Brain Fog Nation – The Attention That Left Us
We’ve become a society defined by distraction, acceleration, and mental erosion. The fog isn’t a glitch. It’s the weather report.
VLDL and Remnant Cholesterol: The Forgotten Drivers of Heart Disease (2025 Update)
Not long ago, I saw a 58-year-old man who had done “everything right.” His LDL cholesterol (LDL-C) was well controlled on a statin, his blood pressure stable, and he exercised regularly. But he carried extra weight around his waist, his triglycerides were persistently high, and a CT scan revealed clear signs of atherosclerosis in his … Read more
The Heart of Power – Episode 8: The Ticking Man
He knew it was coming. The way a storm announces itself in the bones.The way a man knows the land he’ll die on. Lyndon Baines Johnson had already faced the thing most men spend their lives avoiding: death. It had gripped his chest, dropped him to the bedroom floor of his Texas ranch, and whispered … Read more
The Echo Chamber of Cardiology: Practicing Medicine—or Managing Metrics?
The ballroom was cold in that sterile, calculated way—air conditioning cranked just high enough to keep anyone from dozing off. Still, two rows in, a man in a navy blazer blinked slowly, arms crossed, the telltale nod of jet-lagged surrender already beginning.
The projector whirred like a tired breath.
Apolipoprotein B (ApoB) and the Real Risk of Heart Disease
In cardiovascular medicine, some numbers are sacred. LDL-cholesterol (LDL-C) has long been the cornerstone of risk assessment and treatment targets. But what if we’ve been following the wrong number? This updated article revisits and expands on a piece I wrote in 2021 — enriched by new evidence, deeper clinical insights, and a clearer understanding of … Read more