I have a friend who had a blocked cardiac artery. A couple of years ago he had angioplasty on it, and his doctor inserted stents. The stents got rid of his chest pain and other symptoms, but didn’t do anything to get at the underlying cause of the blockage, which had to do with an unhappy combination of genetics and a –- perfectly admirable –- taste for rich, fatty foods. Like steak. (More on that in a moment.)
Before having the procedure, his doctors spent a lot of time with him explaining what the surgery would and wouldn’t do. In particular, the doctors explained that the stents would do their job, but he had to do his. He needed to eat better, exercise more, and take his medications. He’s followed most of that advice, and is doing well.
Unfortunately, his experience is not typical. A recently published study found that more than 80 percent of patients who had gotten angioplasty and stents thought they were alone a cure for their problems.
These patients are wrong. So how can it be that they are coming to this strange conclusion? According to some, it’s the doctors’ fault. Read more »
*This blog post was originally published at See First Blog*
Opportunity + Instinct = Profit. A good journalist can sense the moment that a story is developing and seize the moment. That’s why when White House correspondent Tony Christopher started having a heart attack, he immediately logged into Twitter and started covering it:
Approximately at 6pm on Sunday afternoon Christopher wrote, “I gotta be me. Livetweeting my heart attack. Beat that!” Presumably a few minutes later the paramedics arrived to tell Christopher he will be stable after his crisis.
An hour later Christopher joked about needing to own a cardiac cat, referencing a viral video in which a cat is trying to revive his dead feline friend. He also updated his followers about the pain he was feeling, “even after the morphine.”
So is this the message the White House wants sent to America?
Seems to me his time might have been better spent on (1) taking an aspirin, (2) calling 911, and (3) calling a friend, (4) and assembling a list of his current medications and past medical history for the doctors in case he loses consciousness. But that’s just me.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
“When I get older, losing my hair, many years from now,
Will you see need me, will you still feed me,
When I’m ninety four?”
From the New York Post:
Former NYPD chief cardiologist Dr. Irving Kroop retired in 1986 — when he was 70 — with a $64,364 disability pension awarded because of a bad heart, according to sources and city records.
All the while, he’s maintained a private practice in Brooklyn and moonlighted at NYCERS, the New York City Employees Retirement System, which paid him $14,479 last year to help determine whether other city workers should get disability pensions.
“Hats off to the man — he’s 94 years old but disabled? And still going strong?” said an incredulous Carol Kellerman, head of the Citizens Budget Commission.
Kroop, who gets $155 an hour as a private contractor for city’s civilian pension board, shuffles into examining rooms with a cane and oxygen tank, sources say.
This story presents an interesting dilemma in this era of shrinking retirement income for our seniors who want to continue to work. Should there be an age limit for practicing doctors? How do we assess if a doctor is “disabled” as they age? Should we care? Read more »
*This blog post was originally published at Dr. Wes*
I saw a prescient story that linked antagonistic personality traits and cardiovascular risk. It was simply impossible to ignore. Low hanging fruit, no doubt.
The article highlights an NIH-sponsored study [published in the August 16th journal Hypertension] that looked at the effects of antagonistic traits — agreeableness, per se — on heart health. Yes, you read it right — agreeableness. To quantify agreeableness, the researchers used a personality questionnaire which included six traits: Trust, straightforwardness, altruism, compliance, modesty, and my favorite…tender-mindedness.
Your hypothesis is probably right: People who were distrustful, cynical, manipulative, self-centered, and quick to express anger fared worse. But please don’t dismiss this as just another mundane study proclaiming the risks of an angry personality. The specifics of the findings and their implications really hit hard. Read more »
*This blog post was originally published at Dr John M*
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