Josh Trebach, MD @jtrebach Twitter profile

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Josh Trebach, MD

2 months

ER doctor here…i see lots of blood there’s no such thing as vaccine induced thick blood sludge that clogs veins and requires suction (why do I even need to say this) also we don’t tell patients they have “beautiful blood”

HeyNurseKat’s Science Support Group

@HeyNurseKat

2 months

Suction what now

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Last Seen Profiles

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Josh Trebach, MD

@jtrebach

11 months

*phone rings in middle of the night* me: *answers phone* hey this is josh with toxicology doc: hey josh we have a kid here with cyanosis, blue tongue, blue lips—uhh hold on a sec *whispering in background* me: ? doc: nvm they had a blue jolly rancher bye

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Josh Trebach, MD

@jtrebach

1 year

one time I was in the hospital elevator with a resident and then the elevator got stuck and I was like “omg we are going to die” and she was like “omg YES I needed this today” and sat down and started eating a granola bar

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Josh Trebach, MD

@jtrebach

2 years

if you’re at Thanksgiving and someone says their decision to not get vaccinated doesn’t affect anyone else, cut your slice of pie like this to demonstrate how that is very untrue

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Josh Trebach, MD

@jtrebach

1 year

i can’t believe this needs to be said but if ur bit by a snake PLEASE don’t bring the snake to the ER with u

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Josh Trebach, MD

@jtrebach

1 year

ETHICAL DILEMMA: both cats are meowing for you to come play with them but are in separate rooms and are watching you so they will know if you choose the other cat what do u do

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Josh Trebach, MD

@jtrebach

2 years

I’m an ER doc…trust me when I say that someone WILL stick their penis in this

Massimo

@Rainmaker1973

2 years

The Laundry Jet is the first vacuum powered laundry chute that transports laundry from any room with ports installed, to the laundry room [read more: ]

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Josh Trebach, MD

@jtrebach

1 year

*phone rings in middle of the night* me: *answers phone* hey this is josh with toxicology doc: hi josh, I have a case I wanted t— my cat: 𝐌𝐄𝐎𝐖 doc: ……um do you have a cat me: would it be weird if I said no

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Josh Trebach, MD

@jtrebach

2 years

me: when I was your age a paperclip named Clippy would help me write letters to my friends kid: sure grandpa let’s get u to bed

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Josh Trebach, MD

@jtrebach

2 years

SCAM ALERT: people are saying “I know!” when their cat meows at them when in fact they do NOT know!!!

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Josh Trebach, MD

@jtrebach

5 months

*me as a med student in the hospital at 430am* me: hi there sorry to wake u have u pooped today patient: no but have u pooped me: ??? patient: ya see it’s a weird question to ask someone

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Josh Trebach, MD

@jtrebach

2 years

on my med school surgery rotation, one of the residents told me to "act less gay" if i wanted to get a better evaluation from the surgeons i wore pink scrubs the next day

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Josh Trebach, MD

@jtrebach

1 year

one time in med school I pronounced Guillain-Barré incorrectly bc i had only read about it and never said the words out loud before people laughed at me and I was embarrassed but the attending was like HEY IF HE KNOWS THE WORDS IT MEANS HE IS STUDYING and it meant a lot to me

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Josh Trebach, MD

@jtrebach

1 year

*working in pediatric ER* me: hi my name is Josh and I’m going to be your doctor today! kid: what is that *points to badge* me: this is my hospital ID badge! I was having a very bad hair day that day haha kid: it looks the same today me:

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Josh Trebach, MD

@jtrebach

1 month

*working in hospital with med student* me: ok so this patient is here today with a lot of crystals med student: oooh u mean like those healing crystals me: no the crystals are in their urine med student: oooh so like harming crystals me: correct

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Josh Trebach, MD

@jtrebach

2 years

in college, two men approached me and invited me to their church. They said their church helps gay people become straight. i told them no they asked if i believed in their religion i told them no they said "surely u believe in something" i said "i believe in life after love"

