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Nailed In The Heart

…and he lived (video) to talk about it:

The man’s heart was pierced as he was nailing boards with a co-worker at a carpentry shop. The shop’s owner said the men were working together, when suddenly, they ran into each other resulting in the nail gun going off.

Oops.

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

Potassium And Exercise: Sports Drink Or Orange Juice?

As I stutter through recovery from LungMutiny2010, I’m paying more attention to my diet. So as I try to go out for my 10-minute walk everyday, I still drink some sports drink — usually Gatorade made from the massive vat of powder you can buy at Costco.

We tend to get plenty of sodium in our diet — far too much in the U.S. actually — but I always worry about potassium when I’m sweating (Disclaimer: I am not an exercise physiologist or a cardiovascular or nephrology physician.)

I always thought that the widely-sold sports drinks were the best sources of potassium outside of eating bananas or some dried fruits. I was surprised to learn that an 8-ounce serving of orange juice contains 18-fold more potassium than an 8-ounce serving of Gatorade® (450 mg vs. 25 mg). Who knew? Read more »

*This blog post was originally published at Terra Sigillata*

Cartoon: The Omnipresence Of Pharma Advertising

cardiaccath

Here’s a cartoon I created a few years back. Enjoy!

– Dr. Val

*This blog post was originally published at Science-Based Medicine*

Practice Medicine Or “Advise” For $3,000 A Day?

It’s very generous of Sanolfi-Aventis’s marketing department to make this offer for me to serve as an “advisor” for dronedarone (Multaq), but seriously–I was a bit skeptical that they wanted my “feedback on the reasons for and against utlilization of Multaq® in the appropriate patient as well as to understand communication and educational needs with regard to Multaq® and the atrial fibrillation state in general.”

Where were they when the drug launched? Might it be because this drug hasn’t quite been the blockbuster they’d hoped for?

But, of course, I’d never be swayed to use more of this drug by such important consulting work. No, really.

P.S. Sanolfi-Aventis marketers: Please update your prescriber database with my correct workplace.

Musings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

Sizing Up Two Patients And Two Healthcare Systems: Part 2

BACKGROUND

For those who are landing on this page for the first time, be sure to read the background FIRST to these case presentations. The intent here is to compare and contrast two patients, one insured and the other uninsured, from the United States and England as care is delivered today. The U.S. cases are described in detail in this blog and the corresponding cases, British-style, are described on Sarah Clarke, MD’s blog from England.

CASE #1: The U.S. Case of Mr. Thurgood Powell

The ER radio sounds: (*bleeeeee, deeeeeeeeeppppp*) “Rampart, we have a 57 year old white male en route with a 45 minute history of substernal chest pain and diaphoresis. Initial single-lead EKG discloses ST segment elevation. One ASA given, nitro given, BP 96/47, pulse 110, respirations 22, pt diaphoretic…”

ER doctor: “Code cor activated. Cath lab ready. Proceed as soon as possible.” Read more »

*This blog post was originally published at Dr. Wes*

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 Cartoon

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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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