ToxNow

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Discussion of current and past medical toxicology cases, issues, research. Sex, drugs and rock'n'roll, but mostly drugs.

ToxNow


    • Sep 23, 2019 LATEST EPISODE
    • infrequent NEW EPISODES
    • 36m AVG DURATION
    • 45 EPISODES


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    Latest episodes from ToxNow

    ToxNow FemToxx Episode 3: Shireen Banerji

    Play Episode Listen Later Sep 23, 2019 24:34


    In this episode we continue our FemToxx podcast from Dr Jennie Buchanan. We talk to  Shireen Banerji about her career in tox, where she started and what inspired her. We ask her about being a woman in tox. And pass along some clinical pearls.  #ILookLikeAToxicologist

    ToxNow FemToxx Episode 2: Saralyn Williams

    Play Episode Listen Later Dec 27, 2018 22:30


    In this episode we continue our FemToxx podcast from Dr Jennie Buchanan. We talk to Dr. Saralyn Williams about her career in tox, where she started and what inspired her. We ask her about being a woman in tox. And pass along some clinical pearls.  #ILookLikeAToxicologist   [...]

    ToxNow FemToxx Episode 1: Tammi Schaeffer

    Play Episode Listen Later Sep 6, 2018 15:10


    In this episode we introduce a new FemToxx podcast from Dr Jennie Buchanan. In this inaugural episode we talk to Dr. Tammi Schaeffer about her career in tox, where she started and what inspired her. We ask her about being a woman in tox. And pass along some clinical [...]

    Episode 42 Lewis Goldfrank

    Play Episode Listen Later Jun 1, 2018 20:51


    In this episode we talk to Lewis Goldfrank about his early life and how he ended up in Emergency Medicine and Medical Toxicology and the creation of Goldfrank’s Toxicologic Emergencies

    Episode 41 Kratom: Friend or Foe

    Play Episode Listen Later Apr 7, 2018 22:16


    In this episode we talk to Ed Boyer about Kratom, pharmacology, legal status, and discuss recent reports of adverse effects. Boyer et al Self-treatment of opioid withdrawal using kratom (Mitragynia speciosa korth) FDA response to Kratom Bradford Hill Criteria [...]

    Episode 40 Tox N Shakespeare

    Play Episode Listen Later Feb 11, 2018 37:15


    In this episode Nick Brandehoff and Robin Brandehoff help us look at the toxins in several of William Shakespeare’s plays. Some assorted links to materials we reference are below: Complete Works of William Shakespeare The Poison Garden on Water [...]

    Episode 39 Tox Ultrasound

    Play Episode Listen Later Dec 14, 2017 37:56


    On this episode we talk to Kennon Heard, Juliana Wilson, and Resa E. Lewiss about using ultrasound in calcium channel blocker overdose. We look at some cases from a case series. More info on bedside echo 

    Episode 38 Infant Death from Myocarditis After THC

    Play Episode Listen Later Nov 20, 2017 11:18


    A special hot off the presses edition where we talk to Chris Hoyte (@TheGoldenMean) about his recent case report and the controversy surrounding it. Links to some of the articles referenced can be found here. Get tips for scientists talking to reporters

    Episode 37 Kids on Pot

    Play Episode Listen Later Sep 25, 2017 38:12


    In this episode we partner with Jason Woods (@jwoodsmd) at LittleBigMed.com to talk with Sam Wang about pediatric marijuana exposures in Colorado.

    Episode 36 PSA on First Responders and Fentanyl

    Play Episode Listen Later Aug 14, 2017 18:06


    On this episode we talk to Andrew Stolbach (@toxicologist12) about the recent position statement on preventing fentanyl exposure in EMS. We discuss the science behind it, the stories that prompted it, and call for a return to reason.

    Episode 35 Gonna Be a Sickee

    Play Episode Listen Later Aug 8, 2017 24:58


    On this episode we talk to James Tsahakis about a sick patient with wide complex tachycardia in setting of TCA toxicity. More on mag for TCA toxicity here.

    Episode 34 U What?

