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Bryce Bergeron, MD Profile
Bryce Bergeron, MD

@bvbergeronMD

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Science Enthusiast. Pragmatic Environmentalist. Naturalist. Skeptic. Surfer, Spearfisher, Sailor. ER Doc with too many interests. | He/him

Timucua Territory
Joined January 2019
Don't wanna be here? Send us removal request.
@bvbergeronMD
Bryce Bergeron, MD
2 years
Part of ER flooded. In upstairs makeshift ER now. Patients are starting to show up. Employee vehicles are floating or flooded in lot. Toilets and sinks stopped working. Some panic amongst the hospital habitants and staff re:water. Now trying to prepare for the inundation. #Ian
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@bvbergeronMD
Bryce Bergeron, MD
4 months
Med students, IDGAF what you know when you show up to the ED. Just come ready to party, we’re trying to have a good time 🤙🏼
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@angiericono @KCKPDChief @KCTV5 Fentanyl overdoses or exposures do not look like this. THIS CANNOT HAPPEN PASSIVELY. Yet another fearmongering and harmful story/ video. Did not need narcan. Guy would probably have been fine with some thoughtful words to calm what looks like a largely psychological phenomenon.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Just got word—1000 EMS calls pending. National guard is starting to run. EMS supposed to start in a few hours when wind gets <40. Currently using boxes/ bags as makeshift toilets for the staff, as all toilets and sinks remain non-functioning. Couple people walk/wading in. #ian
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Managed to clear waiting room for now. Still haven’t started receiving EMS patients yet. Grateful to have a stellar and dedicated ED team with us. Cordiality from other docs in house has been amazing—multiple have been by offering standby help when inevitable EMS surge comes
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Patients being dropped off by truck- and boat-fulls. Lots of nonspecific complaints and people just seeking help after homes flooding and spending night on roof, etc. Hospital is picking up MCI portable that tipped over in storm and initiating MCI measures. #ian
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Back downstairs in the ER after a mop up—some of the water receded for now and just have a couple rooms closed. Still some in waiting room. Taking barricades off entrances now.
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@bvbergeronMD
Bryce Bergeron, MD
11 months
@MortytheRN Environmental squad the real MVPs tho
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@bvbergeronMD
Bryce Bergeron, MD
4 months
@gruntdoc Goals aren’t low. Can still have standards and accountability. Just willing to meet them wherever they’re at, and bring them up to speed while having a good time. Medicine doesn’t always have to be the way you’re envisioning.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Lolol @RyanMarino is the GOAT
@quality_nguyen
Thomas A. Nguyen
2 years
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Got to go home, see that the house was still standing, and sleep. And cry. That was cathartic. Now, going back to work.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Family members being washed away. Floating for hours on objects. Breaking and swimming out windows. Stuck on roofs. Trapped in houses, waving for help through cracks. Losing loved ones in front of their eyes. Treading water for hours. No where to go. Movie-worthy stories. Heavy.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Slept for 3 hours after working this AM. Back covering overnight now. Lots of staff who were Team B relief are w/o phone service but majority are hereX Haven’t heard from some. Lots of patients. All have unbelievable, terrifying stories.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
So many wounds. So. Much. Vibrio—Vibrio cellulitis, vibrio nec fasc, vibrio sepsis/bacteremia. I bet there have been some Aeromonas cases sprinkled in here and there, too. I heard we’re out of Doxy 100’s. #ian #IDTwitter
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@bvbergeronMD
Bryce Bergeron, MD
3 months
@kaylamellis_ This is why I’m here. This is what Twitter (X) was for
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@bvbergeronMD
Bryce Bergeron, MD
6 years
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@DrZedZha Agree with everything except the bit about chiropractors
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@kevinnbass Do you think your personal experience is coloring your interpretation of the totality of evidence?
