During medical training at UCLA, I had the good fortune to learn from Norman Cousins, a Jewish writer, editor, and adjunct professor of medical humanities. Despite being misdiagnosed with tuberculosis at age 11, he set out as a boy to “discover exuberance.” He believed that positive emotions were the key to fighting illness, which he exemplified in the telling of his own battle with a severe form of arthritis. In the book Anatomy of An Illness, he describes his victory over a potentially life-threatening condition by taking mega doses of vitamin C, and watching Marx Brothers movies and TV sitcoms. He relates, “Laughter is a form of internal jogging. It moves your internal organs around. It enhances respiration. It is an ignitor of great expectations.” His Continue reading →
On April 12, 1945, President Franklin D. Roosevelt was sitting in his living room having his portrait painted by artist Elizabeth Shoumatoff, who later became most renowned for “Unfinished Portrait” of FDR. Also present was Lucy Mercer, Eleanor’s social secretary, but most notorious because of her affair with the president. His dog, Fala, and two cousins were in the room as well according to biographer Doris Kearns Goodwin. At 1:00 pm, FDR complained of “traffic pain at the back of my head,” and collapsed, unconscious. His cardiologist quickly arrived and recognized the signs of a cerebral hemorrhage, a type of stroke. One could argue that one of FDR’s visitors that day triggered his stroke, but it is much more likely that years of untreated high blood pressure led to FDR’s demise at the age of 63.
High blood pressure or hypertension still remains a hidden killer at large. It is estimated that high blood pressure kills approximately 1000 Americans each day due to its effects on Continue reading →
February is American Heart month. It represents an opportunity to think of hearts other than in the context of Valentine’s Day.
During the course of my career as an internist, I have cared for hundreds of patients with heart disease. Believe me, it is better to make some simple interventions in your life now than to wait until you have severe problems. Let me give you one example of a patient of mine I cared for about 20 years ago. Roger (not his real name) was in his late 50’s when he sustained his second heart attack. He was an ex-smoker, worked hard every day in his stressful job to support his family, and had little time to exercise or to take the time to eat healthy. After his second heart attack, he could not walk even half a block before he developed chest discomfort. I sent him for various cardiac tests with the hope that the obstructions in his coronary arteries could be Continue reading →