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The Occluded Artery Trial published in the NEJM in 2006 concluded that opening a totally blocked artery during an acute MI has no benefit. Yet this information is being ignored because cardiologists are still doing revascularization procedures more than 24 hours after an acute MI. Part of the problem is that insurance companies continue to reimburse for these...

Aspirin is the most used drug in the US. They are not safe because of bleeding and perforations. Over the counter substitutes are readily available and work well and their acceptance.        

The logic of identifying blockages in the coronary arteries and opening them with either a stent or surgical bypass makes a lot of sense. However, logic does not always turn out to provide the correct answer. We do nearly 1 million stent procedures to open blocked arteries every year in the US but unless we do them in the acute setting of a heart attack they...

Most angioplasties and stents used to treat acute heart attacks or unstable angina in the US are necessary and lifesaving. We know that these procedures are not indicated for people with coronary artery blockages who are stable; only about 3% benefit from these invasive procedures compared to medical treatment alone using pharmaceutical drugs. There is also a...

The feeling of being a speck in an uncaring universe occurs when we�re alone. Wind was a metaphor for being at risk for Bob in his experiences in remote Chile. Surrender made it possible to exist in harmony with the wind.

  One in every 10 people who get a stent for a blocked coronary artery ends up in the hospital within 30 days according to a Duke Medical Center article in Archives of Internal Medicine in November of 2011. In this study of 13,000 patients over 10 years have complications such as bleeding or a heart attack. Of these patients, 8% died within a year and...

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The logic of identifying blockages in the coronary arteries and opening them with either a stent or surgical bypass makes a lot of sense. However, logic does not always turn out to provide the correct answer. We do nearly 1 million stent procedures to open blocked arteries every year in the US but unless we do them in the acute setting of a heart attack they...