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Tyler Black, MD

@tylerblack32

1 Mar

This week: a lot of famous medtwitter accounts "oh sorry I've been away for a bit did I miss anything important? 😅"

Cowardice.

@choo_ek

This week a major medtwitter/tiktok influencer was accused with evidence of serious sexual harrassment and assault. One of the major figures of medtwitter, @choo_ek (who I looked up to immensely) is named directly in the lawsuit. There may be more to the story. It's a lawsuit.

But it is crucial that we unequivocally stand up and tell all vicitms that the system failed this person, that when they report things to program directors + residency supervisors there should be mandatory actions taken, and that we cannot in any way discourage people reporting.

Read 7 tweets

Tyler Black, MD

@tylerblack32

27 Feb

Saturday morning fun: Photography thread!

Let's have fun with different lenses, zoom, and framing!

I'll quickly teach how lens and focal length can make a huge difference.

#photography

1/ This is the view from my balcony, (i love #Vancouver !!), and we're not gonna leave here, but our lesnes will take us all over. At 70mm, this is about "what the eye sees" in terms of zoom and detail.

2/ Just panning to the north intersection, uhoh! Fire trucks are here for an incident!

Read 24 tweets

Tyler Black, MD

@tylerblack32

27 Feb

Saturday morning fun: Photography thread!

Let's have fun with different lenses, zoom, and framing!

I'll quickly teach how lens and focal length can make a huge difference.

#photography

2/ Just panning to the north intersection, uhoh! Fire trucks are here for an incident!

Read 24 tweets

Tyler Black, MD

@tylerblack32

25 Feb

2020 US Suicidology Update:

3 new states (HI, ND, NJ) have been added to the total, all showing decreases from 2020. I added Cook County IL (oct-dec) to the list and removed Howard, IN, though its in final calculations. To keep the list down, I have to sacrifice small for big.

1/ At this point, my scan has captured almost 87M person-years, about 1/5th of the US. Because it is a nonrandom sample, it can't yet be used to estimate, however, the skew is on and clear - no major increases in 2020, most states and counties showing decreases.

2/ There are no surprises at this point - we are seeing clear and consistent trends across the nation.

It is with fairly high confidence that I repeat:

"The data does not support an increase in suicides in the US during 2020, in fact, if anything, it supports a decrease."

Read 4 tweets

Tyler Black, MD

@tylerblack32

24 Feb

#Bullying Thread:

It's #PinkShirtDay2021.

Let's do some teaching on bullying!

Some people who could help will wear the #pinkshirt on this day and do nothing else.

Even worse, many bullies will wear them.

To reduce bullying we actually need **to do substantial things**

1/ Bullying has 4 main components:

First, it's between peers, but an imbalance exists (socially, physically) between these peers.

**This is important.**
Teachers can't bully kids, that's ABUSE.
Bosses can't bully employees, that's ABUSE.

2/ Second, bullying is designed to cause harm or fear.

Third, bullying is repetitive, and the repetition further enforces the imbalance that already existed.

Fourth, it is an attack that can be physical, verbal, psychological, or social.

Read 23 tweets

Tyler Black, MD

@tylerblack32

22 Feb

Suicidology 2020:
Subgroup analysis (youth, sex, race)

I was able to access a data set from a Cook County, Illinois. Cook County is home to 5.2M people and includes Chicago.

It's the 2nd largest county in the US
/cont

1/ In total, there were 438 suicides in 2020 in Cook County, compared to an average of about 480 in the past 3 years. During the pandemic spikes, suicides decreased.

All in all, it was a below-average year for suicide deaths.

2/ Black residents died by suicide at a much higher rate (42% increase). This increase was occurring before the pandemic as well. During the first wave of the pandemic, it worsened, second wave it lessened.

A much higher year for Black suicides: 97 vs. an average of 68 in 5y.

Read 11 tweets

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