Let’s make our day harder — physically
This short video (4:02) comes from one on my favorite YouTube channels. I write on a whiteboard every office day. But I’m no Dr. Mike Evans. (@docmikeevans) in this clip, the Canadian doctor explains a health behavior that Europeans seem much better at than most Americans. JMM Related posts: A really beautiful presentation of our best medicine… Stress is killing our hearts and bodies…But there is hope. Doctors and Social Media — Increasing the good we do? (Source: Dr John M)
Source: Dr John M - September 20, 2013 Category: Cardiology Authors: Dr John Source Type: blogs

Heart health is not about Telomeres…It’s much simpler than that
A recent study on healthy lifestyle changes got me thinking about why heart disease remains the most deadly human disease. A small study of just a few motivated men with low-risk prostate cancer garnered attention because it contained two important key words: Ornish and Telomeres. Everyone knows Dr. Dean Ornish. And most of us know that telomeres are the caps at the end of chromosomes. Accumulating birthdays associates with telomere shortening, and some feel this has a causative role in cellular aging. Long telomeres are good; short ones are bad. My friend, journalist Larry Husten (Forbes) has this comprehensive recap of t...
Source: Dr John M - September 18, 2013 Category: Cardiology Authors: Dr John Source Type: blogs

Thoughts on being a flexible doctor
Flexibility… -Bend easy without breaking. -The ability to be easily modified. -Willingness to change or compromise. Social media physician leader Dr. Bryan Vartabedian wrote a post last week in which he called flexibility a necessary skill of the 21st century doctor. He got the idea from another physician leader, Dr. Eric Topol. I’ve been thinking a lot about the idea of bending easy and not breaking. How willing have I been to accept change or compromise? Could flexibility be the key to surviving the ongoing disruptive changes in healthcare? I counsel heart patients that how they handle stress impacts their outcom...
Source: Dr John M - September 16, 2013 Category: Cardiology Authors: Dr John Source Type: blogs

End of life care – A great American tragedy.
“Why don’t we die the way we say we want to die? In part because we say we want good deaths but act as if we won’t die at all.” Katy Butler, WSJ There is a humanitarian crisis unfolding right now in nearly every hospital in this nation. Aggressive life-prolonging care of the elderly too often results in extending suffering and loss of autonomy. “Bad deaths” are on the rise. As a physician witness to this, I feel shame. As a fellow human, I feel sadness. Acclaimed American journalist Katy Butler has written an essay (and book) that I believe may help spark the changes needed to quell this crisis. I’ve...
Source: Dr John M - September 11, 2013 Category: Cardiology Authors: Dr John Source Type: blogs

A cycling adventure in Holland
Author’s note: Apologies to regular readers and subscribers who expect hard-hitting medical news. What follows is a ride report, similar to the self-indulgent sort of thing you find on thousands of other cycling blogs. — My last full day in Holland was one that will stick in my mind for a long time. The 2013 European Society of Cardiology Congress ended with a half day. That was perfect. It was a nifty coincidence that my one free afternoon in Holland was the same as two friendly Dutch lawyers who lived in a town called Haarlam. This story neatly fits into the it’s-a-small-world category. It turns out tha...
Source: Dr John M - September 6, 2013 Category: Cardiology Authors: Dr John Source Type: blogs