All posts by David Gorski

Dr. Gorski's full information can be found here, along with information for patients. David H. Gorski, MD, PhD, FACS is a surgical oncologist at the Barbara Ann Karmanos Cancer Institute specializing in breast cancer surgery, where he also serves as the American College of Surgeons Committee on Cancer Liaison Physician as well as an Associate Professor of Surgery and member of the faculty of the Graduate Program in Cancer Biology at Wayne State University. If you are a potential patient and found this page through a Google search, please check out Dr. Gorski's biographical information, disclaimers regarding his writings, and notice to patients here.

Choosing Wisely

Choosing Wisely: Changing medical practice is hard

One of the hardest things to do in medicine is to change practice in the face of scientific evidence that what you're doing isn't working. Quacks never change, but medicine does. The change might be slower and messier than we would like, but change does happen. Choosing Wisely is an initiative designed to bring about change by discouraging the use of interventions...

/ October 19, 2015

“Safe” dietary supplements can land you in the emergency room

If there’s one thing I’ve been consistent about, it’s that, however ridiculous all the other woo I routinely discuss here is—homeopathy, reiki, reflexology, I’m talking to you and your friends—herbal medicine and supplements might have value because they might have a physiological effect that is beneficial in treating or preventing disease. Of course, if that’s the case, it’s because the herb or...

/ October 18, 2015

Sarah Hershberger: “Health freedom” and parental rights vs. child welfare

One of the more depressing topics that I regularly write about on this blog includes of analyses of news stories of children with cancer whose parents decided to stop science-based treatment (usually the chemotherapy) and use quackery instead. There are, of course, variations on this theme, but these stories take form that generally resembles this outline: A child is diagnosed with a...

/ October 12, 2015

Presidential candidate Ben Carson: Shilling for Mannatech with his very own alternative cancer cure testimonial?

Over the years, mainly at my not-so-super-secret other blog, I’ve frequently made the points that the vast majority of physicians are not scientists and, in fact, that many of them suffer from a severe case of Dunning-Kruger when it comes to science outside of biomedical sciences—or even biomedical sciences outside of their medical field of expertise. The most common science I’ve seen...

/ October 11, 2015
You want to inject me with vaccines and then dissect my brain? Why? We already know vaccines don't cause autism!

Antivaccine activists fund a study to show vaccines cause autism. It backfires spectacularly.

Having written about pseudoscience and quackery continuously for over a decade and having engaged in conversations about it online for over 15 years, I’ve come to recognize a number of traits that are virtually the sine qua non of quacks and pseudoscientists and their believers. Obviously, one of them is a severe case of the Dunning-Kruger effect, a tendency of those with...

/ October 5, 2015
Venipuncture_using_a_BD_Vacutainer

“Liquid biopsies” for cancer screening: Life-saving tests, or overdiagnosis and overtreatment taken to a new level?

I’ve written many times about how the relationship between the early detection of cancer and decreased mortality from cancer is not nearly as straightforward as the average person—even the average doctor—thinks, the first time being in the very first year of this blog’s existence. Since then, the complexities and overpromising of various screening modalities designed to detect disease at an early, asymptomatic...

/ September 28, 2015
Second Republican debate

Donald Trump and the dangerous vaccine politics of the 2016 Presidential race

At the second Republican debate of the 2016 election cycle, Donald Trump parroted antivaccine pseudoscience, and Ben Carson walked back his previously strong support for vaccine mandates. Earlier in the campaign, Rand Paul blamed vaccines for "neurologic injury," and Chris Christie briefly pandered by questioning vaccine mandates. What's going on here? Is the Republican Party becoming the antivaccine party?

/ September 21, 2015

The Federal Trade Commission takes on homeopathy—maybe

Well, I’m back. OK, returning from London isn’t nearly as epic as Sam Gamgee’s final words in The Lord of the Rings returning to his wife and daughter after having accompanied Frodo, Gandalf, Bilbo, and key elves of Middle-Earth to the Grey Havens, there to say goodbye to them as they boarded a ship to the undying lands. I just love the...

/ September 14, 2015
Bullseye_dart

“Precision medicine”: Hope, hype, or both?

I am fortunate to have become a physician in a time of great scientific progress. Back when I was in college and medical school, the thought that we would one day be able to sequence the human genome (and now sequence hundreds of cancer genomes), to measure the expression of every gene in the genome simultaneously on a single “gene chip,” and...

/ August 31, 2015
Vaccine Whistleblower

Vaccine Whistleblower: An antivaccine “exposé” full of sound and fury, signifying nothing

Antivaccine lawyer Kevin Barry has published a book containing what are allegedly the transcripts of telephone conversations between "CDC whistleblower" William Thompson and biochemical engineer turned incompetent antivaccine epidemiologist Brian Hooker. Suffice to say, the transcripts do not show evidence of a massive coverup at the CDC of evidence that vaccines cause autism.

/ August 24, 2015