Josh Brown, DO
@joshbrowndo.bsky.social
OB/Gyn turned Addiction Med, harm reduction, OTP/OBOT Medical Director, 7 years sober. 🏳️🌈 #medsky
It really should be illegal for OTPs to kick pts to the curb that can't afford treatment. I'm getting tired of being told I need to force-taper pts off of their methadone.
December 4, 2025 at 4:17 PM
It really should be illegal for OTPs to kick pts to the curb that can't afford treatment. I'm getting tired of being told I need to force-taper pts off of their methadone.
I always feel like I’m doing something illegal when I buy medications behind the counter at the pharmacy. Just me?
November 19, 2025 at 8:25 PM
I always feel like I’m doing something illegal when I buy medications behind the counter at the pharmacy. Just me?
Love every 1-2 years w internet carriers:
*Promo ends, bill goes up $20*
Me: What gives?
Them: Your promo ended, nothing we can do
Me: Then I’d like to cancel
Them: Let me get you to customer retention
*Sit through 20min sales pitch, bill gets lowered after refusing all upgrades*
Can we just not?
*Promo ends, bill goes up $20*
Me: What gives?
Them: Your promo ended, nothing we can do
Me: Then I’d like to cancel
Them: Let me get you to customer retention
*Sit through 20min sales pitch, bill gets lowered after refusing all upgrades*
Can we just not?
October 30, 2025 at 9:17 PM
Love every 1-2 years w internet carriers:
*Promo ends, bill goes up $20*
Me: What gives?
Them: Your promo ended, nothing we can do
Me: Then I’d like to cancel
Them: Let me get you to customer retention
*Sit through 20min sales pitch, bill gets lowered after refusing all upgrades*
Can we just not?
*Promo ends, bill goes up $20*
Me: What gives?
Them: Your promo ended, nothing we can do
Me: Then I’d like to cancel
Them: Let me get you to customer retention
*Sit through 20min sales pitch, bill gets lowered after refusing all upgrades*
Can we just not?
Ordered 5 stalks of rhubarb from Kroger and I received five POUNDS. Other than strawberry rhubarb pie, what can I make with all of this?
October 20, 2025 at 11:35 PM
Ordered 5 stalks of rhubarb from Kroger and I received five POUNDS. Other than strawberry rhubarb pie, what can I make with all of this?
My MAGA parents: your insurance premiums are going up? Our Medicare is going up! Our grocery bills are so expensive now!
I wanted to say “I wonder why that is..” but I know they would find a way to blame Biden and that would make me even more mad.
I wanted to say “I wonder why that is..” but I know they would find a way to blame Biden and that would make me even more mad.
October 20, 2025 at 9:14 PM
My MAGA parents: your insurance premiums are going up? Our Medicare is going up! Our grocery bills are so expensive now!
I wanted to say “I wonder why that is..” but I know they would find a way to blame Biden and that would make me even more mad.
I wanted to say “I wonder why that is..” but I know they would find a way to blame Biden and that would make me even more mad.
They need to stop saying things are unprecedented. Yes, we know.
October 3, 2025 at 2:13 PM
They need to stop saying things are unprecedented. Yes, we know.
I spend more time than I care to admit each day sifting through every possible e-storage app to find what I’m looking for. These 3 separate One Drive accounts are going to lead to my demise.
September 25, 2025 at 7:06 PM
I spend more time than I care to admit each day sifting through every possible e-storage app to find what I’m looking for. These 3 separate One Drive accounts are going to lead to my demise.
From ObGyn Resident to Chief Resident to IV drug user and revoked medical license to Addiction Med doc to Medical Director of the Year. What a wild ride. Can't wait to see what's next!
September 19, 2025 at 2:16 PM
From ObGyn Resident to Chief Resident to IV drug user and revoked medical license to Addiction Med doc to Medical Director of the Year. What a wild ride. Can't wait to see what's next!
“Covid vaccine is only available to those 65 and older or if you have certain health problems”
My SUD and mental health diagnoses for the win !
My SUD and mental health diagnoses for the win !
September 9, 2025 at 7:02 PM
“Covid vaccine is only available to those 65 and older or if you have certain health problems”
My SUD and mental health diagnoses for the win !
My SUD and mental health diagnoses for the win !
Let's stop with "heroin addict = bad person". RFK is a bad person DESPITE his history of addiction. I am in recovery from heroin addiction and I am not a bad person.
