David Juurlink
@DavidJuurlink
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Internal Medicine, Clinical Pharmacology/Toxicology and drug safety research @Sunnybrook and @UofTMedicine. Inexplicably fortunate husband.
Toronto
Joined January 2012
I'd like to share some reflections on the death of a patient. I’ve thought about her a lot. She gave me explicit consent to tweet the details of her case, about four hours before she died. Her hope was that someone might benefit from her experience. /1
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PSA: When a naturopath recommends chelation “to remove the metal from your body,” that is exactly what you should not do.
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Also she is the most difficult person to sing "Happy Birthday" to.
Tu Youyou became the first mainland Chinese scientist to be awarded a #NobelPrize in a scientific field - for discovering artemisinin, a malaria cure that’s saved millions. Today we reveal the 2025 medicine laureate. Stay tuned.
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Percutaneous coronary intervention
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If only we had some way to prevent measles
So tragic: Alberta baby born with congenital #measles (mother contracted measles late in pregnancy) died shortly after birth. The province, which has had a massive measles outbreak this year, says this is the 7th case of congenital measles in 2025.
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Pharmacists who recommend homeopathy should be willing to accept as payment envelopes that once contained money. - @DavidJuurlink
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From the American College of Medical Toxicology: "At this time, we cannot ascribe any causal relationship between acetaminophen and autism, which remains the preferred drug for fever and pain in pregnancy." https://t.co/am7Ry3Ol3v
@acmtmedtox
acmt.net
In response to the September 22nd White House press conference announcement linking autism to maternal acetaminophen use during pregnancy, the American College of Medical Toxicology (ACMT) affirms...
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Before diagnosing gastroparesis, ask about GLP1 and cannabis use 💡
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Quite a slide from the CDC on removing the hepatitis B birth dose.
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Join us for UofT Therapeutics Day November 1st - drug interactions - NSAID allergy - within-class safety differences - complex polypharmacy - pharmacogenetics - SGLT2 inhibitors - buprenorphine Register here: https://t.co/s4k7O7PA4D
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The urge to treat a fever should generally be resisted
Open letter to my fellow intensivists/hospitalists: Please stop treating every episode of fever in your patients unless you have a really strong reason such as neurological injury or myocardial ischemia. When I tell them to "just monitor", many ICU nurses are looking at me
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Great list but once you’ve seen the Oppenheim test remove fragile epithelium you will never do it again
The Babinski reflex is not the only way to elicit the upgoing great toe response. It seems like everyone has found a different way!
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Toronto-area MDs and pharmacists: Join us for Therapeutics Day 2025 - Relevant topics - Great speakers - You will be fed - You will get CE credits To register: https://t.co/fkJrmsWOwS
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Even on an overcast day, the Cliffs of Moher are pretty spectacular
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“The liver detoxes you. You don’t detox the liver.”
Yesterday, my account was hacked for a while and strangely, my most viral tweet was deleted. So here it is, updated for 2025 for science and health-illiterates. To summarize: 1. One whole egg with yolk a day does not increase blood cholesterol 2. Green tea does not help
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I'm not saying these "ivermectin cured my cancer" testimonials are entirely fabricated but THEORETICALLY if someone: 1) no longer had a medical license, and 2) profited from pushing ivermectin, and 3) had no qualms about lying to desperate people ... Just putting this out there
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Seen in a patient with jaundice and weight loss. What is the name of this sign?
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I don’t know who needs to hear this but every time you copy and paste another physician’s note you undermine care.
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