Dr Paul Grinzi 's Avatar

Dr Paul Grinzi

@drgrinzi.bsky.social

Aussie General Practitioner & Medical Educator Drug & Alcohol/Addiction Med. #gpdu #FOAMed Views my own. Tweets not medical advice #justagp www.royalparkmedical.com.au

170 Followers  |  73 Following  |  44 Posts  |  Joined: 11.11.2024  |  2.0668

Latest posts by drgrinzi.bsky.social on Bluesky

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a cartoon of a coyote running with a rope around his neck ALT: a cartoon of a coyote running with a rope around his neck

Get one of these.

04.07.2025 23:05 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The 'huge' Aussie death toll that gets 'very little attention' There have been more than 2,000 fatal overdoses in Australia for the 10th year in a row, according to a new analysis by the Penington Institute.

It's time to normalise MATOD (Medication Assisted Treatment of Opioid Use Disorder).

It's easier to prescribe oxycodone than buprenorphine.

These are preventable deaths.

www.abc.net.au/news/2025-07...

01.07.2025 21:27 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Why not both?

17.06.2025 04:00 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Sadly, a planned family vacation to the US is looking less likely by the day. If we went, it wouldn't be a vacation. ☹️

10.06.2025 02:49 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Sorry

#SorryDay

26.05.2025 09:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Once again, Australian election results prove how awful choropleth maps are for data visualisation.
"Land doesn't vote, people do."

#rstats code to reproduce animation here: github.com/emitanaka/oz...

04.05.2025 08:57 β€” πŸ‘ 315    πŸ” 80    πŸ’¬ 10    πŸ“Œ 7

"a faecal immunochemical test-based programme was non-inferior to a colonoscopy-based programme for colorectal cancer-related mortality"
-so an easier test, among invitees, was as good as a more complex one. Excellent news for Australia's over 50s at-home, mail-in, faeces screening testing program.

29.03.2025 23:39 β€” πŸ‘ 59    πŸ” 18    πŸ’¬ 6    πŸ“Œ 0

38deg here in Melb yesterday!

16.03.2025 03:13 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

"I am so sorry that we have failed this little sweetheart: not just doctors, but all of us."

Yep

30.01.2025 06:01 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Wild seeing so many supposed Christians enraged to see a female Bishop stand up for the teachings of Christianity of compassion, mercy, standing with the downtrodden & welcoming the stranger. Those angry need to take a good hard look at themselves & ask what faith do you have?

23.01.2025 22:56 β€” πŸ‘ 142    πŸ” 18    πŸ’¬ 3    πŸ“Œ 3

The first female President of the US!

21.01.2025 02:39 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

They banned abortion & TikTok before assault weapons…

THEY BANNED ABORTION & TIKTOK BEFORE ASSAULT WEAPONS.

17.01.2025 16:09 β€” πŸ‘ 4676    πŸ” 1504    πŸ’¬ 63    πŸ“Œ 34

There are so many things I would ban before TikTok, including SUVs and assault weapons…

19.01.2025 01:42 β€” πŸ‘ 28101    πŸ” 2636    πŸ’¬ 678    πŸ“Œ 122

2/2

Telehealth does facilitate this window into the context of my patient: the in-car seclusion from family, the cigarettes protruding from mouths, the children screaming/running in the background.
All valuable info, usually hidden from me in the clinic.

Not the same as F2F. Different.

02.01.2025 21:09 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

This article mirrors my experience, not as an Emergency physician but as a General Practitioner, a Primary Care specialist.
Much of what I do isn't "what's the diagnosis?" but "how can I help?".
1/2

02.01.2025 21:09 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

I'm pleased the headline didn't mention "fentanyl". I hear that merely reading the word can provoke an overdose. Especially if you are a police officer.

29.12.2024 21:59 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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The ShamWow Fallacy or How Placebos Were Redefined If I told you that an all-natural remedy performed just as well as a placebo in a clinical trial, how would you interpret that? Proponents of so-called complementary and alternative medicine often cla...

The alternative medicine industry has flipped the meaning of placebos. Don’t be fooled.

My latest on what I'm calling the ShamWow Fallacy.

www.mcgill.ca/oss/article/...

29.12.2024 19:43 β€” πŸ‘ 60    πŸ” 16    πŸ’¬ 2    πŸ“Œ 3

This ⬆️⬆️.

Still seeing influenza cases here in Melbourne (mid summer now).

29.12.2024 21:42 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Enjoy!

20.12.2024 07:04 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
β€œOne CEO gets shot and now the rest of the CROs are scared to to back to the office. Imagine how our children feel going back to school.”

β€œOne CEO gets shot and now the rest of the CROs are scared to to back to the office. Imagine how our children feel going back to school.”

Welp

18.12.2024 22:47 β€” πŸ‘ 163    πŸ” 26    πŸ’¬ 1    πŸ“Œ 0

This is such an important paper
.....along with @timsenior.bsky.social's eloquent use of modern lexicon

19.12.2024 19:40 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Nice to see McSweeney carry his bat.

14.12.2024 07:50 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

I do when appropriate. The vast majority of neck lumps are not health threatening.
To investigate all would overwhelm our health system.
These lumps shouldn't be ignored either.
See your GP for an assessment.
#GPsecrets

14.12.2024 05:47 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Bloody Qld. Beautiful day here in Melb too

14.12.2024 04:50 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Seconded. All in favor?

14.12.2024 01:44 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

I delusionally thought this was satire.

13.12.2024 00:42 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Welcome to πŸ¦‹ @drkatmclean.bsky.social.

We're getting the #GPDU band back together.

12.12.2024 10:05 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 1
Why GP’s are the real superheroes!
YouTube video by Melbourne Mothers Why GP’s are the real superheroes!

Are GPs superheroes?
Not really.
An explainer: youtu.be/vAUZH7euNjA

08.12.2024 03:05 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Most in US view substance use as health issue, but many states treat it as crime More than half of states treat drug possession as a felony, even as 75% of Americans say it’s a health problem, poll says

Recent polling data shows that 75% of Americans now see addiction as a health issue, not a criminal justice issue. But our laws haven't evolved to reflect that, even as our leadership claim to agree. My latest for @theguardian.com. 🧡

πŸ§ͺ #medsky #drugsky

www.theguardian.com/us-news/2024...

06.12.2024 15:35 β€” πŸ‘ 122    πŸ” 43    πŸ’¬ 4    πŸ“Œ 5

This is really interesting, but completely focussed on the individual.
No mention of food security, employment, housing, poverty.
"Lifestyle therapy" can surely only work where you have favourable social determinants of health.

05.12.2024 22:22 β€” πŸ‘ 20    πŸ” 15    πŸ’¬ 3    πŸ“Œ 0

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