Chris Griggs MD MPH

Associate Professor of Emergency Medicine. Tweeting about pain, neurobiology, opioid epidemic, health policy. Opinions are my own.

[Chris Griggs MD MPH @ChrisGriggsMD]

TY @ByMauraBarrett for focus on opioid crisis, but conclusions are misleading: https://t.co/xgQJOL16uQ. 1. Reduced potency of fentanyl likely causing of reduced deaths 2. Nalmfene prolongs withdrawal and lacks evidence of efficacy over naloxone https://t.co/0vZWPxLnXj

[Chris Griggs MD MPH @ChrisGriggsMD]

@ByMauraBarrett TY for focus on opioid, but conclusions are misleading: https://t.co/xgQJOL16uQ. 1. Reduced potency of fentanyl likely causing of reduced deaths 2. Nalmfene prolongs withdrawal and lacks evidence of efficacy over naloxone https://t.co/0vZWPxLnXj

[Chris Griggs MD MPH @ChrisGriggsMD]

@NHC_Atlantic Wow 180 mph sustained winds and 905 min pressure, we are in record territory.

[Chris Griggs MD MPH @ChrisGriggsMD]

@Sharrison_WFAE From Sep 2019 to July 2021, Atrium CMC and ME participated in NHTSA drug prevalence study in injured roadway users. 55.3% of seriously injured drivers in hospital and 70% of fatally injured drivers at ME had intoxicating substance in their system. https://t.co/XXO1jw5G9o

[Atrium Health @AtriumHealth]

Opioid use is not always illicit. Anyone can fall victim to an overdose. That’s why @AtriumHealth home-based care teammates will now carry lifesaving #naloxone kits. When used correctly, naloxone can reverse the life-threatening effects of an overdose.

https://t.co/KXIfjMaZyb

[Rocky Mtn Winter Conference on EM & CC @RockyMtnWinter]

What is the role for buprenorphine in the emergency department— and what might future use look like? Come learn from @ChrisGriggsMD at #RMWC23

@CMCEM

[Jeremy Faust MD MS (ER physician) @jeremyfaust]

RT if you personally know someone with Covid right now.

[Chris Griggs MD MPH @ChrisGriggsMD]

@CharlotteTalks As an ED doc working at Charlotte's only and largest level 1 trauma center, I see impaired driving (drugs/alcohol) as possibly the biggest cause to rising motor vehicle deaths in our city. Data from NHTSA study our hospital participated in backs this up: https://t.co/4JzKJMqsgU

[Chris Griggs MD MPH @ChrisGriggsMD]

I have cared for many uninsired working patients who have strokes from inability to afford healthcare. Failing to expand Mediciad costs lives and we still end up paying more when patients end up in the emergency room or disabled on Mediciad. @DanaMillerErvin @JeffJacksonNC

[Kathryn Kopec @KopecToxEM]

To all my female physicians and medical toxicologists out there can we please boycott @wearfigs for this inappropriate and unprofessional advertisement!

[Chris Griggs MD MPH @ChrisGriggsMD]

@amalmattu @UMEmergencyMed Would add: intoxicated patients give emergency physicians the fulfilling opportunity to change a life. Always screen, engage in motivational interviewing, and refer to treatment. A little bit of your time can change/save a life.

[David Juurlink @DavidJuurlink]

By all means, do RCTs of chloroquine or hydroxychloroquine. But it's time to stop combining those drugs with azithromycin.

[Bryant Allen @bryantkallen]

Thank you to our friends at @CharlotteLatin for donating these amazing #3Dprinting face shields for our prep against #COVID19 @CMCEM

[Paul Matuszewski, MD, FAAOS, FAOA @DeformityDoc]

Preoperative opioid use in ortho trauma patients is associated with some poor prognostic indicators...and if you have more than one..it's much worse! Increased complications, ER visits and readmissions! Another collaboration! @BigOrthoTrauma @JosephHsuMD https://t.co/vfQXonbw17

[Chris Griggs MD MPH @ChrisGriggsMD]

@1a. What does it mean to not have health insurance? As an ER doc in NC that did not expand Medicaid, I see strokes and heart attacks and deaths from preventable causes bc difficult for uninsured to access doctors and medications. Mediciad expansion is a no brainer.

[Atrium Health @AtriumHealth]

“Atrium Health is at the forefront of solutions to America’s substance use crisis.” — @rseym01, presenting our PRIMUM alert system for identifying substance use disorders and getting patients the care they need. #EHR @AcademyHealth @NCAGO #hdpalooza https://t.co/QP4y3rvXsl

[Chris Griggs MD MPH @ChrisGriggsMD]

@bui_anthony @RheaBoydMD @choo_ek @NPR @EpidemiologyLWW @UpshotNYT @afrakt Prescriber & systemic biases have caused poor management of pain in minority groups and we need to do better. But the pain and disability caused by an opioid first model of pain management should be explored, bc the morbidity and mortality across a population is likely worse.

[Chris Griggs MD MPH @ChrisGriggsMD]

@smithECGBlog @jonbcole2 @DavidJuurlink Nothing wrong with treating pain aggressively with multimodal analgesia. Bigger problem was medical community allowed profit driven pharma companies to convince them opioids had little downside. Huge marketing dollars to promote opioid first model of treatment is culprit.

[Robert Reich @RBReich]

Trump's proposed cuts to food stamps would affect:

- 400,000 people in Texas

- 328,000 in Florida

- 225,000 in Pennsylvania

- 176,000 in Washington State

- 165,000 in Michigan

- 118,000 in Wisconsin

- 97,000 in Georgia

Pass it on.

[John Manning 💙 MD, FAMIA, FACEP @DrJuun]

So many great endeavors; it would be impossible to boil it down to a single tweet. I want to welcome @AtriumHealth's CMC ED faculty into my other family: the #pinksocks tribe. Let's keep that passion for giving, caring, and empathy going strong! #AtriumHealthProud #WhyInformatics