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Josh King

@nephrotox.bsky.social
1.4K followers 140 following 120 posts

Kidney doc, toxicology doc. 50% nerd, 30% dork, 20% geek. Nothing I post here is intended as medical advice, and frankly probably nothing I say on here is likely good advice either.

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Reposted by Josh King
Ryan Feldman PharmD DABAT @empoisonpharmd.bsky.social · 01/03/2025
🚨#ThePoisonLab @nephmadness.bsky.social🚨 @nephrotox.bsky.social + the Bean Doctors at VCU crack the mystery case and dive into nephrotoxic herbals! 🌿⚠️ 🏆 Who will advance in #NephMadness? 💥 Vote for Tubular Toxins vs. Oxalate Offenders Listen: Anywhere you get a pod or thepoisonlab.com #EMIMCC
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The House of Pod @kavehmd.bsky.social · 11/02/2025
New Episode! We discuss the twisted case of Dr. Michael Swango, a serial killer who lead a poisonous rampage across the US and beyond. With @caulimovirus.bsky.social & @nephrotox.bsky.social (and Lee Richman) Links! iTunes: t.co/ZgMvh33v6w Spotify: t.co/AmpwZBIH8A
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American College of Medical Toxicology @acmtmedtox.bsky.social · 06/02/2025
Don't miss out on this month's Nation Case Conference on Thur., Febr. 20 at 1pm ET! Dr. Josh King (@nephrotox.bsky.social) moderates as we discuss three new medtox cases on the subject "Missed Diagnoses and Misleading Drugs". This webinar is for ACMT members only. Learn more >> bit.ly/acmt-ncc
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Screaming Pectoriloquy @caulimovirus.bsky.social · 17/01/2025
Dosing insulin for calcium channel blocker overdose:
Three panel screenshot of Ron Swanson ordering eggs and bacon at a bar. 

Text has been altered to read: 

Just give me all the insulin in the hospital

Wait, wait. I worry what you just heard i was, "Give me a lot of insulin”

What I said was, "Give me all the insulin in the hospital.”

