Multi $Million Charity Debate Challenge gets cowardly REFUSED
Vinay Prasad MD MPH @VPrasadMDMPH 1h Stupid, Luddite policy. Might as well decline to use the printing press and hire monks to copy each issue by hand. nature @Nature Jun 7 Editorial: Why Nature will not allow the use of generative AI in images and video go.nature.com/42sFnj9 5 1 46 Vinay Prasad MD MPH @VPrasadMDMPH 1h One of many reasons policy is Luddite Jakob Nikolas Kather @jnkath Jun 8 I believe it is wrong that @nature @NaturePortfolio bans all #AI generated images from its content. We use AI generated symbols and illustrations like these 👇👇👇👇 all the time. Saves a ton of work when visually explaining scientific concepts. 1 20 Vinay Prasad MD MPH @VPrasadMDMPH 1h So many ideas of what to add to medical school, residency and fellowship training I have this crazy idea that one goal of the training should be to teach doctors how to care for patients. 19 10 203 Vinay Prasad MD MPH @VPrasadMDMPH 2h Of course he is correct. Medicine, the profession, never addressed pharmaceutical conflict of interest and as a result has a gaping credibility problem. Next 20 years will see this problem grow. Calley Means @calleymeans 4h One company (@pfizer) is able to pay doctors nearly $800 million in a single year. But it is “dangerous” to even ask a question of those doctors, and invalid to engage them in debate. The gold standard is the studies paid for directly by the drug companies. Got it. Show this thread 11 52 5 209 Vinay Prasad MD MPH @VPrasadMDMPH 14h Regulating gas stoves is the dumbest public health idea imaginable. There are so many bigger issues and the science claiming replacing gas w electric will lower bad outcomes is as close as garbage as it gets. Fake issue. Waste of time. nytimes.com/2023/06/17/clima… Study Compares Gas Stove Pollution to Secondhand Cigarette Smoke One burner could raise indoor concentrations of benzene, which is linked to cancer risk, above levels that have prompted investigations when detected outdoors. nytimes.com 66 143 9 1,042 Vinay Prasad MD MPH @VPrasadMDMPH 15h M1 is the worst imo but paying for M4 knowing it is entirely a waste, hurts the most in retrospect Michael Burt @MBurt34 20h which is the worst year of med school? 6 50 Vinay Prasad MD MPH @VPrasadMDMPH 15h I think this is well said. He gets why RFK has massive appeal 👇 More politicians have to be honest about the oversized role of Pharma. Basically running the FDA. Calley Means @calleymeans 15h The @joerogan / @RobertKennedyJr bruhaha shines light on the most important issue in America. Pharma companies have given us the opioid crisis, lockdown policies, and 50% prediabetes rates. We're bullied to blindly trust them, but they deserve ZERO benefit of the doubt. There… nitter.tokhmi.xyz/i/web/status/167… 38 98 4 893 Vinay Prasad MD MPH @VPrasadMDMPH 16h This is why Hotez would be an awful debater. Joe Rogan and Elon have a range of views, but none are fascist and many are actually very left of center. They don't fit into partisan boxes. There is a way to acknowledge what RFK is right about and the parts where he is off. Joe Rogan @joerogan 17h Are you sure I’m not a part of a coalition with neofascist leanings? Seems like that’s what you really think, or what you’re projecting to the masses. Show this thread 122 104 10 1,356 Vinay Prasad MD MPH retweeted Vinay Prasad MD MPH @VPrasadMDMPH 17h Replying to @doc_gero @handmadekathy Many of the tactics that are successful in verbal debate are not particularly those relevant to vaccine development. It would be a massacre of epic proportions to allow a gifted speaker to debate someone who is a raving partisan. 