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Bích-Mây Nguyễn :verified:So some people want to remove fluoride from the water AND supplements. This will remove fluoridation options to prevent tooth decay and cavities. It particularly impacts families with low incomes. <a href="https://www.npr.org/sections/shots-health-news/2025/05/13/g-s1-66476/fda-fluoride-prescription-ingestible-treatments" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://www.npr.org/sections/shots-health-news/2025/05/13/g-s1-66476/fda-fluoride-prescription-ingestible-treatments</a><a href="https://med-mastodon.com/tags/PublicHealth" class="mention hashtag" rel="tag">#PublicHealth</a> <a href="https://med-mastodon.com/tags/OralHealth" class="mention hashtag" rel="tag">#OralHealth</a> <a href="https://med-mastodon.com/tags/DentalHealth" class="mention hashtag" rel="tag">#DentalHealth</a> <a href="https://med-mastodon.com/tags/teeth" class="mention hashtag" rel="tag">#teeth</a> <a href="https://med-mastodon.com/tags/tooth" class="mention hashtag" rel="tag">#tooth</a> <a href="https://med-mastodon.com/tags/cavities" class="mention hashtag" rel="tag">#cavities</a> <a href="https://med-mastodon.com/tags/fluoride" class="mention hashtag" rel="tag">#fluoride</a> <a href="https://med-mastodon.com/tags/prevention" class="mention hashtag" rel="tag">#prevention</a> <a href="https://med-mastodon.com/tags/dentists" class="mention hashtag" rel="tag">#dentists</a> <a href="https://med-mastodon.com/tags/PrimaryCare" class="mention hashtag" rel="tag">#PrimaryCare</a> <a href="https://med-mastodon.com/tags/pediatricians" class="mention hashtag" rel="tag">#pediatricians</a> <a href="https://med-mastodon.com/tags/FamilyMedicine" class="mention hashtag" rel="tag">#FamilyMedicine</a>

Auscandoc<a href="https://www.cbc.ca/radio/whitecoat/family-doctor-medical-school-1.7328500" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://www.cbc.ca/radio/whitecoat/family-doctor-medical-school-1.7328500</a> “She said that students are selected for a commitment to family practice and are taught largely by <a href="https://med-mastodon.com/tags/familyphysicians" class="mention hashtag" rel="tag">#familyphysicians</a>, then transition from their <a href="https://med-mastodon.com/tags/MD" class="mention hashtag" rel="tag">#MD</a> program into guaranteed <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a> residency positions in Durham Region”

Auscandoc<a href="https://med-mastodon.com/tags/Artificialintelligence" class="mention hashtag" rel="tag">#Artificialintelligence</a> in <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a>: Opportunities, impacts, and challenges | British Columbia Medical Journal <a href="https://bcmj.org/articles/artificial-intelligence-family-medicine-opportunities-impacts-and-challenges" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://bcmj.org/articles/artificial-intelligence-family-medicine-opportunities-impacts-and-challenges</a> “Implementation of artificial intelligence (AI) across the continuum of patient care in family medicine should be given careful, thorough consideration to ensure high-quality care standards are maintained, the integrity of the doctor–patient relationship is preserved, and potential ethical implications are addressed”

Brian Pierce MDOne of the better recent articles on Direct Primary Care (DPC) was in <a class="mention" href="https://bsky.app/profile/bostonglobe.com" rel="nofollow noopener noreferrer" target="_blank">@bostonglobe.com</a> this week. Several Massachusetts docs interviewed and it explains the differences between this and concierge medicine. <a class="hashtag" href="https://bsky.app/search?q=%23medsky" rel="nofollow noopener noreferrer" target="_blank">#medsky</a> <a class="hashtag" href="https://bsky.app/search?q=%23primarycare" rel="nofollow noopener noreferrer" target="_blank">#primarycare</a> <a class="hashtag" href="https://bsky.app/search?q=%23familymedicine" rel="nofollow noopener noreferrer" target="_blank">#familymedicine</a> 1/n <a href="https://www.bostonglobe.com/2025/03/20/business/direct-primary-care-doctors-medicine-insurance-patients/" rel="nofollow noopener noreferrer" target="_blank">A doctor you can text, call, a...</a>

