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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. Lars Haakon Søraas‏ @larshaakon 12 Feb 2018
      Replying to @JackWestMD @IamBreastCancer and

      There are serious researchers at eg Moffitt who believe sodium bicarbonate or Tham can be promising anti-cancer agents. If you can prove them wrong, I would be very interested in it!

      2 replies 0 retweets 0 likes
    2. Doc Bastard‏ @DocBastard 12 Feb 2018
      Replying to @larshaakon @JackWestMD and

      I don't need to prove them wrong, they need to prove themselves right, which they cannot do because there is no evidence to back their claims.

      2 replies 0 retweets 13 likes
    3. Lars Haakon Søraas‏ @larshaakon 12 Feb 2018
      Replying to @DocBastard @JackWestMD and

      You could equally well say that there is no evidence backing up the claim that the treatment does not work. Don't confuse absence of evidence for evidence of absence.

      2 replies 0 retweets 0 likes
    4. H. Jack West, MD‏Verified account @JackWestMD 12 Feb 2018
      Replying to @larshaakon @DocBastard and

      Agree w/@DocBastard - onus isn't on rest of scientific community to irrefutably disprove a theory for which there is no clinical evidence. If investigators at Moffitt, etc, are investigating alkaline Rx, they shouldn't promote off-trial use, or they are unqualified to work there.

      1 reply 0 retweets 7 likes
    5. Lars Haakon Søraas‏ @larshaakon 12 Feb 2018
      Replying to @JackWestMD @DocBastard and

      We are not talking onus, @JackWestMD. As you know, patients have to make decisions under uncertainty, regardless of who has onus to prove this or that. You said you could definitely prove alkaline treatments don't work. Do you still stand by that?

      1 reply 0 retweets 0 likes
    6. H. Jack West, MD‏Verified account @JackWestMD 12 Feb 2018
      Replying to @larshaakon @DocBastard and

      OK. More fair to say that there isn't an iota of clinical evidence to support them, and there is good reason to be concerned about potential harms. You can cling to the tiny minority of docs who don't think it's a colossally horrible idea, but perhaps the 99.8% are right here.

      2 replies 0 retweets 4 likes
    7. H. Jack West, MD‏Verified account @JackWestMD 12 Feb 2018
      Replying to @JackWestMD @larshaakon and

      If alkalinization is anything close to the remarkable benefit it's purported to be by the zealots, why it is so elusive to show ANY benefit beyond anecdotal reports (w/unknown denominator, likely enormous # of ppl who died w/no benefit). Can't argue rationally w/zealots.

      3 replies 0 retweets 5 likes
    8. Skyler Johnson, MD‏ @sky__john 12 Feb 2018
      Replying to @JackWestMD @larshaakon and

      Spot on here. Also evidence of direct harm and no benefit based on investigations of those offering these therapies. https://www.google.com/amp/s/www.bbc.com/news/amp/magazine-38650739 …pic.twitter.com/bSX17Wnb5T

      1 reply 0 retweets 1 like
    9. Lars Haakon Søraas‏ @larshaakon 12 Feb 2018
      Replying to @sky__john @JackWestMD and

      You rely on news articles to direct your practice? News article like this is not "evidence". They are as bad evidence when they retell stories of tragic deaths as they are when they recount miraculous cures.

      2 replies 0 retweets 0 likes
    10. Skyler Johnson, MD‏ @sky__john 12 Feb 2018
      Replying to @larshaakon @JackWestMD and

      Also, a legal investigation by the California Medical Board is not the same as sensationalized news stories.

      1 reply 0 retweets 1 like
      David Gorski, MD, PhD‏Verified account @gorskon 12 Feb 2018
      Replying to @sky__john @larshaakon and

      It was more than that. The San Diego attorney general investigated, indicted, and prosecuted Robert O. Young for all the crimes for which he was ultimately convicted. Compare that to patient testimonials that are poorly sourced and spread on quack websites.

      10:07 AM - 12 Feb 2018
      • 3 Likes
      • Take That, Medicine! Skyler Johnson, MD L. Tock
      1 reply 0 retweets 3 likes
        1. New conversation
        2. Lars Haakon Søraas‏ @larshaakon 12 Feb 2018
          Replying to @gorskon @sky__john and

          Not sure what you mean, David. Are you saying Young's criminal conviction proves alkaline treatments don't work? Criminal convictions are not usually regarded evidence one way or the other in the scientific literature I read. PubMed is usually a better source of information.

          1 reply 0 retweets 0 likes
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