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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    1. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @WeDietitians @GidMK

      "We can only draw from the evidence available" and while the "methodology appears sound" in biomedical models of hierarchy of science and reducing bias...if the evidence is limited (which it is) then the recommendations from that science will be limited....

      1 reply 0 retweets 0 likes
    2. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @WeDietitians @GidMK

      So if you, as an epidemiologist, support "giving instruction to generations of populations based on GRADE C evidence" which your blog implies you do, then I guess there's nothing to discuss.pic.twitter.com/w5caEY3Jtf

      1 reply 0 retweets 0 likes
    3. Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @WeDietitians

      Do you believe that smoking is bad for you?

      1 reply 0 retweets 0 likes
    4. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @GidMK

      WT?

      1 reply 0 retweets 0 likes
    5. Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @WeDietitians

      It's a fairly simple question. Alternatively, do you think that asbestos causes mesothelioma? Or that seatbelts prevent death in car accidents?

      1 reply 0 retweets 0 likes
    6. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @GidMK

      My entire career people have sought to draw comparative "policy" and "science" to food. "Food" is a bounded entity bc "humans need it to survive". Anything else you throw at me from the "but epidemiology" bucket that is not "food" is going to waste both our time.

      2 replies 0 retweets 0 likes
    7. Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @WeDietitians

      Sorry, but this isn't about theory. If you don't think Grade C evidence should EVER be used to inform clinical practice, then that should apply to all statements

      1 reply 0 retweets 0 likes
    8. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @GidMK

      "Sorry, this isn't about theory"..... can you expand? eg why "sorry", what is "this"...and if not "theory" then what is it?

      2 replies 0 retweets 0 likes
    9. Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @WeDietitians

      Sure. This is the practical application of a theoretical construct. You can decide that a certain grade of evidence is not sufficient - against the NHMRC recommendations - but applying it inconsistently makes no sense. You should apply it to all areas of evidence

      1 reply 0 retweets 0 likes
    10. Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @GidMK @WeDietitians

      The level of evidence for tobacco-related harms is never above Grade C (perhaps Grade B in some very specific cases), because you cannot run an RCT on cigarette smoking. Similarly with mesothelioma and seatbelts

      1 reply 0 retweets 0 likes
      Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @GidMK @WeDietitians

      So if you reject all Grade C evidence, which is, I would argue, a methodologically unsound method of evidence appraisal, you should similarly be demanding furiously the RCT evidence that cigarettes cause harm and that asbestos is bad

      9:23 PM - 3 Sep 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. We Dietitians‏ @WeDietitians 3 Sep 2018
          Replying to @GidMK

          Is the evidence for cigs causation or association?

          2 replies 0 retweets 0 likes
        3. We Dietitians‏ @WeDietitians 3 Sep 2018
          Replying to @WeDietitians @GidMK

          *don’t even know why I’m entertaining a conversation about cigs when I’m talking about food and health.*

          0 replies 0 retweets 0 likes
        4. End of conversation

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