Howard Greller, MD
@heshiegreshie.bsky.social
ER doc. Toxicologist. Addiction Med. Med tox fellowship director. Obligate mouth-breather. Co-host ER Show Sirius/XM Doctor Radio. &howard and Hound | he/him
Reposted by Howard Greller, MD
Reposted by Howard Greller, MD
Florida Decided There Were Too Many Children
Florida Decided There Were Too Many Children
The state’s elimination of vaccine mandates is a courageous first step toward decluttering itself of any excess kids.
www.theatlantic.com
September 4, 2025 at 10:11 PM
Florida Decided There Were Too Many Children
Reposted by Howard Greller, MD
The problem with believing vaccines are dangerous is that by the time you realize you’re wrong, it’s too late and someone you love dies of a preventable disease.
Florida is about to find this out the hard way.
Florida is about to find this out the hard way.
September 4, 2025 at 8:15 PM
The problem with believing vaccines are dangerous is that by the time you realize you’re wrong, it’s too late and someone you love dies of a preventable disease.
Florida is about to find this out the hard way.
Florida is about to find this out the hard way.
Reposted by Howard Greller, MD
🚨It's almost 2am eastern, but the CDC debacle is still unfolding. Very important message from the American Public Health Association:
"We urge people across the nation to contact their representative and call for change to protect our health."
"RFK Jr. must be...
1/3
www.apha.org/news-and-med...
"We urge people across the nation to contact their representative and call for change to protect our health."
"RFK Jr. must be...
1/3
www.apha.org/news-and-med...
Kennedy’s attack on public health must be stopped
The abrupt attempt to oust Dr. Susan Monarez, the CDC’s director just weeks after her Senate confirmation, is yet another glaring sign of Secretary Kennedy’s failed leadership and reckless mismanageme...
www.apha.org
August 28, 2025 at 6:01 AM
🚨It's almost 2am eastern, but the CDC debacle is still unfolding. Very important message from the American Public Health Association:
"We urge people across the nation to contact their representative and call for change to protect our health."
"RFK Jr. must be...
1/3
www.apha.org/news-and-med...
"We urge people across the nation to contact their representative and call for change to protect our health."
"RFK Jr. must be...
1/3
www.apha.org/news-and-med...
Reposted by Howard Greller, MD
People talk about cuts to science, but they need to understand that what the Trump regime is doing is orders of magnitude worse. 👉All of science that the US government can touch is being replaced with pseudoscience.👈 Budgets diverted to grifters and quacks, reputations burned to sell snake oil.
🧵:
🧵:
The roadmap for turning the NIH into an EBM slush fund and shutting down real science. Kulldorf, in the new public health blog ("journal") co-founded by Bhattacharya.
1: Fund based on who applies 🤔, rather than ideas
2: Give ECR grants. But only to "medical, dental and public health school".
1: Fund based on who applies 🤔, rather than ideas
2: Give ECR grants. But only to "medical, dental and public health school".
August 28, 2025 at 5:47 AM
People talk about cuts to science, but they need to understand that what the Trump regime is doing is orders of magnitude worse. 👉All of science that the US government can touch is being replaced with pseudoscience.👈 Budgets diverted to grifters and quacks, reputations burned to sell snake oil.
🧵:
🧵:
Reposted by Howard Greller, MD
The roadmap for turning the NIH into an EBM slush fund and shutting down real science. Kulldorf, in the new public health blog ("journal") co-founded by Bhattacharya.
1: Fund based on who applies 🤔, rather than ideas
2: Give ECR grants. But only to "medical, dental and public health school".
1: Fund based on who applies 🤔, rather than ideas
2: Give ECR grants. But only to "medical, dental and public health school".
April 4, 2025 at 10:11 PM
The roadmap for turning the NIH into an EBM slush fund and shutting down real science. Kulldorf, in the new public health blog ("journal") co-founded by Bhattacharya.
1: Fund based on who applies 🤔, rather than ideas
2: Give ECR grants. But only to "medical, dental and public health school".
1: Fund based on who applies 🤔, rather than ideas
2: Give ECR grants. But only to "medical, dental and public health school".
Reposted by Howard Greller, MD
Enough is enough. The health of the country is in danger. Read our resignation letters: insidemedicine.substack.com/p/breaking-n...
Breaking News: Read three top CDC officials' resignation emails.
The end of an era.
insidemedicine.substack.com
August 28, 2025 at 3:38 AM
Enough is enough. The health of the country is in danger. Read our resignation letters: insidemedicine.substack.com/p/breaking-n...
Reposted by Howard Greller, MD
COVID vaccines were approved today but it's a Pyrrhic victory for vaccines.
With the CDC stripped of leadership & capacity, we have no recourse for the outbreaks of preventable diseases that are coming. The CDC's death will kill people.
open.substack.com/pub/rasmusse...
With the CDC stripped of leadership & capacity, we have no recourse for the outbreaks of preventable diseases that are coming. The CDC's death will kill people.
open.substack.com/pub/rasmusse...