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Josh Trebach, MD

@jtrebach

11 months

when I was a kid I had strep throat for several months despite multiple rounds of antibiotics and no one could figure out why turns out I was autoinfecting myself for months with my clarinet 🤡

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Josh Trebach, MD

@jtrebach

2 years

it’s not camping unless u bring 10 jumbo rolls of plastic wrap 👍 👍

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Josh Trebach, MD

@jtrebach

2 years

🚨Scary statistics about marijuana🚨 1) Over 20,000 deaths from marijuana in 2022 2) Every day, 106 people die from marijuana 3) Nearly 3000 children and teenagers have been killed/injured by marijuana this year 4) jk these facts are about guns

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Josh Trebach, MD

@jtrebach

11 months

*me in med school in the operating room* nurse: omg the med student looks so pale and sick I think he’s going to pass out surgeon: josh was with me last week he always looks like that don’t worry me:

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Josh Trebach, MD

@jtrebach

2 years

in med school, a doc brought me and other students to hear a patient's heart murmur everyone said they heard it, but I just couldn't hear it; the doc said "must be why you're a future ER doc" spoiler: we were in the wrong patient's room and this patient did not have a murmur🤡

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Josh Trebach, MD

@jtrebach

2 years

friendly reminder that u can get a hammock for $5 and not waste a ton of energy and plastic😃

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Josh Trebach, MD

@jtrebach

1 year

*sitting in middle seat on airplane* Person in window seat: excuse me can you help me Me: uh sure are you ok? Person: I am playing wordle. And I am stuck. And I NEED to beat my inlaws Me: *takes off headphones* we will defeat your inlaws together

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Josh Trebach, MD

@jtrebach

1 year

When I was a boy, I needed to have surgery. The surgeon told my parents I was getting a medication to help me relax, and joked that it was a “truth serum.” I cried. Not bc of the surgery or the pain. But bc I was afraid the “truth serum” would make me tell my parents I was gay.

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Josh Trebach, MD

@jtrebach

2 years

*actual conversation with my new doctor* Him: what does your wife do Me: husband, actually Him: husband??? are you on PREP???

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Josh Trebach, MD

@jtrebach

1 year

toxicologist here to remind you that essential oils are not essential for anything the word "essential" in "essential oils" refers to the fact that the oil contains the ESSENCE (the smell) of the plant it comes from

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Josh Trebach, MD

@jtrebach

8 days

my husband and I were running from a demon who was trying to kill us (in a video game) and I was about to die bc I couldn’t find a hiding spot but then my husband gave me his hiding spot and the demon killed him instead of me and I was like omg babe noo and then I looted his body

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Josh Trebach, MD

@jtrebach

22 days

one time I saw a doc RUNNING in the hospital and I was like omg what’s the emergency and they were like DIARRHEA and I was like omg who and they were like ME

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Josh Trebach, MD

@jtrebach

2 years

one time in med school one of my classmates said it was “unfair” that another one of our classmates had a child at home because it gave them an unfair advantage on their pediatrics rotation/exam

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Josh Trebach, MD

@jtrebach

5 months

hi, medical toxicologist here to say that caffeine toxicity is real and unpleasant and that panera charged lemonade has a gargantuan amount of caffeine in it a shot of espresso: ~65mg caffeine panera large charged lemonade: 390mg caffeine (also free refills)

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Josh Trebach, MD

@jtrebach

6 months

babe what’s wrong you’ve barely touched your charcutouija board

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Josh Trebach, MD

@jtrebach

8 months

oh you’re in a relationship? which one of you has haunting nighttime anxiety where you contemplate the world and death and your ultimate purpose and which one of you falls asleep in 10 seconds

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Josh Trebach, MD

@jtrebach

5 months

I’m an ER doc so trust me when I say it is never worth it to put your feet up on the dashboard when you’re riding passenger side

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Josh Trebach, MD

@jtrebach

1 month

gave a virtual lecture about iron toxicity and said “here’s how we treat this” but my cat heard me say TREAT and started to meow nonstop 😭

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Josh Trebach, MD

@jtrebach

7 months

it is incredibly stupid to put cleaning supplies in a soda pop can sincerely, a medical toxicologist

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Josh Trebach, MD

@jtrebach

1 year

The culprit

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Josh Trebach, MD

@jtrebach

2 years

this is pretty darn cute!!!

