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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. David Gorski, MD, PhD‏Verified account @gorskon 19 Mar 2019

      David Gorski, MD, PhD Retweeted Jennifer Gunter

      For years I used to riff on making a name for myself by pioneering robotic breast surgery. It was a joke. It was always a joke. Or so I thought until, damn, a group did it, recently reported it, and—of cours3—were hailed as having made a major advance.🤦‍♂️https://twitter.com/DrJenGunter/status/1108190371589177344 …

      David Gorski, MD, PhD added,

      Jennifer GunterVerified account @DrJenGunter
      My hot take is that robotic surgery is the biggest scam and the DaVinci people are laughing all the way to the bank
      3 replies 4 retweets 7 likes
      Show this thread
      David Gorski, MD, PhD‏Verified account @gorskon 19 Mar 2019

      The evidence that robotic surgery produces better outcomes is weak to nonexistent, and there is one cancer—cervical cancer—for which outcomes with robotic and minimally invasive surgery have clearly been shown to be worse.https://www.mdanderson.org/newsroom/minimally-invasive-surgery-associated-with-worse-survival-for-women-with-cervical-cancer-compared-to-open-hysterectomy.h00-159228090.html …

      7:54 PM - 19 Mar 2019
      • 1 Retweet
      • 10 Likes
      • the fool 🃏 Braden MacBeth Chris Croy Duskendale Coney Island Tara M Craig Good: vaccinated and masked Kerim Mage of Micturition and Vaccination💉🧙🏾‍♀️ Carolyn Thomas
      3 replies 1 retweet 10 likes
        1. New conversation
        2. Mage of Micturition and Vaccination 💉 🧙🏾‍♀️‏ @catjacarol01 19 Mar 2019
          Replying to @gorskon

          It is generally a loss-leader. Patients like the idea of the robot, but in truth many surgical procedures can still be done via lap with less of a capital investment. Supposedly it decreases the learning curve for laparoscopy, or that is what I was told during the training.

          1 reply 0 retweets 0 likes
        3. Ceeaylwz, MD‏ @CarlosDscalpel 19 Mar 2019
          Replying to @catjacarol01 @gorskon

          The weird thing is how, once the hospital has made the investment, they are willing to keep losing money on that loss leader, double down and buy a second unit, and spend cash recruiting, promoting and supporting surgeons that use it over everyone else.

          0 replies 0 retweets 1 like
        4. End of conversation
        1. Craig Good: vaccinated and masked‏ @clgood 19 Mar 2019
          Replying to @gorskon

          Medicine can be so counter-intuitive. I remember seeing a Da Vinci procedure on video. It was really impressive, and sure *seemed* like a good idea.

          0 replies 0 retweets 0 likes
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        1. Ceeaylwz, MD‏ @CarlosDscalpel 19 Mar 2019
          Replying to @gorskon

          Intuitive (smartly) never claimed, or actually studied whether, the robot produced "better outcomes". All their (crappy) studies showed was non-inferiority to OPEN surgery (never laparoscopic), bragging about less pain, shorter hospital stays.

          0 replies 0 retweets 0 likes
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