BC HEALTH
Saved by @Mollyycolllinss

It “took a village” to “raise”/create Andrew Wakefield - it is common for everyone to back away once accountability happens but Andrew Wakefield did not do this all by himself.

What about medical culture and who is not policed on professionalism that allowed him to get so far?

 When I look at Wakefield, I see the same kind of lack of ethics evident in #Medbikini study

but Wakefield was far further down the spectrum

because he was doing invasive GI procedures on children for his study, funded by a lawyer

First: consent matters
Informed consent matters
What incentives exist in healthcare & academia that shaped his mindset & behaviors?

What was Wakefield rewarded for throughout his career?
Where did he NOT get questioned?

Look as this patent he had filed to compete vs MMR
Gibberish
+
His 🤑incentive

https://t.co/NRqXvBCGvB
Please note in his patent application Wakefield used those 12 samples that he cited in his @TheLancet study. He was not the only author. There were reviewers. There were editors. He was not alone in a cave. He was bullying his staff too

This was NOT “one man”
And lots of silence
“Joking” about kids crying & vomiting? Sounds like a massive jerk.

Erased/changed data

I have a hard time believing no one found him problematic before

Were people afraid to report?

When held accountable, he catastrophized, claiming he was being “persecuted”

Sound familiar?
Is Wakefield the only scientist or doctor funded by shady sources? Unfortunately no

Increasingly science serves the wealthy

The incredible irony is that he claims to be “exposing” the very thing that he himself is - HE was driven by money instead of sound science or ethics
My 🧵 on the pattern of anti-vaxxers targeting traumatized or marginalized groups - like refugees with valid distrust of authority/government - and/or those having a narrative of being “done wrong “by the system.

Wakefield claims his being held accountable = “persecution”
=hook https://t.co/l7XRK7jGoV
people who are manipulative & have no concern about harm/consequences they cause others

can be very good at storytelling

engage others’ emotions
tap into emotions of trauma

while themselves focus on wealth, fame, power

=manipulate emotions
use a “hook”
https://t.co/AFkQK0U5nz
Am unapologetic on protecting medical students’ & trainees’ ability to report
+
psychological safety

Check Wakefield types early
Who abuses power?
Students know

This hit piece written on me

Notice “hook” of unrelated shocking event to trigger emotions

https://t.co/jmiiBZ2OgI
Anyone who follows me knows I tweet incessantly on every topic

“vet” & “verify” = my mantra
my credibility as an expert witness depends on being factual

Regardless of individuals in question, professionalism must entail

-consistent standards
-verified facts
-verified identity
Personally, as a pediatrician, working in vulnerable & marginalized populations like refugees, the reviewers & editors that I face are EXTREMELY stringent on ethical standards

I don’t understand why we have repeated examples of others bypassing this level of scrutiny/standards
I happen to have a name that is likely unique in the world as well as throughout human history given the unusual spelling of multiple names.

I am not at risk of this kind of mistaken identity but many people I know who are Muslim are, even babies.

“Verify” for identity matters. https://t.co/gZTw0LXwHY
Can you honestly tell me that this Black male doctor

has ANY chance of ever committing the level of ethical violation & harm to our profession as Wakefield?

He was handcuffed for #publichealth best practices & volunteering

Our bias = wrong policing

https://t.co/HVr0xY2GsQ
There is SOOO much written on the problems with #Professionalism

= exactly WHY we end up with people like Wakefield
who get through gate after gate

while others, doing the RIGHT thing

are held back on petty issues or pushed out
FOR doing exactly what they were asked
The narrative that Wakefield

is an aberration
an individual who uniquely did unusual harm to our profession

is a false narrative

that fails to attribute accountability appropriately

Wakefield is a predictable result of our system

Who is rewarded for acting without #ethics?
@threadreaderapp please unroll

More from Health

Plum
Plum
@getplumhq
12 things you should look out for before buying health insurance

A thread 🧵

It’s a good idea to make sure your health is protected under an insurance policy so that you don’t shell out large sums of money for hospitalization and treatment. But buying an individual health insurance policy can be daunting in itself.

Websites and policy documents can be overwhelming. There’s a lot of loaded terms, there’s a whole bunch of things that your policy may or may not cover. It’s important to know and understand the details though, so you’re not surprised later.

