Alastair McAlpine, MD
@AlastairMcA30
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Peds infectious diseases MD. Author. Prescription: Ice Cream out now!
Joined August 2013
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Last Seen Profiles
For an assignment, I asked some of my terminal paediatric palliative care patients what they had enjoyed in life, and what gave it meaning. Kids can be so wise, y'know. Here are some of the responses (Thread).
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Take home message:
Be kind. Read more books. Spend time with your family. Crack jokes. Go to the beach. Hug your dog. Tell that special person you love them.
These are the things these kids wished they could've done more. The rest is details.
Oh... and eat ice-cream. /End
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A village has 100 people.
99 of them vaccinated. 1 is not.
2 people become sick with Covid, 1 of whom is the unvaccinated person.
Media: “50% of cases occurred in the vaccinated!!”
This is what we’re seeing, and it’s irresponsible reporting.
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ALL of them loved books or being told stories, especially by their parents:
'Harry Potter made me feel brave.'
'I love stories in space!'
'I want to be a great detective like Sherlock Holmes when I'm better!'
Folks, read to your kids! They love it. /5
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@stkirsch
Stop bugging people who are minding their own business with your creepy nonsense:
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MANY wished they had spent less time worrying about what others thought of them, and valued people who just treated them 'normally'.
'My real friends didn't care when my hair fell out.'
'Jane came to visit after the surgery and didn't even notice the scar!' /6
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MANY mentioned their parents, often expressing worry or concern:
'Hope mum will be ok. She seems sad.'
'Dad mustn't worry. He'll see me again soon.'
'God will take care of my mum and dad when I'm gone'
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Almost ALL of them valued kindness above most other virtues:
'My granny is so kind to me. She always makes me smile.'
'Jonny gave me half his sandwich when I didn't eat mine. That was nice.'
'I like it when that kind nurse is here. She's gentle. And it hurts less' /8
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Finally, they ALL valued time with their family. Nothing was more important.
'Mum and dad are the best!'
'My sister always hugs me tight'
'No one loves me like mummy loves me!' /11
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Almost ALL of them loved people who made them laugh:
'That magician is so silly! His pants fell down and I couldn't stop laughing!'
'My daddy pulls funny faces which I just love!'
'The boy in the next bed farted! Hahaha!'
Laughter relieves pain. /9
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MANY mentioned their pets:
'I love Rufus, his funny bark makes me laugh.'
'I love when Ginny snuggles up to me at night and purrs'
'I was happiest riding Jake on the beach.'
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This is the diarrheal ward in a pediatric hospital in Peru.
I was there during the height of diarrhea season.
It was totally empty after being overflowing a few years before.
The difference?
The rotavirus vaccine.
#Vaccineswork
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Grant me the serenity of a capybara completely unbothered by a pelican attempting to swallow it whole...
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Many of them loved swimming, and the beach.
'I made big sandcastles!'
'Being in the sea with the waves was so exciting! My eyes didn't even hurt!' /7
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First:
NONE said they wished they'd watched more TV
NONE said they should've spent more time on Face Book
NONE said they enjoyed fighting with others
NONE enjoyed hospital
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Kids love their toys, and their superheroes.
'My Princess Sophia doll is my favourite!'
'I love Batman!' (All the boys love Batman)
'I like cuddling my teddy' /10
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We’ve all wondered why scientists or MDs “turn”. How respected folk can find themselves deep in the anti-vax community.
It’s a decidedly simple (but dangerous and malicious) process.
Below is a thread on how people become “red pilled.” 🧵
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“Died Suddenly” is the new “Plandemic” is the new “Vaxxed”…
Just antivaccine misinformation,
dishonest framing and conspiracy theory reheated and reserved.
It’s always the same.
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@jeligon
So much to unpack:
- the lies about a 3 year old being assaulted first clearly disproven. Along with the nonsense narrative peddled by some folk
- the white kids jumping out when the black ones jump in
- this was naked racism. End of story.
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Anti-vaxx RFK Jr in a real bind.
There’s a measles outbreak. He knows the vaccine works.
If he tells people to take it, his entire grift with Children’s Health Defense etc. falls apart.
If he doesn’t, he knows more kids will get sick.
So he just runs away.
