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Ischemic Heart Disease Discussion Posted

I've added a discussion of Ischemic Heart Disease as it relates to disability in preparation for detailing the Ischemic Heart Disease Listings. I've also moved the "Chronic Heart Failure and Disability" article into the Cardiovascular System section for better continuity.

Posted on Tuesday, May 15, 2007 at 05:39PM by Registered CommenterKeith Holden, MD | Comments2 Comments | References338 References

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Dr. Holden. My husband, Edwin, and I are patients of yours. We have a question about cholesterol causing heart disease and other things. Ed has been researching statin drugs and has found someone who thinks that they cause more harm than good and that we need cholesterol in our bodies. His name is Duane Graveline. He is a Dr. and former astronaut. Ed has decided that he no longer wants to take his Crestor because of this. I'm worried about this and don't know what to do. Do you think it would be ok to come off the drugs and see what happens? I thought this might relate to your topic about heart disease and other people might be interested in this, too. Thank you for your help. Dale
May 21, 2007 | Unregistered CommenterDale Aschenbach
Hi Mrs. Aschenbach,

Due to HIPPA rules, I'm not really allowed to discuss my patients' conditions on this website. I would be glad to speak with you and Mr. Aschenbach about his concerns in the office. Please make an appointment.

As far as cholesterol, it does serve a very important purpose in the body, but in certain individuals, some cholesterol particles that are too high have been implicated in the development of cardiovascular disease. This can be especially dangerous in individuals with many risk factors for heart disease.

You have to be aware of the risks versus the benefits of treating a condition, and then make an informed decision.

Allopathic medicine is limited by the technology and research we physicians have available to us at the current time. But physicians are held to a "standard of care" or rules regarding the treatment of certain conditions as established by the medical and legal communities. This "standard of care" often times "forces our hand" to treat patients' conditions a certain way.

See you in the office.
May 22, 2007 | Registered CommenterKeith Holden, MD
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