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Mark Ungrin Profile picture
@Mark_Ungrin
Oct 10 • 2 tweets • 1 min read • Read on X
The failures of the pandemic are not complex, technical, no-one-could-have-known failures.

They are failures of morality, humility, integrity. Failures to care. Not just failure to learn, but failure to be *willing* to learn, failure to accept that there *is* anything to learn. Image
😐 (DNACPR = Do Not Attempt CPR -> *definitely* not a notice you want placed in your medical records by medical staff without even asking you) Image

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More from @Mark_Ungrin

Mark Ungrin Profile picture
Sep 24
@moss_sphagnum @PeteUK7 The study showed noninferiority of wooly hats under an intermittent-use protocol, with workers donning their hardhats when within three feet of a falling object. Experts attempting to educate IPC leads in use of PPE were drowned out by shouts of "pragmatic!" and "gold standard!"
@moss_sphagnum @PeteUK7 Initial results showed inferiority of wooly hats when exposed to falling objects on the jobsite.

The study was then relocated to an earthquake zone where participants were struck by falling debris in the community.

Injuries were not affected by the type of hat not being worn.
@moss_sphagnum @PeteUK7 Failure of randomization resulted in a statistically significant bias towards male participants being allocated to the more protective, standards-compliant hardhat arm of the trial, and female participants to the wooly hat arm, invalidating the trial.
Read 8 tweets
Mark Ungrin Profile picture
Sep 18
I want to highlight a story from May 2020 that really hammers home the mismanagement of the pandemic by public health and infection control leaders.

Nursing home in Montreal, COVID everywhere, staff sick, people dying. It killed a significant proportion of the people there. Image
Why did this happen? The employer was denying N95s, denying testing. Not even properly isolating infected residents, and no one paying attention to ventilation either.

This sounds like:
1) homicidal stupidity
2) what IPAC is currently doing in most hospitals Image
The military was brought it, and because unlike IPAC they are not complete idiots and have an understanding of how to protect against biological hazards, they wore the proper PPE (and the nurses were allowed to have N95s as well now) - and someone checked the ventilation. Image
Read 5 tweets
Mark Ungrin Profile picture
Sep 11
@EvonneTCurran Evidence Based Medicine. It isn't just that EBM has subjective methodological preferences that override research rigour. It's that belief in EBM as "how science works" is *inherently incompatible with rigour*.

It's like believing 2+2 can be 5 if the right people say it is. If...
@EvonneTCurran ...you train someone to believe that, you haven't just misled them about the outcome of that specific calculation. To get them there, you'd have had to destroy their connection to the logic of mathematics. You couldn't trust any calculation they did after that.

When used...
@EvonneTCurran ...properly - as a heuristic, recognizing it's only a heuristic - EBM can be useful. But believing EBM is "how science works" is incompatible with the rigour and logic necessary to understand and apply science.

You can have one or the other, but you can't have both.

So...
Read 4 tweets
Mark Ungrin Profile picture
Sep 5
This is just the tip of the iceberg of Russian manipulation in Canadian politics.

Pay attention to which politicians *don't* want it looked into, and ask yourself why that might be...and whether their wealth is consistent with their income.

mapleridgenews.com/news/former-la…

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Canada doesn't have just a peripheral role here either. Support for Ukraine - and the influence to spread that support - likely made replacing Canada's government with a friendlier one a priority for Russia. It actually looks like TENET got its start here:
tennessean.com/story/news/cri…
I really hope CSIS and the RCMP are on top of this, and looking into Russian election interference in Canada via this program - and what other efforts are out there as well. What channels does Russia have into the secretive back rooms of our political parties?
Image
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Read 27 tweets
Mark Ungrin Profile picture
Aug 25
@globeandmail Because our public health leaders are completely out of their depth, and care more about covering up their own incompetence than doing their jobs.

Because an MD is not a PhD, and letting cosplay scientists exclude real ones is not an effective way to handle a science problem.
@globeandmail Because medical politics is a toxic, authoritarian tar pit that selects for the worst members of the profession, and gives them control over their betters.

Because a "Thin White Line" mentality means outside criticism of pseudoscientific medical guidance is ignored.
@globeandmail Because journalists haven't put enough thought into who they platform, and just accept silly claims by clinicians with little or no relevant advanced training that they understand everything that touches human health better than actual experts.

Read 12 tweets
Mark Ungrin Profile picture
Jul 9
Just updated our preprint assessing the 2022 study that claimed medical masks to be noninferior to N95s for COVID. In addition to issues identified previously, a closer examination of the data revealed unexpected patterns unlikely to occur in nature: osf.io/preprints/meta…
Image
A big thanks to my co-authors, @sameo416 @JuliaMWrightDal @jmcrookston @GosiaGasperoPhD @DFisman and Corinna Nielson. The study we examined has been described as "gold standard" and "best available evidence", calling into question the rigour of EBM guidance development processes.
If anyone is interested in the wording of the statements arguing against the Ontario Nurses Association in 2021, signed by several trial authors and 👉both MDs responsible for protecting the interests of the (mostly nurse) participants in the study👈:

Read 4 tweets

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