Josh Trebach, MD
@jtrebach.bsky.social
ER doc. Toxicologist. 🏳️🌈 I post about poisons & cats & fighting misinformation. Posts/DMs = my own (not employer’s) & not medical advice. contact = ToxTrebach@gmail.com
didn’t think this needed to be said but please don’t put urine in your eyes
October 18, 2025 at 4:11 PM
didn’t think this needed to be said but please don’t put urine in your eyes
just Bucket (orange) and Pebble (grey) being gamer kitties
October 1, 2025 at 1:47 PM
just Bucket (orange) and Pebble (grey) being gamer kitties
*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:
kid: do u play video games
kid’s dad: he’s a doctor of course he doesn’t play video games
me:
September 21, 2025 at 4:55 PM
*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:
kid: do u play video games
kid’s dad: he’s a doctor of course he doesn’t play video games
me:
thank goodness for this useless infographic now we know the cure for cancer is “minerals”
September 20, 2025 at 3:35 PM
thank goodness for this useless infographic now we know the cure for cancer is “minerals”
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 🥰
September 7, 2025 at 11:45 PM
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 🥰
fun fact: this is chocolate agar and it’s used to grow gonorrhea
less fun fact: it does not contain chocolate
medical fact: a 3yo child ate a culture dish of chocolate agar in his moms car (she was a microbiology lab tech) and the kid got throat gonorrhea :(
less fun fact: it does not contain chocolate
medical fact: a 3yo child ate a culture dish of chocolate agar in his moms car (she was a microbiology lab tech) and the kid got throat gonorrhea :(
August 26, 2025 at 9:19 PM
fun fact: this is chocolate agar and it’s used to grow gonorrhea
less fun fact: it does not contain chocolate
medical fact: a 3yo child ate a culture dish of chocolate agar in his moms car (she was a microbiology lab tech) and the kid got throat gonorrhea :(
less fun fact: it does not contain chocolate
medical fact: a 3yo child ate a culture dish of chocolate agar in his moms car (she was a microbiology lab tech) and the kid got throat gonorrhea :(
Kratom is not technically a dietary supplement but it’s also not an FDA approved medication but it’s also not illegal everywhere
This is why you see Kratom being sold at seemingly random places
This is why you see Kratom being sold at seemingly random places
August 7, 2025 at 9:13 PM
Kratom is not technically a dietary supplement but it’s also not an FDA approved medication but it’s also not illegal everywhere
This is why you see Kratom being sold at seemingly random places
This is why you see Kratom being sold at seemingly random places
👋 medical toxicologist here and I am begging people to not take this gas station “wellness” drink
want to know why?? 🧵
want to know why?? 🧵
August 7, 2025 at 9:13 PM
👋 medical toxicologist here and I am begging people to not take this gas station “wellness” drink
want to know why?? 🧵
want to know why?? 🧵
when the pizza bakes you back
July 29, 2025 at 7:36 PM
when the pizza bakes you back
do NOT google image “carbuncle” expecting to see the cute fox creature from final fantasy unless you want to learn what a carbuncle actually is
July 23, 2025 at 6:54 PM
do NOT google image “carbuncle” expecting to see the cute fox creature from final fantasy unless you want to learn what a carbuncle actually is
do I hate that this exists or do I hate that I would try it
June 27, 2025 at 6:18 PM
do I hate that this exists or do I hate that I would try it
i’m not interested in your beer menu
JUST 👏 SHOW 👏 ME 👏 THE 👏FRIES
JUST 👏 SHOW 👏 ME 👏 THE 👏FRIES
June 26, 2025 at 10:45 PM
i’m not interested in your beer menu
JUST 👏 SHOW 👏 ME 👏 THE 👏FRIES
JUST 👏 SHOW 👏 ME 👏 THE 👏FRIES
this is beyond fucked up
who shuts down a suicide hotline???
who shuts down a suicide hotline???
June 20, 2025 at 4:27 PM
this is beyond fucked up
who shuts down a suicide hotline???
who shuts down a suicide hotline???
Peckingham Palace (my bird feeder with a camera in it) caught this diva having a little snack!!!!!
what should I name her
what should I name her
June 18, 2025 at 8:06 PM
Peckingham Palace (my bird feeder with a camera in it) caught this diva having a little snack!!!!!
what should I name her
what should I name her
friendly reminder that celebrities like Orlando Bloom are not scientists, they’re just rich people with Instagram
Bloom spent ~$13k on this bullshit pseudoscience scam
Bloom spent ~$13k on this bullshit pseudoscience scam
June 15, 2025 at 3:06 PM
friendly reminder that celebrities like Orlando Bloom are not scientists, they’re just rich people with Instagram
Bloom spent ~$13k on this bullshit pseudoscience scam
Bloom spent ~$13k on this bullshit pseudoscience scam
as an ER doctor I handle codes and chaos without hesitation…
but walking to my car, starving after my shift, and seeing a Cheez-It on the hospital floor…
I froze.
but walking to my car, starving after my shift, and seeing a Cheez-It on the hospital floor…
I froze.
June 9, 2025 at 7:30 PM
as an ER doctor I handle codes and chaos without hesitation…
but walking to my car, starving after my shift, and seeing a Cheez-It on the hospital floor…
I froze.
but walking to my car, starving after my shift, and seeing a Cheez-It on the hospital floor…
I froze.
set up a bird feeder with a camera that notifies me when there’s a bird visiting and omggggg I’ve become SO popular in the bird world
June 6, 2025 at 5:55 PM
set up a bird feeder with a camera that notifies me when there’s a bird visiting and omggggg I’ve become SO popular in the bird world
*extremely long sigh*
May 29, 2025 at 9:31 PM
*extremely long sigh*
Dedication doesn’t mean neglecting yourself. Advocating for safe hours and safe working conditions isn’t weakness…it is sustainability. A broken system shouldn’t be held together by broken doctors.
May 24, 2025 at 12:26 AM
Dedication doesn’t mean neglecting yourself. Advocating for safe hours and safe working conditions isn’t weakness…it is sustainability. A broken system shouldn’t be held together by broken doctors.
pharmacists be like
May 23, 2025 at 11:27 PM
pharmacists be like
niche academia things iykyk
May 21, 2025 at 1:53 PM
niche academia things iykyk
haircut obtained, gay powers restored
May 17, 2025 at 7:47 PM
haircut obtained, gay powers restored
calling yourself an alpha male is weird bc you’re just openly saying you have little penetration power
May 6, 2025 at 3:55 PM
calling yourself an alpha male is weird bc you’re just openly saying you have little penetration power