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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“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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Huge congratulations, @HomerTien!.
Congratulations to Dr. @HomerTien, President & CEO of Ornge, on being appointed as a Member of the Order of Canada! Dr. Tien works to improve trauma care to populations in remote areas, including injured soldiers & First Nations communities.
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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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RT @drkeithsiau: 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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Great line
Here’s a critically important #ECG from a 50-year-old man who was resuscitated from cardiac arrest. What’s the diagnosis?
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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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RT @MedicinePods: 🎙️This week we have a special podcast episode by @roundstable. Dr. @FralickMike sits down with Dr. David Juurlink, a phar….
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RT @angelachiewa: APAMT is heading to the Gold Coast with the amazing @DavidJuurlink as a plenary speaker !! Sunshine and toxicology talks….
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RT @daviesbj: Lots of opinions that can not be verified. What is true? It is completely normal (unfortunately) to present with de novo meta….
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SSRIs are overprescribed, less safe, and less effective than people seem to think. Some much-needed perspective in The Lancet.
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The ants on the outside studied pharmacology. The ant in the centre prescribes a lot of tramadol.
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“We have all these autoimmune diseases, exotic diseases I’ve never heard of. Juvenile diabetes. Rheumatoid arthritis. Lupus. Crohn’s disease and a hundred others that were just unknown when I was a kid.”. Juvenile diabetes: 1500 BCE.RA: 1800.Lupus: 1851.Crohn's: 1932.
RFK JR: ADD, ADHD… Tourette syndrome, Narcolepsy, Autism. All of these are injuries that I never heard of when I was a kid.
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Happy Supposing We Hit the Body With a Tremendous—Whether it’s Ultraviolet or Just Very Powerful Light—Day to all who celebrate
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To sum up:. - Carbapenems lower VPA concentrations abruptly and dramatically. - They do this by tinkering with VPA metabolism. - Consider carbapenems in patients with severe VPA toxicity and those expected to develop it. /end.
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The latter scenario is analogous to early urinary alkalinization for salicylate toxicity . /14
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