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Tyler Black, MD

14 Jan, 10 tweets, 2 min read

I am more than happy to have so many people resonate with my messages and follow me (and I am SO GRATEFUL for followers!!!), but I cannot screen the # of followers I've gained in the past few days (6000ish). So, I'm going to play a game:

"Please unfollow me if..."
(A THREAD)

Please unfollow me if you wish to argue against Black Lives Mattering (literally the phrase too) or how we as Canadians live on the stolen and unceded land of Indigenous people, or you wish to argue against the phrase: "Trans women are women and trans men are men."

/1

Please unfollow me if you believe that "wokeism" is ruining science or whatever field you care about, and not the generations of lopsided power that has created significant systemic discrimination.

/2

Please unfollow me if you believe that drug or alcohol use is due to a deficiency of character, or that you believe people who use drugs or alcohol should be criminalized MORE and not LESS.

/3

Please unfollow me if you are going to post in all of my threads the same argument over and over as if you're trying to pick a fight, or if you feel the need to comment on my "tone."

/4

Please unfollow me if you use my tweets to attack provincial health officers (Criticism fair), who are literally facing death threats and duress every day.

/5

And finally (though i get less of this now adays), please unfollow me if you will shame patients for taking medications for their mental health, or if you believe that psychiatric medications/treatments are never to be done.

I do this because all of these things matter to me so much, that if you do them and I see it, I will block you forever without a second thought.

My policy on twitter is here: tylerblack.com/twitter

/6

If you wish to have discussions about those things, please know that I do not and I won't.

Finally, if you've gone through the "game," I am more than happy to robustly engage on most any other topic!!

I make many mistakes & often deserve criticism.

@RyanJBlack

Oh and also please unfollow me if the use of pronouns in my bio makes you do anything other than take note of which pronouns i use.

/thanks
@RyanJBlack

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Tyler Black, MD

@tylerblack32

16 Jan

Hi all, I've deleted a series of tweets today because I worry about their impact. I will restate the thread with zero snark or attempts at wryness, and without anything OTHER than the point I want to get across.

/1

Why did I delete it?

I worried most about it being misused by those who **distrust the science of covid**.

Why did I tweet it?

Because I care about the science of this pandemic very much, & about the scientific process that has led us to amazing vaccines & approaches.

/2

What did I regret about the tweet?

I wrote it angrily, because media has picked up on an *unequivocal statement* abt school closures effects on mental health when there is a lot of nuance on the data, & the source was a *favourite source* of mine, the Ontario Science table.

/3

Read 17 tweets

Tyler Black, MD

@tylerblack32

15 Jan

Surprised/not surprised that the Ontario Science Table hasn't yet updated their information on "Mental Health and the Pandemic" to include the JAMA article showing that among 1.6M Ontario youth, self harm, overdoses & hospitalizations decreased by 18% during the first 15 months.

Of course, maybe they prefer their awful correlational data vs a rigorous peer reviewed data collection of all of Ontario.

Maybe they prefer their lazy association of screen time to poor mental health (winking at cause while never saying it)

Maybe, just maybe, they don't actually approach this issue scientifically, reporting the data collected systematically (not cherry picked), weaknesses, and limitations transparently.

Read 8 tweets

Tyler Black, MD

@tylerblack32

14 Jan

I am still digesting an interesting report, but it makes me wonder... this is beyond my expertise or region, but I found this graph shocking.

What if the narrative we are being told about the needs of in person schooling is being disproportionately told by one demographic?
/1

Note: I do not have the expertise or knowledge to vet this, and I do not understand all of the political and social contexts that the report discusses.

laane.org/wp-content/upl…

I believe ( and i could be wrong ) that this is produced by a teachers union and might have some biases in it. Though i do not understand the issue well at all.

Do we have a good summary of surveys of parents/family's preference broken down by race and income?

Read 4 tweets

Tyler Black, MD

@tylerblack32

14 Jan

This is a meta-analysis of the longitudinal studies done during the first months of the pandemic. It is a *systematic* review in which they methodically went through ALL the research they could find.

/1

Here are the results they reported from their systematic review.

/2

My frustration is that this is how science is performed, yet major organizations that know better are simply selecting the points they want. I have no doubt that they would cite "evidence of an increase" but ignore the rest of this metaanalysis.

/3

Read 8 tweets

Tyler Black, MD

@tylerblack32

14 Jan

/1 FWIW, "Deaths of despair" as used today is an awful, fake, heterogeneous category that stigmatizes and "others" death and ignores many other "deaths of despair"

seattletimes.com/seattle-news/d…

/2 "Deaths of Despair" is a term invented by Princeton economist Anne Case / Angus Deaton that lumps deaths due to overdose, suicide, and alcohol consequences. Despite having different etiologies, courses, and timing of mortality.

Note: I respect both greatly & read their book.

/3 I get why someone would lump those three together, but a) that's not how mortality codes work and b) that's not how despair works. Mental health and psychological expertise was sorely missing.

Read 11 tweets

Tyler Black, MD

@tylerblack32

13 Jan

/1 THREAD: I knew this day would come.

While pediatric societies & "hospital organizations" did "science by press release," breathlessly discussing a correlation on a parent survey or releasing a statement about 1 month of admissions in May 2021, I knew we would get REAL DATA.

/2 This day has arrived. We have the incredible article by Ray et al, showing that during the first 15 months of the pandemic, youth ER presentations of self harm, overdose, and hospital admissions of both decreased by ~18% in Ontario.

1.6 MILLION YOUTH

jamanetwork.com/journals/jaman…

/3 There is OTHER data out of Ontario showing that acute mental health ER and admission levels DID NOT INCREASE during the first 12 months of the pandemic. (broken down by age group)

THEY DECREASED.

pubmed.ncbi.nlm.nih.gov/34785528/

Read 13 tweets

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