Okay, I’m getting the hang of this. The Monday morning and evening commute in Amsterdam is something special. You talk about focus. It requires laser-like focus. You’ve got bikes, narrow lanes, buses, trams, pedestrians and tourists. Still though, traveling 6k by bike took 15 minutes; a cab from the convention center, more than 30. I […]
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The headline called it “the new†science behind America’s deadliest diseases. WSJ reporter Laura Landro was talking about inflammation and its role in causing human disease. Now, you all know my reaction when a prestigious newspaper features a founding principle of this blog. Well, let’s just say it felt awfully nice. A brief Mandrola review […]
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How much Medicine is enough?
I’m going to tell you a secret about my office practice. (Yes, procedural-based doctors spend long hard days toiling in the office.) On office days, I often play a little game with my imaginary friend. He challenges me to leave the prescription pad in the drawer for the entire day. The idea being that patients […]
“Mass social media is a crock. It is an inherent contradiction. This is why I like LinkedIn more than Facebook. It has a special purpose and therefore doesn’t feel like a time waster. FWIW, I predict the next huge win in social media will be in health care.” —Rich Karlgaard (Forbes.com) writing in WSJ […]
It’s 2012 already. Time flies; doesn’t it? It seems like just yesterday when… I started this business more than two decades ago. A time when cell phones hadn’t even graced James Bond movies; we got up to change the channel on TV and the world health concern of the moment was a Hunger Games-like scenario […]
I am hoping for some input with this case because I really don’t know the right answer. The case: A 52 year-old male endurance athlete seeks my opinion about whether to continue taking statins. His primary care doctor says yes. He is not so sure. Neither am I. He exercises regularly, maintains both a high […]
I can’t help myself. The draw is so strong. It’s simply not possible to stay silent on the recent news about statins. Yesterday, the FDA announced important changes in the safety language that comes in the package insert of statin drugs. (I’m late to the show here, as twenty-four hours is an eternity in medical […]
Tonight, I am going to stick up for my interventional cardiology friends. These are the good folks who respond immediately (and I mean immediately) when you have a heart attack. They open clogged arteries. Like Jack Nicholson said, “you want these guys on the wall.†Why do I feel the need to take up for […]
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…â€It’s easy.â€) First, since I am an older doctor, I’ll start with… Risks: In deciding […]
Important challenge to dogma alert: You may have heard that high cholesterol leads to heart disease. Most experts accept the important role that cholesterol plays in heart disease: High cholesterol, particularly LDL (the bad kind), favors build up of plaque, which then leads to obstructed arteries and heart attack. It’s simple. It makes sense. Even […]
I was delighted when my friend, Dr Kevin Pho, accepted my recent post on statin drugs. As a ‘student’ writer, I was also happy to read more than a couple ‘robust’ comments. No worries here, bike racers and heart docs have thick skin. I penned six responses on the KevinMD post. The gist of the […]