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.
Dec 19, 2014, 11:31 AM EST
File this under “wild speculation” but it makes all kinds of sense.
Dec 19, 2014, 11:14 AM EST
Baldelli, who’s still just 33 years old, joins 37-year-old rookie manager Kevin Cash’s coaching staff.
Dec 19, 2014, 11:00 AM EST
A third base hole filled in San Diego, a good defensive catcher goes to Boston.
Dec 19, 2014, 10:47 AM EST
Albers is headed back to MLB after a rough 2014 season in Korea.
Dec 19, 2014, 10:15 AM EST
According to the team president, at least.
Dec 19, 2014, 9:43 AM EST
The Padres have gone crazy this week. The latest: acquiring Justin Upton and his big bat for a couple of prospects.
Dec 19, 2014, 9:05 AM EST
But one insider says the package the Rockies are asking for Tulo is “bats**t”
Vin Scully lost his 1988 World Series ring at Costco but got it back. And talks about how Costco is cool.
Dec 19, 2014, 8:30 AM EST
He doesn’t say so, but I have this feeling he’s a chicken bake man. Chicken bakes are pretty underrated.
Dec 19, 2014, 7:28 AM EST
Can someone justify this sort of golden parachute? Will anyone even bother to try?
Dec 19, 2014, 6:50 AM EST
The Giants haven’t gotten many of their sought-after targets this offseason, but they keep one of their starters.
Dec 18, 2014, 11:27 PM EST
It took long enough, but Matt Kemp has finally been traded to the Padres.
Dec 18, 2014, 11:00 PM EST
Get excited, I guess.
Dec 18, 2014, 9:30 PM EST
The Padres continue to overhaul their lineup while the A’s continue to unload.
Dec 18, 2014, 8:46 PM EST
Young, 29, batted .302 with seven home runs and .779 OPS (120 OPS+) over 255 plate appearances this past season.
Dec 18, 2014, 7:50 PM EST
Lowe began his career with Seattle and had his best season with the club in 2009.
Dec 18, 2014, 6:41 PM EST
Is this the beginning of the end for the Tampa Bay Rays?
Dec 18, 2014, 6:07 PM EST
Johnson missed the entire 2014 season after undergoing Tommy John surgery in late April.
Dec 18, 2014, 6:00 PM EST
Does Ichiro really have one more year left in him?
Dec 18, 2014, 5:40 PM EST
Veteran catching depth.
Dec 18, 2014, 5:17 PM EST
Giavotella is a career .315 hitter with an .835 OPS and as many walks as strikeouts in nearly 2,000 plate appearances at Triple-A.
- Justin Upton traded to the Padres for three prospects 58
- Bud Selig will get a $6 million a year pension. Which is obscene. 88
- Jake Peavy agrees to a two-year, $24 million deal to stay with the San Francisco Giants 13
- Matt Kemp has officially been traded to the Padres 28
- Padres acquire catcher Derek Norris from Athletics 35
- St. Petersburg City Council votes down deal to allow Rays to look for new stadium site 89
- What will the future of Cuban players in MLB look like? 25
- Royals sign Edinson Volquez for two years, $20 million 29
- Baseball’s highest-ranking Hispanic woman employee sues for discrimination (163)
- The United States will seek to normalize relations with Cuba (144)
- Cubs, Red Sox, Dodgers, Padres, Rangers, and Astros interested in Phillies’ Cole Hamels (111)
- Rays, Padres, Nationals agree to 11-player trade (97)
- Chase Headley signs a four-year deal with the Yankees worth at least $52 million. (95)