Update: Social justice of AF care, NOAC monitoring, population health and two new podcasts

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Hi All, Here is a short update of the past week. The first thing to say is the Atrial Fibrillation Care: Put the Catheter (and Rx Pad) Down post has gotten a lot of attention. It stayed on the most popular list all week. It has over a 130 comments, and I have received many […]

Introducing Dr. Staci Mandrola — @DrStaciM

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It took me four years to convince my wife, Dr. Staci Mandrola, to join Twitter. Like many (previously) analog docs, Staci was resistant. “I don’t need another distraction,” went one of the arguments. Yet I knew if she tried Twitter, she would love the medium. If you care about a topic, if you are curious, […]

Trust in science and medical experts

This week is a good time to talk about trust in expert opinion and science. For the past forty years, nutrition experts in the US have warned us about cholesterol and fat. Eat too much of it and it will block your arteries, was the proclamation. Americans did what the scientists and experts said. They […]

My Concussion Story…

Concussions are serious. This I know from personal experience. My concussions changed my view of life. Thumps on the head are like that. My first concussion happened in a cyclocross race. The track had 2 grassy mounds, both about 3-feet high and in close succession. You approached them at speed. Physics dictate that going over […]

Observations from being “the family.”

It’s been a trying week for our family. You learn things when your people need healthcare. It’s an entirely different perspective. I am doctor; I’ve been a patient, but this was the first time being “the family.” Without going into details, (see her guest post), my wife Staci came to need the best that American […]

Blaming the patient…and the philosophy of caring for people with atrial fibrillation

More than a few commenters recently noted something disturbing in my writing. They said my words are increasingly taking a blame-the-patient tone. That bothers me. Of all people, I know about making imperfect health choices. These comments got me thinking about striking the right balance in writing about health, say, between apathy and defeatism, (oh […]

A vacation book review…

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The good thing about vacation is that time off is essential. The bad thing is the reentry, which, lately, is harried enough to induce arrhythmia. Almost. Thankfully, I made it through the reentry week and now sit in peace on Saturday morning with my MacBook. I thought I would tell you a little about my […]

Mother’s Day…2014

As I return home from the Heart Rhythm Society sessions in San Francisco this Mother’s Day, I got to thinking about my mom. Here I am, a cardiac electrophysiologist, a doctor. I’m traveling to meetings, learning to write commentary, making friends with colleagues across the globe. How did this happen? Surely with great luck, but, […]

Struggling with the (relative) value of humanistic medical care –

I just arrived in San Francisco. I am here for the 2014 Heart Rhythm Society sessions. The meeting begins today. A poster session this evening is overflowing with notable studies. Stay tuned. I’ll be working hard for theheart.org to bring you the best stories. First, though, here’s a little appetizer. On the eve of the […]

Atrial fibrillation and philosophy…

Patterns. As a doctor, you learn to see patterns. Biologists call the patterns of organisms phenotype–as opposed to genotype, the genetic makeup. For twenty years, I have observed the phenotypes (patterns) of people afflicted with AF, and have come to believe, and data are beginning to confirm, that the disease doesn’t just happen. It’s not […]