Measles outbreaks are here, including this week in a FL elementary school. My colleague
@AlexanderTabet
asked Robert Kennedy Jr. how he'd protect kids and got an answer full of falsehoods. Asked if he'd recommend kids get the MMR vaccine, RFK walked away.
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With the ongoing debate around masking kids, has anyone actually thought to *ask* them?
My experience: if you told 100 kids that by wearing a mask for a while at school, they’d protect others from getting really sick, & maybe some from dying…
Most would do it in a heartbeat.
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Wanna know what happened to the disgraced doctor who falsely claimed the MMR vax causes autism?
Who subjected children to unethically invasive procedures (colonoscopies, lumbar punctures)?
Who falsified the results to suit his agenda?
He lives in a mansion and dated a supermodel
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THREE vaccines?
For a virus which >99% of people will survive?
Where has this happened before, I wonder?
#Vaccineswork
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It’s harsh but hearts are so rare that they go to people who’ll have the best chance of survival.
Post transplant, you’re immune-suppressed so at high risk of severe infection (incl COVID).
Folks who won’t vaccinate more likely to die than those who do. So deprioritized.
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@jordanbpeterson
Living rent-free in your ugly mind.
Seriously, dude, railing against a kid and doing the whole “You oppose society yet participate in society” schtick is so tired.
Grow up, dearie.
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This is a problem.
This dude has simply prepared a slide poorly. There are air bubbles and a human hair.
He’s talking nonsense about “hydrogel” and “inflamed red cells” (not a thing). Then invoking Nuremberg.
2m views. Thousands of likes and retweets. Astonishing.
This is the most evil thing I have ever witnessed to happen to humanity! I just tested Lyndsey’s (
@HouseLyndsey
) blood and there’s tons of hydrogel in it. This woman is a nurse and put her life on the line by being around sick people daily, and even took the vaccine to be able to…
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So when you see a headline like this, ask yourself:
What PROPORTION of vaccinated people are winding up in hospital vs. unvaccinated.
That’s the true number. And the stats are clear: only a tiny fraction.
The media needs to do better.
#Vaccineswork
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Dear America
You love guns more than children.
We don’t get it.
Signed:
The rest of the world
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@jakeshieldsajj
RAtM follow science and morality. And stand up for the minority and the vulnerable.
Something the right in America stopped doing a long time ago.
No wonder you folk are so triggered.
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@Schwartziris
@Cynicalunikorn
It is my pleasure and an honour and a privilege to be able to work with these amazing kids and their families.
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This is some of the dumbest nonsense I’ve ever read.
There is NO genocide against white people in South Africa. On the contrary, white people are still disproportionally powerful and wealthy compared to their black counterparts.
This guy… 🤦♂️🤦♂️🤦♂️
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@TheEliKlein
This is not the flex you think it is.
You couldn’t wear a mask out of respect for another human being when they asked you to? Maybe someone in that practice is immune-suppressed? Maybe they have a loved one who is? Maybe they just want to feel safe?
But Eli said no.
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The “major study” is:
- non-peer reviewed
- an unpublished pre-print
- based on data dumpster-diving through a non-verified database (that once listed “becoming the Incredible Hulk” as a side effect)
- uses outdated statistics to paint a false picture
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A reminder:
“Taking the knee” is a sign of respect.
It was suggested to Colin Kaepernick by a soldier, Nate Boyer, who told him it’s how soldiers honour the fallen.
So folk who take the knee are respecting those who fell fighting racial injustice.
Who would oppose that??
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Having given it some thought, I too will debate RFK Jr on your show in place of
@PeterHotez
(dude doesn’t need your nonsense).
I am a subject matter expert and am more than confident I can refute every claim RFK Jr can make.
No time limit. Let’s make it happen, Joe!
Peter, if you claim what RFKjr is saying is “misinformation” I am offering you $100,000.00 to the charity of your choice if you’re willing to debate him on my show with no time limit.
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@catturd2
So we’re playing this stupid game.
If being cis/trans is correlated with gun violence, and most perpetrators are cis then… according to you… being cis makes you more likely to be violent.
Do you see how stupid this is?
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I would humbly suggest that if you’re trolling Elmo and Big Bird for promoting vaccines, you’re on the wrong side of history.
#Vaccineswork
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Hamas’ actions were evil and unconscionable.
But responding by cutting off food, electricity and water to 1 million CHILDREN is not the way to go.
