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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 7 Apr 2019
      Replying to @CaulfieldTim @pedipsych and

      I agree that the piece is generally good, but that's part of why the use of "science police" was so jarring to me. I almost didn't read the post because of that term. In any event, I usually use "science advocate" or "science-based medicine supporter," depending on the context.

      1 reply 2 retweets 6 likes
    2. David Gorski, MD, PhD‏Verified account @gorskon 7 Apr 2019
      Replying to @gorskon @CaulfieldTim and

      My only other mild criticism of the post is the part using mindfulness as an example of something that might have merit. I'm not there yet.The evidence is pretty weak, particularly given how vague the definition of mindfulness is. @CoyneoftheRealm could elaborate better than I.

      1 reply 1 retweet 8 likes
    3. Timothy Caulfield‏Verified account @CaulfieldTim 7 Apr 2019
      Replying to @gorskon @pedipsych and

      Re mindfulness hype, there is also this terrific analysis from 2017:https://journals.sagepub.com/doi/abs/10.1177/1745691617709589?journalCode=ppsa …

      2 replies 5 retweets 9 likes
    4. David Gorski, MD, PhD‏Verified account @gorskon 7 Apr 2019
      Replying to @CaulfieldTim @pedipsych and

      I understand why some think the approach is promising. It's just that I haven't seen compelling evidence to persuade me to change my mind...at least not yet.

      2 replies 0 retweets 5 likes
    5. PediPsych‏ @pedipsych 7 Apr 2019
      Replying to @gorskon @CaulfieldTim and

      Appreciate the input and will look at the study. Mindfulness based stress reduction has both randomized controlled trials and meta-analyses to support it's use. This is better than many off-label uses of medications.

      1 reply 0 retweets 1 like
    6. David Gorski, MD, PhD‏Verified account @gorskon 7 Apr 2019
      Replying to @pedipsych @CaulfieldTim and

      That is, of course, if anyone can define "mindfulness." I've read many of these studies. They havd major flaws.https://sciencebasedmedicine.org/is-mindfulness-meditation-science-based/ …

      3 replies 7 retweets 22 likes
    7. PediPsych‏ @pedipsych 7 Apr 2019
      Replying to @gorskon @CaulfieldTim and

      This is where I think we need to be careful. We lose credibility when we start cherry picking the science we believe or hold different standards for different topics. All of us have bias to work through.

      1 reply 0 retweets 0 likes
    8. David Gorski, MD, PhD‏Verified account @gorskon 7 Apr 2019
      Replying to @pedipsych @CaulfieldTim and

      I'm not cherry picking the science I believe. I hold it all to the same standard, and mindfulness research currently is not compelling. That might change one day, but as of now it's underwhelming. @stevennovella's analogy to acupuncture research was a good one.

      1 reply 0 retweets 0 likes
    9. David Gorski, MD, PhD‏Verified account @gorskon 7 Apr 2019
      Replying to @gorskon @pedipsych and

      Indeed, I"m going to be blunt here. (It's my nature.) I'm a bit insulted that you would insinuate that I hold a double standard with respect to scientific evidence. I'm not sure that there's anything further to be gained by my continuing here if that's what you think.

      1 reply 0 retweets 1 like
    10. PediPsych‏ @pedipsych 8 Apr 2019
      Replying to @gorskon

      Very sorry to cause any offense.

      1 reply 0 retweets 0 likes
      David Gorski, MD, PhD‏Verified account @gorskon 8 Apr 2019
      Replying to @pedipsych

      No biggie. It's possible that I overreacted. OTOH, read your Tweets and decide if it was unreasonable of me to interpret them the way I did.

      5:59 AM - 8 Apr 2019
      0 replies 0 retweets 0 likes

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