A trained observer is what most electrophysiologists are. And being a trained observer carries over into real life, as would the handiness of a plumber, or the strength of a brick layer, or the wordsmithing of a journalist.
Will and I drive past our house.
“Whereare we going now,” he asks in the exasperated tone of a 13 year old.
I need to take a picture.
Why?
Because middle-aged patients who’ve recently realized that their life is half over often seek clues to longevity.
Let’s take stressed-out, middle-aged patients who’ve somehow been rendered free of AF (maybe by a skillful ablation, or more likely just happenstance). Let’s also say they don’t smoke, drink excessively, have normal blood pressure, normal blood sugar, and aren’t obese. Is there anything else they can do to live longer, they often ask? Yes, I believe there is. Read more »
*This blog post was originally published at Dr John M*
Call it sweet, delicious vindication. It was clinic day yesterday. No longer had I completed my rant in this blog about UnitedHealthcare’s program to require all cardiac elecrophysiologists to obtain a “notification number” before performing any pacemaker or defibrillator procedure, I discovered my letter from them dated June 3, 2010, on my desk stating that this requirement will begin September 1, 2010, for all Illinois electrophysiologists for “all electrophysiology procedures.”
Not longer than an hour later I was seeing a 67-year-old patient in the clinic who asked me: “I just got my Medicare (Part A) card and must decide about which insurer I should use for Part B, C, D, E, and F,” he said jokingly. “Since I have the medical problem and might need some care in the future, is there a company you would recommend?” Read more »
*This blog post was originally published at Dr. Wes*
“Short people have higher heart risk” screams the headline on CNN.com, treating it as a statement of fact. “Shortness Boosts Heart Disease, Death Risk” is the headline in a HealthDay story seen on BusinessWeek.com.
Wrong.
Such a study as the one being described can only establish association — it CANNOT prove causation. So it’s wrong to say short people have higher risk. It is wrong to say shortness boosts risk.
Blogger and cardiac electrophysiologist Dr. Wes Fisher beat me to the punch by blogging about the continued journalistic confusion between association and causation. He wrote:
“About the only thing that can be concluded from this so-called “analysis” is nothing more than maybe we should consider studying if this association actually exists.”
Tell ’em, Dr. Wes. And tell ’em, Randy: “Short people got no reason” to worry — at least not yet — from this study.
The NBC Today Show aired a segment on the Stereotaxis robotic system for performing catheter ablation of atrial fibrillation using magnetically-steered ablation catheters yesterday (video here). It sure generated a lot of buzz around our hospital. While I share the reporters enthusiasm for all the gadgets and gizmos (what doctor-engineer wouldn’t like such neat toys?) the enthusiasm should be tempered with a strong dose of reality regarding this technology and any atrial fibrillation procedure.
First is the claim that the patient will be cured with “85-90%” certainty. While these success rates have been reported using this technology for the much simpler atrial flutter ablation, this level of success has not been substantiated in meta analyses of atrial fibrillation ablation studies to date: Read more »
*This blog post was originally published at Dr. Wes*
Latest Tweets from @DrVal
Could not authenticate you.
Better Health Audio
Featured Audio
Healthy VisionTM with Dr. Val: Safe Contact Lens Wear and Care
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…
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…
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…
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…
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…
