Thread by @Jikkyleaks

Unhealthy Cheese 🧀🧀
#EMRgate 🧵

This is how it works.
Your hospital signs you up to an overseas EMR (health record) corporation.
They get your health data.
You get zip.

That data is used to generate artificial study data that promotes a drug, and Pharma makes $billions.

Here's an example. @addenbrookes hospital - one of the biggest hospitals in the country and a massive #BigPharma advocate...

Gives your health data to @epic.
What, you didn't know?
It's written in the T&C. Right at the bottom of a 4,400 word disclaimer.
Can't you see it?

Now comes the smart part.
Usually @NEJM or @thelancet are involved.
A noob medic comes along with a first author paper from a massive collaboration of people who don't know each other.

The noob puts together an analysis of a 900,000+ patient cohort. pubmed.ncbi.nlm.nih.gov/32864627/

There are 14 data sources from different countries.
>900,000 patients.
Data amassed over 20 years up to the same year of the publication (therefore limited time for analysis).
Cleaning, matching, imputing this data would take 2 years+.
@chrismartenson

Yet we are expected to believe that an orthopaedic registrar with no prior publication record did this in a couple of months.

Not possible.

The APPENDIX for the study alone is 130 pages.
pubmed.ncbi.nlm.nih.gov/?term=lane%2C+…

Multiple pharma and database companies were involved which would mean months of back & forth emails and agreements.

Some of the ethics approvals (where they bothered) would take months. ncbi.nlm.nih.gov/pmc/articles/P…

This is how we worked out that #surgisphere (#lancetgate) was fake.

Both @thelancet and @NEJM were involved, because they are simp journals for #BigPharma.

The study size prohibited any valid analysis in the time they proposed, it was impossible.

Which means these studies are either synthetic (created by modelling prior data sets gleaned by skimming your health data) or ghost written (written by Pharma employees with AI help).

In this case both of these things are likely to be true...

But @jennifercelane went along with it anyway. I have no idea what her contribution was but it looks like she was the "medic" front for a paper ghost written and produced by Pharma and @IQVIA_global who are the vaccine industry's data curators (or creators).

And here's the clincher.
This should have been a red flag to Jenny and @prieto_alhambra who was the supervising author.

You see, it's a simple fact that azithromycin isn't a treatment for rheumatoid arthritis. Nor a long term treatment for anything in common use.

So it's just not possible that a third of the cohort taking hydroxychloroquine were also taking azithromycin long term.

Find a rheumatologist and ask them how many patients on HCQ they also treat with azithromycin.

Zero. It's not a treatment.
pubmed.ncbi.nlm.nih.gov/?term=azithrom…

Long-term azithromycin use is rare - bronchiectasis and other unusual indications. If it's used long term (I've never seen someone on it) it would be low dose, not the doses suggested in this paper.

We're talking less than 1:10,000 people
pubmed.ncbi.nlm.nih.gov/?term=long-ter…

So the probability that one-third of a cohort of rheumatoid arthritis patients were also on long term azithromycin, when that is less than 1:10,000 people?

Zero.

I'm calling this paper fake until the data is available to public inspection...

"Patient level data not available".

So this paper must be assumed to be the 3rd in the #surgisphere #lancetgate scandal.

The 4th would have to be @bengoldacre's @OPENSAFELY paper in the @TheLancetRheum that is also not available to inspection.


All attempting to discredit #HCQpubmed.ncbi.nlm.nih.gov/33349815/

And all these papers (including the original #surgisphere papers) appear to have been ghost written, because it's not possible for the lead authors to do what they did in the time available.

And the real people that provided the health data have no idea that their data is being used to push a false Pharma narrative that is endangering them, and making billions for the pharma companies who then pump a few quid back into the institutions.

Bargain Basement Bribery

👆👆👆this is #EMRgate.

But this 👇👇👇 is just one thread of the back-story.

#surgisphere #surgisphere3 #EMRgate
@chrismartenson @FeeRedfern

Correction and apologies - @epic is not the twitter account of EPIC health care.... this was a typo.

Please feel free to remove your tag from the conversation as twitter doesn't let us edit or remove users from tweets

@chrismartenson @FeeRedfern BINGO and BOOM 💥💥💥

Here's your ghost writer.
Patrick Ryan of @OHDSI and @JanssenGlobal

The lead author should be the corresponding author.
If the corresponding author is not the lead author, it's because they don't want you asking questions of the lead author.

@chrismartenson @FeeRedfern @OHDSI @JanssenGlobal