Comments for Smarter Heart University http://www.smarterheartuniversity.com Higher Heart Learning Without the Confusion Mon, 19 Dec 2011 16:27:58 +0000 hourly 1 http://wordpress.org/?v=3.2.1 Comment on THIS JUST IN: GOOD NEWS, BAD NEWS FOR 2012 AND HEART DISEASE by DrScott http://www.smarterheartuniversity.com/this-just-in-good-news-bad-news-for-2012-and-heart-disease/#comment-643 DrScott Mon, 19 Dec 2011 16:27:58 +0000 http://www.smarterheartuniversity.com/?p=1681#comment-643 http://my.americanheart.org/professional/General/Heart-Disease-and-Stroke-2012-Statistical-Update_UCM_434526_Article.jsp http://my.americanheart.org/professional/General/Heart-Disease-and-Stroke-2012-Statistical-Update_UCM_434526_Article.jsp

]]> Comment on THIS JUST IN: PREVENTING STROKE WITH DIET OR VITAMINS–WHAT WORKS, WHAT DOESN’T by Carol Leonard http://www.smarterheartuniversity.com/this-just-in-preventing-stroke-with-diet-or-vitamins-what-works-what-doesnt/#comment-642 Carol Leonard Mon, 19 Dec 2011 14:11:35 +0000 http://www.smarterheartuniversity.com/?p=1673#comment-642 Hey Dr. Scott - I just read an article this morning about a study in Sweden which indicated that diets rich in antioxidant foods, specifically fruits and vegetables, reduce risk factors associated with stroke. It went on to explain that the flavanoids, carotinoids and antioxidant vitamins C and E in these foods help reduce the oxidative stress that contributes to stroke. The article said the report was published in the Stroke journal of the American Heart Association. Also, looking forward to your live webcasts. When will they get underway? Hey Dr. Scott – I just read an article this morning about a study in Sweden which indicated that diets rich in antioxidant foods, specifically fruits and vegetables, reduce risk factors associated with stroke. It went on to explain that the flavanoids, carotinoids and antioxidant vitamins C and E in these foods help reduce the oxidative stress that contributes to stroke. The article said the report was published in the Stroke journal of the American Heart Association. Also, looking forward to your live webcasts. When will they get underway?

]]> Comment on THIS JUST IN: VITAMIN D AND THE HEART…PROMISING OR IMPROBABLE? by DrScott http://www.smarterheartuniversity.com/this-just-in-vitamin-d-and-the-heart-promising-or-improbable/#comment-640 DrScott Fri, 02 Dec 2011 02:44:22 +0000 http://www.smarterheartuniversity.com/?p=1642#comment-640 As with any pharmaceutical OR vitamin/nutraceutical, the concept of “bioavailability” and “absorption” come into play. We follow levels regularly, then uptitrate or downtitrate accordingly, meaning medicine is not one size fits all, and one dosage never fits all people! As with any pharmaceutical OR vitamin/nutraceutical, the concept of “bioavailability” and “absorption” come into play. We follow levels regularly, then uptitrate or downtitrate accordingly, meaning medicine is not one size fits all, and one dosage never fits all people!

]]> Comment on THIS JUST IN: VITAMIN D AND THE HEART…PROMISING OR IMPROBABLE? by Carol Leonard http://www.smarterheartuniversity.com/this-just-in-vitamin-d-and-the-heart-promising-or-improbable/#comment-639 Carol Leonard Wed, 30 Nov 2011 15:06:24 +0000 http://www.smarterheartuniversity.com/?p=1642#comment-639 I delved a little further into this report and learned that the author of the study you refer to, Dr. Jared Bunch, who is director of electrophysiology research at Intermountain Medical Center in Utah, was referring to patients in the study with excessively high levels of Vitamin D as those whose levels were above 100 ng/ml. Levels this high are hard to achieve, even when taking 2,000-4,000 IUs a day. Case in point, last year my husband was taking 2,000 IUs a day in addition to the 500 IUs in his multiple vitamin supplement and he only had a Vitamin D level of 30. I have been taking a total of about 5,000 IUs a day with my combined supplements and have never reached a blood level over 76 when I have been tested. Dr. Bunch also suggests that the normal range for Vitamin D levels should be between 40-80. Unfortunatly, the media hyped this more than necessary. I delved a little further into this report and learned that the author of the study you refer to, Dr. Jared Bunch, who is director of electrophysiology research at Intermountain Medical Center in Utah, was referring to patients in the study with excessively high levels of Vitamin D as those whose levels were above 100 ng/ml. Levels this high are hard to achieve, even when taking 2,000-4,000 IUs a day. Case in point, last year my husband was taking 2,000 IUs a day in addition to the 500 IUs in his multiple vitamin supplement and he only had a Vitamin D level of 30. I have been taking a total of about 5,000 IUs a day with my combined supplements and have never reached a blood level over 76 when I have been tested. Dr. Bunch also suggests that the normal range for Vitamin D levels should be between 40-80. Unfortunatly, the media hyped this more than necessary.

]]> Comment on THIS JUST IN: STATINS AND CANCER–CAN WE FINALLY SAY NO ASSOCIATION? by DrScott http://www.smarterheartuniversity.com/this-just-in-statins-and-cancer-can-we-finally-say-no-association/#comment-637 DrScott Mon, 28 Nov 2011 16:56:46 +0000 http://www.smarterheartuniversity.com/?p=1644#comment-637 HPSCG "Effects on 11-year mortality and morbidity of lowering LDL cholesterol with simvastatin for about 5 years in 20,536 high-risk individuals: a randomized controlled trial" Lancet 2011; DOI: 10.1016/S0140-6736(11)61125-2. HPSCG “Effects on 11-year mortality and morbidity of lowering LDL cholesterol with simvastatin for about 5 years in 20,536 high-risk individuals: a randomized controlled trial” Lancet 2011; DOI: 10.1016/S0140-6736(11)61125-2.

]]> Comment on FROM THE “SO, NOW WHAT DO WE DO FILE”: LOW FAT, LOW CARB DIETS MAY BE OF NO BENEFIT by DrScott http://www.smarterheartuniversity.com/from-the-%e2%80%9cso-now-what-do-we-do-file%e2%80%9d-low-fat-low-carb-diets-may-be-of-no-benefit/#comment-635 DrScott Wed, 16 Nov 2011 13:02:47 +0000 http://www.smarterheartuniversity.com/?p=1617#comment-635 http://www.annals.org/content/153/3/147.abstract (as often the case, a paid subscription is required with some of these journals) I have always provided link when asked so it is a perfectly good request! http://www.annals.org/content/153/3/147.abstract (as often the case, a paid subscription is required with some of these journals) I have always provided link when asked so it is a perfectly good request!

