Judy Melinek M.D. Profile picture
Forensic pathologist, 🇺🇸🇳🇿🇮🇱columnist @medpagetoday & coauthor with @TJMitchellWS. ♥️, RT DO NOT mean I endorse or agree. she/her
Jan 6 13 tweets 3 min read
As a pathologist who certifies deaths I understand why: Excess deaths capture deaths from Covid + all the deaths that are Covid-related. e.g. If you get myocarditis from Covid but die of heart failure months or years earlier than you should, we wouldn’t know it was from Covid. I would just do an autopsy and sign it out as “probable cardiac arrhythmia due to myocardial intertstitial fibrosis” or maybe blame your concomitant atherosclerosis. The way Covid19 attacks endothelial cells, it causes long term damage in the heart and brain.
Feb 20, 2021 11 tweets 2 min read
Cognitive Bias in Forensic Pathology Decisions was published today by Journal of Forensic Sciences onlinelibrary.wiley.com/doi/pdfdirect/… From the abstract “We examined all death certificates issued during a 10-year period in the State of Nevada in the United States for children under the age of six.” /2
Feb 6, 2021 8 tweets 3 min read
Marijuana and death. A thread👇🏻
As a forensic pathologist it is my job to certify death in cases of drug intoxication. I can’t think of a single case in my 20 year career where THC (the active ingredient in weed) was ever the cause of death on its own. /1 THC may be present in combination with other drugs such as synthetic cannabinoids, alcohol, or methamphetamine in mixed drug intoxication deaths. In those cases we may list THC on the death certificate (DC) with the other drugs. This is to acknowledge its presence /2
Jan 30, 2021 10 tweets 3 min read
In response to @nytdavidbrooks
A thread. 👇🏻
You can’t argue studies & reports with fear. Minority communities have been disproportionately affected by their families dying. The unions are representing the teachers who are also POC, at risk & don’t want to die. I see both sides of this issue and it’s only a problem because of a lack of a Federal response and Federal leadership. If the US had a functional @CDC last year and had set out guidelines for school reopening we wouldn’t be here.
Jul 7, 2020 25 tweets 9 min read
So we just landed in New Zealand. Temperature checks and symptoms screening on landing. Now taken on a bus to a quarantine hotel for two weeks in Auckland. This is how you properly manage a border in the age of #COVID19 Image We are staying at the Sudima hotel. This was breakfast the first day. Little adorable meat pies and porridge. The meat pies were good. I chomped one before thinking to take the photo. Image
May 30, 2020 10 tweets 3 min read
So what does "no physical findings that support a diagnosis of traumatic asphyxia or strangulation" mean? google.com/amp/s/amp.www.… #GeorgeFloyd - a thread /1 Without seeing the actual autopsy report or autopsy photos it’s hard to tell based on that phrase alone. Generally it means that there’s no trauma to the front strap muscles of the neck, hyoid bone, thyroid or laryngeal fractures. /2
Jan 6, 2020 9 tweets 2 min read
Thread. Jeffrey Epstein photos are out and here’s my take: cbsnews.com/news/jeffrey-e… 1 Disclaimer: I wasn’t consulted by the press & don’t have access to all the photos, just the ones in the news reports. The quality is not as good as if I had originals digital files. 2
Aug 4, 2019 4 tweets 3 min read
@neiltyson 1. The medical errors number is wrong. It’s based on grossly extrapolated data with no autopsy confirmation and assumes that if someone died after surgery it was due to the surgery and not to the underlying disease the surgery was for. 2. Mass shootings are homicides. @neiltyson 3. @neiltyson do you really want to use comparative data to effectively minimize the human reaction to the horror of a mass fatality incident? All of these deaths are preventable and we should be working on all of them. #NotOneMore
Nov 11, 2018 51 tweets 6 min read
These are the guidelines @NRA was complaining about: Reducing Firearm-Related Injuries and Deaths in the United States: Executive Summary of a Policy Position Paper From the American College of Physicians annals.org/aim/fullarticl… @ACPinternists 1. The American College of Physicians recommends a public health approach to firearms-related violence and the prevention of firearm injuries and deaths.