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drdavebrooks's profile
David Brooks MD
David Brooks MD
David Brooks MD
@drdavebrooks

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David Brooks MD

@drdavebrooks

Sports and occ med physician, science lover, evidence based medicine, strong dislike for quackery, Man U supporter

Canada
Joined May 2013

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    1. Alan Levinovitz‏Verified account @AlanLevinovitz 16 May 2018
      Replying to @usnehal @drdavebrooks and

      Humility is extremely important, and I share your concerns about financial COIs in medical science. But that doesn't mean we can't identify characteristics of interventions that make them implausible. Unlike claiming the earth is round, claims that a single intervention 1/2

      1 reply 3 retweets 7 likes
    2. Alan Levinovitz‏Verified account @AlanLevinovitz 16 May 2018
      Replying to @AlanLevinovitz @usnehal and

      can address a wide variety of ailments with totally different etiologies have existed for centuries, and characterize something as a panacea. We have reason to be suspicious of panacea claims--like COIs!--in a way that we don't with claims about the earth being round. 2/2

      2 replies 1 retweet 13 likes
    3. Umbereen S. Nehal, MD, MPH‏ @usnehal 16 May 2018
      Replying to @AlanLevinovitz @drdavebrooks and

      Agreed, panacea claims are suspect. But CAM is adjunct, not “cure.” Many things do have subtle or system effects: exercise, sleep, stress, sugar intake, etc. Just getting enough sleep or exercising is good for a wide range of medical issues, all without side effects.

      0 replies 0 retweets 1 like
    4. This Tweet is unavailable.
    5. David Gorski, MD, PhD‏Verified account @gorskon 16 May 2018

      Exactly. Exercise is not CAM. Diet is not CAM. Sleep is not CAM. Basically, CAM co-opted those modalities ad a Trojan Horse for quackery like acupuncture, reiki, traditional Chinese medicine, naturopathy, and the like.

      2 replies 15 retweets 54 likes
    6. Javier Benítez, MD / Pr(Dz | Data) ≠ Pr(Data | Dz)‏ @jvrbntz 16 May 2018
      Replying to @gorskon @usnehal and

      This is what’s required in the medical school curriculum these days. What do you think?pic.twitter.com/cTHsWaSQzm

      1 reply 0 retweets 0 likes
    7. David Gorski, MD, PhD‏Verified account @gorskon 16 May 2018
      Replying to @jvrbntz @usnehal and

      You probably really don't want to know.

      2 replies 0 retweets 8 likes
    8. Scott Weintraub‏ @scottfweintraub 17 May 2018
      Replying to @gorskon @jvrbntz and

      Do you find all of those 'therapies' quackery or just some? I've always believed hypnosis was a useful thing, do most studies disagree?

      3 replies 0 retweets 1 like
    9. Umbereen S. Nehal, MD, MPH‏ @usnehal 17 May 2018
      Replying to @scottfweintraub @gorskon and

      Yet once commercialized, those same previously ridiculed or, even criminalized, therapies becomes accepted. Yes, of course there are approvals, studies, etc. Take quinine. Traditional medication that actually works for malaria. Medical marijuana. Etc.

      1 reply 0 retweets 0 likes
    10. David Gorski, MD, PhD‏Verified account @gorskon 17 May 2018
      Replying to @usnehal @scottfweintraub and

      Medical marijuana is vastly oversold. The evidence for it for pretty much any condition is very weak, other than maybe certain seizure disorders. Certainly smoking it doesn't provide an adequate blood level even for glaucoma.

      4 replies 7 retweets 19 likes
      David Brooks MD‏ @drdavebrooks 17 May 2018
      Replying to @gorskon @usnehal and

      I have done 2 reviews lately for chronic pain talks and agree with this completely. I am surprised that the physicians who are such strong advocates for efficacy are handing their hats in such weak studies Bias seems clear😢

      6:45 AM - 17 May 2018
      • 1 Retweet
      • 8 Likes
      • Radhika Patel Skyler Johnson, MD transplantrockstar Misery Index wxman Joe 🦁 Aric Sudicky, MD 🍁 Naylor Brownell, MD (he/him) David Gorski, MD, PhD Edzard Ernst
      2 replies 1 retweet 8 likes
        1. This Tweet is unavailable.
        2. Quidama‏ @IamBreastCancer 17 May 2018

          Even where it's legal recreationally, "medical" use is a marketing tool to insinuate legitimacy/credibility/respectability.

          1 reply 0 retweets 4 likes
        3. Show replies
        1. New conversation
        2. Dain McDain‏ @McDainTBQ 17 May 2018
          Replying to @drdavebrooks @gorskon and

          Shouldn't be surprised since MDs ongoingly prescribe gabapentin and quetiapine, drugs of abuse with limited evidence of efficacy. But I find MDs overemphasize harms of #cannabis, based on weak studies, bias and ignorance. http://journal.cpha.ca/index.php/cjph/article/view/4926/3181 …

          2 replies 0 retweets 1 like
        3. Ada McVean  🌈 perpetually anxious‏ @AdaMcVean 17 May 2018
          Replying to @McDainTBQ @drdavebrooks and

          Oh fucking come off gabapentin. I’ve seen the wonders it can work.

          2 replies 0 retweets 0 likes
        4. Show replies
        1. Aric Sudicky, MD  🍁‏ @DrAricSudicky 17 May 2018
          Replying to @drdavebrooks @gorskon and

          Will leave this right here. @ryarmst Take a look at Mike Hart, M.D: https://twitter.com/drmikehart?s=09 pic.twitter.com/CsUxzX3anx

          0 replies 0 retweets 0 likes
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