]]> Comment on FROM THE “SO, NOW WHAT DO WE DO FILE”: LOW FAT, LOW CARB DIETS MAY BE OF NO BENEFIT by susan wyenn http://www.smarterheartuniversity.com/from-the-%e2%80%9cso-now-what-do-we-do-file%e2%80%9d-low-fat-low-carb-diets-may-be-of-no-benefit/#comment-634 susan wyenn Wed, 16 Nov 2011 12:32:04 +0000 http://www.smarterheartuniversity.com/?p=1617#comment-634 please advise how to see the whole article "FROM THE “SO, NOW WHAT DO WE DO FILE”: LOW FAT, LOW CARB DIETS MAY BE OF NO BENEFIT"...there is no link???? please advise how to see the whole article “FROM THE “SO, NOW WHAT DO WE DO FILE”: LOW FAT, LOW CARB DIETS MAY BE OF NO BENEFIT”…there is no link????

]]> Comment on THIS JUST IN: UPDATED GUIDELINES TO PREVENT THE SECOND EVENT! by Carol Leonard http://www.smarterheartuniversity.com/this-just-in-updated-guidelines-to-prevent-the-second-event/#comment-631 Carol Leonard Wed, 09 Nov 2011 14:04:13 +0000 http://www.smarterheartuniversity.com/?p=1611#comment-631 Sounds like a great move in the right direction toward prevention. That's what good medical care should be about in all circumstances. Here's to less meds and more lifestyle adjustment! Sounds like a great move in the right direction toward prevention. That’s what good medical care should be about in all circumstances. Here’s to less meds and more lifestyle adjustment!

]]> Comment on NEW GENETIC LAB TEST TO SCREEN PATIENTS ON STATINS FOR HARMFUL MUSCLE DAMAGE by DrScott http://www.smarterheartuniversity.com/new-genetic-lab-test-to-screen-patients-on-statins-for-harmful-muscle-damage/#comment-628 DrScott Wed, 09 Nov 2011 02:31:42 +0000 http://www.smarterheartuniversity.com/?p=1613#comment-628 Generally speaking, 20mg or less of Simvastatin has much less drug interaction and less chance of myalgias or worse. We try to stay at low doses of all statins in our practice and use combination therapy to attain our cholesterol goals. Generally speaking, 20mg or less of Simvastatin has much less drug interaction and less chance of myalgias or worse. We try to stay at low doses of all statins in our practice and use combination therapy to attain our cholesterol goals.

]]> Comment on NEW GENETIC LAB TEST TO SCREEN PATIENTS ON STATINS FOR HARMFUL MUSCLE DAMAGE by Mary Long http://www.smarterheartuniversity.com/new-genetic-lab-test-to-screen-patients-on-statins-for-harmful-muscle-damage/#comment-627 Mary Long Wed, 09 Nov 2011 02:02:18 +0000 http://www.smarterheartuniversity.com/?p=1613#comment-627 Thanks Dr. Scott! My doctor just prescribed this for me. Thanks Dr. Scott! My doctor just prescribed this for me.

]]> Comment on POLL: WOULD YOU TAKE LIFESTYLE ADVICE (WEIGHT LOSS, EXERCISE) FROM AN OVERWEIGHT DOC? by Carol Leonard http://www.smarterheartuniversity.com/poll-would-you-take-lifestyle-advice-weight-loss-exercise-from-an-overweight-doc/#comment-623 Carol Leonard Thu, 27 Oct 2011 13:11:27 +0000 http://www.smarterheartuniversity.com/?p=1586#comment-623 It absolutely would matter if my healthcare provider was obese. It's hard to take advice from someone who doesn't "walk the walk," as they say. By the way, I'm looking forward to the live webcasts. It will be good to have you docs back. It absolutely would matter if my healthcare provider was obese. It’s hard to take advice from someone who doesn’t “walk the walk,” as they say. By the way, I’m looking forward to the live webcasts. It will be good to have you docs back.

]]> Comment on Download The SHU Mediterranean Diet by DrScott http://www.smarterheartuniversity.com/the-smarter-heart-university-mediterranean-diet/#comment-609 DrScott Thu, 06 Oct 2011 23:36:34 +0000 http://www.smarterheartuniversity.com/?p=416#comment-609 So many downloads of this and amazingly you are the first to comment on what is missing. The list was adapted from Duke university paper issued to Lipidologists 2004. Since the Mediterranean diet recognizes 4 regular eggs weekly and eggs themselves constitute what we call “dietary” cholesterol, egg whites are more of a taste preference currently. Since olive oil is not a food group specifically I imagine that is why it did not make the list. That being said, the more olive oil the better! So many downloads of this and amazingly you are the first to comment on what is missing. The list was adapted from Duke university paper issued to Lipidologists 2004. Since the Mediterranean diet recognizes 4 regular eggs weekly and eggs themselves constitute what we call “dietary” cholesterol, egg whites are more of a taste preference currently. Since olive oil is not a food group specifically I imagine that is why it did not make the list. That being said, the more olive oil the better!

]]> Comment on Download The SHU Mediterranean Diet by Keith http://www.smarterheartuniversity.com/the-smarter-heart-university-mediterranean-diet/#comment-606 Keith Tue, 04 Oct 2011 17:01:33 +0000 http://www.smarterheartuniversity.com/?p=416#comment-606 Egg Whites?? Olive Oil?? Egg Whites??

Olive Oil??

]]> Comment on Dementia: It’s Not Just The A Word Anymore by DrScott http://www.smarterheartuniversity.com/dementia-its-not-just-the-a-word-anymore/#comment-601 DrScott Sat, 01 Oct 2011 13:03:45 +0000 http://www.smarterheartuniversity.com/?p=1557#comment-601 Great question. We regularly have to address this issue with long term single or dual blood thinners (eg aspirin, plavix etc) for heart disease. NSAIDS are short acting blood thinners that taken long term led to issues with kidney and liver dysfunction, edema, hypertension and GI bleeding. While dementia is lessened, it is far safer to take a natural anti-inflammatory approach using up to 4000mg/day omega 3 fatty acids and curcumin which are well documented aids in this arena. Great question. We regularly have to address this issue with long term single or dual blood thinners (eg aspirin, plavix etc) for heart disease. NSAIDS are short acting blood thinners that taken long term led to issues with kidney and liver dysfunction, edema, hypertension and GI bleeding. While dementia is lessened, it is far safer to take a natural anti-inflammatory approach using up to 4000mg/day omega 3 fatty acids and curcumin which are well documented aids in this arena.

]]> Comment on Dementia: It’s Not Just The A Word Anymore by Carol Leonard http://www.smarterheartuniversity.com/dementia-its-not-just-the-a-word-anymore/#comment-597 Carol Leonard Wed, 28 Sep 2011 17:58:35 +0000 http://www.smarterheartuniversity.com/?p=1557#comment-597 Hey Dr. Scott - I listened to most of the show this morning and will go back to listen to the podcast for the last 15 minutes I missed. I was very interested to hear the part about the use of NSAIDS to decrease inflammation that may contribute to dimentia -- and heart disease. I only take these when I feel I need immediate pain relief. I would prefer to take natural anti-inflammatories on a long term basis. I have been taking fish oil and recently started taking curcumin. What are your thoughts about these and other natural sources that fight inflammation instead of pharmaceutical NSAIDS on a regular basis? Hey Dr. Scott – I listened to most of the show this morning and will go back to listen to the podcast for the last 15 minutes I missed. I was very interested to hear the part about the use of NSAIDS to decrease inflammation that may contribute to dimentia — and heart disease. I only take these when I feel I need immediate pain relief. I would prefer to take natural anti-inflammatories on a long term basis. I have been taking fish oil and recently started taking curcumin. What are your thoughts about these and other natural sources that fight inflammation instead of pharmaceutical NSAIDS on a regular basis?

