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

patents.google.com/patent/US65342…
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
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”
blog.hubspot.com/agency/hook-au…
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

medium.com/@smojarad/onli…
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.
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

nbcnews.com/news/amp/ncna1…
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?
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More from @usnehal

10 Jan
Keep in mind how imprecise the “no fly” list has been. Even babies ended up on the list. Being able to fly to attend a funeral or wedding is a lot bigger deal than being able to tweet, that too when you have official media people working for you. Endangering lives = consequences
“their infant, identified only as Riyanna, had boarded ...ask them to get off the plane”

“‘computer glitch’ 18-month-old daughter..on a government no-fly list”

“..’put on display like a circus act because my wife wears a hijab,’ Riyanna’s father said.”

cnn.com/2012/05/10/tra…
If you are 18 months it is a bit easier to prove that you are in fact innocent of the allegation that you are a terrorist (altho I have heard people say that the only good Muslim is a dead one which includes babies)

But how many others have had rights curtailed as “precaution”?
Read 6 tweets
10 Jan
“There's also a double standard for reporting on ‘protests’ and ‘riots.’ And an unwillingness to say ‘terrorism’ when the terrorists are white.”

linkedin.com/posts/suzanne-…
“For example, Ghislaine Maxwell is often described as ‘sourcing’ girls who were ‘abused.’ This softening language does not accurately frame her crimes the way ‘sex trafficking’ and ‘raped’ does”

Case in point
You stalk/ensnare 14 year olds, not “recruit”
vanityfair.com/style/2020/10/…
This title accurately describes the charges but likely should use “alleged” until conviction.

Notice difference in “recruited” (as if for a modeling job) vs “child trafficker”? Do you *feel* different things to those words?

trillmag.com/75045/read/new…
Read 4 tweets
10 Jan
Initially I was a bit wary but after speaking with @londyloo and learning all her tweets were all already in news articles, yes, I understand this approach.

Many people in our profession remain in denial that is was “us”, some of us, at least.

Wake up. These are our peers.
The reason it matters
reason that I support @londyloo in her approach:

If you work for the government, receive a salary that WE the PEOPLE pay for with OUR tax dollars, have taken an oath to uphold the CONSTITUTION

Accountability

It is necessary for integrity
& trust in system
Who do we entrust with shaping/enforcing our system of laws? If you are a legislator, law enforcement officer, an elected official, you CHOSE a job about rule of law & CHOSE to assume a position of power/authority. There are responsibilities to respect rule of law and processes.
Read 12 tweets
9 Jan
So... identify & hold accountable.

Shame is often cited as a way to fix things but shame is the other side of the coin of pride. Shame causes people to reject then join “proud boys” to counter and find “safety” in an echo chamber & “tribe.”

Let’s instead focus on rule of law.
When I think of “shame” I think of the Puritans who led witch trials, killing women who were different and disrupted norms or I think of those who stone women to death. Shame is what happens when “honor” lost. When KKK rides to “protect” white women’s “honor” or “honor killings”
We need to eradicate shame, in fact. It has too much of a violent, ugly history of social control, engaging the limbic system & lizard brain, most often is used against those who are different

Let’s NOT use that when the point is that we live in a Constitutional federal republic
Read 12 tweets
8 Jan
Recently @JAMA_current published an OpEd about #SoMe harassment, framing it as a problem women experience

It fails to acknowledge the danger/assault/harassment Black boys and men face from white women like this, in person or online
Same for LGBTQ men

Women not the only victims
American feminism and the role of white women & damsel in distress in relation to Black men in America

has a deep and ugly history

that keeps popping up in current affairs, like Amy Cooper in Central Park calling 911 on a birdwatching Black man asking her to respect rules
@JAMA_current’s failure to frame this as an inherently intersectional issue has multiple implications for #SciComm at a time we need to be using correct frames.

First gender is not binary.

An opening line of women vs men excludes spectrum of #LGBTQ & or experience of Black men. Image
Read 6 tweets
7 Jan
Look, if you all don’t want the donuts, no problem... more for me. 😁
I mean, before the pandemic, at a fancy schmancy MBA event in NYC, I literally put two cider donuts, wrapped in napkins, in my purse. After you have subsisted on a steady diet of hospital saltines, peanut butter, & graham crackers, one becomes shameless.
Also: child of immigrants
Exhibit A
Read 4 tweets

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