Ian Mitchell, MD

Perpetuating a fentanyl myth. No overdoses ever confirmed from smoking cannabis contaminated with fentanyl

Even the “this is your brain on drugs” know better than the JAMA authors

Did you notice the medical misinformation?

There are no confirmed cases of overdose from fentanyl contaminated cannabis and their reference is in no way confirmatory

VPD Officer Was Quietly Investigated over an Abusive Relationship with Teen | The Tyee A police watchdog report does not reveal the officer’s name or the school where he met the teenage girl.

A brief mention of an abusive relationship between a Vancouver police officer and a teen he met at school in a recent watchdog report shows a need for more transparency around the identities of officers who commit misconduct, says a civil liberties advocate.

@kehyslop.bsky.social reports. #vanpoli

This presentation details requirements for such a claim

6. The paucity of research for benefits of cannabis is due to stigma and bias. The last thing that is needed is to add medical misinformation to the list. #medsky

mesudlearningcommunity.org/wp-content/u...

a man in a white shirt is covering his face with his hands . ALT: a man in a white shirt is covering his face with his hands .

5. Was there testing of source material to confirm contamination?

No. The patient denied using opiates, yet there were opiates in the blood

That is a conundrum, can’t say I have ever seen that in the emergency department #medsky

Example of lack of quality at Cureus

4. Looks like we are off to a bad start with the journal it appears in. Cureus recently LOST its impact factor apparently due to quality issues
#medsky

3. So how robust is their evidence to support the first ever confirmed case of overdose from smoking cannabis contaminated with fentanyl?

“Extraordinary claims require extraordinary evidence “ #medsky

assets.cureus.com/uploads/case...

Newsweek article pointing out slant in JAMA article

2. This @jama.com review on #cannabis has already been recognized as slanted, emphasizing harms (extensively studied) over benefits (paucity of research)

#medsky

1. Why is @jama.com publishing medical misinformation that is already known as nonsense by the people who brought you “this is your brain on drugs?
#medsky #fentanyl #cannabis

There are no credible reports of fentanyl contaminated cannabis. The authors are spreading medical misinformation

They are also spreading misinformation that can be cleared up by a visit to the website of the “this is your brain on drugs people“. drugfree.org/article/mari...

I'm saying there is a finger on the scale. If you outlaw/restrict/deny funding for research of benefits, while massively funding research for harms, there is a bias, plus not enough evidence to say anything. For example, for insomnia, I can only find one RCT ever done, with 9 subjects. Why no more?

Inside the Fight to Study Marijuana for Vets with PTSD The VA won't help recruit veterans for an FDA-approved trial.

I would agree that there is "little evidence". How many RCTs for benefits of cannabis have been carried out in the US?

www.vice.com/en/article/v...

The lead example of a drug-drug interaction they list is for warfarin, which is supported by "very low quality data" (Garwood, et al)

Droperidol—Behind the Black Box Warning Click on the article title to read more.

I remember this mostly being based on pharma shenanigans. onlinelibrary.wiley.com/doi/abs/10.1...

I’m a huge ketamine fan, but it lasts too long for cardioversion. I’ll use it if there is any hypotension but otherwise 50-100 of fentanyl with propofol on top

Dr. Daniel Vigo, B.C.'s chief scientific adviser for psychiatry, toxic drugs and concurrent disorders, has released new guidance on the use of involuntary care for youth with concurrent drug use and mental health disorders.

Physicians must notify parents if child shows up with overlapping mental health, drug use issues: B.C. https://www.cbc.ca/news/canada/british-columbia/bc-new-guidance-involuntary-care-youth-drugs-mental-health-9.7005188

𝗚𝗲𝘁 𝘄𝗲𝗲𝗸𝗹𝘆 𝘂𝗽𝗱𝗮𝘁𝗲𝘀 ⇢ CanadaHealthwatch.ca/newsletter

YouTube video by Luis Asenjo Sid Vicious - My Way (Original and Complete Version)

I would only ever attempt the Sid Viscous version youtu.be/rDyb_alTkMQ?...

Hey, can my deleted BlueSky post get re-posted?

More non sequitors don’t help. I have not expressed any opinion on the general safety or carcinogenicity of e cigarettes. My only question was what evidence you have that a US teen got popcorn lung from vaping. I’m still waiting

5. “we cannot pinpoint the causative agent”. “he vaped a variety of substances”

6. Do you have the NLM link for the US case? Extraordinary claims require extraordinary evidence.

6.

1. None of this appears to relate to the US teen

2. The case you are citing is of a Canadian teen, too young to access legal regulated cannabis, so typically using a grey market source.

3. No vaping liquid was available for analysis

4. “suggestive of early bronchiolitis obliterans”

Yes, that is a study. Also an example of the non sequitor fallacy

So you still don’t have any evidence of e-cigarettes causing popcorn lung?

Internet Searches for Lorazepam Following the Release of The White Lotus This cross-sectional study examines whether there was an uptick in online searches about lorazepam after the release of the third season of The White Lotus.

Season 3 of #TheWhiteLotus was associated with increased interest in searching and acquisition activity for #lorazepam #medsky

jamanetwork.com/journals/jam...

American ALS patient died alone after paying $84K US in pursuit of healing at controversial Sask. facility | CBC News A 70-year-old American ALS patient came to Saskatchewan chasing the promise of healing offered by the Dr. Goodenowe Restorative Health Center in Moose Jaw, Sask. But former Goodenowe employees say tha...

A horrendous story of an American suffering from alternative health treatment in Canada. Usually it is Canadians going down to access quacks in the US

www.cbc.ca/news/canada/...

#medsky #als

The outbreak of lung injuries often known as "EVALI" was nothing to do with nicotine vaping INTRODUCTION. Many commentators, activists, academics and public health agencies continue to assert or imply that an outbreak of severe and fatal lung injuries that occurred primarily in the United St...

A reminder that #EVALI , the US based outbreak of lung disease in 2019, had nothing to do with e-cigarettes

It was caused by poor regulatory oversight and contamination of vape fluids (typically THC based) #medsky

www.qeios.com/read/ZGVHM7.3

Is Massimo really a good source for medical information? Certainly wrong here. www.cancerresearchuk.org/about-cancer...

Real risks vs fear mongering

Can you provide an example of how the article was “doctored”?

It seems to provide much more factual information than yours or the original post

Ok. Here is a more up to date source. It’s not that hard to find. But I’m still waiting for someone to link to a peer reviewed article of this case. www.cancerresearchuk.org/about-cancer...

#medsky

I’m often surprised when people post articles that they haven’t read or didn’t understand.

It says popcorn lung can be caused by diacetyl

It says diacetyl is part of vape juice and a POTENTIAL risk

It does not contain any evidence or cases of vape related BOOP #medsky

The Alleged Link Between Popcorn Lung and Vaping: Debunking the Myth with Science A recent alarmist headline—“Teen’s Lung Damage Highlights Hidden Dangers of Flavored Vaping”—has reignited an old, unfounded panic: the claim that vaping causes “popcorn lung.” This attention-grabbing...

For the love of God people, please include a source when you are trying to fear monger

It isn’t that hard to provide a link like this. www.vapingpost.com/2025/05/21/t...

#medsky

Male ducks have corkscrew penis. Ducking weird

Female ducks have vaginal countermeasures to fend off unwanted mallard semen What the duck?

Mallards are not gentle when it comes to wooing Ducking hell!

But then there are ducks, the anatomically bizarre rapists of the avian world

I tripped on a Kleenex box earlier. Didn’t break anything.

Just tissue damage.