I’m sorry. The news was really bad today. I wished it were better. (Well, maybe I don’t.) The easy-answer people were denied again. Punched in the gut, were they. The notion that a pill can do what exercise does remains a fantasy. Another member of the group of drugs that boost HDL, called CETP inhibitors, […]
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It’s crazy out there in blood thinner land. The novel blood thinning drug for patients with atrial fibrillation, Dabigatran (Pradaxa) cannot get a break. It’s all over the TV: Pradaxa = Bad Drug. Look at this image: Today, on the prestigious heart news site, theHeart.org, an insignificant 113-patient study presented as a poster at a […]
Tonight, in the true spirit of cycling blogs, I will tell you a story. (We definitely need to lighten things up a bit.) Consider yourself warned. It is a saga of a cat-like mountain biker, who is also a heart specialist and perhaps a less than ideal patient. But first, you may be wondering why […]
Mondays are the toughest. For you too? I can’t seem to stop. That’s the problem. It’s not the starting; it’s pushing away from the table. Do you talk to yourself? Do you ask yourself whether that extra bag of chips, M & M’s or cookie will help or hurt you? Fifteen minutes after eating that […]
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For the health-inclined and for those who celebrate mastery of the obvious as the key ingredient of wellness, the story of public health guru, Dr. Lester Breslow, shines like a beacon. As reported this weekend in the NYTimes, the scientist that linked healthy habits to living longer dies (at home) at age 97. Dr. Breslow’s […]
It’s 2012 already. Time flies; doesn’t it? It seems like just yesterday when… I started this business more than two decades ago. A time when cell phones hadn’t even graced James Bond movies; we got up to change the channel on TV and the world health concern of the moment was a Hunger Games-like scenario […]
I am hoping for some input with this case because I really don’t know the right answer. The case: A 52 year-old male endurance athlete seeks my opinion about whether to continue taking statins. His primary care doctor says yes. He is not so sure. Neither am I. He exercises regularly, maintains both a high […]
It feels like cheating. Taking care of heart patients teaches you tons about wellness. Figuring out stuff in Medicine means observing its many patterns. And one such highly repetitive theme is how healthy older patients defy the ravages of aging. Take the 90 year-old man I saw recently. He was about perfect: big blue eyes […]
‘Good,’ I say. Let’s spread the word that pills do not hold the answer to preventing heart disease. And while we are shouting, let’s add this one: There’s no such thing as a free lunch! Medicines come with more than just a dollar cost. When an obscure AF doctor blogs about the limitations of statins […]
On Fridays, especially stormy ones (when I can’t ride), I like to reflect on the work of doctoring. Chief among such wide-angle views is how important a role we doctors actually play in creating good health for our patients? And the trouble that we may cause. I’m struggling with this force pulling me toward minimalism. […]
Tonight, I am going to stick up for my interventional cardiology friends. These are the good folks who respond immediately (and I mean immediately) when you have a heart attack. They open clogged arteries. Like Jack Nicholson said, “you want these guys on the wall.†Why do I feel the need to take up for […]