Tyler Black, MD Profile picture
Feb 24 26 tweets 11 min read
Yes Tracy, because we actually have expertise in relevant areas, like child development & mental health.

Your awful summary &stance on mental health during covid measures is *not* scientific or expert, and despite no expertise you have been wrongly writing & opining for >1y

/1
In March 2021, you opined with other MH non-experts Gandhi, Henderson, and Johnson that "COVID-19 deaths in children and adolescents are magnitudes smaller than deaths from suicide, some now driven by school closure"

usatoday.com/story/opinion/…

/1
You and those same non-MH experts testified about harms in April of 2021 to the Sacramento School Board about "harming children."

/2
Your non-mental-health expert credentials in your opinions were used by Senator Cassidy from Louisiana in federal debates to claim that there was "greater risk to life expectancy with schools closed vs schools open,"

/3


congress.gov/117/crec/2021/…
You wrongly wrote in the Washington Post as a non-expert in mental health that mental health emergency room visits surged in 2021 during restrictions.

/4


washingtonpost.com/opinions/2021/…
(by the way, as you had to admit in court that you do not work as an epidemiologist but are a sports medicine physician, and you have never held any government position in which you addressed public policy, another area of your non-expertise)

/5


law.justia.com/cases/new-york…
You selectively presented to the United States congress in your testimony the ER visits in April-Oct 2020 for mental health "increased approximately 24 and 31%, respectively", demonstrating your inexpertise for confusing proportion for count.

/6

energycommerce.house.gov/sites/democrat…
(BTW this one is specifically egregious because, the report you lifted the graph from in your testimony literally has the raw numbers RIGHT ABOVE. The congress didn't notice, but I did).

/7
You wrote a preprint @gorskon called a "dumpster dive" into VAERS to basically give anti-vaxxers the fuel to claim over-exaggerated harms of vaccines (remember, in court you testified do not work as an epidemiologist)

/8


sciencebasedmedicine.org/dumpster-divin…
Its noticed that you got your garbage preprint published in EJCI... "yay peer review...", yet your estimates for 12-15 were 2.5 x higher (162/mill 2nd doses) than the final number (70/mill 2nd doses) from the same data in JAMA. you nailed 16-17ys tho!

jamanetwork.com/journals/jama/…

/9
As you in Dec 2021 tweeted this hot mess out, non-expertly missing that year-to-year comparisons are not helpful (thanks bloomberg!):

In fact per CDC wonder:
2017: 170 F - 352 M (up 29%!)
2018: 211 F (up 24%!) - 394 M
2019: 207 F - 339 M
2020: 211 F - 390 M

/10
Because, Tracy, you have no expertise in Child Mental Health, Suicidology, Child Development, or anything to do with schooling. You are a biased non-expert who is non-expertly, fashion mangling mental health information as you did in #UrgencyOfNormal
/11

And Tracy, #expertisematters. You do not show the background, training, context or critical reading skills to properly discuss the mental health topics you address. You do not post as a parent, marathoner or a sports medicine doc, you present yourself as a child covid expert.
/12
You have not demonstrated complexity in interpretation of the MMWR you **testified to congress about** despite your lack of expertise.



/13
You have not demonstrated the ability to properly read and critically interpret parent survey data about mental health.



/14
You have not demonstrated the ability to fairly categorize the nuances of the information we have coming out of the pandemic.

link.springer.com/article/10.172…

/15
You haven't reported that PREPANDEMIC school days associated with ⬆️ in suicide rates, that may 2020 was the FIRST TIME IN HISTORY we have ever seen a flat monthly suicide rates mar-july in kids, & the suicide rate mar-jun dropped the most when "lockdown" was strongest.
/16
You haven't noted that in Ontario overall emergency presentations fell despite heavy school restrictions in Canada. (and, we will be publishing BC data showing an interesting cohort comparison, as we had open schools since sept 2020!)

/17
You haven't realized that your proclamations of increasing mental health emergency visits did not come to pass (though for some disorders, its up, like EDs and tics in girls 12-17, whereas for bipolar and ADHD its lower and for anxiety its the same)

/18
You have consistently and emphatically proclaimed mental health concepts that you failed to demonstrate the open scientific mind to approach, the academic honesty to cite, or the expertise to understand your own limitations in the surety of your position.

/19
Worst of all, you have completely neglected the significant orphanhood

thelancet.com/journals/lance…

/20
You have completely neglected research that shows many kids, in fact, did better during lockdowns



/21
So refuting your "up-playing" is NOT downplaying mental health impacts, anyone who follows me for a hot minute knows that I care about how children have been impacted BEFORE and DURING COVID.



