Sitting at the intersection of emergency medicine and longevity medicine has allowed me to see that the field of longevity medicine should not neglect to encourage people to prepare for treatable emergencies. How tragic is it to imagine an individual who invests in an aggressive approach to avoiding chronic disease, only for them to perish from a treatable emergency?
Physicians Should Not Use HbA1c Alone to Screen for Diabetes
HbA1c is inadequate to diagnose early diabetes much less its precursor, insulin resistance. Any serious approach to longevity and preventive medicine must include a more rigorous screening plan.
The Wealth of Selection
“There was an air of luxury about the room, but it was the luxury of expert simplicity; she noted the costly furniture, carefully chosen for comfort, bought somewhere at a time when luxury had still been an art. There were no superfluous objects…This was Mulligan’s concept of wealth, she thought—the wealth of selection, not of accumulation.”
— Ayn Rand, Atlas Shrugged
Discussion with Danielle Miller, MD on Functional Hypothalamic Amenorrhea
I wrote up a case from a patient of mine who was diagnosed and successfully treated for functional hypothalamic amenorrhea. A colleague of mine who specializes in fertility wellness helped me a great deal with this case. She and I got together on Zoom to discuss details of the case. I hope you enjoy the video and the show notes.
My Colonoscopy & My Thoughts on Colonoscopy Guidelines
If you’re wondering why I had this done at age 36, it was actually because I had a few concerning symptoms. Thankfully, I received a clean bill of health. However, had I not had symptoms, I still would have opted for a screening colonoscopy in four years from now when I’ll turn 40.
Blood Pressure Part Two: Lower is Better
The problem is that people with “normal” or merely “elevated” blood pressure, while at higher risk for cardiovascular disease, stroke, and death than their counterparts with lower blood pressure, are not managed with lifetime prevention and longevity in mind.
Time-Restricted Eating Doesn’t Work?
Last week, the New York Times published an article with the title “Scientists Find No Benefit to Time-Restricted Eating.” This is not accurate.
Blood Pressure Part One: What is “normal?”
There is a significant body of evidence suggesting that lower (sub-normal) blood pressures might help delay the onset of cardiovascular and cerebrovascular disease over the course of a lifetime.
A New Way to Build Strength That Requires Little Time and No Experience
Many people never become stronger because they think strength training requires a lot of time and experience. Thankfully, these are total misconceptions.
“The Rescue” – A Tale of Resilience
The documentary “The Rescue,” produced by National Geographic chronicles the 2018 rescue of the Thai Boy’s soccer team in brilliant fashion. Despite that I already knew the outcome, I was on edge for the duration of the program.
Homocysteine: When Guidelines Fall Short
While the data, evidence, and expert opinion is mixed, I believe that it’s important to measure homocysteine levels
Jack Lovelock: World Record Breaking Mile Runner, Olympic Gold Medalist, Rhodes Scholar, Physician
Lovelock’s “Some Medical Considerations of Sports and Games” is a five page article written in 1939 about the way a medical man, to use Lovelock’s language, should help guide children to health through the practice of athletics.