Feb 13, 2013, 12:56 PM EDT
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.
Aug 23, 2014, 12:05 PM EDT
Xander Bogaerts was hit in the head by a Felix Hernandez pitch on Friday night, but the rookie says he is fine. He is not in Saturday afternoon’s lineup.
Aug 23, 2014, 12:04 PM EDT
The Reds have lost seven straight and are currently on pace for their worst season since 2008, but Walt Jocketty is expected to return as general manager next season.
Aug 23, 2014, 11:05 AM EDT
Nationals right-hander Doug Fister revealed last night that he had skin cancer removed from the left side of his neck this week.
Aug 23, 2014, 10:12 AM EDT
Many around the game were underwhelmed when the Rays acquired Drew Smyly, Nick Franklin, and Willy Adames in the three-team David Price deal last month. It will probably take years before we can make a fair assessment, but the early returns are positive for Tampa Bay.
Aug 23, 2014, 9:32 AM EDT
The Tigers turned to infielder Andrew Romine to pitch in a blowout last night.
Aug 23, 2014, 8:56 AM EDT
A quick recap of a busy Friday around MLB, including an important AL West battle.
Aug 22, 2014, 11:55 PM EDT
Garrett Richards had surgery to repair a torn patellar tendon in his left knee, meaning he’ll be out between six and nine months.
Aug 22, 2014, 11:05 PM EDT
The frustrating blackout restrictions could come to an end as early as 2015, according to Maury Brown of Forbes.
Aug 22, 2014, 10:10 PM EDT
Felix Hernandez has struck out 200-plus batters in each of the last six seasons, something no other starting pitcher will have done when the season is over.
Aug 22, 2014, 9:17 PM EDT
Mike Minor is on point in Cincinnati against the Reds on Friday night.
Aug 22, 2014, 9:15 PM EDT
The Giants don’t have any plans to move Buster Posey out from behind the plate just yet, even though his numbers are much better as a first baseman.
Aug 22, 2014, 8:20 PM EDT
The Dodgers’ Triple-A affiliate will reportedly move from Albuquerque, New Mexico to Oklahoma City, Oklahoma for the 2015 season.
Aug 22, 2014, 7:25 PM EDT
Kyle Lohse was dealing with a sore right ankle, but is expected to rejoin the Brewers’ rotation on Monday to start against the Padres.
Aug 22, 2014, 6:33 PM EDT
Manny Machado’s season is likely over, as he is expected to undergo season-ending knee surgery within a week, according to a report.
Aug 22, 2014, 6:20 PM EDT
According to Peter Gammons, the Orioles and Yankees are “claiming everyone” on waivers, which will make it difficult for the Angels to improve their starting rotation after losing Garrett Richards.
Aug 22, 2014, 5:28 PM EDT
His latest, a solo shot off Orioles right-hander Kevin Gausman.
Aug 22, 2014, 3:45 PM EDT
Sometimes the life of a player with a minor-league option remaining just isn’t fair.
Aug 22, 2014, 3:36 PM EDT
One window doesn’t work and there is no air conditioning. It has 166,000 miles on it. Which, actually, isn’t that bad. Hmmm . . .
Aug 22, 2014, 3:19 PM EDT
Oakland’s outfield depth just got a little stronger with Craig Gentry coming off the disabled list after missing the past month with a broken hand.
Aug 22, 2014, 2:57 PM EDT
Seven games in ten days for the AL West leaders
- Settling the Score: Friday’s results 7
- Mike Minor loses his no-hit bid with two outs in the eighth 5
- Manny Machado to undergo season-ending knee surgery 32
- The Cubs grounds crew was short staffed because the Cubs were trying to avoid Obamacare 240
- Cuban outfielder Rusney Castillo to sign with the Red Sox for $72 million 96
- And That Happened: Thursday’s scores and highlights 31
- The Nationals extend their winning streak to 10 games with another walk-off victory 12
- Garrett Richards out 6-9 months with torn patellar tendon 14
- The Cubs grounds crew was short staffed because the Cubs were trying to avoid Obamacare (240)
- Mike Matheny addresses turmoil in Ferguson: “It’s a sad situation. It’s a tough situation for our city” (127)
- Cuban outfielder Rusney Castillo to sign with the Red Sox for $72 million (96)
- A pitch clock in Major League Baseball? No thanks. (92)
- Even if he’s reinstated, does Pete Rose make the Hall of Fame? (86)