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David Gorski

From Wikipedia, the free encyclopedia
Science-based medicine advocate
David Gorski
Gorski in 2016
Born
David Henry Gorski
Education
Scientific career
FieldsSurgical oncology
Institutions
Doctoral advisorKenneth Walsh

David Henry Gorski is an Americansurgical oncologist and professor of surgery atWayne State University School of Medicine.[1] He specializes inbreast cancer surgery at theKarmanos Cancer Institute.[2] Gorski is an outspokenskeptic and critic ofalternative medicine and theanti-vaccination movement. He writes as Orac atRespectful Insolence and as himself atScience-Based Medicine, where he is the managing editor.[3][4][5]

Early life and education

[edit]

Gorski attended aRoman Catholic high school.[6] He went on to study medicine at theUniversity of Michigan, earning an MD in 1988.[7] He entered a residency in general surgery in 1989 at theUniversity Hospitals of Cleveland. Gorski completed a PhD incellular physiology atCase Western Reserve University in 1994. His dissertation was entitled "Homeobox Gene Expression and Regulation in Vascular Myocytes."[8] Gorski continued his residency (1993–96) and completed asurgical oncology research fellowship (1996–99) atThe University of Chicago.[9][10]

Prior to 2005, he was active on the early internet message boards ofUsenet participating inflame wars.[6]

Career

[edit]

In the mid 2000s, Gorski taught surgery as an associate professor at theRutgers Cancer Institute of New Jersey[11] and theRobert Wood Johnson Medical School, atRutgers University.[12]

In 2007 he received the AdvancedClinical Research Award in Breast Cancer from theAmerican Society of Clinical Oncology.[13] He was awarded research grants byThe Breast Cancer Research Foundation in 2008, 2009, and 2010.[14]

In 2008, Gorski joined theWayne State University School of Medicine[15] and became affiliated with theKarmanos Cancer Institute.[12] He is a professor of surgery and oncology at the Wayne State University School of Medicine,[9] whose laboratory conducts research ontranscriptional regulation of vascularendothelial cell phenotype, as well as the role ofmetabotropic glutamate receptors in breast cancer.[9] In 2009, he was appointed the cancer liaison physician for theAmerican College of Surgeons Committee on Cancer.[16]

He became the co-director of the Michigan Breast Oncology Quality Initiative in 2013.[17][18]

Gorski is listed as a founder of the Institute for Science in Medicine[19] and as a member of theAmerican Society of Clinical Oncology.[14]

Research

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Gorski's 1999 article "Blockade of the vascular endothelial growth factor stress response increases the antitumor effects of ionizing radiation", characterizing the effects ofangiogenesis inhibitors on the effectiveness ofanti-tumor therapies, has been cited over 900 times according to PubMed.[20][21] This research has been used in anti-tumor therapeutic research, including an observation that angiogenesis inhibitors enhanced the therapeutic effects ofionizing radiation "by preventing repair of radiation damage toendothelial cells,"[22] and in determining the potential of combinational therapies to allow reduction of the dosages in toxic conventional treatments[23] while sustaining tumor regression when combined with specificantibodies andradiation therapy.[24]

Gorski's work with Helena Mauceri and others, published inNature in 1998 as "Combined effects of angiostatin and ionizing radiation in antitumour therapy" studied the "combined effects ofangiostatin" (a protein occurring in several animal species) "and ionizing radiation in anti-tumor therapy"[25] led to investigation into the selective destruction of tumor cells, which according to a 1999 study by Gregg L. Semenza (citing Mauceri and others), "are morehypoxic than normal cells," allowing for "tumor cells to be killed without majorsystemic side effects."[26]

In 2008, Gorski and Yun Chen published an article titled "Regulation of angiogenesis through a microRNA (miR-130a) that down-regulates antiangiogenic homeobox genes GAX and HOXA5" that investigated the use ofmicroRNA to regulateangiogenesis.[27]

Skepticism of alternative medicine

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One person standing at a podium and three people sitting at a table with microphones in front of them
SkepticsSteven Novella,Harriet Hall, David Gorski, andRachael Dunlop on a panel at The Amaz!ng Meeting 2012

