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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. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
      Replying to @MaryFernando_ @parabuggirl33

      What I have seen primarily in people against vaccines: distrust of medical people, fear of the unknown, a romantic nostalgia for days gone by, and a hefty dose of “it will never happen to us and if it does we’ll still be fine.”

      2 replies 0 retweets 20 likes
    2. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
      Replying to @TheEveNebula @MaryFernando_ @parabuggirl33

      I have seen very much the same things in medical people who refuse to believe that patients are in pain, for instance.

      2 replies 0 retweets 16 likes
    3. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
      Replying to @TheEveNebula @MaryFernando_ @parabuggirl33

      But I’m not here to talk about vaccines. That gives antivaccination positions too much validity. Those experiences are not factual, and facts are not how you approach them.

      2 replies 0 retweets 8 likes
    4. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
      Replying to @TheEveNebula @MaryFernando_ @parabuggirl33

      No, I’m here because the same person who told me that my patient’s pain was not bad enough to Rx something stronger gave a different patient stronger medicine because “I’ve had that and I know how bad it can be.”

      3 replies 0 retweets 15 likes
    5. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
      Replying to @TheEveNebula @MaryFernando_ @parabuggirl33

      So their opinion about someone else’s statement weighed more than the lived experience of that person. But their *own* experience...yeah, *that’s* what matters.

      1 reply 0 retweets 7 likes
    6. Mary Fernando MD‏ @MaryFernando_ 23 Mar 2019
      Replying to @TheEveNebula @BrowOfJustice @parabuggirl33

      This was the dilemma that @parabuggirl33 pointed to. And it’s a serious one. We agree completely @BrowofJustice- denying someone’s pain is wrong. But when a parent (with guilt and fear) says vaccines gave my child autism, we’re forced to ‘correct’ their experience. It’s a problem

      1 reply 0 retweets 4 likes
    7. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
      Replying to @MaryFernando_ @parabuggirl33

      I’m not taking down my tweet because of possible anti vaccination misappropriation. Nor will I curate my tweets to fit every single conceivable nuance. It’s not possible.

      1 reply 0 retweets 16 likes
    8. Mary Fernando MD‏ @MaryFernando_ 23 Mar 2019
      Replying to @TheEveNebula @BrowOfJustice @parabuggirl33

      I am not in ANY way saying your tweet supports antivaxxers @BrowofJustice - I was simply pondering the many dilemmas of modern medicine and how difficult it all is.

      1 reply 1 retweet 4 likes
    9. David Gorski, MD, PhD‏Verified account @gorskon 23 Mar 2019
      Replying to @MaryFernando_ @BrowOfJustice @parabuggirl33

      It's more than just antivaxers. It's quackery of all kinds, e.g., "I took this homeopathic remedy and it cured me." In other words, the issue is way more complex than just patients in pain.

      2 replies 1 retweet 7 likes
    10. Mary Fernando MD‏ @MaryFernando_ 23 Mar 2019
      Replying to @gorskon @BrowOfJustice @parabuggirl33

      Or - in my field - I tried therapy for psych problems but they made it worse and I left (before therapy was completed) @gorskon

      2 replies 0 retweets 5 likes
      David Gorski, MD, PhD‏Verified account @gorskon 23 Mar 2019
      Replying to @MaryFernando_ @BrowOfJustice @parabuggirl33

      I also note that I have now had the experience of not being fully believed when I said how much pain in. So I'm in now way questioning the issue of pain, merely pointing out that the issue of lived experience is complicated.

      6:53 AM - 23 Mar 2019
      • 4 Likes
      • Allison Chrestensen MPH, OTR/L patting the butter in a lewd way Julie Panneton Mary Fernando MD
      4 replies 0 retweets 4 likes
        1. New conversation
        2. Mary Fernando MD‏ @MaryFernando_ 23 Mar 2019
          Replying to @gorskon @BrowOfJustice @parabuggirl33

          The ‘lived experience’ of patients has been at the core of the art of medicine @gorskon and is why that art is problematic. Because medicine is not merely an art - it is a science. How to marry the two makes a successful clinician. And No. it isn’t easy.

          1 reply 0 retweets 1 like
        3. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
          Replying to @MaryFernando_ @gorskon @parabuggirl33

          I would say the lived experience of patients is NOT at the core of the practice of medicine, and that’s why we have these rousing discussions, Mary. That’s why whenever someone gets sick, their perspective shifts and they say “I will do this differently”

          1 reply 0 retweets 2 likes
        4. Show replies
        1. New conversation
        2. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
          Replying to @gorskon @MaryFernando_ @parabuggirl33

          Statements like “wow now that I’m a patient (or my kid, or my spouse, or my parent) I’m going to do this differently” ending with “believe more” always rankle just a little bit. Why didn’t <<whoever>> believe in the first place?

          0 replies 0 retweets 4 likes
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        1. Allison Chrestensen MPH, OTR/L‏ @allison_tandem 23 Mar 2019
          Replying to @gorskon @MaryFernando_ and

          We were just having this very discussion on #medhumchat

          0 replies 0 retweets 2 likes
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        2. Paula who is persisting‏ @PaHe56435751 23 Mar 2019
          Replying to @gorskon @MaryFernando_ and

          I have had severe pain. I had pylonephitis and an induced labor with out pain medicine. I have other pains in my body. I’m cared for by a pain management doctor and psychiatrist who reassures me she believes my sensation of pain is real.

          2 replies 0 retweets 2 likes
        3. patting the butter in a lewd way‏ @TheEveNebula 23 Mar 2019
          Replying to @PaHe56435751 @gorskon and

          She’s doing the best that medicine is, and the way it always should be, as @MaryFernando_ says.

          0 replies 0 retweets 1 like
        4. End of conversation

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