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jorient's profile
Jane Orient, MD
Jane Orient, MD
Jane Orient, MD
@jorient

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Jane Orient, MD

@jorient

aka Doctor Aunt Jane, physician in private practice, general internal medicine; executive director, Association of American Physicians and Surgeons

Arizona
aapsonline.org
Joined March 2009

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    1. Mark Hoofnagle‏ @MarkHoofnagle 17 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      Now how in the hell *one observation* would reverse a mature medical theory, which we know are highly dependent on replication, is beyond me and reflects ignorance about how the medical literature functions and appropriate skepticism of new results (as Ioannidis’ emphasizes).

      1 reply 1 retweet 12 likes
    2. Mark Hoofnagle‏ @MarkHoofnagle 17 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      An actual skeptical physician, hearing of a single observation that contradicted a mature finding, replicated, eg for vaccines, in billions of people and thousands of papers, would tell you the far more likely probability is your n=1 observation is garbage.

      2 replies 1 retweet 15 likes
    3. Jane Orient, MD‏ @jorient 18 Mar 2019
      Replying to @MarkHoofnagle @gorskon and

      What if the n = thousands, each and every one dismissed as an anecdote and a coincidence? How about denialism? See brides in the bath case: http://www.jpands.org/vol10no3/miller.pdf …

      2 replies 1 retweet 0 likes
    4. Mark Hoofnagle‏ @MarkHoofnagle 18 Mar 2019
      Replying to @jorient @gorskon and

      Yeah your crank journal is evidence of nothing and the article is frankly conspiratorial. Not interested in the QAnon of medicine.

      4 replies 1 retweet 17 likes
    5. Steven Tiger‏ @SteveTiger999 18 Mar 2019
      Replying to @MarkHoofnagle @jorient and

      Truths from this thread: 1. Education is not an absolute shield against the seductive allure of idiocy. 2. Medical conspiracy-mongers try to sell the notion that current evidence-based consensus should be regarded with suspicion bcuz understanding of science sometimes changes.

      2 replies 0 retweets 11 likes
    6. Mark Hoofnagle‏ @MarkHoofnagle 18 Mar 2019
      Replying to @SteveTiger999 @jorient and

      Yes. Clearly a superior system would declare something true and then *never change* no matter where the evidence goes. If it changed it could be fallible right? We can’t have people believing in fallible beliefs! That’s how you get protestants!

      1 reply 0 retweets 7 likes
    7. Jane Orient, MD‏ @jorient 18 Mar 2019
      Replying to @MarkHoofnagle @SteveTiger999 and

      You mean like the inquisitorial defenders of the CDC's Holy (and infallible) Vaccine Schedule?

      6 replies 0 retweets 0 likes
    8. David Gorski, MD, PhD‏Verified account @gorskon 18 Mar 2019
      Replying to @jorient @MarkHoofnagle and

      Except that the vaccine schedule changes almost every year due to new evidence. You really aren't very good at this, are you?🤦‍♂️

      4 replies 0 retweets 23 likes
    9. David Brooks MD‏ @drdavebrooks 18 Mar 2019
      Replying to @gorskon @jorient and

      I don’t think she understands how science and medicine works?

      1 reply 0 retweets 3 likes
    10. Steven Tiger‏ @SteveTiger999 18 Mar 2019
      Replying to @drdavebrooks @gorskon and

      It's difficult to believe that a person who is bright enough to have gotten into and through medical school doesn't understand how science and medicine work. Rather, I think this demonstrates that intelligence and education do not guarantee invulnerability to dogmatic fixations.

      2 replies 0 retweets 4 likes
      Jane Orient, MD‏ @jorient 19 Mar 2019
      Replying to @SteveTiger999 @drdavebrooks and

      Back in the day doctors were supposed to think for themselves, not to slavishly follow the cookbook and bully the skeptics.

      6:57 AM - 19 Mar 2019
      • 1 Like
      • ResearchEverything
      7 replies 0 retweets 1 like
        1. David Brooks MD‏ @drdavebrooks 19 Mar 2019
          Replying to @jorient @SteveTiger999 and

          I think they were still expected to follow current evidence-based practice. I think your attitude may get you in trouble with your College one day. It is appropriate to question in science but when 99% of the evidence says do something only a fool would do something different.

          0 replies 0 retweets 2 likes
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        1. David Gorski, MD, PhD‏Verified account @gorskon 19 Mar 2019
          Replying to @jorient @SteveTiger999 and

          I know all you @AAPSonline docs like to think of yourselves as not part of the herd, as so much more independent and able to "think for yourselves," but "thinking for yourself" ≠ doing any dang foolish, non-evidence-based thing you feel like.

          0 replies 0 retweets 5 likes
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        1. Bill Gibson‏ @drbillgibson 19 Mar 2019
          Replying to @jorient @SteveTiger999 and

          No, then and now doctors are supposed to read and understand the evidence and provide safe and effective care. Which is the antithesis of what you do.

          0 replies 0 retweets 5 likes
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        2. Jonathan Howard‏ @JHowardBrainMD 19 Mar 2019
          Replying to @jorient @SteveTiger999 and

          Would you go to a neurosurgeon who rejected the wisdom of 99% of his colleagues to “think for myself?” Would you fly on a plane of the pilot bragged about thinking for “myself.” Some things are just wrong.

          1 reply 0 retweets 5 likes
        3. Jane Orient, MD‏ @jorient 19 Mar 2019
          Replying to @JHowardBrainMD @SteveTiger999 and

          Some women went to surgeons who defied the consensus favoring the Halstead radical mastectomy.

          2 replies 0 retweets 0 likes
        4. Show replies
        1. Steven Tiger‏ @SteveTiger999 19 Mar 2019
          Replying to @jorient @drdavebrooks and

          The development of evidence-based best-practice algorithms was a considerable advance over individual physicians' often diverse thinking-for-themselves notions of proper management. Guidelines are just that; it is always recommended that individual cases be managed individually.

          0 replies 0 retweets 3 likes
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        1. Stephen M. Thomas‏ @stmithomas 19 Mar 2019
          Replying to @jorient @SteveTiger999 and

          The public trust requires that we not just make sh-t up. Science, doctor, science.

          0 replies 0 retweets 4 likes
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