Paul Ingraham on Patellofemoral Pain Syndrome (PFPS)

Patellofemoral Pain Syndrome is probably the most common cause of knee pain in younger folks. I precipitated in it myself by accelerating my training program too rapidly in preparation for my last mountain climb

I just ran across this long PFPS article and didn’t want to lose track of it, so here’s the link.

The author is a (former?) massage therapist who thinks like a scientist.

Does Your Doctor Use Automated Office Blood Pressure Readings? 

High blood pressure is linked to heart attacks

I’ve never heard of regular physician offices measuring blood pressure like this  meta-analysis describes. It may be the standard of care in the future if the automated device is affordable.

“Key Points


Should automated office blood pressure (recording several blood pressure readings using a fully automated oscillometric sphygmomanometer with the patient resting alone in a quiet place) measurement replace readings recorded by nurses and physicians in routine clinical practice?


This systematic review and meta-analysis of 31 articles comprising 9279 participants compared automated office blood pressure with awake ambulatory blood pressure, a standard for predicting cardiovascular risk. Mean automated office blood pressure readings were similar to the awake ambulatory blood pressure readings and did not exhibit the “white coat effect” associated with routine office blood pressure measurement.


Automated office blood pressure measurement should replace the recording of blood pressure by nurses and physicians in routine clinical practice.”

Source: Comparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension: A Systematic Review and Meta-analysis | JAMA Internal Medicine | JAMA Network

Can a Ketogenic Diet Prevent or Treat  Alzheimer’s disease?

Sunny’s Super Salad

Maybe…we don’t know yet. From a recent scientific article:


•Impaired brain glucose metabolism and amyloid β plaques are associated with Alzheimer’s disease pathology.

•Ketones provide an alternative metabolic precursor to glucose in the brain.

•Ketogenic diets likely reduce amyloid plaques and may reverse their neurotoxicity.

•Modern diets high in carbohydrates may contribute to increasing Alzheimer’s incidence.

•The ketogenic diet (including carbohydrate restriction) might be useful in the management of Alzheimer’s disease.”

Source: The ketogenic diet as a potential treatment and prevention strategy for Alzheimer’s disease – ScienceDirect

QOTD: Denninger on Politics and Blackmail

“I have long considered that one of the primary qualifications for being “accepted” into the major parties as a serious candidate (for anything) is that you’re able to be blackmailed.  There has to be something in your past that they know about and can use to “keep you in line.”  There is an utterly-ridiculous over-representation of people in the US Congress and other “high positions” that have been accused (or even proved) to have had interest in “little girls”, as an example, which has led to the (not very funny) anecdote that the only way to “get” this politician or that is to find them with a dead girl — or live boy.

As just one example I give you Dennis Hastert, who was Speaker of the House.  Long after he left office (but sadly for him, before he died) he was accused of structuring transactions illegally to pay off a kid he allegedly did inappropriate things with before he was in the House at all, say much less before he was Speaker.  It beggars belief that nobody knew of this alleged indiscretion before Hastert ascended to the House itself, say much less Speaker of the House.

Therefore this is a perfectly reasonable question: Who blackmailed him and what did they get?  I remind you that the Speaker of the House has near-absolute control over what is and isn’t heard on the floor and thus what bills can and cannot be voted on.”


The Secret of Weight Loss, and the Source of Coke Syrup 

From Wilder, Wealthy, and Wise…

“Humanity’s most complicated machines can’t even come close to the versatility that is a human:  if your car were able to fuel itself like a person, you’d be able to feed it gasoline or junk mail or plastic bags and it would turn that into a trip to Cleveland leaving only carbon dioxide and water vapor exhaust gas, and some form of car-poop that you presumably would compost so you could grow more car food.  Oh, and the car would self-repair for decades – your tires would grow back in the middle of the night.  Unfortunately your car would try to pick up on other cars, and might identify as a truck, but that’s a longer story.

The human body is excellently designed, and very, very consistent in its response to inputs.  But the owner’s manual sucks, and many times we don’t operate it properly or fuel it very well.  Case in point – achieving excellent health requires measurement.  Of what?  Unless you’re an adolescent reading this, you’re not getting taller.  What parameter might be changing that you could measure, say, every day?  Besides armpit hair length.  That’s too obvious, and everyone does that, anyway.  Think harder.

Oh, yes!  Weight!”

Source: Maps, the Secret of Weight Loss, and the Source of Coke Syrup – Wilder, Wealthy, and Wise

Nearly Half of Americans Trying (and Failing) to Lose Weight

No wonder they’re not having much success:

“Exercise, eating less, consuming more fruits and vegetables and drinking more water were the most common strategies. The least common were skipping meals and cutting down on fatty foods.”

Source: Nearly Half of Americans Battling to Lose Weight: CDC Data – Bloomberg Quint

Drinking more water? Come on, America, get serious.

Steve Parker MD, Advanced Mediterranean Diet

Two diet books in one


Mediterranean Diet N=1 Experiment 

Olive oil is a prominent source of fat in the Mediterranean diet

I’ve seen a few other articles like this recently. Click the link below for details.

“As someone who loves food too much to deprive themselves of anything, I’m not the biggest supporter of diets. The one exception, however, is the Mediterranean “diet” because it’s more a regional nutritional philosophy. Rather than eliminating certain food groups, it emphasizes fresh and healthy items such as fruits and veggies, whole grains, and of course, olive oil (a Mediterranean staple). In fact, it was even voted the best overall diet by US News & World Report (tying with the DASH diet) and determined the best diet for weight loss, according to Harvard Medical studies. Since I already love Greek and Italian fare, I decided to give the Mediterranean diet a shot for a week. The TL;DR version: I absolutely loved it.”

Source: Mediterranean Diet Experiment | POPSUGAR Fitness Australia

Steve Parker MD, Advanced Mediterranean Diet

Two diet books in one