retired doc's thoughts

It has been long recognized that athletes may have larger hearts and changes on the EKG that are difficult to distinguish from abnormal find...

Medical Professionalism for the new Millennium ; A Physician's Charter was published in 2002 both  in the Annals of Internal Medicine a...

A number of  studies have shown a relationship between long time endurance exercise and increased  risk of atrial arrhythmias. and there i...

Harvard Professor David E. Leiberman  has taken Theodosius Dobzhansky's maxim to heart; "Nothing in biology makes sense except in t...

Dr. Bob Wachter,former chair of the ABIM, has spoken out in defense of ABIM and , of course, of himself. Several medical bloggers have o...

In the December 4, 2014 issue of the NEJM, Dr. Chistine K.Cassel et al expound on performance measures.She freely admits there have been som...

Some   know-it-all-officious-busybodies    medical progressive elite presume to know when various medical procedures should be limited on th...

There are a number of folks who want to eliminate at least one aspect of  gate-keeper role of the physician  or at least allow people  to or...

See this blog posting regarding the unfortunate situation regarding board certification for pediatricians and how, at least so far, the  mo...

In a embarrassing display of  self congratulatory praise , in this  commentary Bob Doherty ,senior vice president of the American College ...

 Well ,at least one recent research paper answered that question in the affirmative.  Dr. Nole and colleagues  (see below for reference) d...

You don't have to be an exercise physiologists to know you cannot run as fast or as long in the summer. One of the reasons long traini...

The terms hoodwink and boondoggle are so appropriate. My comments here were inspired in large measure by Dr Michel Accad's Jan 2009 insi...

The issue of the effect(s) of endurance exercise on the right ventricle bothers me from time to time and I have blogged about it before.(see...

For stress tests purposes ( regular treadmill and nuclear exercise imaging) physicians  typically use the formula : Maximal heart rate =220-...

Is the right ventricle the Achilles heel of endurance exercise? I wrote briefly about this subject in 2007 . In that regard there is more...

Here is what Dr. Scott Gottlieb has to say in his Forbes column on 3/19/15: "The current Medicare reforms being put before Congress (...

In regards to the passage of the doc fix bill (known now by the acronym MACRA) John Goodwin said it well: " it locks in Obamacare...

This commentary from JAMA give a good summary of where we are with 5 ARs ( Five alpha reductase inhibitors) and prostate cancers.Large rand...

H.L. Mencken defined Puritanism as that haunting fear that someone,somewhere may be happy. The Medical Progressive Elite's haunting fe...