    Play Episode Listen Later May 25, 2017 16:11


    On this episode, we talk to toxicologist Kristina Domanski about a recent case of exposure to the novel drug U47700. Article available here.

    Episode 33 Adventures in Alcohol

    Play Episode Listen Later Jan 26, 2017 47:13


    In this episode, we explore an alcoholic with an acidosis. Contributors include Kennon Heard, Kathryn Eastley, Michael Overbeck, and Matt Zuckerman.

    Episode 32 Dr Rumack I Presume

    Play Episode Listen Later Dec 15, 2016 39:37


    In this episode we are excited to talk to Barry Rumack about his life in toxicology, the eponymous nomogram, and future directions in toxicology and acetaminophen.

    Episode 31 Performance Enhancing Drugs Part 2: Cycling Is Tough

    Play Episode Listen Later Jul 12, 2016 33:14


    In this episode we talk to Chris Hoyte from RMPDC about Lance Armstrong, blood doping, and the biological passport. This is the second part of a two part interview.

    Episode 30 Performance Enhancing Drugs

    Play Episode Listen Later Jun 13, 2016 41:46


    In this episode we talk to Chris Hoyte from RMPDC about steroids, hormones, and other performance enhancing drugs. This is the first part of of a two part interview.

    Episode 29 Boxed Wine and Poison

    Play Episode Listen Later Feb 19, 2016 33:16


    In this episode we talk to Tom Nappe from RMPDC and Brennen Griffin from our ED. We’re talking about a depressed farmer with awake seizures. We’ll also talk about an underutilized alternative to lidocaine for patients with a severe allergy. Checkout the article we mention here and the blogpost on the lidocaine [...]

    Episode 28 NACCT and Marijuana While Driving

    Play Episode Listen Later Dec 8, 2015 52:17


    In this episode we talk to Brett Marlin, Tom Nappe, & Chris Hoyte about NACCT 2015. Later we talk to Rebecca Hartman about her research on how marijuana affects driving skills. Checkout the article here. Hosted by Matthew Zuckerman. Support from AACT.  

    Episode 27 Mobile Biosensors

    Play Episode Listen Later Oct 23, 2015 31:27


    On this episode we talk to Ed Boyer and Stephanie Carreiro about using portable wrist bracelet biosensors to help monitor and understand drug use in the field. A link to their article may be found here.

    Episode 26 : H Impairment Index

    Play Episode Listen Later May 28, 2015 45:24


    In this episode we talk to Jason Hack about an index to quantify alcohol impairment. We also discuss a change in name and direction at the podcast. Checkout the H Index article. Additionally, download your own starter pack to try out the HII score. Contributors include Matthew Zuckerman and Jason [...]

    Episode 25 Lipid Rescue Part 2

    Play Episode Listen Later Feb 27, 2015 45:11


    In this episode we have the second half of our interview with Guy Weinburg and Michael Fettiplace about developments in lipid rescue, more than just a “lipid sink”. Contributors include Matthew Zuckeman, Michael Fettiplace, and Guy Weinburg. More info at LipidRescue.org

    Episode 24 Lipid Rescue Part 1

    Play Episode Listen Later Feb 20, 2015 22:28


    In this episode we have the first half of our interview with Guy Weinberg where we talk about the history and development of lipid rescue. Contributors include Matthew Zuckerman and Guy Weinberg. More info at LipidRescue.org   Articles featured Weinberg GL, VadeBoncouer T, Ramaraju GA, Garcia-Amaro MF, Cwik MJ. Pretreatment or resuscitation [...]

    Episode 23 Mushroom Poisoning

    Play Episode Listen Later Nov 16, 2014 50:14


    In this episode we talk about the spectrum of mushroom poisoning from Amanita to magic mushrooms. Contributors include Matthew Zuckerman and the UMass Toxicology team Kavita Babu, Katie Boyle, Lynn Farrugia, Stephanie Carreiro, Peter Chai, and Viral Patel along with Mark Neavyn. Mushroom pictures are available here.

