It’s an appropriate day to talk about stress. If you treat heart rhythm problems, you can’t miss the effects of stress. It matters so much. Both acute and chronic–though mostly chronic–stress wreaks havoc on the heart’s electrical system. And it’s not just the heart rhythm; the chronic inflammation that goes with long-lasting stress negatively impacts […]
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Before beginning to read, please know that what follows is just a long-winded introduction to a post that featured me as an expert. You can can scroll down to the link if you wish. — This is that time of year. It’s a nice time. Longer days, warmer temps and big doses of hope power […]
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A good idea gone bad…
If it weren’t so important, I’d let it go. You know how I feel about inflammation. There is a great farce in the healthcare world that needs more exposure. It’s a terrible problem because it gets in the way of me taking care of you. It inhibits humanism in the practice of Medicine. It inflames […]
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My World’s CX race report
A serious writer would not make habit of serving up frivolous race reports. Is chronicling the efforts of a watt-deficient middle-aged (grandfather) CX racer even worth the bandwidth? Perhaps not, but this was a special week in Louisville. And with all the seriousness in the world, a little tomfoolery might be soothing. I promise that […]
Blood pressure and cholesterol problems affect millions. These are the bread, butter and sugary drinks of Internal Medicine and general Cardiology practice. It stands to reason then, that the treatment of these basic maladies would be well agreed upon. Guidelines and expert consensus statements would be clear and up-to-date. But this is far from reality. […]
Healthcare looks much different than it did just a few years ago. When you let your mind wander about where we were, it’s shocking really. There’s cultural changes, including an explosion of complexity of care, an infusion of young doctors with different ideas about life, an evolving set of incentives, employment models and a heck […]
When I first started writing this blog in 2009, I asked a dean of the an English department about taking a writing class. He was patient, answering tersely that the best way to improve at writing was to read. Reading can get away from you if you are not careful. Almost as much as Ironman […]
You may find this hard to believe but I really don’t look at my site’s stats much. In fact, just today I discovered that WordPress has a feature that ranks posts by views. I’m not going to give you my Top Ten just by ranking. Rather, I’ll mix in some of my favorites and those […]
On Wednesdays, I try to write on a topic of exercise and health. If you exercise but still have high cholesterol or other risks for heart disease, you may be interested in a new study from my old medical school proving ground–Hartford Hospital. The deftly named STOMP trial looked carefully at the effects of statin […]
Exercise is a white-hot topic. We must talk more. This comment on my Facebook page only strengthened my resolve to clarify things. Not to be flip, snarky (or for that matter even just plain dense) but part of me is asking what’s the point of this? It brings up far more questions than it answers. […]
Dear Endurance Athletes, More than a year ago, I suggested that Ironman-distance triathlons were not heart healthy. Little did I know that expressing the notion that chronically inflaming oneself might cause permanent heart damage would be so controversial. This post led to my first experience with ad hominem comments. Obviously, talking about the upper limit […]