retired doc's thoughts

Wednesday, February 09, 2022

Pacemakers generate electricity and tons of data , who monitors the data

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 Recently I had my pacemaker replaced.This process is often erroneously refered to as  getting a new battery when in fact it is replacement ...
Tuesday, February 08, 2022

Phantom physical exam reports continue to proliferate in the strange world of the electronic health record

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 Recently,I learned that nurse practitioners as well as physicians are authorized to post  the results of physical exams that were not done ...
Thursday, December 30, 2021

Status report Covid 19 in Texas at end of 2021

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 From my vantage point in Houston everything I see here validates my decision to urge a relative not to travel here  from Paris for Christma...
Thursday, November 18, 2021

Without durable individual immunity you cannot even talk about herd immunity

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 In the early days of the covid 19 pandemic there was much speculation about what percent of the population would have to be vaccinated in o...
Thursday, November 11, 2021

How big will the US covid winter surge be?

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The epidemiology  predictors at IMHE made their prediction for the 2021 winter on a tweet published November 5. Based on three factors they ...
Monday, November 08, 2021

Cardiac fibrosis in endurance athletes

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 There have been a number of reports of cardiac fibrosis in endurance athletes. It turns out that these reports pertain to areas of late gad...
Friday, November 05, 2021

What is the threshold for exercise induced cardiac remodeling (EICR)

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 It has been known for over 100 years that physical exercise  may cause heart enlargement.A study of Harvard rowing team members described c...
Friday, October 01, 2021

Has the conservative- libertarian "fusion" been severed by Trumpian authoritarianism ?

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 Aaron Ross Powell from Cato Institute writes about the  always fragile "fusion" of conservatives and libertarians becoming increa...
Tuesday, September 28, 2021

Korean study shows a positive and graded association between physical activity and coronary artery calcification

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 A large prospective study (1) from Korea demonstrated a positive relationship between self-reported physical activity and coronary artery c...
Tuesday, September 21, 2021

Anti Hubris thoughts for medical students-- "our ignorance is boundless"

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Sixteen years ago I posted an entry on this blog in which I suggested an anti-hubris courses ( or at least a few lectures) for medical stude...
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Wednesday, September 15, 2021

Still another variation of conduction system pacing -left posterior fascicular pacing

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 The right ventricular apex was the preferred site for ventricular activation for pacemakers for several decades.After the realization that ...
Saturday, September 04, 2021

Long time endurance athletes long time outlook looks good less so for "power" sport advocates

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 Dr Runacres (I am not making that up) et al published a meta-analysis of 165000 long time athletes and found , as have other studies, that ...
Friday, September 03, 2021

September 2021- US in another surge in spite of excess vaccine and plenty of masks

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 Here we are in another covid surge in the US even though there are no shortages of masks or vaccines.Neither is there a shortage of people ...
Thursday, September 02, 2021

Why the US Covid Delta surge may not burn out as quickly as it did in England.

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 The rapid uptick and downtick of Delta observed in England has been thought by some to predict  a similar course for the US but the opening...
Tuesday, August 24, 2021

CDC realizes the vaccinated can spread covid 19 delta variant-now what

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 CDC has now seemingly realized that fully vaccinated people can harbor large amounts of the delta variant in their noses and are able to tr...
Monday, August 23, 2021

Breakthrough Covid cases-how many vaccinated ? Unvaccinated ?

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 In the pre Delta variant era the vaccines were thought to be the answer. The expectation and hope were that a vaccine could provide immunit...
Wednesday, August 11, 2021

Will the current non-plan of "Maybe delta will have a rapid downturn " really work?

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 As the delta wave continues to surge steeply upward some optimistic public experts project that US will see the rapid downturn in attack ra...
Sunday, August 01, 2021

Why does the Pfizer vaccine seem to work significantly less well In Israel

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 Data (1) are available regarding effectiveness of   the Pfizer 2 dose mRNA vaccine in Israel,Canada and England/Scotland. As regards the va...
Saturday, July 24, 2021

Is the US into the 4th ( or 5th) surge of Covid

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 Is the US already into the 4th surge of covid pandemic? Cases and hospitalizations and ICU admission are definitely trending upwards. Physi...
Friday, July 23, 2021

Heavy viral loads with Delta results in greater infectivity setting up 4th US surge

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 The 4th covid  wave is already in the US. It is  fueled by the much greater infectivity (1) of the Delta variant  arriving at a time of nat...
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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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