I have reached a decision with regard to my practice direction. It comes out of the frustration of treating patients for diseases without getting to the core cause of their problem or dancing around th...e real elements of disease prevention and getting nowhere. Heart disease is the number one killer in this country. It is associated with peripheral vascular disease, stroke and erectile dysfunction. The causes are multifold but relate to cholesterol, triglycerides, the different kinds of cholesterol, the inflammation of your blood vessels and the viscosity of your blood to name but a few causes.
Heart (cardiologists) and vascular surgeons focus their attention on those things that they are reimbursed for like bypass surgery, stents, cardiac catheterizations, etc. That is where they make money (big money) and can enjoy the social/community recognition for their skills as “specialists”. They are, as well, brainwashed by the companies that make the devices they use and supported by institutions where these procedures are done (hospitals and outpatient surgical centers) because likewise there is a lot of money (hundreds of billions) to be made. Of course, these same physicians prescribe, prescribe, prescribe because after procedures that makes them money they have been trained to use medications to lower your cholesterol, to dilate constricted arteries, change your heart rate, increase the pumping action of your heart and on and on.
Here is the problem, all of this does next to nothing to prevent cardiovascular (CV) disease, REALLY treat it and to reverse it. What we do is throw very expensive band aids at a life altering and life threatening situation. With some exceptions, stents DO NOT prolong your life if you have CV disease. Furthermore, they often need to be replaced over time and there are complications including infection and bleeding associated with their placement and subsequent medications required to keep them patent (Keep the blood flowing through them without clotting). Bypass surgery has its place but there are many possible complications- none the least of which is death. A great concern in heart surgery is possibly permanent cognitive changes and depression as a result of effects on the brain during the procedure. I do not need to discuss with you the myriad of side effects of the CV medications- too numerous to discuss here. If you are taking nitroglycerin for chest pain and you have erectile dysfunction which is not uncommon in men with heart disease, you cannot take Viagra because it could kill you! BANDAIDS!!!!!!!!!