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Josh Trebach, MD

@jtrebach

1 year

I’m an emergency medicine doctor. When you come to my ER, I will take care of you even if your beliefs are different than mine. My job is to take care of patients. If you would deny a patient care because they have different beliefs than you, then you should not be in medicine

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Josh Trebach, MD

@jtrebach

10 months

it’s like playing “the floor is lava” except the floor is lava

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Josh Trebach, MD

@jtrebach

1 month

whenever i have to give a presentation i always practice giving it to my cats first except when they MEOW i pretend it was a sudden impromptu question from the audience that i have to answer so they keep me on my toes

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Josh Trebach, MD

@jtrebach

2 years

PLEASE DO NOT TAKE PENNYROYAL AS AN HERBAL ABORTION this is incredibly dangerous--it can cause liver failure, seizures, and DEATH

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Josh Trebach, MD

@jtrebach

16 days

life tip: sleep with earplugs if you're in a place with cockroaches so they don't crawl into your ears and get stuck and just scratch at your eardrum till you go to the ER

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Josh Trebach, MD

@jtrebach

1 year

told a joke on a zoom meeting and no one laughed so I said “wow everyone’s microphones must be muted because I didn’t hear any laughs” and someone goes “none of us are muted”

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Josh Trebach, MD

@jtrebach

2 years

also if your plane crashes on an island and all you have is 10 jumbo rolls of plastic wrap you could find better uses for it than building a plastic-wrapped coffin

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Josh Trebach, MD

@jtrebach

1 year

one time in med school the crash cart got brought to a room way too fast and it crashed into the wall and a nurse said “guess that’s why they call it the cr—” and then another nurse said “if u finish that sentence I will squirt this saline at u so it looks like u peed yourself”

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Josh Trebach, MD

@jtrebach

1 year

A family of five arrives to the emergency department with "the flu." They all have headache, nausea, vomiting, and generally feel unwell. You are about to discharge them when they let you know that even their dog is sick with "the flu"! What do you think is going on? 🤔☠️

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Josh Trebach, MD

@jtrebach

1 year

idk who needs to hear this but when trying to stop bleeding, holding pressure is way more important than a big wad of gauze or a towel pressed onto the wound

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Josh Trebach, MD

@jtrebach

1 year

This happened during my fellowship and when I met the doc the next day he was like omg show me pics of your cat 😸

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Josh Trebach, MD

@jtrebach

9 months

big realization I made in med school was that I could miserably study for 16 hours a day and do nothing else OR I could hang out with friends, go to the gym, do grocery shopping, and also study AND END UP WITH THE SAME TEST SCORES

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Josh Trebach, MD

@jtrebach

1 year

med students are like “you can remember that bone marrow is stimulated by interleukin-3 because BONE = 4 letters = fourth letter of alphabet is D = Durham, North Carolina is where my friend Matt lives = Matt threw up in my car 3 times in college = interleukin-3”

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Josh Trebach, MD

@jtrebach

2 years

alright hold up now

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Josh Trebach, MD

@jtrebach

3 years

Med students when taking their first anatomy test

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Josh Trebach, MD

@jtrebach

4 months

*on toxicology phone consult in middle of the night* doctor: ok thanks for all your help me: no problem, have a good one doctor: love you bye me: doctor: me: doctor: i’m married

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Josh Trebach, MD

@jtrebach

11 months

people like to ask ER docs "what's the craziest thing you've ever seen?" they expect a story about a bloody trauma or a rectal foreign body they don't expect me to say "awful nursing home living conditions" or "patients afraid of seeking care due to fear of discrimination"

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Josh Trebach, MD

@jtrebach

2 years

if you admit a “body packer” (person who has ingested bags of drugs with the intent of moving product) to the hospital PLEASE change their name in the chart to a fake name and put extra security on that floor someone will come looking for that patient and the product

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Josh Trebach, MD

@jtrebach

1 year

dead snakes and snake heads can still envenomate u so please don’t play hot potato with the snake head???? if you can safely take a picture tho that is ok (no selfies!!!)

