Chief Behavioral Health Officer @CityofBoston; Pediatric ADM Psychiatrist @BostonChildrens; Instr. @HarvardMed; Health Policy @CommonwealthFnd
Feb 28, 2021 • 6 tweets • 5 min read
Clinical Encounter:
Pt: I'm not feeling great.
Me: Yea, you don't look it.
Pt: I told doc, I wanted to taper off Suboxone 😔
Me: Which opioid were you struggling w/b4 here?
Pt: Fentanyl
Me: What's your Suboxone dosing?
Pt: 2mg (3x/day)
Me: How long you been struggling w/Fentanyl?
Pt: Few months.
Me: We're probably under treating you. So, I'm the wknd doc & essentially do check-ins w/folks. I don't like pts feeling 🤮 We need to go up in dosing. Cool w/that?
Pt: 🤔 Yea.
Me: Ok. Sry to get technical, but, I like pts to know the what/why behind my thinking.
Dec 16, 2019 • 9 tweets • 4 min read
Thread follows:
1
🚔 🚨
Me: Let me get out the way & pull over
🚔 🚨
Me: Oh, this is for me
Me: rolls down window, ensures work badge is visible, turns down music
Officer: Walks up, "can you roll down your back window?" @drewskiMD@AMLandryMD
2
Me: Rolls down back window (now visible, 👶🏾 car seat with stuffed animal - bear to be exact)
Officer: "License and registration"
Me: License in hand...I need to reach into my glove compartment. (I knew if I was seen reaching for it as he was pulling me over, that'd be bad)
