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General Medicine Health Care Reflection

Is there anything we espouse now that will be this silly in 50 years?

My first cut and paste post… Tired.  Permanent AF is hard to ablate.  Plus, I did the evening bike ride with the real racer dudes.  Kept trying to tell them I was a blogger, not a crit racer.  Life force is nearing E. Enjoy. I think they were serious.  Have to wonder what the blogs […]

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Atrial fibrillation Health Care Health Care Reform

How does one treat Atrial Fibrillation in the unmotivated and uninsured?

Gosh, atrial fibrillation can be hard to treat. He lay in the ER bed with a light sweat, and an obvious discomfort from the rapid heart rate and high blood pressure.  He is my age.  The belly protrudes from a too small XL tee shirt, there is week old facial hair, and he looks up […]

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AF ablation Atrial fibrillation General Ablation

In atrial fibrillation therapy, not all the hype is true…

Atrial fibrillation therapy continues to grow in complexity.  Thus far, an easy cure has remained elusive.  The potential of discovering an easy cure of AF –and the resultant immense profits –has provided fertile soil for medical device companies.  But, like in a garden, fertile soil provides for the growth of both beautiful plants and weeds. […]

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Cycling Stuff Doctoring Reflection

Back to the usual…

The sky is so blue, the sun so bright, and the people are nearly perfect.  It is southern California, near the ocean and mountains. The occasion was a vacation to ride bikes with friends. Not hybrid cruiser bikes; these are carbon fibre multi-suspension machines meant to navigate rocks, dirt, sand, gravel and even mountain streams.  […]

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Reflection

On vacation…

Each winter, a group of bike teammates, who are really just friends, venture to Southern California for a week long bike trip.  Our home base is Laguna Beach.  Although, we are a road bike team, the bike of choice for training is the mountain bike.  Local canyons and mountain ranges provide the terrain and scenery. […]

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AF ablation Atrial fibrillation General Ablation

The challenge of ablating in the human heart…

Some very sad words from the comments section of a previous post on atrial fibrillation… Anonymous said,   Is there anyone out there that has hypertrophic cardiomyopathy and was told to have an ablation? Any problems??? My husband of 45years and I believed that his cardio doctor would not put him in harms way by […]

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AF ablation Atrial fibrillation General Ablation

Atrial fibrillation ablation in women…Are there any real differences?

We all know that women have kinder hearts than do men. That’s an easy one. But what about their cardiac electrical system? The headline in the subject line of the email reads, AFib Ablation in Women: Are We Undertreating? I looked at this study a number of days ago, and initially thought–except for the number […]

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Doctoring Health Care Health Care Reform

Saving lives with a 25 dollar painless test…

In the era of expensive and technologically advanced tests like MRI, CT and PET scans, how could a 25 dollar ECG save many lives?  A recent study on the merits of adding a screening ECG to the routine screening of young athletes has created a stir, with many words written in the lay press. For […]

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Reflection

Thanks, Mr Bunning…

Say it isn’t so, Jim.  It was a fun ride while it lasted. Jim Bunning is a US senator representing Kentucky. He is old, irascible, a former professional baseball player, and in past years he has partaken in much tomfoolery.   Foolishness like proclaiming a dire medical prognosis on a supreme court judge, and the likening […]

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Doctoring Health Care Health Care Reform

Why is paying a doctor so different?

Doctors going to a cash only system of payment is steadily increasing, and these changes are garnering much attention. Practicing medicine is a skill honed over many years of training and education.  Like any good or service, “doctoring,” has a value.  What this value is, has become a matter of much debate.   The payment […]

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Reflection

Amidst the cold comes such warmth-an unseen connection to the human heart…

The water is thick brown, and reportedly is only 2 degrees over its solid state.  Standing on the dock in a bike kit and a wet life preserver, a coldness invades the core; a core which is busy preparing itself for the immediate future. Three, two, one and “PLUNGE” is heard.  While in the air […]