The Day the CDC Died
Updated COVID vaccines were approved, but too bad the CDC is no longer functional
open.substack.com
August 28, 2025 at 6:08 AM
COVID vaccines were approved today but it's a Pyrrhic victory for vaccines.
With the CDC stripped of leadership & capacity, we have no recourse for the outbreaks of preventable diseases that are coming. The CDC's death will kill people.
open.substack.com/pub/rasmusse...
With the CDC stripped of leadership & capacity, we have no recourse for the outbreaks of preventable diseases that are coming. The CDC's death will kill people.
open.substack.com/pub/rasmusse...
Reposted by Howard Greller, MD
5/ Bottom line: fentanyl still rules, but the “other stuff” — novel benzos, veterinary sedatives, synthetic cannabinoids — is the stealthy threat changing overdose care. Full report: npsdiscovery.org #DrugTrends
NPS Discovery
npsdiscovery.org
August 14, 2025 at 2:10 PM
5/ Bottom line: fentanyl still rules, but the “other stuff” — novel benzos, veterinary sedatives, synthetic cannabinoids — is the stealthy threat changing overdose care. Full report: npsdiscovery.org #DrugTrends
Reposted by Howard Greller, MD
4/ Clinically, this underscores why standard opioid panels miss the mark. LC-QTOF-MS detected >1,200 substances, catching dangerous adulterants missed by routine screens. Treatment must anticipate multi-drug toxicity. #EmergencyMedicine
www.cdc.gov/overdose-pre...
www.cdc.gov/overdose-pre...
The Fentalog Study: A Subset of Nonfatal Suspected Opioid-Involved Overdoses with Toxicology Testing
View substances detected in samples from patients experiencing a suspected opioid-involved overdose.
www.cdc.gov
August 14, 2025 at 2:10 PM
4/ Clinically, this underscores why standard opioid panels miss the mark. LC-QTOF-MS detected >1,200 substances, catching dangerous adulterants missed by routine screens. Treatment must anticipate multi-drug toxicity. #EmergencyMedicine
www.cdc.gov/overdose-pre...
www.cdc.gov/overdose-pre...
Reposted by Howard Greller, MD
3/ Public health takeaway: street drugs are increasingly poly-drug cocktails. Testing found opioids + stimulants + sedatives in the same patient; this complicates outreach, naloxone use, and treatment planning. #OverdosePrevention
August 14, 2025 at 2:10 PM
3/ Public health takeaway: street drugs are increasingly poly-drug cocktails. Testing found opioids + stimulants + sedatives in the same patient; this complicates outreach, naloxone use, and treatment planning. #OverdosePrevention
Reposted by Howard Greller, MD
2/ A related Fentalog publication last week in AEM noted how lab-made benzos are reshaping #overdose risk. Our data back it up: bromazolam is showing up in multiple cities — often alongside #fentanyl onlinelibrary.wiley.com/doi/10.1111/...
Benzodiazepine Co‐Exposure Among Patients Presenting to the Emergency Department With a Confirmed Opioid Overdose
Background Simultaneous exposure to both benzodiazepines and opioids can lead to synergistic respiratory depression, complicating overdose management. Our objective was to report on the detection of...
onlinelibrary.wiley.com
August 14, 2025 at 2:10 PM
2/ A related Fentalog publication last week in AEM noted how lab-made benzos are reshaping #overdose risk. Our data back it up: bromazolam is showing up in multiple cities — often alongside #fentanyl onlinelibrary.wiley.com/doi/10.1111/...
Reposted by Howard Greller, MD
1/ 🚨 New TOXIC Fentalog quarterly report on multi-city toxicology testing shows fentanyl & other synthetic drugs dominate suspected overdose cases in US ERs. Findings offer a near real-time look at the street drug market. #medsky #PublicHealth 🧵
www.cfsre.org/nps-discover...
www.cfsre.org/nps-discover...
ToxIC Fentalog Study Group - Quarterly NPS Report: Q2 2025
www.cfsre.org
August 14, 2025 at 2:10 PM
1/ 🚨 New TOXIC Fentalog quarterly report on multi-city toxicology testing shows fentanyl & other synthetic drugs dominate suspected overdose cases in US ERs. Findings offer a near real-time look at the street drug market. #medsky #PublicHealth 🧵
www.cfsre.org/nps-discover...
www.cfsre.org/nps-discover...
Reposted by Howard Greller, MD
1/
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Mount Sinai Receives $3.8 Million Grant to Study New Synthetic Drugs and Opioid Overdoses in Emergency Departments to Prevent Deaths
www.mountsinai.org
June 11, 2025 at 8:14 PM
1/
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Reposted by Howard Greller, MD
LeVar Burton delivered this testimony in 1995 urging Congress not to cut funding for public broadcasting.
His words remain true 30 years later, as Senate Republicans advance a bill that would slash funding for PBS and NPR.
Tell your senators to oppose these cuts: (202) 224-3121.
His words remain true 30 years later, as Senate Republicans advance a bill that would slash funding for PBS and NPR.
Tell your senators to oppose these cuts: (202) 224-3121.
July 16, 2025 at 4:22 PM
LeVar Burton delivered this testimony in 1995 urging Congress not to cut funding for public broadcasting.
