July 23rd, 2010 by DrWes in Better Health Network, Humor, Opinion
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All it takes to assure you’ll keep your local cardiologist employed is 19 strips of bacon and an egg and you’ve got yourself one heck of a solid bacon burger:
Having read about the difficulties people making such burgers have had keeping them together, I decided to add one large egg to the food processor along with the 19 slices of bacon. I ground the bacon and the egg together, then, using my hands, pulled the mixture out and used a hamburger press to make a burger. It is possible that my hands have been greasier at some point in my life, but if so I have (fortunately) forgotten it. I was not quite prepared for the raw burger to look like pure fat, and I must admit that it didn’t look very appealing. But it was for science, so I soldiered on!
I put the burger on the rack-Pyrex assembly and slid it under the broiler. Having learned a lesson from last week, I turned the stove exhaust fan to high immediately. I peeked in on it as it cooked, and it seemed to be cooking nicely, with tons of little fat bubbles sizzling on top. After seven minutes or so, I took it out to turn it over, and was pleased how easily it flipped. Five minutes later, it looked done, so I took the temperature of the inside (you need to be careful with pork, of course), and it registered at 160 degrees Fahrenheit, so out it came. Now it looked like food, and smelled delicious.
My family and I thank you, America!
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
July 16th, 2010 by DrWes in Better Health Network, Health Policy, Humor
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From a discussion thread on Medscape (registration required) posted in response to comments on my earlier post entitled “If Lawyers Billed Like Doctors:”
Mr. Clark, it appears quite likely you are having a heart attack and will require my services. I will need a retainer of $1,500 via either cash or cashier’s check. This does not cover any treatment, but merely retains me as your physician.
Then you will need to deposit $5,000 into an escrow account. I will bill this account for services rendered. My charges are $400 an hour and I bill in 15-minute increments. Which means if it takes me 5 minutes to review your EKG, I still bill for 15 minutes.
When the escrow account reaches $1,000 you will need to deposit an additional $4,000 into the account or I will cease to be your physician and you forfeit the money in the escrow as well as the retainer, and if you continue to require my care you will need to retain me again.
Would you like me to treat your heart attack?
Ouch.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
June 1st, 2010 by KevinMD in Better Health Network, Health Policy, Opinion, Research
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How fast should an ambulance go? The stereotypical speeding ambulance with lights flashing and sirens blaring is the image that most conjure up. But recent data suggests that transport speed may be overstated.
In a fascinating piece from Slate, emergency physicians Zachary F. Meisel and Jesse M. Pines examine that very question. They cite a recent study from the Annals of Emergency Medicine, which concluded that a fast transport speed didn’t necessarily save lives. Read more »
*This blog post was originally published at KevinMD.com*
May 28th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, Research
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The British Medical Journal reported on a study of toothbrushing and found that people with poor oral hygiene had an increased risk of cardiovascular disease and heart attack.
We’ve known for the last two decades that inflammation plays an important role in atherosclerosis. Markers of low-grade inflammation like C-reactive protein are also shown to be higher in heart disease.
The Scottish Health researchers looked at the general population and followed a large subset with questions about their oral health. They asked about frequency of dentist visits, toothbrushing, and controlled for many co-variables such as general activity, hypertension, smoking, height and weight. They also collected blood for studies of C-reactive protein as a marker of inflammation. They removed from the analysis participants who had no natural teeth (edentulous) and those with existing cardiovascular disease.
This elaborate and lengthy study showed that toothbrushing is associated with cardiovascular disease, and that subjects who brushed their teeth less than once a day had a 70 percent increase in heart disease compared with people who brushed twice a day. The inflammation that periodontal disease causes is directly related to increased C-reactive protein and increased heart attacks.
Leave it to the Scotts and the Brits to remind us to brush and floss every day.
REFERENCE: British Medical Journal, 2010; 340: c2451.
*This blog post was originally published at EverythingHealth*
May 25th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, News, Research
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The European Heart Journal studied 6,000 British civil servants and followed them for 11 years. They found that working an extra 3 to 4 hours a day is associated with increased coronary heart disease.
The researchers controlled and adjusted for lifestyle, cardiac risk factors, and other factors that would skew the results, and still found that people who worked 3 to 4 extra hours a day had a 60 percent increase in risk for heart disease. Read more »
*This blog post was originally published at EverythingHealth*
