Varicose Veins: Pathophysiology
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Insulin Resistance
Insulin Resistance: The Silent Epidemic I guess I’ve heard it in the background of my medical career for the last 20 years. It started off as a whisper in the early 2000s when I read an article in medical school about the diabetes epidemic, I vividly recall graph showing the inflection point of diabetes coinciding with […]
Let it Go!
One thing I really enjoy each time I meet a new patient is the initial interview. That interview gives you so much information about the patient and possibly your only chance make a positive impact on that person’s life. Earlier in my career, I would focus on the content that I would get from these interviews i.e. […]
A Cardiologist’s Three-Phase Approach to Cardiovascular Health
In managing cardiovascular health, a structured, phased approach ensures comprehensive care tailored to each patient’s needs. Here, we outline a three-phase strategy to optimize treatment for those with cardiovascular and related disorders. Phase One: Putting Out the Fires The first phase focuses on stabilizing patients who have recently experienced acute cardiovascular events or have uncontrolled […]
Fasting Guide
Fasting (Google definition): “…abstinence from food or drink or both for health, ritualistic, religious, or ethical purposes” It seems poignant to write about Fasting in the Holy Month of Ramadan as fasting as it has long been part of every religious tradition. Yet another example of ancient wisdom still holding true now! It is quite […]
The Heart and Wellness Center Nutrition Guide
As you can imagine, nutrition has become a huge part of my day-to-day practice. It is my firm belief that nutrition and exercise or activity are the most important determinates of health. The adage “you are what you eat” turns out to be literally true as the molecules we consume every day become part of […]
A Patent Foramen Ovale
A PFO is a small hole between the Left and Right Atriums (upper chambers) of the heart. It’s purpose was to divert oxygenated blood from the Placenta to the Left side of the heart (avoiding the yet non functioning lungs) and the rest of the body! It’s persistence past birth is called “PFO”. It is […]
You should see a Cardiologist when..
1-Do you get chest pain/tightness or difficulty breathing with activities? These symptoms could be caused by blockages in your heart arteries or weakness of the heart muscle. We diagnose these illnesses with Echocardiograms and Nuclear Stress Tests that look at the heart muscle and circulation non invasively. 2-Do you get fast or irregular heartbeats? This […]
Hypertension: the silent killer.
Essential Hypertension is by far the most prevalent Cardiovascular disorder in the world and afflicts nearly one half the US population. It is amongst the highest causes of Heart Attack, Stroke and Kidney Disease. It can go on for years without having symptoms. That is why it is colloquially known as the “silent killer”. This is ironic as its detection is […]
Vasovagal Syncope
43 yo male briefly looses consciousnesses while taking a long hot shower. A slight dizziness sensation and partial tunnel vision preceded the event and then lights out. He regains awareness as he feels a crushing sensation (and sound) in his face and nose. He is taken to the ED by some awesome EMS personal and […]
