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Just one anecdote on that point. I'm pre-med and I recently shadowed the director of cardiac research (a cardiac surgeon) at the big hospital/medical school in
by adammichaelc 15y ago
Just one anecdote on that point. I'm pre-med and I recently shadowed the director of cardiac research (a cardiac surgeon) at the big hospital/medical school in this area. He was asked point-blank by a patient, "I've been reading that with diet and exercise I might be able to reverse my heart disease. What do you think?"
The doctor's answer was, "Absolutely not."
This is one data point, so it's hardly conclusive, but coming from a doctor who (a) teaches doctors and therefore plants seeds for the next generation and (b) should be an expert on new medical treatments with his position as the director of research, it's troubling.
Meanwhile, there is a growing minority of doctors who take patients through an eating "bootcamp" where they help them take out processed foods/white-flour/high-fructose corn syrup from their diet, teach them how to shop and cook plant-based foods, etc. I saw a documentary on it, "Forks Over Knives" I believe. Fascinating stuff.
In the documentary, they take a man with advanced heart disease, cut out all meat/dairy/processed foods from his diet, and take before-and-after blood readings (cholesterol, blood pressure, etc.). It was surprising how quickly the intervention reversed his numbers.
There are other pioneers working in this area. There's Dr. Terry Wahls, an MD who reversed her multiple sclerosis by eating what some would call a "paleo" diet (only vegetables, fruits, nuts, meat). Here's her TED talk if you're interested: http://www.youtube.com/watch?v=KLjgBLwH3Wc http://www.youtube.com/watch?v=KLjgBLwH3Wc She's currently working on human clinical trials to test this diet-intervention in other patients.
To your point, "all doctors say eat better, etc." I have two thoughts.
1. I'm glad you have doctors who have mentioned that but I've never had that experience.
2. A doctor who says, "You really need to eat better," is not quite what we need. For reversible conditions like heart disease, diabetes, (MS?) etc we need doctors who say, "Your next appointment will be with a food specialist/nutritionist. He will help you completely change your eating habits, go shopping with you to get new staple-foods, and you will stick to this new lifestyle for x months. Here's a list of foods you must not eat and here are x great-tasting recipes that are easy to make. Come back in 6 weeks and we'll do another round of blood-tests to see how it's working. If you're not willing to do this I can give you [statins, etc. fill-in-the-drug] but they won't actually treat the disease and may not make you feel better. They will keep you alive though. It's totally up to you and I'll support you in either decision."
Just my 2 cents. I think medicine will eventually look more and more like this, but it will take time to change the culture and the traditions of western medicine.
- pdx 15y agoHeart disease can be plaque, which, theoretically, might be removable with some diet change. It can also, however, be hardening of the arteries, which is a loss of elasticity of the artery walls. We don't know how to reverse tissue loss of elasticity do we? So when he said it could not be reversed with diet, that seems to be correct to me.
- liber8 15y agoIn no way do I mean this as a personal attack, I simply find this comment fascinating, and it's a good example of something I see more and more of. You basically say heart disease is either A or B. Because we don't know how diet effects A, and doctor says diet wouldn't help, doctor is right. (Notice the fallacies [false dichotomy, jump to conclusion, circular logic] become very clear when we simplify the wording.) What I find interesting is the way we all seem to work to show that what we believe in must be right or that what we don't believe in must be wrong. Diet can't magically cure heart disease, and [logical fallacies], so diet doesn't cure heart disease. The Earth isn't warming, and [conspiracy theory], so the Earth isn't warming. Again, I don't mean this as a personal attack (maybe your post was just had a few typos), but it's something that I see more and more frequently, even places like HN. Instead of being more like Feynman, our technology seems to be prodding us to be more like rush-hour talking heads.
- pdx 15y agoI'm still trying to digest your argument, but my point was a simpler one. I am very interested in whether or not we can restore elasticity in tissue, such as the lens of your eye, the skin on your face, or the walls of your arteries. When a medical student, who doubtless has more knowledge than I do implies that heart disease can be reversed in any manner, diet or not, I'm interested and wanted to move the conversation forward in order to clarify.
- deleted 15y ago[deleted]
- 15y ago