coronary microvascular dysfunction

 24.2.9: web.health/heart/
coronary microvascular dysfunction:

summary:

. if you feel like a heart attack is happening

but they can't find an obstructed or clogged artery,

that is known as MINOCA:

myocardial infarction [heart cell death due to blood loss]

with non-obstructive coronary arteries 

which can be caused by artery spasms, ripped artery,

or a new condition that is known by many names:

coronary microvascular dysfunction

Coronary microvascular disease

Microvascular endothelial dysfunction

Cardiac syndrome X

Nonobstructive coronary heart disease.

ami.org 2024.2.5

https://www.facebook.com/amidotorg/posts/pfbid022tx3M4kK9x4LdyGzERCRcB7qb3hMtpo1ThRziRvhFdNo6He8v8Ktd7RqMWdL2nPml

The Association of Medical Illustrators is

excited to announce the launch of 

the first round of illustrations through the 

AMI Diversity Fellowship, 

made possible by a grant through Johnson & Johnson’s (J&J) 

Our Race to Health Equity (ORTHE) initiative. 

In recognition, we will be highlighting the work of

each of our Diversity Fellows.

eg, the first illustration highlights

myocardial infarction with non-obstructive coronary arteries.

[!] image: myocardial infarction with non-obstructive coronary arteries 

(MINOCA), can be caused by artery spasms 

or coronary microvascular dysfunction.

interesting that mentions  

"coronary microvascular dysfunction";

it is a new diagnosis with many names...

Small vessel disease

https://www.mayoclinic.org/diseases-conditions/small-vessel-disease/symptoms-causes/syc-20352117

Small vessel disease may also be called:

Coronary microvascular disease

Microvascular endothelial dysfunction

Small vessel disease is treatable but may be difficult to detect. 

The condition is typically diagnosed after finding

little or no narrowing in the main arteries of the heart

despite the presence of symptoms that suggest heart disease.

Coronary Microvascular Disease (MVD)

https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/coronary-microvascular-disease-mvd

In coronary MVD, the heart's coronary artery blood vessels

don't have plaque, but damage to the inner walls of the blood vessels

can lead to spasms 

or abnormalities in smaller arteries.

Other names for coronary microvascular disease:

Cardiac syndrome X

Nonobstructive coronary heart disease

Treatment

Medications to relax blood vessels including 

beta blockers, calcium channel blockers and nitroglycerin.

Noel Bairey Merz, MD

https://www.cedars-sinai.org/newsroom/what-is-minoca-a-type-of-heart-attack-mostly-affecting-women/

What is MINOCA? A Type of Heart Attack Mostly Affecting Women

. myocardial infarction with non-obstructive coronary arteries 

(MINOCA), is garnering increased attention.

Janet Wei, MD, and Noel Bairey Merz, MD:

MINOCA is a heart attack caused by 

poor blood flow to the heart, 

despite no evidence of major blockage in the arteries,

eg, coronary artery spasms, and

spontaneous coronary artery dissection.

A troubling aspect of MINOCA is that

often when we diagnose a heart attack, 

we rely on a single imaging method

—invasive coronary angiogram—

to tell us if there’s a big blockage in the coronary arteries. 

With MINOCA, the angiogram can look normal.

MINOCA patients are more likely to be female and younger, 

and they’re also more likely to be Black or Hispanic/Latino. 

the unexpected hazards of being a statistic

 2022.6.22: pol/healthcare/
the unexpected hazards of being a statistic:

. there was a problem with exploding air bags that killed people

but they didn't have them disarmed until replacement

because statistically, if they did disarm the air bag

there would be more people dying from accidents

than there would be deaths from air bag explosions

because seat belts alone are far deadlier than

seat belts with air bags.

. but those statistics just show the cost to society;

what about the cost to my family

when they know I may never have died from an accident

but I did die from an air bag explosion?

suggestions for a globalized pandemic preparedness and response

 2022.4.12: co.who.int/pol/healthcare/
suggestions for a globalized pandemic preparedness and response:

the intro from WHO:

https://inb.who.int/home/written-submissions

the form to give your comment:

https://extranet.who.int/dataformv3/index.php/491121?lang=en

the question:

“What substantive elements do you think should be included

in a new international instrument

on pandemic preparedness and response?” 

my comment:

. one thing we should do to prepare

is teaching people about who survived the pandemic;

it was people with a diet that promotes

low inflammation, low cortisol, and low insulin,

for enhanced insulin sensitivity.

. and for elders it was high levels of vitamin D, vitamin A,

with vitamin K2 to prevent bone loss from vitamin D,

melatonin, and zinc.

. we don't want a global effort of 

forcing everyone to take risky vaccines,

when we could work to isolate the vulnerable,

while we rapidly build natural immunity,

and get the lock-downs over with sooner!

to optimize a boy's IQ, avoid fluoridated water during pregnancy

2022.3.29: news.health/diet/fluoride/
to optimize a boy's IQ, avoid fluoridated water during pregnancy

. a lower IQ is what makes lead so dangerous,

increasing risky behaviors.

