iiinova — where your digital self keeps evolving

Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 08/07/2026

🍄 Episode 6 of A Morel Dilemma is out now. What if the deadly 2023 morel mushroom outbreak wasn’t an isolated event? We examine the evidence, emerging research, and clues that may change how we think about true morel toxicity. 🎧 Listen wherever you get your podcasts.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 24/06/2026

Can mushrooms we thought we understood start acting differently? In Ep 5 of A Morel Dilemma, we put morels on trial—and detour into wood lover’s paralysis: a bizarre weakness syndrome from certain psilocybin mushrooms that may reveal how new toxic patterns emerge. #fungi #mushroom #mycology

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 19/06/2026

This rules The response to A Morel Dilemma has been genuinely overwhelming, especially from people in mycology, foraging, toxicology, and public health. Huge thanks to everyone listening, sharing, and saying very nice things on the internet. 🎧 Listen wherever you get podcasts #fungifriends #Mycology

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 03/06/2026

How does a mushroom people have eaten for generations suddenly become deadly? After 2 years of work, my 7-part investigative series on the 2023 Bozeman morel outbreak causing 50 illnesses and 2 deaths is out now. Listen: www.TheMorelDilemma.com #mycology #fungi

themoreldilemma.com

Home - A Morel Dilemma

June 3rd, 2026A deadly outbreak begins at a sushi restaurant in Bozeman, Montana. Diners develop rapid, severe gastrointestinal illness. Some collapse. Two people die.The only clue pointing investigat...

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 01/06/2026

How does a mushroom people have eaten for generations suddenly kill people? That question sent me down a two-year rabbit hole into the 2023 Bozeman morel mushroom outbreak. The trailer for A Morel Dilemma is out now. Full series launches Wednesday. the-poison-lab.captivate.fm/episode/intr...

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 27/05/2026

New episode: a co-broadcast with The Kratom Sobriety Podcast. We talk kratom, poison center data, dependence, withdrawal, recovery, and why the policy debate is more complicated than “ban it” vs “leave it alone.” #ThePoisonLab www.ThePoisonLab.com

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 09/05/2026

Hear how investigators solve a deadly mass poisoning outbreak when rumors spread and samples are scarce. New episode: Dr. Alaina Steck walks through the Mozambique investigation that helped exonerate a man jailed for poisoning his own community. Out now: ThePoisonLab.com

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 08/05/2026

New episode: Outbreak — 75 Fatalities After a Funeral Poisoning in Mozambique. Early reports blamed poisoned beer, crocodile bile, and intentional poisoning. Hear how investigators got there from the people who did it. Listen now on tinyurl.com/576w4afd

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 01/05/2026

My first publication was on treating an invasive microscopic fungal infection. A decade later, I graduated to macroscopic fungi toxicity: honey mushrooms. Our paper reviews WI cases this beautiful semi-poisonous mushroom. Figure 1 on toxic look-alikes is especially useful! Link below!

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 22/04/2026

Kratom policy varies by state. We looked at poison center exposures by reuglation status. Bans → lower exposure & severe outcomes “Regulation” → looks a lot like no regulation An attempt to provide unbiased data to help inform policy. pubmed.ncbi.nlm.nih.gov/42015466/ #Kratom

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 18/04/2026

I am not all of those Ologists 🤣 but duly appreciated thanks for coming Dan!

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 15/03/2026

One of the fun perks of writing papers: getting consulted about a weird, niche clinical problem… and being able to send the consultee the systematic review you wrote synthesizing all the evidence for exactly how to manage that weird niche clinical problem.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/03/2026

I am glad I have taken the time to write, because its an investment in myself. So here is to 50 more.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/03/2026

Writing has been one of the best ways I’ve found to explore my own thinking. And sometimes it helps someone else too, whether it’s a clinician at 2 AM facing something for the first time, or someone with a clinical quandary looking for data to push them one way or the other.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/03/2026

Sometimes people joke that I bring citations to the bedside. But that’s because I’ve already wrestled with those questions while writing, and digging for answers related to outcomes, and finding the citations to support it. I bring that evidence with me when caring for patients.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/03/2026

