Hey Mom,Thanks.Really, thanks a lot.I was always thankful, but now, as a parent, I understand even more. Hey Staci,You are a great mom. I know this for sure. As a trained observer, I see it. It’s cool. Grin. JMM
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Category: Reflection
Spring in the Ohio valley has brought hours upon hours of gloomy rain. Â We are indoors, and reflection is on the docket. Â Seven months have passed since the blog journey began. Why do I have a blog, or some may call it a cocoon. I ask myself this question a lot. Â The EP lab and […]
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A simple phone call…
His wife said, “I couldn’t wake him from his nap.” The coroner told her he died in his sleep without moving a muscle. His family doctor told me that Parkinson’s had slowed him greatly in the past year. He was 81, and the day before, he had enjoyed the usual lunch with friends. His multi-lead […]
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The question…
Reading news reports on the future–and present–of doctoring can get gloomy. The question came from the quiet one in the back. Self-reflection came upon me immediately. There were so many technical questions: AF ablation, when to use an LV lead, who gets an ICD, and how do you decide on warfarin–just to name a few. […]
Malpractice and heart catheterization are in the news today. A spicy concoction for sure. An epidemiological study published in an obscure online (and overpriced) subsidiary of Circulation addresses the role of three major medical issues facing cardiologists today: malpractice, heart catheterization, and medical costs. The summary details of the study have already been published in many […]
The patient is anxiously sitting on the exam table. A notebook, a pencil and many papers from the internet and other doctors are close at hand. A spouse sits in the accompanying chair with an equally anxious face that says without words, “please help us out here.” The problem at hand is atrial fibrillation. Paroxysms […]
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Happy Easter…
Will and I say Happy Easter from atop Thunderbird Park, Phoenix, AZ. Peace. Grin. JMM
Here is an example of how increased regulation from third parties attempts to control costs, but actually does the opposite. A middle aged patient whom I have seen in the past for benign palpitations called today because of atypical chest pain. Although I have criticized the overuse of nuclear imaging studies, and probably order the fewest of […]
Nearly eight weeks have passed since young Vincent Nold suddenly left us. His passage from life on Earth was as tragic as can be imagined. The grief invaded the biology of our existence bringing a palpable tension to our hearts. Such sadness was previously unknown to me. Staci and I coached Vincent in running, and […]
My first cut and paste post… Tired. Â Permanent AF is hard to ablate. Â Plus, I did the evening bike ride with the real racer dudes. Â Kept trying to tell them I was a blogger, not a crit racer. Â Life force is nearing E. Enjoy. I think they were serious. Â Have to wonder what the blogs […]
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Back to the usual…
The sky is so blue, the sun so bright, and the people are nearly perfect. It is southern California, near the ocean and mountains. The occasion was a vacation to ride bikes with friends. Not hybrid cruiser bikes; these are carbon fibre multi-suspension machines meant to navigate rocks, dirt, sand, gravel and even mountain streams. […]