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.

Pauline Gahan in front of the Hallwang Private Oncology Clinic

German alternative cancer clinics: Combining experimental therapeutics with rank quackery and charging big bucks for it

You think that Mexico has the most quack cancer clinics? Don't be so sure of that. When it comes to clinics peddling a mix of snake oil and a dash of real medicine, Mexico's got nothing on Germany.

/ October 24, 2016

Commenting and server problems

Please note that ScienceBasedMedicine is having issues with its hosting services and Disqus commenting interface. We are working to resolve it. UPDATE: More recently, we have been having issues with our certificate, in case you get SSL certificate errors.

/ October 18, 2016
Reading mammograms

Mammography and overdiagnosis, revisited

Another new study supports the hypothesis that overdiagnosis is a major problem in mammography screening programs. Predictably, it is attacked based on a misunderstanding of what overdiagnosis is.

/ October 17, 2016
hillary-clinton-donald-trump-presidential-debate

In which we are accused of “polarization-based medicine”

A little over a month ago, I wrote about how proponents of “complementary and alternative medicine” (CAM), now more frequently called “integrative medicine,” go to great lengths to claim nonpharmacological treatments for, well, just about anything as somehow being CAM or “integrative.” The example I used was a systematic review article published by several of the bigwigs at that government font of...

/ October 10, 2016
Female doctor showing medical chart to female patient lying in hospital bed

When science- and evidence-based guidelines conflict with patient wishes: What’s a doc to do?

We use the term "science-based medicine" (SBM) because medicine isn't a science. The best medicine, however, is based in science. Patient values are also important, but what is a science-based doctor to do when SBM conflicts with what a patient or family wants?

/ October 3, 2016
The stem cell hard sell returns.

The stem cell hard sell, Stemedica edition

Stemedica Cell Technologies, a San Diego company that markets stem cell treatments for all manner of ailments, likes to represent itself as very much science-based. There are very good reasons to question that characterization, based on the histories of the people who run the company, as well as the company's behavior.

/ September 26, 2016
Exercise

Diet and exercise versus cancer: A science-based view

Yes, diet and exercise can be useful to prevent some cancers. Unfortunately, they don't prevent all cancers, and the effect size is more modest than often represented. That's not to say that eating right and exercise aren't good. They are, for so many other reasons than cancer. Just don't view them as a panacea for preventing cancer.

/ September 19, 2016
The moon

The Cancer Moonshot: Hype versus reality

The Cancer Moonshot has been promoted as a strategy to break the logjam that seems to be holding up new, much more effective treatments for cancer. The key word is "seems," because in reality the Cancer Moonshot is more hype than promise.

/ September 12, 2016
Acupuncture

“Non-pharmacological treatments for pain” ≠ CAM, no matter how much NCCIH wishes it so

When it comes to pain, in the mythos of "complementary and alternative medicine" (CAM), which in recent years has morphed into "integrative medicine," anything that isn't a drug is automatically rebranded as CAM, whether it's in any way "alternative" or not.

/ September 5, 2016
Right-to-try

The cruel sham that will not die: Right-to-try marches on in California and beyond

State "right-to-try" bills are springing up like kudzu all over the US. Their advocates promise that they would save lives by allowing terminally ill patients access to experimental therapeutics. This is a delusion; even the most fervent supporters of right-to-try have trouble pointing to a single patient who has benefited from such a law. In reality, right-to-try laws are a cruel sham...

/ August 29, 2016