Author - vlmd8

Debunking “Fuzzy Science”

Debunking “Fuzzy Science”

It was raining and the amusement ride that is the Pot-holed Roads of Boston was mildly entertaining. It was a familiar route and I navigated the potholes like an expert video gamer (disclaimer: aside from playing Pac-man once, I have never played a video game). I was listening to a...

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The Year to End that Recurring Resolution

The Year to End that Recurring Resolution

The holidays have been a time for me to catch up and friends and these last few weeks have been particularly poignant. Most of them are professionals in the 45-65 age bracket, with hard-won respect and success in their careers. And yet as we reflected on the past year, many were wincing...

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Vitality Society Presentation

Vitality Society Presentation

Sunday Jan 7th, 2024; 7:30-8:30 pm EST; Online Event Embark on a transformative journey with renowned medical expert Dr. Loh, board-certified in internal medicine and obesity medicine, as she leads an empowering program dedicated to helping you achieve your healthiest year yet by...

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Re-birth

Re-birth

A monarch caterpillar is shown in 6 stages of shedding until the skin falls away and a chrysalis begins to take shape. The first stage happens after the caterpillar has fastened itself with silk to a branch and hangs in the shape of a J. Then the skin of the caterpillar slowly splits and...

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vlmd rounds 52

You can learn a lot about someone if you know their family members. That’s why we’re looking at Tuberculosis in this episode. 1.8 billion of the world’s population has been infected by TB. Most of them have latent infection. 10.6 million had active infection in 2021...

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vlmd rounds 51

We’ll discuss the general process of vascular calcification and some common risk factors for this. How do smooth muscle cells in the blood vessel wall contribute to the process? And what about macrophages? How do statins affect calcification? What about CAC-scores? What would happen...

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vlmd rounds 50

Learn about the role of macrophages in atherosclerosis. Where do they really come from? How do they contribute to the plaque? How are they driving the immune reaction? What’s the relation between macrophages and T cells? We’ll also look at vascular inflammation in the form of...

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Falling into Place

Falling into Place

Sometimes, when things fall apart, it just might be a sign that they are falling into place. That’s one of my favourite sayings. I’ve found it to be true in my life and in the lives of my patients. Jean knew something was wrong. He was tired all the time and couldn’t go full out in the...

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vlmd rounds 49

Continuing on my discussion from episode 48, I lay out the real significance of the Vasa Vasorum. What is it about the vasa vasorum that plays into Atherosclerosis as an autoimmune disease? What’s the real difference between the vasa vasorum of veins vs arteries?

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vlmd rounds 48

I’ve been asked so many times about which end of the blood vessel allows entry of LDL particles that I’ve decided to address the question in this episode. One of the reasons there is so much confusion around discussion of the vasa vasorum is that we only focus on 1 tiny aspect...

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