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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. Jane Orient, MD‏ @jorient 19 Mar 2019
      Replying to @JHowardBrainMD @gorskon and

      Vaccines and drugs, though "good" in some circumstances, all have risks. Why not try to figure out why and to whom bad reactions occur instead of denying them?

      3 replies 0 retweets 0 likes
    2. David Gorski, MD, PhD‏Verified account @gorskon 19 Mar 2019
      Replying to @jorient @JHowardBrainMD and

      I notice you avoided answering my question: Which vaccines on the CDC's recommended childhood vaccine schedule do you personally consider safe and effective? Be specific and justify your answers.

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

      It's a simple question: Which vaccines on the CDC's recommended childhood vaccine schedule do you personally consider safe and effective? Be specific and justify your answers.

      1 reply 0 retweets 17 likes
    4. David Gorski, MD, PhD‏Verified account @gorskon 19 Mar 2019
      Replying to @gorskon @jorient and

      Note that I will keep asking this question from time to time until I get an answer.😏

      1 reply 0 retweets 14 likes
    5. Jane Orient, MD‏ @jorient 20 Mar 2019
      Replying to @gorskon @JHowardBrainMD and

      I don't give one-size-fits-all advice on how doctors should treat their patients. You apparently do.

      12 replies 0 retweets 0 likes
    6. StorkDoc‏ @ladybugobgyn 20 Mar 2019
      Replying to @jorient @gorskon and

      Do you follow the recommendations of your medical college or do you not?

      1 reply 0 retweets 0 likes
    7. Jane Orient, MD‏ @jorient 21 Mar 2019
      Replying to @ladybugobgyn @gorskon and

      Like the one that held hemodialysis to be never indicated, or the one that demanded Halstead radical mastectomies for all breast cancers, or Billroth II gastrectomies for peptic ulcers?

      1 reply 0 retweets 0 likes
    8. Jonathan Howard‏ @JHowardBrainMD 21 Mar 2019
      Replying to @jorient @ladybugobgyn and

      Another self own. You are showing that when evidence shows a treatment doesn’t work medicine adjusts (though too slowly.) This shows that is vaccines were dangerous the truth could not be suppressed.

      1 reply 0 retweets 1 like
    9. David Gorski, MD, PhD‏Verified account @gorskon 21 Mar 2019
      Replying to @JHowardBrainMD @jorient and

      Yep. In my talk to the medical students, I discuss the Halstead radical mastectomy, explaining how Halstead achieved much higher survival rates than his contemporaries. I also explain how less radical surgery didn't become safe until the rise of adjuvant radiation and chemo.

      1 reply 0 retweets 2 likes
    10. David Gorski, MD, PhD‏Verified account @gorskon 21 Mar 2019
      Replying to @gorskon @JHowardBrainMD and

      You see, back in Victorian times, surgery, and surgery alone, could cure breast cancer. There was no adjuvant radiation therapy. There was no effective chemotherapy. Those took decades to develop, perfect, and validate. So it made sense that more radical surgery would work better

      1 reply 0 retweets 1 like
      David Gorski, MD, PhD‏Verified account @gorskon 21 Mar 2019
      Replying to @gorskon @JHowardBrainMD and

      That being said, I also point out how, when I was in medical school in the 1980s, I never saw a radical mastectomy, although I did see the occasional patient who had had one 10-30 years earlier.

      12:27 PM - 21 Mar 2019
      • 1 Like
      • StorkDoc
      1 reply 0 retweets 1 like
        1. New conversation
        2. David Gorski, MD, PhD‏Verified account @gorskon 21 Mar 2019
          Replying to @gorskon @JHowardBrainMD and

          I've also said that radical mastectomy probably outlived its usefulness by at least a decade, maybe two. However, it wasn't until the results of NSABP B-04 were published in 1977 that there was good RCT evidence that total mastectomy was just as effective as radical mastectomy.

          1 reply 0 retweets 2 likes
        3. David Gorski, MD, PhD‏Verified account @gorskon 21 Mar 2019
          Replying to @gorskon @JHowardBrainMD and

          Dr. Orient, of course, uses an oversimplified view of history, but then pretty much everything she Tweets is not just simplified, but simplistic and usually wrong.

          0 replies 0 retweets 1 like
        4. End of conversation

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