David Tian, MD, MPP, FASAM
@dtian.bsky.social
Health policy practitioner in California’s Medicaid program, general internist, and addiction specialist. Board Member, CA Society of Addiction Med. Interested in population health, health equity, and improving access to care. Views my own.
Check out this Open Access (i.e. free) article on Kratom: Products in the US, including leaf-based ones, are chemically distinct from Southeast Asian products. Like comparing apples to oranges when considering impact and safety. www.ovid.com/10.1097/ADM....
October 20, 2026 at 3:14 AM
Check out this Open Access (i.e. free) article on Kratom: Products in the US, including leaf-based ones, are chemically distinct from Southeast Asian products. Like comparing apples to oranges when considering impact and safety. www.ovid.com/10.1097/ADM....
Interesting read. Tests are only if we know how to interpret them reasonably and meaningfully. Addiction medicine is rife with examples of toxicology testing gone awry.
Drug-testing labs typically report results in black and white: positive or negative.
But a little-known fact about the industry is that those results are often based on standards that are wholly discretionary.
Read our full investigation: https://propub.li/3Nce5Ma
But a little-known fact about the industry is that those results are often based on standards that are wholly discretionary.
Read our full investigation: https://propub.li/3Nce5Ma
January 10, 2026 at 4:23 PM
Interesting read. Tests are only if we know how to interpret them reasonably and meaningfully. Addiction medicine is rife with examples of toxicology testing gone awry.
So excited to be at this year’s CSAM conference #CSAM2025. Great lessons from advocacy in addiction medicine from Drs. Hannah Snyder and Tricia Wright on establishing clinics, *funding them*, and creating literal access to SUD care. Advocacy is not just lobbying for legislation. 1/x
August 14, 2025 at 3:40 PM
So excited to be at this year’s CSAM conference #CSAM2025. Great lessons from advocacy in addiction medicine from Drs. Hannah Snyder and Tricia Wright on establishing clinics, *funding them*, and creating literal access to SUD care. Advocacy is not just lobbying for legislation. 1/x
Reposted by David Tian, MD, MPP, FASAM
The cause of all your money problems. Please share #laloalcaraz cartoons! And stop the bill!
July 1, 2025 at 5:41 AM
The cause of all your money problems. Please share #laloalcaraz cartoons! And stop the bill!
It’s been fun to be in my hometown in Georgia after many years. Folks are kind despite their differences. The ice tea is delightfully sweet. May this country survive the next several months… 🤞🏽
November 26, 2024 at 2:32 AM
It’s been fun to be in my hometown in Georgia after many years. Folks are kind despite their differences. The ice tea is delightfully sweet. May this country survive the next several months… 🤞🏽
Reposted by David Tian, MD, MPP, FASAM
Very important to address harm reduction strategies and get pts on therapeutic dose of medication for opioid use disorder. We made a video at Yale on this topic. youtu.be/9uYCFOpDoR4?... and also a website for patients safersubstanceuse.org, other great resources at nextdistro.org
November 21, 2024 at 12:03 PM
Very important to address harm reduction strategies and get pts on therapeutic dose of medication for opioid use disorder. We made a video at Yale on this topic. youtu.be/9uYCFOpDoR4?... and also a website for patients safersubstanceuse.org, other great resources at nextdistro.org
Hello, world! Stepping into this space of uncertainty with you all.
November 8, 2024 at 8:52 PM
Hello, world! Stepping into this space of uncertainty with you all.