retired doc's thoughts

Monday, November 27, 2017

How often does the Evidence in EBM turn on statistical subtleties?

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A few years ago I posted a piece about the effects of antioxidants on GI tract cancers.There was a reported small increase in Relative Risk ...
Saturday, November 25, 2017

How to survive under socialized medicine

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Here is a quote which to me seems may have high titer of deep insight.(my bolding) "In many areas of medicine, particularly those rela...
Friday, November 17, 2017

The division of internist into hospitalist and "officist" and its demise.

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It is the 20th  anniversary of the birth of the hospitalist.A recent article describes what was presented as a fairly widespread feeling amo...
Monday, November 13, 2017

James Gailbraith combines a belief in perpetual motion machine with believe in there IS a free lunch in his economic advice

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Dr. James Galbraith is the son of John Kenneth Galbraith and here the apple falls very close to the tree. See here for his  thoughts publis...
Wednesday, November 08, 2017

Before Obamacare it was other people's money effect -Afterwards more so

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 When something is being payed for with other people's money, more will purchased. This is also true if you merely think someone else...
Monday, November 06, 2017

What is the evidence that prolonged endurance execise damages the conduction system of the heart.

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In 1985, RJ Northcutt studied 20 males endurance athletes that were recruited from a Scottish Harrier's club. All were  older than 45 ...
Monday, October 30, 2017

Cognitive dissonance and medical practice conformity and different visions

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Anyone who has practiced medicine for more than a week, or observed its practice as a medical student may recognize the truth of the followi...
Thursday, October 26, 2017

Has medical care been reduced to Leave a message or call 911?

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When I contact some medical practices by phone that is exactly what seems to be the situation. Case in point- When recently  I developed a ...
Wednesday, October 25, 2017

The heart will remodel itself whether you exercise a lot or not at all

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Remodeling of the heart will occur whether you do anything about it or not. What you do about it may  determine what type of remodeling you ...
Tuesday, October 24, 2017

Can an individual's risk of a given disease ever be "determined"?

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The risk assessment of an individual.that is determining a person's risk of a given disease has been described a peculiar,elusive,ambigu...
Monday, October 23, 2017

The marked variability of subclinical atrial fibrillation makes risk assessment difficult

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A post  hoc analysis (1) of the TRENDS study concluded "significant temporal variability of AF burden exists when measured continuously...
Saturday, October 21, 2017

Detailed cardiac study on a group of really extreme endurance athletes

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Much has been written about the issues of what is the point beyond which exercise is no longer health promoting but rather damaging to the h...
Thursday, October 19, 2017

Biggest change in medicine in 40 years-loss of autonomy and change in ethics

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In regard to what has changed most in the last near half century some would answer medical advances, mainly in diagnostic techniques and the...
Tuesday, October 17, 2017

The basic narrative of medical collectivism as voiced by the ACP and ABIMF

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The following two paragraphs are from a viewpoint commentary  entitled  "Resolving the Tension between Population Health and Individual...
Sunday, October 08, 2017

Is a sedentary life style and not resistance exercise a cause of concentric cardiac hypertrophy?

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Following the 1975 echocardiographic study by Joel Morganroth of endurance athletes and resistance exercise athletes and several cross secti...
Friday, October 06, 2017

Will 2-3 hours a week of aerobic exercise keep your heart from getting stiff?

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Will a few hours of aerobic exercise per week practiced over along period of time (years) prevent the ventricle from becomes stiff and could...
Thursday, October 05, 2017

Review of deaths occuring during triathlons

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Most deaths that occur in a triathlon happen in the swimming phase. A detailed report on triathlon deaths can be found in a recent issue o...
Tuesday, October 03, 2017

What is the signficance of "myocardial fibrosis" in endurance athletes?

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The quote around myocardial fibrosis is to make the point that the discussion is not about large areas of fibrosis or athletes with extensiv...
Monday, October 02, 2017

Annother observatonal epidemiolgic study wiill not settle the issue of the exercise cardiovascular mortality relationship.

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There is no debate about the general  nature of the relationship between  regular exercise and cardiovascular risk  and even over-all mort...

Another study demonstrating more coronary calcifications and myocardial fibrosis in Older endurance athletes

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The article by Merghani et al (1) at least at first glance seems to be more bad news for long time endurance athletes in regard to the devel...
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About Me

james gaulte
Trained in and practiced internal medicine and pulmonary disease.interested in endurance exercise,economics and gerontology
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