Categories
Cycling Wed Exercise inflammation

Cycling Wednesday: How exercise ‘hardens-up’ our cells…

Yesterday, I wrote about how stem cells might some day offer heart patients a mulligan. But even the most optimistic optimist would agree that realizing this dream is futuristic. For now, and the near future, we have to play them where they lie. In real-life, do-overs for heart attacks and strokes happen only on rare […]

Categories
Cardiac Stem Cells

If the human heart was like that of a newt…

…it would be a good thing! There are oodles of old rules in Cardiology. The provocateur in me loves it when dogma falls. Niftier even, is when one can invoke the biology of newts to explain how yet another certainty was proven wrong. As it turns out, those funny-looking mud-lovers possess a property that may […]

Categories
Healthy Living Nutrition

An un-solvable medical disease?

You know what befuddles me? Clinical nutrition confuses the heck out of me. The adjective ‘clinical’ implies that I’m talking about the medical aspects, the science of nutrition, not the basics. Of course, you know what constitutes basic nutrition. Everyone does. The simple rules seem well…so simple. (With JMM-to-patient commentary in italics.) Consume fewer calories. […]

Categories
Cycling Stuff

Here’s a guy that can ride…

Enjoy this 3-minute video with your coffee: Mr Danny Hart’s winning run at the Downhill World Championships. (Note the announcer–one wonders how many espressos the guy had? One of the comments on Youtube, noted a potentially new medical term: a “Hart attack.” JMM

Categories
Reflection

Reflecting on perspective and thankfulness.

Rambling a little this afternoon. On perspective and gratitude. On the drive to work, I heard NPR’s piece on Dr Paul Farmer’s (Partners in Health) efforts to build a modern-day teaching hospital in Haiti. Having recently read Mountains beyond Mountains and then hearing this story made me think about the disease that I treat, atrial […]

Categories
Cycling Wed Exercise inflammation

CW: Is marathon running really that safe?

Imagine. Imagine the inflammation that the endurance-athletic community would have been spared? If only Pheidippides had lived. I mean, what was the rush? The battle had already been won. Athenians could have waited another few hours (or days) for the good word on the battle of Marathon. It’s not like someone was tweeting in 490 […]

Categories
Reflection

Grand Rounds is on USA Today!

Hey All, Thanks to the hard work of Dr Val Jones (@drVal), this week’s Grand Rounds is being hosted on USA Today Your Health. Along with my post on Medical Blogging. there are 55 posts from many of the web’s best medical bloggers. It will lake a while to work through this sea of great […]

Categories
Atrial fibrillation Doctoring Healthy Living ICD/Pacemaker

Four Components of Making Medical Decisions

How do doctors decide on treatments? How do you decide? And yes, you should decide! What inputs go into making this important decision? Let me make it simple. Basically, there are only four. (As they say in the Hamburg EP lab…”It’s easy.”) First, since I am an older doctor, I’ll start with… Risks: In deciding […]

Categories
Doctoring Reflection Social Media/Writing/Blogging

Six Reasons Why (I) Doctors Blog…

The Practice of Medicine inspires I feel compelled to write because I am passionate about my work. For most doctors, Medicine plays out like a roller coaster—ups, downs and plenty of whooshes. It’s rarely dull. Doctor writers care about their work; we want it to be better. We need to tell the stories, and hope […]

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Doctoring Healthy Living ICD/Pacemaker

Two messages taught by recent cardiac device recalls

Cardiac devices were in the news today. And you guessed it; the reports centered on problems. In this case the story includes dramatic visuals. The St Jude defibrillator wire, Riata, a commonly-used wire has been ‘recalled’ by the FDA because of electrical failures in at least 10% of cases. The dramatic part here includes the […]

Categories
ICD/Pacemaker

Ventricular Fib… contagious?

This doesn’t happen everyday. The dangers of having two hearts. And we think it’s bad when pulmonary veins reconnect? JMM P.S. How do you fill out the checklist on this one? Reversible cause? Here is the original case report for you Annals of Emergency Medicine subscribers.