Because Good Medicine Deserves Better Explanations
Around fifty, a surprising number of men begin to sense that something inside them has shifted — not a symptom, not an illness, just a quiet feeling that things aren’t quite the same. And most of them keep it to themselves.
This episode explores that hidden landscape: the subtle physiological changes, the stress, the disconnection, and the silence that shape the health of middle-aged men long before anything shows up on a scan.
This is the 11th episode in The Heart of Power: Medical Histories from the White House, a series that looks past the legends to the bodies and pressures behind them. John F. Kennedy and Marilyn Monroe are almost always mentioned together as rumor, as shorthand, as something half-imagined. But when I looked closer, the familiar … Read more
In 2012, telling a heart patient to cut carbohydrates could still get you labeled a heretic. Fat was the villain. Carbohydrates were the gospel. Medicine spoke in percentages and pyramids, not physiology. Calories were our currency, and balance was our creed. But the numbers on my desk told a different story.Triglycerides were falling, waistlines shrinking, … Read more
He was on the list for what we called a routine coronary angiography—possible PCI if needed.
Mid-sixties. Retired electrician. Lived alone. The kind of man who apologized when the nurse missed his vein.
“Bad veins, sorry,” he said, as if it were his fault.
The morning had gone smoothly. Five patients down, two to go. The rhythm of competence had settled in—steady, predictable, almost comforting…
Author’s note (2025 update) This article was originally published in 2017 and revised in 2021. It has now been updated and expanded for 2025 to include new clinical insights, refined explanations, and additional causes of chest pain. Chest pain is one of the most common—and most alarming—symptoms in medicine.In the United States, millions of people … Read more