Feb 13, 2013, 12:56 PM EST
I went for my annual physical this morning. I’m OK and stuff, but I am NOT in the Best Shape of My Life. And the entire conversation I had with my doctor about it made me realize how silly and stupid old school, anti-sabermetric arguments are.
Note: I warn the medical professionals among you that I am going to refer to some things in a very hamfisted way. Please feel free to correct my mistakes and misleading statements in the comments.
Most of us know that you really don’t want to have a high cholesterol number. We probably had it ingrained in our heads since the 1980s at least that if your “cholesterol” — the term usually used generically, but also known as “bad cholesterol” or LDL-C — is pushing 200 or more that you’re in a bad place and at risk of heart attacks and all of that. So, dude, lower that cholesterol!
Except it’s not that simple anymore. In the past few years general practitioners have increasingly moved away from talking to their patients about that old bad cholesterol scale to more sophisticated and refined measures. Measures which have a much greater correlation with heart health than the old numbers. I’m sure it’s way more complicated than this (really, talk to your doctor), but for our purposes, LDL-P is a WAY better measure than the bad cholesterol/LDL-C measure. Indeed, you may very well have a low LDL-C number but still be at serious risk of a heart attack because your LDL-P number is too high.
This is where I am. I get a physical every year. After a not great one in 2010 I bought a treadmill, cut out sweets, cut back on beer and lost weight. I lost about 25 pounds or so, in fact. I went for a physical in December 2011. My “bad cholesterol” number was much improved. In the healthy range. As far as I knew, I was in the BSOML.
Since last year, however, my doctor began, as a matter of course, testing LDL-P levels. I am way, way too high in my LDL-P levels. This is true even though I’m still down in weight from where I was back in 2010 and despite the fact that my bad cholesterol numbers are still in good shape. The old metrics are misleading! They were failing me because they were not telling me and my doctor about my heart attack risks nearly as well as the newer, more sophisticated metrics.
After getting lectured by my doctor about how I need to change my diet, I began to laugh. I began to imagine myself as an old school baseball writer listening to this. I began to formulate a rebuttal to my doctor that could have easily shown up in Jon Heyman’s Hall of Fame column or something, switching out WAR for LDL-P:
“LDL-P. What is it good for? Absolutely nothing. Look, doc, you can bury your head in your spreadsheets and clinical studies which purport to show correlation between dying of heart attacks and your fancy acronyms, but bad cholesterol numbers are widely accepted and understood by people who aren’t doctors. If they were good enough for the doctor I had in 1984 they’re good enough for me. I prefer the eye test anyway. I look in the mirror and I see a much thinner me than I saw two years ago. I see that my 34 jeans are actually loose. I see my breakfast each morning and note that I’m eating way more cereal now than eggs, and my 1984 doctor told me that’s what I should do. I don’t need some abstract number to tell me something which goes against all intuitive sense. You’re using LDL-P as an argument-ender, and frankly, the tone of you LDL-P people has gotten extreme.”
Science and math is science and math no matter what you apply it to. If people in any other field besides baseball treated scientific and mathematical metrics with the sort of willfully ignorant disdain that many baseball writers treat advanced baseball metrics, they’d be laughingstocks. And while, yes, it is an extreme example, if doctors did so in the medical field more people would die. Baseball isn’t life and death of course, but I’m glad my doctor doesn’t approach his field of study like Jon Heyman and guys like him approach theirs.
Anyway, end of deep thought. I’m off to chuck all of the cereal, bread, crackers and pasta I have into the garbage and begin steeling myself for egg-white omelets, fish and a lot more lentils and things. If that makes me a dietary stathead who needs to get his head out of his laptop and eat some damn bagels once in a while, well, so be it.
Jan 27, 2015, 8:10 AM EST
No, it’s not “because the balls don’t have air inside them in baseball.” Though that is a good point.
Jan 26, 2015, 11:45 PM EST
McGee is expected to begin the season on the disabled list, but he’s hoping to return by late April or early May.
Jan 26, 2015, 11:05 PM EST
Ottavino has quietly been very effective since joining the Rockies in 2012, posting a 3.60 ERA over 179 relief appearances while averaging 9.3 K/9 and 3.3 BB/9.
Jan 26, 2015, 10:01 PM EST
After negotiations with Ryan Vogelsong broke down last week, the Astros are now considering alternatives.
Jan 26, 2015, 9:07 PM EST
Gutierrez has played a grand total of 173 games dating back to 2011 and sat out last season due to a gastrointestinal issue.
Jan 26, 2015, 8:16 PM EST
Avila is making a change in hopes of avoiding future concussions.
Jan 26, 2015, 7:09 PM EST
The announcement comes after the Blue Jays reportedly ended their pursuit of Orioles executive VP Dan Duquette.
Jan 26, 2015, 6:30 PM EST
The 29-year-old hit just .245/.304/.347 with three home runs and nine RBI across 81 games with the Braves last season and was designated for assignment in November.
I don’t know if Dustin Pedroia is in the Best Shape of His life, but he IS posing with his shirt off
Jan 26, 2015, 5:04 PM EST
Before cell phone cameras we just sat around and posed in the mirror. Now we can share that with everyone.
Jan 26, 2015, 4:16 PM EST
Norris asked for $10.25 million and the Orioles countered at $7.5 million.
Jan 26, 2015, 3:49 PM EST
Buck joins Christian Bethancourt and A.J. Pierzynski on the Braves’ catching depth chart.
Jan 26, 2015, 3:35 PM EST
Now, if they’ll bring back the beer mug Bernie slides into, everything will be A-OK.
Jan 26, 2015, 2:42 PM EST
I’m sure you’ve been worried about whether he would.
Jan 26, 2015, 2:10 PM EST
Parmelee was dropped by the Twins last month.
Jan 26, 2015, 1:18 PM EST
Mesoraco is arbitration eligible for the first time at age 26 and filed for $3.6 million, while the Reds countered at $2.45 million.
Jan 26, 2015, 1:00 PM EST
Wade Boggs is . . . the World’s Most Interesting Man
Jan 26, 2015, 12:28 PM EST
If it was a human it would’ve almost made it to the first grade. But now it is dead, aged just short of six years.
Jan 26, 2015, 11:29 AM EST
If you made a trade with St. Louis in the 90s and 2000s, you likely got the bad end of that trade. Because of this guy.
Jan 26, 2015, 10:57 AM EST
Just because you’re paranoid doesn’t mean they’re not after you.
Jan 26, 2015, 10:15 AM EST
“I don’t know if my metabolism is slowing down from getting older or what, but I feel good.”
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