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jddneary's profile
John Neary
John Neary
John Neary
@jddneary

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John Neary

@jddneary

@McMasterGIM Director in @MacDeptMed/@StJoesHamilton, Boris Chair in Ed/IM @HamHealthSci, @ourbeasley resident. he/him. speaks for self.

Hamilton, Ontario
Joined April 2011

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    John Neary‏ @jddneary 24 Sep 2019

    John Neary Retweeted John Neary

    Okay, I'm going on a rant here 1/https://twitter.com/jddneary/status/1176539452270886912 …

    John Neary added,

    John Neary @jddneary
    I've read enough judgements in medical-legal cases. Almost always I am amazed by the quality of reasoning and the nuanced approach to expert evidence (when applicable). This judgement, by contrast, is utter trash. https://twitter.com/IrfanDhalla/status/1176328390464458752 …
    7:55 PM - 24 Sep 2019
    • 29 Retweets
    • 75 Likes
    • Ashwasena Evil Knebel Dr. Fiona Mattatall Nanea Taylor George "listen to the science" Heckman Alex Cressman Anton Song Tosh Imran Mulla
    5 replies 29 retweets 75 likes
      1. New conversation
      2. John Neary‏ @jddneary 24 Sep 2019

        Suspected meningitis of any cause in a child would motivate a reasonably prudent parent to seek medical attention. The meningitis vs. hypoxia dichotomy is nonsensical; hypoxia can be the result of meningitis. 2/pic.twitter.com/k7NRDQSw0W

        2 replies 2 retweets 22 likes
        Show this thread
      3. John Neary‏ @jddneary 24 Sep 2019

        "Alert to the possibility" that their child had meningitis, but didn't take him to the hospital? (And the false dichotomy of meningitis vs. hypoxia again) 3/pic.twitter.com/oVVRJF2rDS

        2 replies 2 retweets 17 likes
        Show this thread
      4. John Neary‏ @jddneary 24 Sep 2019

        @IrfanDhalla has already drawn attention to this passage. It is absolutely disgraceful. I have nothing more to add. 4/pic.twitter.com/JwUqn3HCdo

        1 reply 4 retweets 21 likes
        Show this thread
      5. John Neary‏ @jddneary 24 Sep 2019

        This is not how judges usually write. Also there is no such analysis of the other experts. 5/pic.twitter.com/THhT2VTFRC

        3 replies 3 retweets 20 likes
        Show this thread
      6. John Neary‏ @jddneary 24 Sep 2019

        It's not "at best tangentially related." If he died of a vaccine-preventable infection, then his death literally could have been prevented by vaccination. 6/pic.twitter.com/hINQO8VXYo

        1 reply 3 retweets 19 likes
        Show this thread
      7. John Neary‏ @jddneary 24 Sep 2019

        In the earlier trial, Dr. Adeagbo testified that Ezekiel's brain was covered in pus. And what's a more likely incidental diagnosis: empyema (unrelated to viral meningitis) or enterovirus (unrelated to bacterial meningitis and empyema)? 7/pic.twitter.com/LpgABq6rbf

        1 reply 2 retweets 11 likes
        Show this thread
      8. John Neary‏ @jddneary 24 Sep 2019

        Lymphocytes don't rule out bacterial meningitis. H. influenzae is a rare cause of meningitis because almost everyone is vaccinated against it. Before the vaccine, it was common. Majority of mild cases of meningitis may be viral, but not of fatal ones. Terrible reasoning here. 8/pic.twitter.com/OIdonY3Uwm

        1 reply 2 retweets 16 likes
        Show this thread
      9. John Neary‏ @jddneary 24 Sep 2019

        Radiologists. Don't. Rule. Out. Bacterial. Meningitis. 9/pic.twitter.com/VrXwE0kEjb

        1 reply 2 retweets 20 likes
        Show this thread
      10. John Neary‏ @jddneary 24 Sep 2019

        Supportive care is treatment. It usually involves preventing out-of-hospital respiratory arrests. I think the judge may be overinterpreting this point. 95% of meningitis is viral, and 85-95% of that is enterovirus? Really? 10/pic.twitter.com/Hx9KiSOgQj

        1 reply 2 retweets 14 likes
        Show this thread
      11. John Neary‏ @jddneary 24 Sep 2019

        A reasonably prudent parent would take their child to the hospital rather than trying to learn how to diagnose meningitis from a website. 11/pic.twitter.com/IgGPOliBJa

        1 reply 3 retweets 17 likes
        Show this thread
      12. John Neary‏ @jddneary 24 Sep 2019

        "The episode with the car seat" 12/pic.twitter.com/zNmJFsuKjE

        1 reply 2 retweets 11 likes
        Show this thread
      13. John Neary‏ @jddneary 24 Sep 2019

        Forensic pathologist opines that cause of resp arrest was either croup or viral meningitis, although by her own admission, neither is at all likely to cause resp arrest. Is this perhaps stretching her expertise? 13/pic.twitter.com/id66tHkfpe

        1 reply 2 retweets 9 likes
        Show this thread
      14. John Neary‏ @jddneary 24 Sep 2019

        The forensic pathologist called by the defense decides that he died of croup, and the judge buys it. 14/pic.twitter.com/M88EI1HYaT

        1 reply 2 retweets 12 likes
        Show this thread
      15. John Neary‏ @jddneary 24 Sep 2019

        Meningitis. Is. Life. Threatening. 15/pic.twitter.com/e9hK5MSmle

        1 reply 3 retweets 18 likes
        Show this thread
      16. John Neary‏ @jddneary 24 Sep 2019

        Even if you really think the cause of death was out-of-hospital respiratory arrest from croup, hospitalization would have been a great way to prevent that. 16/pic.twitter.com/lZLu4JJhnY

        3 replies 2 retweets 15 likes
        Show this thread
      17. John Neary‏ @jddneary 24 Sep 2019

        This judgement is a travesty. That is all. @picardonhealth @ASPphysician @zchagla @AlainnaJJ @DocMCohen 17/17

        5 replies 3 retweets 39 likes
        Show this thread
      18. John Neary‏ @jddneary 25 Sep 2019

        Ok, one more point. I get that the role of expert witnesses is to advise the court, and that the trier of fact has to interpret their testimony. But that is not what this judge did. His judgement is riddled with his own medical opinions, and he's a terrible amateur doctor. 18/17

        4 replies 4 retweets 28 likes
        Show this thread
      19. John Neary‏ @jddneary 25 Sep 2019

        Great long-form analysis by @gorskonhttps://respectfulinsolence.com/2019/09/20/ezekiel-stephan-justice-is-denied/ …

        0 replies 1 retweet 12 likes
        Show this thread
      20. End of conversation

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