Statins Can Save Lives

They examined the records of nearly 300,000 adults in the U.S. who had an initial atherosclerotic cardiovascular disease event between 2007 and 2016. These were divided into three groups: coronary heart disease, ischemic stroke or transient ischemic attack, or peripheral artery disease.

When people left the hospital or emergency department in 2007 following a first diagnosis in one of these categories, about half began taking statins within 30 days. By 2016, statin use increased to approximately 60%.

“Based on the guidelines, we hoped to see a much higher uptake among this entire group,” says Dr. Noseworthy. “Statin intolerance was only noted for 4%-5% of the patients, which means as many as 35% of patients are not receiving treatment according to the guidelines.”

Mayo Clinic. “Statins can save lives; are they being used?.” ScienceDaily. http://www.sciencedaily.com/releases/2020/12/201201144030.htm (accessed December 2, 2020) — https://www.sciencedaily.com/releases/2020/12/201201144030.htm

Journal Reference:

Xiaoxi Yao, Nilay D. Shah, Bernard J. Gersh, Francisco Lopez-Jimenez, Peter A. Noseworthy. Assessment of Trends in Statin Therapy for Secondary Prevention of Atherosclerotic Cardiovascular Disease in US Adults From 2007 to 2016. JAMA Network Open, 2020; 3 (11): e2025505 DOI: 10.1001/jamanetworkopen.2020.25505

Vegan Diet and Fracture Risk (I’m confused too)

If you’ve been anywhere near the internet I’m sure the headlines caught your eye. But a 43% higher risk of fractures just seemed really high to me with a meat free diet as the cause. I found the following article online. Since most people nowadays can’t get past the headlines you’ll find the second paragraph completely ignored by the media.

Compared with people who ate meat, vegans with lower calcium and protein intakes on average, had a 43% higher risk of fractures anywhere in the body (total fractures), as well as higher risks of site-specific fractures of the hips, legs and vertebrae, according to a study published in the open access journal BMC Medicine. Vegetarians and people who ate fish but not meat had a higher risk of hip fractures, compared to people who ate meat. However, the risk of fractures was partly reduced once body mass index (BMI), dietary calcium and dietary protein intake were taken into account.

The authors caution that they were unable to differentiate between fractures that were caused by poorer bone health (such as fractures due to a fall from standing height or less) and those that were caused by accidents because data on the causes of the fractures were not available. No data were available on differences in calcium supplement use between the different diet groups, and as in all dietary studies the estimates of nutrients such as dietary calcium or dietary protein are subject to measurement error. As the study predominantly included white European participants, generalisability to other populations or ethnicities may be limited, which could be important considering previously observed differences in bone mineral density and fracture risks by ethnicity, according to the authors.

Vegans, vegetarians and pescetarians may be at higher risk of bone fractures — https://www.eurekalert.org/pub_releases/2020-11/bc-vva111820.php

As I was gathering my thoughts the algorithms started doing what they do and this popped up in YouTube.

Let’s discuss the latest paper from the EPIC database. Excuse me eating while working. Not enough hours in day. Short version: this is a database from 90’s. Average fiber intake is 20 gm so not healthiest plant based eaters. Meat eaters got more vitamin D. Also (forgot to mention in video) used hormone replacement therapy up to 50% more. Both associated with stronger bones. Other studies have shown that plant based eaters have great bone health BUT you have to be healthy. Get dark greens. Drink or eat soy (studies show as good dairy for bones). Exercise and use resistance training. And take supplements if needed. I like multivitamins that have K2 as that may be a nutrient vegans are deficient in unless you eat natto 🤮. Definitely vitamin D if deficient. The EPIC Oxford cohort are not the healthiest vegans and vegetarians BUT have less ischemic stroke, weight less, generally better heart and less of certain cancers despite poor supplementation and diet habits.

Dr. Garth Davis YouTube post 11.23.20

I love it when someone else does the work for me. If you have eleven minutes listen to Dr. Davis’ analysis. I am now less confused.

Lower fracture risk with higher BMI because you have more padding when you fall!

Meanwhile in Oklahoma — First-of-Its-Kind Med School Makes History

Ashton Glover Gatewood, 31, a member of the Choctaw Nation and descendent of both the Chickasaw and Cherokee Nations, has long lamented the glaring lack of Native American physicians. So she decided to become one.

Gatewood is a student in the inaugural class of the first tribally affiliated medical school in the United States, the Oklahoma State University (OSU) College of Osteopathic Medicine at the Cherokee Nation. The school opened this fall on Cherokee land in Tahlequah, the capital of the Cherokee Nation’s 14-county reservation in the rolling hills of rural Oklahoma, about an hour east of Tulsa.


First-of-Its-Kind Med School Makes History — https://www.medscape.com/viewarticle/941187?src=rss#vp_1

I’ll have to ask Project #1 on my Project List if he will be teaching any classes at the new medical school.

More on Vulvar Melanoma

Lesions could be angiokeratomas, petechiae, purpura, melanosis, and nevi, for example. Seborrheic keratoses can mimic melanoma. “If it looks odd, don’t be afraid to biopsy it,” said Mauskar, assistant professor of dermatology and obstetrics and gynecology at the University of Texas Southwestern Medical Center in Dallas.

Low Threshold to Biopsy Atypical Lesions May ID Vulvar Melanoma Early, Experts Say — https://www.medscape.com/viewarticle/941157?src=rss

I first became aware of melanoma down there back in June of this year. See Vulvar Melanoma Is Increasing in Older Women

So remember, if it looks odd get it biopsied.

How our Brains can be Manipulated to Tribalism

An earlier article by Prof. Javanbakht.

Tribalism has been an inherent part of human history, and is closely linked with fear. There has always been competition between groups of humans in different ways and with different faces, from brutal wartime nationalism to a strong loyalty to a football team. Evidence from cultural neuroscience shows that our brains even respond differently at an unconscious level simply to the view of faces from other races or cultures.

At a tribal level, people are more emotional and consequently less logical: Fans of both teams pray for their team to win, hoping God will take sides in a game. On the other hand, we regress to tribalism when afraid. This is an evolutionary advantage that would lead to the group cohesion and help us fight the other tribes to survive.

Tribalism is the biological loophole that many politicians have banked on for a long time: tapping into our fears and tribal instincts. Abuse of fear has killed in many faces: extreme nationalism, Nazism, the Ku Klux Klan and religious tribalism have all led to heartless killing of millions.

How our brains can be manipulated to tribalismhttps://theconversation.com/trump-the-politics-of-fear-and-racism-how-our-brains-can-be-manipulated-to-tribalism-139811

Living in The Matrix – More Isolation, Fear, and Tribalism

Executive Summary

  • Our politics and culture are mired in fear and tribalism.
  • The algorithms tracking you on social media are triggered by your negative emotions and amplify the negativity.
  • Your digital tribe keeps consuming and feeding each other with the same ideology.
  • We regress further into tribalism and mistrust of those not in your tribe.
  • Higher social media use is linked with increased anxiety, stress and depression.
  • Short attention spans deactivate critical thinking skills (skills which are no longer being taught by the intellectual elites in our colleges and universities).

Those of us old enough to know what life was like before social media may remember how exciting Facebook was at its inception. Imagine, the ability to connect with old friends we had not seen for decades! Then, Facebook was a virtual dynamic conversation. This brilliant idea, to connect to others with shared experiences and interests, was strengthened with the advent of Twitter, Instagram and apps.

Things did not remain that simple. These platforms have morphed into Frankenstein’s monsters, filled with so-called friends we’ve never met, slanted news stories, celebrity gossip, self-aggrandizement and ads.

The Matrix is already here: Social media promised to connect us, but left us isolated, scared and tribal — https://theconversation.com/the-matrix-is-already-here-social-media-promised-to-connect-us-but-left-us-isolated-scared-and-tribal-148799

I’ve written about the dangers of social media many times:

More Social Media Use Linked to More Depression and Anxiety in Teens

Quit Social Media – Dr. Cal Newport

The Pleasures of Life without Social Media

The Potential Harm of Social Media

I’ve bulleted the highlights of the Matrix article but the entire article is well worth reading. What truth?

PSA (public service announcement) – Ring Doorbells are on Fire!

Amazon has announced a massive recall of a version of its Ring doorbell, according to a notice posted on the U.S. Consumer Product Safety Commission (CPSC) website. The recall involves the Ring Video Doorbell (2nd Generation) with the model number 5UM5E5. The reason for the recall is because the “video doorbell’s battery can overheat when the incorrect screws are used for installation, posing fire and burn hazards,” according to the CPSC.

350,000 Amazon Ring doorbells recalled after some units catch fire
Fast Company

U.S. Election Discussion Thread — Climate Etc.

by Judith Curry No words. The only thing crazier than the U.S. election is this morning’s hurricane forecast. I have no words re the election.  For a diversion, here is my hurricane forecast for Eta. Summary:  current: TERRIBLE.  forecast: CRAZY Latest from NHC (7 am EST): 145 mph max sustained winds, min pressure 936 mb, […]

U.S. election discussion thread — Climate Etc.

I am re-posting this article by Judith Curry. Yes, the headline is somewhat misleading but I’m glad I clicked and read her post. There’s another hurricane coming.

Admit it. We all need a diversion from the election.

There’s Nothing “Radical” About This WFH Plan

This is the latest in a series of major companies having made similar announcements, including Microsoft. But Synchrony’s proposal appears to be more radical in that it:

Allows all its US employees to work from home permanently.

Requires some employees to work from home all the time with no access to an office.

Requires all employees to work from home at least some of the time.

Requires even management with “assigned seats” to work from home at least 1-2 days a week.

In a memo to employees, reported by Bloomberg today, CEO Keane and Synchrony President Brian Doubles explained that Synchrony will have three types of offices:

Virtual offices: employees will work from home permanently, and there is no office they can go to.

Hoteling offices: employees work at home permanently, but if they need to, can book a desk at a nearby office location.

Hybrid offices: employees can work from home but they have an assigned seat at a nearby office where they can work at least three days a week.

Synchrony Financial Disclosed Radical Work-from-Home Plan, Layoffs, and “Office Footprint” Reduction — https://wolfstreet.com/2020/10/20/consumer-finance-giant-synchrony-disclosed-radical-permanent-work-from-home-plan/

I have been a WFH (work from home) warrior since 2006. There is absolutely nothing radical about the plan outlined above. I’ve been patiently waiting all these years for the business world to come around to my way of thinking. To be be clear, a lot of businesses would not adopt WFH without a nasty virus driving the agenda.

Too bad I’m currently a W2 worker. If I was still consulting I would make a MINT advising companies how to do the WFH thing effectively.

And what not to do when you’re on a Zoom call.

The Sturgis Motorcycle Event and the Death of Common Sense

South Dakota, which had the most attendees, saw coronavirus cases surge within weeks of the rally’s Aug. 16 close, with the seven-day rolling average going from 84 on Aug. 6 to 214 on Aug. 27. The numbers remained elevated into October: The first day of the month, the seven-day rolling average was 434. The state is second in the nation in cases per capita behind North Dakota, with numbers high enough for the Harvard Global Health Institute to recommend stay-at-home orders.

How the Sturgis Motorcycle Rally may have spread coronavirus across the Upper Midwest — https://www.washingtonpost.com/health/2020/10/17/sturgis-rally-spread/