retired doc's thoughts

Endurance exercise is traditionally considered to be a function of three factors. 1. Cardiac output which is , according to the Fick equat...

Gene Dykes, age 70, a retired computer programmer , ran a marathon time time of 2:54 23 at the 2018 Jacksonville Florida marathon . This  is...

About 200,000 pacemakers (PMs) are implanted annually for slow heart rate reasons  ("brady" indications) in the U.S. as are about ...

When I published the essay found below in 2015,there was considerable chatter in the medical blog space about the dangers posed to the trad...

Of course the teaser tittle is misleading.You should ask "better for what".Remember the old auto ad that claimed Fords (or some br...

Another article (2)  has  been published regarding the proposed relationship between high level endurance exercise and coronary calcificatio...

Is value objective or subjective? A common, though oversimplified and exaggerated view,  is that Adam Smith was the father of economics. H...

In 2013,  when I posted the essay found below in a slightly revised version found ,there was still considerable resistance to the ...

 File this under "The corruption of the medical record".   The topic today is the " After visit summary"(AVS). In m...

One of my favorite EP cardiologists, Dr. John Mandrola,gives his thoughts regarding the 2019 focused update on  atrial fibrillation (AF)  fr...

Left anterior fascicular block (LAFB) was previously known as left anterior hemiblock (LAH) .The earlier designation can be attributed to th...

Scott Trappe and colleagues (1) from Ball State Human Performance lab  studied 7 women and 21 men all in their 70's who were lifelong ( ...

 Tim Noakes, the MD, PhD exercise physiologist from South Africa has suggested that perhaps many years of running and the gravity assisted  ...

This NYT article puts faces on those who bear the collateral damage. No satisfaction from "I told you so" here Anyone remember...

The block in left bundle branch block (LBBB)-and this can apply to right bundle as well-may not be actually in the left bundle branch, as le...

I have commented before on functional impairment associated with LBBB. See here . J Aalen and colleagues  (1) see here demonstrated that...

The epicardial fat pad image on chest x-rays was long regarded as nothing more than a barely  interesting incidental finding of no clinical...

Did the third RCT settle the issue of the efficacy of PSA screening for prostate disease?  The short answer is no - that settling purportedl...

Left bundle branch block (LBBB) is associated with a contraction pattern(s), that are dyssynchronous in regard to the pattern of left venric...

Read this recent brief overview of diet and fats and carbs and and cholesterol levels  and heart disease risk and see if you would presume ...