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Health Care Health Care Reform Healthy Living Nutrition

The simple reason the medical-home study failed…

This week, the Journal of the American Medical Association (JAMA) published a comprehensive study that has major health implications. Major because the negative findings should change how Americans think about health and healthcare. Plus, the findings validate a belief this doctor holds as truth. First my belief, then the study. One blog is enough for […]

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AF ablation Atrial fibrillation Healthy Living inflammation

AF ablation and the hard truths about AF

Atrial fibrillation is a mysterious disease. We know a lot but surely not enough. We look at AF but are we really seeing it? I believe there are hard truths to this disease. Hard in a way that neither patients nor doctors like. More on that later. First to some news on a major AF […]

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Cycling Stuff Doctoring General Cardiology General Medicine Health Care Healthy Living inflammation

NSAIDs — Yet another dubious “health” product at CVS

Now that the ‘healthiness’ of products sold at CVS stores is a matter of public discourse, it seems a perfect time to mention the common pain relievers known as Non-Steroidal Anti-inflammatory Drugs (NSAIDs). It just so happens that two FDA advisory committees are meeting today and tomorrow to discuss the cardiovascular risks of NSAIDs. The […]

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Health Care Healthy Living Nutrition

The CVS tobacco decision is no small thing — Keep the chips and soda please

Yesterday, CVS Caremark announced that its 7600 stores will stop selling tobacco products. Company leadership said that selling tobacco is not consistent with being a health company. This decision, which takes effect in October 2014, will result in 2 billion less revenue. I am no business person, (though, as an observer of humans, I follow […]

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Athletic heart Cycling Stuff Healthy Living

100 is the new 80…If you are good to yourself (and lucky)

“There has been a change in your prescription,” said the eye doctor, a wise and bald man, who could have been mistaken for an economics professor at Princeton. “It’s improved?” the 30 year-old cardiologist asked. Better, improved, always the reflex for athletic cardiologists. “Doctor…you have been to the pinnacle and passed it. Your eyes, like […]

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General Ablation General Cardiology Health Care Healthy Living

New post up on Cardiology Medscape: Lessons learned from the failure of Renal denervation for high blood pressure

Most people come by it honestly. They eat too much, move too little, skimp on sleep, take on too much stress and then succumb to buying larger clothes. The word we use in medicine is insidious. High blood pressure (hypertension – HTN) is one of the leading cardiovascular problems of this time. Some have called […]

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AF ablation Atrial fibrillation Doctoring Health Care Healthy Living Hospice/Palliative Care

Two gifts and a consolation prize

President Obama has a few good ideas. He wants Americans to discuss healthcare this holiday season. That’s actually a really good idea. This blog aims to do some good in the area of medicine and health. What follows are two incredibly important essays. The consolation prize is an excerpt from my recent Top Ten post. […]

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Atrial fibrillation Doctoring Exercise General Cardiology General Medicine Health Care Reform Healthy Living Hospice/Palliative Care Social Media/Writing/Blogging

2013: Year-end summary of top cardiology stories

When the editors of Medscape asked me to write a Top Ten article on the best Cardiology stories in 2013, I jumped at the chance. I spent a lot of time thinking about Cardiology this year. I was invested. Plus, 2013 was a year for pivoting–big time pivoting. What made news in 2013 was not […]

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Healthy Living Reflection

The best New Year’s resolution video you will ever see…

My messages are simple: Mastery of the obvious; Reflective learning; Balancing optimism with realism; Plan for health; and this biggie: Stack together lots of small changes. Strive for small wins. They add up to big things. They are all here, plus some science. Dr. Mike Evans is a doctor, professor and creator extraordinaire. This is […]

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Doctoring Healthy Living Knowledge Reflection Social Media/Writing/Blogging

The vaccine debate — Could compassion and nuance be an antidote?

I’ve been thinking a lot about vaccines. As a learner, an observer of humans and our nature, a worshiper of the scientific method, a doctor, a new grandfather, and a member of society, few debates could be more compelling. The kerfuffle over vaccines has it all. It’s the Lance Armstrong story on steroids. (Grin.) The […]

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AF ablation Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban Doctoring General Ablation General Cardiology General Medicine Healthy Living ICD/Pacemaker

Recap of 2013 American Heart Association Session

Just a few weeks before the 2013 American Heart Association Sessions, Shelley Wood, the managing news editor of theheart.org emailed to ask if I was up for going to the meeting. With trips to San Francisco, Denver, Athens and Amsterdam already in the books this year, I had counted 2013 as a win. I was […]