Do you understand?
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Josh King @nephrotox.bsky.social · 31/12/2024
👀
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Josh King @nephrotox.bsky.social · 22/12/2024
Had a fantastic time visiting the awesome nephro group at Ochsner! Thanks again @juancarlosqvelez.bsky.social and company for a warm welcome!
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Kai Kupferschmidt @kakape.bsky.social · 14/12/2024
Sadly, it’s a good time to once again share this amazing infographic that we ran at @science.org more than 7 years ago 🧪 #IDsky www.science.org/content/arti...
science.org
Here's the visual proof of why vaccines do more good than harm
See year by year how vaccines beat back nine dangerous infectious diseases
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Josh King @nephrotox.bsky.social · 13/12/2024
I see there's a massive influx of people and some are silly enough to follow me. Never managed to figure out which wolf to feed: serious education versus something-posting
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Christos Argyropoulos MD, PhD, FASN 🇺🇸 0kale/acc @christosargyrop.bsky.social · 22/10/2023
To my fellow nephrologists: we should try to get the #nephrosky tag going here (even if the # character is not special)
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Josh King @nephrotox.bsky.social · 07/10/2023
Was really disappointed to find out this wasn't about dextromethorphan or the perils of using methylene blue with SSRIs
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Josh King @nephrotox.bsky.social · 22/09/2023
Popping in after a long hiatus to say: here's a thing on toxicology history through antiquarian textbooks I did, you might enjoy if: 1) you like old books 2) you like poisoning 3) you like poison books (arsenic containing book cloth makes a quick appearance) toxichistory.com/2023/09/22/e...
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RiderToast, lovable scamp @ridertoast.bsky.social · 23/08/2023
Man holding staff of aesclepius and keeping Death at bay. Death is labeled “3hr goals of care discussion” and the man is labeled “distant family member who just got here.”
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Orpheus Condescending @maryscottoconnor.com · 04/08/2023
You know, I've been thinking about this. It's almost as if the super-wealthy, elite, political ruling class in this country don't WANT the rest of us to be educated, well-paid, secure, healthy, fulfilled, or happy with our lives. I mean... am I just CRAZY, or IMAGINING things, or - you know?
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Josh King @nephrotox.bsky.social · 03/08/2023
Rocket launch from NASA's Wallops Island site earlier this week. Fun trip! If you need a toxicological correlate, the hydrazine involved in rocket fuel can give intractable seizures due to inhibition of conversion of glutamate to GABA. If you need a renal correlate, heat exhaustion and aki!
Very bright somewhat blurry picture of a rocket taking off from Wallops islands, Virginia. Ng-19
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Josh King @nephrotox.bsky.social · 24/07/2023
I haven't posted any toxicology for a while, so this is a good time to serve as a reminder that if you drink Earl Grey to the extent that Picard does, you might not be able to walk due to muscle cramps and neuropathy www.thelancet.com/journals/lancet/a…
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Josh King @nephrotox.bsky.social · 23/07/2023
Reskeet with a time you looked cool
Josh wearing a medieval-style helmet at a Renaissance festival. Sadly breaking the immersion by wearing a polo and a backpack, of course.
(context: he was never cool but this comes sort of close)
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Josh King @nephrotox.bsky.social · 20/07/2023
I am genuinely concerned about young kids drinking this. It's gonna happen. Who decided this was a good idea!?
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Josh King @nephrotox.bsky.social · 14/07/2023
From Steve Curry, a superb rundown of NAPQI: deep dive into molecular mechanisms of what makes everyone's least favorite APAP metabolite awful. From inactivated ETC to ROS to the MPTP to how fomepizole *really* works for APAP poisoning (not CYP2E1!), such a great read. t.co/RjJxcKuArc
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Nick Sawyer, MD, MBA, FACEP @nicksawyermd.bsky.social · 12/07/2023
They cracked the case y’all. jamanetwork.com/journals/jama-healt…
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Josh King @nephrotox.bsky.social · 13/07/2023
This is good fun - trick the computer gandalf.lakera.ai
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Maris Kreizman @maris.bsky.social · 11/07/2023
A reminder that Bookshop offers free shipping today and tomorrow.
Why Bookshop is better than Amazon
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Matthew Gault @mjgault.bsky.social · 10/07/2023
the ancient secrets of posting
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Josh King @nephrotox.bsky.social · 10/07/2023
Must admit some trepidation about the "BAT-GUANO detection of a long burst" given the whole rabies and histoplasmosis concerns
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Josh King @nephrotox.bsky.social · 10/07/2023
Happy birthday to Thomas Ligotti! He's nihilistic and depressing but a writer for the ages if you're okay with the subject matter.
Drawing or woodcut or something of Thomas Ligotti, nihilistic horror writer extraordinaire
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Reposted by Josh King
Joshua Niforatos, MD, MTS @reverendofdoubt.bsky.social · 05/07/2023
The AHRQ Report on Diagnostic Errors in the Emergency Department: The Wrong Answer to the Wrong Question | @AnnalsofEM w/ Dr. Gabor Kelen @JohnsHopkinsEM www.sciencedirect.com/science/artic…
sciencedirect.com
The AHRQ Report on Diagnostic Errors in the Emergency Department: The Wrong Answer to the Wrong Ques...
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Josh King @nephrotox.bsky.social · 04/07/2023
Today kidneys navigate between Scylla (high purine intake with uric acid formation and risk for uric acid kidney stones - looking at you, hot dogs) and Charybdis (high salt intake leading to increased urinary calcium excretion risk for calcium containing kidney stones - looking at you, hot dogs)
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Josh King @nephrotox.bsky.social · 04/07/2023
Remember, don't eat fireworks. That would probably cause you to have smoking stool due to the yellow phosphorus (mixture of red + white phosphorus) involved in the manufacture of the fireworks. Also please do not explode your hands, and I mean this completely unironically
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Josh King @nephrotox.bsky.social · 03/07/2023
I worry that my skeets are already assuming a level of ridiculousness unbecoming to my professional image. Then I remembered that when we resume toxicology teaching rounds after the 4th, I'm probably going to make up a story about me eating fireworks and developing yellow phosphorus poisoning.
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Josh King @nephrotox.bsky.social · 03/07/2023
White House cautiously opens the door to study blocking sun’s rays to slow global warming
A Biden administration report required by Congress outlines research options for a last-ditch effort to slow the heating of the planet. But the White House says it’s not changing its climate strategy.Mr. Burns's sun blocker, depriving the citizens of Springfield from its warm light
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Josh King @nephrotox.bsky.social · 02/07/2023
Replacing your PVC with copper pipe? You're phthalate limited
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Josh King @nephrotox.bsky.social · 02/07/2023
Very recently we had someone hospitalized for lactic acidosis after eating apricot seeds. (They contain cyanide precursors). You can still buy them, or the purified cyanide precursor amygdalin, under the guise of "vitamin B17" for health. This s*** shouldn't be legal
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Josh King @nephrotox.bsky.social · 01/07/2023
Been told that posting is crucial, so I'll mention that sodium monofluoroacetate - used to kill coyotes and other large animals - inhibits the Krebs cycle (via formation of fluorocitrate which blocks aconitase) and is a highly potent poison. Follow me for more reasons why you need the Krebs cycle
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Josh King @nephrotox.bsky.social · 29/06/2023
If you are wondering about me: I'm a nephrologist and medical toxicologist. I like doing both of those things. Right now there are three of us (which I'm aware of) in the world. I am the weirdest one. Also I like bad jokes and a wide variety of nerdy things. Books are good too.
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Josh King @nephrotox.bsky.social · 29/06/2023
I am glad to be here in the Other Place. It's likely that posts to come will continue my progression from (semi) respectable medical professional to nerdloaf extraordinaire, but to be honest that's who I've always been anyway
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