Tom Wallach, MD
@md_wallach
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Pediatric GI. Pain, EED, and intestinal barrier science. formerly of UCSF/Columbia. Ed board @jpgnreports . hater of ALS. tweets only represent me. he/him
Joined January 2019
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It is surreal to see our work in
@ScienceTM
and I'm going to take a bit of time to try and tell y'all why I think this work was worth the time.
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I know anecdotes don’t mean a lot that much but 90% of my consults this last week on service were for complications of pediatric COVID.
I’m a gastroenterologist.
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It is beyond belief how many OBGYNs do wildly painful things to women with minimal to no pain control.
Why do you do this. Why.
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Personally I thought it was the body bags in the trucks or maybe the giant wall at my hospital full of dead staffs names, but ok
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But the thing is a I know a lot of pediatricians all over the country and we are all having the same experience.
So maybe at some point anecdotes do matter?
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It speaks to the kind of man, leader, and boss that
@BarackObama
is that he supports and elevates his team in the best and worst times. I can’t say how much his support means to all the folks in the fight against ALS. He is also extremely funny.
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I’ve fired patients (really parents) for behavior like this but it’s always so damn sad. To be so broken you can’t even hold it in for an hour when your life depends on it.
Ok-I was gonna try to get over this-but I am a liver transplant recipient with breast cancer facing double mastectomy at the end of August and now I have no primary care doctor.
A lawyer contacted me-i hesitated-
Nor more!
Would any lawyer out there help me?
Very scared. 💜💚🤍
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Also a lot have folks have asked about vaccination, and I will say what the I’ve seen matched up to literature. Most kids I’m seeing in the hospital or with complications were not previously vaccinated.
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Just to add in here since I don’t want this to be too scary: these kids have on the whole done really well. But it’s just a sign that there’s some interesting and complicated pathology going on here.
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@chefkeva_
Because it’s hard to normalize something that is literally always how something worked.
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@DrLeanaWen
You pose an absurd false choice and it’s reflective of at best a very limited understanding of your field or a purposeful effort at being misleading.
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None of this is doing anything for him. The best anti-aging thing he’s got going for him is his hair dye.
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@upshaw_stacy
Without getting into patient details I’ve seen hepatitis, cholestasis, feeding ventilated kids, pancreatitis, and some of GI thromboembolic issues (liver, intestines).
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@RyanMarino
@DrOz
Look let’s not malign the good Dr. pepper it’s improved a lot more lives than Oz has.
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@RichLowry
Is it unpleasant to spend your life as the avatar of grievance, especially knowing your grievances are all about just the smallest, most insignificant things.
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It is truly astonishing how so many folks calmly accept the utility of masks in health care settings but, like, nowhere else.
Hospital air just hits different I guess.
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Totally used to make fun of you for being old but man we are going to get you to ancient and celebrate every minute of it.
Today is my last day being 42. A lot has happened over the past year, but I am still here. And for that I am grateful.
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This is not only functionally incorrect, it’s more or less gibberish.
Anyway, as a pediatrician and a biologist, I’ll be vaccinating my son as soon as it’s available for his age range, since it is currently a top 3 cause of mortality in his age range.
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Please don’t remove all joy from your life and house unproven supplements supported by a single non reproducible in vitro or mouse study
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Truly hadn’t realized how much I’d dig packing toddler lunches.
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@DrLeanaWen
There is a very clear space in between your two extremes. You’ve just abandoned it for … reasons.
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@DrSoeholm
May want to rethink how you take care of your team then. Someone repeatedly telling my staff they shouldn’t exist and other patients they are the devil is not welcome in my practice.
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When
@bsw5020
called me years ago I thought it wasn’t real. Some kind of mistake. When he told me his plans I thought he should focus on living his own best life.
I forgot who my brother is. He’s a worker. He’s a leader. This is his best life.
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@edlane3
@notcapnamerica
Feels like everything in gyn is described as “mild discomfort” yet it’s all horrifyingly painful.
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You will still die. This will barely effect when, and more likely it will make it happen sooner.
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@YoilishPoilish
He looks like a 45 year old in good shape who is taking estrogen and has a really expensive skin care routine.
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Would recognize I know the vast majority of obgyn folks I know on Twitter aren’t in this boat but it’s definitely a common problem.
