retired doc's thoughts

Friday, April 29, 2022

Epidemiologists are finding those thrown under the "we've had it with covid" bus

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  The strange transition of the CDC from a public health authority to a public voice of pseudo- libertarian thought was predicted to have co...
Wednesday, April 27, 2022

Hepcidin is the major player in anemia of chronic disease but probably not so much in runner's anemia

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 Dr. Thomas Ganz,in whose lab hepcidin and later a counter regulatory hormone erythroferrone were discovered,said in a commentary (1) writte...
Monday, March 14, 2022

Europe is surging again so will the U.S. "wall of immunity" prevent another spring surge.

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 As of early March 2022 cases and hospitalization are increasing in several European countries. Data from Great Britain indicate increases i...
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EKG criteria for differentiation of non-selective His pacing from RV septal capture

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 Dr. Marek Jastrzebski has written extensively on the differential diagnosis of  non selective His Bundle pacing (Ns HBP)  versus myocardial...
Friday, March 11, 2022

So how did Federalism work out for you during a pandemic

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 By December 2021 almost 800,000 American had died due to Covid 19 and by March 2022 the death toll was approaching one million. The IMHE in...
Thursday, March 10, 2022

The Government's new covid plan 2-Public Health 0

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 Gregg Gonsalves writing in The Nation claims that the Biden administration has turned its back on the pandemic and that the perceived publi...
Wednesday, March 09, 2022

Thoughts on CDC's new low for community spread

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 The CDC revised its covid guidelines.   The new low would have been "substantial spread "according to the old definition new low ...
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...
1 comment:
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 ...
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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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