If you want big success, build a business that responds to big trends – Ongoing Trends that Are Changing the Practice of Medicine and People’s Health and Making Many People, Companies and Organizations Feel Good About Themselves, Healthier and Wealthier

 

Copyright © 2014 by Gary S. Smolker

Updated April 25, 2014

America cannot afford to spend as much money as it will be spending if Americans keep on becoming sicker and sicker.

Since there is a dispute about what course of action to take (what path to follow) among scientists, physicians, health experts, and healthcare experts we need to get a grip on our predicament.

Science is not decided by vote.

Science is not decided by consensus.

There is only our best current understanding.

If the “Big Names” had it right we would be living on a flat Earth around which the universe revolves praying to Zeus for our lives.

Business People Are Responding to Our Anxiety and Fear About Our Health

Many professionals – who are businessmen with a variety of credentials – have “jumped-in” to tell us how to live long healthy productive lives and have written books and are giving lectures which promise to fill in the gaps in our knowledge and understanding with information we need.

Other business people have jumped in (either as “idealists”, or “capitalist” – to “milk” our anxiety and fear about being “healthy”) by starting companies that “grow good healthy food”, “sell healthy food”, “serve healthy food”, give nutritional advice, give Yoga lessons, etc.

None of the “author experts” whose books I review in this article suggest that we pray to Zeus for good health, or to lose weight.

However, (a) reading what experts/authors have written, (b) listening to what lecturers on “health and healthy living” say, and/or (c) listening to what your own personal physician(s), nutritionists, dietitian, trainer and/or friends and colleagues tell or advise you to do might leave you confused.

Be that as it may be, life is action.

You are going to do something.

If you want to be healthier and/or to keep your health

• it is up to you to make a change based on what you decide makes the best sense for you to do, or
• you may “blindly” do what someone else tells you to do, or
• you may continue to do what you are presently doing now.

Those are your choices.

I have a modest proposal.

Call to Action

You and I realize, if we want to change our health, we need to change our habits.

We realize, change is a matter of choice.

We are told by a multitude of people that Americans need to adopt a cultural shift away from treating sickness and disease and toward preventing them.

We are bombarded with messages promoting a culture of wellness.

We are bombarded with messages telling us we – the American people – are getting sicker and sicker, our healthcare costs are skyrocketing, we are becoming fatter and fatter, we are becoming more and more stressed out and more and more sleep deprived and we waste a lot of time on the Internet, or on our smart phones, and that we don’t get enough exercise.

We are told that we have been sucked into a vicious cycle of becoming more and more unhealthy and sicker and sicker and sicker.

We are told we need to break out of that vicious cycle.

I, for one, have concluded that I need to think about and decide what I and the rest of us can do and what I want to do to keep my health and to become healthier.

I have asked myself: “Do poor habits pose a dire health problem that I am willing to try to fix or that anyone would be willing to fix?”

Do Poor Habits Pose A Dire Health Problem?

In “The Cleveland Clinic Way” Toby Cosgrove, MD, President and CEO of Cleveland Clinic, says the facts facts tell the story.

• Despite widespread antismoking campaigns, about a fifth of Americans still smoke, and some 4,000 people under the age of 18 try their first cigarette each day.
• Only 13 percent of American men and 9 percent of American women report that they exercise vigorously for 10 minutes or more five or more times per week.  The vast majority of Americans never break a sweat.
• Most Americans eat the wrong foods – and too much of them.
• All of this leads to an epidemic of obesity.
• According to the National Institutes of Health, some 63 million Americans now qualify as obese, defined as having a body mass index (BMI) of 30 or more.  BMI is calculated as a function of height and weight.
• Of these, 3 million are described as being superobese, or 100 pounds or more above their normal weight.
• Obesity like smoking is taking a severe toll on the American population.
• The Centers for Disease Control and Prevention identifies tobacco use, poor diet, physical inactivity, and alcohol abuse as the leading factors in American death statistics.
• Infections and viruses, by comparison are way down the list.
• It’s true that deaths from heart disease have decreased – from 203 per 100,000 people in 1979 to 135 per 100,000 people today.  The reduction has resulted from improved treatments, preventive care, and heightened awareness of the major risk factors, such as (a) smoking, (b) inadequate exercise and (c) eating the wrong foods.
• Yet heart disease remains the leading cause of death among men and women, affecting 16.5 million Americans.
• The American Heart Association estimates that about every 34 seconds, an American will have a heart attack.
• In addition, the lifetime risk of having cardiovascular disease after age 40 is two in three for men and more than one in two for women.
• Meanwhile, rates of other chronic illnesses remain high or are trending upward.
• Rates of diabetes have more than quadrupled sine 1990.
• Obesity may be responsible for up to a quarter of some of the most common and deadly cancers, including gallbladder, ovarian, and pancreatic cancer.
• Americans have everything they need to save themselves.
• But, it requires Americans to adopt a cultural shift away from treating sickness and disease and toward preventing them and promoting a culture of wellness.
• Michael Rozen, Cleveland Clinic’s chief wellness officer likes to point out, people who stop smoking before age 35 can live just as long as someone who never smoked.  Regular exercise in middle to late life decreases the risk of heart attack by 55 percent, the risk of dying from cancer by 45 percent, and the risk of dying by infection by 95 percent.  The overall death rate drops 60 percent.  Studies have shown that even people in their eighties see a benefit.
• Some people may see their bodies decline very little (if at all) over time.
• The key is how well they take care of themselves.
• Before age 35, a person’s genes largely account for a person’s overall health.
• After 35, a person’s health is mainly within their control.
• By adopting a few healthy daily habits people can live near or at the top of the health curve for a good part of their life.

In “The Daniel Plan” Rick Warren, D. Min., Daniel Amen, M.D. and Mark Hyman, MD report,

“One in two Americans suffer from some chronic disease.  Heart disease; diabetes; cancer; dementia; autoimmune diseases; allergies; acid reflux; irritable bowels; neurological problems; depression; attention deficit hyperactivity disorder; thyroid, hormonal, and menstrual problems; skin problems including eczema, psoriasis, acne, and more.  We spend almost $3 cotillion a year in our healt care system, and almost 80 percent of that is for chronic lifestyle preventable and reversible disease.”

In “Strive” Arianna Huffington reports:

• “Higher levels of stress can lead to higher instances of diabetes, heart disease, and obesity.
  
• “According to the Centers for Disease Control and Prevention, fully three-quarters of American health care spending goes toward treating such chronic conditions.
• “The Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital estimates that 60 to 90 percent of doctor visits are to treat stress-related conditions.
• “In the United Kingdom, stress has emerged in recent years as the top cause of illness across the nation.
• “Burnout, stress and depression have become worldwide epidemics.
• “In the United Kingdom, prescriptions for antidepressants have gone up 495 percent since 1991.
• “In Europe, from 1995 to 2009, the use of antidepressants went up nearly 20 percent per year.
• “In the United States more than twenty-two million people are using illegal drugs, more than twelve million are using prescription painkillers without a medical reason, and almost nine million need prescription sleep aids to go to sleep. And the percentage of adults has gone up 400 percent since 1988.
• “Women in highly stressful jobs have a nearly 40 percent increased risk of heart disease and heart attacks compared with their less-stressed colleagues, and a 60 percent greater risk for type 2 diabetes.
• Women who have heart attacks are almost twice as likely as men to die within a year of the attack, and women in high-stress jobs are more likely to become alcoholics than women in low-stress jobs.”

It is easy to let technology wrap us in a perpetually harried, stressed-out existence.

“In fact, one of the legal defenses offered by Steve Cohen, CEO of SAC Capital, the hedge fund that was indicted in 2013 and agreed to a record $1.2 billion fine, was that he missed a warning about insider trading because of the one thousand e-mails he gets every day.”

The Big Picture

In books reviewed in this article, author-experts argue that every bite of food you take is a small but important choice: every bite of food you eat either increases or decreases your odds of living a longer healthier life.

The authors of these books point out that there are diets that lead to obesity, diabetes, heart attacks, stroke, cancer and dementia.

There are other diets that lead to weight loss and a healthier life.

The Bigger Picture

For the first time in history, while millions of people suffer from not having enough to eat, millions are struggling with the effects of being overweight.

Today, as many people are suffering from the result of too much food as malnutrition.

Diabetes, heart disease, stroke, Alzheimer’s disease, cancer and other “lifestyle-based diseases” now kill more people than infectious diseases.

The next time you are with two friends, consider that two of the three of you are likely to die from heart disease or cancer.

The Centers for Disease Control and Prevention identifies tobacco use, poor diet, physical inactivity, and alcohol abuse as the the leading factors on American death statistics.

Behavior-related factors, including tobacco use, poor food choices, excessive portion sizes, and physical inactivity, now account for 75 percent of all healthcare costs.

Preventable chronic diseases are responsible for 81 percent of all hospital admissions in the United States, 91 percent of all prescriptions, and 76 percent of all physician visits.

Because of preventable chronic diseases, America spends twice as much on healthcare as Europe and Canada do and four times as much as Mexico, Japan and India.

The United States also has 80 percent more high blood pressure, 110 percent more heart disease, and 800 percent more strokes than other developed countries.

Seven in ten Americans are overweight.

Type 2 diabetes, hypertension, cardiovascular disease, and many types of cancer are not mysterious disease that come out of nowhere.

They are largely caused by our own lifestyle choices.

In “Wheat Belly” William Davis, M.D. advises us:

• The personal and societal costs of developing diabetes are substantial.
• On average, one person with diabetes incurs $180,000 to $250,000 in direct and indirect health carte costs if diagnosed at age fifty and dies eight years earlier than someone without diabetes.
• Diabetes is a disease caused in large part by food.
• Adult diabetes through the ages was mostly the domain of the privileged who didn’t have to hunt for their food, farm the land, or prepare their own meals.
• Only during the last half of the nineteenth century and into the twentieth century, when sucrose (table sugar) consumption increased across all societal levels, common laborer on up, did diabetes become more widespread.
• Today, diabetes is epidemic.  The number of Americans with diabetes is growing faster than any other disease condition with the exception of obesity (if you call obesity a disease).
• The explosion of diabetes and prediabetes has been paralleled by an increase in people who are overweight and obese.
• Actually, it would be more accurate to say that the explosion of diabetes and prediabetes has been in large part caused by the explosion in overweight and obesity.
• The fatter Americans become, the greater the number that develop prediabetes and diabetes.
• Weight gain is predictably accompanied by diabetes and prediabetes, though the exact weight point at which they develop can vary from individual to individual.
• Some estimate show that, over the next twenty years, an incredible 16 to 18 percent of all healthcare costs will be consumed by health issues arising from excessive weight: not genetic misfortune, birth defects, psychiatric illness, burns, or post-traumatic-stress disorder from the horrors of war -no, just getting fat.
• The cost of Americans becoming obese dwarfs the sum spent on cancer.
• More money will be spent on health consequences of obesity than education.

In “The Cleveland Clinic Way”  Toby Cosgrove, M.D. observes that:

• “When patients get sick, they typically have to visit numerous specialists to get proper treatment. One study found that between 2000 and 2002, the typical Medicare beneficiary with a chronic condition such as diabetes or heart disease saw up to 16 physicians in the course of a year, not to mention pharmacists, imaging technicians, and other specialists.
• “Almost a hundred years ago, the founders of group practices were struck by the complexity of modern medicine and the consequent need for collaboration across specialties.  
• “Cleveland Clinic founder Dr, George Crile observed that a modern-day doctor is no more able to undertake intricate patient problems alone than to build a car alone.”

According to the books reviewed in this article,  many people today are at a fork in the road with two paths:

Path One

• If people with poor eating habits and life style habits take continue along that path they will have a future of pain and mental deterioration.
• If they don’t take care of their brain and body and just keep doing what they’ve always done, in the future they will have brain fog, memory loss, be depressed, be tired, and have physical illness.
• Sadly this has already happened.  Among today’s older adults, most have at least one chronic disease, and at least one in four has two or more.
• According to the Administration on Aging, more than 40 million Americans are currently aged 65 or older.
• By 2030, the number of Americans who are over 65 will more than doubled from their number in 2000, to almost 20 percent of the population.
• Because of poor living habits in the past, many elder Americans are suffering from Alzheimer’s disease and other age-related neurodegenerative diseases; their bodies  have outlived their brains.
• Alzheimer’s disease currently affects an estimated 5.2 million people, costs the United States about $200 billion, and is the sixth leading cause of death.
• Doctors aren’t sure exactly what causes Alzheimer’s disease, but they do know that Alzheimer’s shares major risk factors with cardiovascular disease, such as obesity, smoking and a sedentary lifestyle.

Path Two

• If people take the path of caring for their body and their brain they will increase their chances of having mental clarity, better energy, a brighter mood, great memory, a trimmer and healthier body, healthier skin, a healthier brain and not dying from a heart attack or stroke or cancer or diabetes or Alzheimer’s disease sooner than later in the future.

The Path Being Taken by Big Business

Ill health is costly to corporate profits.

Americans today are so unhealthy, and ill health is so costly to corporate profits and the need for Americans to become more healthy is so great that most big businesses have adopted programs aimed at improving the health of their employees.

According to a 2013 survey by the National Business Group on Health, an association of large employers, about 93 percent of U.S. employers have some kind of wellness program — an umbrella term that encompasses everything from in-house yoga to help quitting smoking.

Eighty percent of those companies also offer health exams to their employees, according to a study last year by the RAND Corporation.  They typically give employees incentives to participate, and the Affordable Care Act has boosted the size of such incentives.

In “Strive” Arianna Huffington reports:

• “Studies show that U.S. employers spend 200 to 300 percent more on the indirect costs of health care, in the form of absenteeism, sick days, and lower productivity, than they do on actual health care payments.
• “In the United Kingdom, stress results in 105 million lost workdays each year.
• “Germany lost fifty-nine million workdays to psychological illness in 2011.
• “Right now, about 35 percent of large and midsize U.S. employers offer some sort of  stress-reduction program, including Target, Apple, Nike and Procter & Gamble.”

There Is Controversy and Debate About the Impact of Cholesterol Levels on Health

According to most doctors, high cholesterol is a risk factor for Alzheimer’s disease as well as a major risk factor for heart disease and heart attacks.

However, according to neurologist David Perlmutter, MD, cholesterol is not a major risk factor for Alzheimer’s disease, for heart disease or for heart attacks.

Dr. Perlmutter’s thoughts about cholesterol, heart attacks and Alzheimer’s disease are discussed in his recently published book “Grain Brain”, published in 2013.

In “Grain Brain”Dr. Perlmutter claims:

• Cholesterol is at most a minor player in coronary heart disease and represents and extremely poor predictor of heart attack risk.  Over half of all patients hospitalized with a heart attack have cholesterol levels in the “normal” range.  The idea that aggressively lowering cholesterol levels will somehow magically and dramatically reduce heart attack risk has now been fully and categorically refuted.  The most important modifiable risk factors related to heart attack risk include smoking, excess alcohol consumption, lack of aerobic exercise, over-weight, and a diet high in carbohydrates.
• Cholesterol is one of the most critical chemicals in human physiology, especially as it relates to brain health,  The best lab report to refer to in determining one’s health status is hemoglobin A1C, not cholesterol levels.  It is rarely, if ever, appropriate to consider high cholesterol alone to be a significant threat to health.
• Studies dating back to the mid-1990s reveal a link between statin use and an increased risk of certain cancers, not to mention a long list of side effects from digestive challenges to asthma, impotence, inflammation of the pancreas, and liver damage,  A trial published in January 2010 in the American Journal of Cardiology  found that statin medications actually increased the risk of death.  Researchers in Israel followed nearly 300 adults diagnosed with heart failure for an average of 3.7 years, and in some cases up to 11.5 years.  Those who were taking statin drugs and had the lowest levels of low-density lipoprotein (LDL) were found to have the highest rates of mortality.  Conversely, people with higher levels of cholesterol had a lower risk of death.
• The benefits of statins are questionable, and major studies have failed to show how they protect the body from illness.
• However, Dr. Perlmutter does state in “Grain Brain”: numerous studies do point to the positive effects statins have on reducing mortality rates in people with coronary artery disease.  [Emphasis added.]

