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Cycling Wednesday…

…and I, am on vacation. Again. Come on, it is summer. And yes, there are bikes here. Conches too. See ya next week. JMM

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Uncategorized

Cycling Wednesday…

…is on vacation. See you in a few days. JMM

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Cycling Stuff Cycling Wed Exercise Healthy Living inflammation Uncategorized

CW: It’s settled–Long-term extreme endurance exercise is not heart healthy

My inbox lit up this week with links to mainstream media reports that extreme exercise causes heart damage. Sure enough, a group of US researchers published an exhaustively complete review article on the Potential Adverse Cardiovascular Effects from Excessive Endurance Exercise. (Full text available.) Though published in the modestly circulated journal, Mayo Clinic Proceedings, this […]

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ICD/Pacemaker Uncategorized

New ICD post on Trials and Fibrillations

It took over a week to finish writing about some of the major news concerning defibrillators (ICDs) from the Heart Rhythm Society sessions this month. As therapies go, the ICD could not be much more complicated. These expensive devices are often implanted in patients at risk for–but not yet had–sudden death. The stats in this […]

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Cycling Wed Healthy Living ICD/Pacemaker Uncategorized

ICD recalls, Social Media and Preventing Heart Disease

I can’t possible write two posts tonight. Therefore, please consider this Cycling Wed post a mosaic. (I like that word, don’t you? Give me a break smarties.) Seriously… Today, my friend and fellow heart rhythm doctor Jay Schloss (Cincinnati) published this meticulous and well-balanced essay concerning the recent recall of St Jude Medical’s Riata defibrillator […]

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Exercise Healthy Living Uncategorized

A really beautiful presentation of our best medicine…

Here is a doc who has it going on… Dr Mike Evans hits it out of the park. (Stent-ers, listen with caution at 7:20) I am now a follower of Dr Mike Evens (@docmikeevans) Good job, Doc. JMM

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Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban Uncategorized

Female gender and stroke risk in atrial fibrillation: Know your CHA2DS2-VASc Score

When it comes to the risk of stroke in atrial fibrillation, it pays to be a boy. Sorry, ladies. An important question came up on my recent post on AF and stroke. Why does being female give you an automatic point on CHADS2-VASc?  I keep seeing it, but I don’t see why that is. It […]

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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 […]

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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 […]

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Re…Assimilation

“You have 4 in the hospital to see.” Okay folks, it is time to bust back into the non-fiction world–the world of downgrades, military quagmires and not-so-blue seas. Ouch, this weekend was a rough one in which to jump back in. The fiction world was nice. There were oodles of “free” food, blue skies, even […]

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Cycling Wed Doctoring Healthy Living Uncategorized

CW: Buying bikes and health care

As a passionate cyclist, I really like it when someone asks for bike advice. Cycling is something I know a lot about–though probably not as much as Sal Khan. Recently, a spin class enthusiast who was considering making the gigantic leap to outdoor cycling asked me whether it’s worth spending extra dollars on a super-light […]