Simon Hill MSc, BSc

What happened to the clinical study that Shawn Baker was raising money for? Was that study conducted, or if not, where is the money?

@AndrewMorcheles It wasn’t ranked in order sorry should have made that clear. I agree with you

@theproof The donut under your foot should probably be number one.

6 days ago I sprained my ankle playing padel - high velocity inversion in dorsiflexion. I felt a pop and had intense pain for 30 seconds which then subsided. Immediate softball size swelling on the lateral ankle and 6/10 pain weight-bearing. Based on the Ottawa ankle rules I had an x-ray and ultra-sound the next morning. There was a huge effusion so the recommendation was to get an MRI. MRI revealed: 1 - High grade CFL tear 2 - Mild deltoid ligament tear (I suspect this is more bruising from compression) 3 - Intact ATFL (Pheww) 4 - No talar dome defect (also pheww) 5 - No fracture Typical treatment is Moon boot for a few weeks followed by transition to ankle brace, strengthening, proprioception work, plyometrics etc with most guidelines suggesting 12 weeks to return to sport. I suspect that's conservative but I also don't want to rush things and risk chronic ankle instability. Now to why I am posting this. Other than the fact I plan to share parts of my rehab and progress I wanted to speak about WHY I think this occurred. The transition movement where this happened is one I do all the time with no issue. So what happened? I suspect it was a combination of a few factors: 1 - I had a very high volume of exercise that week with insufficient recovery. 2 - I had travelled across 3 time zones so my sleep was not optimal. 3 - I had a blister under the head of my 1st met which led me to placing a donut under my foot. I believe this threw my foot mechanics off, tilting me towards an inverted position. In other words I have nobody to blame but myself. AND before you muck around with adding padding to your feet ... go see a podiatrist!

Interested to get feedback from orthopedic surgeons/physios as I am hearing mixed recommendations based on latest evidence looking at ligament remodeling and long term injury recurrence. If you have a “high grade” tear of CFL from an inversion injury with an intact ATFL and without fracture (& no talar dome defect)… is a moon boot recommended for a few weeks? Or start walking asap? Cc @hjluks Note “high grade” is the terminology on the MRI report

@paulwarmo Yikes sorry to hear - did that bruise much? Did you get any imaging? Be sure to look up ankle proprioception, stability and strength exercises. Even though you’re back running I would commit to regular exercises to avoid recurrence.

@theproof Did this 3 weeks ago running on a trail (normally just a road runner!).....was running gingerly a few days afterwards. Back on high mileage now, but still tender to touch, and a bit sore with certain movements. Dont think theres any lasting damage🤞🏾

@MurseDarius Yep! Good to plan intensity around how well recovered you are

@theproof Ouch!!! 😖 Brutal!!! Speedy (but not too speedy) recovery, brother! ❤️‍🩹 This is worth keeping in mind for myself. I've been training for some Spartan Races coming up. But I've also been pulling double shifts (16 hours straight) plus raising a baby. I 'd better be careful!!! 😅

Is There a 'Normal' Amount of Plaque? Cardiologist Dr. Campbell Rogers Explains | EP#426 youtu.be/x99orFS01gE

The First 1000 Days: How Aging & Longevity Are Programmed In The Womb | Dr Federica Amati | EP#427 youtu.be/RAlN6SPBw_8

This is most often a preventable condition: screening even without symptoms, early intervention when appropriate, and careful management of risk factors can reduce the likelihood of progression and complications. Gated CTA is the most accurate technology for consistent measurement and risk assessment because it allows the aorta to be measured and followed using exact co-axial measurements at the same phase of the cardiac cycle. The same study can also provide detailed assessment of the coronary anatomy and plaque burden, allowing therapy to be directed toward the actual disease rather than relying solely on surrogate risk measures. A careful evaluation of the aortic valve to exclude a bicuspid valve is also a critical part of the assessment. The CTA is performed with one breath hold and can most often mitigate the need for a preoperative invasive diagnostic and uncover serious silent coronary disease the number one cause of mortality. #plaquedirectedtherapy x.com/RonKarlsbergMD…

@TaseanSlack Close

@theproof Looks like a complete ATFL tear (Grade 3 sprain) with a ton of edema, plus some solid strain/fluid around the peroneal tendon sheath from that high-speed roll

Alright musculoskeletal/ortho friends - what are we seeing here? Mechanism of injury: left ankle inversion at high speed

For the deniers: This is an "Oldie but Goodie manuscript (Click to enlarge)- Written 20 years ago it noted that Optimal low-density lipoprotein is 50 to 70 mg/dl: "lower is better and PHYSIOLOGICALLY NORMAL." Note the second slide shows TC, which translates to an LDL-C between 35 and 70 mg/dL. Open access at pubmed.ncbi.nlm.nih.gov/15172426/ @nationallipid @foundationofnla @society_eas @ASPCardio @escardio @atherosociety @TheEndoSociety @FamilyHeartFdn #cholesterol

@MChristopher_MD Ty Michael!

@theproof Good podcast. And the videographers did a great job too

Dr Campbell Roger’s on The Proof

@stet_trading @roadking893 Would listen again! Lot of potential recommendations depending on one’s unique context. I’m not here to make blanket recommendations.

@roadking893 @theproof questions all the studies then recommends nothing his standard M.O. ? theproof.com/reversing-arte…

Can you actually reverse heart disease, or just slow it down? Eighteen months after a scan found soft plaque in my arteries, a follow-up suggested it had shrunk by around forty percent, and I wanted to know whether that result could be trusted. In this episode, I sit down with interventional cardiologist Dr Campbell Rogers to unpack what modern imaging can really see, why a calcium score of zero is not the all-clear, and whether we should be treating plaque rather than chasing a number. For the full show notes head to: theproof.com/can-you-revers…

Congratulations on your thoughtful post reviewing our Nature paper and your willingness to step back into the keto diet controversy. 🤣 The video is from The John & Calvin Podcast: youtube.com/channel/UCFfAf… The subanalysis in the last 10 minutes is precise and important. It identifies multiple rapid progressors within the keto diet group by essentially every metric — a pattern not seen in the original NATURE-CT cohort. See chart below. This deserves careful, independent evaluation, especially since some voices in this debate strongly advocate for keto and have not performed the same granular analysis comparing the two studies. At niCVRI — the National Institute for Cardiovascular Research & Innovation — we do not have a “pony in the game.” Our focus is measurable plaque biology. nicvri.org Those final 10 minutes may be worth reposting separately so viewers can evaluate the evidence for themselves within a balanced, data-driven framework. The primary objective of NATURE-CT was to establish a definitive baseline of natural coronary plaque progression, allowing early plaque-directed therapy using CCTA to be properly measured. x.com/RonKarlsbergMD… The data provide a clinical framework to target, measure, and stabilize coronary artery disease at its earliest stages, including identifying rapid progressors whose disease progression may be slowed. x.com/RonKarlsbergMD… Peer-reviewed publications: @RonKarlsbergMD under “Articles” or Google Scholar: Ronald P. Karlsberg MD scholar.google.com/citations?user… #NATURECT #CCTA #CardioTwitter #PlaqueDirectedTherapy #Atherosclerosis #PreventiveCardiology