Gorski is a vocalskeptic ofalternative medicine and has criticizedpseudoscience.[28]

He has criticized the prevalence of pseudoscience in the medical field including the use of alternative therapies,[29][30]acupuncture,[31]detoxification,[32] and the use ofdietary treatment to manageautism.[33]

Blogs

[edit]

Gorski is a prolific blogger.[6] In 2004, he began writing a blog entitledRespectful Insolence atBlogspot under thepen nameOrac.Respectful Insolence was then moved to theScienceBlogs website.[34][35] Alissa Quart, writing forColumbia Journalism Review in 2010, described Orac as a "self-appointed autism expert" known for attacking the "vaccines-cause-autism set" and who had recently celebrated when an opponent lost their medical license.[36] In 2015, writing forSlate, Jacob Brogan said Orac was a "doctor who blogs about skepticism and medicine".[37]

In 2008 Gorski started blogging atScience-Based Medicine under his real name while continuing to blog as Orac atRespectful Insolence.[38][39] He was laterdoxed as Orac.[6] As the managing editor[clarification needed] atScience-Based Medicine, Gorski has posted on issues of medicine and pseudoscience, including theanti-vaccination movement, alternative therapies, and cancer research and treatment.[40][41] In 2010, Gorski recounted how members of the anti-vaccine blog Age of Autism wrote to the board of directors at Wayne State University and asked that he be prevented from blogging.[42]

Writing forThe Atlantic in 2011, David H. Freedman described Gorski as one of the more "prickly anti-alternative-medicine warriors"[43] and said he was "among a small, loud band of alt-med critics."[44]

Gorski contributed to theJames Randi Education Foundation's series of EBooks:Science Based Medicine Guides.[45] He is a fellow of theCommittee for Skeptical Inquiry.[46] He was a speaker atThe Amaz!ng Meeting in 2009, 2010, 2012 and 2013[47][48] and has been a participant on several panels on alternative medicine.[49][50][51] He called attention to a 2005 paper byJohn Ioannidis on problems with published research.[52]

Gorski has advocated foropen research data ofclinical trial results and for using onlyevidence-based medicine to treat disease.[53] He has been critical ofSenator Tom Harkin's support of the National Center for Complementary and Alternative Medicine (NCCAM), which became theNational Center for Complementary and Integrative Health.[41] He has criticized theNational Institutes of Health (NIH) and NCCAM for funding and publishing research on unproven therapies not supported by science-based evidence,[54][55] and has commented onmedical ethics and methods of alternative medicine.[56]

Gorski has criticized popularization of pseudoscience by the media and celebrities such asOprah Winfrey,[57]Bill Maher,[58]Ann Coulter,[59] andThe Huffington Post.[60] In June 2013, he expressed support forhealthcare professionals speaking out against poor medical practices and the sale of unproven treatments.[61] Gorski was interviewed byWPRR in 2012.[62] He criticized theAmerican Medical Student Association for their co-sponsorship of an Integrative Medicine Day.[63]

In September 2014, Gorski and fellow skepticSteven Novella published an article inTrends in Molecular Medicine denouncing the study ofintegrative medicine as harmful to science.[64][65] The following month Gorski also published an article critical of integrative oncology inNature Reviews Cancer.[66] Several months later, six of his colleagues responded to the editor to express concerns with his view on integrative oncology, arguing that, in their opinion, his "article selectively focuses on practices with the weakest mechanistic evidence base", such ashomeopathy andreiki.[67]

Personal life

[edit]

Gorski is married.[6][15] Gorski describes himself as an aspiring ally of marginalized communities, and has in recent years begun to identify as a center-left Democrat with progressive views on social justice issues.[6]