I Would Like to Know the Answer to the Following Two Questions:

• Has the evidence in those studies been interpreted correctly?
• Do those studies prove anything beyond a reasonable doubt?

A eyebrow raising cartoon first published in 2004 shown in “Grain Brain”  (which was published in 2013) reminds us of the evolving state of knowledge about what to heat and what not to eat.

In this cartoon a physician is shown telling his patient, “The high-carb diet I put you on twenty years ago gave you diabetes, high blood pressure, and heart disease.  Oops.”

An article published on March 18, 2014 in the Annals of Internal Medicine reports that a team of international scientists, lead by Dr. Rajiv Chowdhury, a cardiovascular epidemiologist in the department of public health and primary care at Cambridge University,  found no evidence that eating saturated fat increased heart attacks and other cardiac events.

The new research did not find that people who ate higher levels of saturated fat had more heart disease than those who ate less.   Nor did it find less disease in those eating higher amounts of unsaturated fat, including monounsaturated fat like olive oil or polyunsaturated fat like corn oil.

For decades, health officials have urged the public to avoid saturated fat as much as possible, saying it should be replaced with unsaturated fats in foods like nuts, fish, seeds and vegetable oils.

“My take on this would be that it’s not saturated fat that we should worry about” in our diets, said Dr. Rajiv Chowdhury, the lead author of the new study.

This study (published on March 18, 2014 in the Annals of Internal Medicine) has set off a flurry of debate questioning the conclusions of the study and back-peddling by experts who have been urging people to avoid saturated fat (dairy, meet and eggs).

However before that article was published both William Davis, M.D. (in his best selling book published in 2011, “Wheat Belly”) and David Perlmutter, M.D. (in his best selling book published in 2013, “Grain Brain”)  challenged the accepted wisdom that saturated fat is inherently bad for you and gave the “green light”to eating more steak, butter and other foods rich in saturated fat.

Although You Are Never Going to Change Human Nature You Might Alter the Environment in which It Is Expressed

We/you don’t want to be gameable and we don’t want to be gamed.

The Role of Prevention

More and more people realize, they have not done what is necessary to prevent disease.

They realize that prevention, not treatment once illness has begun, is key to optimal health and longevity.

With each passing day, more and more people recognize that in order to reach their optimal health they need to change their life style, they need to change how they live.

They realize they need to design a dietary and exercise protocol that suits their needs.

They realize they need to proactively care for their body and mind and that in order to do so they need to

• undergo the blood tests and screenings appropriate for their age, particular circumstances and medical history,
• raise their awareness about the things they do today that affect their tomorrows,
• gain the knowledge they need to take advantage of modern science and medicine,
• find out what is right for them, what works for them,
• know how to live healthy,
• think through their live style choices,
• develop goals that deal with longevity,
• devise a plan,
• set milestones,
• set measures they will take to get to their goals,
• develop healthy habits, and
• follow a comprehensive long-term health strategy.

They also realize there is no “one size fits all medicine.”

Most of us are going to die at a ripe old age or sooner if we don’t take preventive measures.

Change Is A Matter of Choice

Change is a matter of choice.

You can’t passively sit around doing nothing and expect your life to get better.

Ultimately, you must act to take better care of yourself, i.e. stop eating foods that harm you; dump junk food; stop living a sedentary life and reduce stress in your life.

Many people, including bottom-line oriented businessmen, are making (and/or want to make) an effort to experience a whole new level of wellness and better health.

Astute businesspeople/employers now recognize they [the employer] will benefit if they help their employees become healthier.

In her latest book (“Strive”, published in 2014),  Arianna Huffington advises:

1. “Right now about 35 percent of large and midsize U.S. employers offer some sort of stress-reduction program, including Target, Apple, Nike and Procter & Gamble.
2. “At Aetna, the third-largest health insurance provider in the United States, CEO Mark Bertolini discovered the health benefits of meditation, yoga, and acupuncture while recovering from a horrible ski accident that left him with a broken neck.  He proceeded to make them available to his forty-nine thousand employees and brought in Duke University to conduct a study on the costs savings.  The results?  A 7 percent drop in health care costs in 2012 and sixty-nine minutes of additional productivity per day for those employees who participated in Aetna’s wellness programs. And doing yoga one hour each week reduced stress among employees by one-third.
   
3. “Ray Dalio, the founder of Bridgewater, one of the largest hedge funds in the world, who has been meditating for more than thirty-five years and considers it ‘the single most important reason’ for his success, pays for half of his employees’ meditation classes and picks up the entire bill if they commit to it for more than six months.
4. “Increasingly, companies are realizing that their employees’ health is one of the most important predictors of the company’s health, as well.  In those all-important Wall Street conference calls, business analysts, in addition to asking about sales reports, market share, and earnings, should be quizzing CEOs about their employees’ stress levels.”

In “The Cleveland Clinic Way”, Toby Cosgrove, MD, President and CEO of Cleveland Clinic, advises of steps the Cleveland Clinic and other companies have taken to assist their employees live a healthier life.

 

The “wellness movement” provides a fabulous/fantastic business opportunity to alert business people.

One of the books I review in this article, “The Daniel Plan” by Rick Warren, D. Min., Daniel Amen, M.D., and Mark Hyman, M.D., argues that people are unhealthy because the food they choose to eat is harmful to them.

Below are some “ideas”/”facts”/”opinions” set forth in “The Daniel Plan”,  I think about constantly.

Food has the power to harm you/me.

What you/I put on your/my fork determines whether you/I are/am sick or well, slim or fat, depleted or energized.

Processed food (packaged food) and sugar are our enemies.

Since 1980, more than 600,000 packaged and processed foods have been introduced into the marketplace.

Eighty percent of them are full of sugar.

Since low-fat dietary recommendations in the early 1980s, we have doubled our rates of obesity in adults and tripled it in kids, and the rate of type 2 diabetes around the world has increased sevenfold.

In fact, today in America, one in two people have pre-diabetes or type 2 diabetes.

We have seen the number of people with heart disease, type 2 diabetes, cancer, dementia, depression and infertility skyrocket.

Actually, to diagnose cancer, doctors give patients radioactive sugar.  The sugar then goes to the cancer and lights up on the PET scan.

Sugar triggers a cascade of changes in your body that make you sick and fat.

Here is what happens:

1. You eat quickly absorbed sugar or refined carbohydrates (like white flour).
2. Your blood sugar spikes.
3. Your insulin levels spike.
4. Insulin triggers the storage of fat in the belly and increases your appetite and sugar cravings.
5. The sugar (particularly the fructose in high fructose corn syrup) turns into a cholesterol factory in your liver (called lipogenesis), increasing LDL [sometimes called bad cholesterol], lowering HDL [sometimes called good cholesterol], and raising triglycerides.
6. This leads to fatty liver (now affecting 60 to 90 million Americans).

All of this increases something called insulin resistance, where your cells become numb to the effects of insulin, requiring more and more insulin to keep your blood sugar normal.

Insulin resistance is the major cause of all age-related chronic disease such as heart disease, heart attacks, high blood pressure, stroke, many cancer, type 2 diabetes, and dementia.

Hunter-gather populations consumed about 22 teaspoons of sugar a year; now the average American consumes 22 to 30 teaspoons every single day.

In 1800, the average person consumed 5 pounds of sugar per year; now we average 152 pounds.

I have lots to say about the current state of what is going on in people’s mind about health, diet and exercise and the response of pioneering business people to the health tragedy caused by people being confused and/or not being able to figure out what is the right thing to do.

Consider based the following “facts” about soft drinks/processed food presented in “The Daniel Plan.”

The average 20-ounce soda has 15 teaspoons of sugar.

Sugar sweetened drinks like soda now make up 15 percent of the calories consumed by the average American.

One can of soda a day increases a kid’s risk of obesity by 60 percent and a women’s chance of getting diabetes by more than 80 percent.

Sugar is more addictive than cocaine.

In “The Daniel Plan”, Dr. Mark Hyman advises:

One of the things you can do to dramatically improve your health and lose weight is “don’t drink liquid calories.’ 

This means don’t drink soda, sports drinks, flavored coffees or teas, energy drinks and juices, except fresh-made green vegetable juice.

Diet drinks are not good substitutes for sugar-sweetened drinks.  They also increase cravings, weight gain, and type 2 diabetes.  And, they are addictive.

Our processed, low-fiber, high-sugar diet alters the bacteria that live in our digestive system.  There are 500 species of bacteria in there.

The bacteria outnumber our cells 10 to 1, and we have 100 times more bacteria DNA in us than our own DNA.

We live in a “processed food” toxic nutritional wasteland.

• When we eat processed food, we change our gut flora (bacteria) and foster the growth of bad bacteria that promote inflammation.
• Bread, ketchup, and salad dressings are full of sugar.
• The average serving of commercial spaghetti sauce has more sugar than a serving of chocolate sandwich cookies.

If “being healthy” was all about “eat less” and “exercise more”, we would all do it and be skinny and “fit.”

Getting to a state of being “fit” and “healthy” is more complicated then that.

Dr. Hyman reports:

“I had to eat an MRE – meals ready to eat – while I was working after the earthquake in Haiti.  When I read the label of the chicken and dumplings, there were more than 500 ingredients  I recognized almost none of them and couldn’t pronounce most of them,  In fact, I couldn’t find chicken on the label – it was a ‘chicken-like substance.’

In the material which follows, I chronicle/discuss what “informed people” are doing to become fit and healthy. 

I also chronicle and discuss pioneering intelligent businesses’ and business people’s actions in response to the widely growing public awareness that what we put in our mouths to eat will determine whether we we will be sick or healthy, depleted of energy or energized, able to concentrate or be confused and suffer from brain fog.

This is a significant trend.

There is a confluence of many forces, which I call “the health movement.”

In “Mission in A Bottle” Seth Goldman and Barry Nalebuff state they started “Honest Tea” in 1997 because all the bottled teas on the market were too sweet.

1. The average commercially available bottled tea had twelve teaspoons of sugar in a 16 ounce bottle.
2. The World Heath Organization advised: “Consume no more than 10 teaspoons of added sugar per day.”
3. Although they had no experience in beverage industry, they (Goldman and Nalebuff) decided to launch a company that made bottled tea with only 2 teaspoons of sugar in it.
4. They built something they believed in.
5. Ten years later, they sold their company (Honest Tea), for a reported price of $40 million, to the Coca Cola Company.
6. Today you can find Honest Tea’s beverages in 100,000 retail outlets.

In “The Daniel Plan”, Pastor Rick Warren reports that in 2010 he realized he was severely overweight.  The next day, he stood before his congregation and made this public confession:

“Friends, I’ve been a poor steward of my health and a terrible example for you.  While we’ve been helping many around the world, I’ve ignored a problem at home.

“So today I am publicly repenting, and I ask for your forgiveness!  God expects us to take care of the bodies he has given us, but I have not done that.  Now, I’ve only gained two or three pounds a year, but I have been your pastor for thirty years.  So I need to lose ninety pounds.  Do any of you want to join me in getting healthy.”

The audience responded with sustained applause.

He was overwhelmed, when in the first few weeks more than 12,000 people signed up to join him in his quest to get healthy.

We Are Living in the “Age of Insight”

In “The Daniel Plan”, Rick Warren, D. Min., Daniel Amen, M.D. and Mark Hyman, M.D. point out “the National Institutes of Health spends $800 a year trying to discover the cause of obesity.”

They (Warren, Amen, and Hyman) then ask, “Could it be the 29 pounds of French fries, 23 pounds of pizza, 24 pounds of ice cream, 53 gallons of soda, 24 pounds of artificial sweeteners, 2.7 pounds of salt, 90,000 milligrams of caffeine consumed every year by the average American.”

According to the Center for Disease Control more than two thirds of Americans are overweight or obese.

Being obese leads to many health problems, including diabetes.

The fatter Americans become, the greater the number that develop diabetes.

The number of Americans with diabetes is growing faster than any other disease condition with the exception of obesity, if you call obesity a disease.

How did we get to the point where seven out of ten Americans are overweight and diabetes is as common as gossip?

Some estimates show that over the next twenty years sixteen to eighteen percent of all health care costs will be consumed by health issues arising from excess weight; more money will be spent on the consequences of obesity than on education.

Physicians should rejoice in conveying information that empowers individuals to take control of their own health.

Have you ever told your physician that you have decided to get healthy to live a healthier life, or asked any physician one of the following questions or had the following conversation with your physician?

1. I have decided to get healthy.  What can you do to help me successfully answer the challenge of getting healthy, the challenges of improving my health and the quality of my life that goes with healthier living?
2. I would like you to coach me in getting healthy and help me design  a plan for getting healthier.  Are you up to coaching me in getting healthier and designing a plan – a lifestyle program – to improve the quality of my life?
3. What are you prepared to do to enable me to successfully live a healthy and healthier life?
4. What can you do to enable me to avoid having a heart attack?  By the way, in “Prevent and Reverse Heart Disease”, Caldwell B. Esselstyn, Jr., M.D. claims it is possible to prevent and reverse heart disease and presents a specific plant based nutrition program for doing so.  Dr. Esselstyn claims people who follow his program have become heart attack proof, their heart disease either stopped progressing or was reversed and they did not subsequently have a heart attack and will not have a heart attack.
5. What are you prepared to do to enable me to avoid having a heart attack?
6. What can you do to enable me to avoid having diabetes?  By the way, in “Dr. Neal Barnard’s Program for Reversing Diabetes”, Neal D. Barnard, M.D. claims that diabetes is not an irreversible condition.  It is possible to repair insulin function and reverse type 2 diabetes by following his nutritionally based program.  By closely following Dr. Barnard’s  program you can cut back on diabetes medications, if not eliminate them completely and reduce your risk of diabetes complications.  His program is a method for preventing, controlling and reversing diabetes.  His program zeros in on the type of food you eat.  According to Dr. Bernard, that is the critical factor.
7. What are you prepared to do to enable me to avoid having diabetes?
8. What can you do to enable me to avoid having Alzheimer’s disease?  What are you prepared to do to help me avoid having Alzheimer’s disease, to enable me to avoid having diabetes?  Various physician authors claim, in the books reviewed in this post/article, that the same things you can do to prevent and/or to reverse heart disease will lower the risk Alzheimer’s disease, stroke and diabetes.
9. What can you do to enable me to avoid having high blood sugar levels?  It is claimed that following Dr. Barnard’s nutritionally based program is three times more effective at controlling blood sugar levels than the standard dietary regime for people with diabetes that has been followed for decades. 
10. What are you prepared to do to enable me to avoid having high blood sugar levels, to control my blood sugar levels?
11. Are you able, and if so willing, to restructure the information provided in current medical reports prepared by testing laboratories and sent to you to provide higher-value information and to provide such higher-value information in written report form to me?

