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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 29 May 2019

      From the linked @people article quoted by ⁦@washingtonpost⁩: “The doctors said they hadn’t seen this kind of positive result in their memory…some of the tumors have already shrunk by more than 50 percent.” 1/https://www.washingtonpost.com/arts-entertainment/2019/05/29/alex-trebek-faced-grim-chances-surviving-cancer-now-he-says-its-near-remission/ …

      3 replies 12 retweets 36 likes
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    2. David Gorski, MD, PhD‏Verified account @gorskon 29 May 2019

      I'm sorry, but that's not "near remission" or even close to it. It's a good initial response, nothing more. Is it a good thing? Yes. Is it "near remission"? No. 2/

      1 reply 0 retweets 22 likes
      Show this thread
    3. David Gorski, MD, PhD‏Verified account @gorskon 29 May 2019

      Far be it from me to wish ill on Alex Trebek. I hope he's one of those rare pancreatic cancer patients who survives a long time. I can also totally understand his doctors wanting to accentuate the positive. 2/

      1 reply 0 retweets 19 likes
      Show this thread
    4. David Gorski, MD, PhD‏Verified account @gorskon 29 May 2019

      I also understand the human interest angle and how editors world want to publish a feel-good story about a beloved celebrity seemingly bearing the odds against a dreaded cancer. 3/

      2 replies 0 retweets 21 likes
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    5. David Gorski, MD, PhD‏Verified account @gorskon 29 May 2019

      However...stories like these give a distorted picture. It's far too early to tell if Trebek will do better than average or not, even with his promising early results. 4/

      1 reply 0 retweets 22 likes
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    6. David Gorski, MD, PhD‏Verified account @gorskon 29 May 2019

      I know it's counterintuitive, but, although failure to shrink tumors does correlate with poor outcome, good initial shrinkage does not correlate very well with overall survival. 5/

      2 replies 0 retweets 18 likes
      Show this thread
    7. David Gorski, MD, PhD‏Verified account @gorskon 29 May 2019

      That doesn't mean that, all in all, if I were Trebek, I wouldn't prefer excellent initial response to failure to respond. If course I would! I'm just urging caution to reporters writing about this. 6/

      1 reply 0 retweets 30 likes
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      David Gorski, MD, PhD‏Verified account @gorskon 29 May 2019

      Remember, Trebek has stage IV pancreatic cancer. This makes it even more likely that ultimately he won't do well. Yet I see the "near remission" phrase in nearly every headline about Trebek. It's inaccurate, and editors should be more cautious and measured. 7/7

      4:52 PM - 29 May 2019
      • 5 Retweets
      • 63 Likes
      • Sara Manus (((kath2cats))) Matt Wyndowe Doctor_David JRScholl 😷🌑John 💉💉Barschat🌑(@🏠)⚛️ Lucas (Democracy works a little) Reichennek On Par transplantrockstar
      7 replies 5 retweets 63 likes
        1. c0nc0rdance‏ @c0nc0rdance 29 May 2019
          Replying to @gorskon

          Have they talked about the mets?

          0 replies 0 retweets 0 likes
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        1. Azathoth's Daddy‏ @AquaVelvaBoy 29 May 2019
          Replying to @gorskon

          Pancreatic cancer is a horrible killer. I've known two very fine men who died from it within just the last few years.

          0 replies 0 retweets 1 like
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        1. Stephen M. Thomas‏ @stmithomas 29 May 2019
          Replying to @gorskon

          Like “mildly pregnant.”

          0 replies 0 retweets 0 likes
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        1. I expect Justice‏ @capeannsky 29 May 2019
          Replying to @gorskon

          I won't read it. I've cared for many pancreatic ca patients in my hospice practice. Articles like this are so unfair to people living with terminal disease. And you and I both know he is.

          0 replies 0 retweets 4 likes
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        1. Ailsa The DBS Queen Graham‏ @ailsa_graham 29 May 2019
          Replying to @gorskon

          I grew up with Alex trebek . When he started his career with CBC he used to do a quiz show called Reach for the Top with high school students. I used to rush home from school so I could watch it once a week . Pancreatic cancer just sucks

          0 replies 0 retweets 2 likes
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        1. B_a_r_bbb‏ @BarbM_76 30 May 2019
          Replying to @gorskon

          I thought that too. I wish the media would be more careful. I hope he has continued success with his treatment.

          0 replies 0 retweets 0 likes
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        1. I am Stupendous!  🏳️‍⚧️ 🏳️‍🌈‏ @movinmeat 1 Jun 2019
          Replying to @gorskon

          "near remission" is like being "almost pregnant" - it's meaningless. Heck remission is a vague and uncertain condition at best. But "near remission" is almost an oxymoron.

          0 replies 0 retweets 3 likes
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