After attending a conference of major pharma yesterday with their sponsored physicians and dinner, there are things I no longer fully understand anymore. When I was a resident years ago, the LDL cholesterol targets were <100-120, The blood pressure goal was <140/80 in dyslipidemias and hypertension. Today the targets are less than <70 and <125/85. I wonder if in a few years the goals will be to have zero LDL cholesterol and no blood pressure. The patient will be dead but will be in good health for sure! Maybe I'm getting old, but we need to read the scientific evidence between the lines and have different standards of objectives as the medical community. Take care of the patient's life, encourage them to exercise, to a healthy diet. Take care their pockets and wallets from big pharma. All in an unfavorable environment for us. Medications will be used when necessary because I am far from being a naturist. But for me someone who comes after 3 months of effort, exercise, diet and a minimum of medication, managing to control blood pressure that was not controlled before and now at 130/80 and LDL cholesterol through the roof before and now at 110 deserves a party at the clinic and then we will see more inflexible objectives later. We can't be so square as to not understand that. #DocChain 🏥👨🏻‍⚕️💜