]]> Comment on TOMORROW 10AM: 2011 AFIB UPDATE ON YOUR SHU by DrScott http://www.smarterheartuniversity.com/tomorrow-10am-2011-afib-update-on-your-shu/#comment-589 DrScott Thu, 22 Sep 2011 01:44:56 +0000 http://www.smarterheartuniversity.com/?p=1541#comment-589 Christine, I discussed traditional or RadioFrequency ablation using an alternating current to heat the tissue resulting in thermal injury. Most Electrophysiologists, including ours at the Jersey Shore, utilize Cryothermy AKA Cryoablation with a nitrous oxide cooled probe to -60 degrees which has the advantage of notissue vaporization or charring leaving a smooth surface. The cryo balloon catheter freezing the heart tissue appears to be the favorite at present. The STOP AF CryoAblation trial in 2010 appeared to reduce symptoms in 80% at one year. Long term recurrence continues to be studied to my knowledge. Christine, I discussed traditional or RadioFrequency ablation using an alternating current to heat the tissue resulting in thermal injury. Most Electrophysiologists, including ours at the Jersey Shore, utilize Cryothermy AKA Cryoablation with a nitrous oxide cooled probe to -60 degrees which has the advantage of notissue vaporization or charring leaving a smooth surface. The cryo balloon catheter freezing the heart tissue appears to be the favorite at present. The STOP AF CryoAblation trial in 2010 appeared to reduce symptoms in 80% at one year. Long term recurrence continues to be studied to my knowledge.

]]> Comment on TOMORROW 10AM: 2011 AFIB UPDATE ON YOUR SHU by Christine http://www.smarterheartuniversity.com/tomorrow-10am-2011-afib-update-on-your-shu/#comment-587 Christine Wed, 21 Sep 2011 14:59:56 +0000 http://www.smarterheartuniversity.com/?p=1541#comment-587 What are your thoughts on Cryoablation? Thanks for the info on the Pradaxa.. and afib... Had Cryo in August and now {knock on wood) no afib... To your Knowledge what is the sucess rate, between RF and Cryo.. and long term reaccurance? What are your thoughts on Cryoablation? Thanks for the info on the Pradaxa.. and afib… Had Cryo in August and now {knock on wood) no afib… To your Knowledge what is the sucess rate, between RF and Cryo.. and long term reaccurance?

]]> Comment on What do your Dentist and Your Heart Have in Common? The Mysteries of Plaque by LLoyd Stone http://www.smarterheartuniversity.com/what-do-your-dentist-and-your-heart-have-in-common-the-mysteries-of-plaque/#comment-549 LLoyd Stone Thu, 15 Sep 2011 15:12:17 +0000 http://www.smarterheartuniversity.com/?p=1519#comment-549 Dr. Scott, This show was excellent. I suggested the subject about six minths ago if you recall. It was facinating to hear four professionals learn from each other "live." Learning about warning signs, as a parent of young adults compells me to get the word out to the younger. As my child psychologist friend Richie Selznick wrote in today's SHUT DOWN LEARNER.com blog... Dr. Selz Blog: School Struggles, Learning Disabilities & Other Kid Stuff Being Trained By Your College Kid: Learning the Rules Posted: 14 Sep 2011 10:35 AM PDT My kid in college is teaching me how to behave. I keep messing up the rules, even though I am trying to be dutiful and behave appropriately. So I asked him to write a rules manual so I could keep it with me and consult it often. While he hasn’t written the rules manual yet, so far here are the ones that I know that I know I must follow: Only text me (the college student) once every other day at the most. Any more than that is a serious infraction of the rules. (Didn’t you tell me you used to phone home from college one time per week from a pay phone????? So, what’s with all this texting?) Never, ever leave actual verbal messages on voicemail (unless you are being held hostage by kidnappers, and even then really think twice about leaving a message.) Why would I want to listen to a long droning message? It shows up on the cell phone that you called. If I listen to the message, and then call you back, I’m hearing the same thing twice! Once is painful enough. If, heaven forbid, you “friend” me on Facebook (and I deign to accept you), never, ever comment on my page. That is a serious rules violation. Better you never go on the page at all. Buy duct tape. Keep the roll of it in your pocket at all times. Be ready to place the tape over your mouth in the middle of the conversation as soon as I ask you to do so. If you need to call on the weekend (and really why would you when we probably already spoke the day before), never, ever, call me before 1:30 p.m.. If I sound groggy, don’t ask questions; get ready with your duct tape. Make sure to transfer money into my account to keep me in the black. I mean, Thursday night is always an expensive night. Follow these rules closely and you will only be minimally irritating. Break any one of them and you move immediately into the maximally annoying category and will need to be dealt with accordingly. I am dutifully studying and trying to obey. www.shutdownlearner.com Dr. Scott,
This show was excellent. I suggested the subject about six minths ago if you recall. It was facinating to hear four professionals learn from each other “live.” Learning about warning signs, as a parent of young adults compells me to get the word out to the younger.
As my child psychologist friend Richie Selznick wrote in today’s SHUT DOWN LEARNER.com blog…

Dr. Selz Blog: School Struggles, Learning Disabilities & Other Kid Stuff

Being Trained By Your College Kid: Learning the Rules
Posted: 14 Sep 2011 10:35 AM PDT

My kid in college is teaching me how to behave. I keep messing up the rules, even though I am trying to be dutiful and behave appropriately.

So I asked him to write a rules manual so I could keep it with me and consult it often.

While he hasn’t written the rules manual yet, so far here are the ones that I know that I know I must follow:

Only text me (the college student) once every other day at the most. Any more than that is a serious infraction of the rules. (Didn’t you tell me you used to phone home from college one time per week from a pay phone????? So, what’s with all this texting?)

Never, ever leave actual verbal messages on voicemail (unless you are being held hostage by kidnappers, and even then really think twice about leaving a message.) Why would I want to listen to a long droning message? It shows up on the cell phone that you called. If I listen to the message, and then call you back, I’m hearing the same thing twice! Once is painful enough.

If, heaven forbid, you “friend” me on Facebook (and I deign to accept you), never, ever comment on my page. That is a serious rules violation. Better you never go on the page at all.

Buy duct tape. Keep the roll of it in your pocket at all times. Be ready to place the tape over your mouth in the middle of the conversation as soon as I ask you to do so.

If you need to call on the weekend (and really why would you when we probably already spoke the day before), never, ever, call me before 1:30 p.m.. If I sound groggy, don’t ask questions; get ready with your duct tape.
Make sure to transfer money into my account to keep me in the black. I mean, Thursday night is always an expensive night.
Follow these rules closely and you will only be minimally irritating. Break any one of them and you move immediately into the maximally annoying category and will need to be dealt with accordingly.

