• Roni Spanish Rice Beef Short Ribs Bad Cholesterol

    Updated: 2012-09-28 05:44:58
    Is a roni spanish rice bad for cholesterol QUESTION I love to eat roni Spanish rice is it bad for cholesterol I have a family history of high cholesterol problems . ANSWER Hi , Interesting about this type of rise is that it does not contain cholesterol at all . That is pretty good because by eating this type of rice , you can maintain the normal amount of cholesterol in your organism . Although Roni Spanish rice does not have cholesterol , it has a lot of calories , about 185, meaning that this food provides you a lot of . energy According to the label , if the rice is cooked , cholesterol does not increase , meanwhile , there is an elevation in the non-saturated fatty acids . This elevation is pretty good , because this is protection you organism form developing atherosclerosis As you may

  • Unintended Consequences (Part I)

    Updated: 2012-09-25 20:08:15
    My past few blogs have been about issues with the electronic medical record.  I did not get to one big issue that has now had the scab ripped off by the New York Times this past weekend.  On September 21, 2012, the Times published an article entitled “Medicare Bills Rise as Records Turn Electronic.” How [...]

  • Meaningful Use (Part III)

    Updated: 2012-09-21 19:22:54
    Onward and upward. 8.  Vital signs – this is self-explanatory.  In a blog I will be writing next week, you will see an example of how this has already gotten physicians in trouble. 9.  Record smoking status – The Feds want to know how many patients are still smoking.  More to the point, if I [...]

  • Fish oils fail to prevent cardiovascular events in diabetics

    Updated: 2012-09-19 21:53:47
    TweetThe use of fish derived n-3 fatty acids following myocardial infarction has been shown to be beneficial in preventing further cardiovascular events and reducing mortality, particularly from sudden cardiac death. However the effects of these drugs in preventing cardiovascular events in high risk patients with (or at risk for) type 2 diabetes mellitus, but who [...]

  • Biaxin Zocor Interaction

    Updated: 2012-09-19 02:27:08
    Biaxin Zocor Interaction QUESTION Do I have to take Biaxin while taking Zocor Is there any interaction between these two drugs ANSWER Hi , there Before explaining you why you don’t have to take Biaxin and Zocor together , I will give you some information about those drugs . First Biaxin is known as Claritromicyn an antibiotic used for the treatment of various types of infection . Generally , this drug inhibits a group of enzymes known as CYP3A4. Those enzymes are responsible for the metabolism of certain drugs , like statins PPIs and many more . However , when they are inhibited blocked the mentioned drugs are accumulating in the organism , which aggravates the risk of related side effects . Regarding Zocor Simvastatin , you have to know that this is a drug , which lowers the endogenous

  • Meaningful Use ? (Part II)

    Updated: 2012-09-18 21:35:09
    The payments for the “meaningful use” of the EMR are based on scores that are achieved on the objectives, which are divided into Stage I and Stage II.  Let me again emphasize that I am not making this up. Stage I consists of 15 core objectives that must all be reported.  I will enumerate them [...]

  • Can cholesterol-lowering statin drugs cause memory problems?

    Updated: 2012-09-14 20:30:17
    Several recent press articles indicate possible ill effects of statin drugs on the brain, especially with regard to cognitive capabilities. As an 86-year-old male, generally in good health, but taking 20 mg of simvastatin daily, what should I know about...

  • Meaningful use? (Part I)

    Updated: 2012-09-13 18:13:23
    We in medicine make up the final frontier of Luddites. Who were the Luddites?  They were a group started in England in the early 1800′s by Ned Ludd who smashed new fangled mechanical looms because they were replacing workers.  The term evolved into a more general meaning of people who were against technological change.  As Wikipedia [...]

  • Study casts doubt on fish-oil pills for heart disease

    Updated: 2012-09-12 16:00:00
    The idea that fish-oil pills protect the heart has hit another snag now that a comprehensive review concludes that the supplement doesn't lower the risk of death, heart attack, or stroke among people at increased cardiovascular risk. Greek researchers looked...

  • Letting go again

    Updated: 2012-09-11 22:11:31
    My patients and readers of my blog know that one of my favorite themes is how little we doctors really know, but we love making stuff up. Much of the stuff we make up is in the category of urban legends.  Urban legends are items that really don’t exist or work, but popular imagination and [...]

  • Letting go (Part II)

    Updated: 2012-09-06 22:05:13
    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 Infarction with Cardiogenic Shock,” the reality of this procedure so dear to interventional cardiologists’ hearts was spelled out. Presented by Dr. Holger Thiele from the University of Leipzig Germany, [...]

  • Millions of Americans have high blood pressure despite treatment, CDC says

    Updated: 2012-09-05 20:00:33
    Some 36 million Americans don't have their high blood pressure under control, although many take medication and see a doctor regularly. That's according to a new report out this week from the Centers for Disease Control and Prevention, which urged...

  • Are you protecting yourself and those you love from heart disease?

    Updated: 2012-09-05 16:54:17
    Which side of the cholesterol debate are you on? Are you a “believer” or a “skeptic”? Watch the video below to find out how both of these perspectives could be putting you at unnecessary risk for heart disease, and what you can do to protect yourself and those you love. The High Cholesterol Action Plan [...]

  • Flec-SL: short- vs. long-term flecainide after AF cardioversion

    Updated: 2012-09-05 14:41:03
    TweetThe goal of antiarrhythmic therapy following cardioversion for atrial fibrillation (AF) is to prevent further recurrences for as long as possible.  However, it is known that the atrial action potential normalises after 2-4 weeks of sinus rhythm, suggesting that drugs may not be essential in the long-term.  The goal of this study was to investigate [...]

  • Letting go (Part I)

    Updated: 2012-09-04 20:17:27
    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 the edge of progress.  Simple things like actually washing your hands until recently haven’t gotten that much attention, but eventually [...]

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