Addiction & HIV/ID Physician Investigator at UCSF | Clinical Lead of The Lobby at Ward 86 [low-barrier ID/HIV/harm reduction services for PWUD]https://bsky.app/profile/ayeshaappamd.bsky.socialhttps://bsky.app/profile/ayeshaappamd.bsky.social/post/3ljaqmgt5dc2p🚨New pub: We looked for past-month fentanyl in hair of mostly PWH using daily or weekly meth (self-report, urine 🚫 opioids) - detected fentanyl in >20% 👀 👀 While small study, hope it makes us think about OD prevention in people using stimulants with unintentional fentanyl use. [contains quote post or other embedded content]28 Feb 2025 15:41 +0000at://did:plc:v7kc3yre7bj5b5x2o7pzurpd/app.bsky.feed.post/3ljaqmgt5dc2phttps://bsky.app/profile/ayeshaappamd.bsky.social/post/3lh2yo5ubws2cShow me the American visiting the doctor who wants the dystopian clinician panic that these cornerstone Infectious Diseases references are gone in a flash. #EndingtheEpidemic was a Trump 1.0 initiative to end HIV. How is the #CDC controlling disease by eliminating tools in our 🩺 kit? [contains quote post or other embedded content]31 Jan 2025 21:59 +0000at://did:plc:v7kc3yre7bj5b5x2o7pzurpd/app.bsky.feed.post/3lh2yo5ubws2chttps://bsky.app/profile/ayeshaappamd.bsky.social/post/3lffvd34wqs2vHelloooo #medsky #addictionmed #IDsky fam! After a post-X cleanse, looking forward to scrolling over here in 2025... On that hopeful note, check out this promising step toward increasing access to contingency management: $75 incentive cap --> $750! Let's go. https://www.statnews.com/2025/01/08/methamphetamine-use-white-house-incentives-contingency-management/10 Jan 2025 19:08 +0000at://did:plc:v7kc3yre7bj5b5x2o7pzurpd/app.bsky.feed.post/3lffvd34wqs2v