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Latest Posts

The Athletic Heart: How It Functions

It may seem a little formal to say this, but I would like to start by stating my goals for today’s post:

  • Introduce the concept of the athletic heart;
  • Touch upon the notion of sudden death of the athlete;
  • Explain what an ECG really is, and how it may help diagnose heart disease;
  • Review a recent study about the common ECG variant seen in athletes…Early repolarization.

Intro: The adaptations of the human heart never cease to amaze me. Physical training transforms our hearts into high performance engines. Repeated sessions of interval training, combined with longer aerobic efforts, and sprinkled with adequate rest maximize our ability to keep pressure on the pedals, or run the sixth mile of the 10k at the same pace as the first, or for you swimmers, to keep getting back to the wall on the 1:15 mark.

Fitness also brings measurable changes in things we can observe. Read more »

*This blog post was originally published at Dr John M*

Toxins: Can You Sweat Them Out?

Can you sweat out toxins?

The guy next to me on the bike yesterday morning was working like Lance Armstrong in training: He had laid towels on the floor to absorb the impressive perspiration he was generating.

He shouted over to me: “I’m hitting it hard to cleanse out the toxins from last night. Too much Captain Morgan and buffalo wings, ya know?”

“Really,” I said.

“Actually, I’m a dermatologist, and sweat does not contain any toxins,” I said to myself so that he could not hear. (Gym decorum dictates men do not correct men in the middle of a workout — especially if prefaced by “Actually, I’m a dermatologist.”) I left him to his aerobics and wrote this post in my head while I finished mine. Read more »

*This blog post was originally published at The Dermatology Blog*

How To Lower Your Cholesterol

Your doctor has just informed you that you have “hyperlipidemia” – or high cholesterol. She’s mentioning lipid-lowering drugs (statins), but you said you want to try some things on your own first. She agrees and will recheck your blood levels in three months. What are you going to do?

The advice is all over the map and your Google searches come up with various supplements and diets that are confusing and overwhelming. Here are some specific recommendations, based on evidence, that can help you lower your cholesterol. Read more »

*This blog post was originally published at EverythingHealth*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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