Europe Says<a href="https://www.europesays.com/1815824/" rel="nofollow noopener noreferrer" target="_blank">https://www.europesays.com/1815824/</a> Paramilitary group attacks open market in Sudan, killing 54 <a href="https://pubeurope.com/tags/%C3%81frica" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#África</a> <a href="https://pubeurope.com/tags/children" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#children</a> <a href="https://pubeurope.com/tags/ChrisLockyear" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#ChrisLockyear</a> <a href="https://pubeurope.com/tags/Crime" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Crime</a> <a href="https://pubeurope.com/tags/FamilyMedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#FamilyMedicine</a> <a href="https://pubeurope.com/tags/GeneralNews" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#GeneralNews</a> <a href="https://pubeurope.com/tags/injuries" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#injuries</a> <a href="https://pubeurope.com/tags/News" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#News</a> <a href="https://pubeurope.com/tags/NursingCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#NursingCare</a> <a href="https://pubeurope.com/tags/Omdurman" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Omdurman</a> <a href="https://pubeurope.com/tags/RepublicanSinnFein" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#RepublicanSinnFein</a> <a href="https://pubeurope.com/tags/Sud%C3%A1n" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Sudán</a> <a href="https://pubeurope.com/tags/SudanGovernment" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#SudanGovernment</a> <a href="https://pubeurope.com/tags/surgery" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#surgery</a> <a href="https://pubeurope.com/tags/WarAndUnrest" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#WarAndUnrest</a> <a href="https://pubeurope.com/tags/world" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#world</a> <a href="https://pubeurope.com/tags/WorldNews" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#WorldNews</a> <a href="https://pubeurope.com/tags/WorldTopics" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#WorldTopics</a>

CTV News BarrieOrillia could hire family doctors to create municipal clinic As millions of Ontarians struggle without access to a primary care provider, Orillia is hoping that it may have a solution to address the gap. <a href="https://mastodon.hongkongers.net/tags/healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#healthcare</a> <a href="https://mastodon.hongkongers.net/tags/clinic" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#clinic</a> <a href="https://mastodon.hongkongers.net/tags/familymedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#familymedicine</a> <a href="https://mastodon.hongkongers.net/tags/municipal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#municipal</a> <a href="https://mastodon.hongkongers.net/tags/Orillia" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Orillia</a> <a href="https://mastodon.hongkongers.net/tags/Ontario" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Ontario</a> <a href="https://barrie.ctvnews.ca/orillia-could-hire-family-doctors-to-create-municipal-clinic-1.7173907" rel="nofollow noopener noreferrer" translate="no" target="_blank">https://barrie.ctvnews.ca/orillia-could-hire-family-doctors-to-create-municipal-clinic-1.7173907</a>

Nili Kaplan-Myrth, MD PhDLet’s go! Our week-long <a href="https://med-mastodon.com/tags/Jabapalooza" class="mention hashtag" rel="tag">#Jabapalooza</a> begins today with our eldest, 104 year old patient, getting his <a href="https://med-mastodon.com/tags/COVID19" class="mention hashtag" rel="tag">#COVID19</a> booster.<a href="https://med-mastodon.com/tags/FamilyMedicine" class="mention hashtag" rel="tag">#FamilyMedicine</a> at the service of the community.Photo shared with permission.Mandatory masking in our clinic never ended, for the safety of patients & staff.

Brian Pierce MDNew England Direct Primary Care Alliance had our fall meeting this weekend in South Portland with current and interested DPC docs from <a href="https://med-mastodon.com/tags/maine" class="mention hashtag" rel="tag">#maine</a> <a href="https://med-mastodon.com/tags/massachusetts" class="mention hashtag" rel="tag">#massachusetts</a> and <a href="https://med-mastodon.com/tags/newhampshire" class="mention hashtag" rel="tag">#newhampshire</a>Our new direct dermatologist presented as well as discussions of progress on converting to nonprofit status, using <a href="https://med-mastodon.com/tags/AI" class="mention hashtag" rel="tag">#AI</a> for charting, collaboration with regional information systems and Maine Medical Association. <a href="https://med-mastodon.com/tags/primarycare" class="mention hashtag" rel="tag">#primarycare</a> <a href="https://med-mastodon.com/tags/directprimarycare" class="mention hashtag" rel="tag">#directprimarycare</a> <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a> <a href="https://med-mastodon.com/tags/internalmedicine" class="mention hashtag" rel="tag">#internalmedicine</a> <a href="https://med-mastodon.com/tags/healthcarereform" class="mention hashtag" rel="tag">#healthcarereform</a>

Curiosititis<a href="https://www.cbc.ca/radio/whitecoat/family-doctor-medical-school-1.7328500" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://www.cbc.ca/radio/whitecoat/family-doctor-medical-school-1.7328500</a>Huh, interesting program here. I want everyone to have access to a doctor, so anything that helps with that…<a href="https://med-mastodon.com/tags/MedicalSchool" class="mention hashtag" rel="tag">#MedicalSchool</a> <a href="https://med-mastodon.com/tags/FamilyMedicine" class="mention hashtag" rel="tag">#FamilyMedicine</a> <a href="https://med-mastodon.com/tags/Canada" class="mention hashtag" rel="tag">#Canada</a> <a href="https://med-mastodon.com/tags/PrimaryCare" class="mention hashtag" rel="tag">#PrimaryCare</a>