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@NakedCapsid Sup peeps. I’m a microbiologist turned MD. Currently working on sepsis and addiction projects in my first year of emergency medicine residency. Have broad interests that include scientific advocacy, space, cognitive bias, and plants. In my free time I like to be in/on/under water
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@bvbergeronMD
Bryce Bergeron, MD
6 years
Awesome stats refresher + examination of a new glyphosate study that has been the subject of fear-mongering/news reports across the country. @GeoKabat offers some great insight, too. Mad props to Dr. Folta on yet another great episode @kevinfolta
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@ENPDoc This is misleading. And inaccurate
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@kevinnbass I’m failing to understand how one could adopt an ANTI-mask stance after reading these articles…?
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@bvbergeronMD
Bryce Bergeron, MD
5 years
Michelob #organic beer #superbowl commercial:
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@bvbergeronMD
Bryce Bergeron, MD
4 years
@dereckwpaul The hardest? I think so. We have it so backwards. PCP’s are the real MVP’s
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@bvbergeronMD
Bryce Bergeron, MD
10 months
DNP’s, PhD’s, PharmD’s, etc. all EARNED a doctorate and the “doctor” title. Not debatable. What is debatable, is whether or not it’s transparent to refer to oneself in a clinical setting as “doctor” without clarifying which kind, when patients inherently assume “doctor” = MD/DO
@MarendaBB
Marenda Biggs
10 months
First time experiencing a nurse practitioner introduce themselves as a doctor. I am not mad, I am disappointed. There are enough obstacles in healthcare, please stop adding to your patients’ confusion.
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@ChrisMasterjohn I’m not one to appeal to authority, but damn. Nutritional PhD vs medical toxicologist on the bread and butter of tox subject matter? Guess which one is on the first “peak” vs second…
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@DrHedrick @RyanMarino One of my first patients was suffering from CA pain and would not escalate her pain medication above Norco 5/325 because of the stigma surrounding opioids. I think about her often; what I would’ve said differently.
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@bvbergeronMD
Bryce Bergeron, MD
3 months
@olamiricano @IM_Crit_ If my CVC was on that side after placement on CXR, I’d follow it up with a CT
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@bvbergeronMD
Bryce Bergeron, MD
3 years
@SDSheriff @SDSOSanMarcos @Up2SD Was this simply a psychosomatic response that the sheriff suffered? Bc this for sure wasn’t fentanyl. That’s not how it works, guys.
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@kevinnbass In medicine and public health, we have to make decisions with imperfect data. Kind of like the evidence of hand hygiene as mentioned in some of the articles. The risk of benefit far outweighs harm. But again, can’t see how reading these would lead one to be anti-mask.
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@mymomthesurgeon @_NancyMD @JenniferJBeckMD @drspoon8 @AJ_JohnsonMD @RugbyMD @NaanDerthaal “Tell me about your relationship with your parents.”—old-timer/psychoanalyst
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@slakemelt @MarendaBB I’m totally cool with all these things. Just not a non-medical doctor introducing themself as doctor in a clinical setting. Just as chiropractors shouldn’t. Just as PhD’s shouldn’t. Just as ND’s shouldn’t. It’s pretty simple, really. That’s where it should end.
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@wjxt4 Dang, bro. That ain’t it—a fentanyl overdose. Looks more like heat exhaustion from these 100+ degree days here in Flagler. Should probably take this misinformation down.
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@bvbergeronMD
Bryce Bergeron, MD
4 months
@PhysicianDoodle Body: working overtime to rev up evolutionarily ancient process of elevating core temp to fight foreign invaders. Blanket: here, let me help you retain heat Nurse: no. You no get blanket. Make body work extra hard to elevate core temp without insulating effect of blanket
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@bvbergeronMD
Bryce Bergeron, MD
5 months
@ScholerinED Yep. I think this results in huge resource utilization. In the heat of the acuity, it’s difficult for pt to say anything else other than “do everything”. So we do everything. They may find the headspace a day or two later when things settle to do the introspection
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@bvbergeronMD
Bryce Bergeron, MD
1 year
Why are chiropractors allowed to order spine MRI’s and perform CXR’s? Does Medicare pay for this? Saw a dude online asking if CXR looked like there was cardiomegaly…like, what are you going to even do with this info, my dude? Can’t imagine the harms incurred from overtesting.
