Aaron Hartman, MD recalls when heart attacks meant bed rest and oxygen, before modern interventions. He moved into private internal medicine while keeping cardiology interests, watching medicine shift from conservative waiting to active treatment, like how Tagamet cured bleeding ulcers.
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The biggest crisis was acute coronary syndromes. They were rampant. They were coming in every night. And what did we do for them? We put them at bed rest, gave them oxygen, maybe heparin, treated ventricular premature contractions totally unnecessarily. So that's where I started. It's like before the Wright brothers invented their first airplane, and now we're watching rockets fly around. So I went into the private practice of internal medicine, still very interested in cardiology because it was the primary path that was killing people. By that time, we had cured bleeding ulcers with Tagamet, so that wasn't a problem anymore.