Brittany TrangTake the money, they said. We'll look after the business side while you look after your patients, they said.But nearly a decade after UnitedHealth's Optum took over ProHealth in Middletown, CT, doctors have major regrets.The latest installment of the <a href="https://newsie.social/@STAT" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@STAT</a> investigation:<a href="https://www.statnews.com/2024/08/28/unitedhealth-optum-prohealth-physicians-care-squeezed-for-profit-doctors-say/" rel="nofollow noopener noreferrer" translate="no" target="_blank">https://www.statnews.com/2024/08/28/unitedhealth-optum-prohealth-physicians-care-squeezed-for-profit-doctors-say/</a><a href="https://newsie.social/tags/health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#health</a> <a href="https://newsie.social/tags/healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#healthcare</a> <a href="https://newsie.social/tags/medicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#medicine</a> <a href="https://newsie.social/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastodon</a> <a href="https://newsie.social/tags/Optum" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Optum</a> <a href="https://newsie.social/tags/UnitedHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#UnitedHealth</a> <a href="https://newsie.social/tags/familymedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#familymedicine</a> <a href="https://newsie.social/tags/doctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#doctors</a> <a href="https://newsie.social/tags/patients" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#patients</a>

Auscandoc<a href="https://www.sciencedirect.com/science/article/pii/S2667321523001622" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://www.sciencedirect.com/science/article/pii/S2667321523001622</a> <a href="https://www.sciencedirect.com/science/article/pii/S2667321523001622#sec2" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://www.sciencedirect.com/science/article/pii/S2667321523001622#sec2</a> “Canadians' <a href="https://med-mastodon.com/tags/HealthOutcomes" class="mention hashtag" rel="tag">#HealthOutcomes</a> are inextricably tied to <a href="https://med-mastodon.com/tags/SocialInequities" class="mention hashtag" rel="tag">#SocialInequities</a>. <a href="https://med-mastodon.com/tags/FamilyMedicine" class="mention hashtag" rel="tag">#FamilyMedicine</a> is uniquely situated to provide care that addresses social factors through longitudinal knowledge of patients and the contexts of their lives. However, <a href="https://med-mastodon.com/tags/FamilyPhysicians" class="mention hashtag" rel="tag">#FamilyPhysicians</a> have come under increased practice demands shaped by neoliberal ideological structuring of <a href="https://med-mastodon.com/tags/healthcare" class="mention hashtag" rel="tag">#healthcare</a>, compounding difficulties in providing care”

Brian Pierce MD<a href="https://med-mastodon.com/@Jlevinscherz" class="u-url mention">@Jlevinscherz</a> <a href="https://med-mastodon.com/tags/primarycare" class="mention hashtag" rel="tag">#primarycare</a> apparentlyu doesn't have much <a href="https://med-mastodon.com/tags/economiesofscale" class="mention hashtag" rel="tag">#economiesofscale</a> at that size. Thousands of small <a href="https://med-mastodon.com/tags/directprimarycare" class="mention hashtag" rel="tag">#directprimarycare</a> practices are thriving and growing though so there are better ways. <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a> is complex but its business model can be simpler.

Leonardo Ferreira Fontenelle…Family doctors from Rio Grande do Sul estimated the carbon footprint of such inhalers in Porto Alegre (the state's capital) and Brazil, and it's not good news:<a href="https://doi.org/10.1590/SciELOPreprints.8393" rel="nofollow noopener noreferrer" translate="no" target="_blank">https://doi.org/10.1590/SciELOPreprints.8393</a>Nowadays we have dry powder inhalers, which don't need propellants and are typically used for newer and more expensive medications. They are not yet available to most patients through Brazil's national health system.<a href="https://mastodon.social/tags/WFDD2024" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#WFDD2024</a> <a href="https://mastodon.social/tags/FamilyMedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#FamilyMedicine</a> <a href="https://mastodon.social/tags/PrimaryCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PrimaryCare</a>

Leonardo Ferreira FontenelleIt was only recently that I learned pressurized gas metered dose inhalers contribute to global warming. These medications for asthma and emphysema used to use chlorofluorocarbons (CFCs) as the propellants because of their damage to the ozone layer. Now we mostly use hydrofluoroalkanes (HFAs), which unfortunately are potent greenhouse gases.…📷 Chad mayoh / Wikimedia Commons, CC By-SA 4.0<a href="https://mastodon.social/tags/WFDD2024" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#WFDD2024</a> <a href="https://mastodon.social/tags/FamilyMedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#FamilyMedicine</a> <a href="https://mastodon.social/tags/PrimaryCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PrimaryCare</a>

