Perhaps the most exciting aspect of practicing as a medical toxicologist is the likelihood of encountering a truly bizarre clinical scenario on any given day. Unlike other medical specialists, the toxicologist deals only peripherally with natural illness. Our “bread and butter” is the toxic effect of xenobiotics, often when taken in doses never intended and, more important, rarely studied. Although we also manage common and anticipated adverse effects of pharmaceuticals, we are equally likely to encounter idiopathic drug effects, such as hypersensitivity reactions or neuroleptic malignant syndrome, or events resulting from drug interactions, like serotonin syndrome. And of course, there is the vast variety of environmental exposures, envenomations, and various routes of self-administration of commercial and household products. Despite the wide variety of exposures we encounter, only