. if your region's water has high or added fluoride,

drinking that water while pregnant with a boy

will lower that boy's IQ.

tea is another major source of fluoride.

. this is not a call to end water fluoridation,

but to drink pure water during pregnancy.

Cares Act 2020 required removing guaifenesin from asthma meds

 21.7.12: web.health/diet/

Cares Act 2020 required removing guaifenesin from asthma meds:

. why was primatene recalled?

a competitor claimed that the Cares Act 2020

required removing guaifenesin;

possibly due to it being known that

guaifenesin may cause birth defects.

but that was known at least as far back as 2003.

[ Am Fam Physician. 2003:

https://pubmed.ncbi.nlm.nih.gov/12825840/

Over-the-counter medications in pregnancy

Ronald A Black, D Ashley Hill.

https://www.aafp.org/afp/2003/0615/p2517.html

]

aapsonline.org worries more "democracy" is a path to socialized medicine

2021.3.2: news.pol/healthcare/

aapsonline.org worries more "democracy" is a path to socialized medicine:

summary:

H.R. 1: For the People Act 3 of 2021:

https://www.congress.gov/117/bills/hr1/BILLS-117hr1ih.pdf

"To expand Americans’ access to the ballot box, 

reduce the influence of big money in politics, 

strengthen ethics rules for public servants, 

and implement other anti-corruption measures

for the purpose of fortifying our democracy, ... ."

. we actually need this bill to protect democracy

by making it easier to vote;

but it is bound to help the Democrat.party

which is known for increasing socialized medicine

which is bad if it limits the ability of doctors

to decide what they consider good patient care

instead of letting politicians decide your care.

. this is why Republicans voted for abortion rights:

https://www.worldatlas.com/articles/roe-versus-wade-decided-by-a-majority-republican-nominated-court.html

they actually voted to keep politicians from

taking choice from our doctors.

. I hope when this bill allows more Democrat politicians

that they help expand our access to healthcare

without tying the hands of doctors.

. if the usa has the most deaths from covid-19

https://en.wikipedia.org/wiki/COVID-19_pandemic_death_rates_by_country#/media/File:COVID-19_Outbreak_World_Map_Total_Deaths_per_Capita.svg

it was because we didn't give doctors more power:

good doctors wanted to treat early with older

unpatented drugs such as Ivermectin 

and zinc with HCQ; and vitamin D;

[Am J Med. 2021 Jan]

https://pubmed.ncbi.nlm.nih.gov/32771461/

whereas, the socialized medicine in the usa

https://www.covid19treatmentguidelines.nih.gov/antiviral-therapy/

told doctors not to treat until hospitalization was needed,

and to use only new patented drugs and ventilators.

safe harbor provisions of the Anti-Kickback Statute

2021.2.1: pol/healthcare/

safe harbor provisions of the Anti-Kickback Statute:

to the HHS Office of Inspector General (OIG):

https://www.regulations.gov/comment?D=HHSIG_FRDOC_0001-0440

Thank you for the opportunity to provide comments on 

abuse of safe harbors to the anti-kickback statute (AKS).

. this letter is a revision of the aapsonline response.

https://aapsonline.org/alert-and-special-legislative-update-pharmacy-benefits-managers/

Physicians Against Drug Shortages estimates that 

http://www.physiciansagainstdrugshortages.com/ 

safe harbor facilitated kickbacks increase 

"annual supplies costs by at least 30%, 

or upwards of $100 billion 

... and the prices of drugs ... 

by at least $100 billion annually as well." 

I urge HHS to move forward with the Part D rebate rule 

instead of delaying it further. 

. that regulation would replace protections for

drug rebates in Medicare Part D

with protections for discounts 

provided directly to consumers. 

. the Biden administration agreed to delay this rule

in response to suit challenging it brought by

the Pharmaceutical Care Management Association.

https://www.fiercehealthcare.com/payer/a-win-for-pbms-biden-administration-delays-rebate-rule

It is past time that discounts on drugs

are passed along directly to patients 

instead of being kicked back to middlemen.

In addition, the Office of Inspector General (OIG) 

must not sidestep its responsibility to investigate and end 

abuse of current AKS safe harbors, 

for example 42 CFR § 1001.952(j) and related regulations. 

This safe harbor for Group Purchasing Organizations (GPOs) 

has unleashed an epidemic of kickbacks

in the medical supply chain 

which has spread into pharmaceuticals 

through similar exploitation by 

Pharmacy Benefits Managers (PBMs).

HHS should further work to stop both

GPO and PBM misuse of safe harbors

by encouraging Congress to repeal 42 U.S.C. § 1320a-7b(b)(3)(C), 

a key statute that shelters harmful schemes. 