Leonardo Ferreira FontenelleAs a family doctor from Brazil, I find it extremely timely that the World Organization of Family Doctors chose climate change as the theme for this year's World Family Doctor Day (🧵)<a href="https://youtu.be/cRhp3026Msg" rel="nofollow noopener noreferrer" translate="no" target="_blank">https://youtu.be/cRhp3026Msg</a> <a href="https://mastodon.social/tags/WFDD2024" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#WFDD2024</a> <a href="https://mastodon.social/tags/FamilyMedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#FamilyMedicine</a> <a href="https://mastodon.social/tags/PrimaryCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PrimaryCare</a>

Brian Pierce MD<a href="https://autistics.life/@ashleyspencer" class="u-url mention">@ashleyspencer</a> Like many things in medicine, <a href="https://med-mastodon.com/tags/healthinsurance" class="mention hashtag" rel="tag">#healthinsurance</a> makes it more expensive, not less.We can dispense generic for members of our <a href="https://med-mastodon.com/tags/directprimarycare" class="mention hashtag" rel="tag">#directprimarycare</a> <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a> practice for about $14 and up for 30 tabs but Mark Cuban's <a href="https://med-mastodon.com/tags/costplus" class="mention hashtag" rel="tag">#costplus</a> pharmacy has it for even less (no relationship with them): <a href="https://costplusdrugs.com/medications/atomoxetinehcl-25mg-capsule/" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://costplusdrugs.com/medications/atomoxetinehcl-25mg-capsule/</a>

Brian Pierce MD<a href="https://mastodon.social/@arstechnica" class="u-url mention">@arstechnica</a> A new role for my Point of Care <a href="https://med-mastodon.com/tags/ultrasound" class="mention hashtag" rel="tag">#ultrasound</a> ( <a href="https://med-mastodon.com/tags/POCUS" class="mention hashtag" rel="tag">#POCUS</a> ) devices?<a href="https://med-mastodon.com/tags/primarycare" class="mention hashtag" rel="tag">#primarycare</a> <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a>

Brian Pierce MD<a href="https://mstdn.social/@mtlgazette" class="u-url mention">@mtlgazette</a> <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a> <a href="https://med-mastodon.com/tags/primarycare" class="mention hashtag" rel="tag">#primarycare</a> <a href="https://med-mastodon.com/tags/quebec" class="mention hashtag" rel="tag">#quebec</a> <a href="https://med-mastodon.com/tags/healthreform" class="mention hashtag" rel="tag">#healthreform</a>

Brian Pierce MD<a href="https://mas.to/@Dominic_Tyer" class="u-url mention">@Dominic_Tyer</a> <a href="https://med-mastodon.com/tags/onemedical" class="mention hashtag" rel="tag">#onemedical</a> <a href="https://med-mastodon.com/tags/amazon" class="mention hashtag" rel="tag">#amazon</a> to follow soon. <a href="https://med-mastodon.com/tags/primarycare" class="mention hashtag" rel="tag">#primarycare</a> is hard and doesn't seem to have much economies of scale Independent <a href="https://med-mastodon.com/tags/directprimarycare" class="mention hashtag" rel="tag">#directprimarycare</a> practices continue to multiply and grow though. <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="tag">#familymedicine</a>

Auscandoc<a href="https://med-mastodon.com/tags/MedicalSchools" class="mention hashtag" rel="tag">#MedicalSchools</a> raise alarm over declining interest in <a href="https://med-mastodon.com/tags/FamilyMedicine" class="mention hashtag" rel="tag">#FamilyMedicine</a> <a href="https://www.biv.com/news/economy-law-politics/medical-schools-raise-alarm-over-declining-interest-in-family-medicine-8645989" target="_blank" rel="nofollow noopener noreferrer" translate="no">https://www.biv.com/news/economy-law-politics/medical-schools-raise-alarm-over-declining-interest-in-family-medicine-8645989</a> “Medical-school leaders are raising the alarm over their students’ declining interest in providing traditional cradle-to-grave <a href="https://med-mastodon.com/tags/PrimaryCare" class="mention hashtag" rel="tag">#PrimaryCare</a> at a moment when the country is desperate for more <a href="https://med-mastodon.com/tags/FamilyDoctors" class="mention hashtag" rel="tag">#FamilyDoctors</a>. (1/3)

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