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re: Heart Surgeon declares "we were wrong" re causes of heart disease

Posted on 1/26/14 at 1:12 pm to
Posted by Rex
Here, there, and nowhere
Member since Sep 2004
66001 posts
Posted on 1/26/14 at 1:12 pm to
quote:

Interesting in light of the newly released ATP4 guidelines that recommend statins like candy.

Candy is a statin? That's GREAT news.
Posted by WikiTiger
Member since Sep 2007
41055 posts
Posted on 1/26/14 at 1:15 pm to
quote:

I'd argue that we'd made carbs and grains the staple of our diets, and meats/fats got blamed unfairly for the resulting health problems.


You're right.

We only became an agricultural species about 15,000 years ago. For the preceding 180,000 years or so, and the millions more before homo sapien, animal parts (meat, organs, marrow, etc.) were the primary staple of our diets, supplemented with found plants (roots, nuts, fruits, etc.).




Posted by Jake88
Member since Apr 2005
68737 posts
Posted on 1/26/14 at 1:21 pm to
quote:

Interesting in light of the newly released ATP4 guidelines that recommend statins like candy.


Statins reduce the levels of LDL cholesterol which can be high despite normal total cholesterol. Statins also reduce the inflammation that the article talks about as noted by it's ability to reduce hsC-Reactive protein levels.


Posted by LSUwag
Florida man
Member since Jan 2007
17321 posts
Posted on 1/26/14 at 1:42 pm to
I think he's spot on. My Dr. regularly tests me for inflammation and we work to keep it as low as possible. (Mine is indeed elevated)
Posted by VOR
Member since Apr 2009
63751 posts
Posted on 1/26/14 at 1:48 pm to
quote:

Statins reduce the levels of LDL cholesterol which can be high despite normal total cholesterol. Statins also reduce the inflammation that the article talks about as noted by it's ability to reduce hsC-Reactive protein levels.


Statins may not be for everybody, but if prescribed wisely they are pretty fricking effective (Lipitor especially in my case). . . and not just for preventing heart disease and stroke. If you're in pretty good health, they need not be taken in large doses or even every day. A lot of people take them every other day and get great results.
Posted by Jake88
Member since Apr 2005
68737 posts
Posted on 1/26/14 at 1:51 pm to
I realize that they're not for everyone, but many of the docs I'm friends with take them in low doses as a preventative measure.
Posted by S.E.C. Crazy
Alabama
Member since Feb 2013
7905 posts
Posted on 1/26/14 at 1:53 pm to
Yes, but it is the inflaming that causes the harm, not the cholesterol.

Posted by ironsides
Nashville, TN
Member since May 2006
8153 posts
Posted on 1/26/14 at 1:54 pm to
quote:

5,000 surgeries over a 25 year career? That's 200 per year. A "good" heart surgeon would do 5,000 in 5 to 10 years.


200 per year is ~.75 per day worked. My dad had open heart surgery and it took from 7am to noon? Plus the dr has to do rounds see patients and diagnose conditions? Doesn't seem all that low to me to be doing 4ish per week?
Posted by C
Houston
Member since Dec 2007
27845 posts
Posted on 1/26/14 at 2:32 pm to
Yeah averaging 4 heart surgeries over a 5 year period seems awfully high.
Posted by Diamondawg
Mississippi
Member since Oct 2006
32516 posts
Posted on 1/26/14 at 2:36 pm to
quote:

200 per year is ~.75 per day worked. My dad had open heart surgery and it took from 7am to noon? Plus the dr has to do rounds see patients and diagnose conditions? Doesn't seem all that low to me to be doing 4ish per week?

Most pre-op workup and much of the follow-up is done by the Cardiologist; not the cardiac surgeon. The surgeon was not present the entire time during your dad's surgery. A busy surgeon would do 2-4 some days of the week. If my cardiac surgeon was doing 4 per week, I would find another surgeon. Implies to me that he/she isn't very good and not sought out.
Posted by kingbob
Sorrento, LA
Member since Nov 2010
67296 posts
Posted on 1/26/14 at 2:43 pm to
This explains how my gf's family all lives to be over 100 while mine all drop dead at 70 from heart disease. In her family, there's a lot of food allergies to stuff like corn, soybeans, gluten, peanuts, sesame seeds, ect. These are the biggest ingredients in processed foods. As a result, her family eats far less of processed foods than mine does. This explains a lot and confirms what I always believed about people who are put on bland, "healthy", diets due to cholesterol. The stress of having to keep to the diet causes more damage than the diet can reverse. The stress and loss of joy from eating what they love kills them.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124688 posts
Posted on 1/26/14 at 2:45 pm to
quote:

200 per year is ~.75 per day worked. My dad had open heart surgery and it took from 7am to noon? Plus the dr has to do rounds see patients and diagnose conditions? Doesn't seem all that low to me to be doing 4ish per week?
Don't know what the number quoted actually entails.
Normally it would represent all surgeries/procedures performed in the OR, not just "open heart" cases.

For 10 yrs, at what would have been the peak of this fellow's career, CABG was the most frequent, or one of the most frequent surgeries done in the US.

All said though, 200 cases/yr is not of itself any sort of red flag.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27058 posts
Posted on 1/26/14 at 3:06 pm to
quote:

We only became an agricultural species about 15,000 years ago. For the preceding 180,000 years or so, and the millions more before homo sapien, animal parts (meat, organs, marrow, etc.) were the primary staple of our diets, supplemented with found plants (roots, nuts


I understand. We have been hunter gatherers. Like I said. I believe we, like some other primates, are omnivores. Can always squabble over how much meat.

For every paleo or Atkins expert/supporter you can cite I can counter with an Essylstein or MacDougal.

Even vegans will squabble over grains vs fruits and veggies as primary food.
Posted by Patrick O Rly
y u do dis?
Member since Aug 2011
41187 posts
Posted on 1/26/14 at 3:37 pm to
Everyone's body is different. It might operate better on a different diet. I think we can all agree that FDA food recommendations are crap.
Posted by VOR
Member since Apr 2009
63751 posts
Posted on 1/26/14 at 6:28 pm to
quote:

I realize that they're not for everyone, but many of the docs I'm friends with take them in low doses as a preventative measure.


As I understand it, the studies show that the group on statins have lower premature death rates (my term . . . can't remember it exactly) from all causes. Kind of amazing.
Posted by lsu777
Lake Charles
Member since Jan 2004
31803 posts
Posted on 1/26/14 at 9:08 pm to
About time someone in the medical spoke about this. Most in the fitness industry have been knowing this for years.its pretty much what the low carb and paleo diets are based on. And there is a ton of science support ing the doctors opinion.

Its too bad he Will be vilified though by the government and their minions. Fact is if everyone ate like this there would not be enough food for everyone. So the government pushes grains as they are easy to grow. Just more propaganda.
Posted by lsu777
Lake Charles
Member since Jan 2004
31803 posts
Posted on 1/26/14 at 9:19 pm to
Pretty much the opposite of what u said. Read your history, we ate fruit first, then meat. We always ate the organs and bone marrow also. We also ate most food raw, which provides much more nutrients.

I encourage everyone to read the Spartan diet.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 1/26/14 at 9:26 pm to
LINK

LINK
This post was edited on 1/26/14 at 9:29 pm
Posted by VOR
Member since Apr 2009
63751 posts
Posted on 1/26/14 at 9:32 pm to
Meh, in the end it's mostly about genetics as far as I can tell.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124688 posts
Posted on 1/26/14 at 9:35 pm to
to a large extent
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