Josh Trebach, MD

@jtrebach.bsky.social

16360 Followers 156 Following

ER doc. Toxicologist. 🏳️‍🌈 I post about poisons & cats & fighting misinformation. Posts/DMs = my own (not employer’s) & not medical advice. contact = ToxTrebach@gmail.com

A silver stool chair
Skull drawing showing anterior dislocation of mandible
Space heater on HI
New York Times headline: A Powerful New Drug Is Creating a 'Withdrawal Crisis' in Philadelphia Medetomidine, a veterinary sedative, mixed into fentanyl has sent thousands to hospitals, not only for overdose but for life-threatening withdrawal. It is spreading to other cities.
Social media post where someone is describing putting urine in their eyes and then having their eyes get red and have pus
Orange cat and grey cat on top of Simpsons arcade cabinet
Image with the text “everything is going to be okay! They JUST announced it”
Marge looking concerned and then Marge covering her mouth while smiling
“You’re not sick your body is starving” infographic that lists a bunch of diseases and things your body is “lacking”
Orange cat (Bucket) cuddling with dilute tortie (Pebble)
Chocolate agar
“Kratom sold here” sign
Feel free classic Drink
Pizzeria mishap left at least 85 people intoxicated with THC after infused oil used for dough News By Nicoletta Lanese published yesterday In 2024, an odd outbreak of THC intoxication hit more than 80 people in Wisconsin after a pizzeria accidentally used oil infused with the psychoactive ingredient.
Fox creature from final fantasy
Hidden valley ranch cheez it
Gay man wearing black shirt with red flowers seeking attention
Red bird with food falling out of mouth
Me standing in front of cheezit
Notifications of birds
Meme (pam from the office)—-shows mcg/mL and mg/L being compared with the text “corporate needs you to find the differences between this picture and this picture”. The bottom picture shows “pharmacists” and the text “they’re the same picture”
Figure showing what gives people feelings of power. Money (small bar), status (medium bar), and editing a document with track changes off (large bar)
Homosexual in cat shirt
Orange kitty with paws crossed
Orange cat on back turning to face camera
Orange cat loafing
Reddit post on r/whatisit asking about a what looks to be a fuzzy appearing caterpillar
Mr Krabs looking at a sign that says “0 days without nonsense”
Noah Wyle sitting with legs crossed looking at camera
Pearl looking at the screen
Sailor Mercury with text “let me analyze this bullshit”
Screenshot of podcast with text “‘The White Lotus’ Season 3 Finale Deep Dive and Theories: A Super Cynical Season”
pubmed entry showing journal article entitled "Death from cardiac glycoside "pong-pong" following use as weight-loss supplement purchased on Internet"
picture showing DIGIFAB medication (digoxin-specific antibody fragments)
cartoon drawing of sodium potassium atpase; phrase "cerberin inhibits this" pointing to ATPase
chemical structure of cerberin
pong pong fruit with fibrous shell/husk partially visualized
cerbera odollam plant; beautiful green leaves and round green fruit
Shiva from FFX snapping her fingers at the end of her overdrive
Emma Roberts smiling
Samosa on wheels food truck
Spam message saying “Do you want to come over for dinner tonight? I’m making Spanakopita”
Mac and cheese
customer asking for potion to set people on fire?????
video game Potion Craft: Alchemist Simulator screen showing the basic map, cauldron, mortar/pestle, and herbs
News headline: “ woman unpacking suitcase after vacation horrified to find 18 live scorpions inside, reports say”
News headline from NBC news: “Woman stung by scorpion while getting luggage at Boston’s Logan Airport”
Containers of food called “purely elizabeth” for sale
Richter Belmont riding on horse (video game pixel graphics)
News article with text: Boy who injected himself with a crushed butterfly mixed with water 'for online challenge' suffered horrific seven-day slow death, it is revealed - with the insect's toxins feared to be the cause of death Picture on left shows the boy Picture on the right shows a plant and butterfly
Me in front of a bunch of cellular/chemical pathways poster giving a cheesy little half smile
Bento box opened to show egg rolls, rice, tofu, and lotus roots