John W. Downs MD MPH (@downsjw2000) 's Twitter Profile
John W. Downs MD MPH

@downsjw2000

Internist, #OccEnvMed physician, and medical toxicologist ☠️. Army doc. No exposure➡️No effect. Opinions my own.

ID: 3408618101

calendar_today08-08-2015 13:26:52

1,1K Tweet

576 Followers

742 Following

Leon Gussow (@poisonreview) 's Twitter Profile Photo

“Six human beings, all of them my patients, one of them my best friend, are dead because they took medicine that I prescribed for them,” one doctor wrote. slate.com/news-and-polit… via Slate

Virginia Poison Center (@vapoisoncenter) 's Twitter Profile Photo

💊 October is #NationalMedicineAbuseAwarenessMonth. Tips to help you: ✅Read all medication labels & warnings ✅Look for the active ingredient ✅Follow the directions ✅Ask your physician or pharmacist to explain the medication ➡Call us with questions 1-800-222-1222

💊 October is #NationalMedicineAbuseAwarenessMonth.
Tips to help you:
✅Read all medication labels & warnings
✅Look for the active ingredient 
✅Follow the directions
✅Ask your physician or pharmacist to explain the medication
➡Call us with questions  1-800-222-1222
Virginia Poison Center (@vapoisoncenter) 's Twitter Profile Photo

🚨DON'T TAKE THE CHALLENGE🚨 Capsaicin is the compound found in spicy peppers that is part of the Paqui "One Chip Challenge." Read more: today.com/parents/parent… Call Poison Help at 1-800-222-1222 today if you have questions or concerns! #onechipchallenge2022 #Poisonhelp

🚨DON'T TAKE THE CHALLENGE🚨
Capsaicin is the compound found in spicy peppers that is part of the Paqui "One Chip Challenge." 

Read more: today.com/parents/parent…

Call Poison Help at 1-800-222-1222 today if you have questions or concerns!
#onechipchallenge2022 #Poisonhelp
Steve Curry (@stevecurrymd) 's Twitter Profile Photo

Am aware of 4 NaNO2 poisonings from internet-purchased product in suicides/attempts in Phoenix area over last few yrs; undoubtedly are more. We train medics to carry & use methylene blue, but recognizing MetHbemia in apneic comatose patient without hx of ingestion is difficult.

Steve Curry (@stevecurrymd) 's Twitter Profile Photo

MedTox Fellows: All of the plants, below, can cause tachyarrhythmias, bradyarrhythmias/blocks and bidirectional ventricular tachycardia. Four plants also cause hyperkalemia. Which does NOT cause hyperkalemia? The Tox And The Hound #FOAMed #FOAMtox

MedTox Fellows:  All of the plants, below, can cause tachyarrhythmias, bradyarrhythmias/blocks and bidirectional ventricular tachycardia. Four plants also cause hyperkalemia. Which does NOT cause hyperkalemia? <a href="/toxandhound/">The Tox And The Hound</a> #FOAMed #FOAMtox
NCC Pediatrics (@nccpeds) 's Twitter Profile Photo

Here’s a story about grit, determination, and the best of Army Medicine. When people ask us— Why #MilPeds? Why NCCPeds?— this is one of our reasons (and worthy of our 1st ever 🧵) 1/6

Here’s a story about grit, determination, and the best of <a href="/ArmyMedicine/">Army Medicine</a>. When people ask us— Why #MilPeds?  Why NCCPeds?— this is one of our reasons (and worthy of our 1st ever 🧵) 1/6
Virginia Poison Center (@vapoisoncenter) 's Twitter Profile Photo

Does your house have lead-based paint?🏠 #DYK many homes built before 1978 contain lead-based paint on both interior and exterior walls? When lead-based paint gets old, it can start to peel, chip, or crack and become a hazard. #LeadFreeKids #NLPPW2022 epa.gov/lead/protect-y…

