Archive for March 2018

Must-read article: America’s Misguided War on Childhood Lead Exposures

March 23, 2018, 12:58 am

Photo: shutterstock/jamie hooper

Very soon, the Centers for Disease Control and Prevention “reference level” for blood lead concentration will be lowered from 5 μg/dL to 3.5 μg/dL. As Charles Schmidt  explains in his superb well-researched article “America’s Misguided War on Childhood Lead Exposures” just published by Undark Magazine, there are several crucially important things to realize about this …

Read More »

A diagnosis you can’t afford to miss

March 2, 2018, 1:14 pm


Antibody-Mediated Encephalitis. Dalmau J, Graus F. N Engl J Med 2018 Mar 1;378:840-851.


TPR has posted before about anti-NMDA receptor encephalitis, a must-know, can’t-miss, humbling diagnosis that is distressingly easy to overlook. Although it is not a toxicologic condition, all toxicologists and emergency physicians should be thoroughly familiar with its presentation and clinical course. Let me explain why.…

Read More »