Thread by @han_francis

O, let me list the ways, that @VPrasadMDMPH tried to hoodwink you, and hope you didn't notice.
#FreeSpeech #MedTwitter #myocarditis #COVID19

The most basic way - he blocked almost all of #Medtwitter for disagreeing with him, and simultaneously claims that everyone needs to at least listen to people who disagree.
Whatever happened to actions speak louder than words @VPrasadMDMPH?

@VPrasadMDMPH criticized other physicians for attempting to debunk homeopathy, while forgetting that an unwavering belief in pseudoscience actually gets people killed sciencebasedmedicine.org/responding-to-… jamanetwork.com/journals/jamao…

Even Jen Margulis, a hardcore antivaxxer, tried to keep on the down low that she saw an ocular specialist when she could have ocular melanoma, while consisting railing against Western medicine (that's because she's paid to rail against us).

@VPrasadMDMPH vigorously argued that no child should get emergency use authorization for COVID vaccines. sciencebasedmedicine.org/covid-19-vacci… I'm thankful that kids get severe COVID much less than adults, but in 2021, there still were kids dying from COVID.

This stance willfully ignores that children still got sick and hospitalized from COVID, and yes, some even died. Whether or not it was an "emergency" will certainly be argued for a long time, but reducing harm to kids should not be controversial.

While the key difference between an EUA and a full FDA approval was a 2 versus 6 month timeframe after completion of the phase 3 trial, @VPrasadMDMPH and Wes Pegden intentionally glossed over this and spent a lot of time arguing that an EUA is not good enough.

The most black and white mistake that @VPrasadMDMPH made was to compare COVID mitigation efforts to the Holocaust and assault. sciencebasedmedicine.org/road-to-hell/ No physician should ever do this, for all perpetuity.

The mistake most relevant to my field is the incessant fearmongering about myocarditis. First - he incessantly railed against pediatric vaccination as the Delta and omicron waves were raging sciencebasedmedicine.org/ofcoursenot/ .

As @VPrasadMDMPH kept on reminding everyone that everyone will get COVID, he forgets the basic tenet of infectious disease that it is generally better to contract a virus after your immunization when you are seeing a brand new virus, versus contracting a full blown infection.

He repeatedly omits the prognosis of COVID vaccine myocarditis, and how this is generally a better prognosis than being hospitalized/ needing breathing support, or dying.

He repeatedly touts the Patone group article demonstrating the higher risk of myocarditis in the 18-40 year old age group, while repeatedly omitting the problems with contracting COVID or that arrhythmia is an undeniably higher risk in COVID disease than vaccination...

these data were also in those same articles by Patone et al, but this was @VPrasadMDMPH's lying by omission. You can actually see him cut that part off hoping you wouldn't notice, on his paid Substack.

Even he would say normal informed consent involves clearly stating risks and benefits to a medical intervention. Vinay in his own words, hyped the risks. Purposefully distorting myocarditis without the medical training does not fit that bill.

With the next pandemic all but a promise, a rational approach to preparations would be learning from the failures and successes of all countries and doing something like Puerto Rico, where the protein subunit vaccine was intentionally and systematically not politicized.

You can probably count on @VPrasadMDMPH on writing more sensational articles and misrepresenting the next pandemic response. I recommend not letting him hoodwink you twice.