I am dutifully studying and trying to obey.

http://www.shutdownlearner.com

]]> Comment on AFTER A HEART ATTACK, ONE’S DIET SHOULD IMPROVE, RIGHT? by DrScott http://www.smarterheartuniversity.com/after-a-heart-attack-ones-diet-should-improve-right/#comment-543 DrScott Tue, 06 Sep 2011 18:08:51 +0000 http://www.smarterheartuniversity.com/?p=1498#comment-543 Carol, as always you have great questions! I recently reviewed Dr Esselstyn's diet on behalf of an old friend. It is basically a "cute" reworking of Dr Dean Ornish's landmark edeavor (Ornish blessed Esselstyn's work btw) which after 20yrs shows less angina, cardiac events, cancer etc with a diet based on low or no animal protein. No more Mickie D's for Slick Willie! Carol, as always you have great questions! I recently reviewed Dr Esselstyn’s diet on behalf of an old friend. It is basically a “cute” reworking of Dr Dean Ornish’s landmark edeavor (Ornish blessed Esselstyn’s work btw) which after 20yrs shows less angina, cardiac events, cancer etc with a diet based on low or no animal protein. No more Mickie D’s for Slick Willie!

]]> Comment on AFTER A HEART ATTACK, ONE’S DIET SHOULD IMPROVE, RIGHT? by Carol Leonard http://www.smarterheartuniversity.com/after-a-heart-attack-ones-diet-should-improve-right/#comment-542 Carol Leonard Tue, 06 Sep 2011 17:37:47 +0000 http://www.smarterheartuniversity.com/?p=1498#comment-542 Hey Dr. Scott - I'm glad to see that you mentioned the story about Bill Clinton. I watched the interview by Dr. Sanjay Gupta of President Clinton on CNN the other evening and am interested to hear your thoughts about his totally vegan approach to dealing with his cardiac issues. Under what circumstances, if any, do you think someone with known coronary artery disease should consider a totally vegan diet, as opposed to one that includes some fish, lean meats and dairy? Hey Dr. Scott – I’m glad to see that you mentioned the story about Bill Clinton. I watched the interview by Dr. Sanjay Gupta of President Clinton on CNN the other evening and am interested to hear your thoughts about his totally vegan approach to dealing with his cardiac issues. Under what circumstances, if any, do you think someone with known coronary artery disease should consider a totally vegan diet, as opposed to one that includes some fish, lean meats and dairy?

]]> Comment on Women and Heart Disease by DrScott http://www.smarterheartuniversity.com/women-heart-disease/#comment-519 DrScott Thu, 25 Aug 2011 21:57:08 +0000 http://www.smarterheartuniversity.com/?p=258#comment-519 Joanne that is EXACTLY what we discussed yesterday on our Women and Heart Disease update! The most important thing that should be done for your daughter is to establish her level of risk at 27. At 25 she was diagnosed with Hypertension? What else- cholesterol, smoking, diabetes, weight, or early Family History? Thats where it has to start. I certainly hope she will have an outpatient workup so another ER visit can be avoided. Hope this helps. Joanne that is EXACTLY what we discussed yesterday on our Women and Heart Disease update! The most important thing that should be done for your daughter is to establish her level of risk at 27. At 25 she was diagnosed with Hypertension? What else- cholesterol, smoking, diabetes, weight, or early Family History? Thats where it has to start. I certainly hope she will have an outpatient workup so another ER visit can be avoided. Hope this helps.

]]> Comment on Women and Heart Disease by Joanne http://www.smarterheartuniversity.com/women-heart-disease/#comment-517 Joanne Thu, 25 Aug 2011 19:25:26 +0000 http://www.smarterheartuniversity.com/?p=258#comment-517 My 27 year old daughter was rushed to community hospital with chest pains. The triage nurse claimed she did not fit the "heart attack" triage...and we waited over twenty minutes to be seen. Finally I demanded she be seen. She had extreme weakness, felt like vomiting..pain in chest and could not breath in, had to breath lightly because of the pain. Two yrs previous she had same thing but then passed out. Was seen by a cardio from Deborah...gave her high blood pressure meds... The dr. at the er last nite there did an ekg, blood work, and said her heart is ok...but symptoms did not fit his diagnosis..he claimed to much acid in her stomach? My 27 year old daughter was rushed to community hospital with chest pains. The triage nurse claimed she did not fit the “heart attack” triage…and we waited over twenty minutes to be seen. Finally I demanded she be seen.
She had extreme weakness, felt like vomiting..pain in chest and could not breath in, had to breath lightly because of the pain. Two yrs previous she had same thing but then passed out. Was seen by a cardio from Deborah…gave her high blood pressure meds…
The dr. at the er last nite there did an ekg, blood work, and said her heart is ok…but symptoms did not fit his diagnosis..he claimed to much acid in her stomach?

]]> Comment on HOW DO WE DEFINE THE TERM “ELDERLY”? MORE IMPORTANTLY, SHOULD THE WORD EXIST? by DrScott http://www.smarterheartuniversity.com/how-do-we-define-the-term-%e2%80%9celderly%e2%80%9d-more-importantly-should-the-word-exist/#comment-515 DrScott Tue, 23 Aug 2011 22:27:05 +0000 http://www.smarterheartuniversity.com/?p=1440#comment-515 The show was Jan 10, 2011. On the searchbar upper right corner just type in "under treatment", it comes right up. Thanks for listening! The show was Jan 10, 2011. On the searchbar upper right corner just type in “under treatment”, it comes right up. Thanks for listening!

]]> Comment on HOW DO WE DEFINE THE TERM “ELDERLY”? MORE IMPORTANTLY, SHOULD THE WORD EXIST? by Carol Leonard http://www.smarterheartuniversity.com/how-do-we-define-the-term-%e2%80%9celderly%e2%80%9d-more-importantly-should-the-word-exist/#comment-510 Carol Leonard Sun, 14 Aug 2011 19:01:51 +0000 http://www.smarterheartuniversity.com/?p=1440#comment-510 Hey Dr. Scott - I wanted to listen to the recording of this show on this rainy Sunday, but I can't seem to locate the podcast. Can you let me know how to get to it. Thanks. Hey Dr. Scott – I wanted to listen to the recording of this show on this rainy Sunday, but I can’t seem to locate the podcast. Can you let me know how to get to it. Thanks.

]]> Comment on THIS SHOULD GET SOME BUZZ: PFIZER WISHES TO SELL ATORVASTATIN (LIPITOR) OVER-THE-COUNTER? by DrScott http://www.smarterheartuniversity.com/this-should-get-some-buzz-pfizer-wishes-to-sell-atorvastatin-lipitor-over-the-counter/#comment-499 DrScott Fri, 05 Aug 2011 17:49:50 +0000 http://www.smarterheartuniversity.com/?p=1422#comment-499 That pretty much what Peter just said on the Facebook SHU site. So far that's 2 NOs! That pretty much what Peter just said on the Facebook SHU site. So far that’s 2 NOs!