Publications

[edit]
  • Speyer, Cecilia L.; Nassar, Mahdy A.; Hachem, Ali H.; Bukhsh, Miriam A.; Jafry, Waris S.; Khansa, Rafa M.; Gorski, David H. (4 May 2016). "Riluzole mediates anti-tumor properties in breast cancer cells independent of metabotropic glutamate receptor-1".Breast Cancer Research and Treatment.157 (2):217–228.doi:10.1007/s10549-016-3816-x.PMID 27146584.S2CID 23986691.
  • Welch HG, Gorski DH, Albertsen PC (2015). "Trends in Metastatic Breast and Prostate Cancer—Lessons in Cancer Dynamics".N Engl J Med.373 (18):1685–1687.doi:10.1056/NEJMp1510443.PMID 26510017.
  • Gorski D. H. (2014). "Integrative oncology: really the best of both worlds?".Nat Rev Cancer.14 (10):692–700.doi:10.1038/nrc3822.PMID 25230880.S2CID 33539406.
  • 2018Pseudoscience: The Conspiracy Against Science "Integrative' Medicine: Integrating Quackery with Science-Based Medicine" :MIT Press: edited by Allison B. Kaufman,James C. Kaufman:ISBN 978-0262037426[68]

References

[edit]
  1. ^"David Gorski". Wayne State University – School of Medicine – Cancer Biology Program. 25 October 2019. Retrieved9 August 2021.
  2. ^"David Gorski M.D., Ph.D."Physician Details.Barbara Ann Karmanos Cancer Institute,Wayne State University. 2013. Retrieved9 August 2021.
  3. ^Szabo, Lisa (18 June 2013)."How to guard against a quack".USA Today. Retrieved22 June 2013.
  4. ^"David H. Gorski, MD, PhD – Managing Editor".Science-Based Medicine. 5 October 2008. Retrieved10 June 2013.
  5. ^"Respectful Insolence".RESPECTFUL INSOLENCE. Retrieved2021-07-09.
  6. ^abcdefHongoltz-Hetling, Matthew (2023-02-28)."A Doctor's War Against the Right-Wing Medical-Freedom Movement".The New Republic.ISSN 0028-6583. Retrieved2023-04-09.
  7. ^"David Gorski".Cancer Biology Program. 2019-10-25. Retrieved2023-04-09.
  8. ^Gorski, D. (1994).Homeobox gene expression and regulation in vascular myocytes. Case Western Reserve University.OCLC 31923610.
  9. ^abc"David H. Gorski".Cancer Biology Graduate Program.Wayne State University School of Medicine. 2013. Archived fromthe original on 22 July 2012. Retrieved14 June 2013.
  10. ^"David Gorski, M.D."Faculty. Department of Surgery /Detroit Medical Center, Wayne State University. 2005. Archived fromthe original on 25 January 2013. Retrieved20 March 2013.
  11. ^"Graduate School-New Brunswick 2005-2007 Programs, Faculty, and Courses Cell and Developmental Biology 148".catalogs.rutgers.edu. 2005. Retrieved2023-04-09.
  12. ^abBepler, Gerold (1 February 2011)."Barbara Ann Karmanos Cancer Center names Dr. David Gorski leader of breast multidisciplinary team".PR Newswire. Retrieved18 June 2013.{{cite journal}}:Cite journal requires|journal= (help)
  13. ^Fisher, Michele (11 June 2007)."New Jersey surgical oncologist receives prestigious award at international conference".University of Medicine and Dentistry of New Jersey. Archived fromthe original on 5 February 2013. Retrieved14 June 2013.CINJ scientist receives a near half-million dollars for future breast cancer research.{{cite journal}}:Cite journal requires|journal= (help)
  14. ^ab"2007–2008 Grantees"(PDF).Pink Press.The Breast Cancer Research Foundation. Winter 2008. p. 8. Archived fromthe original(PDF) on 2012-08-07. Retrieved2013-06-26.Alt URL[permanent dead link]"2008–2009 Grantees"(PDF).Pink Press. The Breast Cancer Research Foundation. Winter 2009. p. 9. Archived fromthe original(PDF) on 2012-08-07. Retrieved2013-06-26.Alt URL[permanent dead link]"2009–2010 Grantees"(PDF).Pink Press. The Breast Cancer Research Foundation. Winter 2010. p. 8. Archived fromthe original(PDF) on 2012-08-07. Retrieved2013-06-26.Alt URL[permanent dead link]