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@bvbergeronMD
Bryce Bergeron, MD
7 months
@arghavan_salles I d-dimer (if not PERC-) a lot of “anxiety” presentations in ED, particularly if there’s not a clear cut psychosocial precipitant or history of GAD
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@bvbergeronMD
Bryce Bergeron, MD
3 years
@HalstedMD How can I report this? Like the literal process. I’m in FL. Looks like this is out of Miami.
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@bvbergeronMD
Bryce Bergeron, MD
7 months
@PropofolDreamz CRNA’s have ability for outpatient rx?
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@Gay__MD Lol sorry I got pulled into a trauma/ stemi/ sepsis on my way to discuss the findings with the pt + plan for admit, and have like 20 other active patients and 30 charts not done and a bladder full with 1L of urine I haven’t had time to empty and…oh, sorry gtg—another stroke eval
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@bvbergeronMD
Bryce Bergeron, MD
11 months
@VictorFromDE Software developer? On this graph—where do you think you fall, vs. literal experts in toxicology, health, and disease? The hubris is astounding.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@blondemedSJW I’ve sent home some high #’s. I’m sure there’s a number I’d be hesitant about, although I don’t honestly have a threshold in my head…maybe >270’s? Now typing that, it seems too high. Immediately, I’m not concerned about the number. Then when I think about it medicolegally… :/
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@bvbergeronMD
Bryce Bergeron, MD
3 years
@RiderToast Colchicine overdose = Tox nightmare. Narrow therapeutic window. V deadly.
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@bvbergeronMD
Bryce Bergeron, MD
6 months
@Emaperidol Hopefully it’s native and not tropical milkweed ❤️ 🌸
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@DRitterMD Yeah. It’s not that I don’t mind explaining these things. It’s just that they’ve been stewing and googling for a good bit before I get to talk to them. And that’s a lot of ground to make up in a short ED encounter.
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@bvbergeronMD
Bryce Bergeron, MD
11 months
@LarryLogical @stopvaccinating lol. This so perfectly exemplifies the unrealistic reality in which people live nowadays, which explains why navigating medical care and decisions is becoming increasingly difficult. This is so absurd.
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@bvbergeronMD
Bryce Bergeron, MD
6 years
@TinFoilAwards @AprilTymecki @forrestmaready @in2The_LIGHT The problem is a widespread scientific illiteracy amongst many in our population. Dammit, educational system!
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@DrCasteelEM These replies—here and on the doc forum— make me think we’re doomed. The expectations are too high. Zero miss is impossible, yet it’s expected. Read through these things! Wild. Unsettling.
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@bvbergeronMD
Bryce Bergeron, MD
4 years
@OrlandoPolice Great job. Hope this person got the help and treatment he needed in our ED. I’m pushing hard to get people started on treatment for their opioid use disorder and connected to treatment facilities straight from the ED.
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@kevinnbass These documents don’t really convince me that masks “don’t work”. Additionally, many of the studies within (namely the Cochrane review) have “ risk of bias…, variation in outcome measurement, and relatively low adherence…” which “hampers drawing firm conclusions”
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@bvbergeronMD
Bryce Bergeron, MD
4 years
@BartlettErica Great question—I thought the same! Working on it at my institution. Developed an algorithm for ED and acute inpatient withdrawal mgmt. Will hopefully share with institutions in my area. Should be standard of care everywhere and sad this isn’t already a thing.
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@Rick_Pescatore Unless, of course, you love the taste. Then you do you—but drink it for just that, not for ~hEaLtH bEnEfIts~
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@kevinnbass “Catty”?
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@timothystoner @RIDICULO_pathy @MarendaBB @shycollie lol wut? One did a residency and 15,000+ hrs of training and one did not. One is much more rigorous in all aspects and instills an ability to be the leader of a healthcare team. Not even close to the same wavelength.
