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.

Fall Armyworm Moth

Novavax: It’s the vaccine that scares antivaxxers, not moth DNA or any ingredient in any vaccine

The Novavax COVID-19 vaccine was recently granted emergency use approval by the FDA. Company executives and some public health officials have expressed hope that this recombinant protein-based vaccine will be more palatable to the vaccine-hesitant than existing vaccines using new (and therefore scarier) mRNA and adenovirus platforms. The reaction to the use of moth cells to produce the Novavax vaccine shows that...

/ July 25, 2022
Pulse oximeters

COVID-19 puts the spotlight on an unexpected racial disparity in health care

Evidence increasingly suggests that pulse oximeters, the little finger clips that measure blood oxygen, overestimate the blood oxygenation in Black patients. It's a problem that's been discussed a long time that took a pandemic to bring to public consciousness. How can SBM decrease or eliminate such healthcare disparities?

/ July 18, 2022
Matt Walsh asks: What is a woman?

In What Is a Woman?, Matt Walsh asks a question, but doesn’t like the answers

Matt Walsh's documentary asks What Is a Woman? Unfortunately, his documentary is every bit as much of a science denying propaganda film disguised as a documentary as antivax films like VAXXED or the anti-evolution film Expelled!, and such films tend to be potent messaging tools.

, / July 14, 2022
Plague doctor

Is COVID-19 “the forever plague”?

A recent article claims that Omicron reinfections confer "no immunity" such that it's possible to be reinfected with Omicron variants every two to three weeks and calls COVID-19 the "forever plague". Although it makes a reasonable point that "natural" postinfection immunity doesn't last long because of variants, the article is undermines its reasonable criticisms of COVID policy with maximal fear mongering.

/ July 11, 2022

Gender-Affirming Care is Not Experimental, Part II

A lot of the "facts" about providing healthcare to transgender youth turn out to be not actually facts. We present here a summary of the evidence relating to transition-related health care for transgender adolescents.

Supreme Court

Legislative alchemy and abortion: How the fall of Roe v. Wade will degrade science-based medicine

The U.S. Supreme Court overturned Roe v. Wade on Friday, eliminating the federal right to an abortion. What does that mean for science-based reproductive health and science-based medicine in general? Hint: It's not good, even for areas of medicine outside of reproductive health.

/ June 27, 2022

Gender-affirming care is not “experimental”

Gender-affirming care remains the evidence-based standard of care for gender dysphoria in transgender adolescents, despite claims by some laws and lawmakers that it is “experimental”.

, / June 25, 2022
Universal health insurance

Medical debt vs. universal health insurance: The interface between SBM and policy

This blog has long argued that the best medicine is science-based medicine (SBM). The problem is that in the US SBM is often not accessible, except at ruinous cost, which is why I argue that we have to broaden our definition of SBM to include the systems that deliver it and pay for it.

/ June 20, 2022
Justni Bieber with Ramsay Hunt syndrome

Justin Bieber, Ramsay Hunt syndrome, SADS, and how to antivaxxers everything is always about vaccines

I never thought I'd be writing about Justin Bieber, but such are the strange times we live in, given how after Bieber announced that he had developed facial paralysis as a result of Ramsay Hunt syndrome antivaxxers swooped in to blame it on COVID-19 vaccines. Elsewhere, they blame every unexplained death of a young person on vaccines to the point of claiming...

/ June 13, 2022
Better Way

“New school” COVID-19 antivaxxers are becoming less and less distinguishable from “old school” antivaxxers

Since the COVID-19 pandemic hit, a new generation of antivaxxers has arisen. Most view themselves as pro-vaccine, just not pro-COVID-19 vaccines. Recent developments, however, have demonstrated that "new school" antivaxxers are increasingly indistinguishable from "old school" antivaxxers and that this fusion is increasingly endangering all public health, not just COVID-19 public health interventions.

/ June 6, 2022