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Josh Trebach, MD

@jtrebach

5 months

my dad did this with me and i came back home gay AND with the power to identify poisonous mushrooms

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Josh Trebach, MD

@jtrebach

11 months

was out for a run and it’s sooo hot out and as I’m imagining my death from hyperthermia I see this dad setting up a sprinkler in his yard and he looks at me and I look at him and then we know what needs to be done and he turns the sprinkler on and blasts me and it was EUPHORIC

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Josh Trebach, MD

@jtrebach

1 year

This time of year can be tricky...because CARBON MONOXIDE toxicity can mimic things like the flu or a viral illness. Carbon monoxide is an odorless, tasteless, invisible gas that comes from things like automobile exhaust, fires, fuel-burning heaters, gas stoves, generators, etc.

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Josh Trebach, MD

@jtrebach

7 months

last winter I came to a crowded four way stop but my car started sliding on the ice and I couldn’t stop and I was like ok neat here comes death but since this is the Midwest everyone just watched my car slowly slide through the intersection and waved and smiled as I slid along

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Josh Trebach, MD

@jtrebach

1 year

I love you mom and dad. Thank you for always supporting me. I wish I could go back and tell myself that no matter what I said under the influence of “truth serum” that you would always unconditionally love me no matter what. That’s the kind of parent I want to be one day.

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Josh Trebach, MD

@jtrebach

2 years

be the house you dreamed of trick or treating at when you were a kid! 🎃

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Josh Trebach, MD

@jtrebach

1 year

@dr_jon_l Wait FUCK I didn’t think about this

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Josh Trebach, MD

@jtrebach

2 years

i've treated many patients for ACCIDENTAL tylenol overdose this can happen because there's sooo many meds (over the counter and prescribed) that have tylenol in them! it can be very confusing here's a list of meds that contain tylenol that u may not be aware of: 🧵🧵

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Josh Trebach, MD

@jtrebach

27 days

when you remember the mnemonic but not what the mnemonic stands for

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Josh Trebach, MD

@jtrebach

2 years

if u ever feel lonely just remember ur gastrointestinal tract is home to trillions of bacteria that love u

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Josh Trebach, MD

@jtrebach

1 year

one time in the ER the nurses overhead paged “Dr. Trebach please report to the resuscitation bay STAT!!!” so I hustled over as fast as I could and when I got there they had a cake and a surprise birthday party for me 😭

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Josh Trebach, MD

@jtrebach

3 months

in middle school science class we had a competition to see who could identify 4 different white powders the fastest using analytical methods (chromatography, solubility, etc) I finished first and got them all correct bc I didn’t do any actual tests I just tasted each one lmao

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Josh Trebach, MD

@jtrebach

2 years

why am i having trouble navigating this map??

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Josh Trebach, MD

@jtrebach

2 years

I've always deflected uncomfortable situations with humor, but the truth is, I was terrified. If you had asked me that same question 6 years prior to that moment (when I was in middle school), would I have said yes? I'm not sure. That scares me so much.

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Josh Trebach, MD

@jtrebach

2 years

that being said I also met some fabulous LBGTQ surgeons/residents who were (and still are) incredible and awesome 😊

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Josh Trebach, MD

@jtrebach

1 year

if your nurse tells you they are worried about a patient, you should go see that patient

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Josh Trebach, MD

@jtrebach

1 year

After taking tons of tests over the years, I have honed a study technique that works well for me. And hopefully, it works for you too! A thread on the study technique that got me through med school, residency, fellowship, and one of the hardest board exams I’ve ever taken:🧵📚

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Josh Trebach, MD

@jtrebach

1 year

*in my apartment hiding from killer* Killer: once i find you i'm going to feed you to my poisonous snakes Me: *muffled yelling from cupboard* i think you mean venomous snakes

