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.
Sep 21, 2014, 2:45 PM EDT
Tigers right-hander Anibal Sanchez suffered a strained pectoral muscle on August 8 and then reaggravated it August 25. But he’s making swift progress now …
Sep 21, 2014, 1:53 PM EDT
Rangers outfielder Alex Rios hasn’t appeared in a game since September 4 due to a nagging right thumb injury, and he’s not going to be rushed back for the final week.
Sep 21, 2014, 1:08 PM EDT
Astros pitching coach Brent Strom announced Sunday that ace left-hander Dallas Keuchel won’t make another start this season.
Sep 21, 2014, 12:20 PM EDT
It’s been a lost season for the Yankees’ outfielder.
Sep 21, 2014, 11:33 AM EDT
A far more recent past than most people will admit.
Sep 21, 2014, 11:06 AM EDT
His presence will give the Nats a ton of flexibility down the stretch.
Sep 21, 2014, 10:40 AM EDT
Like we always say: he giveth and he taketh away. Yesterday he gaveth.
Sep 21, 2014, 10:00 AM EDT
He said it rather than tweeted it. Which is sad, because I had good money on it coming out “your just an idiot” if he had tweeted it.
Sep 21, 2014, 9:20 AM EDT
Bud Black will be back for year nine at the helm of the Padres.
Sep 21, 2014, 8:04 AM EDT
The Royals are not doing too well in the biggest series to hit Kansas City in 29 years.
Sep 20, 2014, 11:05 PM EDT
Nick Franklin hit the “C” ring catwalk at Tropicana Field with a deep fly ball to right field, which was initially ruled a home run. Replay review confirmed the ruling.
Sep 20, 2014, 10:15 PM EDT
The pitching-light Dodgers will have Jamey Wright make his second start in the last seven years on Sunday against the Cubs.
Sep 20, 2014, 10:10 PM EDT
Jerome Williams continued to pitch well for the Phillies, even notching a baseball first in the process of defeating the Athletics on Saturday.
Sep 20, 2014, 9:19 PM EDT
Matt Garza doesn’t hit many batters, but the right-hander managed to hit Andrew McCutchen twice in his start on Saturday.
Sep 20, 2014, 8:35 PM EDT
Mark Teixeira’s wrist injury flared up again, forcing him out of Saturday’s game against the Blue Jays in the fifth inning.
Sep 20, 2014, 7:45 PM EDT
Josh Hamilton has received a lot of pain-killing injections lately, as the veteran has battled shoulder and rib cage problems over the last two weeks.
Sep 20, 2014, 6:55 PM EDT
Jason Kipnis is listed as day-to-day with a sore right hamstring.
Sep 20, 2014, 6:05 PM EDT
Glen Perkins tried to tough out an injury and it didn’t go so well, but he seems to have learned his lesson.
Sep 20, 2014, 5:20 PM EDT
This was a day of missed opportunities for the Royals.
Sep 20, 2014, 4:24 PM EDT
Zimmerman has been sidelined since July 22 due to a Grade 3 strain of his right hamstring.
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- Settling the Score: Saturday’s results 24
- Matt Garza ejected after hitting Andrew McCutchen a second time 33
- Tigers hang on for second straight win against Royals 8
- Phil Hughes could finish the season with the best K/BB ratio in MLB history 13
- Settling the Score: Friday’s results 26
- Clayton Kershaw wins his 20th game of the season 13
- Why are so many people acting like Bryce Harper is a bum? 81
- Geddy Lee’s baseball obsession makes it really hard for me to hate Rush (120)
- Ron Washington claims he resigned because he cheated on his wife (103)
- It certainly looks like Barry Bonds’ criminal conviction is going to be overturned (101)
- Umpire ejects jackwagon fan heckling Bryce Harper in Atlanta last night (85)
- And That Happened: Tuesday’s scores and highlights (83)