Direct MD Austin

Interesting study on fasting:

Association of periodic fasting lifestyles with survival and incident major adverse cardiovascular events in patients undergoing cardiac catheterization AbstractAims. Animal models repeatedly show fasting increases longevity. Human data, though, are limited to anecdotal claims. This study evaluated the associati

Progress may be slow, but nevertheless, I’m glad to see this from the ADA:

Tell your endo. Harvard endocrinologist, Dr David Ludwig highlights the shift in thinking at the ADA.

“Their blood sugar control seemed almost too good to be true,” said Belinda Lennerz, the lead author of the study and an instructor in the division of pediatric endocrinology at Boston Children’s Hospital and Harvard Medical School. “It’s nothing we typically see in the clinic for Type 1 diabetes.”http://pediatrics.aappublications.org/content/pediatrics/early/2018/05/03/peds.2017-3349.full.pdf

Better late than never, JACC! Bravo!

“Whole-fat dairy, unprocessed meat, eggs and dark chocolate are SFA-rich foods with a complex matrix that are not associated with increased risk of CVD. The totality of available evidence does not support further limiting the intake of such foods.”

Saturated Fats and Health: A Reassessment and Proposal for Food-based Recommendations: JACC State-of -the-Art Review The recommendation to limit dietary saturated fatty acid (SFA) intake has persisted despite mounting evidence to the contrary. Most recent meta-analyses of randomized trials and observational studies found no beneficial effects of reducing SFA intake on cardiovascular disease (CVD) and total mortali...

I just de-prescribed another statin, based on a CAC score of zero. Feels great to get people off chronic meds they do not need, saving them money and unnecessary side effects!

Concerned about your high heart calcium/CAC score? This study has very interesting info on outcomes:

https://www.ahajournals.org/doi/full/10.1161/01.atv.0000127024.40516.ef

Goal can be to **stabilize** the atherosclerosis, and prevent it from progressing at >15% per year, and risk of events plummets.

Updated information about Austin/Travis County ISOFAC (Isolation Facilities) for the pandemic.

Episode 37: COVID- Isolation Facilities and Alternate Care Sites What happens when we reach surge capacity at the hospitals? Where do patients go if they don’t have a home where they can safely quarantine? What about our nursing home patients? In this epis…

Preliminary info about in-office Coronavirus antibody testing that we are evaluating:

In office Coronavirus antibody testing In office testing for SARS-CoV2 IgG and IgM antibodies

Map with current Austin COVID 19 testing sites:

Austin COVID Testing Sites - Google My Maps Austin COVID Testing Sites