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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. 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
    2. 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
    3. 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
    4. 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
    5. 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
    6. 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.

      4 replies 0 retweets 4 likes
    7. 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
    8. 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
    9. Mary Fernando MD‏ @MaryFernando_ 23 Mar 2019
      Replying to @TheEveNebula @BrowOfJustice and

      1/2 It is the core @BrowofJustice That is the art. Why I say this is because I’m a 9 generation doctor and it is what we were always taught. So many stories. Also, I spent 6 and then 8 hours on the operating table before I entered medicine, including 3 weeks in ICU

      1 reply 0 retweets 3 likes
    10. Mary Fernando MD‏ @MaryFernando_ 23 Mar 2019
      Replying to @MaryFernando_ @BrowOfJustice and

      2/2 To come to Medicine as a patient, steeped in stories of good and bad medicine, I feel I can speak to this issue with authority. Medicine has always been an art of understanding the patients’ experience and sometimes bringing them to new facts.

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

      Indeed. There's a reason why something like 75% of diagnoses can be made by history alone (or so I was taught in medical school), with physical examination and diagnostic testing being confirmatory.

      7:07 AM - 23 Mar 2019
      • 1 Retweet
      • 5 Likes
      • NotMark Hamill Roberta patting the butter in a lewd way Julie Panneton Mary Fernando MD Liz "The Mask Goes Over Your Nose AND Mouth" Ditz
      1 reply 1 retweet 5 likes
        1. Mary Fernando MD‏ @MaryFernando_ 23 Mar 2019
          Replying to @gorskon @BrowOfJustice @parabuggirl33

          And @gorskon - I have so many stories from a time when tests were not available and diagnoses were based on history and clinical exams alone. My mother was taught to ‘smell’ typhoid. She was deeply worried her nose wasn’t up to it...

          0 replies 0 retweets 7 likes
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