Maybe this loses me followers, but you don’t defeat evil by being evil.
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@jakeshieldsajj
A lie. The NIH advises AGAINST the use of ivermectin.
And ivermectin still doesn’t work.
Please stop spreading lies to your large audience.
(Also, you don’t understand how to critically assess studies, Jake. This is embarrassing)
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Publicly debating antivaxxers, while superficially appealing, is a bad idea.
A) AVers aren’t bound by science. RFK will firehose a million bad claims, Hotez won’t be able to refute them all, and he’ll claim victory
B) Creates the impression this is a “50:50” issue worth debating
Peter, if you claim what RFKjr is saying is “misinformation” I am offering you $100,000.00 to the charity of your choice if you’re willing to debate him on my show with no time limit.
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So I’ve said this before, but I’ll say it again:
‘Hey everyone. I’m Al. I battle with mental illness, including depression. I’m not ashamed of this. There are many people like me out there. If you’re struggling, please reach out. You’re NOT alone.’
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We see the above story play out over & over, with minor variations and changes.
It’s how folk in the science and medical community get “red-pilled” into an antivaxx box that they probably scoffed at a few years ago.
It’s extremely dangerous. And it’s only going to continue./End
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@DrOz
What on earth makes you think you have the credentials to debate Dr Fauci?
And why would he waste his time debating you? That’s not how science works.
But look, Mehmet… if you *really* wanna debate… I’ll do it. I’ll debate you.
How about it?
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A lot of people have asked why terminal or very sick kids like ice-cream so much. A few reasons:
a) the cold helps with the mucositis (inflammation of the mouth and gut from chemo)
b) sugar raises the pain threshold
c) ice cream is just awesome.
🍦 🍦 🍦
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A village has 1000 folk >90y.
990 get vaccinated. 10 do not.
9 out of 990 vaxed die (0.1%).
1 out of 10 unvaxed die (10%).
Correct conclusion: Vaccine reduces death 100 fold.
Antivaxx incorrect conclusion: “9 TIMES AS MANY VAXED DIE AS UNVAXED!!!!!”
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Woke up this morning, see a billion notifications, feel important.
5 mins later on my hands and knees cleaning cat vomit off my kitchen floor. Feel far less important.
Life’s a great leveler. 🤷♂️
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@RepBoebert
Actually, the real tragedy is 600k Americans died, 500 children died, 47000 kids were left without a parent, thousands left with prolonged symptoms…
… and most of it was preventable.
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I’m sorry Dr Wolf had a fall and I hope she’s ok.
But asking about blood thinners after a fall is hardly new: medics want to know if there’s a risk for internal or brain bleeding.
To shoe-horn antivaxx sentiment here is cynical and wrong.
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@elonmusk
You absolutely should. Regardless of the poll.
You’ve made a real mess and revealed yourself to be totally unfit.
From free speech absolutist to banning journos and other platforms. From consorting with hard right and antivaxx folk to promoting misinformation…
Disaster.
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If you’re unsure what “dogwhistling” is… this is a great example.
Ostensibly, a physician is expressing condolences for the tragic death of a young boy. That seems normal and appropriate.
But Malhotra knows his audience. 🧵
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The point is:
Antivaxx grifting sells. Hard. There is an entire circuit in the US dedicated to whipping up fear for cash, and getting on it is very lucrative.
While holding these folk accountable by their medical boards is important, they have a backup grift. And they know it.
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@JesseKellyDC
This is a beautiful image and I am thrilled for both of them.
I honestly struggle to see why this would bother a single soul. And if it does, you need to ask yourself why joy enrages you.
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@goal
Whenever anything pro-LBGTQI comes out, the comments are absolutely infested with homophobia and Vardy memes (This is no exception).
That’s why we need more folk like Jakub to stand proud against the bigotry.
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@MartinKulldorff
@HRaleighspeaks
One of the most disturbing image of this pandemic was watching children die of COVID-19.
Delete this tweet.
Then delete your account.
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@DrJBhattacharya
No such letters were ever necessary.
This is simply more elaborate fantasy.
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CDC: Vaccines are safe. Use them.
ANTIVAXXERS: Haha! Look at these stooges of Big Pharma! Can’t trust a word they say!
CDC: We have detected a faint signal about vaccines and strokes. Probs nothing. Thought you should know.
