James Stein
@jamesstein18.bsky.social
Jewish vegetarian cardiologist. I value civility & block accounts without real names and evidence of being a real person. My comments, not employers’. Academic profile: https://bit.ly/3ywM2iX
Insane! Reading this article is like reading alt-ID and alt-pandemic on a mild hallucinogen while watching Fox News.
A new approach to pandemic preparedness:
1️⃣ Stop preparing for pandemics
2️⃣ Rewrite history of the last major pandemic
3️⃣ Go to the gym
Simple - 🤷♂️.
www.city-journal.org/article/nih-...
1️⃣ Stop preparing for pandemics
2️⃣ Rewrite history of the last major pandemic
3️⃣ Go to the gym
Simple - 🤷♂️.
www.city-journal.org/article/nih-...
NIH Directors: The World Needs a New Pandemic Playbook
The old one failed to cope with Covid and may even have caused it.
www.city-journal.org
November 14, 2025 at 9:47 PM
Insane! Reading this article is like reading alt-ID and alt-pandemic on a mild hallucinogen while watching Fox News.
A discussion around Petter Attia recently was framed as “grifter vs visionary,” but the more important issue is what happens when medical authority operates outside the traditional guardrails of clinical practice and enters the realm of social influence. jamesstein18.substack.com/p/physician-...
Physician-Podcasting, Peter Attia, and the Problem of Unchecked Authority
Today’s post responds to a recent essay by the Skeptical Cardiologist about Peter Attia. The discussion around Attia was framed as “grifter vs visionary,” but the more important issue, in my view, is ...
jamesstein18.substack.com
November 13, 2025 at 3:39 PM
A discussion around Petter Attia recently was framed as “grifter vs visionary,” but the more important issue is what happens when medical authority operates outside the traditional guardrails of clinical practice and enters the realm of social influence. jamesstein18.substack.com/p/physician-...
My latest on Substack: The Most Important Thing People Get Wrong About Heart Disease. Heart Disease Isn’t Just a Plumbing Problem. One of my biggest challenges is that many people, including clinicians, still imagine coronary artery disease as a simple clogged pipe ... (read on )
The Most Important Thing People Get Wrong About Heart Disease
Heart Disease Isn’t Just a Plumbing Problem
jamesstein18.substack.com
November 13, 2025 at 2:20 AM
My latest on Substack: The Most Important Thing People Get Wrong About Heart Disease. Heart Disease Isn’t Just a Plumbing Problem. One of my biggest challenges is that many people, including clinicians, still imagine coronary artery disease as a simple clogged pipe ... (read on )
My Hot Take on PISCES: The New Fish Oil in Hemodialysis Study. A new NEJM trial just reported a remarkable 43% reduction in cardiovascular disease events in people on dialysis taking fish oil. It sounds too good to be true - and maybe it is. See: jamesstein18.substack.com/p/my-hot-tak...
My Hot Take on PISCES, the New Fish Oil in Hemodialysis Study
I love when a new study challenges what we think we know.
jamesstein18.substack.com
November 8, 2025 at 11:38 PM
My Hot Take on PISCES: The New Fish Oil in Hemodialysis Study. A new NEJM trial just reported a remarkable 43% reduction in cardiovascular disease events in people on dialysis taking fish oil. It sounds too good to be true - and maybe it is. See: jamesstein18.substack.com/p/my-hot-tak...
The a new category of physician - the medical influencer: “They retain the prestige of the medical doctor while stepping outside the ethical, educational, and fiduciary obligations that define the profession. Their power is amplified by algorithms, branding, and ... the podcast format.”
James H Stein, MD (@jamesstein18)
The a new category of physician - the medical influencer - is serious challenge: “They retain the prestige of the medical doctor while stepping outside the ethical, educational, and fiduciary obligati...
substack.com
November 8, 2025 at 2:10 PM
The a new category of physician - the medical influencer: “They retain the prestige of the medical doctor while stepping outside the ethical, educational, and fiduciary obligations that define the profession. Their power is amplified by algorithms, branding, and ... the podcast format.”
My commentary in JAMA Cardiology - “The Physician–Patient–Podcaster Triangle" - examines how podcasts and social media are transforming the language of medicine and changing how patients understand health, aging, and their relationships with their clinicians. jamanetwork.com/journals/jam...
The Physician–Podcaster–Patient Triangle
This essay discusses physician-podcasters and how their messages can affect the physician-patient relationship.
jamanetwork.com
November 6, 2025 at 6:13 PM
My commentary in JAMA Cardiology - “The Physician–Patient–Podcaster Triangle" - examines how podcasts and social media are transforming the language of medicine and changing how patients understand health, aging, and their relationships with their clinicians. jamanetwork.com/journals/jam...
