James H. Stein, MD
I’m a preventive cardiologist and professor with over 35 years caring for patients and researching cardiovascular disease. I aim to make health and science clearer and more approachable. *Not* monetized. My views, not medical advice.
| Platform |  | Pricing | Only free issues | Publishes | Twice weekly |
|---|---|---|---|---|---|
| Issues | 64 | Founded | a year ago | Last Issue | 11 days ago |
| Active | |||||
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jamesstein18.substack.comLatest Issues
Five-Star Camps, No Real Medical Care for Miles
Medical care was not on the menu.
We just returned after two weeks in South Africa, Zimbabwe, and Botswana, from a safari that our group of 16 had planned for well over a year. The camps were extraordinary with expert guides, exciting game...
“It looks really healthy, Jim.”
Sunrise. The Elephant Camp, Victoria Falls, Zimbabwe. April 2026.
Yesterday afternoon, before my cystoscopy, I told the nurse I was scared. She looked at me a little puzzled and asked why. After all, I have had dozens of these procedures....
Oops...
Early this afternoon I accidentally published a future Curious Cholesterol Case while rearranging my posts. I unpublished it as soon as I realized what happened. Unfortunately, some of you already received the email.
If you read it and enj...
Ruling Out the Wrong Problem
Photo credit: Vitaly Gariev on Unsplash
For more than four decades, medical evaluation of chest discomfort has followed a familiar pattern. The patient arrives in the emergency department, and after excluding clearly benign causes, is admi...
What I Mean When I Ask What You Think
Different people choose different paths with the same information
A few weeks ago, a reader asked me how I actually overcome the information asymmetry between the physician and the patient in a clinical encounter: not in theory, but in my...
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Authors
The writers behind this newsletter.
I’m a preventive cardiologist and professor with over 35 years caring for patients and researching cardiovascular disease. I aim to make health and science clearer and more approachable. *Not* monetized. My views, not medical advice.
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