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Tyler Black, MD

@tylerblack32

28 Jan

To all health trainees, there is an important lesson to be learned that will one day present itself to you, and if you aren't met with wisdom, kindness, and experience, can crush you.

"Not everyone can be saved."

/1

This lesson doesn't care if you work with children. The lesson disregards motherhood. The lesson disregards kindness or generosity or even fairness. It can disregard your effort or even following all the best advice.

Medicine, unfortunately, is cruel in this way.

/2

Your efforts should always be directed at the core of:
* Providing the best care with best effort
* Advocating for your patients needs
* Reducing barriers
* Respecting autonomy

But, unfortunately, all of these things are not magical, and they do not negate the lesson.

/3

Read 6 tweets

Tyler Black, MD

@tylerblack32

22 Jan

Canadian Suicidology:

Summing BC and Alberta, 2020 has seen a 14.8% decrease in suicides from 2019 to 2020 (+/- 8.6%).

In Canada, there has been no "COVID effect" increasing suicide rates, in fact, our evidence thus far suggests a decrease.

@StanKutcher

The Chicken Littles of the media will always be quick to proclaim that the sky is falling with respect to a new stressor and suicides, but @StanKutcher and I were right to call publically for all to "settle down" about the "tsunami of suicide"

thestar.com/news/canada/20…

@rachelmendleson

Huge thank you to @rachelmendleson who was one of the only reporters to speak with me at the time about my position of cautious optimism/"let the data tell us" approach. Pushing back against moral panics requires the media's assistance.

Read 4 tweets

Tyler Black, MD

@tylerblack32

22 Jan

Japan 2020 Suicide Rates have now been reported (there will likely be slight changes in a few months). Overall, suicide rates mostly the same, however a subgrouping shows an increase in female suicides (+15%), whereas males decreased slightly (-1%).

/1

The female suicide rate increase is the 2nd largest increase, following the massive spike in suicides in 1998 (largely attributed to decade-long Japanese economic hardship). However in 1998 the increase was larger in men. (39% in one year!) vs. women (23%)

/2

Breaking down the deaths per month, there was a significant decrease in suicides in the first half of the year, contraindicated by an increase in suicides in the second half of the year. Overall, it averaged out, and clearly later "effect" seems to be levelling off.

/3

Read 10 tweets

Tyler Black, MD

@tylerblack32

21 Jan

Game Theory for the "left":

2 choices
You can choose 1
1 of the 2 will happen
No viable alternative
1 OF THE 2 WILL HAPPEN

Foolishness:
I won't participate, its not good enough

Smartness:
I will choose the option that gets me CLOSER to what I want.

/1

slate.com/news-and-polit…

The above doesn't happen if you don't vote for Biden.

The above doesn't happen if a few in a few states wrote in for Jill Stein or Bernie Sanders or stays home in spite.

/2

I really hope the awfulness of the Trump era, made only possible by a coalition willing to do ANYTHING THEY COULD to get their political agenda accomplished, teaches the drivers of the awful purity test dynamics of the "American Left" something.

/3

Read 6 tweets

Tyler Black, MD

@tylerblack32

17 Jan

For all you "screen time"-phobes: If a child replaced 100% of their "screen time" with non-interactive, non-social, non-puzzle-solving, non-skill-training activity, like, oh, I don't know, reading a book, would you be happier?

/1

Think about it honestly. We societally value book reading and we don't shame people for doing it. "mom I read a book last night" sounds peaceful. "mom i played a video game last night" makes you squirm. The problem is you.

/2

Gaming, interacting, sharing, socializing, solving puzzles, learning, participating in groups, these are all things that occur on screens. Ask yourself, why am I so against it?

you'll likely find 2 reasons:

/3

Read 8 tweets

Tyler Black, MD

@tylerblack32

14 Jan

If you post something to twitter, a social media platform by which ideas are shared, and you don't want people to comment on it or provide their opinions, you can use many tools on twitter (locking account, changing who can reply).

Calling disagreement "disrespectful" is bizarre

If you wish to curate replies, you have many options. First, you can change who can reply.

"Everyone can reply" opens it up to the world
"People you follow" ensures that people you've selected are only able to reply
"People you've mentioned" means just that - specfically.

/2

note that this does NOT stop retweets nor does it stop "quote tweet replies", an annoying type of reply that twitter SHOULD allow you to block if you choose.

/3

Read 12 tweets

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