Atrial Fibrillation (according to Dr John M)

Atrial fibrillation (AF) is the most common heart rhythm disorder–by a long shot.  It affects–and often afflicts–millions.  AF is the most common heart-related reason for hospital admission. In America, more than 1 in 4 individuals will have AF in their lifetime. Yet even more remarkable than the vastness of AF’s prevalence is its diversity.  AF […]

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Atrial fibrillation General Medicine

Atrial Fibrillation and NSAIDs

Sunday nights in Autumn means one thing for this doctor-cyclocross racer: aches and pains.  Tonight, just as the thought popped into my head: “a few Alleve(s) probably wouldn’t fire up that reflux very much,”  I hear from the computer room… “Hey John, how much alleve were you taking when you had your AF,” asked my […]

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Health Care Reform Healthy Living Nutrition

Paying people to lose weight?

Feeling sorry for the big bad insurance companies?  Is this even possible? Let me explain. We stayed at a national hotel chain this weekend.  I am fairly sure that the free food and sugary drinks they routinely supply, are on-the-whole a profitable venture, but on a microeconomic scale such was not likely the case this […]

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General Medicine Health Care Nutrition

Government-sponsored safety nets should promote wellness

You can be for freedom. You can be for smaller government that intrudes less. You can be for lower taxes. You can be for most anything, but if you are interested in improving the sagging health of American citizens, get on Michael Bloomberg’s wheel. Today, as reported in the WSJ, NYC mayor, Michael Bloomberg, has […]

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Doctoring

A Doctor’s Touch

How important is a doctor’s skill in the physical examination of a patient? To the lay person, a doctor’s examination might seem really important.  “Of course it is, Dr M…Come on.”   But is it so?  Or, perhaps, is the examination a charade, a show, a necessity to complete the medical record. It turns out […]

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Healthy Living

The solution that isn’t…

I am trying to get off the topic, of fatness, that is. But just when it seems right to move on, to something less hopeless; we hear that even doctors can be felled by obesity’s resilience. To the Physicians Committee for Responsible Medicine, a group of well-meaning doctors who are buying expensive TV ads blaming McDonalds […]

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Health Care Healthy Living

Lessons from the checkout…

I have witnessed this grocery-store checkout phenomenon countless times. Haven’t you? These two paragraphs are a direct quote from the blog, 33 Charts, authored by the very famous blogger, professor, and pediatrician (Dr Bryan Vartabedian)… “So I’m in the checkout line at the grocery store. In front of me is an overweight mother and child. […]

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Cycling Stuff Cycling Wed inflammation

Cycling Wed: Ironman isn’t that dumb…

It is Wednesday.  Time to write on a cycling topic. My home town, Louisville, KY, on the northern side of America’s obesity belt has shown some flickers of enlightenment these days. Labor day, we had the Mayor’s hike and bike.  This drew 7500 cyclists and walkers. These twice yearly (Memorial and Labor Day) cycling events […]

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Health Care Healthy Living

Not funny…anymore

As most know, a good laugh is indeed good for the heart.  I get this. However, in the case of using a donut bacon cheeseburger as a vehicle for making fun of the abysmal nutrition of KY state fair goers, the blurry line separating funny from not funny is clear, at least for me. What […]

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Reflection

To connect or not…

In the discovery of social media, I am still an intern, not yet even a year has passed since the first day of knowing this new world of connectivity. The cabin in the woods has no internet.  Tsali, otherwise known as mountain bike heaven, does not even have cell phone service, at least for us […]

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AF ablation Health Care Health Care Reform Healthy Living

If I was Surgeon General…

I would follow the lead of our country’s first Mom. This is serious folks. We, as an American society, need to solve the obesity crisis.  Not just for our physical health, but for our country’s financial stability. Reducing the spiraling costs of health care is wanted by all.  So far, prevention of the diseases which […]