  15. ^ab"Meet the provider: David Gorski, M.D."www.waynehealthcares.org. September 29, 2021. Retrieved2023-04-10.
  16. ^"Dr. David Gorski appointed Cancer Liaison Physician for Karmanos".Prognosis E-News. Wayne State University School of Medicine. 7 January 2009.Archived from the original on August 1, 2017. RetrievedMay 17, 2013.
  17. ^"Breast Cancer Program". Barbara Ann Kamanos Cancer Institute, Wayne State University. 2013. Archived fromthe original on 8 January 2019. Retrieved17 May 2013.
  18. ^"Karmanos Cancer Center's Dr. David Gorski appointed program co-director of Michigan Breast Oncology Quality Initiative". Karmanos Cancer Institute. July 30, 2013.Archived from the original on August 1, 2017. RetrievedAugust 2, 2013.
  19. ^"David H. Gorski, MD, PhD".ISM Fellows. Institute for Science in Medicine. 2011. Retrieved13 June 2013.
  20. ^Gorski, David H.; Beckett, Michael A.; Jaskowiak, Nora T.; Calvin, Douglas P.; et al. (15 July 1999)."Blockade of the vascular endothelial growth factor stress response increases the antitumor effects of ionizing radiation".Cancer Research.59 (14):3374–3378.PMID 10416597. Retrieved21 June 2013.
  21. ^Related Citations for PubMed (Select 10416597), PubMed, retrieved28 June 2013
  22. ^Kerbel, Robert;Folkman, Judah (October 2002). "Clinical translation of angiogenesis inhibitors".Nature Reviews Cancer.2 (10):727–739.doi:10.1038/nrc905.PMID 12360276.S2CID 14513505.
  23. ^Dvorak, Harold F. (1 November 2002). "Vascular Permeability Factor/Vascular Endothelial Growth Factor: A Critical Cytokine in Tumor Angiogenesis and a Potential Target for Diagnosis and Therapy".Journal of Clinical Oncology.20 (21):4368–4380.doi:10.1200/JCO.2002.10.088.PMID 12409337.
  24. ^Klement, Giannoula; Baruchel, Sylvain; Rak, Janusz; Man, Shan; et al. (15 April 2000)."Continuous low-dose therapy with vinblastine and VEGF receptor-2 antibody induces sustained tumor regression without overt toxicity".Journal of Clinical Investigation.105 (8):R15–R24.doi:10.1172/JCI8829.PMC 517491.PMID 10772661.
  25. ^Mauceri, Helena J.; Hanna, Nader N.; Beckett, Michael A.; Gorski, David H.; et al. (16 July 1998). "Combined effects of angiostatin and ionizing radiation in antitumour therapy".Nature.394 (6690):287–291.Bibcode:1998Natur.394..287M.doi:10.1038/28412.PMID 9685160.S2CID 4391890.
  26. ^Semenza, Gregg L. (1999). "Regulation of Mammalian O2 Homeostasis by Hypoxia-Inducible Factor 1".Annual Review of Cell and Developmental Biology.15 (1):551–578.doi:10.1146/annurev.cellbio.15.1.551.PMID 10611972.
  27. ^Chen, Yun; Gorski, David H. (1 February 2008)."Regulation of angiogenesis through a microRNA (miR-130a) that down-regulates antiangiogenic homeobox genes GAX and HOXA5".Blood.111 (3):1217–1226.doi:10.1182/blood-2007-07-104133.PMC 2214763.
  28. ^Hiltzik, Michael (2015-04-20)."A physicians' attack on Dr. Oz explodes into a new controversy".Los Angeles Times. Retrieved2023-04-09.
  29. ^Page, Leigh (12 June 2013),"What to do when a patient wants 'alternative' medicine",Medscape Business of Medicine, retrieved25 June 2013.
  30. ^Munger, Dave (2 September 2009)."Controls for acupuncture studies are improving. Their results are not. How are peer reviewers reacting?".Seed. Archived from the original on 14 September 2018. Retrieved27 June 2013.
  31. ^Salzberg, Steven (15 February 2010),"Battlefield acupuncture: Pseudoscience for wounded troops",Forbes.com, retrieved25 June 2013.