Shortages, unaffordability, and improper steering of patients 

to the most profitable product, instead

of the one that best meets patients' needs, 

are driven in part by this AKS safe harbor. 

For example,

sole-source contracts, facilitated by kickbacks, 

are an anti-competitive feature of

many GPO arrangements with hospitals and manufacturers, 

which increase the risk of shortages and push prices higher.  

For more details see 

http://jpands.org/vol23no2/singleton.pdf

-- This year the comment window is open until 

February 16 at 5pm Eastern.

my Comment Tracking Number: 1k5-9lk3-v0h4

my covid-19 antibody test is negative in November after feeling hit in March

 20.11.30: web,aq.med/redcross/

health/immunity/covid-19/my covid-19 antibody test is negative:

summary:

. I got a covid-19 antibody test 

from giving blood to the redcross;

and it came back negative,

but while that could mean I never got exposed,

it could also mean I had a mild case of covid-19

where my immune response made very few antibodies,

and within 8 months, I make undetectable levels.

@scifri Virologist @angie_rasmussen claims CDC appears "compromised" and has lost "respect"

2020.9.4: news.pol/healthcare/covid-19/
@scifri Virologist @angie_rasmussen claims
CDC appears "compromised" and has lost "respect":

@scifri radio factchecker guest Virologist @angie_rasmussen
claims CDC appears "compromised" and has lost "respect"
after issuing #covid19 policy that seems
"politically motivated" rather than scientific:
stop testing asymptomatic people
even if they believe they've been exposed.

the radio segment is recorded here:
sciencefriday fact-check.
partial transcript:

1918 flu pandemic a #WWI #bioweapon? bleeding from high-dose aspirin

20.5.1: health/immunity/1918 flu pandemic
/H1N1 with bleeding from high-dose aspirin:
summary:
. the 1918 flu pandemic was an H1N1 virus;
there was some who suspected it was a bioweapon
and not just the flu;
because a lot of bleeding was involved,
as if it was hemorrhagic fever virus
meant to influence the current war (WWI);
however, there was a new popular fad at the time,
of taking very high doses of aspirin
as it it had only recently been discovered;
and they unaware that it was the aspirin
that was causing the same sort of bleeding
that is caused from scurvy or low vit'C.
. historian on @scifri radio said
the 1918 pandemic was able to kill just the young
because it caused an autoimmune reaction;
so, the stronger you could attack the virus
the stronger you would attack yourself.

a doctor's path to reversing artery plaque from insulin resistance

19.12.2: tv.med/heart/a doctor's path to 
reversing artery plaque from insulin resistance:
Ford Brewer MD MPH Apr 18, 2017
How I Reversed 20 years of Arterial Plaque: 
Heart Attack Proofing?
. ACE inhibitors, like statins,
are designed for one thing
{lower blood pressure, lower cholesterol}
but they are actually most helpful because
they are reducing inflammation.
. he reduced high-glycemic carbs,
[noted in the captioning]
and because that lowers insulin
which improves blood lipids and pressure,
he was able to lower his dose of medications;
. he also used niacin, and ate salmon every day.

trust flu vaccine? we need humane organic farming

19.6.17: tv.pol/healthcare/industrial farming
/Rob Wallace`african swine fever:
6.19: summary:
trust flu vaccine? we need humane organic farming:
. part of the reason for encouraging flu vaccine
is that globalized factory farming
is increasing the rate of flu virus evolution;
but flu vaccine is often not protective;
what we really need is to discontinue
globalized factory farming of animals
by mandating humane organic farming.
. I summarize the work of
biology Ph.D. Rob Wallace
and others concerned with the way
factory farming promotes disease.

#healthcare #fluoride Dr. David Kennedy

19.6.2: pol/healthcare/fluoride/Dr. David Kennedy:
6.3: summary:
. more bad news about fluoride
being a hormone disruptor;
I live in Tucson which doesn't fluoridate,
so my main source has been tea
which is a fluoride accumulator,
and comes mainly from China
where there is a lot of fluoride pollution
from burning coal.
. fluoride is known to affect thyroid
and very high levels of it may reduce
testosterone levels.

. heard Dr. David Kennedy on the radio:
with Martie Whittekin (Healthy By Nature)
[Tucson, AZ, KGMS 940 AM – Sunday 1 pm]
. fluoride is an endocrine disruptor
by affecting g-protein function.
fluoride increases brain aluminum.
Dr. David Kennedy has a book:
David Kennedy 1996`How to Save Your Teeth:
Toxic-Free Preventive Dentistry.
--
. that book has cult-classic pricing on amazon
but cheap pdf's are sold by iaomt.org.

