Categories
Cycling Wed Healthy Living

CW: Living on the far right of the (heart-health) curve

Readers of Cycling Wednesdays know that I am often tough on the endurance athlete crowd. Our over-indulged, egocentric lifestyles, and less-than-tranquil temperaments make great fodder for posts on inflammation. Sorry about that. But not this Wednesday, though. Today, I am putting your healthy ways up on a pedestal. I would like to invite you into […]

Categories
Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban

More on Pradaxa

I hope we are right. Dabigatran (Pradaxa) use in my community has taken off. It’s not just AF-doctors, it’s all doctors, internists and cardiologists alike. Honestly, it’s a little scary. That’s why I read with great interest anytime other practicing doctors speak about how they use the 4-month-old blood-thinner. Remember, this is not a just […]

Categories
Doctoring ICD/Pacemaker Reflection

Unlike Watson, Human Docs are Influenced by Life

My friend called to tell me what happened. His voice cracked. Jim thought that it was a normal Sunday morning ride. He was meeting his friends, and they were riding their normal route, on roads called Covered Bridge, Sleepy Hollow and Wolf Pen Branch. It was one of those Sunday mornings in Kentucky that makes […]

Categories
General Medicine Health Care

Welcome to MDNews.com…

I would like to introduce you to a new medical website. It’s called MDNews.com. It’s a site about, from, and for doctors. But that doesn’t mean you have to be a doctor to enjoy and learn from it. MDNews looks pleasing to the eye, is easy to navigate, and filled with useful medical and health […]

Categories
Doctoring Healthy Living Uncategorized

The doctor’s way, or the…

I recently read a story about pediatricians that refuse to see children when their parents’ decline vaccines. It was the doctoring aspect of this story that caught my attention. Specifically, I was struck by the definitive and novel way that this group of doctors are dealing with the problem of patients that make unwise personal […]

Categories
Cycling Wed Healthy Living

Cycling Wednesday: What makes these people tick?

It was a tough pill to recommend. I prescribe it only in unusual cases. The patient didn’t want it, and I wished there was another option. But in this rare case, a very bitter elixir was a necessity. What therapy could be this bad? Recently, I had to tell a patient—whose life revolved around physical […]

Categories
Health Care Reform

Electrophysiologist hosting Grand Rounds, again…

This week, another of my EP colleagues, Dr Rich is hosting the weekly medical blog carnival, Grand Rounds. A reader gets to enjoy, not only the many great entries, but also the distinctive, unique and entertaining writing style of Dr Rich. While you are visiting his site, I’d suggest poking around and reading Rich’s views on […]

Categories
General Cardiology General Medicine inflammation

Turbulence is good?

It’s hard to believe that turbulence could be a good thing for the heart. Consider how the word turbulent is defined: “characterized by conflict, disorder, or confusion; not controlled or calm.” Those traits don’t sound very heart-healthy. But when it comes to the heart rhythm, it turns out that a turbulent response—to a premature beat—is […]

Categories
Reflection

Spring Fever

The sun is shining through my office windows. The inflammation of over-scheduling nearly broke me today. This Friday, I’m going home to ride. Goodbye Friday. JMM

Categories
Doctoring Reflection

Doctors as Sponges?

I am a doctor. Go ahead, call me what you may, group me in a neatly prejudged category. …”All you doctors.” Just don’t label me a sponge. That’s right, today in the WSJ, Mr Andy Kessler, a famous author, and former hedge fund manager smart enough to turn 100$ million into 1 billion, grouped doctors […]

Categories
Cycling Wed Healthy Living

CW: Building tax-supported bridges to heart-health

Normally, on Wednesdays, I try to mesh cycling and health.  Today, the gumbo includes cycling, politics, irony, and of course, heart-health. I’ve said before that most of the cyclists and endurance athletes I know ride expensive bikes, wear costly clothes and measure their meager power outputs with thousand-dollar, truth-telling strain gauges.  Though we may moan […]