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The Clock’s Tick-Tock And Our “Tickers”

With the daylight savings fall-back date for 2010 rapidly approaching (remember: “Spring forward, fall back” — which is this Sunday, November 7th, 2010), I’m reminded of some research I read a few years back suggesting a link between daylight savings and heart attack risk. The research suggested the Monday effect of increased heart attacks was not related to stress, but rather the sleep cycle.

When looked at from the daylight savings fall-back perspective, the research suggests the extra hour of sleep we gain from the November 7th, 2010 daylight savings fall-back date will be protective against heart attack risk. Good to know, especially if you’re the cardiologist on call the week following either date.

*This blog post was originally published at The Happy Hospitalist*

Cardiac Stents Alone Don’t Work

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*

The Heart Health Risks Of Being A Couch Potato

We’ve all made the excuses: You can’t face the drive to the gym, you’re too tired at night, getting up in the morning is a chore, or it’s too hot or cold outside. So you cozy up on the couch in front of the television. If you’re a couch potato, you’re a gambler — with your life.

Unfortunately you’ll need a big sofa because you’re not the only one whose heart isn’t in physical activity. About 60 percent of adults in the U.S. are not getting the exercise they need, according to a report from the U.S. Surgeon General.

It’s time to get up and face — or better yet, dance to — the music! Here are a few facts that may get you moving for your heart’s sake. Read more »

*This blog post was originally published at Health in 30*

America Has A Heart

As an American, I was proud when I heard the news. I grinned to myself. It was on my way to work, through a beautiful city park, with the sun rising over the hillside. The morning radio program reported the news that a California judge overturned their state’s ban on gay marriage.

I know what you’re thinking: A medical blog is running amuck right into a political hornet’s nest. But isn’t it true that a nation’s kindness is a defining characteristic?

America and Americans do much that is good and right. Examples of such goodness are too numerous to list. If you are a victim of a calamity, you can be sure that America will help. Ask Haiti. And it’s not just foreign countries, we help each other. There’s a flood and then there are volunteers. A power outage and there are cords across the streets. It’s not controversial to say we are a kind nation. Read more »

*This blog post was originally published at Dr John M*

The Impact Of Attitude On Life

Life sometimes gets in the way of daily posting. Specifically, the treadmill of life sometimes roars too fast.

But as I strolled through the hospital this morning, there was a plain piece of white paper taped to the wall around the nurses station. Although I’m not overly religious (and even highly conflicted about which rituals are the right ones), these words from a pastor/celebrity stopped me for a moment:

Attitude

The longer I live, the more I realize the impact of attitude on life. Attitude, to me, is more important than facts. It is more important than the past, than education, than money, than circumstances, than failures, than success, than what other people think or say or do. It is more important than appearance, giftedness or skill.

It will make or break a company, a church, or a home. The remarkable thing is that we have a choice every day regarding the attitude we will embrace for that day.

We cannot change the past, we cannot change the fact that people will act in a certain way. We cannot change the inevitable. The only thing we can do is plan on the one thing that we have, and that is our attitude.

I am convinced that life is 10 percent what happens to me and 90 percent how I react to it.  And so it is with you. We are in charge of our attitudes.

As a cardiologist programmed to “alert” most of the time, words such as these help me. I haven’t seen the studies yet, but I’m guessing that positive attitudes reduce inflammation, which is good for our atria, and our arteries.

JMM

*This blog post was originally published at Dr John M*

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Latest Book Reviews

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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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