Categories
Healthy Living

Tools for “people of size”…

A more common site in the hospital these days… From the politically correct, people of forms, these are not to be called, “biggie chairs,” rather, “chairs for people of size.” JMM

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Health Care Health Care Reform Healthy Living Nutrition

Banning toxins is not socialistic: It’s just smart…

Yesterday, I wrote that doctors might need help in getting our patients to make only modest changes in their lifestyle. Could our government help? Like the fat guy climbing the hill who needs a push, our patients need help. In Louisville, we have donuts worthy of feature stories in the local paper. The banning of […]

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Atrial fibrillation Exercise Healthy Living Nutrition

Success in heart health stems from the simple…

The solution is so easy.  It sits right before our eyes.  The methodology is known. Small Steps to Heart Health was big headlines in today’s WSJ.  As if the secret was revealed. The report succinctly argues that simple lifestyle choices, like daily exercise and better nutrition are surprisingly successful. Shocking! As an illustration of a […]

Categories
Atrial fibrillation Exercise Healthy Living Nutrition

Success in heart health stems from the simple…

The solution is so easy.  It sits right before our eyes.  The methodology is known. Small Steps to Heart Health was big headlines in today’s WSJ.  As if the secret was revealed. The report succinctly argues that simple lifestyle choices, like daily exercise and better nutrition are surprisingly successful. Shocking! As an illustration of a […]

Categories
AF ablation Atrial fibrillation Health Care Healthy Living Reflection

A real world view of new developments in the treatment of atrial fibrillation…

The patient is anxiously sitting on the exam table.  A notebook, a pencil and many papers from the internet and other doctors are close at hand.  A spouse sits in the accompanying chair with an equally anxious face that says without words, “please help us out here.” The problem at hand is atrial fibrillation.  Paroxysms […]

Categories
General Medicine Health Care Healthy Living

A milestone in medical achievement…

Wow. Congratulations to Dr Melissa Walton-Shirley for her leadership role in achieving a smoking ban in Glasgow, KY.   That’s right, Glasgow KY, deep in the heart of one of America’s largest tobacco producing counties. Ablating atrial fibrillation, implanting ICDs and “squishing” blockages are procedures that help the singular few.  They can often prove challenging, […]

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Healthy Living inflammation Nutrition

Heart health in KY?

In athletics and in life, those in last place are usually there for a valid reason. Heart health in Kentucky is atrocious.  We are battling with Mississippi, WV and Alabama for dead last in most measures of public wellness. Yet, this week, Louisville’s director of Metro Department of Health and Wellness, Dr Adelawe Troutman, actually […]

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General Cardiology Health Care Health Care Reform Healthy Living

Coronary CT scans for the evaluation of chest pain illustrates the health care expenditure debate…

During residency, there was always a case of mis-diagnosed chest pain to discuss in conference.  Incorrectly sending a patient home and missing the diagnosis of cardiac chest pain was an infrequent but repetitively observed phenomenon. So as to tread carefully with words, it is sufficient to say that even now, chest pain triage remains a […]

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Healthy Living Knowledge

Clues to longevity. More obviousness…

To live long, there are many guidelines and much to avoid.  There is now published data suggesting boredom is a risk for an earlier death. One who is engaged in health reads the litany of things that are detrimental to our existence, and it seems impossible to believe that average lifespans are rising.  There are the obvious […]

Categories
Health Care Reform Healthy Living

No skin in the game..

Nearly every day an email comes with medical news and it is truly remarkable how many repetitive studies are done, which show adherence to the usual lifestyle factors, diet, exercise and cessation of smoking improve outcomes. This past week the Go Red for Women Hearts is yet another proclamation, specifically to women, to get with […]

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Healthy Living Reflection

A break from the serious…

After a stressful first week at the new practice, here are three observations from a welcome Saturday: – The definition of a fine product – the Macbook:  Having to wait in line to spend nearly 2000$.  To Miss Amy at the apple store, “I am just here to buy a Macbook, I know the model […]