His words remain true 30 years later, as Senate Republicans advance a bill that would slash funding for PBS and NPR.
Tell your senators to oppose these cuts: (202) 224-3121.
His words remain true 30 years later, as Senate Republicans advance a bill that would slash funding for PBS and NPR.
Tell your senators to oppose these cuts: (202) 224-3121.
Reposted by Howard Greller, MD
As a new group of young doctors enters the #ER during July, our seasoned Emergency Medicine physicians, @askdrbilly.bsky.social and Dr. Howard Greller explain what it means for your #summer ER visit on @nyudocs.bsky.social SiriusXM ch. 110 - Thursdays 8-10am East.☀️
July 10, 2025 at 12:50 PM
As a new group of young doctors enters the #ER during July, our seasoned Emergency Medicine physicians, @askdrbilly.bsky.social and Dr. Howard Greller explain what it means for your #summer ER visit on @nyudocs.bsky.social SiriusXM ch. 110 - Thursdays 8-10am East.☀️
Reposted by Howard Greller, MD
The first time Charlie Chaplin used his voice in a film, he wielded it to forcefully condemn the rising forces of fascism around the globe.
Will we listen to his words today?
Will we listen to his words today?
July 10, 2025 at 5:02 PM
The first time Charlie Chaplin used his voice in a film, he wielded it to forcefully condemn the rising forces of fascism around the globe.
Will we listen to his words today?
Will we listen to his words today?
Reposted by Howard Greller, MD
The July issue of @journalmedtox.bsky.social is out now! ACMT members login via the ACMT member portal (or your academic institution) for unrestricted access.
@ziadkazzi.bsky.social @toxicologist12.bsky.social @heshiegreshie.bsky.social
@ziadkazzi.bsky.social @toxicologist12.bsky.social @heshiegreshie.bsky.social
June 30, 2025 at 9:12 PM
The July issue of @journalmedtox.bsky.social is out now! ACMT members login via the ACMT member portal (or your academic institution) for unrestricted access.
@ziadkazzi.bsky.social @toxicologist12.bsky.social @heshiegreshie.bsky.social
@ziadkazzi.bsky.social @toxicologist12.bsky.social @heshiegreshie.bsky.social
Reposted by Howard Greller, MD
These people disgust me. They hate us all. This is a game to them. They are pathologically antisocial and selfish. They deserve as much contempt as we can give. They have nothing but smug, selfish contempt for us, and they will smirk to each other as they kill children and enrich themselves doing so
June 12, 2025 at 12:26 AM
These people disgust me. They hate us all. This is a game to them. They are pathologically antisocial and selfish. They deserve as much contempt as we can give. They have nothing but smug, selfish contempt for us, and they will smirk to each other as they kill children and enrich themselves doing so
Reposted by Howard Greller, MD
What an unserious person. I will never be able to unsee the people suffocating in their own bodies because the virus melted their lungs. Whole families showing up together at the brink of death. Myself & my colleagues putting on garbage bags & months-old N95 to resuscitate them in hospital driveways
June 12, 2025 at 12:20 AM
What an unserious person. I will never be able to unsee the people suffocating in their own bodies because the virus melted their lungs. Whole families showing up together at the brink of death. Myself & my colleagues putting on garbage bags & months-old N95 to resuscitate them in hospital driveways
Reposted by Howard Greller, MD
RFK Jr’s ACIP pick, Martin Kulldorff, said one of the most disturbing images from the pandemic was a toddler crying about having to wear a mask. I see toddlers cry about everything all the time, and I found it far more disturbing to see refrigerator trucks full of body bags outside of the hospitals…
June 12, 2025 at 12:15 AM
RFK Jr’s ACIP pick, Martin Kulldorff, said one of the most disturbing images from the pandemic was a toddler crying about having to wear a mask. I see toddlers cry about everything all the time, and I found it far more disturbing to see refrigerator trucks full of body bags outside of the hospitals…
Reposted by Howard Greller, MD
Please take a moment out of your day to marvel at the elegance, agility and effortless natural grace of the penguin.
April 22, 2025 at 9:16 AM
Please take a moment out of your day to marvel at the elegance, agility and effortless natural grace of the penguin.
Reposted by Howard Greller, MD
SORRY. Sorry.
Have we seen this *incredible* news video coming out of Queensland? Wait for the witness/witnesses statement
Have we seen this *incredible* news video coming out of Queensland? Wait for the witness/witnesses statement
April 21, 2025 at 2:38 PM
SORRY. Sorry.
Have we seen this *incredible* news video coming out of Queensland? Wait for the witness/witnesses statement
Have we seen this *incredible* news video coming out of Queensland? Wait for the witness/witnesses statement
Reposted by Howard Greller, MD
Heads up guys, making cracks about alcoholism, addiction, and recovery programs isn't the chill win some folks seem to think it is. People are going through hell out there.✌️
April 21, 2025 at 12:48 AM
Heads up guys, making cracks about alcoholism, addiction, and recovery programs isn't the chill win some folks seem to think it is. People are going through hell out there.✌️