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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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Reposted by Josh King
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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Reposted by Josh King
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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Josh King @nephrotox.bsky.social · 29/01/2025
Scary labs. I haven't used IV hydrochloric acid and probably wouldn't unless somebody is having recurrent seizures or torsades. Would just go with potassium and normal saline here, particularly with volume depletion.
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Reposted by Josh King
😱 Spooky SpectreKILLoquy 🔪 🩸 @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 · 17/01/2025
And if the insulin and/or dextrose aren't concentrated: "just give me all the furosemide in the hospital"
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Josh King @nephrotox.bsky.social · 03/01/2025
Wow. Hoping for recovery... Have seen it go both ways.
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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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Reposted by Josh King
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'm kidding, I figured out which wolf to feed, and it isn't the serious one
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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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Josh King @nephrotox.bsky.social · 13/12/2024
You acquire a solitary kidney through the usual means (leaving someone waking up on ice with a new scar)
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Josh King @nephrotox.bsky.social · 13/12/2024
More of a glass half full. Half full of nephrons, but enough for most of us!
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Reposted by Josh King
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 · 23/09/2023
i'm agnostic these days
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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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Reposted by Josh King
🕸️🕷️SpiderPost🕷️🕸️(mortem), if clinically indicated @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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Josh King @nephrotox.bsky.social · 23/08/2023
That it is, sorta
Red curry chicken that I was too lazy to use an actual wok for
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Josh King @nephrotox.bsky.social · 15/08/2023
Wait, I don't understand. The nerdy thing is the reward itself generally
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Josh King @nephrotox.bsky.social · 15/08/2023
Just sprinkle some bicarb on your recommendations for that extra zest
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Josh King @nephrotox.bsky.social · 14/08/2023
Hard rubber knobby things - should be able to find them in the grocery store. Kongs and such.
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Josh King @nephrotox.bsky.social · 14/08/2023
So sorry, that's a hard blow.
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Josh King @nephrotox.bsky.social · 12/08/2023
always
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Josh King @nephrotox.bsky.social · 12/08/2023
also, the correct 8 bit answer was Ninja Gaiden (and the real answer is Elden Ring)
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Josh King @nephrotox.bsky.social · 12/08/2023
There's about eleventy billion chiptune artists (I am partial to Danimal Cannon)
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Josh King @nephrotox.bsky.social · 10/08/2023
Yithian MRI incoming
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Reposted by Josh King
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 · 07/08/2023
Ask the kids to help you pronounce the Enochian correctly, it might make them feel more at ease. Plus it's never too early to learn the difference between invocation and evocation.
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Josh King @nephrotox.bsky.social · 07/08/2023
And the thing is I should have zero excuse. I go to every single unit taking care of adult patients. For tox consults I go to the picu and peds floors, even the NICU rarely. I go to path, both clinical and anatomic. The only places I don't regularly go are the OR and morgue. And I still get lost.
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Josh King @nephrotox.bsky.social · 07/08/2023
Been periodically lost in every hospital I've worked in, even if there over a decade - checks out
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Josh King @nephrotox.bsky.social · 05/08/2023
This belongs in the "don't eat it" family of mushrooms
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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 · 28/07/2023
Please put more parody in the parody, this is reading like actual quotes from real people. Which it probably is
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Josh King @nephrotox.bsky.social · 28/07/2023
he's not wrong
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Josh King @nephrotox.bsky.social · 28/07/2023
A map of the Pacific ocean, showing that the city of R'lyeh, location of the dread Cthulhu in "The Call of Cthulhu," is closer to New Zealand than any other significant landmass on Earth
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Josh King @nephrotox.bsky.social · 24/07/2023
I think it's more of a dose-makes-the-poison thing, so variable. There's another case out there where someone had similar symptoms from adding their own oil of bergamot. Jokes aside yeah this would be very rare for a reason (4L is a lot of tea)
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Josh King @nephrotox.bsky.social · 24/07/2023
This tells the story of an ostrich farmer who drank a lot of coke... and didn't eat much. He developed pretty severe low K levels and metabolic acidosis www.thelancet.com/journals/lancet/a…
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Josh King @nephrotox.bsky.social · 24/07/2023
Not really - for most, the liquid is fine actually! But the bergamot would be less fine
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Josh King @nephrotox.bsky.social · 24/07/2023
I promise more attempts to ruin seemingly innocuous pursuits and ingestants will be forthcoming
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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 · 24/07/2023
I've seen s*** posts you wouldn't believe. Flame wars off the threads of O'Ryan. Pixels glittering in the dark during Gamergate.
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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 · 22/07/2023
I like to utter the phrase "call gods, strike, strike with your lightning!" whenever anyone says something about avoiding the Q word. It's entertaining to see expressions
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Josh King @nephrotox.bsky.social · 21/07/2023
Someone not afraid of hydrofluoric acid burns from the wheel cleaner
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Josh King @nephrotox.bsky.social · 21/07/2023
This discriminates against ghouls
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Josh King @nephrotox.bsky.social · 21/07/2023
Putting everyone on trial for crimes against something that makes me look bad
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Josh King @nephrotox.bsky.social · 20/07/2023
The marshmallow experiment, but instead of waiting 10 minutes to get two marshmallows instead of one it's whether you can wait 10 seconds with this stuff in your mouth before swallowing to avoid icy head pain doom
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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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