Categories
Doctoring Health Care Reform Hospice/Palliative Care

Let’s stop being ashamed of (discussing) death

I recently wrote a post about what happens when the elderly get sick. It was meant to accelerate the conversation about how modern medicine can’t make us immortal. I meant to say that doctors need to learn to be less ashamed of death. And that patients should at least hear about the risks of life-prolonging […]

Categories
Cycling Wed Healthy Living

CW: Success through less?

One of the best things about writing a blog is when life provides Eureka moments. I read an essay this weekend that literally jolted the blogger in me. If you are an athlete seeking a pinnacle; (That about covers all of us.) Or a doctor striving to be the best that you can be–for humanity; […]

Categories
Athletic heart Healthy Living Hospice/Palliative Care

Could the Dalai Lama be a heart doctor?

I follow a lot of intriguing people on Twitter. Each of them sends me noogets (a favorite slang word of mine) of information that either inspires, uplifts, informs or even amuses me. But there’s one twitter-er that stands out. He really helps me–along with 2.6 million others. The Dalai Lama tweets most mornings about the […]

Categories
AF ablation Atrial fibrillation

AF ablation news: Don’t get too excited by press releases

The news wires for atrial fibrillation were abuzz this afternoon. The vigor and speed with which health news travels is striking. Since 2.6 million Americans live with AF, my guess is that many are looking at the release of the Medtronic-sponsored TTOP-AF trial with anticipation. Here is a link to the press release. The trial […]

Categories
Cycling Stuff Cyclocross

Writing lite…

Whenever someone asks seriously why I keep a blog, it’s a struggle to find an answer. I really do not know exactly. It helps me learn…that’s true. (And I worship learning.) It makes me think about action verbs…No doubt. That people email and say that my words helped them…Yes, for sure. That I like writing. […]

Categories
Doctoring Health Care Health Care Reform

When the elderly get sick…

There are important medical studies, and then there are landmark studies–the kind of science that disrupts the entire medical community. The most recent game-changer was published yesterday (online) in the British equivalent of the New England Journal of Medicine, The Lancet. Well known surgeon and author, Dr Atul Gawande and colleagues published this important look-back […]

Categories
Cycling Wed Cyclocross Healthy Living

CW: More on taking tests

The decision to write about exercise-related topics on Wednesdays wasn’t a coincidence. Across the globe, for cyclists’ with jobs, Wednesdays are frequently the training day. It’s that way here. So it is that I often write a Wednesday post immediately after what you could call a robust ride. Some say spirited, or heavy. You get […]

Categories
AF ablation Atrial fibrillation

Changing trends in the treatment of AF

There’s very little in Cardiology that isn’t rapidly changing these days. Treating AF exemplifies this trend. At least my approach to AF has evolved steeply over the past year. Amazingly so, really. For instance, I choose blood-thinners in a different way. Call it a more European perspective. My threshold to discuss and recommend AF ablation […]

Categories
Doctoring Exercise General Medicine Uncategorized

Are pills better than exercise?

I recently wrote about the incredible sensations that come with vigorous exercise. Perhaps it was the post ride cannabinoid flurry, but it’s possible that I went too far in suggesting that ‘we’ (doctors, patients, the whole of Western Society) default first to pills before healthy living. Two commentors called me out on this snark. They […]

Categories
Uncategorized

Cycling Wed: Explaining the delights of the healthiest elixir

How can I do it? Please…someone tell me. It’s so important: for health, for wellness, (and not just better bio-markers), for vitality, vigor even. All this, and it makes you tingle too. Yes I am a little giddy. I just finished riding my bike in mud and grass. There were many other people—nice ones, with […]

Categories
Atrial fibrillation Doctoring Reflection

Can experience make it tougher for doctors?

You have probably read that experience makes for better doctors. And of course this would be true–in the obvious ways, like with the hand-eye coordination required to do complex procedures, or more importantly, with the judgment of when to do them. There’s no news here: everyone knows you want a doctor that’s been out of […]