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gorskon's profile
David Gorski, MD, PhD
David Gorski, MD, PhD
David Gorski, MD, PhD
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@gorskon

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David Gorski, MD, PhDVerified account

@gorskon

Surgeon/scientist promoting science in medicine and exposing quackery. Editor of Science-Based Medicine. My opinions do NOT represent those of my employers.

Michigan, USA
sciencebasedmedicine.org
Joined October 2009

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    David Gorski, MD, PhD‏Verified account @gorskon 3 Jun 2018

    David Gorski, MD, PhD Retweeted Health Nerd

    Also, there is reporting bias. The alternative medicine ecosystem of websites, social media, and publications don't publicize patients with cancer who use quackery and die in a timeframe that would be expected if their cancer were left untreated. Only survivors are publicized.https://twitter.com/GidMK/status/1003457961136492544 …

    David Gorski, MD, PhD added,

    Health NerdVerified account @GidMK
    Replying to @DrJenGunter @RodMakeKidsBald and 5 others
    Agreed. I remember seeing a case report of a woman surviving for 60 months with mesothelioma using herbal remedies and homeopathy. It was reported on as a miracle, but it could just have easily been luck of the draw
    7:15 PM - 3 Jun 2018
    • 16 Retweets
    • 55 Likes
    • Dr. Beena k Lori R.S. Lake Tori G. Sentient Quantum Fluctuations l ⧖ Skyler Johnson, MD Dr. KCD Jonathan Howard Craig
    7 replies 16 retweets 55 likes
      1. This Tweet is unavailable.
      2. David Gorski, MD, PhD‏Verified account @gorskon 3 Jun 2018
        Replying to @HawkguyClint

        It's even worse than that. Patients using quackery to treat their cancer are actually publicized, but as soon as they die one of two things happens. Either they disappear down the memory hole, or their testimonials remain on quack websites, without notice that the patient died.

        0 replies 3 retweets 7 likes
      3. End of conversation
      1. Skyler Johnson, MD‏ @sky__john 3 Jun 2018
        Replying to @gorskon

        Could collect prospectively but there are clearly ethical problems in this scenario. Just too much patient/clinical/treatment variability in factors that impact survival to even compare. Plus historical controls almost always worse.

        0 replies 0 retweets 2 likes
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      1. Michael Zavaski, MD‏ @ZavaskiMD 3 Jun 2018
        Replying to @gorskon

        Imagine this title: “standard of care chemo regimen cures yet another male with testis cancer” — it’s thankfully a daily event (routed in science); I think it’s borderline a miracle every time. The best part is it happens a lot!

        0 replies 0 retweets 2 likes
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      1. New conversation
      2. Ash Paul‏ @pash22 4 Jun 2018
        Replying to @gorskon

        Agree David but to be fair, neither does pharma. As healthcare payers, we never come to know how many die and when after taking all these marginally effective new cancer drugs. All we read abt are media stories of the pts who miraculously survived for long periods of time @GidMK

        1 reply 0 retweets 0 likes
      3. Health Nerd‏Verified account @GidMK 4 Jun 2018
        Replying to @pash22 @gorskon

        That's true to an extent but there's usually also trial evidence giving an average survival, whereas with alt med you're often left with nothing but a case report

        0 replies 1 retweet 0 likes
      4. End of conversation
      1. New conversation
      2. LaurieEndicottThomas‏ @LaurieEThomas 4 Jun 2018
        Replying to @gorskon

        Many benign lesions such as blue nevus can easily be misdiagnosed as melanoma

        1 reply 0 retweets 0 likes
      3. David Gorski, MD, PhD‏Verified account @gorskon 4 Jun 2018
        Replying to @LaurieEThomas

        Sure, misdiagnosis is often another reason why patients using alternative medicine survive a long time and attribute their doing well to the quackery they chose.

        0 replies 0 retweets 2 likes
      4. End of conversation

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