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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 5 Oct 2019

      "Most patients continue to face excruciating, costly and ineffective treatments. It’s time to shift our focus from fighting the disease in its last stages to finding the very first cells." I can't read this (no @WSJ subscription), but no. 1/ https://www.wsj.com/articles/cancer-is-still-beating-uswe-need-a-new-start-11570206319 …

      1 reply 5 retweets 10 likes
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    2. David Gorski, MD, PhD‏Verified account @gorskon 5 Oct 2019

      If the rest of the article is about just this, it's perpetuating the half-truth that finding cancer earlier will alwa ys make a huge difference, when in fact the cost of overdiagnosis and overtreatment could outweigh any benefits. 2/

      1 reply 2 retweets 7 likes
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    3. David Gorski, MD, PhD‏Verified account @gorskon 5 Oct 2019

      As we get older, nearly all of us develop cancerous or precancerous cells in some organ(s) in our bodies somewhere. (Something like 75% of men over 80 have cancerous cells in their prostates.) The vast majority of these never progress to cancer that can endanger our lives. 3/

      1 reply 2 retweets 7 likes
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    4. David Gorski, MD, PhD‏Verified account @gorskon 5 Oct 2019

      Finding these "very first cells" will result in the treatment of many people who would never develop clinical cancer. Maybe the rest of the article discusses this, but, again, I don't have a @WSJ subscription to verify and the message of the headline and blurb is dubious. 4/

      1 reply 2 retweets 9 likes
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    5. David Gorski, MD, PhD‏Verified account @gorskon 5 Oct 2019

      Also, what about patients who aren't diagnosed until they are in later stages? Being able to treat or reverse these cancers is where the greatest impact in improving cancer care will happen. 5/

      1 reply 1 retweet 11 likes
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      David Gorski, MD, PhD‏Verified account @gorskon 5 Oct 2019

      For example, we do pretty well treating localized breast cancer, but metastatic breast cancer is still incurable. There's where the final frontier is: Stage IV disease. 6/6

      9:01 AM - 5 Oct 2019
      • 1 Retweet
      • 17 Likes
      • Dr. Loh The_Skeptical_Scientist⚗️💉🔬🔭⚖️ H Squared MPG Gnome is a hermit 😷😷😷 🌈🦑 Eldrich Nemo 😷🐈‍⬛ WRATH MONTH Faceless Old Woman @🏡 Lalee Pop 🍭 Liz "The Mask Goes Over Your Nose AND Mouth" Ditz
      3 replies 1 retweet 17 likes
        1. H Squared‏ @HelenHoltby 5 Oct 2019
          Replying to @gorskon

          The “early diagnosis is always better” belief is very pervasive and takes a lot of detail to refute. A recent furore over lumpectomy/radiation/chemo arose because of precisely this issue, and the idea that doing lees/nothing was safer for women.

          0 replies 0 retweets 0 likes
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        1. Indigo Bloop‏ @Indigo_Bloop 6 Oct 2019
          Replying to @gorskon

          This hits really close to home. 9 months ago we found out my mom has stage IV metastatic kidney cancer. 1 week ago we found out she probably only has 9 months left. The amount of pain and misery that really spiked seemingly out of nowhere has been insane.

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