“What do you do for a living?” I ask this of nearly all patients, as inflammation doesn’t just come in processed food wrappers, plastic bottles of carbonated beverages or cartons of tobacco products. Artery irritating, arrhythmia triggering inflammation can also emanate from one’s occupation. Keep your eyes, ears and mind open, and it is striking […]
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After reading this Washington Post story on the complexity of AF ablation decisions, I wrote, and wrote, and it just didn’t come together well. Â Not well enough to do the topic of AF ablation justice. Â Then this thoughtful email came. My question: How does a patient have even the faintest idea whose advice is better […]
Cyclists don’t usually watch much golf. I was simply flipping channels when the commercial jumped out at me. The volume was down low when the tired looking, drilled-out middle-aged guy appears. He looks like many of my male AF patients. Â Then, next to this especially pale-skinned dumpy looking guy, the words appear… “Do you have […]
Today was one of those days where you are hopelessly behind schedule, always thinking 3 tasks ahead, and wondering when the finish line will appear. After bemoaning the misuse of ICDs yesterday, today I found two pretty sweet examples of how implantable titanium and silicone can enhance and extend the lives of real patients. The […]
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Cycling Wednesdays: #4…
Today’s installment of “Cycling Wednesdays,” is yet another guest post. (Heck, if this keeps up, I will not ever have to write another myself.) Sam Hartman is new to the Louisville cycling scene. I do not know him well, but I can say that his legs are distinctive. Moreover, I can also vouch for his power […]
Everyone knows that the heart health of Americans is dismal. Obesity, diabetes, and high blood pressure are all on the rise. For now, technological advances in cardiac care continue to maintain, or in some cases, lower the death rate from heart disease. Squishing blockages, ablating abnormal heart tissue, and installing cardiac devices have successfully kept […]
As a cardiologist and advocate for healthy living through exercise, the bleak news of rising childhood obesity hits me hard. But as an endurance athlete well versed in the inflammatory effects of excessive exercise, and a coach of middle school children, recent news reports on the over-training of American youth is equally troublesome. The over-training of […]
The iphone chimes later in the night than usual. The text message, from a college-aged friend, reads, “thanks for playing with me on the ride today.†It is true that exercise comes wrapped in many different packages. There is gyrating on a AHA-endorsed Wii, and then there is the Tuesday Night World championships, as it is […]
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Shocking revelations…
Defibrillators (ICDs) are in the news today. Few medical treatments are more misunderstood, both by doctors and patients, than the ICD. It was a huge observational study presented today in Denver at the annual HRS (Heart Rhythm Society) meeting. In 88,804 ICD patients from 2500 centers, researchers studied how ICD programming related to inappropriate shocks. They concluded: (translation […]
Do doctors know whether their therapies really work? We are doctors. We know. Don’t we? Wide variations in the application of medical treatments often differ greatly, sometimes solely by adjoining county or state line. This shouldn’t be. That a place of residence, not a clinical scenario, determines one’s treatment, highlights the inherent uncertainty of medicine. […]
Medical advancement stomps on. This week, Genetics takes front stage. Really, it’s cool. I know; I was a skeptic too. That is, until I read this most amazing paper on the real-life clinical utility of knowing the whole genome of a person. It felt like peering into the future of medicine. Background from the real […]