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Josh Trebach, MD

@jtrebach.bsky.social

16K followers 160 following 730 posts

ER doc. Toxicologist. 🏳️‍🌈 I post about poisons & cats & fighting misinformation. Posts/DMs = my own (not employer’s) & not medical advice. contact = [email protected]

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Josh Trebach, MD @jtrebach.bsky.social · 5d

*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

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Josh Trebach, MD @jtrebach.bsky.social · 7d

just Bucket (orange) and Pebble (grey) being gamer kitties

Orange cat and grey cat on top of Simpsons arcade cabinet

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Josh Trebach, MD @jtrebach.bsky.social · 14d

Happy birthday omgggggg!!!! 🎉

Josh Trebach, MD @jtrebach.bsky.social · 15d

big if true!!!

Image with the text “everything is going to be okay! They JUST announced it”

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Josh Trebach, MD @jtrebach.bsky.social · 16d

In order to suddenly claim Tylenol leads to autism, we would need better data.……data we do not currently have.

Declaring that tylenol use in pregnant people can lead to autism, with the available evidence we have now, is scientifically irresponsible.

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Josh Trebach, MD @jtrebach.bsky.social · 16d

People unfamiliar with science will say "well we have one paper not showing a link and another paper showing a link." This is misleading because the papers are NOT created equally. The scientific/methodological rigor of Ahlqvist is much stronger.

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Josh Trebach, MD @jtrebach.bsky.social · 16d

However a paper by Prada et al (2025) claims to show an association between acetaminophen in pregnancy and autism. However this was a systematic review with a bunch of observational studies and limited control for confounding. There's so much heterogeneity. This is weak.

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Josh Trebach, MD @jtrebach.bsky.social · 16d

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

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Josh Trebach, MD @jtrebach.bsky.social · 16d

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 🧵

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Josh Trebach, MD @jtrebach.bsky.social · 16d

*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:

Marge looking concerned and then Marge covering her mouth while smiling

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Josh Trebach, MD @jtrebach.bsky.social · 17d

And good vibes 😎

Josh Trebach, MD @jtrebach.bsky.social · 18d

you don’t have gram positive cocci growing in your blood stream, your body is just starving for vancomycin

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Josh Trebach, MD @jtrebach.bsky.social · 18d

thank goodness for this useless infographic now we know the cure for cancer is “minerals”

“You’re not sick your body is starving” infographic that lists a bunch of diseases and things your body is “lacking”

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Josh Trebach, MD @jtrebach.bsky.social · 21d

Don’t underestimate the cellulose in plant cell walls

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Josh Trebach, MD @jtrebach.bsky.social · 21d

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

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Josh Trebach, MD @jtrebach.bsky.social · 29d

Wait this lowkey looks good

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Josh Trebach, MD @jtrebach.bsky.social · 29d

Omg

Josh Trebach, MD @jtrebach.bsky.social · 29d

RIGHT?

Josh Trebach, MD @jtrebach.bsky.social · 29d

I KNOWWWWWWWW

Josh Trebach, MD @jtrebach.bsky.social · 29d

So cute omgggg

Josh Trebach, MD @jtrebach.bsky.social · 29d

Omggggg cuties!!!

Josh Trebach, MD @jtrebach.bsky.social · Sep 7

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 🥰

Orange cat (Bucket) cuddling with dilute tortie (Pebble)

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Josh Trebach, MD @jtrebach.bsky.social · Sep 4

like the fact there were multiple people participating being like “hehe 😜 “ is wild to me

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Josh Trebach, MD @jtrebach.bsky.social · Sep 4

if you post a video on social media making fun of your patients body fluids you deserve to be fired and never see patients again

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Josh Trebach, MD @jtrebach.bsky.social · Sep 2

not sure what is more impressive—an IV placed in the forehead, or the fact that it was documented as “IV-head”

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