4 Comments
Apr 27, 2022Liked by William H Bestermann Jr MD

Thank you for this clarifying article. The whole topic is confusing!

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Thanks. There are too many mixed and and confusing messages. One wise medical leader told me "Patients and providers just want to know what to do." That is what this site is all about. The research is improving daily and best practices are becoming clearer.

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From our computational electrophysiological point of view, myocaridal dysfuction/damage is rooted in the supply abd demand imbalances, the vascular component is simply ONE of manay causes. For example. high altitude sickness due to low Oxygen supply can lead to myicardal damage, even death. Anoter example is the deep-diving-accidents, or the BENDS, can lead to the same myocardual damage. Thus the vascular centric arguements are over sold, which has created an entire indistry to sell coronary interventional devices and procedures, Statins drugs, antiocoagulants, etc. How effective these "remedies" really are, the data thius far have NOT support the exuberance. It is irrational and unscientific.

We need a systme of "telling the objective truth baed on, the first physical prinipals, understood via the honest learning from the impirical evidence" to regain trust, or we are ALL doomed.

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The optimal medical therapy story for high-risk patients is rock solid and supported by a mountain of evidence. OMT is "an evidence-based care process consistent with best practices."

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