  32. ^Lee, Linda (13 April 2012)."Bridal Hunger Games: Losing Weight in Time for the Wedding".The New York Times. Retrieved25 June 2013.
  33. ^Hansen, Lacy Jaye (7 December 2012),"The GAPS diet claims you can eat away autism. But can you really?",Diets in Review.com, retrieved25 June 2013.
  34. ^Bremner, Doug (19 September 2008)."Blogging doctors rock on!".The Huffington Post. Retrieved24 June 2013.
  35. ^Gorski, David."Respectful Insolence". ScienceBlogs. Archived fromthe original on 24 June 2013. Retrieved20 June 2013.
  36. ^Quart, Alissa (July 2010)."The Trouble with Experts".Columbia Journalism Review. Retrieved2023-04-09.
  37. ^Brogan, Jacob (2015-12-07)."Depression Is Real. "Hypersensitivity to Wi-Fi" Isn't".Slate.ISSN 1091-2339. Retrieved2023-04-09.
  38. ^"Who is Orac?". Respectful Insolence. Retrieved31 July 2018.
  39. ^Beall, Jeffrey (2018)."Chapter 12: Scientific Soundness and the Problem of Predatory Journals". In Kaufman, Allison B.; Kaufman, James C (eds.).Pseudoscience: The Conspiracy Against Science. MIT Press.ISBN 978-0262344821.
  40. ^Jones, Val (4 June 2009),Kevin Pho (ed.),"Hostility Towards Scientists and Jenny McCarthy's Latest Video",KevinMD.com, MedPage Today, retrieved25 June 2013.
  41. ^abSpecter, Michael (2009).Denialism: How Irrational Thinking Harms the Planet and Threatens Our Lives. Penguin Group US.ISBN 978-1-101-15102-0. Retrieved21 June 2013.
  42. ^Gorski, David H. (18 June 2010)."The price of opposing medical pseudoscience".Science-Based Medicine. Retrieved14 June 2013.
  43. ^Freedman, David H. (May–June 2012)."Doctors who care: Does alternative medicine work?".Utne Reader. Retrieved24 June 2013.
  44. ^Freedman, David H. (2011-06-23)."What's Eating the Small, Loud Band of Alt-Med Critics?".The Atlantic. Retrieved2023-04-09.
  45. ^"JREF publishes three volumes on science-based medicine".James Randi Education Foundation. Retrieved28 June 2013.
    "JREF publishes three more science-based medicine volumes".James Randi Education Foundation. Retrieved28 June 2013.
    "Science-based medicine Ebooks, volumes 7-12 now available".James Randi Education Foundation. Retrieved28 June 2013.
  46. ^"CSI Fellows and Staff".Committee for Skeptical Inquiry. 2009. Retrieved2 August 2013.
  47. ^"The Amaz!ing Meeting 2013: Schedule".The Amza!ing Meeting website. James Randi Education Foundation. 2013. Archived fromthe original on 27 June 2013. Retrieved24 June 2013.
  48. ^Novella, Steven (6 March 2009)."Science-Based Medicine Conference".Neurologica blog.New England Skeptical Society. Retrieved24 June 2013.
    Wagg, Jeffrey (2010)."The Amaz!ng Meeting 8, 2010 Schedule".James Randi Educational Foundation. Retrieved24 June 2013.
    "Expert panel trashes "alternative medicine" concept".Consumer Health Digest (12–29).The National Council Against Health Fraud. 23 August 2012. Retrieved25 June 2013.
    "The Amaz!ing Meeting 2012: Program".The Amaz!ng Meeting website. James Randi Education Foundation. 2012. Retrieved24 June 2013.
  49. ^"Drs. Ben Goldacre, David Gorski and Michael Shermer on the threat of pseudoscience".McGill University Faculty of Science. 18 October 2010. Retrieved20 June 2013.
  50. ^"David Gorski — NECSS".Northeast Conference on Science and Skepticism website (NECSS).New England Skeptical Society and NYC Skeptics. Archived fromthe original on 6 June 2013. Retrieved24 June 2013.
  51. ^"Speakers".CSICon 2012 website.Committee for Skeptical Inquiry. 2012. Archived fromthe original on 2 September 2013. Retrieved24 June 2013.