Jewish people know best (avoid or delay some #vaccines)

2017.11.27 web.pol/healthcare/vaccine/
Jewish people know best (avoid or delay some #vaccines):
2018.6.18: summary:
. the herd-immunity theory is fatally flawed:
it assumes that to protect a minority
you have to ensure the majority are vaccinated;
but, what are the long-term large-scale side-affects
of all these new hardly-tested vaccines?
you need a sizeable control group
who do not take vaccines
to compare them to the group who does.
. Jewish communities are known to be
highly intelligent or well-researched,
and many of some Jewish communities
are refusing or delaying vaccines.
($Millions in Vaccine Injuries)

non-alcoholic fatty liver disease is very common #fructose #roundup

17.11.16: news.health/probiotic/hormonics/
non-alcoholic fatty liver disease:
2018.3.26: summary:
. surprised to learn how many are sick with
something that may be related to dysbiosis;
ie, having the wrong gut germs from a bad diet
or from getting too many antibiotics
such as the pesticide Roundup
(much more common in grains and legumes now).
. Dr.Rinella blames fatty liver on
bad germs or leaky gut and being obese,
but the primary cause is our modern diet
high in fructose (sugar is half fructose).
[J Hepatol. 2008]

Mary E. Rinella, MD:
jama 2015 june 9,
Nonalcoholic Fatty Liver Disease
A Systematic Review

Nonalcoholic fatty liver disease
affects approximately 30% of the US population.
p2266:
high visceral adipose tissue (being obese)
increases pro-inflammatory mediators
and excessive free fatty acids (lipotoxemia)
and insulin resistance;
all that affects the liver:
alterations of glucose and lipid metabolism.
. all that altered metabolism leads to
fatty liver or hepatic steatosis.

2nd stage is steatohepatitis
caused by lipotoxicity from increased free fatty acids
and by inflammation from
obesity releasing pro-inflammatory mediators,
and by intestinal dysbiosis generating portal endotoxin.
. pro-inflammatory mediators and
(endoplasmic reticulum sress
from dysregulated unfolded protein response)
leads to pro-inflammatory signalling
that along with (the vicious circle of
oxidative stress and mitochondrial dysfunction)
causes activation of hepatic stellate cells
and collagen deposition;
that leads to fibrosis
which is a precursor to cirrhosis.

. one symptom of insulin resistance is
acanthosis nigricans
[velvety darkening of the skin.
It is usually found in body folds.]

#glyphosate exposure from desiccation #cancer

2017.11.4: news.pol/healthcare/glyphosate/
significant glyphosate exposure from desiccation:
2018.1.1: summary:
. increasing glyphosate exposure
may have adverse health consequences
and we are getting a lot more of it
since the 2002 practice of
using glyphosate for killing crops
to make harvesting easier.

calc channel blockers control #emf symptoms including #afib

10.15: web.med/afib/calc channel blockers 
control emf symptoms including afib:
Mercola 2017.9:
. cell phone and other wireless fields
such as smart electricity meters
that are too mild to have thermal effects
(so they won't cook you like a microwave)
can still harm you via VGCC activation
(a cell's voltage-gated calcium channels)
Common heart problems linked to EMF exposure
include: Cardiac arrhythmias
(associated with sudden cardiac death)
Atrial fibrillation / atrial flutter.
[J Chemical Neuroanatomy 2016]
. put a Faraday cage around your bed,
as EMFs are known to disrupt sleep.

fragrances are untested #tradesecrets and often #endocrinedisruptors

8.14: news.health/diet/hormonics/
fragrances are untested #tradesecrets and often #endocrinedisruptors:
summary:
. Marilee Nelson 2015 gave some great resources
on the issue of toxic secret fragrances
that I explore here.

unlisted preservative #tBHQ might provoke #allergies, #obesity

6.9: news.health/immunity/
unlisted preservative tBHQ might provoke allergies, obesity:
. conventional preventive health science
has warned us to avoid fat
claiming it was the main source of
both cancer and heart disease,
whereas alternative medicine warned
that the primary problem was from
a diet high in grains and sugars.
. here is another example of convention
being right for the wrong reasons:
. it turns out that most added fat
in the many processed foods in the usa
contains hidden preservatives
which might have adverse affects
including food allergies and obesity.

#vaccine higher rate of allergies and neurodevelopmental disorders

5.23: news.pol/healthcare/vaccine/
higher rate of allergies and neurodevelopmental disorders:
Pilot comparative study on the health of
vaccinated and unvaccinated
6- to 12- year old U.S. children.
[J Translational Science 2017]
. neurodevelopmental disorders (NDD);
vaccinated homeschool children were found to have
a higher rate of allergies and NDD
than unvaccinated homeschool children.
While vaccination remained significantly associated with
NDD after controlling for other factors,
preterm birth coupled with vaccination
was associated with an apparent synergistic increase
in the odds of NDD.
summary of findings:
snopes reaction:
counter-snopes:
reddit.