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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Morvern_C‏ @Morvern_C_ 3 Dec 2017
      Replying to @C7RKY @NiamhNolan8 and

      Medical research is my day job. Sorry to say it rings true.

      1 reply 1 retweet 2 likes
    2. John Clarke‏ @C7RKY 3 Dec 2017
      Replying to @Morvern_C_ @NiamhNolan8 and

      How interesting to hear you say that - thank you. I just found myself with cause to go looking for the science, (which I believed in), only to find there really wasn't a whole lot that would qualify as such in the medical field. Pharma especially so.

      1 reply 1 retweet 3 likes
    3. Morvern_C‏ @Morvern_C_ 3 Dec 2017
      Replying to @C7RKY @NiamhNolan8 and

      The problem is that people assume science is a truth-seeking machine. Actually it is a consensus-building machine. They are very different.

      1 reply 1 retweet 1 like
    4. John Clarke‏ @C7RKY 4 Dec 2017
      Replying to @Morvern_C_ @NiamhNolan8 and

      If I could frame that tweet, I would. Beautifully put. Call me old-fashioned, but I never regarded consensus alone as science at all. I recall the maths version: 1+1=3 because enough of us say so? Yeah...right!

      1 reply 0 retweets 1 like
    5. Morvern_C‏ @Morvern_C_ 4 Dec 2017
      Replying to @C7RKY @NiamhNolan8 and

      Thanks. In practice scientific 'peer-review' means a few Profs at the top edit (aka gate-keep) the journals and vet grant applications. If one wanted to influence the direction of science, influencing these 'key opinion leaders' is all one would need to do.

      2 replies 2 retweets 3 likes
    6. John Clarke‏ @C7RKY 4 Dec 2017
      Replying to @Morvern_C_ @NiamhNolan8 and

      That's a belief you & I share. The power is v concentrated. As in life, a few largely dictate the agenda to the many. Thread was long enough, otherwise I'd have looked up a damning review of the peer review system itself I saw recently too. Another gaping hole in the science net.

      1 reply 1 retweet 3 likes
    7. Morvern_C‏ @Morvern_C_ 4 Dec 2017
      Replying to @C7RKY @NiamhNolan8 and

      Yes. And it's not just peer review. Even just holding certain opinions, about the efficacy of antidepressants or the usefulness of statins, or the safety of vaccines for example, are verboten in academic medical research.

      2 replies 3 retweets 3 likes
    8. John Clarke‏ @C7RKY 4 Dec 2017
      Replying to @Morvern_C_ @NiamhNolan8 and

      It's funny, even though there's nothing that really surprises me in there, to hear someone in your position express it so clearly, is very striking. Thank you once more.

      1 reply 0 retweets 1 like
    9. Morvern_C‏ @Morvern_C_ 4 Dec 2017
      Replying to @C7RKY @NiamhNolan8 and

      You're welcome. It's a strange double-think. Everyone knows, for example, that antidepressants are not much better than placebo. Yet we persist with the fiction that they work and write papers and grant bids that kind of implicitly assume that they do work.

      1 reply 1 retweet 2 likes
    10. Morvern_C‏ @Morvern_C_ 4 Dec 2017
      Replying to @Morvern_C_ @C7RKY and

      I must make clear that it's not malice or intentional deception. More a feeling that this is the best we have at the present time.

      1 reply 0 retweets 1 like
      John Clarke‏ @C7RKY 4 Dec 2017
      Replying to @Morvern_C_ @NiamhNolan8 and

      Appreciated. Perhaps if clinicians were also as ready to acknowledge the shortcomings as you have been, it would provoke a more meaningful debate about safety/efficacy & future research. Until then, the bar is way too low, imho.

      1:42 PM - 4 Dec 2017
      • 1 Like
      • Morvern_C
      1 reply 0 retweets 1 like
        1. New conversation
        2. Morvern_C‏ @Morvern_C_ 4 Dec 2017
          Replying to @C7RKY @NiamhNolan8 and

          Clinicians are at a loss. They are too busy confronting a tsunami of human misery every day to debate the research. There are notable and valiant exceptions, of course.

          1 reply 2 retweets 2 likes
        3. John Clarke‏ @C7RKY 4 Dec 2017
          Replying to @Morvern_C_ @NiamhNolan8 and

          Absolutely. I've encountered a few of the exceptions. Far too few, but a few. Many just rely on clinical guidelines and a bit of CPD from the local pharma reps. It's no wonder we're in a mess when you think about it...

          0 replies 0 retweets 2 likes
        4. End of conversation

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