Josh Trebach, MD
ER doc. Toxicologist. 🏳️🌈 I post about poisons & cats & fighting misinformation. Posts/DMs = my own (not employer’s) & not medical advice. contact = ToxTrebach@gmail.com
- got a space heater and I was like “omg it’s so cute its saying hi to us!!” and my husband was like “no u doofus that is the power setting” 🙃
- nothing will betray you faster than the front shirt pocket of hospital scrubs one lean forward and your pens and dignity end up on the floor
- ER doc here. I’ve seen patients walk out during heart attacks and other life-threatening emergencies because no one could feed their pets at home. Imagine the lives saved if free emergency pet care existed.
- Hi, medical toxicologist/ER doctor here 👋 here’s what you need to know about medetomidine in the illicit opioid supply
- street fighter xmas sweater
- one time I was driving home and I saw a small crowd around someone who looked dead so I pulled my car over and checked for a pulse and then started cpr on the sidewalk and while I was doing cpr a bystander tried to STEAL MY CAR KEYS
- nurse: doctor josh can you please tell my son that he shouldn’t eat too much candy me: ugh yeah one time I ate so much sour candy that my tongue started peeling it was soooo painful nurse: oh wow how old were you me: …….yesterday
- one time in college I took an exam thinking “wow this is way harder than I expected” and the professor walked by and gasped because she’d given me (AND ONLY ME??) an exam from a different course. Every hard exam since I was like IS IT HAPPENING AGAIN? IT CAN’T HAPPEN TWICE RIGHT?
- people named barb are so lucky because they can be like “my name is short for phenobarbital” and no one can argue with them
- didn’t think this needed to be said but please don’t put urine in your eyes
- when I was a resident, a mysterious ER nurse used to leave a cookie on my desk after I did a good job with a sick patient. Years later, no cookies appear…but after every resuscitation I still crave one….a Pavlovian echo of a kindness that never quite left me 🍪
- *be me in med school* me: ok remember these 3 words—book, cat, potato. I’ll ask again in 5 min to test your memory patient: ok *5min later* patient: book, cat…uhhh…what was the third one? me: ……. patient: did u forget too me: …………yeah
- just Bucket (orange) and Pebble (grey) being gamer kitties
- big if true!!!
- hi, medical toxicologist that knows a lot about Tylenol here👋 Claiming that tylenol use in pregnancy causes autism is fearmongering here's what you need to know 🧵
- Currently, the strongest study we have that examined this is by Ahlqvist et al (2024), a study of 2.5 MILLION children...its a prospectively controlled study and adjusted for confounders (environment, genetic). It showed no association between acetaminophen in pregnancy & autism
- *me working in pediatrics ER* kid: do u play video games kid’s dad: he’s a doctor of course he doesn’t play video games me:
- thank goodness for this useless infographic now we know the cure for cancer is “minerals”
- chew your food please or it will get stuck in your esophagus and then you will have to go to the ER and yes the culprit almost always is steak
- got a new kitten from the shelter and we named her Pebble and I was worried that our adult cat Bucket would be upset but it has been less than 2 weeks and I woke up this morning to this 🥰