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David Juurlink

@davidjuurlink.bsky.social
2.2K followers 59 following 57 posts

Internal Medicine, Clinical Pharmacology & Toxicology, and drug safety research at the University of Toronto. Inexplicably fortunate husband.

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David Juurlink @davidjuurlink.bsky.social · 22/05/2026
When the medical student is unusually thorough
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EMCrit Blog and Podcast @emcrit.bsky.social · 17/04/2026
COHb of 32% — should you dive this patient? The answer is more complicated than your tox textbook lets on. New EMCrit with Dave Juurlink unpacking why it is not the slam dunk you were taught. [#FOAMed for a bit] emcrit.org/423
emcrit.org
EMCrit 423 - Hyperbaric Therapy for Carbon Monoxide Poisoning?
HBOT for CO???
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David Juurlink @davidjuurlink.bsky.social · 28/03/2026
Entering our neuro ICU. Someone needs to update this photo.
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David Juurlink @davidjuurlink.bsky.social · 24/03/2026
Remember all the talk of healthy young people dying suddenly after COVID-19 vaccination? Our new study in @plosmedicine.org shows there's absolutely nothing to that. journals.plos.org/plosmedicine...
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Paul Gowder @gowder.io · 04/03/2026
wait wait WHAT? Apparently a "medical journal" in canada has been publishing fictionalized case reports for decades without indicating to its readers that they were fictionalized... retractionwatch.com/2026/03/03/c...
retractionwatch.com
A medical journal says the case reports it has published for 25 years are, in fact, fiction
A Canadian journal has issued corrections on 138 case reports it published over the last 25 years to add a disclaimer: The cases described are fictional. Paediatrics & Child Health, the journal…
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David Juurlink @davidjuurlink.bsky.social · 04/03/2026
The official journal of the Canadian Paediatric Society has just acknowledged that more than 100 of its case reports are fabricated. Incredible reporting from @retractionwatch.com retractionwatch.com/2026/03/03/c...
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David Juurlink @davidjuurlink.bsky.social · 10/02/2026
Why is a 20-year-old study "still under fire"? Because: - it was wrong - the lead author lied to conceal it - millions of women and infants were harmed - other death investigations were misled - when shown this, major institutions looked away www.cbc.ca/news/health/...
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Monique Morrissey @moniquemorrissey.bsky.social · 05/02/2026
This story is jaw dropping: one very bad actor, but also scientific journals (the Lancet!), a medical examiner, a hospital, & other establishment pillars who were taken in & now refuse to correct the record. Victims include not just baby who died but others removed from parents based on bad science.
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David Juurlink @davidjuurlink.bsky.social · 31/01/2026
Oh, it *will* make noise
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John Michael McGrath @jm-mcgrath.bsky.social · 28/01/2026
Absolutely wild story even for those of us who know the context of Motherisk (!)
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Brandy Zadrozny @brandyzadrozny.bsky.social · 27/01/2026
This story is so wild and so well told. I woke my husband up gasping at the "we made it up" part.
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David Juurlink @davidjuurlink.bsky.social · 26/01/2026
I’ve spent 15 years challenging a flawed explanation for an infant’s death. Credit to The New Yorker for patient investigative journalism that corrected the record when institutions did not.
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David Juurlink @davidjuurlink.bsky.social · 08/01/2026
New rule: If you order the D-Dimer, you have to interpret the D-Dimer
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David Juurlink @davidjuurlink.bsky.social · 30/12/2025
For those contemplating a detox or cleanse in the new year, here’s a toxicologist’s explanation of how they work: They don't.
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David Juurlink @davidjuurlink.bsky.social · 27/10/2025
Canadian MDs are relying less on opioids. That is a good thing. New commentary from me in @cmaj.ca www.cmaj.ca/content/197/...
cmaj.ca
Opioid prescribing in Canada: a continued retreat from God’s own medicine
[See related article at www.cmaj.ca/lookup/doi/10.1503/cmaj.250670][1] Key points In this issue’s research article, Rebić and colleagues show that rates of opioid prescribing across 6 Canadian provin...
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David Juurlink @davidjuurlink.bsky.social · 09/10/2025
PSA: When a naturopath recommends chelation “to remove the metal from your body,” that is exactly what you should not do.
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David Juurlink @davidjuurlink.bsky.social · 16/09/2025
Join us for UofT Therapeutics Day November 1st - drug interactions - NSAID allergy - within-class safety differences - complex polypharmacy - pharmacogenetics - SGLT2 inhibitors - buprenorphine Register here: eventbrite.com/e/the-drugs-we…
