Secret Cardiology- What Your Doctor Doesn't Talk About

Things your cardiologist would rather not talk about - or even think about

PhotoAlto/Sigrid Olsson

Some things in the wonderful world of cardiology are simply not meant to be discussed. There are certain things about heart disease, or certain aspects of the practice of cardiology, that cardiologists tend to find inconvenient, embarrassing, obscure, unbelievable, or simply not fitting their world view.  

These things - generally, facts or data points that emerge from research or experience - may fly in the face of the general narrative.

They may violate the accepted dogma. They might, if true, ethically obligate doctors to act in a way that is incompatible with custom, tradition, or (worst of all) the obligatory practice "guidelines" against which they are officially judged to be "good doctors" or "bad doctors." 

There's more.  In today's practice of medicine, where "efficiency" (i.e., the quick turn-over of patients) is highly valued by the payers and the authorities, and where "inefficiency" (spending too much time with individual patients) is the Sin That Cannot Be Forgiven, doctors simply cannot afford to get caught up in time-eating discussions about nuances, uncertainties, or hints that perhaps the dogma (and the guidelines) may not be entirely correct in every case, and that perhaps different tests or treatments ought to be considered in particular individuals.

These things - emerging theories, inconvenient facts, and inherent uncertainties that challenge the official version of cardiology - naturally make cardiologists in the trenches very uncomfortable.

 These are the things that practicing cardiologists would rather not talk about, or even think about - even though their patients ought to know about them before they make important decisions about their health. 

I call it Secret Cardiology.

Over the years on this website I have written numerous articles that address, perhaps more forthrightly than many of my colleagues would consider professionally desirable, selected aspects of Secret Cardiology.

 And now I am formally calling it out, giving it the name it deserves, and drawing your specific attention to it.  I am doing this by starting a Facebook page about Secret Cardiology. 

The “Secret Cardiology” page aims to identify some of those complexities and uncertainties in heart disease where knowing the “whole story” might very well affect the decisions you make. I hope to provide you with enough information and resources to enable you to entice (or embarrass) your doctor into the kind of discussion you really need, in order to make the decisions that are right for you. If you or a loved one has heart disease, consider visiting the Secret Cardiology page. (And please "Like" it.)

You can check out the Secret Cardiology Facebook page here.

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