Tribute to Tim Russert

The sudden passing of news giant, Tim Russert, yesterday of sudden cardiac death struck a blow to American consciousness.

Perhaps his hard-hitting interviewing style, while making guests squirm, made him seem invincible. But, of course, none of us is invincible. We are all vulnerable to this disease.

We should not allow Mr. Russert's tragic death to occur without taking some lessons. The media have already resorted to interviewing prominent doctors for their opinion.


Douglas Zipes, M.D., former President of the American College of Cardiology,was quoted in the media:

"An automated external defibrillator (AED) could have been a life-saver. AEDs should be as common as fire extinguishers."

This is typical sleight-of-hand, medicine-is-too-complex-for-the-public-to-understand sort of rhetoric that is surely to issue from the conventionally-thinking medical people and the press. Instead, let's cut the BS and learn the real lessons from Mr. Russert's needless death.

It is virtually certain that:

--Mr. Russert ruptured an existing coronary atherosclerotic plaque, prompting rhythm instability, or ventricular fibrillation.

--Making automatic external defibrillators (AED) available might have Band-Aided the ventricular fibrillation, but it would not have stopped the heart attack that triggered it.

--Though full details of Mr. Russert's health program have not been made available, it is quite likely that he was prescribed the usual half-witted and barely effective panoply of "prevention": aspirin, statin drug, anti-hypertensive medication. Readers of The Heart Scan Blog and members of Track Your Plaque know that this conventional approach is as effective as aspirin for a fractured hip.

--It is highly unlikely that all causes of Mr. Russert's heart disease had been identified--did he have small LDL (it's certain he did, given his body habitus of generous tummy), Lp(a), low HDL, pre-diabetic patterns, inflammatory abnormalities, vitamin D deficiency, etc.? You can be sure little or none of this had been addressed. Was he even taking simple fish oil that reduces the likelihood of sudden cardiac death by 45%?

--Far more could have been done to have prevented Mr. Russert's needless death. And I don't mean the idiocy of making AED's available in office buildings. I'm talking about preventing the rupture of atherosclerotic plaque in the first place.

Far more can be done to prevent future similar deaths among all of us.

Our jobs are to use the tragic death of Mr. Russert to help those around us learn that heart disease is identifiable and preventable. Though Mr. Russert did not stand for BS in his political commentary, he sadly probably received it in his health advice. Don't let this happen to you or those around you.

Comments (11) -

  • Anonymous

    6/14/2008 2:09:00 PM |

    Amen to everything you said Dr. and one other point I heard a nimber of times yesterday, everybody was in shock because Mr. Russert had just had a stress test done in April and passed with no problems ! As all your readers know what a stupid thing to say.

  • lenjoe

    6/14/2008 8:59:00 PM |

    Dr Davis,
    I appreciate your posting on Tim Russerts passing.  I was a big fan of his. I believe if he had worked half as hard on his heart health as he did on his career we would be enjoying him on TV for many years to come.  Of all the commentators discussions since his passing, the most important things aren't being discussed.  His diet (low fat I'd guess), his meds (statins I'm sure)...He did have a good stress test April 29.  Lot of good that did.

  • Anonymous

    6/15/2008 12:00:00 AM |

    Russert had both CAD & diabetes.

    Newsweek health article about Russert and sudden cardiac arrest:

    http://www.newsweek.com/id/141450?from=rss

    Usual blather about not being able to prevent/predict sudden cardiac death, risk factors, and usefulness of defibrillators, etc.

  • The Daley Planet

    6/15/2008 12:33:00 AM |

    Thank you for this commentary.
    His passing is very sad.
    My uncle had the same thing happen at a relatively young age as well.

    By the way, can you suggest a fish oil for those of us whom are allergic to shellfish?
    I've heard we can use any type of fish oil; just not krill oil.
    Does Sam's Club Maker's Mark fall under that category?

    Thank you!

  • Mike Donovan

    6/15/2008 3:33:00 AM |

    Regarding the death Of Tim Russert:

    In the new issue of Newsweek, Dr. Steven Nissen, chair of cardiovascular medicine at the Cleveland Clinic told the magazine when asked about the role of STRESS and heart attacks:

    "Most of us do not think it is terribly relevant," and explained this with a shocking lack of logical thinking: Newsweek writes, "After all, he notes, "many people in this world have stressful jobs," and they don't all die of of heart attacks.

    Time Magazine named Dr. Nissen one of the 100 Most Influential People In The World in their "Scientists and Thinkers" section.

    Think about that.

    Now, consider the completely illogical statement from Dr. Nissen bolded above. One thing should be made perfectly clear in light of this statement: He believes cholesterol as very relevant to heart attack risk. Yet, to turn his Newsweek comments around, "many people in this world have **high cholesterol**" and they don't all die of heart attacks.

    In fact, study after study shows countries with the highest rates of fat intake and the highest average cholesterol rates have the lowest incidence of heart disease. Imagine that!