September 4, 2025 at 2:49 PM
Let's stop with "heroin addict = bad person". RFK is a bad person DESPITE his history of addiction. I am in recovery from heroin addiction and I am not a bad person.
Stoppppp dc/ing suboxone to give pain medication unless there's a good reason for it! It makes everyone's lives so much more difficult.
September 2, 2025 at 12:51 PM
Stoppppp dc/ing suboxone to give pain medication unless there's a good reason for it! It makes everyone's lives so much more difficult.
Almost 400pts in a low-barrier, 100% harm reduction OTP and our fentanyl-positive rate for July was down to 6.9%!!
August 19, 2025 at 2:03 PM
Almost 400pts in a low-barrier, 100% harm reduction OTP and our fentanyl-positive rate for July was down to 6.9%!!
The day has finally come! After 9 long years dealing with the Medical Board I am now FREE!!
August 14, 2025 at 12:40 AM
The day has finally come! After 9 long years dealing with the Medical Board I am now FREE!!
Reposted by Josh Brown, DO
As the person who ends up being responsible for treating the negative effects of drug use and worst outcomes from drugs, I endorse this skeet with my whole chest. Even if you are opposed to drug use, prohibition makes drugs less safe & doesn’t decrease drug use, so do you just want people to suffer?
We should allow people to use drugs just for the reason that many recreational drugs are fun and can be safely consumed
I wish these people would just admit they like doing drugs. Rick Perry tripping on hallucinogens for 12 hrs on a mattress in Tijuana for repressed childhood anxiety is not medical. It’s doing drugs. There’s no good evidence it has ever worked to treat any condition. They’re also trying to profiteer…
August 12, 2025 at 1:55 PM
As the person who ends up being responsible for treating the negative effects of drug use and worst outcomes from drugs, I endorse this skeet with my whole chest. Even if you are opposed to drug use, prohibition makes drugs less safe & doesn’t decrease drug use, so do you just want people to suffer?
My cat has been on a diet for over a year and he GAINED 2lbs. The vet is convinced im lying about how much I’m feeding him.
August 5, 2025 at 9:36 PM
My cat has been on a diet for over a year and he GAINED 2lbs. The vet is convinced im lying about how much I’m feeding him.
Reposted by Josh Brown, DO
Welp. My partner’s ESL program has been cut completely and his last day is next Friday. And none of his students were “illegals” as they say. So stupid.
July 24, 2025 at 3:32 PM
Welp. My partner’s ESL program has been cut completely and his last day is next Friday. And none of his students were “illegals” as they say. So stupid.
First time ever laying mulch and all to have to say is I think it’s such a scam. Way too much work for it to look good for just a couple of days. You can’t convince me it serves any actual purpose.
July 12, 2025 at 8:04 PM
First time ever laying mulch and all to have to say is I think it’s such a scam. Way too much work for it to look good for just a couple of days. You can’t convince me it serves any actual purpose.
If it weren’t for Medicaid, I wouldn’t be alive today. When I was in active addiction they paid for all of my SUD treatment when I finally decided to get help. I’m worried others won’t have this experience with the cuts that are about to happen.
July 8, 2025 at 1:43 PM
If it weren’t for Medicaid, I wouldn’t be alive today. When I was in active addiction they paid for all of my SUD treatment when I finally decided to get help. I’m worried others won’t have this experience with the cuts that are about to happen.
My partner and I both received job-related bad news today (hours and benefits cuts) and it’s a direct result of the funding and Medicaid cuts that are happening. He teaches ESOL to adults and I treat pts for SUD. I fear this is just the beginning.
July 3, 2025 at 9:52 PM
My partner and I both received job-related bad news today (hours and benefits cuts) and it’s a direct result of the funding and Medicaid cuts that are happening. He teaches ESOL to adults and I treat pts for SUD. I fear this is just the beginning.
Reposted by Josh Brown, DO
Night coffee always sounds wonderful. And it’s never worth the awful night sleep I get after drinking it. But am I still going to do it? Yep.
June 20, 2025 at 11:31 PM
Night coffee always sounds wonderful. And it’s never worth the awful night sleep I get after drinking it. But am I still going to do it? Yep.
One more month of monitoring with the Medical Board and the only thing I can think about is how many lemon poppyseed muffins I’m about to eat. 🤤. It’s been 7 long years without one…
June 17, 2025 at 11:59 AM
One more month of monitoring with the Medical Board and the only thing I can think about is how many lemon poppyseed muffins I’m about to eat. 🤤. It’s been 7 long years without one…
Reposted by Josh Brown, DO
