You all know how I feel about the value of education in the treatment and prevention of heart disease: It is self-evident and unquestionable. Along the lines of educating patients and docs, and in the spirit of February being Heart Health Awareness month, I believe The Heart Rhythm Society (HRS) deserves strong mention for their […]
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“I felt amazing…It was one of those days on a bike you dream of.†There’s one thing about cyclists; we like to recall memorable performances. It’s as if retelling—and I say re-telling because any good performance has no doubt been told at least once—jolts our feel-good centers. I bet it’s the same chemicals that get […]
To those who submitted posts, I say thanks. I appreciate that you did. Medical Grand Rounds keeps going because of you, the medical blogger. Your voice, your impressions, your passions and your human stories make our field such a great canvas. Let’s get it started: A Hand of Hearts: I was delighted that one of […]
Tonight, I’d like to try to clear something up. I write a lot about inflammation. I use the term loosely and by so doing, I risk being imprecise. Sorry about that. (I’m far more precise with an ablation catheter than words on a blog.) My reason to focus on inflammation stems from my belief that […]
I always think it a bad idea. It should not be the reason. I exercise so I can eat—a lot. Ouch. As a cyclist, doctor and worshiper of common sense, this idea pains me. Notwithstanding the beauty of cycling and running well, such a plan has to be unhealthy. Though I admit to not having […]
You know what befuddles me? Clinical nutrition confuses the heck out of me. The adjective ‘clinical’ implies that I’m talking about the medical aspects, the science of nutrition, not the basics. Of course, you know what constitutes basic nutrition. Everyone does. The simple rules seem well…so simple. (With JMM-to-patient commentary in italics.) Consume fewer calories. […]
Imagine. Imagine the inflammation that the endurance-athletic community would have been spared? If only Pheidippides had lived. I mean, what was the rush? The battle had already been won. Athenians could have waited another few hours (or days) for the good word on the battle of Marathon. It’s not like someone was tweeting in 490 […]
How do doctors decide on treatments? How do you decide? And yes, you should decide! What inputs go into making this important decision? Let me make it simple. Basically, there are only four. (As they say in the Hamburg EP lab…â€It’s easy.â€) First, since I am an older doctor, I’ll start with… Risks: In deciding […]
Important challenge to dogma alert: You may have heard that high cholesterol leads to heart disease. Most experts accept the important role that cholesterol plays in heart disease: High cholesterol, particularly LDL (the bad kind), favors build up of plaque, which then leads to obstructed arteries and heart attack. It’s simple. It makes sense. Even […]
The second half of the day was fast paced and full of information. Folks, these are rough notes. Hope they help…Again my random thoughts are in italics. Dr Eric Prystowsky led off the with the best clinical papers of 2011: He is a great speaker and hit upon a bunch of important topics. The good […]
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Live Blog–Boston AF symposium
I’ve never tried this before: giving some brief snips of an AF symposium, on the fly. Maybe doing so will help me remember. My comments are in italics. Little proofreads–consider these quick notes. First talk: Dr Jalife. Molecular mechanisms AF: Think fibrosis, or the infiltration of scar tissue within the muscle of the heart. This […]