The Tubby Theory from Topeka : An Analysis of a Lipidologist's Medical Practice in Topeka, KS
It is time for Americans and their physicians to learn that there is more to do to prevent heart attacks and strokes. Everyone must learn the difference between LDL-C and LDL-P and non-HDL cholesterol (The Tubby Factor). Everyone must learn what a calcium score and a carotid intima thickness ultrasound does to detect subclinical atherosclerosis. My book, The Tubby Theory from Topeka teaches the above and demonstrates how I used the above tests to prevent heart disease and stroke and to also regress plaque in the arteries in my medical practice in Topeka for the last two years. My goal is to change the Paradigm of preventive medicine in America. The new paradigm is to find subclinical atherosclerosis early with a calcium score and a CIMT to then treat it to stabilize the vulnerable plaque from inflammation and rupture. Rupture of the plaque causes sudden death. In 1 of 3 patients, SUDDEN DEATH is the first sign of heart disease. Reference: Lipoprotein Management in Patients with Cardiometabolic Risk, Brunzell et al, JACC. 2008; 51: 1513 Tim Russert died one year ago of sudden death. The media reported nothing more could have been done for him. Non-HDL cholesterol goal of 100 was not met. This was never reported. It was reported that his LDL-C was to goal 68 and his nuclear stress test was normal one month before his death. It has been more than a year since Mr. Russert died. I hope my new term that I coined, The Tubby Factor, will bring attention to the above facts.
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January 24, 2010
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