Josh Trebach, MD

one time I was driving home and I saw a small crowd around someone who looked dead so I pulled my car over and checked for a pulse and then started cpr on the sidewalk and while I was doing cpr a bystander tried to STEAL MY CAR KEYS

nurse: doctor josh can you please tell my son that he shouldn’t eat too much candy

me: ugh yeah one time I ate so much sour candy that my tongue started peeling it was soooo painful

nurse: oh wow how old were you

me: …….yesterday

one time in college I took an exam thinking “wow this is way harder than I expected” and the professor walked by and gasped because she’d given me (AND ONLY ME??) an exam from a different course. Every hard exam since I was like IS IT HAPPENING AGAIN? IT CAN’T HAPPEN TWICE RIGHT?

people named barb are so lucky because they can be like “my name is short for phenobarbital” and no one can argue with them

Social media post where someone is describing putting urine in their eyes and then having their eyes get red and have pus

didn’t think this needed to be said but please don’t put urine in your eyes

At the same time???

I became an attending and work somewhere else now!! My mysterious cookie benefactor did not follow me hehe

when I was a resident, a mysterious ER nurse used to leave a cookie on my desk after I did a good job with a sick patient. Years later, no cookies appear…but after every resuscitation I still crave one….a Pavlovian echo of a kindness that never quite left me 🍪

*be me in med school*

me: ok remember these 3 words—book, cat, potato. I’ll ask again in 5 min to test your memory

patient: ok

*5min later*

patient: book, cat…uhhh…what was the third one?

me: …….

patient: did u forget too

me: …………yeah

Orange cat and grey cat on top of Simpsons arcade cabinet

just Bucket (orange) and Pebble (grey) being gamer kitties

Happy birthday omgggggg!!!! 🎉

Image with the text “everything is going to be okay! They JUST announced it”

big if true!!!

In order to suddenly claim Tylenol leads to autism, we would need better data.……data we do not currently have.

Declaring that tylenol use in pregnant people can lead to autism, with the available evidence we have now, is scientifically irresponsible.

People unfamiliar with science will say "well we have one paper not showing a link and another paper showing a link." This is misleading because the papers are NOT created equally. The scientific/methodological rigor of Ahlqvist is much stronger.

However a paper by Prada et al (2025) claims to show an association between acetaminophen in pregnancy and autism. However this was a systematic review with a bunch of observational studies and limited control for confounding. There's so much heterogeneity. This is weak.

Currently, the strongest study we have that examined this is by Ahlqvist et al (2024), a study of 2.5 MILLION children...its a prospectively controlled study and adjusted for confounders (environment, genetic). It showed no association between acetaminophen in pregnancy & autism

hi, medical toxicologist that knows a lot about Tylenol here👋 Claiming that tylenol use in pregnancy causes autism is fearmongering

here's what you need to know 🧵

Marge looking concerned and then Marge covering her mouth while smiling

*me working in pediatrics ER*

kid: do u play video games

kid’s dad: he’s a doctor of course he doesn’t play video games

me:

And good vibes 😎

you don’t have gram positive cocci growing in your blood stream, your body is just starving for vancomycin

“You’re not sick your body is starving” infographic that lists a bunch of diseases and things your body is “lacking”

thank goodness for this useless infographic now we know the cure for cancer is “minerals”

Don’t underestimate the cellulose in plant cell walls

chew your food please or it will get stuck in your esophagus and then you will have to go to the ER

and yes the culprit almost always is steak

Wait this lowkey looks good

Omg

RIGHT?

I KNOWWWWWWWW

So cute omgggg

Omggggg cuties!!!

Orange cat (Bucket) cuddling with dilute tortie (Pebble)

got a new kitten from the shelter and we named her Pebble and I was worried that our adult cat Bucket would be upset but it has been less than 2 weeks and I woke up this morning to this 🥰