I wrote yesterday about how a broken healthcare system favors overuse of procedures. Today I will discuss rational care. Remember the goals of the Lown Institute: We think healthcare should be affordable, effective, rational and available to all. Rational means in accordance with reason or logic. Hardly a day goes by that I don’t see… Continue reading Right Care Action Week — rational care
Regular exercise is essential for health. I’ve taken to prescribing daily exercise as a drug. I’ve even written it on a prescription pad for effect. I see exercise as medicine, a safe medicine, an effective medicine. That means, like all drugs, exercise can be overdosed. The challenge is knowing the upper limit. How much is… Continue reading The cardiac dangers of excess exercise
On Baltimore: Human beings rioting in the streets of an American city forced cancellation of an important cardiology meeting. This is a vivid example that doctors do not practice in a vacuum. We are connected to this world. Here in Louisville, just a few miles north, an HIV crisis runs amok because of IV drug… Continue reading Update: Baltimore, Safety in AF ablation, Podcasts, and some personal notes
Hi all, Things have changed for me. I have taken on a larger role at theheart.org | Medscape Cardiology. This means I have less time for hefty original posts here. (This site is not closing–just changing.) I write and read a lot more, though. Almost every day. Writing has morphed into what cycling was: a… Continue reading An update on cycling and writing and video (gulp)
I do not speak nor understand French. (I wish I did.) But it is not necessary to enjoy this song. I think it is as close to anti-inflammatory as a tune can get. I discovered this beautiful voice from a blog–a cycling blog at that. I have written often that success in social media comes… Continue reading Can a song be anti-inflammatory?
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… Continue reading My Concussion Story…
One of my good friends, a guru of sorts, once told me during a ride that things change. He was 50 years-old at the time and the change he was referring to was cycling abilities and priorities. At the time, I was at the peak of my cycling prowess; we were part of strong masters… Continue reading Does exercise have to look a certain way? Can Yoga deliver heart health?
Is good health really all that digital? I am not so sure. I am a skeptic. I realize this is a risky thing to say these days. It’s hard to bet against Apple. And It was only seconds after Tweeting such doubt that John Nosta, an expert in digital health technology, tweeted back: @drjohnm Health… Continue reading Will wearables and other gadgets make us healthier?
This is a short intro to my latest column over at Trials and Fibrillations on theHeart.org Medscape|Cardiology. —- I am not sure why doctors so often look past the best medicine. It’s right there before our eyes. Yet somehow we get sidetracked by the culture of pills and procedures. Modern-day caregivers fail to master the… Continue reading Transforming the human heart with the best medicine
It finally happened. After years of sitting at Johnâ€™s bedside through multiple serious bike crashes, I had one of my own. Iâ€™ve had plenty of time to build up a ridiculous amount of smugness about why he crashes and I donâ€™t. â€œJohn is reckless; Staci is cautious. John rides like an airplane engine on a… Continue reading Guest post — 10 observations from a 49 year-old falls risk.
Itâ€™s been a trying week for our family. You learn things when your people need healthcare. Itâ€™s an entirely different perspective. I am doctor; Iâ€™ve been a patient, but this was the first time being â€œthe family.â€ Without going into details, (see her guest post), my wife Staci came to need the best that American… Continue reading Observations from being “the family.”