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tylerblack32's profile
Tyler Black, MD
Tyler Black, MD
Tyler Black, MD
@tylerblack32

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Tyler Black, MD

@tylerblack32

Suicidologist, emergency psychiatrist and pharmacologist. Data geek, ok, lots of other geek. Speaking/Education Arrangements - contact below. he/him/his

Vancouver
tylerblack.com/twitter
Joined July 2010

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    1. Tyler Black, MD‏ @tylerblack32 13 Jul 2019
      Replying to @kenjaques @gorskon @mloxton

      Oh you again. No, the problem is that using a poor method to arrive at a number doesn't mean it's a good, or even a usable number. If I estimated my weight by picking my nose because I didn't have a scale, and I said "well it's the only number we have so I'll use it for now"...

      2 replies 0 retweets 7 likes
    2. Ken Jaques  🇨🇦  ❤️‏ @kenjaques 13 Jul 2019
      Replying to @tylerblack32 @gorskon @mloxton

      Nice opening. Nice to see you too. Regarding your deflection, I respect your point. The problem however, is that Gorski's belligerence does more harm than good. It seems to me that that was the point of the tweet.

      1 reply 0 retweets 0 likes
    3. Tyler Black, MD‏ @tylerblack32 13 Jul 2019
      Replying to @kenjaques @gorskon @mloxton

      That's an opinion I disagree with. @gorkson, @SBMPediatrics , @stevennovella , @DrJenGunter are at the forefront of combating ignorance and pseudoscience in medicine. Psuedoscience, quackery, and snake oil salespeople harm, injure , and need to be called out aggressively.

      2 replies 2 retweets 4 likes
    4. Ken Jaques  🇨🇦  ❤️‏ @kenjaques 13 Jul 2019
      Replying to @tylerblack32 @gorskon and

      Should stuff that is truly quackery and snake oil be called out? Yes. If you think belligerence is required in order to do so, let's just agree that we're on a different page.

      1 reply 0 retweets 0 likes
    5. Tyler Black, MD‏ @tylerblack32 13 Jul 2019
      Replying to @kenjaques @gorskon and

      Everyone's different. I'm glad to have them fighting this fight against the intrusion of pseudoscience into medicine. Like any team, teammates have different personalities! You'd probably like @stevennovella more. Recommend @SkepticsGuide podcast! It'd be really good for you.

      1 reply 0 retweets 5 likes
    6. Ken Jaques  🇨🇦  ❤️‏ @kenjaques 13 Jul 2019
      Replying to @tylerblack32 @gorskon and

      Like I said, some of them are doing a good job. Some of them could be valuable additions to the "solution team". Not sure if they'd want to make that shift, they seem pretty entrenched on the debunking side. Will watch for @stevennovella. Will also see what @SkepticsGuide is.

      2 replies 0 retweets 0 likes
    7. Tyler Black, MD‏ @tylerblack32 13 Jul 2019
      Replying to @kenjaques @gorskon and

      Shit need debunking, yo. But yes, debunking only one aspect of combatting stuff like TCM, homeopathy, acupuncture, chiropractic, reiki, naturopathy, etc. Hope you like @SkepticsGuide! My favourite science based podcast. And you can read @stevennovella @https://theness.com/neurologicablog/ …

      2 replies 0 retweets 0 likes
    8. Ken Jaques  🇨🇦  ❤️‏ @kenjaques 13 Jul 2019
      Replying to @tylerblack32 @gorskon and

      Hopefully it's not more of the same "baby with the bathwater" stuff that is so prevalent with many of these debunkers. You know -- yo, we don't have solutions but this sounds like something we saw before so it must be bad. Quackery! Pseudoscience! You know the drill 😉

      1 reply 0 retweets 0 likes
    9. Tyler Black, MD‏ @tylerblack32 13 Jul 2019
      Replying to @kenjaques @gorskon and

      Science and the scientific process provides the mechanism to discover the solutions, when we don't have them. Quackery and pseudoscience are not defined by "we don't know, so let's call it that". TCM, Reiki, Homeopathy, etc They are quackery due to implausibility and evidence.

      4 replies 1 retweet 17 likes
    10. Matthew Loxton‏ @mloxton 13 Jul 2019
      Replying to @tylerblack32 @kenjaques and

      Right, and the mechanism is to improve on research results. Pretty much everyone agrees that we need a tally of medical error that has better validity and reliability than Makary et al The question is whether denouncing it or if replacing it is a better use of resources

      3 replies 0 retweets 1 like
      Tyler Black, MD‏ @tylerblack32 13 Jul 2019
      Replying to @mloxton @kenjaques and

      Denouncing it is fine, when its construct validity is so poor. It is not convincing evidence with thoughtful methodology. Makary et al was not a study that added data, it manipulated it, and it has severe error and completely implausible results. https://qualitysafety.bmj.com/content/26/5/423 …

      2:37 PM - 13 Jul 2019
      • 1 Retweet
      • 3 Likes
      • Name cannot be blanket Eileen OS David Gorski, MD, PhD Clay Jones
      1 reply 1 retweet 3 likes
        1. New conversation
        2. Matthew Loxton‏ @mloxton 13 Jul 2019
          Replying to @tylerblack32 @kenjaques and

          Denouncing it is juvenile and a waste of resources. Reusing or reinterpreting existing data is fine, just like meta analysis is fine. If we want a more valid and reliable number, then the course is quite obvious - publish a study that improves on Makary

          1 reply 1 retweet 1 like
        3. Tyler Black, MD‏ @tylerblack32 13 Jul 2019
          Replying to @mloxton @kenjaques and

          So let me get this clear: A better study would use none of the methodology of Makary, because the methodology is flawed and cannot provide a good number, but until that study is done, we should use the results of that flawed methodology?

          2 replies 0 retweets 6 likes
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