In this thread, we'll talk about the things you absolutely need to watch out for when buying an individual health insurance policy for yourself or your family members :)

If you take an individual health insurance policy and the insurance company offers to pay up to ₹15 lakhs during the year whenever you’re diagnosed with a disease or meet an accident, that amount is the 'sum insured'.
HEALTH
matthew remski
matthew remski
@matthewremski
A staple of anti-lockdown conspiracism in yoga/wellness is that public health measures are oppressive, authoritarian, and stifling what it means to be human. Masks suppress identity and speech. Vaccines assault the sovereign body. Influencers must rise up against tyranny! /1

Ironically, pandemic management in economies where yoga/wellness is lucrative has been a neoliberal, choose-your-own-adventure mess in which centre-right governments barter with public health to enact a patchwork of half-measures that punish the poor and marginalized. /2

The goal is not universal health rights, or protecting medical systems, or saving as many lives as possible. The goal is to return to business-as-usual, using public health as a pit stop on a productivity race off a cliff. The ice caps aren’t melting fast enough, I guess. /3

Right-leaning governments, like influencers, have assessed the COVID threat with the magical bias of limitless optimism. Then they work to normalize COVID casualties as a new cost of doing business. *This* is what alt-healthers and Qamoms call “socialist”, or “communist”. /4

Centre-right governments and wellness influencers share a goal: get back to the optimism of making productivity heroic and consumption virtuous, without any reflection on structural issues of injustice, or what universal health care funding and standards would look like. /5
HEALTH
Advertisement
katya
katya
@kazbek
it seems to me that not many know that navalny is an avowed nationalist & racist and not just a blonde guy who likes to gently kiss his blonde wife before going to jail and watches “rick & morty”. so here’s a little thread and some of it is pretty personal.

here is navalny’s 2007 video. “a tooth without a root is called “dead”. a nationalist is someone who doesn’t want the russian root to be removed from the word “russia”. we have the right to be russian in russia, and we will defend it.”


i downloaded it to make sure it won’t disappear but it is still shared by navalny’s official youtube channel. btw, in this video, navalny is introduced in the caption as a “certified nationalist”.

here is another video navalny is not keen to share anymore, in which he compares muslims to cockroaches and flies and recommends shooting them with guns if swatters and shoes

here is a 2011 interview with navalny where he explains why he goes to the so-called “russian march”, a yearly nationalist gathering, and why he thinks it’s ok to collaborate with
HEALTH
Rebecca Fitzgerald Lab
Rebecca Fitzgerald Lab
@RFitzgerald_lab
Here is a tweetorial from our latest publication in @Annals_Oncology about longitudinal tracking of esophageal adenocarcinoma. #OesophagealCancer #EsophagealCancer https://t.co/QWvrzBXmK7 1/8

We sequenced 245 plasma samples from 97 patients with oesophageal adenocarcinoma using a 77 gene pan-cancer ctDNA panel. 2/8


Variants derived from previously characterised driver oesophageal adenocarcinoma genes had a significantly higher VAF than variants from other genes, indicating selection. 3/8


Peripheral blood cell samples were also sequenced for 78/97 patients. CHIP mutations were identified in 23% of cases, longitudinal tracking of CHIP variants suggested these variants were dynamic over time. 4/8


We found patients that were ctDNA positive post-surgery had a significantly poorer survival than ctDNA negative patients, and the elimination of CHIP variants improved the positive predictive value. 5/8
HEALTH , FOR LATER READ
Hugh Alderwick
Hugh Alderwick
@hughalderwick
New NHS reforms announced today. Seems to be a story of two parts, plus a missing character. Quick thoughts (1/):

Part 1 of the story is a set of technical fixes wanted by NHS leaders to encourage collaboration in the health system. The direction here makes sense—and fits with what the NHS has been doing for ages. Competition is (mostly) out; collaboration is in: good (2/)

And the need for legal changes to tidy the mess left by Lansley’s 2012 Act has long been recognized. But... (3/)

The benefits of integration are often way overstated, and the risk of reorganizations underplayed. In its first 30 years, the NHS’s structure was relatively stable. But over the past 30, the NHS in England has been on an almost constant treadmill of reform and reorganization (4/)

Overall, evidence suggests that previous reorganizations have delivered little measurable benefit. They can also distract and disrupt, depending on how they’re done. The list of other things for the NHS to be doing during and after the pandemic is very long. So be cautious (5/)
HEALTH

You May Also Like

Kevin Murphy
Kevin Murphy
@kwmurphy
Okay look - I didn’t grow up with comic books. But I read stacks of science fiction digests and I kit-bashed model cars into fantasy rods, and just tried to maintain a low profile until I could get out of the house. So you could say I’m a distant cousin of the comic book fan. /1

And sometimes one’s childhood passion follows them into adulthood, sometimes not, sometimes as an adult one finds a passion they never had as a child and embraces it. For me, that must include getting involved with a puppet show at the age of thirty. /2

So who’s to say whose passion’s legitimate and whose is bogus? Nobody. Someone might indict your passion but they have no ground to stand on and should be dismissed out of hand. /3

Maybe they’re envious that you have a passion, maybe they think that their passion is cooler than yours, or maybe they’re just insecure, who knows. Doesn’t matter. /4

What matters is that if something gives you joy, and in the process doesn’t hurt others, then by all means follow it. It’s how we explore our secret hopes, our shadow sides, our inner character. /5
CULTURE
Patrick McKenzie
Patrick McKenzie
@patio11
It’s underremarked upon that stablecoins accomplish basically all of the original design goals for Bitcoin qua a transactional mechanism (instant free value transfer anywhere), but that nobody cares about this because nobody ever cared about that part of the pitch.