    Dr. Nissen's irresponsible and illogical comments in Newsweek shows - again - the complete bamboozlement the cholesterol hypothesis has on western medicine just because, "everyone knows," high cholesterol causes Coronary Heart Disease. How do they know this? "Because everyone knows." Ad nauseum. With a little research, the facts show this is simply not true.

    What Dr. Nissen said about stress can be said about high cholesterol. Plenty of people live with both without having heart attacks.

    Maybe Mr. Russert's death can help in bringing us back to real science as opposed to what Big Pharma dictates as what is science - and what is not. Follow the money.

    How ironic that it was Dr. Nissen who made such a horrible misstep in logic with his comments to millions of readers in Newsweek.

  • Henry Fielding

    6/15/2008 11:00:00 AM |

    I have a couple of questions that were put to me about Heart Scans that I can't answer. Perhaps you will indulge me.

    First, from a Doctor friend of mine:  Most of the widely used diagnostic tests have been studied with respect to their Specificity, Sensitivity, positive and negative predictive value, etc. We know how to use them, and we know how to interpret the information they provide. Last I read, there is not enough correlation between the amount of calcium present in the walls of the coronary arteries, and the degree of coronary sclerosis. Maybe in time there will be enough convincing data - but for now, it is wrong to blame the slowness of the acceptance of the test by the medical community solely on financial interest.

    Second, from another friend:

    I had the EBT test and showed a calcium score of 950. An angiogram showed no blockage. Go figure. The Doc thinks the calcium is in between the artery walls with the lumen free.

  • Dr. B G

    6/15/2008 5:02:00 PM |

    Russert traditionally appeared on Charlie Rose right before Father's Day.  They were good friends -- Rose sold his house in Washington DC to him and aired a moving tribute the night after his sudden MI.

    Russert loved his father and wrote a famous book about him 'Big Russ'. It is ironic his own death was right before Father's Day today. And so much much more awful for his surviving son whom he loved so much and was very vocal about.

    I hope a new movement for cardiovascular and diabetes prevention may be sparked over this needless, rescue-able, tragic event.

    He touched so many lives... fathers, Buffalo fans, media, political enthusiasts...

    (I'm glad my Dad is aware of Track Your Plaque -- Thank you Dr. Davis... and Happy Father's Day!)

    -G

  • Dr. William Davis

    6/15/2008 9:36:00 PM |

    Mike--

    Thank you for your thoughtful and insightful comments. I coudn't agree more.

  • Dr. William Davis

    6/15/2008 9:38:00 PM |

    Henry--

    I'm sorry, but if friend told you that, you need new friends.

    The literature exists and there's quite a bit of it. Just because your friend is completely ignorant of a body of scientific literature several thousand studies long does not mean that it doesn't exist.

    All of your questions can be answered on the www.trackyourplaque.com website.

  • Henry Fielding

    6/15/2008 9:40:00 PM |

    I buy my Fish Oil from Costco. It happens to be Nature Made 1200mg softgels. Don't let anybody worry you about mercury content on this kind of product. None of these brands have any in them.

    If it causes any problems, take it with food.

  • buy jeans

    11/3/2010 2:23:19 PM |

    --Far more could have been done to have prevented Mr. Russert's needless death. And I don't mean the idiocy of making AED's available in office buildings. I'm talking about preventing the rupture of atherosclerotic plaque in the first place.

Loading
Small fish oil capsules

Small fish oil capsules

Many people complain about the size of fish oil capsules. Let's face it: They're usually big and kind of smelly.

Women in particular struggle with big capsules. This becomes a real problem when somebody requires high-dose fish oil for treatment of post-prandial (after-eating) abnormalities, high triglycerides, or lipoprotein(a), when 6 or more--occasionally up to the equivalent of 20--standard fish oil capsules are required.

I came across a small capsule alternative for people who struggle with the big capsules. It's a product called Learn from PharmaOmega, a source of super purified fish oil.

The Learn product is actually made for children, since omega-3 fatty acid supplementation has been linked with improved intellectual performance. But the small capsule size is convenient for women and other people who would like to avoid the big standard-sized capsules.

Each capsule is about 60% of the size of a standard fish oil capsule (the smaller capsule in the photo, next to a standard size fish oil capsule), yet contains 375 mg EPA + DHA per capsule, 25% more than standard capsules (which contain 300 mg per capsule). The ratio of of EPA:DHA is a little more heavily weighted towards EPA with a 5:2 ration, compared to 3:1 of standard capsules. The capsules are also faintly orange flavored and non-fishy.





Disclosure: I receive no compensation for discussing or promoting this product.


Copyright 2008 William Davis, MD

Comments (12) -

  • Michael

    4/3/2008 4:55:00 PM |

    Nature's Way also makes a small capsule, Super Fisol. It's enteric-coated, and has 350mg Omega 3 per capsule.

    But I personally think a liquid form (like Carlsons or Nordic Naturals) would be a better choice for those of us who have to take lots of Omega 3s, or those who have a problem with large pills.  It's a lot easier to take a teaspoon of fish oil 2-3x daily, instead of 10+ pills.

