Thom Mack
@thommytox.bsky.social
Clinical Toxicologist☠️🐍🦂🕷️
EM PharmD💊 Breakfast or Bust🌵
EM PharmD💊 Breakfast or Bust🌵
Can you imagine if the Wakefield paper never saw the light of day and where we might be now?
September 7, 2025 at 6:45 AM
Can you imagine if the Wakefield paper never saw the light of day and where we might be now?
Horrible ideas overheard in the emergency department, Pt 53:
“Let’s wait to intubate the patient in the ICU.”
“Let’s wait to intubate the patient in the ICU.”
a man in a helmet is making a funny face and saying `` i see no problem here `` .
ALT: a man in a helmet is making a funny face and saying `` i see no problem here `` .
media.tenor.com
March 21, 2025 at 6:02 AM
Horrible ideas overheard in the emergency department, Pt 53:
“Let’s wait to intubate the patient in the ICU.”
“Let’s wait to intubate the patient in the ICU.”
Reposted by Thom Mack
It's time for Tox Tuesday and some fountain pen structures! This beast is BREVETOXIN-1, produced by the marine dinoflagellate Karenia brevis. It is also the cause of neurotoxic shellfish poisoning (NSP). But aside from harming humans, it also harms our economy, so buckle up!
March 11, 2025 at 1:57 PM
It's time for Tox Tuesday and some fountain pen structures! This beast is BREVETOXIN-1, produced by the marine dinoflagellate Karenia brevis. It is also the cause of neurotoxic shellfish poisoning (NSP). But aside from harming humans, it also harms our economy, so buckle up!
Pulled the trigger on a new whip (X6 Msport)… slapped on some fresh tint and ceramic coating! My Jeep (2019 Grand Cherokee) just couldn’t cooperate after 3 waters pumps… now needing a 4th, oil leaking from everywhere, and engine mounts blown. 😎
March 11, 2025 at 5:26 AM
Pulled the trigger on a new whip (X6 Msport)… slapped on some fresh tint and ceramic coating! My Jeep (2019 Grand Cherokee) just couldn’t cooperate after 3 waters pumps… now needing a 4th, oil leaking from everywhere, and engine mounts blown. 😎
Starting House M.D. again…
I am unwell**
**watching the entirety of Grey's Anatomy from the beginning
**watching the entirety of Grey's Anatomy from the beginning
March 9, 2025 at 5:34 AM
Starting House M.D. again…
Today marks the end of an era… said adios to my Jeep after 7 years, but at 46,000 miles I shouldn’t be on my 3rd water pump needing a 4th, engine mounts shot & an oil leak from who knows where🤷🏻♂️. Found this note in my car from my first month of owning it brand new after someone smashed it🤣#ByeByeJeep
February 23, 2025 at 5:47 AM
Today marks the end of an era… said adios to my Jeep after 7 years, but at 46,000 miles I shouldn’t be on my 3rd water pump needing a 4th, engine mounts shot & an oil leak from who knows where🤷🏻♂️. Found this note in my car from my first month of owning it brand new after someone smashed it🤣#ByeByeJeep
Bears, Beets, Battlestar Galactica… chaos
What’s happening with the US government reminds me of this story (great book btw):
Libertarians took over a town in NH in 2004 and gutted its services, cut taxes, etc. Less than 8 yrs later things had gotten so bad that black bears were breaking into homes and killing people for the first time ever.
Libertarians took over a town in NH in 2004 and gutted its services, cut taxes, etc. Less than 8 yrs later things had gotten so bad that black bears were breaking into homes and killing people for the first time ever.
The Town That Went Feral
When a group of libertarians set about scrapping their local government, chaos descended. And then the bears moved in.
newrepublic.com
February 20, 2025 at 4:36 PM
Bears, Beets, Battlestar Galactica… chaos
Reposted by Thom Mack
The striped pajama squid are one of the few organisms that are both venomous AND poisonous. They can inject tetrodotoxin with their tiny teeth, and they secrete a poisonous slime when threatened to deter predators. So don't let it bite you and don't bite it. Besides, it's super cute.
February 16, 2025 at 9:15 PM
The striped pajama squid are one of the few organisms that are both venomous AND poisonous. They can inject tetrodotoxin with their tiny teeth, and they secrete a poisonous slime when threatened to deter predators. So don't let it bite you and don't bite it. Besides, it's super cute.
Reposted by Thom Mack
Girrlllll it’s BRAT winter (norovirus)
February 7, 2025 at 2:58 PM
Girrlllll it’s BRAT winter (norovirus)
🙌🏻
It's the most wonderful time of the year(explaining to patients why we do not give antibiotics for viral infections)
December 22, 2024 at 10:30 PM
🙌🏻
Ok, I snorted when I saw this 🐍
December 21, 2024 at 7:59 PM
Ok, I snorted when I saw this 🐍
Reposted by Thom Mack
1/3 Last week we had the privilege of hosting @nephrotox.bsky.social Dr Josh King (Univ Of Maryland) as a Visiting Professor at Ochsner Medical Center. The visit started with a wonderful talk for our Nephro Dept on removal of toxins/poisons with extracorporeal therapies. Everybody was very engaged!
