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
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.
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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.
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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
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