I’ve never learned more than when I force myself to put an idea on paper, unchangeable, no backpedalling. You explore it deeply, and cite the evidence to prove (or disprove) it. This forces me to "find my receipts" for what I know and helps build my library to show others.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/03/2026

Not only do I get the thrill of “discovering” something new by putting data behind a clinical decision point that once felt uncertain (yes, it’s genuinely a thrill). But more importantly writing forces me to pressure-test my own thinking.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/03/2026

Some colleagues honestly raise an eyebrow at it. Why sink that much time into papers that sometimes get read by 1–2 people? Fair take. But the biggest winner of writing/researching has always been me.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/03/2026

I recently hit my 50th peer-reviewed publication. Not that exciting, especially compared to some people I know. But, I’m not a funded researcher. I do patient care and write in downtime. It’s a lot of nights and weekends spent reading, thinking, and writing.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 22/02/2026

They can come for my freedom but they’ll never take this from me. Now I just need to figure out how to get it in my email signature

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Reposted by Ryan Feldman PharmD DABAT

M Velia Antonini @foamecmo.bsky.social · 25/01/2026

Pharmacologic & toxicologic confounders in brain death determination 🧠 coma 🧠 BD & death by neurologic criteria 💉 controversies in existing BD declaration guidelines 🚧 PK & PD challenges: hypothermia, organ failure, obesity, prolonged infusions, toxicokinetics 🛟 ancillary testing 🔓 rdcu.be/e0C9u

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 21/11/2025

🍄 I wrote a poisonous mushroom children’s book! Poisonous Fungus AmongUs- a fun rhyming intro to foraging safety, and toxic look-alikes — perfect for kids or nature lovers. ⏱️ 5–7 min read ▶️ Full read: youtube.com/shorts/dai20... 📘 Get it here: a.co/d/bixElRx Reviews help a ton. Thank you! 💚🍄

youtube.com

Poisonous Fungus Amongus Highlights Clip!— The Rhyming Kid (or Adult) Book For Mushroom Safety

YouTube video by Ryan Feldman

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 19/09/2025

Official statement that I am available to immediately abscond from any lecture until 330 to play GOTTA PICCEM if you want to learn #NACCT2025

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 13/09/2025

🚨 New #ThePoisonLab episode is live! 🚨 Toxicologist with the Listeners ft. Dr. Joe Kennedy (UVM) 💉 Why is rattlesnake antivenom $$$? ⚖️ THAM or bicarb? One case stumped us both—can you crack it? 👀 Guess the toxin + email us your answer! 🎧 Listen anywhere or here 👉 thepoisonlab.com/episode/toxi...

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 15/07/2025

Excited to share that I’m joining The American Journal of Emergency Medicine as the Toxicology Section Editor! AJEM has published some of my favorite tox work, I’m excited to help others do the same—and help shape the future of tox literature! Have a tox article? Send it in!

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 14/07/2025

🚨 We’re going LIVE on the radio! 📻 Tune into Wisconsin Public Radio’s (@WPR) Larry Meiller Show this Thursday, July 17 @ 11:45am CT. 🎙️ We’ll talk poisons, The podcast, & take live call-in questions. 🌍 Listen from anywhere: wpr.org/shows/larry-... Call & say hi!

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 14/07/2025

🚨 From the AJHP EM issue: EM pharmacists are on the front lines of an ever-evolving toxicology landscape—overdoses, antidote shortages, novel street drugs, shifting treatments. This article from a great team of EM/Tox PharmDs gets you caught up fast! 🧪 doi.org/10.1093/ajhp...

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 13/07/2025

New #ThePoisonLab Series: Outbreak 🚨 🎙 Ep 1: The Markham Aconite Outbreak 12 people poisoned by a lethal plant toxin—hidden in a mislabeled spice jar. Deadly arrhythmias, a Google-savvy nurse, and a race to stop the next case. Listen here (or anywhere)🎧 shorturl.at/ctyJ9 #MedSky #EMSky

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 11/07/2025

🚨 New #ThePoisonLab Series: Outbreak 🚨 🎙 Ep 1: The Markham Aconite Outbreak 12 people poisoned by a lethal plant toxin—hidden in a mislabeled spice jar. Deadly arrhythmias, a Google-savvy nurse, and a race to stop the next case. 🎧 shorturl.at/ctyJ9 #MedEd #Toxicology