15 12 153 Vinay Prasad MD MPH @VPrasadMDMPH 17h RFK Jr would destroy Hotez. I would be happy to have a conversation with RFK Jr. I think it is important to acknowledge what RFK is saying about regulatory capture that is very right and then I would probe the parts I disagree with. GeroDoc @doc_gero 17h @joerogan forget @PeterHotez - have @VPrasadMDMPH on your show to debate @RobertKennedyJr. An RFK vs. Hotez debate would be brutal for Hotez, & would not be particularly informative either 335 419 56 5,249 Vinay Prasad MD MPH @VPrasadMDMPH 18h I will add this response to my thread. Post progression therapy would be even higher if you didn't sit around letting people deteriorate for a few months on placebo. What are we even talking about here? Vinay Prasad MD MPH @VPrasadMDMPH 18h The trial is unethical and disgusting Colon cancer patients died on placebo when there are drugs we would give, and which were given post progression Be honest, you are prioritizing researchers feelings over the lives of human beings dying on study so a company can make money. Show this thread 1 44 Show this thread Vinay Prasad MD MPH @VPrasadMDMPH 18h The trial is unethical and disgusting Colon cancer patients died on placebo when there are drugs we would give, and which were given post progression Be honest, you are prioritizing researchers feelings over the lives of human beings dying on study so a company can make money. Dayo Fadelu @temidayo 23h Replying to @VPrasadMDMPH One could disagree with a study's approach without calling it "disgusting" and "unethical", or cherry-picking parts that mislead the casual observer who doesn't read the publication... I'm not defending Fruquitinib @CathyEngMD's... just pointing out faulty premises in the thread 10 20 1 170 Vinay Prasad MD MPH @VPrasadMDMPH 18h The author points out that post-progression therapy is low. That's true. But the study wasted their time so their performance status could deteriorate. And many may not be in places where they have access to. The drug. Would be higher if it was active. Comparator 1 1 14 Vinay Prasad MD MPH @VPrasadMDMPH 18h This Vinay Prasad MD MPH @VPrasadMDMPH 18h Replying to @temidayo @CathyEngMD Totally wrong. You can give the same drugs again. In fact, many people did post protocol. Just because something's permitted does not mean it's ethical. This was unethical. End of story. 1 1 13 Vinay Prasad MD MPH @VPrasadMDMPH 18h Honestly, this is nonsense. We would give the same drugs again. You can keep giving 5 FU. We used to do it. In fact that's what they did post protocol. Could have been a lot higher if they did it before they had progression. Dayo Fadelu @temidayo 19h Replying to @ripecortex @VPrasadMDMPH @CathyEngMD Of course.. time is precious when one is facing a terminal disease... If you read the paper closely, the patients included had exhausted all standard treatment. No clear good alternatives... And the people who were in the active treatment group lived 2.6 months longer... 1 1 1 11 Vinay Prasad MD MPH @VPrasadMDMPH 18h Yes, It is corrupt and unethical. When you would in real life give someone 5fu. When you would give your mother 5u. When you would give your father 5fu. And when you give it after progression, as they did Placebo control crc trials need to go bye bye Dayo Fadelu @temidayo 23h Replying to @temidayo @VPrasadMDMPH @CathyEngMD -While one can raise legitimate questions about drug pricing, trial sponsorship etc. It is neither corrupt nor unethical to enroll pts with refractory met colorectal cancer with good functional status, who have exhausted all standard treatments, in placebo-controlled trials. // 2 2 1 34 Vinay Prasad MD MPH @VPrasadMDMPH 18h I reiterate the points Vinay Prasad MD MPH @VPrasadMDMPH Jun 17 Disgusting, unethical PLACEBO control trial in colon cancer just so Fruquitinib can win I will show you that placebo should not have been the control arm, & the IRBs & FDA failed 🧵 First, this trial tests a new drug vs. placebo (sugar pill) in patients dying of colon cancer Show this thread 1 4 23 Vinay Prasad MD MPH @VPrasadMDMPH 18h It is important to acknowledge the things RFK jr is absolutely right about. Industry capture of government, censorship and many (not all) Covid19 policy issues. To effectively counter the parts he is off about, one should be honest about what he is right about. No namecalling Matthew Yglesias @mattyglesias 19h 135 143 11 1,534 Vinay Prasad MD MPH @VPrasadMDMPH 19h Honestly, Peter Hotez is not the person for the task. The man is a steady stream of incorrect COVID-19 policy, and naked partisan politics. The truth will be entirely undefended. Joe Rogan @joerogan 19h 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. 289 669 31 8,716 Vinay Prasad MD MPH @VPrasadMDMPH 21h Genius. Sadly necessary. Santhosh Ambika @RenoHemonc 21h Replying to @VPrasadMDMPH If you are parking your car in downtown SFO, follow this tip 14 16 1 105