So the identity of the @originandclever twitter account (now deleted) has been positively identified. It belongs to a junior physician in central Ontario. I am not going to doxx them on twitter.
But I would like to take a bit of a walk down memory lane in terms of some recent nastiness from this recently graduated physician, writing under the cover of presumed anonymity.
I don't know if this needs to be looked at by @CPSO, @UofTFamilyMed, @McMasterU, @UHN or other organizations this person has been affiliated with in recent years...would love to hear what others think. If journalists want more info, my DMs are open.
And sorry, typo in the twitter handle. It's @origandclever.
A walk down memory lane.
Compassion on full display here:
Magical unicorn nonsense.
Pretty vicious sometimes.
Dismissive of legitimate concerns by educators
Etc.
Undermining public health messaging.
Here's some poppycock on adverse health consequences of preventing infection during a pandemic. From someone with a medical license in Ontario.
Anyway, that's a sampling. There's lots more; my colleague brings the receipts. I'm not sure if anyone thinks this rises to the level of professional misconduct...no idea. But it is interesting to see how nasty this person chose to be while hiding behind ostensible anonymity.
Ooh, love this one.

@profamirattaran , let me know if you want to know more.
Interesting.

And as always: you're*
Works with children. Great.
Huh. Who else have I heard this line of reasoning from?
So much to love in this twitter account. My goodness.
Not just interested in health, but also in public affairs. I guess. Interesting take on Buffalo police assaulting an elderly protester.
Likes hanging out with the smiley faces.
Submitted without comment:
Undermining public health messaging from Mayor Tory.
So interesting. That was a bit of a time waster, but also weirdly satisfying.
Aw. Just saw this one.
So sweet.

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More from @DFisman

5 Feb
I keep getting asked about the possibility that sars-cov2 will be with us for a long time (many of the questions are driven, I think, by Chris Murray’s statement that we won’t simply “put this behind us”). I do think it is likely to become a seasonal, endemic virus
At least for a long time to come. That’s because (a) the virus has show an ability to move from humans to animals and back again (mink) and (b) eradication is hard, even with good vaccines and disease w/o animal reservoirs (polio, measles).
And yet I’m optimistic about a non-reckless return to normalcy over the medium turn. Why?

en.m.wikipedia.org/wiki/You_Are_O…
Read 24 tweets
3 Feb
This is right on.
There is substantial excess mortality right down to age 15.
Absolute death numbers are smaller because baseline deaths are lower
Here’s the most recent estimate I’m aware of.

eurosurveillance.org/content/10.280…

We need to know what fraction of excess mortality in young adults is opioids.
In older adults in the US covid mortality and excess mortality are essentially 1:1

This is a fantastic paper from @AnnalsofIM that reminds us to standardize populations so we make fair comparisons.

acpjournals.org/doi/10.7326/M2…
Read 4 tweets
2 Feb
@DonaldWelsh16 Oh hello.

I knew Dr Rorabeck. He was a wonderful guy. @SchulichMedDent does have much to be proud of. Like any institution, it has its warts.
@DonaldWelsh16 @SchulichMedDent But to respond to your comment: I think you’re referencing the concept of balanced pathogenicity, which probably will will, over the longer term, favour less virulent strains.
@DonaldWelsh16 @SchulichMedDent The difficulty we have with VOC is that they appear to bind better to ace2 (as a vascular biologist I bet you’ve heard of that!) and that may underlie their increased infectivity and increased
Read 9 tweets
2 Feb
The blizzard of distraction coming out of @fordnation and his assorted flying monkeys is by design. It’s a comms strategy. They need to distract you from:

1. Botched vaccine rollout
2. Massive death toll in long term care
3. Muddled and confused back to school plan
4. Political interference with hospitals and health advocates
5. The Mysterious Case of the Missing Rapid Tests
6. Unspent billions in federal pandemic funds
7. Huge excess risk of covid in those with low income and people of colour in Ontario
8. Failure to institute basic measures like paid sick leave
9. Utter lack of transparency on public health decision making
10. Full ICUs, need for field hospitals and transferring patients 100s of km for care
Read 5 tweets
2 Feb
Spent the evening working with a colleague on new variant epidemiology in central Ontario.

It is worth being concerned. The R's for old variants and SGTF are divergent, with old variants < 1 and new variants still > 1, and gaining relative market share at 8% or so per day.
If that constant growth continues we'll be around 50% SGTF by the end of February.
Note new variant R is not high; around 1.1 at the moment. But it has been consistently 40% higher than old variant R. We are going to need to do better, at a time when everyone is weary, ICU's are already full up, and kids are heading back to schools.
Read 4 tweets
1 Feb
I'd be curious what others with more experience in the innovation/commercialization world think, but it seems to me that we don't want to go back to the type of "vaccine nationalism" we had when Connaught was a crown corp or a @UofT-owned entity. The world has changed a lot
Given the tremendous resources and quality control that you need in order to compete on the world stage in vaccines, the two streams would be:
1. Lots of support for Canadian startups with great ideas (e.g., Medicago) that allows them to expand and compete, but also...
2. Making Canada a really attractive place to do vaccine science, and working with the big global players (Pfizer, GSK/Sanofi, Moderna now, Merck, J&J, etc etc) to make us a hub for research AND manufacture
Read 7 tweets

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