]]> Comment on THIS SHOULD GET SOME BUZZ: PFIZER WISHES TO SELL ATORVASTATIN (LIPITOR) OVER-THE-COUNTER? by Carol Leonard http://www.smarterheartuniversity.com/this-should-get-some-buzz-pfizer-wishes-to-sell-atorvastatin-lipitor-over-the-counter/#comment-498 Carol Leonard Fri, 05 Aug 2011 17:42:48 +0000 http://www.smarterheartuniversity.com/?p=1422#comment-498 My thoughts on over-the-counter Lipitor: Great, Joe and Suzy Couch Potato can pick them up at their local CVS on the way home from dinner out at McDonalds....and they won't even be inconvenienced by having to go to the doctor for a prescription and having the doc tell them they should lose weight, exercise more and rethink their diet! My thoughts on over-the-counter Lipitor: Great, Joe and
Suzy Couch Potato can pick them up at their local CVS on the way home from dinner out at McDonalds….and they won’t even be inconvenienced by having to go to the doctor for a prescription and having the doc tell them they should lose weight, exercise more and rethink their diet!

]]> Comment on PUMPING IRON VS. POUNDING THE PAVEMENT: WHICH REVERSES METABOLIC SYNDROME BETTER? by DrScott http://www.smarterheartuniversity.com/pumping-iron-vs-pounding-the-pavement-which-reverses-metabolic-syndrome-better/#comment-480 DrScott Sun, 24 Jul 2011 21:13:13 +0000 http://www.smarterheartuniversity.com/?p=1374#comment-480 IN AN IDEAL LIFE, BOTH AEROBIC AND RESISTANCE TRAINING ARE BENEFICIAL, FOR CARDIOVASCULAR AND MUSCULOSKELETAL BENEFITS, RESPECTIVELY. BUT FOR THE ASPECT OF METABOLIC RISK AS DETAILED ABOVE, AEROBIC BEATS RESISTANCE IN STUDIES. IN AN IDEAL LIFE, BOTH AEROBIC AND RESISTANCE TRAINING ARE BENEFICIAL, FOR CARDIOVASCULAR AND MUSCULOSKELETAL BENEFITS, RESPECTIVELY. BUT FOR THE ASPECT OF METABOLIC RISK AS DETAILED ABOVE, AEROBIC BEATS RESISTANCE IN STUDIES.

]]> Comment on PUMPING IRON VS. POUNDING THE PAVEMENT: WHICH REVERSES METABOLIC SYNDROME BETTER? by Carol Leonard http://www.smarterheartuniversity.com/pumping-iron-vs-pounding-the-pavement-which-reverses-metabolic-syndrome-better/#comment-479 Carol Leonard Sun, 24 Jul 2011 16:18:08 +0000 http://www.smarterheartuniversity.com/?p=1374#comment-479 Hey Dr. Scott - I'm a little confused about what you're recommending here. Aren't we supposed to do both, aerobic and anaerobic exercise (weight bearing, resistance training)? Don't they complement each other and both contribute to good health? Hey Dr. Scott – I’m a little confused about what you’re recommending here. Aren’t we supposed to do both, aerobic and anaerobic exercise (weight bearing, resistance training)? Don’t they complement each other and both contribute to good health?

]]> Comment on TOMORROW: CANCER? LIVER AND KIDNEY FAILURE? MUSCLE LOSS? MEMORY LOSS? ARE STATINS TO BLAME? by DrScott http://www.smarterheartuniversity.com/tomorrow-cancer-liver-and-kidney-failure-muscle-loss-memory-loss-are-statins-to-blame/#comment-472 DrScott Mon, 18 Jul 2011 01:46:22 +0000 http://www.smarterheartuniversity.com/?p=835#comment-472 As we thoroughly reviewed in “Statins: Lifesavers or Harbingers of doom?” and then updated on last week’s show, Simvastatin has some issues which have now taken center stage. ALL Statins, and believe me I take one, need to be used and followed by your physician WELL. As we thoroughly reviewed in “Statins: Lifesavers or Harbingers of doom?” and then updated on last week’s show, Simvastatin has some issues which have now taken center stage. ALL Statins, and believe me I take one, need to be used and followed by your physician WELL.

]]> Comment on TOMORROW: CANCER? LIVER AND KIDNEY FAILURE? MUSCLE LOSS? MEMORY LOSS? ARE STATINS TO BLAME? by carmina coias http://www.smarterheartuniversity.com/tomorrow-cancer-liver-and-kidney-failure-muscle-loss-memory-loss-are-statins-to-blame/#comment-471 carmina coias Sun, 17 Jul 2011 05:06:19 +0000 http://www.smarterheartuniversity.com/?p=835#comment-471 My husband took Zocor, and later Zetia, what caused him a severe muscle weakness, and later kidney failure . Please do not put more peole of that risc My husband took Zocor, and later Zetia, what caused him a
severe muscle weakness, and later kidney failure .
Please do not put more peole of that risc

]]> Comment on LISTENER’S CHOICE: WHAT TOPIC WOULD YOU LIKE ON NEXT WEEK’S “WELLNESS WEDNESDAY”? by Carol Leonard http://www.smarterheartuniversity.com/listener%e2%80%99s-choice-what-topic-would-you-like-on-next-week%e2%80%99s-wellness-wednesday%e2%80%9d/#comment-458 Carol Leonard Wed, 29 Jun 2011 17:13:50 +0000 http://www.smarterheartuniversity.com/?p=1271#comment-458 I'd like to hear a show for Wellness Wednesday about exercise and its impact on heart and overall health. Please include recommendations for types of exercise, duration and frequency, especially for those of us in the over 50 crowd (Oh, I forgot, I'm in the next decade up now, but I still can easily keep up with most of those 50ish kids if you tell me what to do.) I’d like to hear a show for Wellness Wednesday about exercise and its impact on heart and overall health. Please include recommendations for types of exercise, duration and frequency, especially for those of us in the over 50 crowd (Oh, I forgot, I’m in the next decade up now, but I still can easily keep up with most of those 50ish kids if you tell me what to do.)

]]> Comment on SHU LIFETIME TIP: EDUCATE YOURSELF! YOU ARE YOUR OWN BEST PATIENT ADVOCATE by DrScott http://www.smarterheartuniversity.com/shu-lifetime-tip-educate-yourself-you-are-your-own-best-patient-advocate/#comment-457 DrScott Wed, 29 Jun 2011 01:58:15 +0000 http://www.smarterheartuniversity.com/?p=1264#comment-457 Carol may I just say: “NUFF said! I hope you don’t mind if we share your thoughts with all our listeners/readers! Carol may I just say: “NUFF said! I hope you don’t mind if we share your thoughts with all our listeners/readers!

]]> Comment on SHU LIFETIME TIP: EDUCATE YOURSELF! YOU ARE YOUR OWN BEST PATIENT ADVOCATE by Carol Leonard http://www.smarterheartuniversity.com/shu-lifetime-tip-educate-yourself-you-are-your-own-best-patient-advocate/#comment-456 Carol Leonard Tue, 28 Jun 2011 17:19:32 +0000 http://www.smarterheartuniversity.com/?p=1264#comment-456 I just found your Website a couple of months ago, so I've been listening to the past podcasts from the radio show as I have time. I appreciate all the information you provide and have told my friends up here in North Jersey to check you out. I especially like that you encourage your site visitors and radio show listeners to interact with you through questions and comments. We need more docs who will do that and not make you feel like a "dumb ass" (excuse the expression) for questioning and/or disagreeing with them. I strongly believe it's important to be an informed and pro-active patient, especially in today's complicated healthcare climate. Keep up the good work. I just found your Website a couple of months ago, so I’ve been listening to the past podcasts from the radio show as I have time. I appreciate all the information you provide and have told my friends up here in North Jersey to check you out. I especially like that you encourage your site visitors and radio show listeners to interact with you through questions and comments. We need more docs who will do that and not make you feel like a “dumb ass” (excuse the expression) for questioning and/or disagreeing with them. I strongly believe it’s important to be an informed and pro-active patient, especially in today’s complicated healthcare climate. Keep up the good work.