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@bvbergeronMD
Bryce Bergeron, MD
5 years
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@DrCasteelEM Name this MF legend!
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@jedishaman @jonathanstea After reading this unimpressive narrative review, I am now even less likely to recommend coffee enemas and more strongly recommend against them.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@joshmcgoo Is this 30-50% ppl with clinically significant PE’s? Bc I’m of the mindset that we probably all walk around with lil, insignificant PE’s and always have. Now, we just have a way to discover some of them
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@bvbergeronMD
Bryce Bergeron, MD
6 years
@thenaturaldrs Not only is the majority of chiropracty bogus, but in what possible evolutionary scenario might minor “subluxation”-based diseases have evolved? And do you really think evolution was that stupid to necessitate chiropractic intervention in healthy children?
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@bvbergeronMD
Bryce Bergeron, MD
4 years
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@bvbergeronMD
Bryce Bergeron, MD
5 months
@SamSpellicy What a time to be alive
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@bvbergeronMD
Bryce Bergeron, MD
6 years
@S_P_MD When you dial it in on the Hobie—the wind catches the sails and lifts the boat up on one hull. Diving to the bottom of the springs and admiring the ancient rock formations. Bodysurfing a wave all the way in til your chest hits the sand. Finding a rare wildflower in the forest.
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@pagerkryptonite What’s w/ this? So many others now have white coats +/- ceremonies—from chiropractic(🤦🏼) to PT to RN to RT. Even some administrators wear them at the hospital. Going into medical school I could not wait for the day I got that thing. Now, I wouldn’t be caught dead in it.
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@realdocv 100%. Any other setting, use the appropriately earned title. It’s just not clear in healthcare. Seems clearer to me to use “nurse practitioner” or “nurse with a doctorate”
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@SingleScalpel Not recommended by the CDC. Fuck it tho. I like to put my stomach to the test.
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@bvbergeronMD
Bryce Bergeron, MD
11 months
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@bvbergeronMD
Bryce Bergeron, MD
4 years
Ngl, gonna miss this look during my Neuro exams re: “who is the president?” But also can’t wait to ask it now!
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@dawso007 @DocAroundThClok No doubt. My brother loved orgo so much that he and his roommate would leave problems for each other to solve on the whiteboard in their living room everyday—now soon-to-be chemical engineer. My bff could withstand 2 whipples back to back, I’m sure—now gen surg intern.
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@bvbergeronMD
Bryce Bergeron, MD
5 months
@theblanketdog @dr_cellini 😹 ER Docs everywhere
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@PhlawlessPharm I think pharmacists should get paid for their work + time. I think physicians should get paid for their work + time. This pharmacists did a great thing. The ER team did a great thing. I get why many pharmacists want provider status. I get why many physicians oppose that.
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@bvbergeronMD
Bryce Bergeron, MD
11 months
@HopiNg66966500 Hello, I’m an ER doc who worked the pandemic and this is misleading. Kthanksbye
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@DrHenryEaly @ArdisDoc It’s hilarious because you trust the CDC when it’s convenient for you, but then you also you don’t trust the CDC when it comes to other matters 😂
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@Gay__MD In all seriousness, I’m sorry if I’ve ever done this. Patients deserve better. Thanks to the IM homies for all the support!
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@bvbergeronMD
Bryce Bergeron, MD
11 months
@DrNeilStone Are docs in the UK in debt hundreds of thousands of dollars when they finish training?
