Buzz Hollander MD Profile
Buzz Hollander MD

@buzzhollandermd

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Family physician, running a DPC practice with my wife. Raising 2 girls & 5 hens in upcountry HI. Dyed-in-the-wool centrist. Always skeptical, sometimes cynical.

Waimea
Joined August 2020
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@buzzhollandermd
Buzz Hollander MD
3 years
I can't stand MDs touting garbage studies like this. The mRNA covid vaccines saved many lives. They were a risk:benefit loser for young men. It's okay to say that. In fact, it *builds trust* to admit that. Any MD should know better than to pump this study. It's embarrassing. 9/9
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@buzzhollandermd
Buzz Hollander MD
3 years
To bring the recent study into the realm of pure absurdity, they choose to highlight the safety of the mRNA vaccines re myocarditis by comparing it to the smallpox vaccine - a vaccine which causes myocarditis in young men at an even more alarming rate than the mRNA vaccines! 8/9
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@buzzhollandermd
Buzz Hollander MD
3 years
The problem, ofc, is every adolescent male myocarditis case got a covid test in the EHR. Does every adolescent male with a covid infection get a covid test recorded in the EHR? Of course not! I would guess ~10% do, at most. So, that "500/M" number is make-believe. 7/9
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@buzzhollandermd
Buzz Hollander MD
3 years
No! Nearly every EHR-logged post-viral myocarditis ends up in the hospital. Nearly everyone in the hospital in 2021 ends up w/ a covid test in the EHR. They take the 400 or so post-covid myocarditis cases in the EHR, divide into the 850K covid+ tests in the EHR to get a rate. 6/9
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@buzzhollandermd
Buzz Hollander MD
3 years
Most egregious is borrowing from a horrible CDC MMWR, unironically released on April Fools Day, 2022, to "set" their post-covid myocarditis rates: https://t.co/kJodFuAxEP They looked for young men hospitalized w/ myocarditis and checked for prior covid infection. Smart, eh? 5/9
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@buzzhollandermd
Buzz Hollander MD
3 years
Very egregious is not looking at the actual high-risk cohort: young men after 2nd shot. They look at young men; and everyone after 2nd shot; but not the actual high-risk cohort, so that 60/M is a deflated rate. Legitimate studies find the rate to be 1/2000-1/7000, in general. 4/9
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@buzzhollandermd
Buzz Hollander MD
3 years
So saying covid causes myocarditis in this cohort at a clip of 500 cases per million infections, and comparing it 60 cases per million of post-vax myocarditis, is apples-to-oranges. But that's the least of the problems with this study. ( https://t.co/re8VJPwFBi) 3/9
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@buzzhollandermd
Buzz Hollander MD
3 years
For starters, comparing rates of bad outcomes w/in a cohort should be an apples-to-apples comparison. To fully vaccinate a teen boy, we need to give him 2 shots. So 100% of vaxed boys experience 2nd shot. But do 100% of unvaxed boys get covid? Do 0% of vaxed boys get covid? 🤦‍♂️2/9
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@buzzhollandermd
Buzz Hollander MD
3 years
This is the well-intentioned vaccine misinformation story that simply will not die. https://t.co/2S9vWCT4ao No, in the high-risk cohort for post-mRNA-vaccine myocarditis, covid-19 infection does NOT present a higher risk of myocarditis. Let me count the ways... 1/9
@tylerblack32
Tyler Black, MD
3 years
Hey, "science debaters," Vaccines cause less myocarditis than COVID does. This meta-analysis shows clearly that COVID Vaccines's risk of myocarditis is far less than COVID's risk of myocarditis in 12 to 17 year olds by an order of magnitude.
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@buzzhollandermd
Buzz Hollander MD
3 years
Interesting timing, though, with the US about to declassify a trove of documents about their investigation into WIV next week. Perhaps some real insights will emerge? But for now my lab-leak agnosticism remains. 4/4
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@buzzhollandermd
Buzz Hollander MD
3 years
For those wanting to dig deeper, here is a long thread from a lab-leak-friendly commentator: https://t.co/bnYxTrYDhX a short one from VF writer Eban: https://t.co/CDs5otItsO and a debunk from an anti-lab-leaker: https://t.co/H16fgVbme3 No one loves this piece. No one honest. 3/4
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@buzzhollandermd
Buzz Hollander MD
3 years
You can make the case they are ignoring it b/c there's not a lot that is new, and what *is* new might well be hot garbage. But why not trot some experts in to discuss what must be huge news across the pond? 2/4
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@buzzhollandermd
Buzz Hollander MD
3 years
I was sent via @MarkReardonKFTK's henchmen an article from London's heavily-read, center-right, "The Times," purporting that China/PLA was deliberately engineering SARS-CoV-2 at the WIV: https://t.co/WfUTeytqXH Pretty inflammatory stuff! And the MSM is ignoring it over here. 1/4
@thetimes
The Times and The Sunday Times
3 years
🔺 EXCLUSIVE: Investigators who scrutinised top secret United States intelligence believe the Covid 19 pandemic was the result of a leak from the Wuhan laboratory
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@buzzhollandermd
Buzz Hollander MD
3 years
Ofc, in the days before high levels of population immunity, mortality rates from Covid were wayyy over 1/M for folks in their 20s and 30s. However, the math is different now. Requiring 22 y/o male students to get boosters is terrible medicine... and thankfully is fading away. 6/6
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@buzzhollandermd
Buzz Hollander MD
3 years
Commentators who diminish the importance of this cause of myocarditis (ie @19joho ) might pause. While deaths & most severe events were in age 22-45 males, these were still fairly low-risk individuals in regard to Covid. 5/6
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@buzzhollandermd
Buzz Hollander MD
3 years
However, the study found rates of severe post-vaccine myocarditis in 20% of cases. Given that the overall VRM rate of 1/20K in males 12-17 is about 3-6X lower than most studies, there might be under-reporting of cases and this rate might be inflated. Still... this is no joke. 4/6
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@buzzhollandermd
Buzz Hollander MD
3 years
Those claiming an "epidemic" of footballers etc dropping like flies from mRNA vaccines must be disappointed. Historic annual sudden cardiac death rates range from 1/10,000-1/50,000 for high-level male basketball/football/soccer athletes. ~1/M barely would move the needle. 3/6
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@buzzhollandermd
Buzz Hollander MD
3 years
One headline is that 8 men age 12-45 died of sudden cardiac death w/ biopsy-proven myocarditis. By my calculations, that's out of about 7M who got mRNA vaccines in that demographic. So a little over 1 per million dying of SCM linked to vaccine. Concerning, but in context... 2/6
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@buzzhollandermd
Buzz Hollander MD
3 years
A worthwhile study on vaccine-related myocarditis from S Korea that might displease partisans on the issue: https://t.co/RFeJ9JcbO0 44M vaccinated Koreans (2/3rds with mRNA). Myocarditis followed if reported w/in their mandatory reporting system. Results are interesting! 1/6
academic.oup.com
AbstractAims. A comprehensive nationwide study on the incidence and outcomes of COVID-19 vaccination-related myocarditis (VRM) is in need.Methods and resul
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