🍷❄️ Recovery doesn’t hibernate! Medications and follow-up in alcohol-use disorder reduces readmissions & boosts outcomes. 🔗: https://t.co/nMyFAt3H1l ✍️: @gunderson_craig @AnandJag1 @JoelBoggan @jeydithMd @mvronan @anneghena @jaclynvargasMD 🖼️: #VisualAbstract by @jenreadlynn

Our May issue of #Alcohol is now live. https://t.co/UXjfOh9mEV @neuRo_land @superkash @mvronan

Phenobarbital is effective for alcohol withdrawal. But is it safe? YES! At VA Boston, we found that SAEs happened in 1 of 244 hospitalizations (0.4%). There were ZERO: - intubations - ICU transfers for over-sedation - deaths https://t.co/PsjwdvOGzK Kudos to @mvronan!

Out in @JAM_ASAM-our look across 19 @VeteransHealth🏥for mgt/outcomes for #alcohol #withdrawal led by @mvronan @gunderson_craig 🔹51% symptom-triggered💊alone (⬇️Rx duration) 🔹87%➡️some lorazepam (⬆️duration/complicated w/d) 🔹Delirium = 12.9%, Sz = 4.6% https://t.co/krYdFzzOkz

Michelle Lai et al 2007

Happy Saturday! Is your patient stuck waiting for discharge? They are not alone. Bann et al: at given time, ~10% pts on gen med services medically stable for DC >1 week (1/2 that: >1 month!)! ⬆️ common @ safety-net 🏥. ~85% pts need DC support. #VisualAbstract by @CatieGlatz

🕛 Shifting best practice towards 🥪 feeding and 🥤 hydrating before procedures, rather than prolonged fasting #hospitalmed #ptsafety https://t.co/R1MbewPVTS @ErinHommelMD #VisualAbstract by @SuchitaSata

One of the most important lessons my mentor Kal Gupta taught me was to “keep it simple—“ we used that mantra to develop a feasible & scalable metric for state-wide, real-time pandemic monitoring With @ShiraDoronMD, our experience in @AnnalsofIM @VA_CHOIR @VABostonHC @VAResearch

What an immense privilege it was to deliver the annual Update in Hospital Medicine with @hnyesf, and to record the recap with @thecurbsiders @monsta23 @MeredithTrubitt ! Thanks @SocietyHospMed for hosting us at #SHMConverge2023!

😲 Is it really true that 40% of 🏥hospitalized patients with cellulitis are misdiagnosed? 👀 this https://t.co/wuhk6QelDL

Same and next-day appointments available for buprenorphine, opioid withdrawal treatment, overdose prevention/naloxone, harm reduction counseling and equipment, HIV testing (rapid and phlebotomy-based) and #PrEP, linkage to long term care and more.

As fall kicks off want to share contact for Faster Paths, the low-barrier #SUD bridge clinic @GraykenBMC with #Boston #MedTwitter. Faster Paths is open 7 days, 8-4. Call 617-414-4580 or walk in (1 Boston Medical Center Pl, Yawkey 1st Fl) for addiction treatment and #harmreduction

📝 This systematic review summarizes national and international guidelines for management of opioid withdrawal & opioid use disorder, incorporating harm reduction, pain management, and use of non-stigmatizing language for people who use opioids. �� https://t.co/xYnaU80Gjt

In a next step, our team worked to identify risk factors for severe breakthrough infection (which was defined using hospitalization severity metrics)-- summary of these findings is posted here (5/n): https://t.co/d9QdBovSRz @julie_t_wu @JudithStrymish @mvronan

Do morning discharges alter ED and hospital length-of-stay in general internal medicine? 🏥 Read more in this Original Research @AmolAVerma @DrFahadRazak https://t.co/0Ihlwltkng

Thrilled to see this & excited to keep working with @allenlgifford, Justeen Hyde, @harvsMD and many others to use #impsci to integrate this EBP into care @vahsrd @VA_CHOIR @VAResearch @VABostonHC @mvronan @tony_breu @rbganatra @JudithStrymish @atkins_hsrd @ranielwy @eliowa

It has been a true privilege.

How did we pull of multiple highly effective vaccines in just 10 months? It was government working with private sector It was academics working with Pharma So may be, we can use this moment to remember that we all do better when we work collaboratively

Learn more about the screening and prevention, diagnosis, and treatment for #delirium in the latest Annals #InTheClinic by @MattisonMelissa https://t.co/bJpAdJZCp8.

It’s the best I’ve felt delivering medicine in some time. And it will serve as a reminder to myself to remember the important things. Make sure we are caring for, in addition to treating, patients.