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My son wouldn’t exist without abortion. My wife probably wouldn’t either. Because our first pregnancy ended in one after a terminal defect was found which would have threatened my wife as fertility and life if we had been forced to carry to term.
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@honigmaydl
You totally can measure it. Usually in years from when you were born. Whatever this guy is doing is imaginary.
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Honestly
@ucsf
I do not see how you reasonably maintain an association with someone this unprofessional
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On this the last day of 2021 I want to thank visionary physician scientists
@MonicaGandhi9
@MartyMakary
, Vinay Prasad, and
@elonmusk
for so accurately predicting the end of the COVID-19 pandemic so very many times.
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On a semi-related note don’t put light bulbs up your backside it’s extremely dangerous.
If you come to the ER with a titanium cock ring that you cannot get off, our ring cutters are not sharp/strong enough to cut it. Which will result in us having to call the fire department to get their diamond saw, and this is a very undesired experience for everyone involved.
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A few years ago my best friend died 2 days before his birthday of complications of kidney cancer, dialysis, and healthcare disparities. Today is his birthday, and I miss him very much.
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@JennyErikson
Honestly curious why you would bother? You clearly don’t trust us, so what are you coming for?
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Had to replace the button battery in my car key and I can’t be the only peds GI who treats these things like nuclear waste right?
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@DrVirgo1981
The history is totally horrifying, yes. I guess what I don’t get is what the barriers are to todays providers updating practice. Is it cultural reflections of the white dudes that ran (still often do) the field or are there practical issues?
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@LAPDMarcReina
You are either explicitly lying or just wildly mistaken but either way you are deeply incorrect.
I have quite literally spilled liquid fentanyl on myself before. Since it can’t effectively absorb through skin on its own, nothing happened.
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@NoahShachtman
I appreciate bots bringing me a wildly better version of that movie, as annoying as that was.
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Beyond just how wild it is for him to be promoted (I personally know many many faculty
@UCSF
with vastly more impressive research credentials (and no antivax baggage) who are still associates), what patients is he talking about.
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@BrownJem
That’s the thing man, like, how is hating trans folks more important to you than getting your care
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Closing replies because this isn’t really a topic of debate no matter what you believe. If you can’t meet a bare minimum standard of behavior in public places I’m not going to argue with you about it.
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I truly hate this disease.
There is a beginning and end to every story; this is the end of my story, but this is not goodbye; it is a see you later. In the end, it's not the years in your life that count. It's the life in your years. Friends and family, THANK YOU. Please continue my fight to
#EndALS
.
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@TheAtlantic
@ebruenig
…. Honestly sometimes it’s ok to call bad things bad. I don’t have to pretend it’s good just because some folks have talked themselves into a delusion, and I’m not shaming anyone by pointing out the fact that they are putting themselves and their loved ones at risk.
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Thank you to the people
@people
for highlighting the work of
@bsw5020
@sabrevaya
@iamalsorg
and
@noc_film
It’s incredible to read about my families story on my bus from DC to NYC.
#DefyingTheOdds
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@DouthatNYT
If your argument is that one segment deserves to have their quality of life propped up by stealing the liberty of others, well, that’s broadly applicable to all sorts of horrors.
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@DouthatNYT
Feels like this argument (even if it’s attributable to Roe, which, meh) would still rely on the same basis as saying ending slavery lowered quality of life for slave owners.
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So my son had a hearing issue (now fixed with tubes) and needs catch up speech therapy.
For this explicitly covered service, I’m now on round 13 of trying to get
@UHC
to cover it. They seem to deeply enjoy giving me incorrect information.
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@ErinSandersNP
Oh yeah the origins are very dark. What I don’t get is why the current providers still participate in this torture
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@nichols_senator
Wildly impressed you have followed gop politics to the natural endpoint and put a bill out banning all life on earth.
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@Surgeon_General
I’m very sorry your family is facing these challenges. There are many, many other families who will not be able to get the care they need in part because you acquiesced to be silent while your administration took active steps to make this pandemic exponentially worse.
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@daniellakrn
It’s like, iud insertion, dilatation, cervical biopsy/scraping, excisions, whatever
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@FoxNews
Who in gods name chose to take a nice thing (giving out free turkey) and make it terrifying (random traffic stops of unassuming people who may or may not need a turkey)
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Dude runs a massive scam vitamin company.