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 11/07/2025

SO EXCITED 🚨 New Series from #ThePoisonLab🚨 Outbreak: Learn from frontline teams in real mass poisonings. First up: The 2022 Markham Aconite Poisonings, expertly treated and contained. Hear exactly how! 🎧 Listen now, anywhere you pod: thepoisonlab.com/episode/outb... #MedEd

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 25/06/2025

I have been drinking lots of water because humans are like 60% water, but that means the other 40% is human and I am not sure how much of that I am supposed to have.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 24/06/2025

When nature wants you really dead, it sends a snake. Or a tick. Or a bean. Or a mushroom. Or sometimes… a sausage. Had fun diving into the toxins that target the soft underbelly of your nervous system: the neuromuscular junction. 🧠💀🧵👇 pubmed.ncbi.nlm.nih.gov/40541463/ #emsky #toxsky #pharmsky

pubmed.ncbi.nlm.nih.gov

Neuromuscular junction toxins - PubMed

The neuromuscular junction (NMJ) is highly susceptible to neurotoxins due to its lack of protective barriers like the blood-brain barrier. Over time, a wide range of natural toxins have evolved to tar...

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 17/06/2025

Excited to co-moderate this @AACTinfo webinar today on some topics that won't just raise your hair, but might cause you to lose it all together! Hope to see you there!

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 16/06/2025

whoops, just noted this, Our IQR was 4, but ranged had had kids less than 2 (one was in the ICU but also coingested dilt, nothing happened however, just obs) Though we really didn't have many kids <2 so doesn't change overall global data much

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 16/06/2025

Yes! And dose makes the poison, just one data set of many. But I do think it’s reassuring in some aspects, I think I would still be worried in more than one cap and in larger mg/kg ingestions.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 16/06/2025

MASSIVE, I cannot wait to try it. THANK YOU 🙏

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Reposted by Ryan Feldman PharmD DABAT

Johannes Enevoldsen @johsenevoldsen.bsky.social · 26/05/2025

My cardiac arrhythmia simulation now also simulates how a reentrant loop can be terminated by increasing refractory time as suggested by @empoisonpharmd.bsky.social Direct link to the updated part: jenevoldsen.com/posts/excita...

jenevoldsen.com

Excitable cells – Johannes Enevoldsen

A demonstration of how reentry tachyarrhythmias can develop in a system of excitable cells.

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 16/06/2025

🚨 Benzonatate can kill—but rarely by accident. In our 20-year review, serious toxicity (seizure, dysrhythmia, death) occurred almost entirely in intentional cases. Unintentional? Nearly all walked away. Led by Dr. Cicci 👏 📄 pubmed.ncbi.nlm.nih.gov/40511470/ 🎧 thepoisonlab.com/episode/fast...

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 12/06/2025

Since it appears impossible to get people to stop saying Poison “Control” Center can we at least call it a Poison “Command” Center? We don’t command or control anything but maybe I could get a cool badge that way. (🤔Poison Consult Center best option now that I think about it)

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 11/06/2025

I have to correct text messages to my wife from "Ok" to "Kk" because for some reason I read "Ok" as more of a "I will tolerate this" and Kk is a positive affirmation of plan. How crazy is this?

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 05/06/2025

If the government won't regulate it maybe civil litigation will

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Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 03/06/2025

EM pharmacists are resuscitation logistics pros. Adding med admin has been a huge boost to task flexibility. In this article, we share a checklist for implementation, and solutions to barriers, with case examples from PharmDs in several states. Grateful to work with this team! #EMSky #PharmSky

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Reposted by Ryan Feldman PharmD DABAT

Robert Szasz 𓅆 @rszasz.saxonco.com · 30/05/2025

@empoisonpharmd.bsky.social did an episode on that The Poison Lab: You Left Your Bladder in The K-Hole? Episode webpage: thepoisonlab.com/episode/you-... Media file: pdcn.co/e/podcasts.c...

thepoisonlab.com

You Left Your Bladder in The K-Hole? - The Poison Lab

In this episode Ryan and Toxo take a closer look at ketamine induced irreversible bladder damage. HistoryDiscovery of KetamineMelamine outbreaksClinic...

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