/22
I'm just tired of armchair pediatric mental health experts like you being treated like the experts you aren't.

So, yeah.

(by the way, I am representing myself here, not Urgency of Equity or any other organization).

/23
In fact, I was thrilled to join UoE just to speak about the complexity of mental health outcomes during the pandemic but to SETTLE DOWN THE MORAL PANIC CREATED BY PEOPLE LIKE YOU.

/fin
(quick note: I am so thankful for support but please be careful to not continue twitters longstanding tradition of making the internet an unsafe place for women with casual references to violence or personal attacks. Assure you I worked very hard to keep this about her stance.)

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More from @tylerblack32

Feb 25
My first ever attempt at using my 3 nanometer filters. This allows light into the camera at only one specific wavelength: 656.3nm +/- 1.5nm. This means that pretty much all the light pollution is shut out.

Here is the horsehead nebula in Hydrogen Alpha!
#Astrophotography
/1 Image
This is a total of 80 minutes of exposure, and the fine details like the mists of gas rising from the ridge near the Horsehead itself are 🤯🤯.

As I add more data (soon this nebula unavailable to me, will need to wait until November!), this will get smoother and more defined.
/2 Image
By combining it with RGB colour data (Hydrogen alpha is in the red spectrum), I can really make the colours pop!

I'm working on a final version, and it will be GLORIOUS!

/3 ImageImage
Read 4 tweets
Feb 23
An incredible survey: @emma_soneson and colleagues asked 17,000 UK students *during lockdown* how they felt compared to prior... and ... guess what?

65% say they did about the same or better, 34% said they did worse.

/1 Image
In fact, during both the school and non-school conditions of lockdown (the UK had a period where everything BUT schools was locked down), the "worst group" was lowest.

/2 Image
And really, you just have to read their excellent report. But look at the confounders! A decrease in bullying was strongly related to an improvment of happiness during lockdown.

/3 Image
Read 7 tweets
Feb 19
CDC Data:

* ALL ER mental health visits for boys🔽

* many ER girls mental health visit categories 🔽

* 2-5 out of 9 disorders show variable small to large 🔼 (tics and eating disorders largest) in girls only

@nytimes: Image
This is precisely how a moral panic works.

Media, do better. CDC PR: do better.

#moralpanic
12-17, from the report itself.

No huge increase in either group for all MHCs (mental health conditions) in adolescent boys or girls, with boys showing quite a decrease. Image
Read 4 tweets
Feb 18
Anyone parent citing how "happy kids are" taking off masks as evidence that masks are harmful should consider how happy they are when mommy gets McDonald's + ice cream cake, or when mom+dad leave for the weekend giving them the house to themselves, or when school is out.
Children are allowed to express their excitement when things change or are more comfortable, and undeniably taking a mask off is a relieving feeling.

Excitement and happiness about something changing for the better is a good thing.
On the same token, kids are able and equipped to know that some things we don't want to do naturally (like wear pants or wash our hands before we eat or have asparagus instead of donuts) are also okay.

Most kids in Canada and worldwide do not seriously perceive harm from masks.
Read 5 tweets
Feb 17
A ***child and adolescent psychiatrist*** in the US thought this was a good idea to post. He's now deleted it. I won't retweet the original but suffice it to say I have serious concerns about him. Developmental disabilities a core competency of C&A psych and this is abhorrent.
I have seen many people use this word publicly, derogatorily, and comedically, and it sucks every time. But a child psychiatrist using it to mock is beyond reproach. @MedBoardOfCA should take seriously: this harms the safety and dignity of patients and families of children.
Time stamp and link to tweet (in case it is deleted)

(Add twitter dot com to beginning, I am not linking to that vile crap )

MMcDonaldMD/status/1357380888221208581
Read 4 tweets
Feb 16
=-=-=-=-=-=-=-=-=-=-=
Suicide and Age, 2020-2021
=-=-=-=-=-=-=-=-=-=-=

A way to visualize the change in suicide rates during the pandemic is to plot the "Age curve" of suicide. This is another "Tyler Black exclusive" graph - possible by the single-age years in @CDCgov WONDER.
/1 Image
Here, you can clearly see an average 2020-2021 suicide rate in 0-20 ages, but quite a flattening occurs throughout 20-70 years of age, whereas in 2017-2019 there is the typical (goes back decades) "midlife hump" of suicide rates.

/2 Image
Boys and men, who die more by suicide than girls and women, again show a relative following of the curve until midlife ~45 or so, where a clear "flattening" occurred in 2020 and 2021.

/3 Image
Read 5 tweets

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