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.
Apr 23, 2014, 10:38 PM EDT
Cardinals ace Adam Wainwright was pulled at 79 pitches on Tuesday at Citi Field after taking an off step while trying to track down a high-chopper on the infield. He was then diagnosed with a hyperextended right knee, but it sounds like a rather minor injury.
Apr 23, 2014, 9:25 PM EDT
As first reported by Los Angeles Times beat writer Dylan Hernandez, Dodgers ace Clayton Kershaw has been cleared to begin a minor league rehab assignment Friday night with the High-A Rancho Cucamonga Quakes of the California League.
Apr 23, 2014, 8:13 PM EDT
Yankees starter Michael Pineda was very clearly using pine tar to get a better grip on his pitches during an April 10 start against the rival Red Sox. He tried it again in his start Wednesday night at a blistery Fenway Park and got caught red-handed.
Apr 23, 2014, 7:59 PM EDT
On May 21, the Angels will give away a bobblehead commemorating Albert Pujols’ 500th career home run, which he hit Tuesday night at Nationals Park.
Apr 23, 2014, 7:04 PM EDT
Tracy McGrady is going to try pitching in an independent baseball league after wrapping up his 15-year NBA career last August.
Apr 23, 2014, 6:17 PM EDT
According to beat writer Nick Piecoro of the Arizona Republic, Diamondbacks left fielder Mark Trumbo has been diagnosed with a stress fracture in his left foot. Trumbo is headed back to Phoenix, Arizona to have the foot examined by a specialist so that the D’Backs can get a better idea of the injury’s severity.
Apr 23, 2014, 5:02 PM EDT
Another sad chapter in Josh Johnson’s injury wrecked career, as the right-hander will undergo season-ending Tommy John surgery without ever throwing a regular season pitch for the Padres.
Apr 23, 2014, 4:06 PM EDT
Phillies left-hander Cole Hamels is off the disabled list and will make his season debut tonight against the Dodgers after sitting out the first three weeks with biceps tendinitis.
Apr 23, 2014, 3:50 PM EDT
Albert Pujols entered baseball’s history books after belting his 500th home run, but with seven years remaining on his deal in Los Angeles, HBT’s Craig Calcaterra wonders how high of a level Pujols must continue to play at in order to call his deal a success.
Apr 23, 2014, 3:01 PM EDT
Sammy Sosa hit 293 homers at Wrigley Field, but the Cubs are trying to make people forget that happened.
Apr 23, 2014, 2:30 PM EDT
Matt Harrison will come off the disabled list and start Sunday for the Rangers, seeing his first big-league game action in more than a year following multiple back surgeries and Thoracic Outlet Syndrome.
Apr 23, 2014, 1:35 PM EDT
Daniel Nava is headed to the minors one season after hitting .303.
Apr 23, 2014, 1:05 PM EDT
Nick Franklin is trying to find a way into the Mariners’ lineup.
Apr 23, 2014, 12:16 PM EDT
Jesse Crain hasn’t thrown a pitch in a game since June 29 and it doesn’t look like that will be changing any time soon.
Apr 23, 2014, 11:36 AM EDT
It’s been an awful start for the Snakes. Awful enough to get someone fired?
Apr 23, 2014, 11:19 AM EDT
Brewers pitching prospect Johnny Hellweg, who was acquired from the Angels as part of the Zack Greinke swap in July of 2012, has been diagnosed with a torn ulnar collateral ligament and is expected to undergo Tommy John elbow surgery.
Apr 23, 2014, 11:02 AM EDT
Mariners right-hander Hisashi Iwakuma was expected to begin a minor-league rehab assignment this week as he comes back from a spring training finger injury, but instead the team had him throw a 58-pitch simulated game yesterday.
Apr 23, 2014, 10:48 AM EDT
Fenway may be the site of more accomplishments, but it’s easier to see ourselves in Wrigley Field.
Apr 23, 2014, 10:15 AM EDT
San Diego is looking to trade one-time starting catcher Nick Hundley.
Apr 23, 2014, 9:29 AM EDT
Not the best call by instant replay officials in the system’s brief history.
- Clayton Kershaw cleared to begin rehab assignment on Friday at High-A Rancho Cucamonga 1
- Michael Pineda ejected in second inning for pine tar on neck, facing a 10-game suspension 82
- Mark Trumbo diagnosed with stress fracture in foot 7
- Josh Johnson needs a second Tommy John surgery 21
- Sammy Sosa wasn’t invited to Wrigley Field’s 100th birthday 45
- Josh Lueke is a rapist. How often does that bear repeating? (200)
- Benches clear in Pittsburgh after the Brewers’ Carlos Gomez bat flips a third-inning triple (183)
- “They Don’t Know Henry” (169)
- Michael Pineda ejected in second inning for pine tar on neck, facing a 10-game suspension (117)
- Chipper Jones chimed in on the Carlos Gomez incident (111)