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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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    1. Mark Hoofnagle‏ @MarkHoofnagle 15 Aug 2018
      Replying to @MarkHoofnagle @gorskon and

      Jordan Peterson, maybe he didn’t actually personally discover metaphors exist in 1970, but he’s got great ideas about friendship based on some random dirtbag he knew 40 years ago.

      1 reply 1 retweet 17 likes
    2. Mark Hoofnagle‏ @MarkHoofnagle 15 Aug 2018
      Replying to @MarkHoofnagle @gorskon and

      I’ve read his book and have screenshots of all the objectively stupid things he believes, I could do this for days. I haven’t even gotten to the medical idiocy. He thinks dialysis needs to be done daily and that transplant patients have poor compliance to meds due to self hate.

      7 replies 1 retweet 27 likes
    3. Lindsay Beyerstein‏ @beyerstein 15 Aug 2018
      Replying to @MarkHoofnagle @gorskon and

      Why is Jordan Peterson, a psychologist who doesn't even do therapy anymore, opining on dialysis schedules?

      1 reply 0 retweets 7 likes
    4. Mark Hoofnagle‏ @MarkHoofnagle 16 Aug 2018
      Replying to @beyerstein @gorskon and

      He’s got a whole chapter on why people don’t take care of themselves, in it he opines on dialysis and noncompliance - ignorantly.pic.twitter.com/LhSTHiYi25

      1 reply 0 retweets 5 likes
    5. Peter F. Jackson  🇨🇦‏Verified account @pjackson_nl 16 Aug 2018
      Replying to @MarkHoofnagle @beyerstein and

      Is there more to that screenshot? I’m a kidney recipient. Just curious.

      2 replies 0 retweets 1 like
    6. Mark Hoofnagle‏ @MarkHoofnagle 16 Aug 2018
      Replying to @pjackson_nl @beyerstein and

      There is more about transplant patients not taking meds. His thesis is we should take care of ourselves at least as well as we would take care of another person. Not a terrible notion, it's that all his justifications are deeply misinformed and couched in ableism and sexism.

      1 reply 0 retweets 1 like
    7. Peter F. Jackson  🇨🇦‏Verified account @pjackson_nl 16 Aug 2018
      Replying to @MarkHoofnagle @beyerstein and

      I just don’t understand what corner of his mind conjured up transplant patients not wanting to take their meds. As opposed to what? People sometimes neglect or forget to take their meds. So what?

      1 reply 0 retweets 1 like
    8. Mark Hoofnagle‏ @MarkHoofnagle 16 Aug 2018
      Replying to @pjackson_nl @beyerstein and

      Based on a quick look at the literature it seems the most common factor is complexity of the regimen with compliance dropping steadily with increased dosing frequency. I don't doubt motivations vary, but the data suggests complexity is the dominant variable.

      1 reply 0 retweets 3 likes
    9. Peter F. Jackson  🇨🇦‏Verified account @pjackson_nl 16 Aug 2018
      Replying to @MarkHoofnagle @beyerstein and

      This rings true to me. Immunosuppressants are usually twice a day for transplants, but some meds may have to stagger this schedule.

      1 reply 0 retweets 1 like
    10. Mark Hoofnagle‏ @MarkHoofnagle 16 Aug 2018
      Replying to @pjackson_nl @beyerstein and

      Combine that with side effects, need to eat with meals, or 2 hours after meals, and blood draws, it becomes very onerous. That's probably why perfect compliance is extremely hard even for motivated, competent folks. Noncompliance can not be reduced to such simplistic terms.

      2 replies 0 retweets 3 likes
      David Gorski, MD, PhD‏Verified account @gorskon 16 Aug 2018
      Replying to @MarkHoofnagle @pjackson_nl and

      Indeed. Hell, I take meds twice a day for blood pressure and cholesterol control, and I sometimes forget a dose. And I'm a doctor. I can't imagine adhering to drug regimens for, say, a transplant or HIV.

      9:08 AM - 16 Aug 2018
      • 3 Likes
      • Mark Hoofnagle Peter F. Jackson 🇨🇦 Ted Rogovein 🇨🇦
      0 replies 0 retweets 3 likes

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