Tweet

More from @tylerblack32

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

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

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

Read 10 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

Tyler Black, MD

@tylerblack32

13 Jan

@CHEO

My anger is so high. all I wanted when @CHEO and @SickKidsNews announced these breathless claims about skyrocketing admissions and self harm was DATA RELEASES.

Now, a large study shows that ON 14-24 admissions for self harm, OD, and deaths for same decreased by 20% to mid '21.

https://twitter.com/tylerblack32/status/1481481158332346370

Science is not performed by press release. Science is not performed by large bold numbers presented without any historical context.

Science is performed by rigorous presentation analysis scrutiny and peer review of data.

Shame on everyone involved with this debacle.

I cannot express my gratitude enough to the authors who did the hard work to present this data and to get it published.

Read 5 tweets

Share this page!

Tyler Black, MD

Try unrolling a thread yourself!

More from @tylerblack32

Tyler Black, MD

Tyler Black, MD

Tyler Black, MD

Tyler Black, MD

Tyler Black, MD

Tyler Black, MD

Did Thread Reader help you today?

Like this author's thread?