Does your house have lead-based paint?🏠
#DYK many homes built before 1978 contain lead-based paint on both interior and exterior walls? When lead-based paint gets old, it can start to peel, chip, or crack and become a hazard. #LeadFreeKids #NLPPW2022 

epa.gov/lead/protect-y…
Nick Mark MD (@nickmmark) 's Twitter Profile Photo

Here's my comparison of the 2 vasodilator scavengers used for vasopressor refractory distributive shock: 🟥hydrocobalamin vs 🟦methylene blue Which has more evidence? What are the pros/cons? If you want to learn more I'll be giving a talk on this at #ResusX next week! #FOAMed

Here's my comparison of the 2 vasodilator scavengers used for vasopressor refractory distributive shock:
🟥hydrocobalamin vs 🟦methylene blue

Which has more evidence? What are the pros/cons?

If you want to learn more I'll be giving a talk on this at #ResusX next week! #FOAMed
Virginia Poison Center (@vapoisoncenter) 's Twitter Profile Photo

We had so much fun at the South Hill Chamber of Commerce Fall Crawl event on Saturday!🎃 Catch us in Dinwiddie, Lunenburg, and Midlothian this week!☠️ Got an event that you'd like for the Virginia Poison Center to attend? Reach out to us at [email protected]

We had so much fun at the South Hill Chamber of Commerce Fall Crawl event on Saturday!🎃

Catch us in Dinwiddie, Lunenburg, and Midlothian this week!☠️

Got an event that you'd like for the Virginia Poison Center to attend? Reach out to us at poisoncenter@vcuhealth.org
Core EM (@core_em) 's Twitter Profile Photo

Rubbing camphor on your chest may help ease a cough, but ingesting it can lead to dangerous neurological instability. Credit: Dr. Aaron Bola #MedTwitter #medicine #emergencymedicine

Rubbing camphor on your chest may help ease a cough, but ingesting it can lead to dangerous neurological instability. 

Credit: Dr. Aaron Bola 

#MedTwitter #medicine #emergencymedicine
Steve Curry (@stevecurrymd) 's Twitter Profile Photo

MedTox Fellows: Xylazine, an alpha2 agonist like clonidine, is commonly found in illicit drugs (varies across US). FDA reports associations with skin necrosis at injections sites (tinyurl.com/5yjpbw65), and many claims such as: x.com/treeguypnw/sta…

MedTox Fellows: Xylazine, an alpha2 agonist like clonidine, is commonly found in illicit drugs (varies across US). FDA reports associations with skin necrosis at injections sites (tinyurl.com/5yjpbw65), and many claims such as: x.com/treeguypnw/sta…
Josh Hartzell, MD, MS-HPEd (@joshuadhartzell) 's Twitter Profile Photo

Sending text messages and emails does not replace being present at a leader- go see and talk to the people you lead. If your a leader and people don’t recognize you that’s a problem #Presence

John W. Downs MD MPH (@downsjw2000) 's Twitter Profile Photo

Thanks to Ziad Kazzi, MD, FACMT, FAACT, FAAEM, FACEP and Emily K for having me yesterday for med tox academics at Emory to talk about intersection of toxicology, epidemiology, and policy in the glyphosate cancer controversy.

Thanks to <a href="/ZiadKazzi/">Ziad Kazzi, MD, FACMT, FAACT, FAAEM, FACEP</a> and <a href="/Em2Kiernan/">Emily K</a> for having me yesterday for med tox academics at Emory to talk about intersection of toxicology, epidemiology, and policy in the glyphosate cancer controversy.
Nick Mark MD (@nickmmark) 's Twitter Profile Photo

It’s October - hockey season - so let’s talk about a hockey/pulmonary case: A previously healthy 17yo presents with dyspnea, frothy sputum, & orthopnea that began after playing hockey. In the ED he is tachycardic, tachypneic, mildly hypoxic. He has crackles bilaterally. Dx? 1/

It’s October - hockey season - so let’s talk about a hockey/pulmonary case:

A previously healthy 17yo presents with dyspnea, frothy sputum, &amp; orthopnea that began after playing hockey.

In the ED he is tachycardic, tachypneic, mildly hypoxic. He has crackles bilaterally.

Dx?
1/