James H. Stein, MD
I’m a preventive cardiologist and professor with over 36 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 | 90 | Founded | 2 years ago | Last Issue | 3 days ago |
| Active | |||||
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jamesstein18.substack.comLatest Issues
Variability in Lp(a) Measurements: A Brief Primer
This post is a bit of “inside baseball,” or “inside lipidology,” but so many people are having Lp(a) levels measured, and we are asked about repeat values so often, I thought this primer might be useful to you and your patients.
Lp(a) is a...
Curious Cholesterol Cases from Clinic, #5: When Triglycerides Don’t Match the Body Habitus
“Curious Cholesterol Cases from Clinic” is a series built around real-world lipid cases, some of which look obvious at first glance but turn out not to be what they seem. They are presented as clinical unknowns for teaching purposes and are...
There’s No Crying in Cardiology!
“There’s no crying in baseball!” Movie still from https://www.mlb.com/news/tom-hanks-talks-iconic-a-league-of-their-own-line.
In the iconic movie “A League of Their Own,” Manager Jimmy Dugan (played by Tom Hanks) tells a sobbing outfielder...
The Bias We Call Expertise: How It Shapes Clinical Practice Guidelines
Note: My career mentor and dear friend, Norman Fost, MD, MPH, contributed to this essay and helped refine its arguments.
Financial conflicts of interest receive enormous attention in medicine because they can influence interpretation of ev...
Why I Oppose Universal Lipoprotein(a) Screening
Note: I wrote this before the Lp(a)HORIZON topline results were reported. I had planned to post this in November for the AHA Scientific Sessions meeting, but thought that moving it up was timely after this week’s news.
Three links in the c...
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I’m a preventive cardiologist and professor with over 36 years experience caring for patients and researching cardiovascular disease. I aim to make health and science clearer and more approachable. *Not* monetized. My views only, not medical advice.
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