  52. ^Roach, Mary;Folger, Tim (2011).The Best American Science and Nature Writing 2011. Houghton Mifflin Harcourt. pp. 123–124.ISBN 978-0-547-67846-7. Retrieved21 June 2013.
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  54. ^Greek, Ray; Menache, Andre (2013)."Systematic reviews of animal models: Methodology versus epistemology".International Journal of Medical Sciences.10 (3):206–221.doi:10.7150/ijms.5529.PMC 3558708.PMID 23372426.
  55. ^Husten, Larry (1 April 2013),"The Raging Debate Over The NIH's TACT Chelation Trial",Forbes.com, retrieved26 June 2013.
    Berezow, Alex B.; Campbell, Hank (2012).Science Left Behind: Feel-Good Fallacies and the Rise of the Anti-Scientific Left. PublicAffairs.ISBN 978-1-61039-165-8. Retrieved2013-06-21.
    Kay, Alison J. (2012).What If There's Nothing Wrong?. Balboa Press. p. 283.ISBN 978-1-4525-6147-9. Retrieved21 June 2013.
  56. ^Khorana, Alok (16 September 2009),"Alternative medicine and trials of dubious ethicality",OncNotes,Medscape, retrieved25 June 2013.
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  57. ^Shomon, Mary (2 June 2009),"Media and bloggers accuse Oprah of medical malpractice",About.com: Thyroid Disease, archived fromthe original on 12 April 2014, retrieved25 June 2013.
    Gorski, David (7 June 2009)."Is Oprah Winfrey giving us bad medicine?".Toronto Star. Retrieved21 June 2013.
    Amarasingam, Amarnath (25 May 2011)."Oprah: High priestess of the New Age".The Washington Post. Archived fromthe original on 11 January 2012. Retrieved21 June 2013.
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  59. ^Miller, Henry I. (21 December 2011),"Can tiny amounts of poison actually be good for you?",Forbes.com, archived fromthe original on January 3, 2012, retrieved27 June 2013.
  60. ^Whelan, David (9 February 2011),"AOL-Huffington on health: Does Tim Armstrong think vaccines cause Autism?",Forbes.com, retrieved26 June 2013.
  61. ^Pho, Kevin (15 October 2009),"Two nurses face jail time for reporting a doctor to the Texas Medical Board",KevinMD.com, MedPage Today, retrieved25 June 2013.
  62. ^Brayton, Ed (host) (14 August 2012)."Dr. David Gorski and Mike Farrell".Culture Wars Radio (podcast). WPRR, Public Reality Radio. Archived fromthe original on 13 November 2012. Retrieved16 June 2013.
  63. ^Gorski, David (2012-10-22)."The American Medical Student Association: On "integrating" quackery with science-based medicine".sciencebasedmedicine.org. Retrieved2022-12-29.
  64. ^Gorski, David H.; Novella, Steven P. (Sep 2014). "Clinical trials of integrative medicine: testing whether magic works?".Trends in Molecular Medicine.20 (9):473–6.doi:10.1016/j.molmed.2014.06.007.PMID 25150944.
  65. ^Mudur, GS (20 August 2014)."US doctors spark homeopathy row".The Telegraph. Archived fromthe original on August 23, 2014. Retrieved22 August 2014.
  66. ^Gorski, David H. (October 2014)."Integrative oncology: really the best of both worlds?".Nature Reviews Cancer.14 (10):692–700.doi:10.1038/nrc3822.ISSN 1474-1768.PMID 25230880.S2CID 33539406.
  67. ^Greenlee, Heather; Zick, Suzanna M.; Rosenthal, David; Cohen, Lorenzo; Cassileth, Barrie; Tripathy, Debu (March 2015)."Integrative oncology — strong science is needed for better patient care".Nature Reviews Cancer.15 (3): 165.doi:10.1038/nrc3822-c1.ISSN 1474-1768.PMID 25693833.S2CID 8053861.
  68. ^Bigliardi, Stefano (2019). "The Advocates of Pseudoscience Are Not Monsters – but Pseudoscience Is".Skeptical Inquirer.43 (6). Center for Inquiry:58–59.

External links

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