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Josh Trebach, MD

@jtrebach

4 years

Worst mnemonic ever

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Josh Trebach, MD

@jtrebach

2 years

if electrolytes could talk I just KNOW potassium would be soooo annoying

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Josh Trebach, MD

@jtrebach

6 months

“Is this the house that has Pokémon cards and full bars?!?!” YES IT IS

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Josh Trebach, MD

@jtrebach

1 year

me: hi my name is Josh and i am your doctor today! toddler: *starts screaming and crying * nurse: don’t worry kid I did the same thing when I met josh too

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Josh Trebach, MD

@jtrebach

1 year

And yes the way I pronounced it was Jillian-Bear 😬 😅

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Josh Trebach, MD

@jtrebach

1 year

if I was in charge of naming drugs I would give them easy names like SeizeNoMore instead of levetiracetam

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Josh Trebach, MD

@jtrebach

5 months

in med school a doctor showed me a chest X-ray and asked “what’s wrong with this” I couldn’t for the life of me figure it out so I said I didn’t know. Another doc scolded me and said I had to “at least try” and said it was a subtle pneumonia it ended up being a normal X-ray

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Josh Trebach, MD

@jtrebach

3 years

old timey cough syrup did NOT mess around

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Josh Trebach, MD

@jtrebach

5 months

fyi if you’re trying to ask a patient about their substance use history, asking “are you a drug user???” is NOT a good way to start the conversation

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Josh Trebach, MD

@jtrebach

2 years

sneezing in your mask feels like shitting your pants

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Josh Trebach, MD

@jtrebach

1 year

a trick i always share with med students in the ER who are about to examine a scared child: "examine" the parent first! I find kids are way more comfortable after I "listen" to dad's heart or look in mom's ears to show them that I am not a threat and that they are safe ☺️

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Josh Trebach, MD

@jtrebach

7 months

can’t believe this needs to be said but giving two shots of vitamin B6 doesn’t mean you gave a shot of B12

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Josh Trebach, MD

@jtrebach

1 year

also one time our carbon monoxide detector went off in the middle of the night and I turned to my husband and was like BABE WAKE THE FUCK UP WE GOTTA GO I'VE BEEN PREPPING FOR THIS MY ENTIRE LIFE and it turns out the detector just had low battery so always change your batteries👍

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Josh Trebach, MD

@jtrebach

1 year

one time i was so hungry that i ate a cookie that had been on the counter in the emergency department for like 2 weeks and people were like who ate the counter cookie?? where did it go??? and i was like haha guess we will never know BUT IT WAS ME I ATE THE COUNTER COOKIE

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Josh Trebach, MD

@jtrebach

11 months

me in med school when I first learned about rheumatic fever and post-strep glomerulonephritis

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Josh Trebach, MD

@jtrebach

2 years

sooooo some big news i just graduated from fellowship i’m officially a MEDICAL TOXICOLOGIST!!!! 🎉 ☠️ 🍄 🌱

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Josh Trebach, MD

@jtrebach

2 years

plz use the right language when sending your med students home “You can leave now if u want” -confusing -unclear intent -stressful for med students “I banish thee from the hospital” -badass -easy to understand -u get to say thee

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Josh Trebach, MD

@jtrebach

2 months

one time i was taking a cpr training class and someone did cpr so hard on the manikin that the head popped off and then she went to lunch and never came back

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Josh Trebach, MD

@jtrebach

4 months

??? we gonna ban amino acids next???

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Josh Trebach, MD

@jtrebach

5 months

in med school we had a lecture on hypothyroidism and suddenly there were a bunch of us that were absolutely convinced we had undiagnosed hypothyroidism when in reality we just had med school

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Josh Trebach, MD

@jtrebach

1 year

And yes I support all forms of tortitude!!!!

Josh Trebach, MD

@jtrebach

1 year

never underestimate the power of a gay wearing a cat t-shirt

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Josh Trebach, MD

@jtrebach

2 years

having med students on the team is the best because they will randomly say things like “alpha-1 antitrypsin deficiency” and make everyone have to remember what that is

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Josh Trebach, MD

@jtrebach

1 year

just found out that i passed my tox boards! i'm a board certified toxicologist!!!! FUCK YEAH

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Josh Trebach, MD

@jtrebach