November 25th, 2010 by John Mandrola, M.D. in Better Health Network, Humor, True Stories
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A mom who took care of us kids far better than she did herself, always. A Dad whose advice grew better with years, although it was good then. Two brothers and a sister to share a driveway basketball court with, rain or shine. The infinite love of grandparents, who lived within hollering distance over an old Connecticut stone wall.
A high school guidance counselor who said I wasn’t smart enough to go to medical school. A college biology professor who rolled out a cart of beers on that first Friday evening research conference. That I watched the movie “Hoosiers” and thought to look at Indiana University for residency, and while there met so many dedicated cardiology teachers.
That I have so many great colleagues to work with now. Immersing oneself in a sea of committed people helps the heart. Medical peeps are a cool crowd. That technological wizardry has allowed us on opportunity to alleviate the heart’s most common hiccup, the AF.
That our family has found some great pals to hang with. Friends that allow us to wear tank tops, shorts and crocs with socks when we visit. But most of all, I am thankful for a family that I would not change one bit — a loving wife who is a best friend, and smart healthy kids who like themselves, each other, and their parents (at least most of the time).
Thanksgiving.
JMM
Oops…I am thankful that I am a master bike racer, too. Only I wish that I was faster.
*This blog post was originally published at Dr John M*
November 19th, 2010 by John Mandrola, M.D. in Better Health Network, Health Tips, News, Research
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“Hey…where did those cupcakes go?”
Like a never-ending western North Carolina climb where each switchback reveals another uphill, and the finish is shielded by tall pines, the struggle to lose weight and to stay lean is incessant.
In wrestling weight gain, competitive cyclists share the same mat as “regular” Americans. Like jockeys, all competitive bike racers strive for maximal leanness. It’s physics: Weigh less and the same number of watts push you farther and faster, especially when going uphill or accelerating from a slow speed. Remember those velocity problems in Physics 101?
But is it conceivable that losing weight — even if accompanied by lower cholesterol levels — could be detrimental to long-term wellness? Obviously, the question answers itself.
Unless your Internet connection has been interrupted in the last few days, you have probably heard of the “Twinkle diet.” Kansas State University nutrition professor Mark Haub tested the hypothesis that if he reduced his daily calorie consumption from 2600 to 1800 he would lose weight. Read more »
*This blog post was originally published at Dr John M*
November 17th, 2010 by John Mandrola, M.D. in Better Health Network, News, Opinion
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The best part of doctoring is its humanness. Machines can’t do it — not even Apple products.
But that’s the worst part, too. Since humans practice medicine, there will be “medical errors.” And when doctors err, people — not spreadsheets or profits — are hurt. That’s the rub. Like any endeavor, the greater the reward the greater the risk. Those cards were put on the table in medical school.
“Don’t want mistakes? Don’t do anything. Don’t make any decisions. Don’t do any procedures. Then, there will be no errors,” the grey-haired, Swiss-born cardiac surgeon counseled me many years ago after an imperfect ablation.
The headline was about a doctor’s error. It was a doozy. But for me, the story belies the headline. A Boston Globe reporter called a surgeon’s public admission of performing a wrong operation “an unusual display of openness.” I would call it something else: Breathtaking. Unprecedented. Courageous. Read more »
*This blog post was originally published at Dr John M*
November 12th, 2010 by John Mandrola, M.D. in Better Health Network, Humor, Opinion, True Stories
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I loved my old status. Perhaps, reveled in it would be a better description. I was a crotchety, generic medicine-only doctor.** Sadly, my status changed today. Dabigatran (brand name Pradaxa) was the culprit.
It was a little nerve racking. I wrote the order, looked at it, thought it out again, talking to myself: “John, are you sure you don’t want to do it the old way? [pause to think] No, I am embracing the new.” And then, I closed the chart and handed it to the nurse.
“What’s that? Pradaxa?” asked the nurse. “Stop the Lovenox? You sure?” My face must have told the story.
Eight days had passed since dabigatran’s approval. “That’s plenty of time to mourn warfarin’s demise,” I thought. Enough studies, enough blogs — it was time for the rubber to hit the road. Read more »
*This blog post was originally published at Dr John M*
November 7th, 2010 by John Mandrola, M.D. in Better Health Network, Health Policy, News, Opinion, Research
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I don’t consider myself a right-wing healthcare fear monger, but if I were this study would be worthy of amplification. As reported concisely in the New York Times, from the journal Demography (not previously known to me), population researchers reported that even though elderly Americans have more medical problems than their peers in Britain, older Americans live longer once they make it to 70. Why would this be?
Is it because Americans who reach 70 are “heartier” than Britons, as Columbia University PhD (but now on leave and working at HHS) Sherry Giled says. Or is better survival of the American elderly one of the benefits of the “fury of American medicine?” Read more »
*This blog post was originally published at Dr John M*