Have you ever wondered why you can see more practical relevant information related to a car on the dashboard of a recent model automobile than you can learn about the status of your body or about your health from any device or software your physician has advised you to use?

I can ask my car questions (i.e. how to get from one place to another) and get intelligent answers (i.e. a map with a route specifying how to get from a starting point to a desired end-point as well as oral instructions on when and where to turn as I take the route calculated by my car).

I can see on a screen on the dashboard of my car the tire pressure in each tire, the oil level, the level of fuel in my gas tank, the outside temperature, speed, etc. etc. etc.

My car (a 2013 Nissan GTR) posts a message on a screen on the dashboard when the tire pressure is too low and when my car needs maintenance.

My car senses and analyzes car performance factors and integrates and uses that information to calculate and post on the dashboard how many miles per gallon I am getting while driving as well as an estimate of how many more miles I can drive before I run out of gas.

Almost all of us know more about how to keep our cars running (for 200,000 plus miles) than how to keep our bodies, minds, and souls healthy for a lifespan of 120 years.

Ancient cultural knowledge about how to create and maintain health has not been widely available because western medical schools don’t teach this and conventional western medical doctors and nutritionists don’t learn this.

However, our ability to access, understand and learn from data has been transformed by the widespread use of smart phones and computers and the creation of new sensors, new software and new electronic devices.

We know we can get “the answer” from technology; we only need to have the right devices and then to decide what to ask.

We are transitioning from the “Age of Information” (currently called the “Information Age”) to the “Age of Insight.”

That being said, if you are not afraid to do so, ask your physician (a) to advise you of the availability of sensors and wireless communications using smart metering/monitoring software that will gather, store and integrate/crunch/analyze and track the status of information your body now generates at all times and how you may exploit that information and (b) to answer any or all of the questions listed above.

Do you have your Hemoglobin A1c (HbA1c) checked regularly?

HbA21c measures average glucose (sugar level in your blood) over the past 60 to 90 days. 

I have gone on a diet and I am tracking my HbA1c.

I had my HBA1c checked today (March 27, 2014).

At a minimum, consider having your medical records stored on an electronic device so that your medical records can be accessed and electronically distributed at any time from any place.

In the Past, Effort At Trying to Find the Truth About How to Live Longer and Be Smarter and Healthier for Most People Has Been Like Trying to Touch A Rainbow.

That is why

• (a) by 2009 Americans were spending more on potato chips than their government spent on energy research and development;
• (b) in fully one out of four patients with heart disease, the first symptom is sudden death;
• (c)  comprehensive preventative medicine will not become the driving force in a physician’s life as long as medicine is practiced on a fee-for-service basis;
• (d) several prominent physicians have publicly indicated that the majority of other physicians are either inept out of their depth lightweights and/or socially irresponsible charlatans whose goal is to maximize their income;
• (e) you might find yourself after a heart attack in a hospital recovering in one of the cardiac care recovery rooms while in that same hospital room being fed eggs by a specially trained cardiac care nurse who at the same time is also giving you a high dosage cholesterol lowering pill prescribed by your personal cardiologist [although this makes no sense it is a daily occurrence];
• (f) a mass market size number of people do not trust the medical establishment or the education establishment;
• (g)  the health care industry, the food industry and the education industry are becoming spaces filled with significant thinkers (thought leaders) who are innovative social entrepreneurs providing highly appreciated mission oriented vital services and specialized sections of the health care industry, health food and health product industry and the education industry are experiencing explosive growth.  

Because physicians have not been rewarded for educating patients, all the elements (including a surge in consumer interest) are present and in place for the explosion of new methods of providing health care in a way that will change the world for the better.

A Social Trend that Needed to Happen

Throughout recorded history, health has been one of our most common preoccupations and most popular areas of research yet most of us still don’t know what to eat or where we can purchase healthy tasty delicious food or how to live a longer healthier more productive life.

People all over the world are interested in learning more about health.  Americans, in particular, are obsessed with their health.

The Internet’s potential to change human life is staggering.

If you Google the word health you’ll see about 2 billion results.

The amount of  “information” about health presently available is challenging and today’s fast moving river of  new data/information/studies and controversial opinions about health shows no sign of slowing down.

Recently, highly credentialed and experienced physicians with piercing and witty intellects have written mission driven best selling books about what to eat and how to live a healthy life.

In their best-selling books, they criticize standard medical practices and the governmental and non-profit agencies and organizations who set nutritional and medication guidelines.

Their best selling books often include recipes for healthy dishes and daily food plans.

In addition to practicing medicine these physicians give seminars at conferences and retreats they organize and are also speakers at seminars and conferences organized by others.

The general public is solicited to attend the seminars and lectures and seminars and conferences at which they speak/“teach.”

The business of organizing and holding retreats for the general pubic to learn about health is a growing.

At these retreats attendees are given instruction on how to become healthier.

The people who put on these retreats and conferences and the educators/physicians who speak at these retreats and conferences are capitalizing on America’s growing obsession with health.

They are capitalizing on the fact that members of the general public (a) are fearful that they are too fat, (b) can’t figure out how to lose excess weight, and (d) the diets and exercise programs have have participated in have not worked.

As a result of  lack of useful information being provided by the medical profession many members of the general public are flailing around in darkness without being able to obtain the help of their primary care physician in their efforts trying to figure out the puzzle of how to lose excess weight and live a healthier life.

The “health-movement” these educator-best-selling author physicians promote and the “health-education”/health information industry they are in the process of creating is still a relatively small, balkanized, nascent industry.  It is a growth industry just at its infancy.

Alert persons who look into the growing size of the “health-movement” see huge profit growth potential in addition to growth of consumer acceptance of products and services related thereto.

Physicians whose books are reviewed in this article have become the newest mythic archetype of the American entrepreneur.

As a result of demand by patients, the demand of major employers who pay for their employee’s health insurance, and as a result of the demands of the federal government and the demands of the insurance industry, it is inevitable that in order to stay alive convention-run-of-the-mill-old-school physicians with a “Doctor-Is-God” mentality who do not yet actively practice giving individually tailored detailed information regarding prevention of diseases and aliments to their clientele  will change the way they practice medicine.

Conventional medical practitioners will have to practice education based preventative medicine in response to growing demand for information on how to live a healthier life as more of that kind of information is being provided by the development of technological products by entrepreneurial companies.

At some point in time, information and records will be kept on patient outcomes as a measure of how well physicians contribute to the health of their patients.

Conventional medical practitioners who are incapable of practicing preventive medicine are structurally hampered in trying to be responsive to consumer demand for products and services that help them live a healthier life.

As time goes on the economic usefulness of physicians in terms of the cost of not preventing diseases, in terms of whether their patients remain overweight/obese, etc. will become very clear to the public at large, available to the public as well as to other interested persons and parties.

Outdated operating procedures, impossibly inflexible systems and screwed-up fee-for-services-maximization of physician income as a way of running a medical practice of medicine is becoming a thing of the past through a process of creative destruction.

The $19 billion paid by Facebook for a 50-something Silicon Valley start-up (What’s App) represents the latest confirmation that a new economic world has arrived in which riches go to plucky social entrepreneurs whose goals are simply to make life better for the public.

Is What’s App app worth more than Southwest Airlines, or Sony, or scores of other companies with thousands of employees and decades of profit?  Apparently so.

What’s App’s app actually does something so beneficial as to make What’s App more valuable than Southwest Airlines, Sony, and scores of older bigger companies.

Social Entrepreneurship

Question:  Are each of the physician-authors whose books are reviewed in this post/article a social entrepreneur? Answer:  Yes.

Soap Box Idealists, Social Engineers, Religious Fervor and Social Entrepreneurship

In “Grain Brain”, David Perlmutter, MD advises:

“Nowadays, you get fewer than fifteen minutes (if that) with a doctor who may or may not be trained in all the latest knowledge about how to prevent and improve your mental faculties.  What’s more disturbing is that many of today’s physicians originally trained decades ago, don’t have a firm grasp of nutrition and its effects on your health.”

In “The Blood Sugar Solution”, Mark Hyman, MD advises:

“Today conventional doctors are the primary method by which people with diabesity [diabetes and obesity] receive health care.  Unfortunately, most of these doctors have no training in lifestyle medicine or behavioral change; lack the time, resources, and support team to facilitate change; and do not get paid for helping patients create a sustainable lifestyle. ….Telling their patients to eat better and exercise more is just not enough.”

In “Wheat Belly”, William Davis, MD reports:

1. Americans are fat.
2. According to the Centers for Disease Control, more than two thirds of Americans are overweight or obese.
3. Being obese leads to lots of health problems, including diabetes.
4. Diabetes is in large part a disease caused by food.
5. Weight gain is predictably accompanied by diabetes.
6. The fatter Americans become, the greater the number that develop diabetes.
7. The personal and societal costs of developing diabetes is huge.
8. Some estimates show that over the next twenty years sixteen to eighteen percent of all health care costs will be consumed by health issues arising from excessive weight.
9. More money will be spent on health consequences of obesity than on education.
10. On average, one person with diabetes incurs $180,000 to $250,000 in direct and indirect health care costs if diagnosed at age fifty and dies eight years earlier than someone without diabetes.
11. Adult diabetes through the ages was mostly the domain of the privileged who didn’t have to hunt for their food, farm the land, or prepare their own meals.
12. Today, diabetes is as common as gossip.
13. The number of Americans with diabetes is growing faster than any other disease condition with the exception of obesity, if you call obesity a disease.
14. And diabetes is just the tip of the iceberg.  For every diabetic, there re three or four people with prediabetes waiting in the wings. 
15. Depending on whose definition you use, twenty-two to thirty-nine percent of all US adults have prediabetes.
16. The combined total of people with diabetes and prediabetes in 2008 was eighty-one million, or one in three adults over eighteen years of age.
17. Since 1960, the ranks of the obese have grown the most rapidly, nearly tripling in 50 years.
18. Weight grew at the fastest pace once the USDA and others (the American Heart Association, the American Dietetic Association and the American Diabetes association) got into the business of telling Americans what to eat.

In “Wheat Belly”, Dr. Davis also remarks that too many of us blame ourselves for being overweight: too many calories, too little exercise, too little restraint.  But it is more accurate to say that the advice we’ve been given to eat more “healthy whole grains” has deprived us of control over appetites and impulses, making us fat and unhealthy despite our best efforts and intentions….Taking this advice has disastrous repercussions on health.

At the beginning of his book “Prevent and Reverse Heart Disease” (published in 2008), Caldwell B. Esselstyn, Jr., M.D. tells us:

“By now, most everyone is generally aware that what you eat has something to do with whether or not you will develop heart disease.

“My subject is coronary artery disease, its cause, and the revolutionary treatment, available to all, that can abolish it and that has saved….many others.

“My message is clear and absolute: coronary artery disease need not exist,and if it does, it need not progress.

“Here are the facts.  Coronary artery disease is the leading killer of men and women in Western civilization.  In the United States alone, more than half a million people die of it every single year.  Three times that number suffer known heart attacks.  And approximately three million more have ‘silent’ heart attacks, experiencing minimal symptoms and having no idea, until well after the damage is done that have are in mortal danger.  In the course of a lifetime, one out of every two American men and one out of every three American women will have some form of the disease.

“The cost of this epidemic is enormous – greater, by far, than that of any other disease.  The United States spends more than $250 billion a year on heart disease.  That’s about the same amount the nation spent on the first two and a half years of its military venture in Iraq, and fully twice as much as the federal government allocates annually for all research and development – including R&D for defense and national security.

“But here is the truly shocking statistic: nearly all of that money is devoted to treating symptoms.  It pays for cardiac drugs, for clog dissolving medications, and for costly mechanical techniques that bypass clogged arteries or widen them with balloons, tiny rotating knives, lasers, and stents.  All of these approaches carry significant risk of serious complications, including death.  And even if they are successful, they provide only temporary relief from symptoms.  They do nothing at all to cure the underlying disease or to prevent its development in other potential victims,

“I believe we in the medical profession have taken the wrong course.  It is as if we were simply standing by, watching as millions of people march over a cliff, and then intervening in a desperate last-minute attempt to save them once they have fallen over the edge.  Instead, we should be teaching them how to avoid the chasm entirely, how to walk parallel to the precipice so that they will never fall at all.

“I believe coronary heart disease is preventable, and that even after it is under way, its progress can be stopped, its insidious effects reversed.  I believe, and my work over the past twenty  years has demonstrated, that all this can be accomplished without expensive mechanical intervention and with minimal use of drugs.  The key lies in nutrition – specifically, in abandoning the toxic American diet and maintaining cholesterol levels well below those historically recommended by health policy experts.

“The bottom line of the nutritional program I recommend is that it contains not a single item of any food known to cause or promote the development of vascular disease.  I often ask patients to compare their coronary artery disease to a house fire.  Your house is on fire because eating the wrong foods has given you heart disease.  You are spraying gasoline on the fire by continuing to eat the very same foods that caused the disease in the first place.

“I don’t want my patients to pour a single thimbleful of gasoline on the fire  Stopping the gasoline puts out the fire.  Reforming the way you eat will end the heart disease.”

Personal Aside

With each passing day, more and more people are realizing they need to eat healthy food.

They realize that the junk food bandwagon and their sedentary lifestyle are a horrible thing.

In my own personal life there is not enough time in the day to read all the books I want to read or all the books I am currently reading in my quest to find out what to eat and what not to eat and what else to do to live a longer healthier life.

I realize that if I put water into the gas tank of my car the engine will not run properly and might blow-up.

With that image in mind, it makes sense to me that if I put too much of the wrong food (fuel) in my body my body might not run property and I may die as a result of having poisoned myself.

1. I am currently reading “Spark” by John J. Ratey, MD with Eric Hagerman.  “Spark” is about how your mind and the movement of your body are connected to each other.  The author of “Spark” agrees with Plato’s statements, “In order for man to succeed in life, God provided him with two means, education and physical activity.  Not separately one for the soul and the other for the body, but for the two together.  With these two means, man can attain perfection.”  — Plato 
2. According to Dr. Ratey: The sedentary character of modern life poses one of the biggest threats to our continual survival.  
3. According to Dr. Ratey: Evidence of this is everywhere:: 65 percent of our nation’s (America’s) adults are overweight. or obese, and 10 percent of the population has type 2 diabetes, a preventable and ruinous disease that stems from inactivity and poor nutrition.
4. According to Dr. Ratey: Inactivity is literally killing our brains – physically shriveling them.  Exercise builds and conditions our brains. Physical activity improves brain function.  It makes the brain function at its best.  Physical activity is crucial to the way we think and feel.  
5. In “Spark” Dr. Ratey goes on to say, if you had half an hour of exercise this morning, you’re in the right frame of mind to sit still and focus on this paragraph, and your brain is far more equipped to remember it.
6. The brain responds like muscles do, growing with use, withering with inactivity.
7. If exercise came in pill form, it would be plastered across the front page of the New York Times, hailed as the blockbuster drug of the century.  
8. In “Spark”, Dr. Ratey discusses the Zero Hour PE program designed and conducted by a group of maverick physical education teachers who have turned the nineteen thousand students in Naperville District 203 into the fittest in the nation – and also some of the smartest.  
9. Dr. Ratey describes the Zero Hour PE class as follows – it’s goal is to get students prepared to learn through vigorous exercise by getting them into a state of heightened awareness- and then sending them off to class.  
10. In “Spark”, Dr. Ratey quotes one of the Zero Hour PE coaches as having told Dr. Ratey, “In our department, we create the brain cells.  It’s up to the other teachers to fill them.  As a PE teacher it’s not my job to make kids fit. My job is to make them know all the things they need to know to keep themselves fit. Exercise in itself is not fun.  It’s work.  So if you can make them understand it, show them the benefits – that’s a radical transformation.”  
11. In “Spark”, Dr. Ratey explains: the Zero Hour PE curriculum is designed to teach kids the principles, practice, and importance of fitness.  Students are shown how to draw up their own fitness plan centered around a fitness assessment they complete each year starting in the fifth grade.  
12. They design their plans as freshman and track their improvement until they graduate, at which time they get a fourteen page health assessment.  It combines fitness scores with facts like blood pressure and cholesterol levels, along with lifestyle and family history surveys, to predict risk of disease and suggest preventive measures. 
13. In 1999 Naperville’s eight graders were among some 230,000 students from around the world who took an international standards test which evaluates knowledge in math and science.  In recent years, students in China, Japan and Singapore have outpaced American kids in these crucial subjects, but Naperville is the conspicuous exception:  when its students took the test, they finished sixth in math and first in the world in science.  
14. Naperville is a small town west of Chicago that doesn’t follow the rule that the amount of money a school spends on each pupil is a clear predictor of success.  
15. THE AMOUNT NAPERVILLE SPENDS PER PUPIL IS NOTABLY LOWER THAN OTHER TOP-TIER ILLINOIS PUBLIC SCHOOLS.  FOR EXAMPLE, AT NAPERVILLE CENTRAL HIGH SCHOOL, WHERE ZERO HOUR PE BEGAN, PER-PUPIL OPERATING EXPENSE IN 2005 WAS $8,939 VERSUS $15,403 AT EVANSTON’S NEW TRIER HIGH SCHOOL.
16. I am also currently reading “21-Day Weight Loss Kickstart” by Neal D. Barnard, MD.  In this book, Dr. Barnard explains how food can control your appetite and ramp up your metabolism so that weight loss is almost automatic.
17. Dr. Barnard explains how the speed of your metabolism determines the speed at which the calories you consume is burned by your body.  Those calories are either turned into energy or turned into fat depending upon the speed at which they are burned by your body. 
18. According to Dr. Barnard: you make the choice of either burning calories or getting fat by what you choose to eat.  “Metabolism is the process of turning fuel into energy.  If you have a “fast metabolism”, you have what is essentially a little inferno inside each cell.  You’re burning lots of calories minute by minute.  The faster your metabolism, the faster you’re burning up calories, and the less fat you’re storing.”
19. In “21-Day Weight Loss Kickstart”, Dr. Barnard tells us how to control our appetites and to ramp up our metabolism so that weight loss is almost automatic.  
20. In “21-Day Weight Loss Kickstart”, advises that chicken is not health food, albeit Americans now eat more than one million chickens per hour under the false belief that chicken is a health food. 
21. According to Dr. Barnard: Chicken’s fat content is not that much different from beef’s (about 29% for lean beef, 23% for skinless chicken breast, compared with less than 10% for typical vegetables.)
22. If you were to swallow a forkful of chicken, according to Dr. Barnard, even without the skin, about a quarter of the calories of that piece of chicken you were eating, would be nothing but fat, which is why your hands will be greasy after touching it.  
23. Are you thinking about ordering french fries with you meals when you go out to eat?  
24. According to Dr. Barnard: Our bodies are so efficient at holding on to fat, that exercising more is not enough.  Getting more hours of exercise per day is not all you must do, if you want to have a healthy weight; you could run flat out for a mile and not burn off all the calories in half an order of french fries. 
25. After reading as much as I have read of “Spark” and “21-Day Weight Loss Kickstart”, I am convinced that the intelligent comparison of diets of rural people in China in the past and/or present with the current diet of people in the United States alone will not help anyone really understand why there is a worldwide epidemic of obesity, diabetes, heart disease, heart attacks, stroke, cancer, dementia and Alzheimer’s disease.
26. In order to understand what you can do to “live healthy” you must take into consideration how the growing and processing of food has changed over time as well as how consumption levels of various types of food changed at different times in different places as well as the activity level of people at different times in different places.
27. With respect meat consumption, Dr. Barnard reports between 1909 and 2007, meat intake in America rose from 124 pounds per year to more than 200 pounds per person per year.  That is more than seventy-five pounds of extra meat for every person every year. 
28. Dr. Barnard also reports, “But the rise in meat consumption is not the whole story.  Back in 1909, Americans had not yet discovered cheese pizza or cheese-burgers, and an average American ate less than four pounds of cheese in a year’s time.  Today an average American eats about  thirty-three pounds of it every year, nearly thirty pounds more than a century ago.” 
29. By the way, according to Dr. Barnard, You can’t pour cheese like an oil; you have to cut it with a knife.  It is loaded with saturated fat.”  – the same cholesterol-raising, artery clogging fat found in chicken fat, pork fat, and other less-than healthful products. 
30. In order to understand an effect, i.e., why someone had a heart attack, you must study all antecedent factors:  The type of foods we eat, the amount of activity and exercise in our lives, “our” sedentary life style, hours we spend working, hours we spend sleeping, and the impact on eating habits of having both parents working — the absence of a “stay-at-home-mom” – require our special attention. 
31. In my quest to find out how to live a healthier longer life, I am also currently reading “Natural Prophets” by Joe Dobrow.  “Natural Foods” is a history of the natural food industry told in story form.
32. In “Natural Prophets”, Mr Dobrow reports the following facts about food, farming, the raising of livestock, the manufacture and widespread presence of processed foods in our diets, consumption of processed foods and sugar, and the presence of chemical additives and pesticides in our foods.
33. From the time Homo sapiens first appeared on the planet at least 200,000 years ago up until nearly the present day, all of the food we ate was “organic”, found in nature.
34. The ingredients in our foods were found were pure and natural for roughly the first 199,000 of those years.
35. In the early 20th century, America was still predominately a rural country where most of the food was grown on small farms that operated much the same way they had since agriculture was invented 12,000 years earlier.
36. Farming was not an Elysian existence; it was backbreaking and inefficient.
37. Then modern science took over:  Herbicides greatly reduced the need for farm labor, and from 1920 to 1955 farm output per labor hour jumped by 146 percent.  From 1935 to 1955, corn yields per acre increased 58 percent, milk per cow, 21 percent, and eggs per hen, 42 percent.  By adding antibiotics to livestock feed and administering female sex hormones to bulls, calves could be brought up to “slaughter weight” in as little as one quarter of the time it used to take.
38. There was also an explosion of processed foods.  By 1930, 40 percent of all cheese in the United States was processed in some way.
39. Since about the time of World War II we have shifted almost in toto to a diet of chemically treated crops and animal proteins, and highly processed foods.
40. Almost every single person in America has traces of pesticide in his blood.  Because some pesticides are fat-soluble, they can penetrate the cells of plants on which they are applied, and can “bio-accumulate” into each successive member of the food chain that consumes the plants.
41. It is estimated that the average American now consumes about 9 pounds of chemical additives each year.  Many of these compounds have been linked to brain an lung damage, cancer, developmental disabilities and a host of other diseases, conditions and afflictions.
42. Only about 10 percent of the world’s grain in 1910 went to feed livestock, but that number doubled by 1950, doubled again by the late 1990s, and has now surpassed 60 percent in the United Sates.  That produced a surge in the supply of beef, which in turn produced a surge  in the consumption of beef in America from about 112 pounds per person in 1909 to about 271 pounds.
43. High-fructose corn sugar (HFCS) was introduced in 1980.  HFCS quickly became a staple of the American diet.  By 1984 it had replaced cane sugar i Coke and Pepsi.
44. By 2012, the average person was consuming almost 55 pounds a year of HFCS without any corresponding decrease in sugar consumption.  In the opinion of many, HFCS is the “worse” type of sugar to consume.
45. By the end of the 1950s, the chemical revolution and the march of progress had almost completely transformed the way food was grown, prepared, shipped and sold.
46. In 1959 an article was published that blasted Tang, the new General Foods orange juice-flavored powdered drink that actually contained no juice at all.  “The best thing you can say about this product is if you drink it with enough water, it won’t kill you,” the author wrote.

Think about the following statements made by Joe Dobrow in his recently published book “Natural Prophets”:

“Early humans got 65 percent of their calories through fruits and vegetables; modern Man derives only 7 percent of calories from the combination of fruits, vegetables, legumes, whole grains, nuts and seeds.  Instead, 52 percent of our food energy comes through processed foods, 

“So in the span of one or two human lifetimes – a mere heartbeat, evolutionarily speaking – we have gone from a world of authentic to synthetic, from connate to construct, from pure to processed.”

ASIDE:

• My personal health goal is to have a highly functional brain, to be mentally sharp and to live a healthy vibrant highly productive life until I die.
• I do not want to be one of the 65.7 million people expected to be living with dementia by 2030.
• Research published on March 5, 2014 in NEUROLOGY, the medical journal of the American Academy of Neurology, indicates that Alzheimer’s disease – a mind destroying disease – may contribute to almost as many deaths in the United States as heart disease or cancer. 
• I don’t want to get Alzheimer’s disease.
• I believe Dr. Ratey’s statement, Aerobic activity (exercise) is an indispensable tool for anyone who wants to reach his or her full potential.
• Dr. Ratey emphasizes that the real reason I feel so good when I get my blood pumping (exercise) is that it makes my brain function at its best and that building muscles and conditioning the heart and lungs are essentially side effects.
• I agree with Dr. Ratey’s observation that in today’s technology driven world we’ve engineered movement right out of our lives.  I know that is terrible and have taken “affirmative” action to put lots of movement into my life.
• I would like you to discuss with your physician, with your children and with the people responsible for educating your children the following controversial ideas set forth by Dr. Ratey in “Spark.”
• To keep our brains at peak performance, our bodies need to work hard.  
• Exercise cues the building blocks of learning in the brain. 
• Moving our muscles produces proteins that travel through the bloodstream and into the brain, where they play pivotal roles in the mechanisms of our highest thought processes.
• Nutrition and exercise are important. 
• All experts appear to agree that being overweight is one of the most prominent risk factors in virtually all chronic disease.
• Due to poor nutrition, in America, heart disease and becoming obese starts in childhood.  
• Years ago, heart disease eventually killed half of us and it lurked in three-quarters of men by the age of twenty-three.   It is still the number one cause of death in America.
• In a recent study of  the arteries of seventy children aged ten to sixteen, using a noninvasive ultrasound technique, it was determined that all of the children had the typical signs of artery thickening that a cardiologist would expect to see in  person forty-five years old.
• One out of three children in the United States under the age of 18 is obese.  Being obese leads to diabetes.
• Diabetes leads to heart disease.  Heart disease is artery disease.  Heart disease/artery disease leads to stroke and to heart attacks.
• Heart attacks and stroke are the two leading causes of death in the world.
• We should each do our part to ignite powerful forces in the world the will result in wiping out the worldwide epidemic of childhood obesity and heart disease.

 

Purpose of this Article

This article contains my thoughts, opinions and interpretation of what I have read about health and healthy living.

In this article I discuss (a) what I experienced while trying to live a healthier life and (b) my opinions on what the future inevitably holds in for people interested in health and healthy living.

The public purpose of writing this article is to share information I have come across and opinions I have formed on how to live a healthy life which might help people gain a new way of thinking about (a) food, (b) the power of healthy habits (c) the risk of living a sedentary life, and (d) the importance of learning about the power of nutrition and exercise in disease prevention and academic performance.

I would like people everywhere to talk about the correlation between physical activity, lack of physical activity, and academic test scores.

I would like everyone who reads this article to talk about what has been accomplished by the children at Naperville District 203 in Illinois. I would like kids to get hooked on moving instead of sitting in front of the television.

I would like everybody to discuss Dr. Ratey claim that its no coincidence that academically, Naperville District 203 district consistently ranks among the top ten in the State of Illinois, even though the amount of money spent per pupil is notable lower than the amount spent at other top-tier Illinois public schools.

Please pass on the following story told by Dr. Ratey in “Spark.”

1. When Naperville Central High School signed up on its own to have it kids take the Trends in International Mathematics and Science Study (TIMSS) test to get an international benchmark on its student’s performance, some 97 percent of its eight graders took the test – not merely the best and the brightest.
2. How did they stack up?
3. On the science section of the TIMSS, Naperville’s students first just ahead of Singapore, and ahead of a consortium of North Shore of Chicago schools – a consortium of the wealthiest schools in Chicago.  Number one in the world.
4. On the math section, Naperville scored sixth, behind only Singapore, Korea, Taiwan, Hong Kong and Japan.As a whole, US students ranked eighteenth in science and nineteenth in math.

I have read the provocative statement that “Americans spend more money on potato chips then their government spends on energy research and development.”

That seems to me to be a good indication of why so many Americans are obese and diabetic, why so many people die from heart attacks, stroke, cancer and Alzheimer’s disease.

It would please me if the people who read this article demand that physician(s)

• (a) stop practicing 10 minute office visit medicine,
• (b) discuss their thinking on eating potato chips, drinking soda pop, and other nutritional choices with each of their patients at each office visit, and
• (c) provide their patients with lab reports written for lay men before office visits enough time in advance of the office visit to allow patients sufficient time to digest/process the information presented in their lab reports before each office visit.

You are an extremely lucky individual if your personal physician regularly discusses using the power of nutrition in the prevention of disease at each office visit with you.

Consider the action implications of the following ancient Egyptian Proverb: One quarter of what you eat keeps you alive.  The other three quarters keep your doctor alive.

My calls to action are:

1. Each person needs to take personal responsibility for their own health.
2. Each person needs have an intelligent informed conversation with themselves about the state of their health and their health goals.
3. Each person needs to seek their own physician’s advice on all aspects of their medical care and health.
4. Each person needs to prepare themselves to have an intelligent conversation with their physician before each office visit.
5. Each person needs to evaluate and determine for themselves whether the medical research (their lab report results) reported to them is done intelligently and ethically.
6. Each person needs to evaluate whether they are consulting a competent and caring physician.
7. Each person should evaluate whether they are consulting the right physician.
8. Each person should determine for themselves whether they need to get out of a dietary rut, onto a better path.
9. Each person should ask themselves whether they know what effect each thing they eat has on (a) their size, (b) shape, (c) state of their health and (d) body processes.
10. Each person should ask themselves the following questions. What do I know about using the power of food for health: (a) what do I know about how foods affect my body, (b) which foods work best for me, (c) which foods ramp up my ability to control my appetite, (d) which foods help my metabolism, (e) which foods keep me healthy, (f) which foods make me more hungry, (g) which foods destroy my health?
11. Each person should ask themselves which tools, if any, their physician has given them to keep themselves healthy for life and if they are using tools provided by their physician they should ask themselves if they have obtained objective reliable measurements showing they have obtained a demonstrable benefit as a result of using those tools.
12. Each person should ask himself or herself: (A) What are my health goals?  (B) How should I measure whether I am achieving those goals and/or making progress towards achieving my health goals? (B) Am I taking appropriate measurements?  (C) Am I making progress?  (D) What am I not doing, or doing wrong, if I am not making progress?
13. Each person should ask themselves: If I need one, has my physician given me a workable/actionable plan for becoming thinner, healthier and more energetic?
14. Each person should ask themselves: [A] How much longer (in days, weeks, months, years) can I reasonably expect to prolong my life if I take the medication my physician has prescribed for me?  [B] If I do prolong my life, what may I reasonably anticipate will be the quality of my life during that extended period of time?
15. Each person should determine whether they are consulting appropriate health care experts.

Powerful forces are changing the practice of medicine.

Basis of My Predication We Are At the Beginning of A Transformative Epoch for the Practice of Medicine

The public is no longer blinkered and uncurious when it comes to the impact of  lifestyle on their health.

The educated public has an irrepressible curiosity about what they should be doing to live a healthier life.

The educated affluent members of the public re buying books, attending lectures, seminars and going to retreats which claim to tell them what they need to do to live a healthier longer life.

More and more members of the public are concluding that their personal physician is not qualified or interested in providing accurate information on what to eat or on how what they eat effects their bodies health and life.

More and more patients are disturbed by the fact that their personal physician has not given them personalized accurate informed advice on what they should eat and not eat and have not reviewed or help create detailed plans for living a healthier life with their patients.

Many members of the American public are convinced that food is central to many health issues.

Many members of the public believe that American medical practice is not very good at prevention and that doctors tend to overlook the power of nutrition in disease prevention.

Although, Hippocrates, a Greek physician in the time of the third and fourth century B.C. considered the father of Western medicine, recommended over two thousand years ago “Let food be your medicine and medicine be your food.”, physicians today are quick with prescriptions and slow with nutritional information and many are not qualified to discuss or advise on the role of nutrition.

That being said, the public at large is highly disappointed when they learn how little highly compensated physicians know about nutrition and shocked to learn that no medical school in the United States has offered a course in nutrition or has required that medical students take such a course prior to graduating from medical school.

Most, if not all physicians in American medical schools, spent no time in medical school devoted to learning about the power of nutrition.

As a result of the public’s growing obsession with being healthy and realization that they cannot obtain beneficial advice or information from their physicians (or other medical professionals), book stores are now filled with books about health care which claim to provide information on how you may let food be your medicine and medicine be your food.

Prominent physicians, such as William Davis, MD (author of Wheat Belly), David Perlmutter, MD (author of Grain Brain), Caldwell B. Esselstyn, Jr., MD (author of Prevent and Reverse Heart Disease), Dean Ornish, MD (author of Dr. Dean Ornish’s Program for Reversing Heart Disease). John A. McDougall, MD (author of The Starch Solution), Mark Hyman, MD (author of The Blood Sugar Solution), Joel Fuhrman, MD (author of Eat to Live), Neal D. Barnard, MD (author of Dr. Neal Barnard’s Program for Reversing Diabetes), John J. Ratey, MD (author of A User’s Guide to the Brain) and many others (including  Michael Pollan author of The Omnivore’s Dilemma, Tom Rath author of Eat Move Sleep and JJ Virgin author of The Virgin Diet), have recently written best selling books on how to improve your health by changing what you eat.

Each of the above best selling authors are highly critical of the current standard of care in the medical profession.

These authors simultaneously introduced the rest of the world to a very large number of beautiful ideas, lowered the radiance, grandeur, and majesty of the medical profession in general and caused many members of the public to no longer trust standard medical practice or to trust standards or protocols/recommendations promulgated by the American Diabetes Association, or the American Heart Association.

There is now a ferocious competition for money spent on relevant medical and health care information.

Software developers, technology companies, and smart phone manufacturers have entered the competitive fray. They are now competing with the medical profession and with the laboratory testing industry — and are presently in violent competition with each other to become the “go to source” for information and analysis of medically important test results.

Samsung Electronics’ latest flagship smartphone, the Galaxy S5, has a heart rate sensor which measures a user’s heart rate with a finger press. Samsung’s Gear Fit, is a fitness measurement device.

These new Samsung smart watches have fitness management software and can display text messages and let users accept or ignore incoming calls.

Over 7,000 smart phone apps are now available to the public which make, monitor, report and interpret medical information. A multitude of best selling “health books” are taking the place of office consultations with physicians.

Software is being developed by health care mission oriented people intensely passionate about providing better health care.

According to Eric Topol, MD (author of The Creative Destruction of Medicine), the digital revolution will create better healthcare; software will take the place of special lab tests presently taken in laboratories (regularly ordered by physicians) and the need for patients to make revenue generating visits to their physicians’ offices.

It is no a secret that the practice of medicine is a business more than a profession, a giant fee generating lucrative business.

In that regard at a dinner I attended a few nights ago, a MD told, in his opinion, one of the reasons MDs prescribe so many pills is that drug companies, in the aggregate, spend $70,000 to $80,000 per doctor per year telling the physicians they call on why those physicians should prescribe medications manufactured by their drug company employers.

This physician also told me that medical schools teach doctors how to make money not how to minimize the number of office visits their patients could have been avoided if their patients had eaten the right foods.

This physician also explained that it his understanding that campaign contributions are at work in the type of research funded by federal government agencies and health related rules and regulations.

According to this doctor: drug companies and other industries that profit from governmental action related to public health expect that for every $1.00 they spend “lobbying” they expect to receive at least a $100 return from action related to their efforts taken by the US federal government.

Other physicians have told me to keep in mind that best selling book authors say extreme things in order to sell books.

More than one cardiologist has expressed the opinions that best selling-authors critical of the practice of cardiology are pseudo-prophets and false messiahs.

Originally, prophets were not predictors of the future, but analysts of the present – propheteia in Greek means the interpreting of the will of the gods.

As Technology Advances Mankind’s Lifestyle Changes

I love elaborate theatricality, charismatic spirituality, theatrical drama, pageantry and have favorite icons.

For example, I love the current Coca Cola advertisement featuring Polar Bears in the Arctic which I see every time I go to my local AMC movie theater.

But I think about this: Polar Bears have nothing  to do with the nutritional value of Coca Cola or health consequences that I will probably suffer if I drink a Coca Cola.

In that we know that eating sugar causes more death than taking any controlled substance, why are we allowing Coke to advise young people to drink Coca Cola, why does Coke get to advertise Coca Cola consumption to young people? Why doesn’t the Federal Drug Administration require Coca Cola to put on every can and bottle of Coke the following warning:

WARNING:

Sugar consumption in all forms poses potentially serious threats to health.

People should think about why people eat so many potato chips, drink so much soda pop, consume so much food that is harmful to their health.

Think about why obesity, diabetes, heart attacks are epidemic.

Think about the way man is bombarded with advertisements produced by soda pop manufacturers, snack food manufactures and other junk food manufacturers.

We can all clearly see that the use of modern technology has destroyed a previously existing world order in which heart attacks, stroke, cancer and Alzheimer disease were not the leading causes of death.

Not only does man no longer have to go to a stream to get water to drink, or dig a well to drop a bucket down to lift out drinking water out of the well in order to get a drink, man no longer needs to be near a source of fresh water in order to get something to drink.

I urge everyone to consider whether change in lifestyle brought about by the use of technology has caused changes to the level of man’s health and well being.

Man’s Calorie Requirement for Staying Alive in the Ice Age vs Man’s Calorie Consumption Today

In the Ice Age, in order to survive,  Neanderthal Man, Homo Erectus and Homo Sapiens needed to consume 6,000 to 6,500 calories per day of food in order to stay warm, in order to hunt and in order to be able to participate in other activities (such as obtaining drinking water) that were part of their daily life.

Man no longer needs to consume 6,000 to 6,500 calories per day to stay alive or to be able to participate in normal every day activities.

Over thousands of years, technology has substantially changed man’s environment, changed the way man lives, man’s energy requirements, what he eats and drinks, what he worries about and the level of his physical activity.

For example, we can now use a straw when we drink, that was unknown to men in the Ice Age.

Men can now take an elevator or escalator instead of climbing stairs.  Elevators and escalators were unknown hundreds of  years ago.

Manufacturers now manufacture irresistibly delicious potato chips for us to eat and and sugar laden soda pop for us to drink.

Potato chips and soda pop did not exist in the Ice Age.

Fish and chicken are now mass produced in farms. Cattle and chicken are fed things (i.e., corn) they are not designed to eat and did not eat when they ran wild.

People now eat wild fish filled with toxins such as PCBs and Mercury. Those fish live in oceans that have been poisoned by men.

Television sets and  smart phones an tablets are now used by kids who spend seven to eight hours of their time daily using them.

People now receive electronic mail (email, tweets, text messages, etc.) and search the Internet. Those electronic devices and forms of distribution did not exist even one hundred years ago.

Three Sets of Questions to Discuss with Your Physician

In my opinion, everyone should prepare their own answers to the following three sets of questions (Set Number One of questions to discuss with your doctor) before they next see their doctor.

1. Is it okay to eat McDonald’s french fries?  Is it okay to eat any fried food?
2. Do things go better with Coke?  Is it okay to drink any carbonated soft drink?
3. Which local restaurants serve tasty and delicious healthy food?  Name three healthy delicious dishes at each of those restaurants.

At their next office visit, whether a normal office visit is 10 or 15 minutes or longer, at the next office visit each person should ask those same questions and discuss the answers with their doctor, even if doing so takes three minutes or longer.

New Worries and Business Opportunities

Some people now “worry” about while other people see business opportunities when they think about the same things which were unknown to man during the Ice Age, such as the (a) the amount of pesticides and herbicides used in growing food and ending up contaminating the water supply, (b) chemical additives in food, (d) sugar content of soft drinks and other bottled beverages; (e) disposal of soda cans and plastic bottles; (f) time spent checking e-mail, and  (g) microwaves emitted by cell phones. Consider the following.

1. In “Natural Prophets”, Joe Dobrow reports: By 1972 50,000 different pesticides had been approved for use in the United States.
2. By 1986 it was estimated that farmers were using more than 1 billion pounds of pesticide annually, an increase of 500 percent since the 1950s.
3. A Newsweek magazine article pointed out, “[L]ess than 1 percent of the poisons reach their target pests, the rest wind up as contaminants in water, residues on produce and poisonous fallout on farm workers.”
4. By 1972 “plastic food” was everywhere.  Processed goods (foods) now dominated supermarket shelves.  There were 1,800 additives in use, with per capita consumption amounting to 5 pounds; most processed food products contained some combination of artificial colors, flavors, sweeteners, preservatives, thickeners and stabilizers.
5. In 1969 the Whole Earth Catalog, gave readers the following bit of information to ponder: “BHT is a legal, inexpensive, non-addictive, non-psychoactive, non-nutritious, anti-oxidant chemical that may make you live twice as long as the other mice.”
6. In the 1970s the word “natural” began to appear with frequency on mass market products.  By the 1980s it estimated that 7 percent of all processed food products were being promoted as “natural.”
7. There is no legal definition of what the word “natural” means.
8. Today, Nutriwash is now alive and well.
9. That is to say, the word “natural” has been squeezed and twisted to fit new self-serving definitions.  For example, in 1984, Kraft switched as a description of Velveeta – a creation of scientists and chemists, often ridiculed as the archetypical “plastic” food –  to a “blend of natural cheeses and other wholesome ingredients.”
10. Even, Harvard Business Review editors have woken up to the existence of a marketplace of activist consumers.  See the article by Daniel Birnbaum titled “How I Did It” in the January-February 2014 issue of the Harvard Business Review.
11. In that article, it is noted that soft drink manufactures (i.e. Coke and Pepsi) now compete for a share of the $260 billion a year global soda business.
12. In 2012 Coca-Cola’s advertising budget was about $11 billion.
13. The containers soft drinks (cans, plastic bottles, cases) are unhealthy to the environment.
14. In the United States, the average family discards 2,000 cans and bottles a year.
15. For more details read the “How I Did It” article on pages 39 through 42 of the January – February 2014 Harvard Business Review by Daniel Birnbaum, CEO of SodaStream.
16. However the issue of the dangers presented by consumption of sugar is not discussed in the Harvard Business Review article “How I Did It.”
17. However, for the past few years, more and more people have been coming to realize that sugar is a toxin.
18. This trend presented a business opportunity which was seized by Seth Goldman and Barry Nalebuff.
19. They were personally frustrated by their inability to purchase bottled tea that wasn’t too sugary.
20. They were so frustrated that they decided to make a tea that wasn’t two sugary.
21. Seth Goldman (age 32) and Barry Nalebuff (age 39) were two outsiders to the beverage industry when they launched their start-up business.
22. The sole aim of their company (Honest Tea) was to make/sell tea in a bottle that didn’t taste sugary.
23. They wanted to improve the American diet.  When they launched their company they envisioned their company (Honest Tea) as being the anti-Snapple.
24. Goldman was intrigued by Snapple.  In Goldman’s opinion, Snapple was a brand that had emerged as a healthy alternative to sodas.  And ironically, Snapple wasn’t much healthier.  According to Goldman it was the same product without the fizz.
25. Seth Goldman and Barry Nalebuff explain how Honest Tea (a business making bottled tea that isn’t too sweet) rode the health and wellness mega trend in their recently (2013) published book “Mission in A Bottle.”
26. Goldman was famously thrifty around the office – using the backs of invoices as fax cover sheets.
27. Honest Tea had sales of $250,000 its first year (1998) and grew to sales of $85.5 million in 2012.
28. Goldman and Nalebuff sold Honest Tea (which was launched in 1998) to Coca Cola for a reported $43 million in in 2008.
29. Goldman stayed on to run Honest Tea after it was sold to Coca Cola.
30. According to “Mission in A Bottle”, when Nalebuff asked Muhtar Kent, CEO of Coca-Cola What did Coca Cola hope to achieve by purchasing Honest Tea? Mr. Kent replied “We want to inspire more entrepreneurial thinking and more creativity  Now that our company is so large, it’s hard to spread that kind of thinking.  Honest Tea was created with a strong commitment to sustainability built into the enterprise, and we want you to share that mind-set with our organization.  This deal is not about making Honest Tea more like Coca-Cola; in many ways, we want Coca Cola to operate more like Honest Tea.”
31. According to Dobrow: in the past, Coke’s response to soda’s link to obesity had been to form something called the Beverage Institute for Health and Wellness, which according to PR Week magazine, made, “outlandish industry-science yarns ….to diffuse concerns that sugary foods are a culprit in America’s obesity epidemic.
32. See “Good Calories, Bad Calories” by Gary Taubes, first published in 2007, in which Taubes argues that the key to good health lies in the the kinds of calories we take in, not the number.  Also see Gary Taubes’ 2011 article published in the New York Times titled “Is Sugar Toxic?”  in which Mr. Taubes describes how sugar affects our body, specifically how various types of sugars are metabolized differently by the human body, which was published April 13, 2011 and is available on-line.
33. One hundred calories consumed when one consumes table sugar is metabolized by our bodies differently than 100 calories of sugar consumed when one is eating a potato which is metabolized differently than 100 calories derived from consuming the sugar contained in fruit and honey.
34. Not all calories are created equal.  Consuming 100 calories by eating broccoli has a different effect on your body than consuming 100 calories by eating a chocolate chip cookie.
35. Sugar fuels diabetes, obesity, heart disease and cancer.
36. At current American consumption levels (150 pounds per person per year) sugars and its derivatives kill more people than cocaine, heroin or any other controlled substance.
37. Eating sugar is habit forming.  The more you eat, the more your crave.  Sugar is addictive.
38. For more than 40 years high-fructose corn syrup (HFCS), the sweetener in Coke and Pepsi, has been known to be the most fattening carbohydrate by biochemists.
39. There is a difference between table sugar, fruit sugar, high-fructose corn syrup (sugar )and the like.
40. It takes one teaspoon of sugar to take away the bitterness of the taste of tea.  A second teaspoon adds a touch of sweetness.  Each additional teaspoon of sugar contributes less and less to taste.
41. Drinking the typical bottle of ice tea may be dangerous to your health because there are 12 teaspoons of sugar in a typical 16 ounce bottle of iced tea.
42. The World Health Organization recommends consuming no more than 10 added teaspoons of sugar per day.
43. We increasingly hear about the relationship between sugar and obesity, sugar and heart disease, sugar and fatty livers, sugar and metabolic syndrome, sugar and the risk for cancer, etc.
44. In “Grain Brain”, David Perlmutter, M.D. explains that keeping blood sugars balanced is the key to avoiding diabetes and that diabetes leads to Alzheimer’s disease.
45. Dr. Perlmutter also warns that drinking apple juice can be dangerous to your health.
46. In “Grain Brain” Dr. Perlmutter explains: “A medium size apple contains about 44 calories of sugar in a fiber-rich blend thanks to the pectin; conversely a 12-ounce can of Coke or Pepsi contains nearly twice that – 80 calories of sugar.  If you juice several apples and concentrate the liquid down to a 12-ounce beverage (thereby losing the fiber), lo and behold you get a blast of 85 sugar calories that just as well could have come from a soda.  When that fructose hits the liver, most of it gets converted to fat and sent our fat cells.” 
47. In “Grain Brain” Dr. Perlmutter also advises: “The more sugars we eat, the more we tell our bodies to transfer them to fat.  This happens not only in the liver, leading to a condition known as fatty liver disease, but also in the body as well.  Hello, love handles, beer bellies, etc.”
48. Dr. Angus advises that stress causes heart disease and can lead to heart attacks.  Dr. Angus also advises that looking at e-mail can cause stress.  In “A Short Guide to a Long Life”, David B. August. M.D. states: the average working professional spends roughly 23% of the work day on e-mail and glances at the inbox about 36 times an hour.  It takes most of us more than a minute to return to the task at hand once we’ve stopped to read a new e-mail.  And that can add stress.  The more pressure you feel at work the more likely you are to suffer a heart attack.  That is why it is no surprise that we are most likely to have a heart attack on Monday, the first day of the work week.
49. In “Spark”, Dr. Ratey describes additional ways “stress” can harm you: heart rate, blood pressure, and breathing increase.
50. In “Spark” Dr. Ratey describes how exercise can relieve stress.
51. According to Dr. Ratey: When we exercise in response to stress, we’re doing what human beings have evolved to do over the past several years.  We can literally run ourselves out of that frenzy.  Just as the mind can affect the body, the body can affect the mind. 
52. After all, states Dr. Ratey, the purpose of the fight-or-flight response is to mobilize us to act, so physical activity is the natural way to prevent the negative consequences of stress.
53. The body reacts the same way whether you’re staring down a hungry lion or a restless audience, or living through a remodel project in your own home.
54. I am taking a high dosage of a cholesterol lowering drug, a high dosage of a statin.
55. I have read that taking a cholesterol lowering drug (i.e. s statin) will increase the probability of developing Alzheimer’s disease.
56. According to an article published on March 5, 2014, in “Neurology”, the medical journal of the American Academy of Neurology, the number of people with dementia is expected to double to 65.7 million by 2030.
57. Currently, Alzheimer’s disease falls sixth on the leading causes of death in the United States, but is under-reported on death certificates.
58. According to that report, this mind destroying disease (Alzheimer’s disease) may contribute to as many deaths in the United States a heart disease and cancer.  That worries me.
59. I work on the fifth floor of a highrise office building.
60. I take an elevator to get to my office.  Often times I see other people in the elevator talking on their cellphones, or reading or sending messages or playing games on their cell phones.
61. I have been told that when everyone in a small enclosed elevator is talking on their cell phones or playing games on their cell phones, or texting or emailing or checking the Internet on their cell phones the microwaves emitted by those cell phones are enclosed in that elevator.  Those microwaves bounce off the walls of the elevator.
62. Consequently, when in an elevator while cell phones are in use, I worry: Are the microwaves being emitted so concentrated by reflecting and bouncing off the walls of the elevator that they are “cooking” him (injuring cellular tissue – causing lesions) as he is riding in that elevator?
63. In “The Blood Sugar Solution”, Dr. Hyman notes that we live in a wireless, connected, linked-up world surrounded by invisible waves of energy that have not been proven safe over time and that increasingly data link EMFs (electromagnetic radiation exposures) to cancer and other health conditions.
64. Dr. Hyman recommends that children and pregnant women avoid talking on cell phones.  Do not keep your cell phone near your head or use it to play games, movies, etc. Turn it off when it is not in use.  Try to keep your cell phone at least six to seven inches away from your body while it is on or when you are talking, texting, or downloading.
65. Dr. Hyman also advises: Keep your cell phone away from your hip.  The bone marrow in your hip produces 80 percent of the body’s red blood cells and is especially vulnerable to EMR damage.  Replace as many cordless and WiFi items as you can with wired, corded lines (phones, Internet, games, appliances, devices, etc.).  Sit as far back from the computer screen ads possible; flat screens are preferable.  Use wired Internet connections, not WiFi – especially for laptops.  Take action to minimize your EMF exposure.

Is There Such A Thing As An Ideal Calorie Consumption Level?

I’ve read, and I assume you have read and/or you have been told, that if I want to lose weight I have to consume less calories than the amount of calories I expend.

I’ve been told that in order to have the number of calories consumed equal the number of calories expended most people require (on average) 15 calories per pound.

That is a statement which presupposes that a person’s caloric consumption requirements are directly proportional to weight.

I don’t buy either statement.

In my opinion a person’s health condition, genes, level of activity, and the type of calories consumed need to be considered by people wishing to lose weight.

Dr. Barnard points out in “21-Day Weight Loss Kickstart” that one of the keys to losing weight is to speed up your metabolism; points out that certain foods will speed up your metabolism, and lists those foods.

Different foods have different effects on your body.

For example, consuming 500 calories eating broccoli will have a different impact then consuming 500 calories by eating a chocolate chip cookies.

The books reviewed in this article make it abundantly clear that you ought to consider what you eat (i.e., the type of food or drink consumed), how much you eat and additional lifestyle factors if you want to live a healthier life.

Consider the idea that eating potato chips and drinking soda pop is not a good idea the next time you read or hear that the typical American today needs to consume about 2,000 to 2,500 calories per day of “real food”*, but instead  is sickly, obese, etc. because he or she consumes more than 2,500 calories per day and doesn’t get enough exercise.

The Concept of Real Food

The concept of real food begins with the statement: Products (i.e., potato chips and soda pop) are products.  They are not “real food.”*

* “Real food” is “food” that was once a “living thing.”

* “Real food” doesn’t have a long shelf life.

* “Real food” doesn’t come with a list of ingredients.

Consider the fact that after Procter & Gamble introduced introduced Pringles in 1969 – a product made from dehydrated and reconstituted potato dough – the Potato Chip Institute actually filed a lawsuit to try to prevent P&G from calling these “potato chips.”

At its beginning, Fresh Fields market built a rabid and loyal following through marketing that was both and sophisticated.

According to Dobrow:

Fresh Fields created a pervasive radio campaign that featured the well-known avuncular voice of TV Character-actor Tom Poston, saying things like “Question for you:  How long should you marinate your flounder fillets in pool chemicals before you grill them?  At Fresh Fields, we think not even for a second.”  

Another Poston ad promoted Fresh Fields’ natural hormone and antibiotic-free beef that tasted “like beef was supposed to taste before Man messed with it and started drugging the livestock.”  Poston then urged listeners to pull their cars over whenever they saw cows in a field, “lean over the fence and tell them to just say no.”

Leading Causes of Death 

Heart attack, stroke, cancer, diabetes and Alzheimer’s disease (which were unheard of one hundred years ago) are  now leading causes of death in America and in other modern developed countries.

Each of the experts who have written the books reviewed in this article have expressed the opinion that diseases are preventable by people changing their life styles.

Some of them, perhaps all of them, have stated that lifestyle changes are critical to reducing heart disease risk, the risk of having a stroke, the risk of diabetes, the risk of Alzheimer’s disease, the risk of Parkinson’s disease, and the risk of cancer.

Dr. Angus, in “A Short Guide to a Long Life”, advises, the vast majority of us are going to die of heart disease, stroke or cancer either at a ripe old age or sooner if we don’t take preventive measures. 

The statements about the relationship of health to diet, exercise and sleep made in the books reviewed in this article have convinced me that the state of my health is to a large degree related to what I eat and drink, when I eat, how much I eat, how much sleep I get, how active I am during the day and the level of stress in my life.

Making An Effort to Live A “Healthier Life”

I now stay away from dairy products.  

I no longer drink milk that comes from an animal; I no longer eat cheese, and I rarely eat ice-cream.  

I now consume flax milk, hemp milk and almond mild instead of cow’s milk.

I now stay away from wheat products.

I try to stay away from oils, albeit it is impossible to always accomplish that goal.

For the most part and most of the time, I avoid eating meat, chicken and fish.

I make it a point to walk at least 10,000 steps a day.

I try to get at least six hour of sleep each night; my goal is to get at least eight hours of sleep a day. Going forward: I believe I can either take steps to live a longer healthier life or instead I will become sickly and die sooner than I need to.

Personal Background

As best I can remember I have been under medical care for high cholesterol and taking cholesterol lowering drugs for at least 40 years.

Since September 2012 I have been continuously reading about how to lose weight, how to avoid having diabetes, how to avoid having a heart attack and Alzheimer’s disease.

I have been continuously discussing those topics with friends, family members, colleagues, associates, casual acquaintances, dietitians, a personal trainer, medical doctors and additional types of experts.

In spite of all of the above, on September 14, 2013, I had a heart attack while in a movie theater attending the 2013 Toronto International Film Festival. While in the midst of having a heart attack, I was rushed by ambulance to Saint Michael’s Hospital, in Toronto, Canada, where I received excellent medical care.

While in St. Michael’s Hospital it was discovered that one of my coronary arteries was 100% blocked and three of additional coronary arteries were substantially blocked.

Angioplasty was immediately performed on the 100% blocked artery; a  stent was inserted in order to make that artery operational.

In the next few days two more coronary arteries were opened stents inserted.

I realized that having stents inserted in previously blocked arteries does not solve the underlying problem of having heart disease.

I realized these interventions (angioplasty and stents) are aimed at alleviating the symptoms of coronary artery disease, not at curing the disease itself.

I’ve since learned that there results erode with time.  Arteries widened with angioplasty tend to clog one again.

Stents may have to be reopened because scar tissue reblocks the artery.

Drug-eluting stents (coated with drugs to lessen the body’s natural healing response to the injury caused by the stent’s insertion) may suddenly block after a few years because a clot forms where the endothelium was injured; the drug in the stent that prevents inflammation also inhibits the endothelium’s capacity to heal.

Since learning those facts and digesting what those facts might mean to me in the future, I’ve been on a campaign to learn all I can about heart disease and heart attacks.

A friend advised me to read and follow the advice given in Caldwell B. Esselstyn, Jr. MD’s book “Prevent and Reverse Heart Disease.”

I’ve followed my friend’s advise and read Dr. Esselstyn’s book several times.

I’ve also read many more books that provide information about the use of food as medicine to prevent heart attacks.

I’ve been advised in everything I’ve read and by everyone I’ve talked to that:

• Being overweight is associated with heart disease, stroke, diabetes and Alzheimer’s disease and can be prevented by living a healthy life.
• Sleep is critical to good health.

In the past, I slept four to six hours per night. Of particular interest to me, I recently read  “how” and “why” getting quality sleep is directly involved in being healthy. In his book “A Short Guide to a Long Life”, David B. Agus, MD reports that he asks his patients the simple question: “How are you sleeping?”

How Are You Sleeping?

On the topic of sleep: I know, and I’m sure you know, if you don’t get a good night’s sleep you will not feel well the next day; you will not feel up to speed the next morning. In Dr. Angus’ book  “A Short Guide to a Long Life”, Dr. Angus advisesthat if you lose just one and a half hours of sleep your body needs for one night, your alertness will go down about one third the next day. On the topic of sleep, I’ve read that:

• The quality of your sleep and sleep habits can dictate how much you eat, how fast your metabolism runs, how fat or thin you are, how well you can fight off infections and how well you can cope with stress;
• The side effects of your sleep habits include cardiovascular disease, and depression.

• Sleep deprivation is associated with depression; depression is the leading cause of disability worldwide.
• In developed countries, including the United States, depression is among the top causes of mortality.

• I have also read that sleep loss is associated with neurodegenerative diseases like Alzheimer’s disease and Parkinson’s disease.

In a recent article, I read, the author speculates that the human brain creates “brain debris” while we are thinking that is cleaned out while we are sleeping.

E-Mail with Friends About Health

My friends and I have been exchanging ideas and information on how to live a healthy life for months. Below is a partial summary of information opinions theories and concepts on how to live a healthy life which my friends and I have exchanged in the past two months in a series of email correspondence. I have been informed there are four things we should do if we want to live a healthy life.  Those four things are:

• (1) Eat the right food.
• (2) Get the right amount of the right type of exercise.
• (3) Get the proper amount of quality sleep.
• (4) Get mental stimulation. 

Below (in the form of an e-mail) is a partial summary of information, theories, experiences and musings contained in the contents of a series of e-mail exchanges I have had with those friends over the past two months. ________________________

January 09, 2014 through March 10, 2014

Dear Friends,

Before reading the the New York Times article you recently sent me (attached to the link below), I had not come across the idea/theory that the human brain becomes cluttered with trash (brain debris) that must be taken away in order for you to be able to think clearly. The concept/idea that brain debris clutters your brain, impedes your ability to think and is taken away by metabolic processes in your brain while you are sleeping is new to me.

The article in The New York Times (link below) you sent me concludes that:

1. The main function of sleep is to take away neural trash.

2. While the human brain is “sleeping” it is busy cleaning out the waste that accumulated while it was awake. Sleep is a brain cleaning system.  

3. When our sleep is disturbed, whatever the cause, our cleaning system breaks down.

4. Modern society is increasingly ill equipped to provide our brains with the requisite cleaning time. 

5. On average, we are getting one to two hours less sleep a night than we did 50 to 100 years ago and 38 minutes less sleep than we did 10 years ago.

6. Eighty percent of working adults suffer to some extent from sleep deprivation.  Between 50 and 70 million people in the United States suffer from some form of chronic sleep disorder. 

7. Sleep loss is associated with neurodegenerative diseases like Alzheimer’s and Parkinson’s. However, scientists don’t know if sleep loss causes those diseases or those diseases lead to sleep loss.

Putting on my thinking cap and trying to connect the dots (facts, concepts and theories identified above) leads me to raise the following questions:

1. Are people overweight because they do not get a good night’s sleep?
2. Is a reason so many people have diabetes sleep deprivation, i.e, because they were unable to get a good night’s sleep over a long period of time?
3. Is a significant reason that heart disease, followed closely by cancer and stroke are leading killers of people in the United States “lack of sufficient high quality sleep”?
4. Is the reason depression is about to become the second largest cause of suffering in the world “lack of sleep”?
5. Is the number of days and years remaining in our lives related to how well we sleep at night?

CONSIDER THE FOLLOWING WELL KNOWN FACTS

According to Dr. Perlmutter:

• Getting enough sleep and keeping a very strict sleep-wake cycle is key to regulating our body’s hormones and maintaining homeostasis – the body’s preferred state of being, where its physiologically balanced.
• Virtually every system in our body is affected by the quality and and amount of sleep we get.
• Our body’s natural day/night cycles pretty much controls everything about us and are at the heart of our well being.
• Our body’s inherent rhythm is grounded in our sleep habits and controlled by our brain.
• If you do not get enough sleep your brain will deceive you and cause you to  become overweight by  signaling to your brain that you are hungry when your stomach if full. 
• Fat is a hugely powerful hormone and organ system that can generate pro-inflammatory compounds that trigger inflammatory pathways which raise your risk for heart disease, diabetes and dementia.

Virtually every system in your body is affected by the quality and amount of sleep you get, especially your brain. Sleep deprivation, as everyone who has experienced it knows, impedes are ability to concentrate, to pay attention to our environment, and to analyze information. It leads to brain fog, confusion, and memory loss.

When we are sleep-deprived we can’t integrate or put together facts.

Sleep can dictate (a) how creative and insightful we can be, (b) how many new things we can learn, (c) how quickly we can process information and learn new things, (d) how well we can organize and store memories, and (e) much we can remember.

Neurologist David Perlmutter, M.D., states in his book “Grain Brain”: We require a regular, reliable pattern of wakefulness and refreshing sleep to regulate our hormones. Sleep deprivation results in confusion, memory loss, brain fog, obesity, cardiovascular disease, diabetes and depression. Lack of sleep makes us moody, uncreative and unproductive.

The amount of sleep we get regulates the level of leptin in our body.

The hormone “leptin” coordinates our body’s inflammatory responses and helps determine whether or not we crave cards.

Leptin signals to our brain that we are full so we can stop eating.

When the level of leptin in our body becomes too high our brain becomes disconnected from our stomach; our brain can no longer receive the signal that we are full; at this point we can no longer control our craving for food.

In summary: Leptin controls metabolization: regulates the rate of metabolism, decides whether to make us hungry and whether to store more fat or to burn fat.

Not a single drug or supplement on the planet can balance leptin levels.  But better sleep, as well as better dietary choices, will do the trick.

Dr. Mark Hyman agrees with Dr. Perlmutter that in the big picture sleep is critical to health.

In “The Blood Sugar Solution”, Dr. Hyman states:

• Lack of sleep or poor sleep damages your metabolism, causes cravings for sugar and carbs, makes you eat more, and drives up your risk of heart disease, diabetes and early death.
• Getting enough sleep and sleeping well are sentential for health and an way to maintain blood sugar balance and lose weight.
• Unfortunately our lives are infiltrated with stimuli and we remain stimulated until the moment we go to bed.  This is not the way to get a restful sleep.
• Take a hot bath before going to bed.  raising your body temperature before bed helps to induce sleep.
• A hot bath also reduces tension physically and psychically.
• A key to good health is to get good-quality sleep and to relax every day – even for just 5 minutes.

INSOMNIA AND SLEEP DEPRIVATION

In “Grain Brain”, Dr. Perlmutter reports:

• About ten percent of Americans suffer from chronic insomnia.
• Sleep increasingly becomes a challenge the older we get.
• As many as forty percent of older adults can’t get a good night’s sleep.

ROUTINES

David B. Agus, M.D. advises that one of the best ways of reducing stress on your body and keeping it it its preferred state of being physiologically balanced [homeostasis] is to maintain a constant routine on a daily basis, 365 days a year to the best of your ability, of sleep wake cycles, eating times, periods of physical activity, and schedule for taking prescribed medicine.

In his most recent book, “A Short Guide to a Long Life”, Dr. Angus points out that just as your body aches for a consistent sleep schedule, it also craves a regular eating routine. Dr. Angus advises:

• Never skip breakfast.
• It takes a lot of dietary calories to keep your brain functioning.
• After fasting all night long, your body needs a metabolic jump start (breakfast).
• Eating a “good breakfast” will give your brain a much needed metabolic boost which will fuel your productivity and creativity for the entire day.
• If you wait to long to eat after rising a high a level of the stress hormone cortisol will be released (result) in your body.
• Cortisol encourages your body to retain fat.
• Skipping breakfast to “lose weight” is one of the worse things you can do.
• Skipping breakfast will have the opposite effect.

According to Dr. Angus, if you don’t eat when your body anticipates food, your body will release a surge of a stress hormone (cortisol) that will sabotage your efforts to lose weight by telling/causing your body to hold onto to fat.

However, in his book “A Short Guide to a Long Life”, Dr. Angus does not comment on the impact of “fasting on health.”

In his book “Grain Brain”, Dr. Perlmutter states:

Fasting is an excellent way to set the foundation and speed up your body’s shift to burning fat for fuel and producing biochemicals that have astounding pro-health effects on the body and brain.

Dr. Perlmutter points out:

Fasting in spiritual quests is an integral part of religious history.  All major religions promote fasting as far more than a ceremonial act.  Fasting has also been a fundamental part of spiritual practice, as in the Muslim fast of Ramadan and the Jewish fast at Yom Kippur.  Yogis practice austerity with their diets, and shamans fast during their vision quests.  Fasting is also a common practice among devout Christians, and the Bible has examples of one-day, three-day,  seven-day, and forty-day fasts.

In “Grain Brain” Dr. Perlmutter points out that when we burn fat as opposed to carbohydrate, we enter ketosis.

Dr. Perlmutter states there is nothing inherently bad about it; having a mild ketosis state is actually healthy.

According to Dr. Perlmutter: We are mildly ketotic we first wake up in the morning, as our liver is mobilizing body fat to use as fuel.  Both the heart and brain run more efficiently on ketones than on sugar, by as much as 25 percent.  Healthy, normal brain cells thrive, when fueled by ketones.

Both doctors (Dr. Angus and Dr. Perlmutter) agree that it is important to maintain sleep-wake cycles and routines as well as to eat at regular times. Dr. Agus goes so far as to advise that if you need an afternoon snack, have it at a regular time and don’t snack or eat randomly just to counteract an emotional state such as boredom, loneliness or depression.

THE CONNECTIONS BETWEEN FOOD CHOICES, EATING HABITS AND HEALTH

Experts agree that diets can be helpful, but disagree at a basic level about the connection between food and health. They disagree about what is good for you to eat and what is bad for you to eat.

At one extreme, David Perlmutter, M.D., in his book “Grain Brain”, encourages people to eat meat and praises the “Mediterranean Diet. Dr. Perlmutter states: if you remove gluten (i.e. foods containing grains such as wheat) and refined carbohydrates from your diet you will watch your mood brighten up, your weight go down, your energy soar and your brain’s functionality will be in high gear.

Another expert, William Davis, M.D., in his book “Wheat Belly”, also advises the general public against eating wheat, advises everyone in the general public to remove gluten containing foods their your diet and that it is beneficial to eat meat.

At the other end of the spectrum, another expert Caldwell B. Esselstyn, Jr., M.D., advises people not to eat meat (or chicken or fish) and spends an entire chapter in his book “Prevent and Reverse Heart Disease” debunking the “Mediterranean Diet.”

Dr. Esselstyn advises against consuming any oils, including olive oil and canola oil.

Dr. Esselstyn advises people to eat a plant based diet consisting of grains, carbohydrates, fruits and vegetables.

Another expert, John A. McDougall, M.D., in his book “The Starch Solution”, recommends eating grains, including wheat and other carbohydrates and advises against eating meat (or chicken or fish).

Should you eat gluten free, low carb and high fat and protein as advised by Dr. Perlmutter and Dr. Davis?

Or, should you follow a vegan diet in which you eat no meat or fish or chicken as advised by Dr. Esselstyn and Dr. McDougall?

Experts disagree on which path (meat or no meat, gluten or no gluten) path you should take.

One expert, David B. Agus, M.D., in his book “A Short Guide to a Long Life”, advises:

• Keep in mind, just as there are many religions in the world, there are many healthy eating traditions that beat out our processed fast food culture and that traditional eating habits have worked for centuries among different peoples with vastly different diets around the world.
• These habits include moderate portions, sharing a communal table, not going back for seconds, or thirds or fourths, eating fresh (just picked or plucked seasonal produce) real foods (foods that don’t come in a box or a bottle) and letting hunger build up between meals (no snacking).

All experts, agree that we should not eat processed food and that most people consume too much sugar.

Nutritional Value of Fruits and Vegetables

According to Dr. Agus:

1. There is convincing evidence that eating at least five servings of fruits and vegetables a day can help prevent chronic diseases and decrease one’s risk of obesity
2. If you can, buy most of your fresh produce from a local farmers market.
3. Go for leafy greens and fibrous vegetables instead of sugary fruit.
4. Choose as many colors as nature segregates nutrients by colors; the blend of nutrients that makes a carrot orange is different from the blend that makes broccoli green, but they are both needed to support health.
5. To maximize the number of nutrients you consume, you’re better off eating a yellow bell pepper and a red one than eating two of a single color.
6. The minute a fruit or vegetable is picked is the moment it begins to change chemically and to lose nutritional value.
7. By the time the vast majority of produce reaches your local grocery store, it doesn’t contain the same amount of nutrients as when it was plucked or picked from the plant or yanked from its roots.
8. If fruits or vegetables are picked before they are ripe they have less time to develop a full spectrum of vitamins and minerals.  It will not have the same nutritional value as it would have if it had been allowed to ripen fully before being picked.

Pastor Rick Warren, Daniel Amen, MD and Mark Hyman MD report in “The Daniel Plan” their method food selection is as follows: Our philosophy is, if it was grown on a plant eat it.  If it was made in a plant, leave it on the shelf.”

In “The Cleveland Clinic Way”, Toby Cosgrove, MD, President and CEO of Cleveland Clinic, states:

“Because fresh foods are the healthiest and most delicious, Cleveland Clinic started a farmers’ market at our main campus in 2008, an idea that soon spread to multiple sites.  Local unemployed citizens were trained in farming, and two surface lots were converted to ‘internship in farming sites.’  In addition, Cleveland Clinic guaranteed all growers farming organically within 115 miles of the main campus that we would purchase all the produce they brought to the farmers’ markets that had not been purchased by Cleveland Clinic employees and patients or members of the community.”

Dr. Agus, also advises us, in “A Short Guide to a Long Life”:

1. Taking vitamin supplements is correlated with increased risk of diseases and produces little benefit to health.
2. By taking copious amounts of vitamins, especially those touted as antioxidants, you block your body’s natural ability to control itself.  You block a physiological process; you a system we don’t fully understand yet.
3. You cannot expect a pill or packaged food product to satisfy nutritional needs in the same way real food can.
4. Stop taking vitamins.
5. Your body is expertly designed to detox naturally.
6. Don’t use supplements or detox formulas marketed to clean you out.  They are nonsense.
7. Toxins will accumulate in your body over time.
8. There is no safe way to remove them other than relying on the body’s built-in systems, which are equipped to handle the job.
9. There is no such thing as an “immune-boosting” anything.
10. The best way to enhance your immune system is to eat well and stay active.
11. Superfoods don’t exist.
12. Some foods contain more nutrients than others, but it is hyperbolic and misleading to call any food a “superfood.”
13. Don’t assume you can take care of everything all the time.  None of us can.
14. None of us can be expert in everything, even with the Internet at our fingertips.
15. If you need expert professional support in designing a dietary and/or exercise protocol that suits your needs, ask for it.
16. Enjoy the benefits of the wisdom and experience of other people.

A BRIEF COMMENTARY ABOUT SUGAR

The average American consumes between 100 and 160 pounds of refined sugar annually – reflecting upwards of a 25 percent hike in just the last three decades.

All “experts” agree that “we” consume too large a quantity of refined sugar, that consuming excess refined sugar is toxic, and that we should not consume sugar substitutes.

One expert, Tom Rath, in his book “Eat Move Sleep” says this about sugar:

“Sugar is a toxin.  It fuels diabetes, obesity, heart disease and cancer.   At the current dose we consume, more than 150 pounds per per person per year, sugar and its derivatives kill more people than cocaine, heroin, or any other controlled substance.

“One report aptly described sugar as ‘candy for cancer cells.’   Sugar accelerates aging and inflammation in the body and subsequently fuels tumor growth.  It is now clear that if you lower your sugar intake, you reduce the odds of cancer. ”

“As additional research emerges, even higher ‘normal’ glucose levels (82 to 110 mg/dL) have an adverse impact on your health over time.  

“Blood sugar levels at the higher end of the normal range have been linked to significant shrinkage of the brain….There is simply no good reason to consume any added sugar beyond what you get from whole fruits and vegetables.

“Much like cigarettes, sugars are addictive. Each time you eat sweets, it causes your brain to light up, produce dopamine, and want more sugar.  

In the words of one leading neuroscientist, sweets ‘fire the the upward regions in our brain’ much like other drugs.  

“Your brain also builds tolerance to sugar every time, one that mirrors, the way people habituate to alcohol or tobacco.  As a result, once you consume sugar, your body needs larger quantities over time to mimic the pleasurable sensation.

“Remember, there is absolutely no nutritional need for foods with added sugar.

“As you reduce this biological desire for sweet tastes over time, you will need significantly less willpower to pass on the cake.”

“Anything that makes your food or drink taste sweet leads you to crave less healthy foods later….Once a sweet taste hits your tongue, it sets a cycle in motion, and you consume even more sugar by the hour.”

A very health conscious person who reads my blog, recently wrote to me: “Sugar should be by prescription.  It is in everything we eat.”

A RECENT SUGAR PHOBIA EXPERIENCE

On Sunday, January 12, 2014, I had lunch, with one of my four daughters, at “Real Food Daily” in Santa Monica, CA.

Real Food Daily prides itself for “making the art of eating healthy easy.”

Before I could sit down at a table, a prominent attorney (who knows that I am keenly interested in the impact food has on health) stopped me and asked me whether all the dishes offered on the “Real Food Daily” (“RFD”) menu are “healthy.”

Rather than telling him that there are many nuances to good health and healthy living related to food consumption (including whether or not you get enough quality sleep and maintain a strict sleep-wake cycle) or that both how you eat (i.e., whether you eat “fast” and on the “go”” or eat slowly while lingering during a meal having a conversation with a family member or friend while eating your food) and what you eat (i.e., whether you eat freshly picked or plucked fruits and vegetables, or animal containing growth hormones and antibiotics who were fattened up by eating GMO corn, etc.) impacts your health, I said,  “That is a complicated question. My answer to that question will create more questions than it will answer.”

I then sat down at a table to have a slow meal with my daughter.

Shortly after I sat down, a waiter came to our table.

I asked the waiter if RFD was serving oatmeal.

The waiter said, “No.”

I asked the waiter if RFD had lentil soup.

The waiter said, “No.”

I asked the waiter what he recommend I order for brunch or lunch.

I told the waiter I would like to eat a gluten free meal, a meal with no animal product and no dairy product, and I did not want to eat any dish contained or prepared with any oils.

I also told our wait that I did not want to eat anything that contains a lot of sugar.

The waiter recommended No-Huevos Rancheros – scrambled tofu, onions, tomatoes, bell and chili peppers, corn tortillas, ranchero sauce, avocado with black beans, and pico de gallo.