    Episode 22 Not That Kind of Mustard

    Play Episode Listen Later Jul 13, 2014 21:41


    In this episode we talk to Dr. Kathryn Weibrecht about a US case of mustard exposure and how to identify and treat these cases. MMWR case series can be found here and a link to the case in Annals can be found here. Contributors include Matthew Zuckerman and Kat Weibrecht.

    Episode 21 Here Today, Gone Tomorrow?

    Play Episode Listen Later May 15, 2014 40:30


    In this episode we talk to Dr. Leo Schep from the National Poisons Centre of New Zealand about the country’s experience with regulating synthetic cannabinoids, known there as “Legal Highs”. Afterwards, you’ll get a first peek at the new talking naloxone autoinjector. Contributors include Matthew Zuckerman and Leo Schep from University of Otago. More [...]

    Episode 20 Acetyl Fentanyl and CDC

    Play Episode Listen Later Mar 15, 2014 42:09


    In this episode we talk to Katherine Kimbrell, an EM doc in RI, as well as Matt Lozier and Molly Boyd from CDC about the emerging acetyl fentanyl deaths and their investigation

    Episode 19 Suicide Gas

    Play Episode Listen Later Jan 21, 2014 23:41


    In this episode we talk about a mystery gas increasingly used in suicides and get a first hand account from Nick Connors from the NYCPCC.  Articles mentioned are available here and a link to the Frontline documentary. Contributors include Nick Connors and Matt Zuckerman.

    Episode 18 Medical Child Abuse Conference

    Play Episode Listen Later Nov 12, 2013 65:49


    For this episode we recorded a joint conference with the Aubin Child Protection Center at Hasbro Children’s Hospital. The team discusses evaluating a child for medical child abuse and the unique challenge of interpreting lab results.

    Episode 17 Krokodil Kraze

    Play Episode Listen Later Oct 10, 2013 22:56


    In this episode, we talk to Maximilian Gahr about the US emergence of desomorphine (Krokodil) and implications for investigation and treatment. Reports coming out of Arizona and Illinois, are reminiscent of past reports from Germany. Dr. Gahr’s articles on Krokodil can be found here. Contributors include Matthew Zuckerman and Maximilian Gahr.

    Episode 16 Sarin in Syria

    Play Episode Listen Later Sep 7, 2013 21:25


    In this special episode we follow up with Steve Bird to talk about what kinds of confirmatory tests are going on to determine if Sarin was used in Syria. This is a follow up to Episode 7 where we talked about the toxicology of organophosphates and nerve agents. Contributors include Matt [...]

    Episode 15 The Lost Weekend and Alcohol Withdrawal

    Play Episode Listen Later Jul 31, 2013 35:31


    In this episode we talk to Timothy Wiegand from Rochester about treating the toxicity associated with alcohol and alcohol withdrawal. This was prompted by a recent ACMT pre-symposium in Puerto Rico. We also refer to work by Jose Maldonado with a nice full text review available here. Contributors include [...]

    Episode 14 Psychoactives and Activists Part 2

    Play Episode Listen Later Jun 3, 2013 24:56


    In this episode we are very pleased to be able to interview Earth and Fire Erowid, the founders and directors of the Erowid website and center. We discuss the origins of the site, their mission regarding educating about drug use, and how that interfaces with what we do as [...]

    Episode 13 Psychoactives and Activists Part 1

    Play Episode Listen Later May 27, 2013 32:35


    In this episode we are very pleased to be able to interview Earth and Fire Erowid, the founders and directors of the Erowid website and center. We discuss the origins of the site, their mission regarding educating about drug use, and how that interfaces with what we do as [...]

    Episode 12 Ricin, Poison Mail, and the KGB

    Play Episode Listen Later Apr 25, 2013 17:12


    In this special edition episode we talk about ricin and address some of the panic in the press about recent letters being sent to the President and other officials. The whole story involves the KGB, poison beans, tainted mail, Elvis impersonators and ends up in the land that brought us Ed Boyer. Contributors include Matt [...]