AVers: This is iron-clad proof from a reputable source!
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To make money, a dude took COVID-19 vaccines for other people. Got 217 (!) shots.
Outcome? No major side effects; normal immune response. Thereby proving their safety profile.
What would happen if you got vaccinated against the same antigen over and over again? In
@TheLancetInfDis
, we now report on a hypervaccinated individual from Magdeburg (HIM) who received 217 vaccinations within 29 months against SARS-CoV-2. 👇 1/19
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Seeing a lot of “What about the long term side effects of the Covid19 vaccines? Should I wait and see?” tweets.
This is an understandable sentiment, so let’s do some (quick) exploring.
A thread 🧵.
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If there is a more nefarious concept than the ‘resilient physician’, I ain’t heard it. (Thread)
Instead of improving a system that is brutal, unkind and dehumanizing, the powers that be are basically saying, ‘Harden the fuck up... by doing some yoga and stuff.’ /1
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@lindayacc
Replacing one of the most recognizable brands and images in the world with a letter of the alphabet?
So lame. So pitifully lame.
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@BostonChildrens
@TripleThreat_MD
If you ever find yourself attacking a *children’s hospital*, then you are almost certainly on the wrong side of history.
Sorry this happened and shame on all those who egged this nonsense on.
There are no words.
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Suddenly, for the first time, you’re IMPORTANT. Lots of people out there care what you say (in the science world you were small-fry).
You’re on tv. You’re being interviewed. From obscurity, you’re now a *name*.
You’re also making very good money. /6
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@Cobratate
Bro, you are NOTHING like those great men.
Where they offer a broad and inclusive vision for humanity, you offer grift and misogyny.
Dudes like you are a dime a dozen.
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@healthbyjames
Children (generally) don’t like needles.
Using this to further an antivaccine message is pretty gross though.
Have you no shame?
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Suddenly… 700k views! With those extra views comes a SIGNIFICANT bump in revenue. You’re now earning fairly substantial amounts.
You go back to the fuddy, “mainstream” stuff, and interest in your videos tanks. You’re back to 50k again (and minimal cash). /3
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Of note: this is not a new policy.
Transplant physicians usually require patients to be up to date on all vaccines pre-transplant.
Losing a patient and a donated organ to a vaccine-preventable disease is a double tragedy.
So we do our best to avoid it.
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*Doctor uses wife’s free travel card over a few months*
British GMC (medical regulator): Suspends him for 6 months.
*Doctors lies and spreads misinformation about vaccines during a pandemic, including to vulnerable populations*
GMC: Refuses to even investigate.
Bonkers.
@gmcuk
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A bunch of mostly white men, decided that a black, non-transgender woman who *naturally* produces more testosterone than her competitors, can no longer run unless she take drugs to alter her body.
It’s vile. It’s racist. It sickens me.
#CasterSemenya
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A) Mode of delivery has no influence on final head/brain size
B) Head/brain size has no correlation with intelligence
C) Elon Musk is a fool, especially when it comes to medical stuff
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So you once again do something controversial. You start “wondering” about the vaccine.
Views skyrocket. People in the comments are telling you what an extraordinary truth-seeker you are. What a great mind. Someone not beholden to “Big Pharma”.
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Anti-vax organization headed by RFK Jr. not content with lying about vaccines, now lying about a vitamin injection that stops BLEEDING INTO THE INFANT BRAIN.
I have treated kids with this condition. It is absolutely devastating. These folks are despicable ghouls.
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@jordanbpeterson
What grumpy, bitter, ugly man you have become. Rage tweeting away while spreading anti-scientific nonsense.
You remind me of a toddler,
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@DrLeanaWen
This is a false dichotomy.
“Mask forever and never go out” vs “Normal life.”
In reality, there are a range of options between those two, which should be pursued, depending on case numbers, finances, etc.
Some ideas: More vaccines, better ventilation, masking indoors, etc etc
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@elonmusk
@CommunityNotes
Dude- this place is absolutely OVERRUN with misinformation. Not helped by you unbanning some awful offenders.
And the bot problem is worse than ever.
What are you doing? (Other than NOT stepping aside like you said you would?)
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Allow me help!
1) The vaccine is not 100% effective. So unvaccinated people DO pose a risk to the vaccinated.