]]> Comment on Women and Heart Disease by DrScott http://www.smarterheartuniversity.com/women-heart-disease/#comment-455 DrScott Mon, 27 Jun 2011 21:40:04 +0000 http://www.smarterheartuniversity.com/?p=258#comment-455 Unless you are monitored during that time period, there would be no way to determine what that rhythm is...Otherwise invasive electrical testing would have to be performed. Unless you are monitored during that time period, there would be no way to determine what that rhythm is…Otherwise invasive electrical testing would have to be performed.

]]> Comment on Women and Heart Disease by Karen Erdrich http://www.smarterheartuniversity.com/women-heart-disease/#comment-454 Karen Erdrich Mon, 27 Jun 2011 15:39:29 +0000 http://www.smarterheartuniversity.com/?p=258#comment-454 So what do you do if you think you have a problem (heart-related) yet the HR is normal (except for a spike every couple of months to over 165 accompanied by similar rise in BO).....tests are normal (including Nuclear stress test). So what do you do if you think you have a problem (heart-related) yet the HR is normal (except for a spike every couple of months to over 165 accompanied by similar rise in BO)…..tests are normal (including Nuclear stress test).

]]> Comment on TODAY: HEAR WHAT ITS LIKE WHEN A STROKE PATIENT COMES INTO THE ER FROM THOSE WHO SEE IT DAILY! by DrScott http://www.smarterheartuniversity.com/today-hear-what-its-like-when-a-stroke-patient-comes-into-the-er-from-those-who-see-it-daily/#comment-421 DrScott Sat, 11 Jun 2011 16:32:07 +0000 http://www.smarterheartuniversity.com/?p=1190#comment-421 Although no clinical trials have never been done, and any head to head observations were speculative or small in number, Natto molecules have both fibrinolytic (clot busting) and vasodilatory (vessel dilating) properties making it interesting to use as an alternative to Aspirin allergic patients and for Blood pressure lowering regimens. As always this is one agent that should be cleared for use with one’s private MD or cardiologist. The dosage used is also quite variable. Although no clinical trials have never been done, and any head to head observations were speculative or small in number, Natto molecules have both fibrinolytic (clot busting) and vasodilatory (vessel dilating) properties making it interesting to use as an alternative to Aspirin allergic patients and for Blood pressure lowering regimens. As always this is one agent that should be cleared for use with one’s private MD or cardiologist. The dosage used is also quite variable.

]]> Comment on UPDATE ON CORONARY CAT SCANS….. by DrScott http://www.smarterheartuniversity.com/update-on-coronary-cat-scans/#comment-420 DrScott Sat, 11 Jun 2011 16:27:38 +0000 http://www.smarterheartuniversity.com/?p=1198#comment-420 Under educational shows (all shows before WOBM) show is episode 18 Nov 14, 2010. All shows can be accessed by entering keyword in search bar upper right hand corner Under educational shows (all shows before WOBM) show is episode 18 Nov 14, 2010. All shows can be accessed by entering keyword in search bar upper right hand corner

]]> Comment on UPDATE ON CORONARY CAT SCANS….. by LLoyd Stone http://www.smarterheartuniversity.com/update-on-coronary-cat-scans/#comment-419 LLoyd Stone Sat, 11 Jun 2011 12:44:04 +0000 http://www.smarterheartuniversity.com/?p=1198#comment-419 .... looking for an easy link to NUKES vs CATS. Is it right in font of me here, and I missed it? …. looking for an easy link to NUKES vs CATS. Is it right in font of me here, and I missed it?

]]> Comment on TODAY: HEAR WHAT ITS LIKE WHEN A STROKE PATIENT COMES INTO THE ER FROM THOSE WHO SEE IT DAILY! by Carol Leonard http://www.smarterheartuniversity.com/today-hear-what-its-like-when-a-stroke-patient-comes-into-the-er-from-those-who-see-it-daily/#comment-418 Carol Leonard Wed, 08 Jun 2011 15:48:27 +0000 http://www.smarterheartuniversity.com/?p=1190#comment-418 Hey Docs, Once again, I enjoyed your very informative show this morning on strokes and I have a question regarding using Nattokinase for prevention. As I mentioned on my last post after your Wellness Wednesday show last week, I looked up Dr. Stephen Sinatra, whom you mentioned on that show. I was interested to learn that he is also a cardiologist who incorporates alternative treatments into his practice. He advocates the use of Nattokinase and he even forwarded to me an article about it when I posted a question on his Facebook page. A naturopathic physician that I listen to on another radio show believes that all adults over 50 should take it. Have you ever recommended this to any of your patients and what are your thoughts about Nattokinase? Hey Docs,
Once again, I enjoyed your very informative show this morning on strokes and I have a question regarding using Nattokinase for prevention. As I mentioned on my last post after your Wellness Wednesday show last week, I looked up Dr. Stephen Sinatra, whom you mentioned on that show. I was interested to learn that he is also a cardiologist who incorporates alternative treatments into his practice. He advocates the use of Nattokinase and he even forwarded to me an article about it when I posted a question on his Facebook page. A naturopathic physician that I listen to on another radio show believes that all adults over 50 should take it. Have you ever recommended this to any of your patients and what are your thoughts about Nattokinase?

]]> Comment on Wellness Wednesday: Co Q10, Hope Or Hype? by DrScott http://www.smarterheartuniversity.com/wellness-wednesday-co-q10-hope-or-hype/#comment-417 DrScott Fri, 03 Jun 2011 20:38:39 +0000 http://www.smarterheartuniversity.com/?p=1183#comment-417 We knew it was you and LOVE your comments! We knew it was you and LOVE your comments!

]]> Comment on Wellness Wednesday: Co Q10, Hope Or Hype? by Carol Leonard http://www.smarterheartuniversity.com/wellness-wednesday-co-q10-hope-or-hype/#comment-416 Carol Leonard Fri, 03 Jun 2011 18:50:02 +0000 http://www.smarterheartuniversity.com/?p=1183#comment-416 Hey Dr. Scott and Dr. Bob, Thanks for another interesting radio show this week. I'm the Carol who called in with the question about ubiquinol (the North Jersey Carol). Thanks for also mentioning Dr. Stephen Sinatra. I had never heard of him before, so I looked him up and found his very interesting Web site. I'm always very happy to find sites like that from other open minded integrative physicians like yourselves. Enjoy the nice weather -- finally!! I'll keep listening to you guys. Hey Dr. Scott and Dr. Bob,
Thanks for another interesting radio show this week. I’m the Carol who called in with the question about ubiquinol (the North Jersey Carol). Thanks for also mentioning Dr. Stephen Sinatra. I had never heard of him before, so I looked him up and found his very interesting Web site. I’m always very happy to find sites like that from other open minded integrative physicians like yourselves. Enjoy the nice weather — finally!! I’ll keep listening to you guys.

