Category Archives: Featured

The Met’s House Tenors

The definition I’m using here is this: A Met house tenor is one who has sung at least 500 performances in leading tenor roles with the company. Thus, comprimario singers are not included. Using this rule there are only six tenors who qualify. They are listed below in the order of their birth followed by…


Read the full entry

Dr. Donald W. Seldin, ‘intellectual father’ of UT Southwestern, dies at 97

Dr Seldin died April 25, 2018 at the age of 97. I was one of thousands of physicians whose life and career was shaped by this great man. The article below is the tribute to him that was published by Southwestern Medical Center, the institution that he devoted his life to and which was shaped…


Read the full entry

New Blood Pressure Guidelines – Think First

The press with an assist from the American College of Cardiology is trying to drive the American public crazier than it usually is. Here’s a quotation typical of those floating around the media: “Nearly half of Americans have high blood pressure under the new guidelines issued Monday by heart organizations and the medical community. The…


Read the full entry

How Go Completely Crazy in 25 Easy Steps

The first thing to accept is that you don’t have to do anything crazy to go completely crazy – a series of rational small steps will get you there. A to B seems at least OK. The same with B to C, all the way to Z. Twenty five rational, or semi-rational, steps and you’re…


Read the full entry

Gene Therapy for Sickle Cell Disease

Sickle Cell Disease is a disorder of hemoglobin production secondary to an alteration in the hemoglobin gene on chromosome 11.  Specifically, there is a single amino acid substitution in “adult” β A -globin (Glu6Val) stemming from a single base substitution (A→T) in the first exon of the human β A -globin gene. The abnormal nucleotide…


Read the full entry

Ostracism and “high Crimes and Misdemeanors”

Ostracism was an interesting feature of the Athenian democracy, if you can call a city-state which granted the suffrage only to adult male land owners a democracy. About 30 to 50 thousand of about 300 thousand Athenians were eligible to vote. Unsurprisingly, democracy in Athens lasted little more than a century. Ostracism derives its name from ostraka,…


Read the full entry

The Vulture Has Landed

I’ve been out of the country for a few weeks, but am now back (see below for the gruesome details). Thus regular posting will resume. First the important stuff.  If you take a cruise bring your own salt and a shaker. No cruise line I know of has decent salt shakers. They tend to use…


Read the full entry

Life Expectancy in the Elderly

Americans have a lower life expectancy than people in other developed countries. This lower longevity has been often used to disparage medical care in this country as being inferior to that of other similarly advanced nations.  Such an accusation is made acute by the high cost of American medical care – the highest in the world….


Read the full entry

Statins For the Primary Prevention of Cardiovascular Disease

The use of statins (drugs which lower blood cholesterol) for the primary prevention of CV disease has been controversial since the drugs became available almost 30 years ago. Primary prevention is the prevention of a disease which the patient does not have, eg a stroke or a heart attack. Secondary prevention is the prevention of…


Read the full entry

Daisy For President

Can a dog run for President of the United States? The answer is an unequivocal yes! Let me quote the Constitution: No person except a natural born citizen , or a citizen of the United States, at the time of the Adaption of this Constitution shall be eligible to the Office of President; neither shall…


Read the full entry

Categories