Reposted by James Stein
When you stop using X then open it back up after a while, you realize how obviously it’s designed to elevate vicious jerks who share Musk and Trump’s cruelest, dumbest beliefs. Harder to see when you’re addicted to it; blazingly apparent from the outside looking in.
Journalists: It’s bad for you!
Journalists: It’s bad for you!
November 5, 2025 at 3:46 AM
When you stop using X then open it back up after a while, you realize how obviously it’s designed to elevate vicious jerks who share Musk and Trump’s cruelest, dumbest beliefs. Harder to see when you’re addicted to it; blazingly apparent from the outside looking in.
Journalists: It’s bad for you!
Journalists: It’s bad for you!
Lipoprotein(a) - The Overlooked Lipoprotein That Drives Heart Disease. This inherited particle may explain why some people develop heart disease despite excellent cholesterol levels. For my latest on Substack, go to jamesstein18.substack.com/p/part-2-lpa...
October 31, 2025 at 12:23 PM
Lipoprotein(a) - The Overlooked Lipoprotein That Drives Heart Disease. This inherited particle may explain why some people develop heart disease despite excellent cholesterol levels. For my latest on Substack, go to jamesstein18.substack.com/p/part-2-lpa...
Reposted by James Stein
I am going to be that annoying friend. Get your #COVID & #flu shots. There is little downside to getting immunized and it will spare you from being out sick, having to go to the doctor's office, hospitalization and yes, death. Too many people aren't stepping up to get the shots. Do it this weekend.
October 31, 2025 at 10:55 AM
We are very good at demanding strong Jewish institutions, but equally good at tearing down the people who try to run them. That habit is doing more damage than we realize.
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...
The Blogs: Mocking Rabbis Has Become a Sport
From the blog of James H. Stein at The Times of Israel
blogs.timesofisrael.com
October 29, 2025 at 2:18 AM
We are very good at demanding strong Jewish institutions, but equally good at tearing down the people who try to run them. That habit is doing more damage than we realize.
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...
My latest on Substack: When Lipoprotein Tests Can Be Helpful,
Part I: Apolipoprotein B-100
jamesstein18.substack.com/p/when-lipop...
Part I: Apolipoprotein B-100
jamesstein18.substack.com/p/when-lipop...
When Lipoprotein Tests Can Be Helpful, Part I: Apolipoprotein B-100
In my first blog, I expressed skepticism about using additional blood tests for cardiovascular disease (CVD) risk prediction beyond traditional risk factors.
jamesstein18.substack.com
October 27, 2025 at 8:25 PM
My latest on Substack: When Lipoprotein Tests Can Be Helpful,
Part I: Apolipoprotein B-100
jamesstein18.substack.com/p/when-lipop...
Part I: Apolipoprotein B-100
jamesstein18.substack.com/p/when-lipop...
My new post on @timesofisrael.com: blogs.timesofisrael.com/settler-colo...
The Blogs: “Settler-Colonialism” is the Wrong Word for Israel
From the blog of James H. Stein at The Times of Israel
blogs.timesofisrael.com
October 25, 2025 at 11:48 PM
My new post on @timesofisrael.com: blogs.timesofisrael.com/settler-colo...
Reposted by James Stein
My comments on what President Tr*mp's AI video tells us about autocrat psychology: youtu.be/JNt8YoqQzWE
Autocrat Psychology captions MOV
YouTube video by Ruth Ben-Ghiat
youtu.be
October 20, 2025 at 3:27 PM
My comments on what President Tr*mp's AI video tells us about autocrat psychology: youtu.be/JNt8YoqQzWE
Reposted by James Stein
Outstanding review of cardiovascular benefits (none) and risks (atrial fibrillation) of fish oil by my @uwmadison.bsky.social colleague, Dr. Jim Stein @jamesstein18.bsky.social.
His excellent advice: Instead of taking supplements, eat real food.
#medsky
jamesstein18.substack.com/p/fish-oils-...
His excellent advice: Instead of taking supplements, eat real food.
#medsky
jamesstein18.substack.com/p/fish-oils-...
Fish Oils: When the Facts Spoil a Good Story
The health benefits of fish oil supplements have been touted since the early years of my medical training in the 1990s.
jamesstein18.substack.com
October 17, 2025 at 10:22 PM
Outstanding review of cardiovascular benefits (none) and risks (atrial fibrillation) of fish oil by my @uwmadison.bsky.social colleague, Dr. Jim Stein @jamesstein18.bsky.social.
His excellent advice: Instead of taking supplements, eat real food.
#medsky
jamesstein18.substack.com/p/fish-oils-...
His excellent advice: Instead of taking supplements, eat real food.
#medsky
jamesstein18.substack.com/p/fish-oils-...
