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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. David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
      Replying to @AustinChiangMD @MarkHoofnagle

      Um, you literally were quoted in an article saying you wanted to recruit healthcare experts to drown out bad information with good information on social media. Sorry if I offended, but it's a newbie assumption that that is an effective tactic. What else shoukd I have thought?

      1 reply 0 retweets 2 likes
    2. David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
      Replying to @gorskon @AustinChiangMD @MarkHoofnagle

      It's not about not wanting to harness that energy, either. I just want to know what AHSM proposes other than drowning out the bad. I know next to nothing about this platform.that you say you want to build, for instance. It's all very vague on your website, which I've perused.

      1 reply 0 retweets 1 like
    3. David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
      Replying to @gorskon @AustinChiangMD @MarkHoofnagle

      For instance I'd love to see examples of that repackaging of health care knowledge of which you speak so that I can study than and, if I find them useful, learn from them. I'd like to know more about your proposed platform, which now sounds a lot more like a black box.

      2 replies 0 retweets 1 like
    4. Austin Chiang, MD MPH‏ @AustinChiangMD 5 Jun 2019
      Replying to @gorskon @MarkHoofnagle

      Again @AHSM_org launched a month ago. We have a mission and vision that’s focused on helping health professionals use social media and do it responsibly. Like other medical societies we participate in, this will take years to build and yes is very much still evolving

      1 reply 0 retweets 1 like
    5. David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
      Replying to @AustinChiangMD @MarkHoofnagle @AHSM_org

      Fair enough, but you cited Gen Z repackaging of healthcare information as though it already existed. I assumed that meant you knew of examples because that's what it sounded like. Are you saying it doesn't yet?

      2 replies 0 retweets 1 like
    6. Austin Chiang, MD MPH‏ @AustinChiangMD 5 Jun 2019
      Replying to @gorskon @MarkHoofnagle @AHSM_org

      Like on YouTube @thestrivetofit @DavidHindin @MamaDoctorJones @ZDoggMD @Violin_MD On IG @drrupawong @ncrawfordmd @BillLevineMD @mike_natter @drdanchoi @DrLeslieKim @RKmd all distinct approaches among thousands of examples

      2 replies 0 retweets 5 likes
    7. David Hindin, M.D.‏ @DavidHindin 5 Jun 2019
      Replying to @AustinChiangMD @gorskon and

      Agree with Austin. @gorskon, with much respect I think you may be underestimating the impact of the power of multiple voices to resonate. That’s what drowning out means.

      3 replies 0 retweets 1 like
    8. David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
      Replying to @DavidHindin @AustinChiangMD and

      I'm not. Just ask @MarkHoofnagle.) It doesn’t work very well against misinformation and disinformation. It had other uses, but not that one.

      1 reply 1 retweet 3 likes
    9. Mark Hoofnagle‏ @MarkHoofnagle 5 Jun 2019
      Replying to @gorskon @DavidHindin and

      This is, in it’s own way, a hilarious proof of the problem. Multiple experts keep telling you this is false, this isn’t how it works, even linking evidence, and look! It doesn’t change their belief! What am I not surprised? Because that’s what the evidence shows.

      1 reply 1 retweet 5 likes
    10. Mark Hoofnagle‏ @MarkHoofnagle 5 Jun 2019
      Replying to @MarkHoofnagle @gorskon and

      Even scientifically-literate folks, people who are trying to communicate science are resistant to the facts! It’s hilarious. Human heuristics are not rational. The belief in the information deficit theory and “informed debate” will not die, they are as fixed as religion.

      2 replies 2 retweets 12 likes
      David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
      Replying to @MarkHoofnagle @DavidHindin and

      Yep. We even know that just disconfirming facts can actually harden belief in misinformation. (Humans are very good at motivated reasoning, particularly the more intelligent and educated ones.) Where Dr. Chiang does better is in realizing how stories matter more.

      5:37 AM - 5 Jun 2019
      • 1 Retweet
      • 8 Likes
      • gmopundit (David Tribe Ph.D.) Vinceremo (((kath2cats))) Leslie Kim, MD, MPH (((Dorit Reiss))) Austin Chiang, MD MPH Doctor_David Tricia Pendergrast transplantrockstar
      3 replies 1 retweet 8 likes
        1. New conversation
        2. David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
          Replying to @gorskon @MarkHoofnagle and

          Humans also need shorthand and personalization. Here's the example I like to cite: Andrew Wakefield. When Andrew Wakefield was struck off and then revealed to have committed scientific fraud, he became a shorthand dismissal for antivax views: Oh, the main antivaxer is a fraud.

          2 replies 1 retweet 5 likes
        3. David Gorski, MD, PhD‏Verified account @gorskon 5 Jun 2019
          Replying to @gorskon @MarkHoofnagle and

          Do I like that this is essentially an ad hominem? Would I rather that facts, evidence, and reason would sway fence sitters more? Of course I would. But you get a lot farther briefly showing how Andrew Wakefield is a disgraced fraud than in laying out the science for hours.

          1 reply 1 retweet 5 likes
        4. Show replies
        1. New conversation
        2. Austin Chiang, MD MPH‏ @AustinChiangMD 5 Jun 2019
          Replying to @gorskon @MarkHoofnagle and

          Thank you. And you’re right @MarkHoofnagle about irrationality...but many are using that in their favor. It might look like pretty photos, but folks like @drrupawong can get convey awesome strabismus education to dedicated non-medical followers and trainees.

          1 reply 0 retweets 1 like
        3. Mark Hoofnagle‏ @MarkHoofnagle 5 Jun 2019
          Replying to @AustinChiangMD @gorskon and

          Well, we’ll be happy to be proven wrong. But if you are actually interested in countering disinfo rather than just medical boosterism and information dissemination we can be a source of expertise. In my experience however, most docs don’t have the stomach for it.

          3 replies 0 retweets 4 likes
        4. Show replies
        1. Doctor_David‏ @Doctor_David 5 Jun 2019
          Replying to @gorskon @MarkHoofnagle and

          Yes, that is a common finding in social psychology. People whose core beliefs are challenged tend to double down. Witness doomsday cults which are even more committed when the world doesn't end . Cognitive dissonance is powerful.

          0 replies 0 retweets 1 like
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