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.

Prove the scientific consensus and win a prize: A time-dishonored PR ploy used by cranks, quacks, and pseudoscientists (Robert F. Kennedy Jr. edition)

Last week, antivaccine activist Robert F. Kennedy, Jr. teamed up with Robert De Niro to issue a challenge to provide one scientific study that proves thimerosal in vaccines is safe, with a cash prize of $100,000. They thus joined a long line of antivaxers, creationists, and climate science denialists offering money to "prove" the scientific consensus. Science doesn't work that way.

/ February 20, 2017

In 2017, are antivaxers winning?

The election of Donald Trump as President has emboldened antivaxers, because they quite rightly sense that he is one of them. His inauguration as President, combined with other trends, have led observers to ask the question: Are antivaxers winning, or will 2017 be the year of the antivaxer?

/ February 13, 2017

Robert F. Kennedy, Jr. promotes an awful epidemiology study linking vaccines and neurological conditions from…Yale?

Robert F. Kennedy, Jr. has never seen a lousy study linking vaccines to bad things that he didn't like. This is no exception. Oddly enough, this study was funded and carried out by a lawyer and an investment banker, with the help of an eminent Yale pediatrician. Of course, the study doesn't show what RFK Jr. thinks it shows.

/ February 12, 2017

Donald Trump versus the FDA: Is the standard of evidence for drug approval actually too low rather than too high?

All of the candidates being considered by President Trump for FDA Commissioner believe that the FDA is too strict in its standards for approving new drugs. In a commentary in Nature last week, two bioethicists argued that, at least in terms of preclinical data, the standard of evidence is actually too low. Which is correct?

/ February 6, 2017

“Detox”: Ritual purification masquerading as medicine and wellness

If the "central dogma" of alternative medicine is that wishing makes it so, one of the most important of the other organizing dogmas of alternative medicine is that "toxins," whether they come from inside or outside, are making us sick and that we can't be healthy until we "detoxify." This is far more a religious belief than a science-based one.

/ January 30, 2017

How reproducible is basic lab research in cancer biology?

Last week, a review of the reproducibility of several highly cited cancer biology papers was published. The results were mixed and demonstrate how difficult reproducing published results can be at times—and how scientists need to do better.

/ January 23, 2017

Donald Trump and Peter Thiel vs. the FDA: Be afraid. Be very afraid.

Donald Trump's three most likely picks for FDA Commissioner all favor loosening drug approval standards. Two are cronies of Peter Thiel, of which one believes that the FDA shouldn't require evidence of efficacy, only safety, and the other believes that a "Yelp for drugs" would do a better job than the FDA. The third candidate is a bona fide, honest-to-goodness pharma shill....

/ January 16, 2017

The Medical Director of The Cleveland Clinic Wellness Institute spewed antivaccine misinformation last week. Why is anyone surprised?

A social media firestorm erupted over the weekend after Dr. Daniel Neides, Director of The Cleveland Clinic Wellness Institute, posted an article full of antivaccine misinformation. The Cleveland Clinic promptly disavowed it, but shouldn't have been surprised that one of its "integrative medicine" leaders is antivaccine. If you "integrate" medicine that teaches that "toxins" cause disease and "detoxification" is the cure, antivaccine...

/ January 9, 2017

Myths integrative medicine sells us: “We never advocate alternative medicine without conventional medicine”

"Integrative medicine" (IM) effectively integrates quackery with real medicine. The main talking point by advocates of IM meant to deflect this criticism is that IM practitioners always use alternative medicine with conventional medicine and never advocate the use of alternative medicine alone. A new book by a prominent advocate of IM suggests that this talking point is at best self-delusion among academics...

/ January 8, 2017

In the tradition of Chairman Mao, traditional Chinese medicine gets a new boost by the Chinese government

Despite a lack of evidence for its efficacy and safety, traditional Chinese medicine (TCM) has made major inroads into US medical centers, both academic and community. I've told the story of how Chairman Mao Zedong created the myth of TCM and promoted it to credulous Westerners to facilitate the "integration" of TCM and "Western medicine." Over the holiday break, I learned that...

/ January 2, 2017