What Actually Happens When You Come to the ER with Chest Pain
Adrian Cois Adrian Cois

What Actually Happens When You Come to the ER with Chest Pain

When you arrive at the Emergency Department with chest pain, your doctor evaluates three main body systems: the heart, the lungs, and the gastrointestinal tract. The first tests are typically an ECG and bloodwork (including troponin), often followed by a chest X-ray. If a heart attack is suspected, you may be sent directly to the cath lab. Additional imaging — such as a CT angiogram — is reserved for higher-risk presentations like suspected pulmonary embolism or aortic dissection.

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Fluoride causes low IQ?
Adrian Cois Adrian Cois

Fluoride causes low IQ?

Do we really need to be worried about fluoride in the water in Australia or the US causing reduced IQ?

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ED Elevator Pitch for Diet
Adrian Cois Adrian Cois

ED Elevator Pitch for Diet

G’day team — welcome back to Overheard in the Emergency Room. In this episode, we tackle the first Tier 1 intervention in our longevity blueprint: diet. If I had 30 seconds in the ED to give nutrition advice, what would I actually say? Not keto vs vegan. Not carb fear. Not clickbait. A repeatable pattern. We’ll use two ED cases (incidental NAFLD and severe hypertension) to make the stakes real, then zoom out to the best available evidence: dietary guidelines, short-term trials, and the world’s largest nutrition cohort studies. What you’ll learn: • Why a healthy diet is a pattern, not a religion • What the U.S., Australian, and heart-health guidelines consistently recommend • How nutrition evidence is built (mechanisms, trials, cohort studies) and why FFQ criticism is often misused online • How ultra-processed foods and the modern food environment sabotage good intentions • A tour of major cohort studies (NHS/HPFS, NIH-AARP, EPIC, UK Biobank, Million Women, China Kadoorie, JPHC, Adventist, PURE) • The 80/20 plate ‘elevator pitch’ and a 3-step plan you can start today Practical takeaways (TL;DR): • Aim for an 80/20 plate: mostly whole foods (especially plants), with room for real life. • Prioritize fiber and minimally processed foods; minimize ultra-processed calories when you can. • Swap red/processed meat more often for beans/lentils/tofu/fish/poultry depending on preference. • Create a ‘friction plan’ for busy days so healthy choices become the default.

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