Michael Bierer MD

Addiction Specialist/Internist at Massachusetts General Hospital. Past-Pres Mass Society of Addiction Medicine; NEJM podcasts.

[Michael Bierer MD @drmbierer]

We are at a precipice, with “legacy patients” being abandoned and patients who appropriately rely on opioid medications such as those with sickle-cell disease — being subject to life-threatening misapplication of opioid stewardship efforts. @StefanKertesz https://t.co/1J5sZzKs94

[DanceSafe @DanceSafe]

#Fentanyl is NOT just in opioids. It is being found in coke, benzos, meth, occasionally ketamine or MDMA, and all kinds of other stuff (not weed tho). This isn't an issue for #opioid users. It's for everyone who uses drugs, period.

[Michael Bierer MD @drmbierer]

@AliciaSVentura True—he and @GeluleMD had me open a Twitter account.

[Michael Bierer MD @drmbierer]

Mass General Brigham backs tax to support affordable housing;—-Would hope MGB avoid complacency given $1.1billion in latest quarterly net income—this is a positive stance but let’s do much much more. ⁦@Bostonstreetdoc⁩ ⁦@MKushel⁩ https://t.co/zcHVhKuWFB

[Michael Bierer MD @drmbierer]

Detainees sue Arkansas jail that gave them ivermectin to treat COVID - The Boston Globe. ⁦@ACLU⁩ https://t.co/V0NC6YjLGn

[Michael Bierer MD @drmbierer]

Don’t know if twitter is the place to wail the sadness I feel at the passing of Rich Saitz. Perhaps our collective sorrow will yield to the passion for work, evidence and community he personified so beautifully. He was and is a force of nature we have been blessed to behold.

[Michael Bierer MD @drmbierer]

So sorry to share news of the passing of Dr Mary Jeanne Kreek, one of the pioneers of methadone and understanding scientific basis of opioid addiction. My sympathy is with her survivors with gratitude for her work and decades of brilliant dedication. She will be missed.

[Michael Bierer MD @drmbierer]

Chilling description of callous indifference to #covid in minimum security prison in CT. Probably qualitatively and quantitatively worse at other carceral settings. via @NYTimes ⁦@RoniNYTimes⁩ https://t.co/e5ulyMvs3S

[Michael Bierer MD @drmbierer]

Yes! Resonates with the challenges and wisdom of experience. Long-form version should be in a Med humanities publication. Respecting and truly hearing a patient begin the hard tasks of beneficence, sometimes disagreeing w pt. Alliance is sine qua non.

[Joe Wright @JoeWrightMD]

#medtwitter When a new patient tells you, only you have asked the right questions, only you are the humanistic health care provider: a) be a bit proud; b) but not that proud; & c) be aware of a sign of either-or, friend/foe thinking, common in survivors of chronic trauma. /1

[Michael Bierer MD @drmbierer]

@eemoin $2bb

[Michael Bierer MD @drmbierer]

"Mass and Cass is a community united by trauma, tragedy, tenderness and toughness. It is where homelessness, chronic mental health problems and the overdose crisis combine in degrading and deadly ways. It is an infuriating example of how the preventable is not prevented."

[Michael Bierer MD @drmbierer]

Mass @ASAMorg Pearls for Practice @TraciCGreen1 fascinating talk TMTC takehomes: Locally XYLAZINE (veterinarian mega clonidine-like tranquilizer) common adulterant of ops/#fentanyl; Existence of Section 35 inhibits calling 911, countering good samaritan laws.

[Michael Bierer MD @drmbierer]

Proud to have shared the zoom screen today with the @MGHMedicine @TheOpEdProject with gratitude for the privilege. Thanks to my I nspiring colleagues.

[Dallas 🇺🇸 @DallasDucar]

Today I spoke at MGH Grand Rounds /w @drmbierer, @jennyhaas, @SampatMD, @drmoniquetello & Li Tso from @MGHMedicine.

Takeaways: You're impactful. You're your biggest critic. Writing is collaborative. People change minds. Follow hunches. Courage is contagious. Writing empowers.

[Michael Bierer MD @drmbierer]

What a privilege to aid peers in efforts to support patient autonomy during #Covid19 Thanks ⁦@MGHMedicine⁩ PSST! I Need Help! Development of a Peer Support Program for Clinicians Having Serious Illness Conversations During COVID-19 | SpringerLink https://t.co/hpEGSYJyZV

[Michael Bierer MD @drmbierer]

Education and its lack are SDH. This graph illustrates starkly. Thanks @UnhealthyAlcDrg .

[Dr. Richard Saitz @UnhealthyAlcDrg]

1) people w/ #education and high income are the decision makers 2) during the pandemic they fared better and all others fared worse. Would others have made different decisions?https://t.co/ceD1a1fOxX @sandrogalea @BUSPH

[Michael Bierer MD @drmbierer]

Ponder this seemingly simple but complex statement from a patient seen on the inpatient addiction consult service. “They can’t discharge me because I have a hole in my hand .”

[Michael Bierer MD @drmbierer]

Hey hey ⁦⁦⁦@DrSarahAxelrath⁩ . You pointed out a local gratuitous cruelty in midst of pandemic and now a positive response. https://t.co/XMyCR2dd9h

[Michael Bierer MD @drmbierer]

And now the fine print: Without x-waiver cap will be 30 patients (in state). 275 limit remains. APPs still will be required to do x-waiver training Much work to be done clearly.

[Michael Bierer MD @drmbierer]

It’s real! Game-changer for USA #addiction treatment; we now have a huge (and welcome) peer education challenge to realize the potential of reduced restrictions to improve access @DrSarahWakeman @DrKimSue . https://https://t.co/IZU6IfLlFh via @statnews

[Michael Bierer MD @drmbierer]

What to do on the morning after the insurrection in DC and the victories of #Warnock and #Ossoff? Mask up, bike through the 26 degree dawn to @MGHMedicine and take care of people, with humble gratitude for @staceyabrams dedication to the brave voters of #GEORGIA.