]]> Comment on TOMORROW 10AM OUR FIRST “WELLNESS WEDNESDAY”: VITAMIN D, WHAT DOESN’T IT DO? by Carol Leonard http://www.smarterheartuniversity.com/tomorrow-10am-our-first-%e2%80%9cwellness-wednesday%e2%80%9d-vitamin-d-what-doesn%e2%80%99t-it-do/#comment-412 Carol Leonard Sun, 22 May 2011 19:13:42 +0000 http://www.smarterheartuniversity.com/?p=1113#comment-412 Thanks, Dr. Scott. I look forward to hearing your thoughts about triglycerides in an upcoming radio show. Will try to listen live and may call in with a question. Thanks, Dr. Scott. I look forward to hearing your thoughts about triglycerides in an upcoming radio show. Will try to listen live and may call in with a question.

]]> Comment on TOMORROW 10AM OUR FIRST “WELLNESS WEDNESDAY”: VITAMIN D, WHAT DOESN’T IT DO? by DrScott http://www.smarterheartuniversity.com/tomorrow-10am-our-first-%e2%80%9cwellness-wednesday%e2%80%9d-vitamin-d-what-doesn%e2%80%99t-it-do/#comment-409 DrScott Sat, 21 May 2011 05:30:15 +0000 http://www.smarterheartuniversity.com/?p=1113#comment-409 Sorry Carol, was away learning about Pradaxa for Atrial Fibrillation. No you are not a bother, this is what SHU was intended for and we love your enthusiasm! In response to your question we absolutely advocate higher levels and support the notion that glucose handling, hypertension, and cancer prevention all have a lesser occurrence with higher levels and I think it great you and your husband have attained these numbers. We check between 3 and 6 months with our new health diagnostic lab (more coming on a show) also consider it done re: a show all about triglycerides! Sorry Carol, was away learning about Pradaxa for Atrial Fibrillation. No you are not a bother, this is what SHU was intended for and we love your enthusiasm! In response to your question we absolutely advocate higher levels and support the notion that glucose handling, hypertension, and cancer prevention all have a lesser occurrence with higher levels and I think it great you and your husband have attained these numbers. We check between 3 and 6 months with our new health diagnostic lab (more coming on a show) also consider it done re: a show all about triglycerides!

]]> Comment on TOMORROW 10AM OUR FIRST “WELLNESS WEDNESDAY”: VITAMIN D, WHAT DOESN’T IT DO? by Carol Leonard http://www.smarterheartuniversity.com/tomorrow-10am-our-first-%e2%80%9cwellness-wednesday%e2%80%9d-vitamin-d-what-doesn%e2%80%99t-it-do/#comment-406 Carol Leonard Sat, 14 May 2011 20:18:33 +0000 http://www.smarterheartuniversity.com/?p=1113#comment-406 Dr. Scott, Thanks for your reply to my post. I respect your need to stay within the guidelines of "evidence based medicine" and I think I have a good understanding of what that means. I also appreciate the fact that you have taken the time to learn about and use alternative therapies, as appropriate, in your practice (as opposed to strictly taking a pharmaceutical approach). This is what attracted me to your Web site and your radio show. Here's my follow up questions: What would be wrong with keeping your Vitamin D level much higher than the minimal 32 now recommended by the mainstream medical community as long as you don't let it get higher than the 150 you sited above? (By the way, I wouldn't want to let my level get above 100). If, in fact, the Vitamin D Council and others in the alternative community ARE right from their observational studies that keeping your level at least at 50-60 may help prevent certain cancers and other diseases including heart disease, why not do so? For many people, 2,000 IUs is not enough to maintain that level. As I stated in my last post, my husband was taking 2,000 IUs when he first had his Vitamin D level checked and it was only 30. His doctor recommended increasing the dose, so he upped it to 6,000 IUs and got his level up to 64, which I think is a more ideal, yet still safe level. If he drops back down to 2,000 IUs, isn't it likely his level will drop back down closer to 30? Also, how often would you recommend getting your Vitamin D level checked if your are taking supplements? Hope I didn't ask too many questions. Hey, keep up the good work. I'm going to go listen to the podcast of this week's show now, since I missed listening to you guys live on Wednesday. Dr. Scott, Thanks for your reply to my post. I respect your need to stay within the guidelines of “evidence based medicine” and I think I have a good understanding of what that means. I also appreciate the fact that you have taken the time to learn about and use alternative therapies, as appropriate, in your practice (as opposed to strictly taking a pharmaceutical approach). This is what attracted me to your Web site and your radio show. Here’s my follow up questions: What would be wrong with keeping your Vitamin D level much higher than the minimal 32 now recommended by the mainstream medical community as long as you don’t let it get higher than the 150 you sited above? (By the way, I wouldn’t want to let my level get above 100). If, in fact, the Vitamin D Council and others in the alternative community ARE right from their observational studies that keeping your level at least at 50-60 may help prevent certain cancers and other diseases including heart disease, why not do so? For many people, 2,000 IUs is not enough to maintain that level. As I stated in my last post, my husband was taking 2,000 IUs when he first had his Vitamin D level checked and it was only 30. His doctor recommended increasing the dose, so he upped it to 6,000 IUs and got his level up to 64, which I think is a more ideal, yet still safe level. If he drops back down to 2,000 IUs, isn’t it likely his level will drop back down closer to 30? Also, how often would you recommend getting your Vitamin D level checked if your are taking supplements? Hope I didn’t ask too many questions. Hey, keep up the good work. I’m going to go listen to the podcast of this week’s show now, since I missed listening to you guys live on Wednesday.

]]> Comment on TOMORROW 10AM OUR FIRST “WELLNESS WEDNESDAY”: VITAMIN D, WHAT DOESN’T IT DO? by DrScott http://www.smarterheartuniversity.com/tomorrow-10am-our-first-%e2%80%9cwellness-wednesday%e2%80%9d-vitamin-d-what-doesn%e2%80%99t-it-do/#comment-399 DrScott Thu, 05 May 2011 23:25:30 +0000 http://www.smarterheartuniversity.com/?p=1113#comment-399 Carol, Unfortunately the Vitamin D council is not the source of information we would use as a reference in evidenced based medicine. This falls under the category of Complementary and Alternative Medicine which as you know I have training in. When we practice Cardiovascular Medicine however, we should and must stay within the boundaries of what is recommended upon analysis of available studies. What we gave to you was the latest info from the Mayo Clinic, the Cleveland Clinic and other current reviews. We Do NOT have any clinical studies that even remotely state that levels higher than 30-40 will be any more musculoskeletal, cardiovascular, or malignancy preventative than higher levels stated by the Council. That being said, The alternative community has always advocated higher levels based on observational studies and I can follow their reasoning. As we stated, as long as levels are not >150, we are in safe territory. What we said about the patient with the 80 level is that they did not need high doses anymore, just a maintenance of 2000u/d. Hope this helps. Carol, Unfortunately the Vitamin D council is not the source of information we would use as a reference in evidenced based medicine. This falls under the category of Complementary and Alternative Medicine which as you know I have training in. When we practice Cardiovascular Medicine however, we should and must stay within the boundaries of what is recommended upon analysis of available studies. What we gave to you was the latest info from the Mayo Clinic, the Cleveland Clinic and other current reviews. We Do NOT have any clinical studies that even remotely state that levels higher than 30-40 will be any more musculoskeletal, cardiovascular, or malignancy preventative than higher levels stated by the Council. That being said, The alternative community has always advocated higher levels based on observational studies and I can follow their reasoning. As we stated, as long as levels are not >150, we are in safe territory. What we said about the patient with the 80 level is that they did not need high doses anymore, just a maintenance of 2000u/d. Hope this helps.

