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Athletic heart Atrial fibrillation Cycling Stuff inflammation

A cautionary note to my endurance athletic brethren…

Exercise is good for you. It forms one of the triads of health: good nutrition, good movement, and good sleep. However, like in life, too much of anything is counterproductive, even destructive.   I have long struggled to explain the steady stream of hyper-fit, uber-athletic endurance athletes who see me for arrhythmias.  A membership in […]

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AF ablation Atrial fibrillation General Ablation

In atrial fibrillation therapy, not all the hype is true…

Atrial fibrillation therapy continues to grow in complexity.  Thus far, an easy cure has remained elusive.  The potential of discovering an easy cure of AF –and the resultant immense profits –has provided fertile soil for medical device companies.  But, like in a garden, fertile soil provides for the growth of both beautiful plants and weeds. […]

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Healthy Living inflammation Nutrition

Heart health in KY?

In athletics and in life, those in last place are usually there for a valid reason. Heart health in Kentucky is atrocious.  We are battling with Mississippi, WV and Alabama for dead last in most measures of public wellness. Yet, this week, Louisville’s director of Metro Department of Health and Wellness, Dr Adelawe Troutman, actually […]

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Exercise General Medicine Health Care Healthy Living

Are we heading to a “Wall-E” situation?

So much to write about on Friday.  An email from a friend, another master of the obvious, on the the happiest states, an email form ACC on holding doctors accountable for medical errors, as well as an AHA statistical report on the worsening lifestyle habits of Americans.  These comment-able stories, along with this bloggers quest […]

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General Medicine Health Care Health Care Reform

Root Canal lessons…

This week marked my third root canal this year. Ouch! 2009 also included a dental implant and subsequent crown. Who pays for this professional service? See figure 1… 950 dollars is indeed the going rate. Notice the guarantor is yours truly, not Anthem, Humana, GE, General Motors, UPS or anyone else. A regular Discover card […]

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General Medicine Health Care

"People of Size?" Really…

Yesterday I saw enlightening news from the New England Journal of Medicine: Although heavy on statistical modeling, this Harvard study looked at the competing effects of smoking reductions and increases in obesity. It is true that the number of smokers is declining. This is very good. However, at the same time the number of obese […]

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Cycling Stuff Exercise General Medicine Health Care Healthy Living

A note to our educators…On Gym Class

This very important study on the importance of fitness in early adulthood almost passed me by. That is, until this sign at Walden caught my eye… Here is a study linking cardiovascular fitness in early adulthood with increased intelligence, better performance on cognitive tests and higher achievement later in life. In other words, being fit […]

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Atrial fibrillation Cycling Stuff General Medicine Health Care Healthy Living

Observations from the Outback…

November marks the annual American Heart Association (AHA) meeting. This is one of the few major heart meetings each year. AHA focuses on the newest technologies for the treatment of ongoing cardiac disease. Termed, “secondary prevention,” this year there were studies on implantable devices for heart failure, new blood thinners to assist in the squishing […]

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Health Care Healthy Living Nutrition

A maple frosted donut topped with bacon. Illustrative of KY’s sorry state of health…

The Courier-Journal had nutrition front and center the last two days. First up; the trans-fat issue. I know, you say boring. Maybe, but trans-fats are seriously toxic to your arteries(not Staci toxic-really toxic). They are inflammatory to the inner lining of the arteries. Sound smart: call this the “endothelium.” Trans-fats are man-made (not found in […]