    Episode 11 Libyan Methanol Disaster

    Play Episode Listen Later Apr 22, 2013 47:31


    In this episode we discuss a recent outbreak of Methanol poisoning in Libya that has killed dozens and injured hundreds. It’s also a great exposure to various toxic alcohols. This is a panel discussion with Matt Zuckerman, Richard Church, Christina Hernon, Mark Neavyn, and Steve Bird.

    Episode 10 When Morphine Hurts

    Play Episode Listen Later Mar 29, 2013 44:35


    In this episode we talk to Eric Brush about hyperalgesia, when opiate use leads to increased pain. We’ll also talk to Steve Bird about some strategies to use when treating acute pain in patients who chronically use opiates.  A must listen for anyone who sees patients on chronic opioids, treats pain in patients with chronic [...]

    Episode 9 Brazilian Toxicology

    Play Episode Listen Later Dec 17, 2012 30:41


    On this episode we discuss metamizole with Brazilian toxicologist Dr. Anthony Wong of the University of São Paulo. Contributors include Stephanie Weiss, Matt Zuckerman, and Anthony Wong. More information on metamizole and its effects is available here.

    Episode 8 NACCT 2012: Vegas, Baby

    Play Episode Listen Later Oct 30, 2012 33:17


    On this episode we discuss the latest NACCT tox conference in Las Vegas, Nevada. Hear about toxicologist throw downs, Where are the Benjamins in toxicology, and Tox Icons betting it all on black. Contributors include Jen Carey, Mark Neavyn, and Matt Zuckerman.

    Episode 7 Organophosphates

    Play Episode Listen Later Aug 21, 2012 42:12


    On this episode we discuss organophosphate poisoning including nerve agents and insecticides.  Contributors include Matt Zuckerman, Steve Bird, and Adam Darnobid with a shoutout to Jason Hack.

    Episode 6 Arsenic and Apple Juice

    Play Episode Listen Later Mar 9, 2012 59:22


    In this episode we talk about physostigmine for anticholinergic delirium and arsenic in your apple juice. Contributors include Matt Zuckerman and Chuck McKay.

    Episode 5 Best Articles of 2011

    Play Episode Listen Later Feb 7, 2012 60:41


    In this episode we discuss the best articles of 2011 and also request listener questions for our new “stump the toxicologist segment”. Contributors include Matt Zuckerman, Stephanie Weiss, Christina Hernon, Ed Boyer, and Rich Church Articles discussed in this segment include: Stephanie’s Snake Bite Article (Subst Abus. 2011 Jan;32(1):43-6.) Matt’s AHA Snake [...]

    Episode 4 Medical Marijuana and more

    Play Episode Listen Later Dec 30, 2011 53:06


    On this episode we discuss medical marijuana, give a tox pearl, and respond to listener questions. We also announce our T-shirt contest! Ed lists some of his preferred Tox references. Contributors include Matt Zuckerman, Bob Hoffman, Brian Wolk, and Ed Boyer.

    Episode 3 Halloween and Dabigatran

    Play Episode Listen Later Nov 22, 2011 76:06


    On this months episode we talk about spooky Halloween toxicology. What might that be? Listen and find out. Additionally, we cover something even scarier, uncontrollable bleeding. Contributors include Matt Zuckerman, Ed Boyer, Stephanie Weiss, Kavita Babu, and Scott Glazier. As noted in the podcast, here is a link to MedWatch and to the [...]

    Supplement 1 Tox History and Physical

    Play Episode Listen Later Oct 27, 2011 54:02


    In this supplement, we’ll be talking about the Toxicology History and Physical. Contributors include Sean Rhyee, Adam Darnobid, and Matt Zuckerman. As mentioned in the podcast, our friends at EMCrit have some advice for using an iPhone app to make it easier to pickup subtle eye movement abnormalities such as nystagmus. Click here [...]

    Episode 2 Agitated Delirium and NACCT

    Play Episode Listen Later Oct 14, 2011 79:08


    In the  episode, we’ll be talking about agitated delirium, as well as our experience at NACCT, and a Tox pearl. Contributors include Matt Zuckerman, Steve Bird, Adam Darnobid, Stephanie Weiss, Ed Boyer, and Kavita Babu.

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