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Atrial fibrillation Cycling Stuff Doctoring ICD/Pacemaker

Day 4 ESC 2013 — Female gender and AF, patient selection for CRT and a Dutch cycling adventure

On the last day of ESC2013 I attended a press conference entitled Update in Rhythmology. The purpose was to highlight four rhythm-related studies released at ESC2103. The most noteworthy of the four abstracts involved gender-related issues in atrial fibrillation therapy. French researchers used a 1.6 million patient database (including 1200 French GPs) to come up […]

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Cycling Stuff Cycling Wed Reflection

A cycling adventure in Holland

Author’s note: Apologies to regular readers and subscribers who expect hard-hitting medical news. What follows is a ride report, similar to the self-indulgent sort of thing you find on thousands of other cycling blogs. — My last full day in Holland was one that will stick in my mind for a long time. The 2013 […]

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Athletic heart Atrial fibrillation Cycling Stuff ICD/Pacemaker Reflection Social Media/Writing/Blogging

Day 3 ESC2013 — Longevity of Tour de France cyclists, meeting old friends, social media, and big plans.

A general rule about writing a story is to lead with the important stuff. I’ve reviewed each of my ESC2013 updates, and as it turns out, each day I have led with the folly. Sorry about that. I’m going to continue the trend. If you had a blog, you could do this too. Before I’m […]

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AF ablation Atrial fibrillation Cycling Stuff Doctoring Exercise Healthy Living inflammation

Day 2 ESC — AF ablation and more bike commuting

Okay, I’m getting the hang of this. The Monday morning and evening commute in Amsterdam is something special. You talk about focus. It requires laser-like focus. You’ve got bikes, narrow lanes, buses, trams, pedestrians and tourists. Still though, traveling 6k by bike took 15 minutes; a cab from the convention center, more than 30. I […]

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AF ablation Doctoring General Cardiology ICD/Pacemaker

Day 1 ESC — Cardiac Pacing, MRIs and RV lead position

I thought I loved Germany, but this is ridiculous. I love Amsterdam! Yesterday, Michael O’Riordan and I decided to embrace the Dutch mode of transportation. Mike is a real journalist who works for theHeart.org. He’s also a fellow endurance athlete. We got off the congested tram yesterday and decided to rent bikes. This, my friends, […]

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Social Media/Writing/Blogging

Made it to Amsterdam for ESC 2013

Hi all, I arrived yesterday in the Netherlands. I am here to help cover the 2013 European Society of Cardiology Congress. I consider ESC Congress to be the euro version of AHA. The meeting is very large, encompassing all aspects of cardiology, including an electrophysiology sections. There is also significant coverage for Sports’ Cardiology. As […]

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Reflection

If it has come to this…

                        …we are in big trouble. Really? This is awful America. Just awful. I think and write a lot about the effects of making treatment worse than disease. This image makes me feel sad for my country. If you don’t think social fabric is […]

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Doctoring General Cardiology Health Care Reform Uncategorized

New post up on theHeart.org: Fee-for-service, AF treatment and the untangling of knots…

Earlier this year a famous group of researchers did a careful study on the relationship between surgical complications and hospital finances. Their findings should jolt you: The average hospital makes money when patients suffer complications from procedures. This is outrageous. It is fee-for-service at its worst. The first thought that popped into my mind after […]

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Doctoring Health Care Health Care Reform

How much sunshine is just the right amount?

This morning I awoke to a picture of myself in the Wall Street Journal. I was asked to comment on the effects of the coming Sunshine Act. Respected health care journalist Peter Loftus found me through social media channels. What follows are some thoughts about how the Sunshine Act might play out. — Every Thursday […]

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Doctoring Health Care Reform Social Media/Writing/Blogging

Eight useful tips for caregivers in a new healthcare environment — Guest post

After reporting recently on how current healthcare reform efforts are extracting humanity from the patient-caregiver interaction, I decided to review other posts I have written on the matter. I found this guest post by Dr. Edward J. Schloss (Twitter ID @EJSMD), medical director of cardiac electrophysiology at Christ Hospital in Cincinnati, OH. It was originally […]

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Doctoring Health Care Reform Reflection

The downside of racing around so fast…

Be sure: what follows are not complaints; these are just the facts. — Here’s a recent exchange from an enlightened physician leader, one who has yet to give up: “My colleagues are discouraged and frustrated every day, leaving the office defeated and fatigued. There are other ways to practice.” High healthcare costs get most of […]