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It’s time to give up on aspirin for primary prevention (Part I)
At times there is a significant disconnect between facts, theory and use in medicine. Instead of facts and science, physicians and patients substitute urban legend and wishful thinking. Why some...
View ArticleIt’s time to give up aspirin for primary prevention (Part II)
No one disputes the role of aspirin in secondary prevention. It's primary prevention that has an issue. Primary prevention is the use of a substance or a treatment to prevent something. In this case...
View ArticleIt’s not just about taking out the garbage
Two recently published studies highlighted what the authors think is an emerging problem. They seem to have the data to document it. The problem seems to be loneliness over the age of 60. The two...
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Chest Pain and the Emergency Room Part I
Photo from www.coronary-arteries.org Here is a winner for you. A true example of how broken our system is in so many ways. A riddle. What kind of organization is open 24 hours a day, 365 days a year,...
View ArticleChest pain and the Emergency Room Part II
It has been an observation of mine that patients would rather have something "done" than have a discussion about it. When I do a cardiac catheterization and tell people who have a coronary artery...
View ArticleChest pain and the emergency room (Part III)
The problem of undiagnosed chest pain presenting to the emergency room has been tackled in many ways. At Holy Cross Hospital, it is done in a CPU, or chest pain unit, and starts with the history and...
View ArticleChest pain and the emergency room (Part IV)
As I have described in the past blogs, the problem of chest pain and the work up in the emergency room is an ongoing one. The article published in the New England Journal of Medicine highlights the...
View ArticleLetting go (Part I)
I have mentioned that one of the reasons that I love medicine is how it changes over time. From blood-letting, to leaches, to opening skulls to letting the evil spirits out, medicine is always pushing...
View ArticleLetting go (Part II)
In a presentation at the European Society Of Cardiology and published simultaneously in the NEJM online August 27, 2012 (910.1056/NEJMoa1208410) entitled, "Intraaortic Balloon Support for Myocardial...
View ArticleNew Toys and what the Boys and Girls of Medicine do with them (Part II)
In these blog posts, I am discussing the utilization of drugs after the drugs are approved. One factoid that you must understand is this: the FDA approves drugs based on a series of studies regarding...
View ArticleFrom bad to worse (Part III)
So we have a conundrum. Which is better: utilizing a new drug that works all the time and is easy to use but has a major drawback or an old drug that does not have the drawback but is impossible to...
View ArticleFREEDOM (Part II)
Cardiologists did not get the answer that we wanted the first time. In fact, even worse, we found that we were actually quite misinformed about what we were doing to patients, especially those with...
View ArticleFREEDOM (Part III)
Now, we cardiologists had a bright idea. The reason that angioplasty was not better than bypass surgery was that we were comparing apples to oranges. The reasoning went that if we compared "like"...
View ArticleFREEDOM (Part IV)
Will this blog never end? I am spending so much time on this topic because it impacts cardiology thinking in such an important way. In addition, I write the blog to educate you, my readers, about...
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Aspirin...again
I have blogged about aspirin many times dating back to September 19, 2009. Yes I have been doing this for a long time. What is old is new again in an article published in Circulation online last...
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It’s time to give up on aspirin for primary prevention (Part I)
At times there is a significant disconnect between facts, theory and use in medicine. Instead of facts and science, physicians and patients substitute urban legend and wishful thinking. Why some...
View ArticleIt’s time to give up aspirin for primary prevention (Part II)
No one disputes the role of aspirin in secondary prevention. It's primary prevention that has an issue. Primary prevention is the use of a substance or a treatment to prevent something. In this case...
View ArticleIt’s not just about taking out the garbage
Two recently published studies highlighted what the authors think is an emerging problem. They seem to have the data to document it. The problem seems to be loneliness over the age of 60. The two...
View ArticleChest Pain and the Emergency Room Part I
Here is a winner for you. A true example of how broken our system is in so many ways. A riddle. What kind of organization is open 24 hours a day, 365 days a year, has hundreds of millions of dollars...
View ArticleChest pain and the Emergency Room Part II
It has been an observation of mine that patients would rather have something "done" than have a discussion about it. When I do a cardiac catheterization and tell people who have a coronary artery...
View Article
