If I had a Nickel (Mystery Case) & Toxicologist vs The internet (#13) with Dr. Damilola Idowu-Ellsworth
The Poison Lab · Clinical Toxicology LLC
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Show Notes
In this episode of The Poison Lab, host Ryan Feldman is joined by medical toxicologist Damilola Idowu‑Ellsworth for a fast-moving, case-heavy conversation packed with clinical pearls, listener participation, and classic toxicology weirdness.
The show opens with listener guesses for the previously released mystery case before diving headfirst into a rapid-fire series of Stump the Toxicologist cases—questions pulled straight from the internet and real-world toxicology problem-solving. Along the way, Ryan and Dami cover everything from rodenticides and drug-testing myths to how to clean a benzodiazepine bottle, plus one of the most toxic substances you’ve probably never heard of.
One lucky listener also wins a copy of Poisonous Fungus Amongus, and a shout-out to the newly released second edition featuring photography from expert mycologists.
Skip the listener guesses and jump straight to the mystery toxin: 38:15
The rest of the episode is Dr. Idowu and Ryan discuss the topics below. Looking for timestamps? Join the supporting member feed!
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Stump the Toxicologist – Case Discussions
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Case #1
- A methemoglobinemia, renal failure inducing enema
Case #2
- Wide-complex dysrhythmia from an over-the-counter topical
- Bonus - Paper from Ryan on the topical toxicity (or lack there of) of this product
Case #3
- Black stools, seizures, high sodium and low potassium after trying to beat a drug test.
Case #4
- GCS 15 and normal vitals… until they’re not — delayed seizures, neurologic collapse, and a toxicologic time bomb.
- Paper from Ryan on this tricky toxic time bomb
Internet & Listener Questions
- Do GLP-1 agonists release toxins from fat and how might that impact drugged driving laws with THC?
- Why do sedatives make you twitch?
- Not all benzos are Xanax
- What shape is a ketamine crystal
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- Discounts and give aways on GOTA PICCEM Mushroom card game
The GOTTA PICCEM Poisonous Mushroom Game!
The Poisonus Fungus Amongus Children's Book!
Tox trinkets (Rep the show at home!)
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