That would be a great suggestion if you could assure that the industry you were representing wasn’t completely captured by heartless monsters who have a history of some of the biggest criminal fines in human history because their deception has cost hundreds of thousands of people…
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@KrugAlli
Is there a single vaccine you won’t spread false information about?
The vaccine covers multiple strains. It’s vanishingly rare to have all of them. Efficacy declines with age/sexual activity but it’s still very helpful.
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It’s
@sabrevaya
‘s birthday today (presumably like 31st since she’s aging in reverse somehow) but wanted to take a moment to celebrate her and the absolutely incomprehensibly powerful force of nature she is.
@bsw5020
got lucky.
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@KFILE
Our 16 month old is going to hear all about his older sister, even though she’s gone, because they are family.
I’m so immensely happy for you to have found this joy again.
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Having a paper retracted by cureus is like being kicked out of a dump for smelling bad
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I’m so very tired of all the sanctimonious and cruel “experts” deciding what risks are acceptable for a terminally ill community. The utter lack of perspective and the sheer lack of respect for patient autonomy is pervasive and infuriating.
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Holy smokes.
“"In a first-ever human clinical trial of four adult patients, an mRNA cancer vaccine developed at the University of Florida quickly reprogrammed the immune system to attack glioblastoma, the most aggressive and lethal brain tumor."
Stunning
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@babbymd
And if you don’t like it, find another office! Don’t stomp in and attack everyone you need to help you
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@AnilMakam
Huh weird someone should tell the 1500-2000 people dying each week that they are being dramatic
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@JosephLTrahan
Yall have a fun defense mechanism where you see an army of people laughing at you for being stupid and call it being “triggered”
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@ProfEmilyOster
@TheAtlantic
To be clear your inability to respect the boundaries of your training and expertise isn’t an innocent error. You are a very purposeful charlatan.
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@LAPDMarcReina
Not only that, but fentanyl overdose looks like falling asleep and not breathing. Not this, which seems likely to have been a panic attack.
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The situation in US healthcare is well encapsulated by the fact that a private practice adult medicine doctor you have to pay thousands of dollars to even make an appointment with dictated peds COVID policy over the objections of 99.9999% of pediatricians and our academy.
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Can someone explain to me what the phrase “no evidence of long term cascade of bad outcomes” means when the patients are dead.
I guess sure after they die things stay pretty static.
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starting to think a main driver of transphobia is just being cripplingly dumb and finding everything confusing
If you think these are ‘athletic females,’ congratulations, you’ve been successfully brainwashed 😵💫
Credit to
@SantoniGregory
🙏🏼
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@NateSilver538
Gosh how could sitting in an enclosed tube covering long distances serve as an issue with an infectious disease
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In terms of the folks worried about quantity:
A) you are being rude!
B) he’s a 2 year old wearing 4T clothes (probably cause his dad is 6’8)
C) ain’t nothing wrong with packing an overabundance of healthy food. Sometimes some comes home. Mostly it doesn’t.
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@ZaidJilani
When you have small numbers minor changes can create a large percentage effect. For instance, if I had 4 apples, and then I got a 5th, I increased my apples 25%. Or, as in this case, if you go up by 7 total.
Now compare that to the fact that cops kill 1240 Americans annually
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Not sure any publication, grant or award will feel as good as this one.
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Well I don’t have a SoundCloud but I do want to point out that Brooklyn is the largest city in the United States without a dedicated woman’s and children’s hospital (by over a million people).
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@FoxNews
Seriously why would anyone do that. That would be like me walking into a room of a patient and saying “I have terrible news” then giving them a free turkey.
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@daniellakrn
If you tried to tell men you were doing a surgical procedure on the tip of the penis with fucking Motrin we’d riot why is this allowed
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@justindeanlee
Like sure you are a bad person but it’s wild how little you understand people who aren’t
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@DrSoeholm
And more specifically, nothing to do with beliefs. Would never fire someone for beliefs. Entirely to do with conduct.
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I do not understand why people are insisting the research and policy chops of a concierge medicine internist in the wealthiest corner of Washington with not a single day of research, pediatric, or focused mental health experience should be steering peds masking policy.
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