John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile
John Rafael, MD MBA (He/Him/Siya)

@johnersz

PGY-2 @TheBCRP | #tripleboard TB-2 @BostonChildrens @TuftsMedicalCtr | @ttuhscmed '23 | @Stanford '17🌲| 🇵🇭🇺🇸 | | #BLM✊🏾 | Stairmaster guru 🪜 | Views=mine

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calendar_today20-06-2020 23:53:22

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John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile Photo

Come join me at #AACAP23! Will also be a monitor. Would love to connect with all my current and future #Psychiatry #tripleboard #CAP colleagues!

John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile Photo

#MedTwitter, Let's make sure anyone can cast their ballot in the upcoming election! I just ordered a free, nonpartisan voter badge from @vot_er_org to offer patients the opportunity to register to vote or view their ballot in the clinic. Get yours ⤵️ get.vot-er.org/badge

National Harm Reduction Coalition (@harmreduction) 's Twitter Profile Photo

🧵We applaud SAMHSA as the 1st federal agency to release a “Harm Reduction Framework” w/ requests for feedback, & call on SAMHSA to make necessary changes to save lives. Read our full comments: bit.ly/SAMHSAHRframew…

🧵We applaud <a href="/samhsagov/">SAMHSA</a> as the 1st federal agency to release a “Harm Reduction Framework” w/ requests for feedback, &amp; call on SAMHSA to make necessary changes to save lives. 

Read our full comments: bit.ly/SAMHSAHRframew…
Scott Hadland, MD (@drscotthadland) 's Twitter Profile Photo

Breaking public health news: After a long wait, Narcan is finally going over-the-counter next week It's currently being shipped to major retailers: CVS, Walgreens, Rite Aid, Walmart Key considerations on this: 🧵 1/

American Academy of Pediatrics (@ameracadpeds) 's Twitter Profile Photo

Pediatricians: #CivicHealthMonth is the perfect time for a civic health “checkup”! ✅ Double-check your voter registration. ⏰ Set up election reminders. 🗳 Preview what will be on the ballot in November. Everything you need for your check-up is at chmonth.org/checkup

American Psychiatric Association (@apapsychiatric) 's Twitter Profile Photo

Today is #InternationalOverdoseAwarenessDay, a day to remember all those lost to a drug overdose and an opportunity to reflect on practical ways to prevent overdoses in our community. #EndOverdose #Addiction #psychtwitter

Today is #InternationalOverdoseAwarenessDay, a day to remember all those lost to a drug overdose and an opportunity to reflect on practical ways to prevent overdoses in our community. #EndOverdose #Addiction #psychtwitter
John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile Photo

On this #WorldMentalHealthDay I am reminded of my 'why', and the work I need to put in everyday to instill hope in the young people and their caregivers get the #MentalHealth and support they need. A long, fulfilling career of maintaining this discipline awaits.

On this #WorldMentalHealthDay I am reminded of my 'why', and the work I need to put in everyday to instill hope in the young people and their caregivers get the #MentalHealth and support they need. 

A long, fulfilling career of maintaining this discipline awaits.
John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile Photo

My implicit biases for any physical activity as a former personal trainer confirmed! Always an advocate for any form of physical activity, and happy to have this article for reference! JAMA Psychiatry just wished the infographic was not so ableist in its exercise image

American Psychiatric Association (@apapsychiatric) 's Twitter Profile Photo

Celebrating World Kindness Day with a reminder: small acts of kindness can make a big impact on mental well-being. Let's spread compassion and create a world where kindness is the norm. 💙✨ #WorldKindnessDay #MentalHealthMatters #APAKindness

Celebrating World Kindness Day with a reminder: small acts of kindness can make a big impact on mental well-being. Let's spread compassion and create a world where kindness is the norm. 💙✨ #WorldKindnessDay #MentalHealthMatters #APAKindness
Meg Quint (they/them) (@meg_quint_) 's Twitter Profile Photo

Just a friendly reminder that even a $10 -20 prescription can be cost prohibitive. "Affordable" is a relative term that has a very different meaning to many of our patients. #medtwitter #medicine

John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile Photo

anecdotally and statistically this is still the norm, whether or not it's related to stigma towards mental health 🥲 npr.org/sections/healt…

John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile Photo

Someone in childhood shot me down when an former coach told me walking faster is healthier for you, but now I feel justified 😃 #getyoursteps Associations of Daily Steps With Cancer, Cardiovascular Disease, and Mortality jamanetwork.com/journals/jamai…

Rebecca Brady (@rebeccagbrady) 's Twitter Profile Photo

Crime negatively affects teens, but what about toddlers? In a new paper out in JAACAP Journals, we found that toddlers living in high crime neighborhoods had more externalizing symptoms at 1 & 2yrs, especially aggression. WUNDER Lab But how does crime influence toddlers?! 🧵 1/

Crime negatively affects teens, but what about toddlers?

In a new paper out in <a href="/JAACAP/">JAACAP Journals</a>, we found that toddlers living in high crime neighborhoods had more externalizing symptoms at 1 &amp; 2yrs, especially aggression. <a href="/wunder_lab/">WUNDER Lab</a> 

But how does crime influence toddlers?!

🧵 1/
American Psychiatric Association (@apapsychiatric) 's Twitter Profile Photo

The holiday season often brings with it beer, wine, or other adult beverages — all of which can spell trouble for people who have problematic relationships with alcohol. ow.ly/7KtE50Ql3HE

John Rafael, MD MBA (He/Him/Siya) (@johnersz) 's Twitter Profile Photo

neurology.org/doi/10.1212/WN… now have never been more excited to finish the part of residency that involves overnights and 24 hr call 😵‍💫

Chris Aiken, MD (@chrisaikenmd) 's Twitter Profile Photo

Asians have more side effects to antidepressants. On reason: 20-40% metabolize them slower in the liver. Desvenlafaxine (Pristiq) isn't metabolized there, which may explain why it was better tolerated than duloxetine (Cymbalta) in this large 2023 trial from China:

Asians have more side effects to antidepressants.

On reason: 20-40% metabolize them slower in the liver.

Desvenlafaxine (Pristiq) isn't metabolized there, which may explain why it was better tolerated than duloxetine (Cymbalta) in this large 2023 trial from China: