Evolocumab Are You Joking Me?

PCSK9-inhibitor-evolocumab-Are-You-Joking

Evolocumab, Are You Joking Me? by Jeffrey Dach MD Ralph is a 48 year old divorce lawyer who arrives in my office with a history of familial hypercholesterolemia.  Every lab panel since he was a kid showed a cholesterol of … Continue reading

Is Your Drug From the Medical Museum?

Is Your Drug Brain in Jar Medical Museum

Is Your Drug From the Medical Museum? If you are a curious tourist, visit the Medical Museum where you will be shocked with the sight of glass specimen jars filled with tissue samples.  There you will find relics of past … Continue reading

LDL Cholesterol Particle Size and Number What Gives ?

LDL Particle Cholesterol JEffrey Dach MD

LDL Particle Size and Particle Number, What Gives? Superiority of Calcium Score Ron is a 72 year old retired engineer, and has a total cholesterol of 174 which hasn’t changed over the seven years we have been following him. This … Continue reading

Statin Denialism Internet Cult with Deadly Consequences

steven nissen md cardiology cleveland clinic new york times

Statin Denialism: an Internet Cult with Deadly Consequences An editorial by Cleveland Clinic cardiologist Steven Nissen (above image) appeared in the Annals of Internal Medicine this week lamenting the problem of  “Statin Denialism” on the Internet.(1-2) Dr Steve Nissen’s editorial … Continue reading

Statin Drugs and Botanicals Anti-Inflammatory Effects

Cardiac Bypass2_Heart_lung_machine

Statin Drugs Anti-Inflammatory Effects Reduce Mortality after Cardiac Surgery. Would Botanicals Be Better? For those of us with heart disease requiring cardiac bypass surgery (CABG), The New York Times advises we all take statins drugs, since studies show 50% reduction … Continue reading

Atherosclerosis How Does it Happen by Jeffrey Dach MD

Atherosclerosis Plaque Wikimedia

Atherosclerosis: How Does it Happen? Reversing Heart Disease Part Two – by Jeffrey Dach MD A Brief Review of Part I In part one, we discussed the Coronary Calcium Score, which is useful because it provides an estimate of total … Continue reading