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Josh Trebach, MD Profile
Josh Trebach, MD

@jtrebach

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Following
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ER doc. Toxicologist. I like poisons. Show me ur cat. Posts/opinions/DMs = my own (not employer’s) & not medical advice. Contact: [email protected]☠️🏳️‍🌈

Mitochondria
Joined May 2014
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@jtrebach
Josh Trebach, MD
2 days
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?
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@jtrebach
Josh Trebach, MD
6 days
people named barb are so lucky because they can be like “my name is short for phenobarbital” and no one can argue with them
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@Wizards_DnD
Dungeons & Dragons
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In this realm, your story is yours to tell.
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@jtrebach
Josh Trebach, MD
10 days
didn’t think this needed to be said but please don’t put urine in your eyes
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@jtrebach
Josh Trebach, MD
13 days
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 🍪
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@Iz77491
Iz
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Can AI do this?
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@jtrebach
Josh Trebach, MD
26 days
*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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@jtrebach
Josh Trebach, MD
28 days
just Bucket (orange) and Pebble (grey) being gamer kitties
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@drewscanlon
Drew Scanlon
1 month
Hi Internet! I'm Drew and THIS IS MY FACE. If this GIF has ever brought you joy in the past, I humbly ask you to consider making a donation to the National MS Society. It would mean a lot to me and to those I know affected by the disease! Donate at https://t.co/cHLs9sKqix
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@liftedtrucks
Lifted Trucks
1 month
Follow America's Number One Custom Truck Dealer on X
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@hashjenni
Jenni
1 month
This only happens when you're angry or in a hurry
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@dog_rates
WeRateDogs
1 month
This is Biggie. He can't believe this was your pick for movie night. Gonna need a cartoon before bed so he doesn't have nightmares. 14/10
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@mattxiv
matt
1 month
i just want to say that autism is not Bad, some of the most famous and influential and creative and intelligent people throughout history were and are autistic, and i wish for autistic people to be surrounded by people who do not treat them as defective, especially now
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@dog_rates
WeRateDogs
1 month
This is Annie. She freaking loves fall. 13/10
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@Player1Taco
(Taco) Player1Taco.eth/.sol 🛡️ Money2020 🇺🇸
3 days
Hot take.... @hedera USE to have the swag lock on socks... Now @Gemini wears the crown (and I wear the socks). AMA
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@our_jesse
remand chic
1 month
Someone dropped a sausage roll here approx 1 year ago and we have to check DAILY in case it’s regenerated
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@BarackObama
Barack Obama
1 month
Susan, I hope I look as good as you at 102!
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@jtrebach
Josh Trebach, MD
1 month
big if true!!!!
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@jtrebach
Josh Trebach, MD
1 month
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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@victrmorl
Victor Morel
1 day
@redeemed_zoomer The Catholic interpretation of justification in James is actually logically impossible. The word justify (δικαιόω) in the Bible has two possible meanings: 1. It can mean God declaring someone right with Him—the legal, “before God” meaning. 2. It can mean showing that someone
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@jtrebach
Josh Trebach, MD
1 month
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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@jtrebach
Josh Trebach, MD
1 month
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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@jtrebach
Josh Trebach, MD
1 month
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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@jtrebach
Josh Trebach, MD
1 month
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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@JeffersonShreve
Jefferson Shreve
6 days
Over 3,000 students packed @TPUSA's event at Indiana University last night — engaging in real, civil dialogue about the future of our country. This next generation is energized and ready to lead.  Our future’s bright! 📷
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