Coronary artery disease is incredibly complex.
But preventing is not.
Don't get distracted by all the new research.
We have known how to do it for decades.
Keep V02 Max, Muscle Mass & Strength, Emotion Health & Sleep Metrics High
Keep APOB, Insulin, BP Low
Simple.
Fatigue from sleep loss is not weakness or lack of grit. It is impairment.
We need a cultural shift in healthcare that acknowledges the harms of sleep loss in terms of medical errors, loss of empathy, car accidents, needle sticks, and decline in physical and mental health.
Please don’t ever blame or shame a tired doctor. I promise you, they are not choosing sleep loss by choice. They’re filling gaps & seeing patients who would otherwise go without care.
The solution is to bolster the workforce & build systems that protect rest, not shame doctors.
The Department of Education announced that nursing is no longer a “professional degree.” This will limit the loans they can access.
Nurses stay when others leave. Anyone who knows a nurse knows they are not only a key health care “professional” but critical to our workforce.
One of the most underappreciated dynamics in healthcare is Parkinson’s Law of Triviality: organizations devote disproportionate time to the issues that matter least.
In behavioral economics, it’s called “complexity avoidance.” In healthcare, it’s usually called “the weekly meeting” or sometimes referred to as “the huddle.”
We’ll spend hours debating badge colors, committee names, logo refreshes, and which department should ‘own’ a metric - while multimillion-dollar structural failures, workforce collapse, and catastrophic billing inefficiencies glide by untouched.
The harder the problem, the faster it gets tabled “for further discussion and research.” The easier the problem, the louder the opinions - suddenly everyone’s an expert.
This is why health systems have immaculate branding guidelines but chaotic revenue cycles. Why they can produce a 200-page “cultural competence” report but can’t reliably staff a night shift. Why they optimize hallway signage faster than clinical throughput. Why they talk about all the community service that they produce yet none is ever actually observed or experienced.
This is why dilettantes are rewarded and brilliance is punished. Healthcare doesn’t suffer from a lack of goobers, gomers, and grifters - it suffers from a gravitational pull toward the trivial.
And nothing accelerates that gravity quite like a conference room full of administrators with laptops.
Sometimes the emotions hit mid-run—choked up, angry, numb, suddenly crystal clear.
Good. That’s your body doing the work.
Running gives your nervous system a safe outlet.
Instead of pressure-cooking tension, you release it—step by step.
You might cry. You might rage up a hill.
You might finish and feel like a new person.
That’s healing. That’s trauma leaving the body.
I am physically exhausted… not from caring for patients — that still fuels me every single day — but from fighting a system that seems built to crush doctors who actually want to heal. Endless bureaucracy. Red tape so thick it strangles common sense. People with no clinical experience are deciding what care is “allowed.” I finally understand why so many of my friends have left medicine. They didn’t stop caring; they couldn’t keep fighting a machine that puts paperwork over patients. We were trained to save lives, not to beg for approvals and defend every decision to a panel of strangers. Medicine is bleeding talent because the system rewards compliance rather than courage. Patients deserve better.
My children did not get the hepatitis B vaccine.
They are 13, 11, 9 years of age.
I have NEVER taken a flu or COVID vaccine despite several mandates thrown at me over the past several decades in medicine.
There are so many doctors like me, who like me have been lurking for decades in the shadows of a terrible medical system… we reached the top, we are your chief resident, we scored in the top decile on our board exam, we have written papers and consensus statements…
We see a medical system that forces & coerces people to do interventions against their better judgement and distracts from ACTUALLY getting healthy.
Think about how many strep tests, COVID tests, colonoscopies, rectal exams and mammograms we as a country have done… and how many times has a doctor simply asked you about your sleep, stress, and diet?
We live in a perverse medical system with perverse incentives, run by a public health apparatus that is bread from the same institutions that forced minorities into syphilis experiments and accepted iatrogenic Guillain-Barré, myocarditis, and countless other harms as collateral damage.
This is a CDC that literally told people with diabetes to eat 50% carbohydrates… a guideline that has fueled a diabetes epidemic, crushed millions under the weight of chronic disease, and left families devastated.
We have been trained to normalize metabolic dysfunction… to screen earlier, medicate earlier, cut earlier, and hospitalize earlier, instead of reversing the disease in the first place. We worship at the altar of “evidence-based medicine” while refusing to ask whether that evidence is bought, biased, or built on sand.
The madness must end. The hegemony must end. The system needs to be rebuilt from the ground up… where patient autonomy matters, where root causes are addressed first, and where health is measured by freedom from disease, not by compliance with a schedule of shots and procedures.
There are many like me and we are winning
“I want to live in a country where if a woman does not want to go to work after having a kid, she does not have to go to work and she could stay at home and raise those kids.”
When they tell you Charlie Kirk was an awful person, remember this video.