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gorskon's profile
David Gorski, MD, PhD
David Gorski, MD, PhD
David Gorski, MD, PhD
Verified account
@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 17 Mar 2019
      Replying to @jorient @gorskon and

      Scientific revolutions don’t function by overturning previous theories but by greatly expanding on them. Relativity doesn’t disprove Newton’s laws of motion, it expands on them to high speed and density. If your theory is overturned by a single observation, it was a hypothesis.

      2 replies 1 retweet 17 likes
    2. Mark Hoofnagle‏ @MarkHoofnagle 17 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      More specifically general relativity expanded and generalized Newton’s law of gravitation and special relativity generalized Newton’s laws of motion for high speed. We still use Newton’s theories 99% if the time because we aren’t working at relativistic speeds or in black holes.

      1 reply 0 retweets 13 likes
    3. Mark Hoofnagle‏ @MarkHoofnagle 17 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      While medical reversal is more frequent than that of physics, the previous observations are still true, but may represent outliers, or regress to the mean. Hence the need for replication. Short of fraud, the data remain true, but our understanding of them expands.

      3 replies 1 retweet 9 likes
    4. Mark Hoofnagle‏ @MarkHoofnagle 17 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      Now how in the hell *one observation* would reverse a mature medical theory, which we know are highly dependent on replication, is beyond me and reflects ignorance about how the medical literature functions and appropriate skepticism of new results (as Ioannidis’ emphasizes).

      1 reply 1 retweet 12 likes
    5. Mark Hoofnagle‏ @MarkHoofnagle 17 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      An actual skeptical physician, hearing of a single observation that contradicted a mature finding, replicated, eg for vaccines, in billions of people and thousands of papers, would tell you the far more likely probability is your n=1 observation is garbage.

      2 replies 1 retweet 15 likes
    6. Jane Orient, MD‏ @jorient 18 Mar 2019
      Replying to @MarkHoofnagle @gorskon and

      What if the n = thousands, each and every one dismissed as an anecdote and a coincidence? How about denialism? See brides in the bath case: http://www.jpands.org/vol10no3/miller.pdf …

      2 replies 1 retweet 0 likes
    7. Mark Hoofnagle‏ @MarkHoofnagle 18 Mar 2019
      Replying to @jorient @gorskon and

      Yeah your crank journal is evidence of nothing and the article is frankly conspiratorial. Not interested in the QAnon of medicine.

      4 replies 1 retweet 17 likes
    8. Steven Tiger‏ @SteveTiger999 18 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      Truths from this thread: 1. Education is not an absolute shield against the seductive allure of idiocy. 2. Medical conspiracy-mongers try to sell the notion that current evidence-based consensus should be regarded with suspicion bcuz understanding of science sometimes changes.

      2 replies 0 retweets 11 likes
    9. Mark Hoofnagle‏ @MarkHoofnagle 18 Mar 2019
      Replying to @SteveTiger999 @jorient and

      Yes. Clearly a superior system would declare something true and then *never change* no matter where the evidence goes. If it changed it could be fallible right? We can’t have people believing in fallible beliefs! That’s how you get protestants!

      1 reply 0 retweets 7 likes
    10. Jane Orient, MD‏ @jorient 18 Mar 2019
      Replying to @MarkHoofnagle @SteveTiger999 and

      You mean like the inquisitorial defenders of the CDC's Holy (and infallible) Vaccine Schedule?

      6 replies 0 retweets 0 likes
      David Gorski, MD, PhD‏Verified account @gorskon 18 Mar 2019
      Replying to @jorient @MarkHoofnagle and

      Except that the vaccine schedule changes almost every year due to new evidence. You really aren't very good at this, are you?🤦‍♂️

      11:56 AM - 18 Mar 2019
      • 23 Likes
      • johbra MD Chad Sheffield Jerry Alexandratos 🇺🇸 George Locke | Black Lives Matter thanks for banning Katie Purity Troll Malibu Stacy MPH Chad Schobert, O.D. Dr. Chim Richalds
      4 replies 0 retweets 23 likes
        1. New conversation
        2. someone random‏ @dajerseyboy 18 Mar 2019
          Replying to @gorskon @jorient and

          She's executive director of the AAPS for pete's sake that should be everyone's first, second, and 984th clue

          1 reply 0 retweets 3 likes
        3. Mark Hoofnagle‏ @MarkHoofnagle 18 Mar 2019
          Replying to @dajerseyboy @gorskon and

          To be the president of a real professional society you typically have chairs of departments, national leaders with extensive academic credentials, a 300 page CV and major contributions to a field. For AAPS the only professional criteria is, “do you have your own stethoscope?”

          3 replies 0 retweets 5 likes
        4. Show replies
        1. New conversation
        2. David Brooks MD‏ @drdavebrooks 18 Mar 2019
          Replying to @gorskon @jorient and

          I don’t think she understands how science and medicine works?

          1 reply 0 retweets 3 likes
        3. Steven Tiger‏ @SteveTiger999 18 Mar 2019
          Replying to @drdavebrooks @gorskon and

          It's difficult to believe that a person who is bright enough to have gotten into and through medical school doesn't understand how science and medicine work. Rather, I think this demonstrates that intelligence and education do not guarantee invulnerability to dogmatic fixations.

          2 replies 0 retweets 4 likes
        4. Show replies
        1. New conversation
        2. Purity Troll‏ @Purity_Troll 18 Mar 2019
          Replying to @gorskon @jorient and

          You realize, of course, that anti-vaxxers will turn around and use the changes in the vaccine schedule to argue that doctors don't know what they're doing. Sort of like creationists saying "Science changes but the Bible doesn't."

          1 reply 0 retweets 2 likes
        3. Steven Tiger‏ @SteveTiger999 19 Mar 2019
          Replying to @Purity_Troll @gorskon and

          Excellent point.

          0 replies 0 retweets 1 like
        4. End of conversation
        1. New conversation
        2. Jane Orient, MD‏ @jorient 19 Mar 2019
          Replying to @gorskon @MarkHoofnagle and

          the number of shots keeps growing and growing. And for most the dose is the same regardless of patient weight and age. Only size of needle changes. Any other pediatric drugs like that? One size fits all.

          1 reply 0 retweets 0 likes
        3. David Gorski, MD, PhD‏Verified account @gorskon 19 Mar 2019
          Replying to @jorient @MarkHoofnagle and

          Oh, goody. The "too many too soon" gambit, coupled with an extreme misunderstand of how vaccines work. How did you get through medical school and residency again?

          0 replies 0 retweets 4 likes
        4. End of conversation

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