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re: Heart Surgeon declares "we were wrong" re causes of heart disease
Posted on 1/26/14 at 9:09 am to C
Posted on 1/26/14 at 9:09 am to C
quote:
What he is saying is that unless you have inflammation of the arteries, you're not going to have heart disease.
Makes a lot of sense. They've been giving aspirin to people with cardiovascular issues for a long time.
0
Posted on 1/26/14 at 9:12 am to C
Not exactly an earth shattering revelation. Inflammation is the natural response to injury. The pathophysiology behind plaque formation is well-defined and requires the production of cell adhesion molecules (VCAM). His oversimplification as to the cause is a bit suspect though. Some injury may result from a chemotactic response, others may be physical/mechanical. It's simple enough to understand the difference between omega 3 and 6 and the production of anti or pro-inflammatory cytokines. But, it doesn't fully answer the question as to what caused the initial injury. Also, the heart is highly susceptible to oxidative damage from oxygen free radicals converting to peroxyl radicals and peroxide. The lack of catalase in the heart and the overabundance of iron forces peroxide through the Fenton pathway and the ultimate production of more damaging hydroxyl radicals. So his observation is correct. I'm less convinced by his ultimate conclusion; though likely beneficial.
Posted on 1/26/14 at 9:17 am to C
I am 47 years old and admit I need to eat better. Recently I changed doctors (nurse practioner actually). She has made a big deal over my cholesterol level. Everyone in my family has high cholesterol with the exception of my mother. We all eat the same type of diet.
She insisted on putting me on cholesterol medicine. I did not fill the prescription. On a follow up visit she was excited about testing my cholesterol to see how much it went down after taking the medicine for two months. Needless to say she hit the ceiling when I told her I had not been taking it.
She ordered an EKG and told me that the good news was that I was not having a heart attack now but that I had experienced a silent MI within the past two weeks. She got me in to see a cardiologist early the next morning. She said that she hoped the cardiologist could convince me where she could not. She also said that I might need to change care givers if I had a problem listening to her because she is a woman.
In short, the cardiologist told me after performing another EKG that I had not had a silent MI and that he agreed with me that I should not take the cholesterol medicine. Basically the article in the OP is a summary of what he told me.
She insisted on putting me on cholesterol medicine. I did not fill the prescription. On a follow up visit she was excited about testing my cholesterol to see how much it went down after taking the medicine for two months. Needless to say she hit the ceiling when I told her I had not been taking it.
She ordered an EKG and told me that the good news was that I was not having a heart attack now but that I had experienced a silent MI within the past two weeks. She got me in to see a cardiologist early the next morning. She said that she hoped the cardiologist could convince me where she could not. She also said that I might need to change care givers if I had a problem listening to her because she is a woman.
In short, the cardiologist told me after performing another EKG that I had not had a silent MI and that he agreed with me that I should not take the cholesterol medicine. Basically the article in the OP is a summary of what he told me.
Posted on 1/26/14 at 9:19 am to C
Wake me up when they admit that smoking doesn't cause lung cancer.
Posted on 1/26/14 at 9:26 am to Ambassador
I'm curious, did you start eating better during this whole ordeal?
Posted on 1/26/14 at 9:29 am to Ambassador
quote:
had experienced a silent MI within the past two weeks
quote:
In short, the cardiologist told me after performing another EKG that I had not had a silent MI and that he agreed with me that I should not take the cholesterol medicine. Basically the article in the OP is a summary of what he told me
EKG's get over interpreted all the time especially if reading the text the machine gives.
Many docs are coming around. My GP is a raw vegan. One of the gastric bypass docs we work with is HARDCORE vegan as well. I know the OP is going more to paleo. These docs would disagree. But bottom line is anything is better than the standard American diet. Or western diet. Meat was never meant to be a human staple. It was a luxury in the old days and has become staple.
I try to cut meat and dairy out about 75%. Still allow for cheat meals but am looking more into anti inflammatories.
Posted on 1/26/14 at 9:33 am to LSU alum wannabe
quote:
Meat was never meant to be a human staple.
What do you have to back up this statement?
Posted on 1/26/14 at 9:37 am to LSU alum wannabe
quote:
Meat was never meant to be a human staple
Posted on 1/26/14 at 9:46 am to Patrick O Rly
quote:
I'm curious, did you start eating better during this whole ordeal?
Initially at first and lost 35 pounds. I have been traveling for work for a while and have slipped into old habits. I am about to get back into a more consistent routine and plan to get back on track.
Posted on 1/26/14 at 9:48 am to C
Think this doc was sued for bad medical practices and lost his licence.
Posted on 1/26/14 at 9:49 am to Ambassador
quote:
Initially at first and lost 35 pounds. I have been traveling for work for a while and have slipped into old habits. I am about to get back into a more consistent routine and plan to get back on track.
What did you change in your diet?
Posted on 1/26/14 at 9:56 am to Patrick O Rly
I went to a modified Atkins diet. High protein with a drastic cutback in carbs but did not eliminate them.
I love country cooking. Give a menu of protein (roast, chicken, wild game, ground beef, etc) with starch and gravy, garden vegetables (purple hull peas, greens, etc) and corn bread and mix in a steak and potato meal and seafood every once in a while and I am thrilled.
I stayed with the proteins but limited myself to salads and greens, green beans, and green peas. It worked well for me.
I love country cooking. Give a menu of protein (roast, chicken, wild game, ground beef, etc) with starch and gravy, garden vegetables (purple hull peas, greens, etc) and corn bread and mix in a steak and potato meal and seafood every once in a while and I am thrilled.
I stayed with the proteins but limited myself to salads and greens, green beans, and green peas. It worked well for me.
Posted on 1/26/14 at 9:58 am to Elcid96
Go read Grain Brain... Eat more steak...
Posted on 1/26/14 at 10:03 am to C
quote:Dr. Dwight C. Lundell's license to practice medicine was stripped from him in Oct 2008
Heart Surgeon declares "we were wrong" re causes of heart disease
Posted on 1/26/14 at 10:12 am to NC_Tigah
From your link, they took away his medical license 4 years after he retired.
Posted on 1/26/14 at 10:21 am to austingator
quote:Actually, FWIW, the medical literature is pretty ambiguous regarding salt restriction. There is a lot of [generally older] data that supports salt restriction in the diet, but there seems to be more (and more convincing) data that salt restriction should not be recommended. I'd say the trend in medicine is shying away from salt restriction in the diet, at least at the university hospital where I work.
Similar crap will come out regarding salt recommendations.
Posted on 1/26/14 at 10:23 am to Patrick O Rly
quote:The whole thing is odd. A Physician who is retired, and does not practice medicine in any way nor anticipate returning to practice, normally does not maintain licensure. Why was the Medical Board forced to strip it?
From your link, they took away his medical license 4 years after he retired.
Posted on 1/26/14 at 10:25 am to Patrick O Rly
quote:
Organs are pretty rich in vitamins. Most people don't have the palate for them though.
Calves liver and onions . . . love it.
Posted on 1/26/14 at 10:25 am to NC_Tigah
Maybe they're trying to discredit him.
Posted on 1/26/14 at 10:29 am to Patrick_Bateman
quote:Not always the case, btw.
salt restriction should not be recommended
E.g., Salt restriction remains an important adjunct in treatment of CHF.
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