Dr Cindy Towns
Takotsubo cardiomyopathy is thought to account for 1-2 percent of acute coronary syndromes (ACS), ACS being medicalese for what most people would call ‘heart attacks’.
Takotsubo as a diagnosis got its name from a Japanese Octopus pot which looks a little like the Takotsubo heart on echocardiography (essentially an ultrasound). Takotsubo has some more creative synonyms, including acute stress cardiomyopathy, broken heart syndrome and ‘scared to death’. It mimics a traditional heart attack but is not due to coronary artery disease. Rather, the structure of the heart balloons in places. Classically, physically or emotionally distressing events precede the presentation, but the exact mechanism of the condition remains speculative. It has been associated with earthquakes in both Japan and New Zealand.
[Read more…] about Takotsubo cardiomyopathy – and a little art with our medicine



Last week we went to church, Ebenezer Missionary Baptist Church in New Orleans, to be precise. While we were there we witnessed, and took part in, some transformative singing. The experience was something like 
My mother-in-law has a radio in her head. She enjoys audio hallucinations. Well, “enjoy” may not be the word. Sometimes, I think, she enjoys them. At other times she endures them. The real problem is she can’t turn them off. For the best part of a year now she’s been concerned that muzak is regularly playing in her apartment. She’s asked us to have a word with the management to get it turned off. Unfortunately we can’t hear it at all. It’s not playing for us.