December 17, 2024 at 3:25 AM
1/3 Last week we had the privilege of hosting @nephrotox.bsky.social Dr Josh King (Univ Of Maryland) as a Visiting Professor at Ochsner Medical Center. The visit started with a wonderful talk for our Nephro Dept on removal of toxins/poisons with extracorporeal therapies. Everybody was very engaged!
So, I found out I got Assistant Professor status (alright alright alright) and I’m wondering if I should go full-tilt ➡️ obtain a tweed coat with elbow patches? If I were to get one @dieworkwear.bsky.social, how do I pick one out?!?!?! #MedSky #ToxSky #RxSky 🐍☠️🦂🕷️📚
December 5, 2024 at 4:33 AM
So, I found out I got Assistant Professor status (alright alright alright) and I’m wondering if I should go full-tilt ➡️ obtain a tweed coat with elbow patches? If I were to get one @dieworkwear.bsky.social, how do I pick one out?!?!?! #MedSky #ToxSky #RxSky 🐍☠️🦂🕷️📚
Now traveling back to AZ from NY… flight 1/2 delayed 3hrs ➡️ flight 2/2 obviously rescheduled & now I’m in the dreaded middle seat + there’s no WiFi for the 4hr flight.
a man and a woman are laughing and the man is saying kill me kill me now .
ALT: a man and a woman are laughing and the man is saying kill me kill me now .
media.tenor.com
December 1, 2024 at 9:13 PM
Now traveling back to AZ from NY… flight 1/2 delayed 3hrs ➡️ flight 2/2 obviously rescheduled & now I’m in the dreaded middle seat + there’s no WiFi for the 4hr flight.
I was in AZ yesterday, sunny, 70 something degrees… today in NY, snowing, 33 degrees.
Happy Thanksgiving 🦃
Happy Thanksgiving 🦃
November 28, 2024 at 3:48 PM
I was in AZ yesterday, sunny, 70 something degrees… today in NY, snowing, 33 degrees.
Happy Thanksgiving 🦃
Happy Thanksgiving 🦃
To scromit or not to scromit, that is the real question
November 27, 2024 at 4:07 PM
To scromit or not to scromit, that is the real question
The master of the “plane crash, we’re hungry, and now we’re dead” toxicology learning tales! #ToxSky #MedSky #RxSky
Your plane crashes. You, Ariana Grande, and Cynthia Erivo are the only survivors. You are all starving to death.
You come across this mushroom. Ariana and Cynthia say they have been holding space in their stomachs for this mushroom and would like to eat it.
What do you think?
You come across this mushroom. Ariana and Cynthia say they have been holding space in their stomachs for this mushroom and would like to eat it.
What do you think?
November 26, 2024 at 1:00 AM
Reposted by Thom Mack
your friendly neighborhood toxicologist here to tell you about “pink cocaine” ☠️🧵
November 25, 2024 at 3:38 PM
your friendly neighborhood toxicologist here to tell you about “pink cocaine” ☠️🧵
A study of rattlesnake envenomation in Arizona found that recovery from hypofibrinogenemia after treatment with F(ab’)2 antivenom had a median recovery period of 19.2 hours and a median recovery rate of fibrinogen of 62 mg/L/h.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
November 25, 2024 at 9:08 PM
Reposted by Thom Mack
A study of Arizona snakebites (2017–2021) found the following: 60% of bites occurred near homes, a median of 14 antivenom vials were administered per patient, and 43% were bitten on a lower extremity.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
November 25, 2024 at 6:45 PM
A study of Arizona snakebites (2017–2021) found the following: 60% of bites occurred near homes, a median of 14 antivenom vials were administered per patient, and 43% were bitten on a lower extremity.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
Freaking wild!
A 38-year-old woman presented to the emergency department with shock. She was treated with an infusion of methylthioninium chloride for refractory shock. The methylthioninium chloride extravasated and led to blue staining of the left upper arm.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
November 25, 2024 at 9:07 PM
Freaking wild!
Reposted by Thom Mack
A 15-year-old female ingested diquat and presented with kidney and liver damage. Susceptibility-weighted imaging demonstrated multiple punctate low signals, suggesting microhemorrhages.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
November 25, 2024 at 6:49 PM
A 15-year-old female ingested diquat and presented with kidney and liver damage. Susceptibility-weighted imaging demonstrated multiple punctate low signals, suggesting microhemorrhages.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....