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AF ablation Atrial fibrillation Cycling Stuff Doctoring Exercise General Medicine Health Care Health Care Reform ICD/Pacemaker Reflection Social Media/Writing/Blogging

Update: Baltimore, Safety in AF ablation, Podcasts, and some personal notes

On Baltimore: Human beings rioting in the streets of an American city forced cancellation of an important cardiology meeting. This is a vivid example that doctors do not practice in a vacuum. We are connected to this world. Here in Louisville, just a few miles north, an HIV crisis runs amok because of IV drug […]

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AF ablation Athletic heart Atrial fibrillation Doctoring General Medicine Health Care Reform Hospice/Palliative Care ICD/Pacemaker Reflection

Update: Social justice of AF care, NOAC monitoring, population health and two new podcasts

Hi All, Here is a short update of the past week. The first thing to say is the Atrial Fibrillation Care: Put the Catheter (and Rx Pad) Down post has gotten a lot of attention. It stayed on the most popular list all week. It has over a 130 comments, and I have received many […]

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AF ablation Atrial fibrillation Cycling Stuff Exercise Health Care Reform Healthy Living Social Media/Writing/Blogging

An update on cycling and writing and video (gulp)

Hi all, Things have changed for me. I have taken on a larger role at theheart.org | Medscape Cardiology. This means I have less time for hefty original posts here. (This site is not closing–just changing.) I write and read a lot more, though. Almost every day. Writing has morphed into what cycling was: a […]

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Atrial fibrillation Doctoring General Medicine Health Care Health Care Reform Knowledge

The trick of hope — and the medical decision

Last night, during the intro show for the PBS documentary, Cancer: The Emperor of All Maladies, a Ken Burns film based on the book by Siddhartha Mukherjee, Katie Couric interviews both Ken Burns and Dr. Mukherjee. The moment occurred about 10 minutes into the video. There is a poignant scene in which two young parents […]

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AF ablation Atrial fibrillation Doctoring General Ablation General Cardiology General Medicine Health Care Health Care Reform Healthy Living Knowledge Social Media/Writing/Blogging

Writing update: Lown Institute Conference and ACC2015

Hi all, I have been busy in the last few weeks. Here is an update of my happenings and posts. From March 8-11, I attended and presented at the third annual Lown Institute Conference in San Diego. I have never felt more at home in a conference than I did at the Lown conference. Take […]

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AF ablation Atrial fibrillation Doctoring General Medicine Healthy Living

The right care for patients with atrial fibrillation

I am in San Diego to participate in the Lown Institute Road to Right Care: Engage, Organize, Transform conference. It is an honor to be included in a conference that has “right care” in its title. Tomorrow, Dr. David Martin (Lahey Clinic) and I will co-present a case-based session on the overuse and misuse of […]

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AF ablation Athletic heart Atrial fibrillation Doctoring General Medicine Health Care Healthy Living Social Media/Writing/Blogging

Athletes, AF, Anticoagulants, Statins, Peanuts, and Dishwashers

Here is an update on my recent writing. Athletes and AF: I was honored to be invited back to the Western AF symposium in Park City, Utah. Last year, I presented on social media. This year, Dr. Nassir Marrouche (University of Utah) asked me to tackle the topic of atrial fibrillation in athletes. This is […]

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AF ablation Athletic heart Atrial fibrillation Healthy Living inflammation

A new way to think about curing atrial fibrillation

The problem with AF treatment is that we do not (really) understand the underlying causes of the disease. Why does the heart fibrillate? What gets those pesky premature beats started? Why do intermittent episodes persist? Why does AF come back after shocks or ablation? AF has been thought of as its own disease. You have […]

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Dabigatran/Rivaroxaban/Apixaban Doctoring Health Care Knowledge Reflection

Trust in science and medical experts

This week is a good time to talk about trust in expert opinion and science. For the past forty years, nutrition experts in the US have warned us about cholesterol and fat. Eat too much of it and it will block your arteries, was the proclamation. Americans did what the scientists and experts said. They […]

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Atrial fibrillation Cycling Stuff Exercise Healthy Living

Does exercise have to look a certain way? Can Yoga deliver heart health?

One of my good friends, a guru of sorts, once told me during a ride that things change. He was 50 years-old at the time and the change he was referring to was cycling abilities and priorities. At the time, I was at the peak of my cycling prowess; we were part of strong masters […]

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AF ablation Atrial fibrillation Doctoring Exercise General Cardiology General Medicine Health Care Healthy Living

The year in Cardiology 2014 — a top-10 list

When the editors at Medscape asked me to put together an essay on the Top 10 stories in cardiology in 2014, I thought it would be an easy project. I was wrong. It turns out there was a lot to say about the happenings in cardiology this year.  In the end, the final essay had 37 references–a […]