]]> Comment on TOMORROW 10AM OUR FIRST “WELLNESS WEDNESDAY”: VITAMIN D, WHAT DOESN’T IT DO? by Carol Leonard http://www.smarterheartuniversity.com/tomorrow-10am-our-first-%e2%80%9cwellness-wednesday%e2%80%9d-vitamin-d-what-doesn%e2%80%99t-it-do/#comment-398 Carol Leonard Thu, 05 May 2011 17:28:45 +0000 http://www.smarterheartuniversity.com/?p=1113#comment-398 Hey Dr. Scott and Dr. Bob. Unfortunately I was unable to listen to your radio show about wellness and Vitamin D live yesterday or I would have called in with a question. I listened to the podcast this morning and I wanted to comment about dosing for Vitamin D. I listen to a naturopathic doctor who also has a radio show and he advocated dosages of 4,000 - 8,000 IUs during the seasons when you don't get much sun exposure. My husband was somewhat skeptical about taking such a high does so he stuck with 2,000 IUs while I upped my daily intake to 4,000. It turns out that when his doctor tested his Vitamin D level it came back with a level of 30, two points below what the lab's standards consider adequate. His doctor told him to increase his dosage. The Vitamin D Council recommends keeping your levels above 50 to insure adequate storage of the vitamin to combat and help prevent cancer, heart disease and other diseases that it has been found fight. My most recent blood test showed a level of 74, with the optimal range listed on the lab report as 32-100. Why were you so concerned about your patient who had a level of 80? That's certainly within the safe range listed on my lab report from Lab Corps. Hey Dr. Scott and Dr. Bob. Unfortunately I was unable to listen to your radio show about wellness and Vitamin D live yesterday or I would have called in with a question. I listened to the podcast this morning and I wanted to comment about dosing for Vitamin D. I listen to a naturopathic doctor who also has a radio show and he advocated dosages of 4,000 – 8,000 IUs during the seasons when you don’t get much sun exposure. My husband was somewhat skeptical about taking such a high does so he stuck with 2,000 IUs while I upped my daily intake to 4,000. It turns out that when his doctor tested his Vitamin D level it came back with a level of 30, two points below what the lab’s standards consider adequate. His doctor told him to increase his dosage. The Vitamin D Council recommends keeping your levels above 50 to insure adequate storage of the vitamin to combat and help prevent cancer, heart disease and other diseases that it has been found fight. My most recent blood test showed a level of 74, with the optimal range listed on the lab report as 32-100. Why were you so concerned about your patient who had a level of 80? That’s certainly within the safe range listed on my lab report from Lab Corps.

]]> Comment on THIS JUST IN: HIGH DOSE ATORVASTATIN (LIPITOR) ASSOCIATED WITH HIGHER DIABETES INCIDENCE by DrScott http://www.smarterheartuniversity.com/this-just-in-high-dose-atorvastatin-lipitor-associated-with-higher-diabetes-incidence/#comment-328 DrScott Wed, 30 Mar 2011 02:02:17 +0000 http://www.smarterheartuniversity.com/?p=968#comment-328 Not always with medicine. This is somewhat out of left field to use your baseball analogy, but high doses of a potent statin may impair the Liver's ability to handle Glucose. Of course, that's just my theory. Not always with medicine. This is somewhat out of left field to use your baseball analogy, but high doses of a potent statin may impair the Liver’s ability to handle Glucose. Of course, that’s just my theory.

]]> Comment on THIS JUST IN: HIGH DOSE ATORVASTATIN (LIPITOR) ASSOCIATED WITH HIGHER DIABETES INCIDENCE by LLoyd Stone http://www.smarterheartuniversity.com/this-just-in-high-dose-atorvastatin-lipitor-associated-with-higher-diabetes-incidence/#comment-326 LLoyd Stone Tue, 29 Mar 2011 18:32:40 +0000 http://www.smarterheartuniversity.com/?p=968#comment-326 In baseball terms -this may be an "inn the neighborhood play" Newton's Third Law of Motion: III. For every action there is an equal and opposite reaction. In baseball terms -this may be an “inn the neighborhood play”

Newton’s Third Law of Motion:
III. For every action there is an equal and opposite reaction.

]]> Comment on THIS JUST IN: BROWN RICE BEATS WHITE VARIETY IN DEVELOPING DIABETES by DrScott http://www.smarterheartuniversity.com/this-just-in-brown-rice-beats-white-variety-in-developing-diabetes/#comment-325 DrScott Tue, 29 Mar 2011 14:43:10 +0000 http://www.smarterheartuniversity.com/?p=960#comment-325 You can download their slide presentation on this from the wed adress I provided. You can download their slide presentation on this from the wed adress I provided.

]]> Comment on THIS JUST IN: BROWN RICE BEATS WHITE VARIETY IN DEVELOPING DIABETES by DrScott http://www.smarterheartuniversity.com/this-just-in-brown-rice-beats-white-variety-in-developing-diabetes/#comment-324 DrScott Tue, 29 Mar 2011 14:42:12 +0000 http://www.smarterheartuniversity.com/?p=960#comment-324 here you go: http://my.americanheart.org/professional/Sessions/EPINPAM/Archive/EPI-NPAM-2010-Science-News_UCM_323713_SubHomePage.jsp Specifically: White Rice, Brown Rice, and Risk of Type 2 Diabetes in US Men and Women (3:30-4:55 p.m.) Qi Sun, Donna Spiegelman, Rob M. van Dam, Harvard School of Public Health, Boston, Mass.; Michelle D. Holmes, Channing Lab, Brigham and Women’s Hospital, Boston, Mass.; Vasanti S. Malik, Walter C. Willett, Frank B. Hu, Harvard School of Public Health, Boston, Mass. here you go: http://my.americanheart.org/professional/Sessions/EPINPAM/Archive/EPI-NPAM-2010-Science-News_UCM_323713_SubHomePage.jsp Specifically: White Rice, Brown Rice, and Risk of Type 2 Diabetes in US Men and Women (3:30-4:55 p.m.)
Qi Sun, Donna Spiegelman, Rob M. van Dam, Harvard School of Public Health, Boston, Mass.; Michelle D. Holmes, Channing Lab, Brigham and Women’s Hospital, Boston, Mass.; Vasanti S. Malik, Walter C. Willett, Frank B. Hu, Harvard School of Public Health, Boston, Mass.

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