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We Need More Disney in Medicine

This isn’t a debate about vaccines.

The fight here has nothing to do with that. For the record, I strongly support the concept of vaccination. Public health is better in the 21st Century because of it. Measles? Mumps? Oh, I can find you in the United States, but we aren’t living our lives every day petrified of an outbreak. Smallpox? Polio? Where did you go? Not here, that’s for sure. And, what if you had lived in West Africa in mid-2014? A proven vaccine for Ebola would have been a godsend.

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Dr. Oz Ain’t So Bad

Dr. Oz is going to love this one.

At least, I think that he will. I’ve never actually met him. To be honest, I wouldn’t have a clue as to whether he’s really a good guy or not. In fact, I suspect that he’s never read my book, but I did devote almost an entire chapter to him, because he intrigues me by being a physician businessman.

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Hustle, Hustle, Hustle

My father, Dr. Terry David Bilhartz (1950-2014), passed away suddenly of cardiac arrest on Friday, December 12, 2014, at the age of 64 years old. Cause of death was found to be hypertrophic cardiomyopathy and atherosclerotic coronary artery disease, two conditions that I manage frequently in my own clinical practice. At my dad’s memorial service, I gave the eulogy. I have received numerous requests to reprint the text version of the message for those who were present in spirit, but physically unable to attend. It follows below.

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Paperwork Will Ultimately Be the End to Us All

You should know that medical documentation has gone awry. I devoted an entire chapter to this topic in Finding Truth in Transparency, but you really just have no idea. If you’ve been to the hospital or to the doctor’s office even once this year, I’m willing to bet that at least a portion of your medical information is now found somewhere within an electronic medical record (EMR). An EMR is really just some mega-computer that stores your health information. Lots of it.  And, I guarantee you that the EMR that contains your medical chart is also full of universally unhelpful medical information. It’s bloated on purpose for medical billing. I’ve used eight different ones in the last 4 years and every one has been the same in this regard. Bloated.

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Screening Athletes Prior to Participation: Why We Need To Do It and How It Should Be Done

THE HEART OF AN ATHLETE

Exercise causes a number of changes to the body. Acutely, it results in increased cardiac output (more blood flow), increased blood pressure, decreased peripheral vascular resistance (think of this as dilation of the capillaries at the level of your organs to allow for even more enhanced blood flow), and increased oxygen delivery. Longterm effects of exercise result in structural modifications of the heart, and these changes are most recognizable in male athletes who have been undergoing endurance training.

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How Do You Find the Time to Write a Book?

I get asked this question often. Most of the time, it’s from people who haven’t even read my book, which is fascinating to me, because it indicates that the challenge really isn’t even to write a “good” book. Rather, the challenge is just to write anything at all.

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Onward and Upward

Onward.  I just like the word.

Moving toward a more advanced state or condition.  Going further rather than coming to an end or halt. I like the word because it’s a struggle for me to sit still. In fact, relaxing can be much harder than it seems.  You may even feel the same way from time to time.

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