Tuesday, May 30, 2017

Who is Dr Caldwell Esselstyn?

Dr Caldwell Esselstyn is a force of nature. At 82, he still directs the cardiovascular prevention and reversal program at The Cleveland Clinic Wellness Institute, and travels around the US regularly (hopefully he’ll come to Australia one day!), spreading his message that coronary artery disease is a reversible condition, even when it’s so advanced that mainstream cardiologists have given up on you and sent you home to die.
I’ve covered the key elements of Dr Esselstyn’s heart disease reversal program in my 2014 International PBNHC Round-up video and discussed some of the myths about heart disease that Essy busts in a previous post.
In brief, he teaches his patients to eat a wholefood, plant-based (i.e. vegan) diet with no added oil; no nuts or seeds except a tablespoon of ground flax/linseed each day; no avocado; and no added salt; and with the addition of green leafy vegetables at every meal and snack. You can find all the details in his book Prevent and Reverse Heart Disease, and his wife Ann and daughter Jane have authored several recipe books that teach you how to make this way of eating enjoyable.
But what I really want to discuss in this post is why more people don’t know about his work, and the implications of that ignorance.
Let’s start with a little background. Caldwell Esselstyn has worked at the Cleveland Clinic, one of the most well-known academic hospitals in the US, since 1968. His surgical training was conducted there; he chaired the Clinic’s Breast Cancer Task Force and headed its Section of Thyroid and Parathyroid Surgery; he has served as President of the Staff and as a member of the Board of Governors. He received the Distinguished Alumnus Award from the Cleveland Clinic Alumni Association in 2009.
He has also served as President of the American Association of Endocrine Surgeons, was cited in The Best Doctors in America 1994-1995 for his surgical expertise in the categories of endocrine and breast disease, and is a Fellow of the American College of Cardiology. On top of all that, he is the author or co-author of over 150 publications in peer-reviewed scientific and medical journals.
I’m telling you all of this to make it clear that Dr Esselstyn is not some underqualified nut-job pushing a half-baked theory of his own creation that has never been tested. (There are plenty of contrasts to him in the ‘alternative medicine’ sphere, such as Dr Natasha Campbell-McBride, who makes outrageous claims for her GAPS diet based on either no science at all, or badly outdated science that has since been disproven, and who has never published a single paper in the medical literature to document her approach).
No, Essy is the real deal – a highly-qualified and well-respected doctor with an impeccable academic pedigree. So why is that the vast majority of people who undertake his program find out about him through friends, relatives or internet searches, rather than being referred to him by their doctors, including cardiologists who work at the Cleveland Clinic and have known of him, and his work, for decades?
Well, as I discovered recently, it turns out that the Cleveland Clinic actually has a policy that no doctors employed by it are permitted to refer patients to Esselstyn’s cardiovascular prevention and reversal program, even though it operates inside the Cleveland Clinic! Ummmm, whaaaat?
It’s simple, really. The average cost for heart bypass surgery in US hospitals is US$117 000, and being a top teaching hospital, the Cleveland Clinic probably charges more than that. The failure rate for this procedure is high (see my article What Bill Clinton’s cardiologist didn’t know (and why you need to know it), so a significant proportion of people will end up back under the surgeon’s knife, or undergoing other invasive procedures. Even if they don’t, they’ll have to come back for regular check-ups and to get their prescriptions updated, ensuring that they become cash cows for the hospital.
In contrast, Essy charges next to nothing to participate in his program, has detailed the entire program in a book that you can buy online for around A$20, and explains how the program works in numerous videos that you can watch for free on Youtube. People who stick strictly to the program are virtually heart-attack-proof, as he has documented in the long-term follow-up studies that he has published, so they have no need to come back to the Cleveland Clinic, or to Essy personally, for any more treatment.
Follow the money, folks. Treating people with surgery, stenting and medication keeps them sick patients for the rest of their lives, which is highly lucrative; while teaching them how to take charge of their health gets them off the medical merry-go-round, saving loads of taxpayers dollars as well as their out-of-pocket costs.
from empowertotalhealth.com.au

Monday, May 22, 2017

Mainstream media don't want us to know

The documentary ‘What the Health’ exposed how big pharma and food industry groups corrupt public health bodies with their generous donations. There was even a scene in which a hospital administrator was up front in making the point that the hospital derived its income from medical procedures not by giving health advice that might avoid the need for procedures. The donations and financial support from these industry groups is often indirect and very difficult to trace. While donations from meat, dairy, egg and pharmaceutical industries have a powerful influence, there are other reasons why your doctor does not recommend a whole foods plant-based diet for heart disease and your heart charity still recommends eggs as a heart healthy food.
Health professionals and health organisation leaders are real people with personal and cultural food habits and they do not want to hear bad news about these habits as this would damage their esteem and require difficult lifestyle changes. When we tried to introduce Cowspiracy concepts to a local environmental group we hit a wall that stopped them going beyond meat and dairy “in moderation”. A cancer organisation spokesperson responded to the 2015 WHO ‘processed meat is a class 1 carcinogen’ report by publicly stating that he would continue to eat bacon. Health organisations and their experts, like the rest of us, are inclined to save face. After years of arguing that eggs are heart healthy after all, it would be difficult for a heart charity to do an about face and tell us that eggs promote heart disease.
The main reason why more Australian health professionals are not prescribing plant-based diets is that they just don’t know. We wish that more would just find the NutritionFacts website or visit the PlantricianProject. However, in our current paradigm of lean protein and good fats, most would be incredulous of this information. Medical education articles now have even less emphasis on nutrition than they did 20 years ago and the medical media frequently ignores or distorts research that suggests that plant-based eating is optimal. For example, a couple of years ago they missed the discovery of a major new cardiac risk factor – TMAO (you can learn about it at NutritionFacts). It often seems that the experts who provide the medical education don’t know either, and are unaware of ground breaking research published in peer reviewed journals – reversing heart disease, stopping prostate cancer growth, and favourable modifying the gut microbiome in 3 days with a plant-based diet.
The stunning findings of the BROAD study - a randomised controlled trial in a community setting, where participants lost 11.5kg in 6 months (and kept it off at 12 months) with a low fat whole food plant-based diet and no portion control or exercise program - have not been reported in any Australian medical media since it was published in a peer reviewed journal two months ago, despite being a local (New Zealand) study. While this freshly published study was being ignored, there were editorials in the medical media suggesting that no diet is any better for weight loss, an industry-friendly view that has become more pervasive in mainstream nutrition.
If our health professionals understood the power of whole foods, plant-based nutrition and had tried it themselves, then no amount of industry funding would stop them from recommending it to their patients.