My latest on Substack: "Fish Oils: When the Facts Spoil a Good Story." The health benefits of fish oil supplements have been touted since the early years of my medical training in the 1990s. But, like most nutritional therapies ... jamesstein18.substack.com/p/fish-oils-...
Fish Oils: When the Facts Spoil a Good Story
The health benefits of fish oil supplements have been touted since the early years of my medical training in the 1990s.
jamesstein18.substack.com
October 17, 2025 at 8:49 PM
My latest on Substack: "Fish Oils: When the Facts Spoil a Good Story." The health benefits of fish oil supplements have been touted since the early years of my medical training in the 1990s. But, like most nutritional therapies ... jamesstein18.substack.com/p/fish-oils-...
My latest on Substack: "When It Really Is All in Your Head: Placebo and Nocebo Effects on Health." How we experience the world is shaped by our expectations. This is especially true in health, where people can feel better simply because of what they anticipate ...
When It Really Is All in Your Head: Placebo and Nocebo Effects on Health
How we experience the world is shaped by our expectations. This is especially true in health, where people can feel better simply because they anticipate improvement (the “placebo effect”), or feel wo...
jamesstein18.substack.com
October 9, 2025 at 4:23 PM
My latest on Substack: "When It Really Is All in Your Head: Placebo and Nocebo Effects on Health." How we experience the world is shaped by our expectations. This is especially true in health, where people can feel better simply because of what they anticipate ...
My new blog on Substack - "Staying Health on Vacation" - is live! jamesstein18.substack.com/p/staying-he...
Staying Healthy on Vacation
It’s been a little over two weeks since my last blog post because I was on vacation.
open.substack.com
September 26, 2025 at 10:48 PM
My new blog on Substack - "Staying Health on Vacation" - is live! jamesstein18.substack.com/p/staying-he...
My latest on Substack. open.substack.com/pub/jamesste...
Alcohol and Health Risks: Evidence Beats Headlines
Alcohol use is woven into our culture as part of religious rituals and celebrations, yet feared because of its health and social risks.
open.substack.com
September 7, 2025 at 8:16 PM
My latest on Substack. open.substack.com/pub/jamesste...
Reposted by James Stein
My latest on Substack - Forget 10,000 Steps: Three Ways to Make Exercise More Impactful
jamesstein18.substack.com/p/forget-100...
jamesstein18.substack.com/p/forget-100...
Forget 10,000 Steps: Three Ways to Make Exercise More Impactful
Prologue: I write these blogs to separate what’s popular from what’s most impactful in preventive cardiology and healthy aging.
jamesstein18.substack.com
August 31, 2025 at 2:54 PM
My latest on Substack - Forget 10,000 Steps: Three Ways to Make Exercise More Impactful
jamesstein18.substack.com/p/forget-100...
jamesstein18.substack.com/p/forget-100...
Worn Out by Wearables: Health Isn’t a Number.
My latest on Substack: bit.ly/4lGbUfd
My latest on Substack: bit.ly/4lGbUfd
August 25, 2025 at 6:02 PM
Worn Out by Wearables: Health Isn’t a Number.
My latest on Substack: bit.ly/4lGbUfd
My latest on Substack: bit.ly/4lGbUfd
Reposted by James Stein
The week beginning Aug 4 was the most dangerous, tragic week of RFK Jr’s tenure yet.
A Lancet Editorial outlines why—unpacking a movement that seeks to discredit mainstream medicine and portray institutions and experts as enemies, not partners. tinyurl.com/4zppw6ay
A Lancet Editorial outlines why—unpacking a movement that seeks to discredit mainstream medicine and portray institutions and experts as enemies, not partners. tinyurl.com/4zppw6ay
August 22, 2025 at 11:01 AM
The week beginning Aug 4 was the most dangerous, tragic week of RFK Jr’s tenure yet.
A Lancet Editorial outlines why—unpacking a movement that seeks to discredit mainstream medicine and portray institutions and experts as enemies, not partners. tinyurl.com/4zppw6ay
A Lancet Editorial outlines why—unpacking a movement that seeks to discredit mainstream medicine and portray institutions and experts as enemies, not partners. tinyurl.com/4zppw6ay
Reposted by James Stein
May this portion of the dissent by Ketanji Brown Jackson haunt John Roberts forever and be the final word on his tenure as Chief Justice.
August 21, 2025 at 9:43 PM
May this portion of the dissent by Ketanji Brown Jackson haunt John Roberts forever and be the final word on his tenure as Chief Justice.
Reposted by James Stein
Israelis and Palestinians are real human beings who exist beyond your social media feed.
August 21, 2025 at 6:16 PM
Israelis and Palestinians are real human beings who exist beyond your social media feed.