    Something not touched upon when discussing fish oil here has been vitamin E content. Is it a concern when someone takes 10+ pills? If each pill contains 10-15mg vitamin E, as some brands do, you are then taking 100-150mg vitamin E (in alpha form only) + probably more, from a multi-vitamin. The alpha only form of E will displace gamma, so it might not be the healthiest choice.

  • Anonymous

    4/3/2008 7:58:00 PM |

    Hi Dr. Davis:
    My Cardiologist was quite impressed by my lipid profile after 3 months on Krill Oil.  He was skeptical when I told him that I wanted to try it out.  Seeing is believing.  Because of the phospholipid and vit E content of Krill oil, you can take smaller doses to get the same effect as higher doses of fish oil.  The phospholipids make the omega 3 in Krill oil more bioavailable.

  • Richard A.

    4/3/2008 9:27:00 PM |

    Nature's Way has a fish oil product called Mega-DHA that contains 500 mg of DHA and 200 mg of EPA in standard-sized capsules of 1000 mg. That's 70% DHA+EPA. Just two capsules will give you 1.4 grams of DHA+EPA. The ratio of EPALaughingHA is tilted toward DHA with a ratio of 2:5. This might be a good product for those who are also concerned about Alzheimer's.

    Nature's Way, Mega-DHA --
    http://tinyurl.com/2ff5h9

  • Dr. B G

    4/4/2008 4:19:00 PM |

    Dear Anonymous,
    Thanks for sharing your experience!  There is only one report in the literature of Astaxanthin (the main antioxidant component of Krill Oil) that it raises HDLs (and it's in Spanish, subjects were RATS).  

    But it makes sense.  THAT is SPECTACULAR! (btw what degree from baseline improvement did you noticed?)

    Here are other benefits of Astaxanthin and Vitamin A on insulin, thermogenesis, plaque, MMPs, heart rhythms:
    drbganimalpharm.blogspot.com

    Thanks again!
    --G

  • Anonymous

    4/5/2008 12:28:00 AM |

    Well I was one of the whiners as I got terribe stomach and chest pain from 10 caps a day.
    I switched to Webber Naturals liquid omega 3 with my evening meal, I take 3 to 4 tsps.
    Each tsp gives me:
    fish oil conc: 4550mg
    omega 3 :      2383 mg
    epa:           980 mg
    dha            545mg
    vit d 3:       200iu
    vit a:         2500iu

    so it seems like a good product, I chase it down with some crystal lite and can manage it, no burning, chest pain gone,no burping,the hint of taking it with a meal worked for me.It has some Vit e but doesn't say how much.

    chick

  • ALANSD

    4/5/2008 10:55:00 PM |

    I take fish oil daily, and that and 1500 mgs niacin dropped my total cholesterol 70 points ( 250 to 180).
    I wonder about the comment from some professionals about fish oil being   "rancid",and hard on the kidneys,as the brand I use says it is  
    molecularly distilled.

  • Anonymous

    4/7/2008 12:33:00 AM |

    that really is interesting about fish oil increasing intelligence.  I have three highly intelligent young nephews and their mom took fish oil while pregnant.  My sister had read that EPA/DHA from fish oil helps the brain develop so she took a few capsules each day.  Two of the nephews are in school, and both have already advanced a grade, with talk that the middle nephew will be skipping another grade next year.    My nephews mom and dad are smart people, but didn't do as well as these boys have done so far in school.  Who knows if it was the fish oil that has given them this advantage, but it does make me wonder.

  • GenesisHealthCentre

    4/12/2008 6:41:00 PM |

    I currently take http://nordicnaturals.com/, and have excellent results with them.

    Regards Dave,
    Genesis Health Centre

  • Holistic Health Solutions

    8/16/2009 7:29:24 PM |

    Nordic Naturals is the most high quality fish oil available.

    Azantis Krill oil is a better product since the dual chain phospholipid structure of the epa in fish oil is much more bioavailable than the tryglyceride fish oil version.

  • mitchdcba

    4/30/2010 2:40:47 AM |

    There are extra motives to use a fish oil health supplement even if you aren’t concerned about cancer or heart attacks or aren’t pregnant.. It is considered that the oil may be of use to the body produce serotonin,
    deep sea fish oil

  • buy jeans

    11/3/2010 12:22:35 PM |

    Each capsule is about 60% of the size of a standard fish oil capsule (the smaller capsule in the photo, next to a standard size fish oil capsule), yet contains 375 mg EPA + DHA per capsule, 25% more than standard capsules (which contain 300 mg per capsule).

  • moseley2010

    12/6/2010 5:56:44 PM |

    I thought I was the only one who found fish oil supplements too big and yucky-smelling. I thought I was just being too much of a complainer when it comes to supplements and pills. I always dread having to take my fish oil capsules. If it wasn't beneficial to the health, and if it wasn't good for the heart and all that, there's no way I would be forced to swallow them. But then again, the health benefits outweigh everything.

Loading