Tuesday, December 13, 2022

Lies, damn lies, and statistics: did twitter banning make it worse?

 According to Musk's tweets, maybe the coverups of covid, (banning tweets on subjects which were not allowed to be discussed) might be next.

so how is this reported in the news?

From Physorg:


Twitter lifted its ban on COVID misinformation—research shows this is a grave risk to public health

My take? 

That by not allowing discussion, the only place you can find this information is on distorted conspiracy sites, and when people actually see or read of sudden adult death syndrome in the young, they take the problem out of context and exaggerate the risk: and since the experts deny any problem, the end result is that they stop believing in experts.

For at least thirty years I have wished that there were medical discussion on the internet so docs could bring up these questions: But alas we were stuck with slow "letters to the editor" to bring up the questions and of course often these letters never got published.

I don't know if things improved: After Lolo died, I have stopped reading the journals etc. and of course our medical organizations have pretty well be taken over by the woke. I have written about racism in medicine in the past, but the woke i.e. Marxist ideas will probably only make things worse: because they are training you to see a straw man who fits into the marxist ideological box instead of a real person in front of you, a person with flaws and strong points who needs your help.

In the past, docs often were trouble makers because we were a reality based profession. But now we are supposed to fill in the boxes to get paid, and there is a lot less patient continunity, so the patient might not have the same doc for every visit. Indeed, those visits for minor things (which are now often pushed off to nurse practitioners) were the time we got to know our patients with small talk: and so when a major medical problem happened, they knew us and we knew them.

No more, of course.

An GPs who notice strange patterns are told that Medicine based on anecdotal observation is often false, where what actually happens is that we know the multifactorial reasons behind our observation.

Now it seems we have to fill in the blanks and follow the experts or else.

but when there is a filter to stop inconvenient questions in published papers, and the advice by experts is based on a flawed method of analyzing what has already been published, you see there might be a problem.

The experts gather all the studies (both good and poorly done) and then pretend they are all accurate studies, and then make guidelines based on the average of all of these studies, it makes one wonder if the experts know the phrase "GIGO" garbage in garbage out.

Statistics are complicated.

The statin studies of the 1990s were an example. 

So a study reporting, say, a 25 percent reduction in heart attacks if you use X medicine leads to people thinking everyone sould take an anti cholesterol pill... this ignores that these numbers come down to an actual tiny number of cases stopped in the general population... and those studies shows no difference in death rates from all causes (since the treated group had higher incidence of deaths from (one study) cancer or (another study) violence/suicide.)

Docs just scoffed at the news that we should put eveyone on these medicines, but hey we were under pressure to use the medicine for the good of our patients. And the advice kept lowering the cholesterol where we should start treatment. We see a similar exaggeration in lowering blood pressure so far, to the point that our elderly patients are falling down and breaking their hips.

When it comes to covid, there is even more confusion.

Dr. C again risks youtube banning by interviewing an expert in statistics.

I post this partly to listen to it a second time because it is a bit dense, but it does bring up some points one dare not raise.

Main point: what do we mean by absolute risk and relative risk?

To avoid covid hysteria, I am posting this video which predates covid


It would have been so nice if real experts had been able to point these things out without the danger of being banned.

Elon Musk is hinting that he might open the twitter files to see how people got banned etc because they went against the so called experts. 

And I would welcome a twitter where people could actually discuss and put their two cents in.

True, anecdotal medicine often gets things wrong, but you know, a lot of medical breakthroughs come from docs who notice something and report it.


Dr. Malone call your office. You might be allowed to give your opinion soon.

No comments: