Let’s talk about some of the factors that go into choosing medicines to suppress AF episodes. We call this “rhythm control.” In Part 1, I introduced some of the complexities of heart rhythm medicine. In this post, I hope to clarify a few of the many issues that come into play when considering a rhythm […]
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When you look around at other riders before the start of a bike race, and yes, everyone looks at everything before bike races, you will see an array of colored drinks in riders’ bottles. What are they hydrating with, you wonder? Likewise, when you roll into the store stop two hours into a four-hour training […]
The headline called it “the new†science behind America’s deadliest diseases. WSJ reporter Laura Landro was talking about inflammation and its role in causing human disease. Now, you all know my reaction when a prestigious newspaper features a founding principle of this blog. Well, let’s just say it felt awfully nice. A brief Mandrola review […]
You make promises to yourself, right? I made a big one when starting this blog. It was a promise not to post Pollyanna-ish health advice. People can read about the importance of wearing sunscreen and getting basic vaccines anywhere–and everywhere. But tonight is different. I’m taking the risk. (Give me a chance; I’ll do my […]
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How much Medicine is enough?
I’m going to tell you a secret about my office practice. (Yes, procedural-based doctors spend long hard days toiling in the office.) On office days, I often play a little game with my imaginary friend. He challenges me to leave the prescription pad in the drawer for the entire day. The idea being that patients […]
I’ve got a good steer for you all this Wednesday. I discovered a nifty new cycling toy. It’s called Strava—a Swedish word that translates to ‘strive.’ (Ed Note: Thanks to commenter, Bill H for the link.) Strava isn’t food though. It’s an application (or app) that uses GPS information collected from a smartphone or Garmin […]
Commentary on the latest nutrition and exercise science will have to wait. I just whacked my head on low-hanging fruit for Cycling Wednesday. Today’s Washington Post report on Lance Armstrong’s newest (and most serious) doping allegations has set Twitter and Facebook abuzz. Though The United States Anti-Doping Agency (or USADA) cannot bring criminal charges, their […]
There are a few things that endurance sports enthusiasts understand well: the importance of hard work, dedication and the need to push through discomfort. In fact, I would submit that these requirements act not as deterrents but as draws. Take triathlon as a case and point: if it was easy and safe, and perhaps less […]
Let’s talk about eating fat. And being smart. Or as my refined readers say…having good cognitive function. Seriously, if you are a cyclist, runner, or triathlete the next most important thing after muscular endurance and strength is brainpower. And the brain isn’t just important for filling time during those long intervals when deceleration incidents force […]
Let’s talk about the newest cholesterol myth gone busted. I can hardly write; I’m so giddy. That’s what happens to me when simplicity and obviousness triumphs over complicated testing that adds nothing to (or even clouds) the big picture. They come to my office with pages of data dissecting the particle sizes and sub-fractions of […]
What could competitive athletes teach a group of heart rhythm specialists? Cyclists, runners and yes, even triathletes, know something that we wizards too often forget. I’ll tell you what it is in good time. Keep reading. I just returned from a giant gathering of heart rhythm doctors. It was, as all national meetings are, an […]