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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. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

      David Gorski, MD, PhD Retweeted

      Hers is a subtype of alternative cancer cure testimonial that I like to call the skipped adjuvant therapy testimonial. It is a subtype in which it was really the surgery that cured the patient, but she attributes her survival instead to the quackery she chose. @Chrest_brett 1/ https://t.co/JWH7iikLWi 

      David Gorski, MD, PhD added,

      This Tweet is unavailable.
      2 replies 20 retweets 59 likes
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    2. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

      Before I begin, here's a brief video of Kay Allison Shemirani's alternative cancer cure testimonial. 2/https://youtu.be/8RViO6J3rCU 

      1 reply 0 retweets 12 likes
      Show this thread
    3. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

      In the video, she says she was diagnosed with grade 3 lobular carcinoma. She relates that she underwent a mastectomy. She further related that it was recommended that she further undergo chemotherapy, radiation therapy, Tamoxifen, and Zolodex. 3/

      2 replies 0 retweets 11 likes
      Show this thread
      David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

      As a breast cancer surgeon, I can infer from these recommendations that Ms. Shemirani almost certainly had node-positive, perhaps even stage 3, breast cancer. Post-mastectomy radiation is usually only recommended for node-positive tumors and/or very large tumors. 4/

      4:41 PM - 31 Mar 2019
      • 2 Retweets
      • 12 Likes
      • Ellen 💧 Frank Flobster Rudders Duke of Middlesex QC 96.5% 😎 predictor_rapid.exe sheva burton MrBozoHead 🏴󠁧󠁢󠁳󠁣󠁴󠁿Don't be a Charlie Ward Quidama #WomenWontWheesht Definitely Not A Bot. 👈🏻 Steven Wilson
      3 replies 2 retweets 12 likes
        1. New conversation
        2. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          For lobular breast cancer, which is almost always estrogen and progesterone receptor-positive/HER2-negative, chemotherapy is usually (but not always) recommended for node-positive disease. 5/

          1 reply 0 retweets 10 likes
          Show this thread
        3. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          Thus the combination of recommendations tells me that Ms. Shemirani almost certainly had node-positive disease. 6/

          1 reply 0 retweets 10 likes
          Show this thread
        4. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          I can also unequivocally state that her claim that she later figured out that the mastectomy made no difference in her survival is utterly incorrect. In fact, what saved her life was the surgery, not the Gerson protocol quackery that she chose after her mastectomy. 7/

          1 reply 2 retweets 21 likes
          Show this thread
        5. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          That is the very essence of the skipped adjuvant therapy testimonial. The woman had surgery for breast cancer, refused the adjuvant therapy, and now attributes her survival to the quackery that she chose instead of chemotherapy. 8/https://sciencebasedmedicine.org/on-the-nature-of-alternative-medicine-cancer-cure-testimonials/ …

          1 reply 2 retweets 16 likes
          Show this thread
        6. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          It's not just breast cancer, either. For example, here's a similar testimonial from a colon cancer survivor. 9/https://sciencebasedmedicine.org/chris-beat-cancer/ …

          2 replies 0 retweets 12 likes
          Show this thread
        7. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          But how can this be? Well, most people don't know that in breast cancer the surgery is curative. The radiation therapy then decreases the risk of local tumor recurrence, while chemotherapy decreases the risk of recurrence elsewhere in the body (distant recurrence). 10/

          1 reply 0 retweets 12 likes
          Show this thread
        8. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          Sure, there can be exceptions. Triple negative breast cancer, as well as hormone receptor-negative/HER2-positive can sometimes be "cured" with chemotherapy alone, but that's the exception. Of course, Gerson therapy cures nothing. 11/

          1 reply 0 retweets 11 likes
          Show this thread
        9. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          In any event, all a woman like Ms. Shemirani accomplishes by refusing adjuvant chemotherapy, radiation therapy, and hormonal therapy is to decrease her chances of survival after successful surgical extirpation of her tumor by roughly 30%, give or take. 12/

          2 replies 0 retweets 15 likes
          Show this thread
        10. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          I'm glad Ms. Shemirani is alive and doing well, but, make no mistake, she is alive in spite of her bad decision, not because of it, contrary to what she believes and preaches. 13/

          3 replies 0 retweets 17 likes
          Show this thread
        11. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          Also make no mistake, Gerson protocol is utter quackery, complete with five coffee enemas a day. 14/https://sciencebasedmedicine.org/the-not-so-beautiful-untruth-about-the-gerson-therapy-and-cancer-quackery/ …

          2 replies 2 retweets 14 likes
          Show this thread
        12. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          Indeed, reliance on the Gerson protocol to treat their cancers led to the deaths of Jess Ainscough (a.k.a. The Wellness Warrior) and her mother. 15/https://sciencebasedmedicine.org/the-gerson-protocol-and-the-death-of-jess-ainscough/ …

          1 reply 1 retweet 10 likes
          Show this thread
        13. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          So, by promoting the Gerson protocol, Ms. Shemirani is tempting women with breast down a path that will decrease their chances of surviving their cancers. 16/

          1 reply 1 retweet 14 likes
          Show this thread
        14. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          Worse, by stating publicly she believes that her mastectomy made no difference in her surviving her cancer, that she thinks she would have done just as well without surgery, she is promoting a message that could lead to women with curable breast cancer dying unnecessarily. 17/

          1 reply 0 retweets 13 likes
          Show this thread
        15. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          David Gorski, MD, PhD Retweeted

          Her excuse does not change the bottom line. Women who follow her advice will increase their chances of dying of their cancers—by a huge amount if they decide not to have surgery. 18/ https://twitter.com/fitnjuicing1/status/1112473180323627009 …

          David Gorski, MD, PhD added,

          This Tweet is unavailable.
          1 reply 0 retweets 11 likes
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        16. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          None of that, unfortunately, stops Ms. Shemirani from promoting "what has worked for me." Bennett mind that the"informed choice" she touts is in reality misinformed consent. 19/

          3 replies 0 retweets 16 likes
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        17. David Gorski, MD, PhD‏Verified account @gorskon 31 Mar 2019

          I realize that Ms. Shemirani believes she is doing good, but she is not. Far from it. Her advice about breast cancer treatment, if followed, will at best decrease a woman's odds of survival. At worst (foregoing surgery), it will lead to her very unpleasant death. 20/20

          5 replies 2 retweets 41 likes
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        18. End of conversation

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