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- Indexed issues, last 90 days
- 13
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- Sep 30, 2026
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- Jul 24, 2026
Latest issues
A Note on Massachusetts Question 8 (opens the original)
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I try to keep this newsletter focused on medicine, science, and the broader questions surrounding cannabis rather than electoral politics. This is a slight departure, but one closely connected to the work I’ve been doing for many years.I recently participated in a short video about Massachusetts Question 8. I’m sharing it here not because I expect everyone reading this to approach the issue the same way, but because the debate raises questions about regulation, safety, access, and the role of ca
When the Baseline Moves (opens the original)
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This is Part II of The Physiology Between Us. Part I, “The Baseline Problem,” is here.One of the habits you acquire after enough years practicing medicine is a certain distrust of the reason for the visit. Not because patients are wrong about what bothers them, but because bodies have no particular respect for the way we organize appointments. Someone comes in because she isn’t sleeping. We talk about when she goes to bed, whether she can fall asleep or wakes later, work, anxiety, medications, a
The Baseline Problem (opens the original)
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The Baseline ProblemWhat periods, pain, sex, and the things we never teach each other can do inside a relationshipThere is a particular kind of panic that comes from discovering blood where nobody else is supposed to see it: a bathing suit, white shorts, a chair, someone else’s sheets. For many girls, menstruation begins as biology and very quickly becomes logistics. Where is the bathroom? Do I have anything with me? Can anyone tell? How do I get a pad or tampon out of my bag without making this
Should Parents Worry More About TikTok Than YouTube? (opens the original)
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Q: My teenager spends hours on TikTok and Snapchat every day. I read that app-specific use is linked to substance risk more than general screen time limits are. What platforms should we be most concerned about, and how do you suggest parents talk about this without causing a fight? She uses YouTube too but seems safer there based on what she watches.Becky<a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!01aj!,f_auto,q_auto:good,fl_progressive:steep/https%
The Mind You Practice (opens the original)
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THE ADAPTATION SERIES · 3 OF 5<img alt="" class="sizing-normal" height="969" src="https://substackcdn.com/image/fetch/$s_!p04C!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9828a5e
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