2) Some are immune-suppressed and require the rest of us to be vaxed to protect them
3) More infections = more variants. Threatens effectiveness of vaccines. /1
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Elon Musk is, without doubt, one of the stupidest people I’ve ever come across.
Literally two standard deviations below the mean. Gullible and basic.
He operates- at best- at a high school level.
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Subscribers & views continue to increase rapidly. But it’s clear what they’re there for: C19 contrarianism & skepticism.
You know this from the comments. You know this from the attention you receive from other prominent skeptics & outlets.
Antivax conferences are calling…/5
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Tempting as it may be when you’re overrun, don’t refer to patients by their pathology.
The man in bed 3 is not ‘The bad pneumonia’, he is Mr Nkosi: a human being who is frightened and in pain, with a worried wife and kids.
His name is part of his humanity.
#TipsForNewDocs
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So this is the problem with John Campbell.
He puts out a video, using rubbish stats from an anonymous source, making an absurd claim. Hundreds of thousands of views.
Then he *deletes the video* without explanation. But the damage is done.
Appalling behaviour.
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This is the problem with Twitter.
A “verified account” with 1000s of followers posts what is a straight up lie.
The dude is completely wacky, but not everyone reading the tweet will know that.
The EU *recommends* COVID-19 vaccination for pregnant people.
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@BenK42681862
A) Irrelevant to this thread
B) That was TWO years ago, based on data before Delta and Omicron. Things have changed as the virus mutated.
C) It’s still mostly right
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But you’re not alone. Other folk are also making videos. To stand out, they’re making wilder & wilder claims. So to keep up, you need to escalate.
No more soft-peddling or ambiguity. You go for it. You embrace the antivaccine message. You ignore all those who criticize you. /7
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@crumpetscalling
If that is a real baby’s foot, that uterus has ruptured and the mother needs emergency surgery.
(Of course, that’s not the case here because that’s a photoshop)
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@elonmusk
You just made this up.
So Twitter’s suspension rules are becoming weird and arbitrary.
Which was your criticism of Twitter in the first place.
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You are now trapped. Firmly in the bosom of the antivaxx community, you find yourself standing with conspiracy theorists, germ theory denialists, hardcore right-wingers… and you can’t escape.
There’s nowhere to go. /10
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You wonder how you got here. How a combination of YouTube algorithms, a motivated and wealthy anti-vaxx community, the allure of fame and wealth, the blacklisting by mainstream science, all led you to this point.
But here you are… /11
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Imagine you’re a YouTuber and you think you explain science well.
Imagine you’ve built a loyal following on mostly reliable stuff and get 50k-ish views per video.
Now imagine you dip your toe into contrarian waters: there’s this new drug: ivermectin. 🧵 /1
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Now it’s too late to turn back.
The science community thinks you’re gone and won’t easily accept you back.
Your viewers expect escalation of your rhetoric. Turning back would bring their scorn and they would leave in droves. /8
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Meanwhile, additional evidence has come to light that ivermectin is a bust. That early meta-analysis is flawed and it now seems like your enthusiasm was misplaced.
You can talk about this, but there’s a hitch… /5
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X/Twitter is straight up lying.
Dr Gill didn’t like being criticized by her colleagues, so she sued them to silence them. She lost and was ordered to pay their costs.
No one “canceled” her speech - but she tried to “cancel” other peoples’. And is being rewarded by Twitter.
X is proud to help defend Dr. Kulvinder Kaur Gill against the government-supported efforts to cancel her speech.
@dockaurG
is a practicing physician in Canada, specializing in immunology and pediatrics. Because she spoke out publicly on Twitter (now X) in opposition to the…
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PS: getting upset with me about this and telling me I’m evil or heartless or whatever isn’t helpful.
This isn’t my personal policy. I’m explaining the rationale behind the existing one.
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I’m addition to YouTube revenues, you are now being contacted by folk in the anti-vaxx community.
You are being offered hefty speaking fees. Additional incentives to host prominent antivaxxers. Advertising and sponsorship.
This could make you rich. /9
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*Young person dies of cancer*
Antivaxxers: It was caused by the vaccine!
*Young person dies of anatomical abnormality*
AVers: Caused by the vaccine!
*Young person died of COVID*
AVers: Yeah- was it “of” or “with” COVID? Causality is hard to establish ya know…”
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