The problem of addiction, now more often called a use disorder, has been declining after peaking in 2011. It was used too liberally in the past, and so in part there is a reactive swing toward under-use for some. Broad overview here pubmed.ncbi.nlm.nih.gov/30726003/

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MKsubatomicdoc.bsky.social

I am not great with pharmacology, less strong area for me as a radiation oncologist. But thank you for sharing. I hope the health professionals can individualize better for you going forward.

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MKsubatomicdoc.bsky.social

Yes, I agree there has been an overcorrection because of the opioid deaths and misuse, addiction risk for many. But that broad stroke approach means individualized pain management can be squashed, leaving some people in pain.

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MK
Matt Katz, MD 🟦
@subatomicdoc.bsky.social
Radiation oncologist caring for people in diverse mill cities in MA/NH. Hacker mentality. Side hustle = clinical research. Super power = seeing dead spots. Neutral good. He/him. subatomicdoc.com
384 followers378 following509 posts