“Why do people care about stablecoins then?”

A mix of “they encourage dollar-denominated liquidity in the cryptocurrency ecosystem and discourage withdrawal of the same” and “they’re good for money laundering.”

“But they make value transfer between exchanges much faster!”

This was a solved problem in traditional finance, too, mostly through the extension of credit. (It doesn’t matter how long settlement takes if there is sufficient trust to enable credit.)

The Bitcoin ecosystem is *positively allergic* to credit, so you have to call it a coin for them to accept it. And after you call it a coin they ignore everything the world has learned about credit, like risk management.

“Stablecoins aren’t credit!”

They’re pretty much exactly credit? A tether is a zero-coupon Bitfinex bond with a non-functioning call option. I
TECH
Advertisement
katya adler
katya adler
@BBCkatyaadler
Again, at such a key moment in UK and at such high political levels, evidence of deep misunderstanding of EU: The PM is under pressure in some quarters to delay #Brexit vote to allow her first to “improve” deal in Brussels BUT EU is determined not to budge at this stage

2) All EU leaders watching tomorrow’s vote. Of course they want to avoid a no deal #Brexit BUT they feel the deal - so painfully negotiated between EU and UK - is too fresh to re-open. Clarifications, yes but fundamental renegotiations, no.

3) The EU’s international reputation as a tough deal-maker is at stake here too. If Brussels now suddenly “gives in” to U.K. on EU red lines (eg backstop) then that would weaken the EU’s reputation in future trade negotiations with other non EU countries

4) Also on backstop the EU is unlikely to cave in to favour a relationship with a leaving member state (UK) against the explicit wishes and ignoring the deep concerns of a continuing member: Ireland.

5) Both the EU and the PM signed up to a guarantee to protect the border between Northern Ireland and the Republic of Ireland. If either the U.K. or EU can leave the backstop unilaterally then this clearly is no longer a guarantee.
POLITICS
ArmaniTalks \U0001f399\U0001f525
ArmaniTalks 🎙🔥...
@ArmaniTalks
Your Most PRECIOUS Currencies:

-Energy

-Time

-Attention

-Trust

-Love

-Loyalty

-Respect

Only give these currencies to high value people. Never spend these currencies on low value shitheads eg: trolls, weasels, snakes, naysayers etc.

'Wait, I thought money was the most important currency?'

Nah.

Once you adopt abundance mentality, you realize their is no shortage of money.

Making the dollars your most important currency will have you leading an empty life.

Time to flip your perspective.

👇

▪Energy

When you strip yourself to the core, you are an emotional creature.

Emotions are your internal worlds energy.

Harnessing that energy is crucial for leveraging yourself to obtain whatever you want.

You have a finite amount everyday, so spend it wisely.

▪Time

A second that is lost will never be returned.

You start valuing the hell out of this currency the more you mature.

As the years start adding up, you realize time is precious.

You must always have a scarcity mindset towards time.

Once you do so, you will not be lazy.

▪Attention

You can be here, but not present.

Attention is completely mental.

Giving someone your attention means you are clearing up mental bandwidth to make room for them.

Only give your attention to people who help you grow.

For the negative ones?

Ignore their existence
LIFE
Chuck Wendig
Chuck Wendig
@ChuckWendig
TRUMP: "I've decided to eat babies."

PEOPLE: "He can't eat babies, that's super illegal."

TRUMP, on TV, eating babies, not even cooking them first: "People are saying that I really am the best baby-eater, folks."

NYT: "Trump Vs. Babies: The Rhetoric On Both Sides Must Stop"

Jeff Flake tweets: "It is a sad day in America when this callous man can eat babies live on TV"

Jeff Flake, 10 seconds later, votes to help him install a series of 4,000 new judges that are very, very pro-babyphagia.

Judge Kavanaugh, found drunk in a Capitol Hill closet: "I LIKE BEER. OKAY? I LIKE BEER AND I LIKE BABIES AND THAT'S NOT SO WRONG. THAT'S RIGHT. I LIKE BABIES DIPPED IN BEER. I JUST DIP EM. IN THE BEER. THE BABIES. THE BABIES I EAT. OKAY? THAT'S AMERICA."

Mike Pence, wringing his hands about the baby-eating: "We must take care of our children. Our youngest must be protected on this troubling day."

Mike Pence then invites a Baby Chef to say a prayer.

Twitter Users: "It's a distraction technique! Trump eating babies is trying to DISTRACT YOU from ALL THE OTHER HORRORS, which are themselves distractions from the BABY-EATING. It's DISTRACTIONS ALL THE WAY DOWN."

Trump: *eats tons of babies at a rally*

*literal tons of babies*
POLITICS