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PSI Foundation @psifoundation.bsky.social · 28/08/2025
Drs. Jessica Kent ‪Rice @jessicakentrice.bsky.social ‬& David Juurlink @davidjuurlink.bsky.social study on trends in opioid agonist therapy retention after non-fatal #OpioidOverdose: www.psifoundation.org/funded-resea... #InternationalOverdoseAwarenessDay #IOAD2025 @sunnybrookhsc.bsky.social
psifoundation.org
Funded Research - PSI Foundation
List of projects funded by PSI Foundation.
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David Juurlink @davidjuurlink.bsky.social · 13/08/2025
Toronto-area MDs and pharmacists: Join us for Therapeutics Day 2025 - Relevant topics - Great speakers (but also me) - You will be fed - You will get CE credits Register here: tinyurl.com/mr447y5n
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David Juurlink @davidjuurlink.bsky.social · 30/05/2025
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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Therapeutics Initiative (TI) @drug-evidence.bsky.social · 16/05/2025
🚨 ICYMI - #Opioids prescribing webinar recording featuring pharmacologist @davidjuurlink.bsky.social 🚨 💊 What have we learned about #prescribing? 💊 How should we treat pain when opioids overdoses have become an intractable epidemic? 👉🏽 ti.ubc.ca/juurlink-ana... #pain #MedEd #medsafety
youtube.com
Dr. David Juurlink: Relieving pain in the era of fentanyl
YouTube video by Therapeutics Initiative
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David Juurlink @davidjuurlink.bsky.social · 08/05/2025
Every time I hear someone mention tramadol
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David Juurlink @davidjuurlink.bsky.social · 10/04/2025
Let's talk about using carbapenem antibiotics in patients with valproic acid (VPA) poisoning /1🧵
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David Juurlink @davidjuurlink.bsky.social · 06/04/2025
Returning home from an international medical conference in Vancouver. In 25 years of attending these meeting I have *never* heard so many American physicians talk so openly about possibly moving to Canada.
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David Juurlink @davidjuurlink.bsky.social · 18/03/2025
Not me
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David Frum @davidfrum.bsky.social · 06/03/2025
It takes a unique kind of genius to fuck up the US-Canada relationship.
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David Juurlink @davidjuurlink.bsky.social · 15/01/2025
So important. Glad NEJM has made this open access. www.nejm.org/doi/full/10....
nejm.org
Identification and Treatment of Alcohol Use Disorder | NEJM
Several clinical and biologic methods are available to identify alcohol use disorder. Pharmacologic treatment is available, but it is underused.
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David Juurlink @davidjuurlink.bsky.social · 01/01/2025
Not starting a detox today because I have a liver and kidneys
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David Juurlink @davidjuurlink.bsky.social · 29/12/2024
For those contemplating a detox or cleanse in the new year, here’s a toxicologist’s explanation of how they work: They don’t
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David Juurlink @davidjuurlink.bsky.social · 28/12/2024
I don’t know who needs to hear this but short, focused progress notes are better than long, detailed progress notes. By a mile.
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David Juurlink @davidjuurlink.bsky.social · 25/12/2024
Worth reading Roald Dahl’s account of the death of his daughter Olivia, age 7
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David Juurlink @davidjuurlink.bsky.social · 23/12/2024
Is anyone else seeing patients who’ve been on the same dose of rosuvastatin for years develop new-onset myotoxicity without an obvious explanation?
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David Juurlink @davidjuurlink.bsky.social · 02/12/2024
If only OxyContin worked as well as people seem to think
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josh farkas 💊 @pulmcrit.bsky.social · 28/11/2024
BRASH syndrome ECG: - subtle peaked T-waves from hyperkalemia - bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes (more on BRASH: emcrit.org/ibcc/brash/) (ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
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David Juurlink @davidjuurlink.bsky.social · 26/11/2024
In theory, if there were a class of medications that, with regular use and *especially* at higher doses, caused patients to become horribly ill when the drugs were stopped, we'd be very, very careful about starting them, continuing them, increasing the dose, and stopping them.
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David Juurlink @davidjuurlink.bsky.social · 24/11/2024
I've diagnosed scurvy twice and often wonder how many times I've missed it
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David Juurlink @davidjuurlink.bsky.social · 21/11/2024
Yes, yes, I will post more here eventually. Until then, please remember that tramadol is garbage.
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