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@bvbergeronMD
Bryce Bergeron, MD
3 years
@RyanMarino “Max”…lolz
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@bvbergeronMD
Bryce Bergeron, MD
11 months
@stopvaccinating Every tweet from you gets more outlandish 😂
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@bvbergeronMD
Bryce Bergeron, MD
3 years
@reverendofdoubt -Benadryl itself doesn’t improve outcomes when administered as adjuvant vs. placebo; it does prob decreases incidence of prochlorperazine-associated akathisia (ARR = 20ish%; NNT = 5) (not as good w/reglan) -consider decadron: NNT = 8-10 to decrease freq. of rebound by ~15%
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@bvbergeronMD
Bryce Bergeron, MD
9 months
@joshmcgoo Bro, same
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@bvbergeronMD
Bryce Bergeron, MD
7 months
@mhjrad V important
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@bvbergeronMD
Bryce Bergeron, MD
3 years
@AshleyGWinter WHAT!? Wow, first I’ve heard of this—I can imagine tho. Every day I wonder how and why TF most insurance companies cover chiropractic care…ludicrous!
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@studentdrdemon So subjectiveeeeee.
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@Rick_Pescatore And candy. Essentials only.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@emeijaard today I observed long-tailed macaques fishing in Grajagan Bay, Banyuwangi. Some group members would search and jump from the edge of tide pools, attempting to catch swimming fish. Would love to read your paper (behind a paywall).
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@armyemdoc Zero death is great, but there are other patient-centered endpoints that we might be missing.
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@bvbergeronMD
Bryce Bergeron, MD
11 months
@DrNicoleC I passed a stone on shift second year, but not before it got lodged in my bladder neck for an hour. What a time that was! 😂 To be fair, I could have probably left work, and I never felt unsupported. This follow up email is major 🚩 vibes
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@bvbergeronMD
Bryce Bergeron, MD
1 year
@zachlanebryan Justified, however, if you routinely give them out, can also see why she grabbed at it.
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Organic is a feel-good choice, fraught with idealization. In reality, not a tenable option to feed a growing population.
@prometheusgreen
Val Giddings
2 years
Organic cropping doesn’t work at large scale
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@bvbergeronMD
Bryce Bergeron, MD
11 months
Notice how ppl with the craziest, most dangerous health recommendations almost always employ this silly narrative re: “do your own research”
@VictorFromDE
Victor Scott
11 months
@DruvBhagavan Notice how these people tell you what not to do while people like me tell you to research.
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@uga_quadfather @realdocv Sure, that great. In general, I introduce myself as such. Again, I think the problem arises when other doctorates don’t display their post nominals or denote their designation after using the title “Dr” in a clinical setting because the de-facto lay public assumption is Dr=MD/DO
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@bvbergeronMD
Bryce Bergeron, MD
5 months
@caseydanielee Did you think something life threatening was going on? Weird meds he gave you. I like to think I would’ve: compazine + diphenhydramine. Not made you feel shitty. If you (we, as a shared decision) weren’t comfortable with no imaging, done CTA H/N. And not charted inaccurately.
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@bvbergeronMD
Bryce Bergeron, MD
3 years
@JoeyBKenobi @kaye_rolls @AshleyGWinter It sounds like you really understand science @JoeyBKenobi
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@bvbergeronMD
Bryce Bergeron, MD
4 years
@DShadowgazer The real, forever MVP’s
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@EmergMedDr Damn! Should be minimum 80k IMO. Insanity.
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@bvbergeronMD
Bryce Bergeron, MD
1 year
Should there be minimum health req’s for air travel? Sitting on plane, no A/C, appears to be very minimal air filtration or circulation. It must be 90 degrees in cabin. I feel SOB. Can’t imagine what a bad COPD’er, frail, or ill pt would be going through rn #aerospacemedicine
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@bvbergeronMD
Bryce Bergeron, MD
2 years
@ShellyIteach @DuchessSexpert This isn’t a good idea—non-indicated/ overtesting = false positives.
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@bvbergeronMD
Bryce Bergeron, MD
10 months
@DrHenryEaly More and more ludicrous…
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@bvbergeronMD
Bryce Bergeron, MD
5 years
@meganranney Astronaut
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@bvbergeronMD
Bryce Bergeron, MD
2 years
Took my pet to the emergency vet today and damn, we got it easy in human medicine. Mad respect to the real doctors #veterinarymedicine
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