TOOTH DECAY VS THE BRAIN’S NEED TO CONSUME SUGAR

I asked the waiter: Do you know when [at what time in the evolution of the human race] tooth decay first began to be found in the remains of humans? I would like to minimize the amount of sugar I consume because of its toxic effects and because sugar causes tooth decay. According to a friend of mine who is a dentist:

• Tooth decay is found in the teeth of humans only after farming began; only after humans started eating grains.

•  Digestion begins in the mouth.  When food is broken down into sugar in the mouth tooth decay results.

I am afraid (but don’t know or remember reading if) while you are eating corn (or corn tortillas), the saliva in your mouth chemically reacts with the corn.

That corn gets broken down into sugar in your mouth by your saliva. The resulting sugar causes tooth decay.  

I know that happens when you eat bread.

I also know we have to eat sugar in order for our brains to function properly.

It takes a lot of dietary calories to to keep our brain functioning.

Our brains, which represent about 2 to 2.5 percent of our body weight consume twenty-two percent of our body’s energy expenditure at rest and 20 percent of our oxygen consumption is used by the brain.

That being said, not all sugar consumption is bad.

Our bodies break everything down into either sugar, protein or fat.  

Our brains run on sugar and without sugar our brains can’t function.

Our saliva does break down carbs into sugars in our mouth, but that is not a good enough reason to never eat corn – which has essential amino acids that add to a complete profile for non-animal eaters.

By the way: The human brain expends about 350 percent more energy than the brains of other anthropods like gorillas and chimpanzees. I have been advised: If you are concerned about the health of your teeth, brush your teeth after meals.

Also according to my dentist friend: A dentist – who knows biochemistry, nutrition and tooth decay – can tell who eats a lot of sugar (i.e., who consumes a lot of grain) by looking at a person’s teeth.

PUBIC POLICY QUESTIONS:

IF IT IS TRUE THAT EATING GRAINS SUCH AS WHEAT AND EATING CORN PRODUCTS [IN BREAD AND TORTILLAS] CAUSES TOOTH DECAY WHY HASN’T THE NUTRITIONAL ESTABLISHMENT, THE MEDICAL ESTABLISHMENT AND THE DENTAL ESTABLISHMENT TOLD US THAT?

WHY ARE WE ONLY TOLD TO “NOT EAT CANDY BECAUSE CANDY WILL CAUSE TOOTH DECAY, CAVITIES” AND NOT BEING TOLD NOT TO EAT WHEAT OR NOT TO CORN PRODUCTS BECAUSE BREAD, TORTILLAS, ETC. WILL CAUSE TOOTH DECAY AND CAVITIES?

WHY HAVEN’T WE BEEN WARNED THAT SUGAR IS TOXIC, THAT SUGAR AND ITS DERIVATIVES KILL MORE PEOPLE THAN COCAINE, HEROINE OR ANY OTHER CONTROLLED SUBSTANCE?

Why haven’t we been told that sugar fuels diabetes, obesity, heart disease and cancer?

Why haven’t we been told what excess sugar consumption does to the brain?

Why haven’t we been told that our bodies metabolize different types of sugars differently and what effects that has on our health?

Why haven’t we been told what, exactly, is the difference between table sugar, fruit sugar, high-fructose corn syrup, and the like?

INCREASING BRAIN HEALTH THROUGH BRAIN STIMULATION

According to Dr. Perlmutter:

• The brain rises to the challenges of intellectual stimulation by fortifying and building new neural networks.
• This results in the brain becoming faster and more efficient in its processing capacity and better able to store information.
• Keeping the brain challenged is good for brain health.

For brain health reasons, and other reasons,  I drove to Palm Springs from Los Angeles on Friday (January 10, 2014) afternoon to watch films being shown at the 25th Annual Palm Springs International Film Festival.

—–Original Message—– From: Name Deleted ~~ Email Deleted To: Gary Smolker <gsmolker@aol.com> Sent: Mon, Jan 13, 2014 12:56 am Subject: NYTimes: Goodnight. Sleep Clean.

Very interesting ...

http://nyti.ms/1itahwO

Why do we have to rest? Meet your brain’s janitorial staff.

Sent from my iPad

Copyright© 2014 by Gary S. Smolker

January 9, 2014 (ANOTHER DAY ON THE ROAD IN THE LIFE OF GARY S. SMOLKER): The Expression “Too Much of A Good Thing” is an oxymoron. In the entertainment world, there is no such thing as too much of a good thing. See “Tim’s Vermeer”, “American Dreams in China” and “Can A Song Save Your Life.”

E-Mail Sent Friday morning, January 10, 2014

Name Deleted,

The question and answers sessions after a movie is shown are the best part of the Toronto International Film Festival.

It is 3 a.m.

I assume it is too early to call you.

I spent yesterday in meetings, beginning with an 8:30 a.m. meeting with my dentist.

My dentist determined that I had broken a tooth (I probably broke my tooth while eating popcorn) and needed a crown.

One of the people on the dentist’s staff tracked down the person (“A”) I had an appointment to meet and have breakfast with at 9:00 a.m. to let “A” know I would be late because I would be in a dental chair (having my broken tooth ‘worked on’) until 9:30 a.m.

Of course, I was late for my breakfast appointment, but my (eat nothing, mouth numb) breakfast meeting with “A” was fascinating for many reasons.

At that meeting, among other things, we talked about a woman (“B”) – a very very good friend of “A” – who has a business “providing staff” to the VERY wealthy.

“Butlers” are in big demand now.

But “B’s” business goes way beyond supplying “butlers.”

Although I had never heard of “B” or “B’s business”, I became even more interested in “B” when “A” told me “B” was recently interviewed by “Fox News” and that “B” is now out of town, on a business trip, visiting B’s offices in Manhattan and that “B” also has an office in San Francisco.

My thinking when I woke up this morning was:

• I ought to ask “A” to set up a meeting between “B” and me.

• I ought to write about “B” on my blog, The Gary Smolker Idea Exchange Blog, http://www.garysmolker.wordpress.com.

• I ought to ask a “friend” of mine [who among other things – developed a medieval (spelling ?) German village in Japan for the President of Japan and is now opening another office from which to run his business operations  in Qatar and gearing up to develop and manage new hotels he has been hired to manage in Qatar for various investors] whether he or anyone he knows or does with would be interested in engaging B’s services.

• I ought to ask a woman I know if she is interested in “giving private swimming lessons.” This woman previously won four Gold Medals in swimming at the Olympics.
  

The concept of providing “staff” to the VERY wealthy tickles my fancy.

The son of a very good friend of mine, was recently in the news, as a result of giving private golf lessons to President Obama.

By the way, my favorite movies at the 2013 Toronto International Film Festival were Penn and Teller’s “Tim’s Vermeer” [it shows creativity and persistence pay off], Peter Ho-Sun Chan’s “American Dreams in China” [it shows how business success can trample interpersonal relationships] and John Carney’s “Can A Song Save Your Life?” [a from “I am no stranger to misery” to a ballad writing ballad singing star is born movie].

I predict “Can A Song Save Your Life?” will be a “must see” movie when in general release.

It is a romantic “feel good” American record industry business success story.

Most people will totally relate to the two romantic main characters [Keira Knightly and Mark Ruffalo] and find it impossible to not feel happy when they leave the theater after seeing “Can A Song Save Your Life.”

Pawel Pawlikowski’s “Ida” is a different kind of movie.

In Poland, few subjects are as controversial and as emotional as what passed between Polish Catholics and Jews during the second world war.

Pawel Pawlikowski’s “Ida” is about Poles killing Jews and Poles saving Jews in Poland during the Nazi occupation of Poland in World War II.

The main character in “Ida” is a Polish Jewish Nun [a woman of God] who didn’t know she was Jewish

This movie is the story of how she found out she was Jewish after being forced by her Mother Superior to “experience life” before being allowed to take her vows.

If you are inviting me to stay with you in La Quinta so that I may go with you to view various movies being shown at the Palm Springs International Film Festival so that we can talk about those movies with each other until we drop, I [will] accept your invitation.

I’ll call you later this morning.

Gary

—–Original Message—–

From: Name Deleted Email Address Deleted

To: Gary Smolker <gsmolker@aol.com>

Sent: Thu, Jan 9, 2014 10:26 am

Subject: Re: Palm Springs International Film Festival – Staying in La Quinta –

After the Burning Bush movie there were question and answers.  A high school student from the Czech Republic informed us that the new President of Czech Republic is a Communist, same for Poland as well.

It was moving to see that Jan Palach’s drastic statement led to a free republic 20 years after his death.  And now 20+ years later they are back in the shadows of communism.

Blind faith and unfounded hope sometimes deny human nature and the reality that is before us.

On Thu, Jan 9, 2014 at 6:46 AM, Gary Smolker <gsmolker@aol.com> wrote:

Thursday, January 9, 2014

Name Deleted

Thank you thank you thank you for your great hospitality.

I posted two posts which discuss “food” issues on my blog (www.garysmolker.wordpress.com) yesterday.

This morning I have a dental appointment, this evening I am taking a class on regulation of lawyer advertising.

I loved the movie “Burning Bush” and I also loved the movie “Ida” – I saw both “Burning Bush” and “Ida” in Sept. at the 2013 Toronto International Film Festival.

They are both about identity conscience survival – how and what people do to survive – and the human spirit.

I found each one of them much more moving than “12 Years A Slave” and/or “Mandela Long Walk to Freedom.”

Gary

—–Original Message—–
From: Name Deleted Email Address Deleted
To: Gary Smolker <gsmolker@aol.com>
Sent: Wed, Jan 8, 2014 9:22 am
Subject: Re: A $71.13 bowl of corn chowder soup and a coffee mocha at LYFE Kitchen in Culver City, Your Phone Call about the Palm Springs International Film Festival – Staying in La Quinta – vegan versions of Oysters Rockefeller, Paella, etc.

Hi Gary,

     I wouldn’t be surprised if some of the movies at the Toronto Film Festival are playing at the Palm Springs Film Festival.  Here’s the link to the movies that are playing.  It goes until Jan. 12th.

http://www.psfilmfest.org/index.aspx

Remember, you have a place to stay across from the La Quinta Hotel.

On Wed, Jan 8, 2014 at 9:19 AM, Name Deleted <email address deleted> wrote:

Get more sleep.  A good sleep is important for good health.

Saw the movie “Burning Bush” which was about the Czech republic’s birth of resisting the Communists.

—

Take care,
Name Deleted

Phone Number Deleted

—

Take care,
Name Deleted

Phone Number Deleted

2014 © Copyright Gary S. Smolker

The Medical Establishment Will Stop Treating People Like Cattle – An Autobiographical Book Report with Personal Commentary by Gary S. Smolker on Caldwell B. Esselstyn, Jr., M.D.’s book “Prevent and Reverse Heart Disease,” Tom Rath’s book “Eat Move Sleep” and David Perlmutter, M.D.’s book “Grain Brain.” This Is an Autobiographical Book Report Which Describes Steps Personally Taken by Gary S. Smolker to Put into Action Ideas, Opinions and Theories Presented in Those Books As A Way to Prevent Heart Attacks, Prevent Stroke, Prevent Diabetes, Prevent Alzheimer’s Disease. This Book Report Also Contains Commentary on (a) The Current State of Medical Knowledge, (b) The Current State of Medical Practice and (c) How The Practice of Medicine Is Currently Undergoing A Process of Creative Destruction. This Book Report Also Presents A Predictive Look Over the Horizon at the Future of Medicine, the Future of the Health Care Industry and Future Medical Practices Related to the On-going Creative Destruction of the Current Practice of Medicine. (PART ONE)

Take Away

I read the three books referred to in the title of this book report because

• I am interested in preventing diabetes, reversing heart disease, preventing stroke, and preventing cognitive impairment (i.e., preventing memory loss, loss of mental acuity, Alzheimer’s disease, etc.).

• I want to preserve and improve my mental faculties.

• I want to live a vibrant healthy life.

• I want to know if it is safe for me to be taking cholesterol lowering medicine.  Relatedly, I want to know if it is safe for me to continue taking the cholesterol lowering medicine that I am currently taking.

• I want to know if it is a waste and/or if it is unreasonably dangerous for me to continue taking any of the prescription medications I am currently taking.

• I want to understand the impact of the prescription medicines I am currently taking on my short term and long term health and well-being.

• I want to understand the impact of the foods I consume on my health.

In this book report

• I comment on some of the ideas, opinions, theories and facts presented in the three books listed in the title of this book report.
• I report on changes I have made in my life for “medical reasons.”
• I report on steps I am taking in my life in attempt to prevent having a heart attack, in an attempt to reverse heart disease, in an attempt to avoid having a stroke, in an attempt to avoid having diabetes, and in an attempt to preserve and improve my mental faculties.
• I also report on steps I have taken in my own life in my attempts to receive more efficient and more effective medical care and on frustrations and disappointments I have experienced while doing so.

I have read Caldwell B. Esselstyn Jr., M.D.’s book “Prevent and Reverse Heart Disease” three times, Tom Rath’s book “Eat Move Sleep” once, and part of David Perlmutter, M.D.’s book “Grain Brain.”

Previously, I read William Davis’ “Wheat Belly”, John A. McDougall’s “The Starch Solution”, and parts of Mark Hyman’s “The Blood Sugar Solution” and JJ Virgin’s “The Virgin Diet” because I wanted to lose weight and to avoid having diabetes and to avoid having a heart attack and wanted to know what I should do about being “overweight”, and how to lower my  blood sugar level, my triglyceride level and my total cholesterol and “bad cholesterol” levels.

It is not a secret that the practice of medicine is controversial or that the current practice of medicine is extremely inefficient and wasteful.

I have heard it said by a world renown cardiologist that at least one third of prescription medicines don’t work and that many backfire.

There is a groundswell of disappointment at the lack of personal attention and information physicians give patients.

Tremendous frustration is generated by the hoarding of information by medical professionals which leads to lack of opportunity to digest lab test information before meeting with a physician to discuss lab results, and at the flippant way physicians report, if and when they or their office reports lab test results to patients.

The public is frustrated by the fact that its interests and the medical professions interests are not aligned.

The practice of medicine in the future will be transformed because of public reaction to the disconnect between the profit making goals of the medical industry and the wellness goals of people.

People are in revolt at the focus and priorities of the pill driven mentality of the medical profession focused on producing office visit income for physicians, producing laboratory testing income for medical laboratories and producing pill producing income for pharmaceutical companies rather than on maximizing the amount of relevant helpful preventive health information, reporting and monitoring provided to patients.

Every thinking person realizes that society can not afford the way medicine is being practiced today.

There is no doubt in my mind that in the future the use of smart phones will change the way medicine is practiced.

Wireless medicine is coming.  Patients with chronic disease can be monitored in real time from their own homes.

Medicine has entered the digital age.

The use of electronic medical record keeping is expanding.  It now enables doctors and scientists to scour hundreds of thousands of patient records in seconds to find specific pieces of information they need in their work.

For the first time it is technically possible to plug every doctor, every patient, and every hospital, university and laboratory in the world in top a single healthcare data system.

The power of such a unified system to improve health and fight disease is almost beyond imagining.

At the most fundamental level, data and information technology promise to transform medicine from what it has long been – an art – into much more of a rigorous, objective science.

Hopefully, electronic medical record systems will soon be able to make predictions, based on scientific evidence concerning the outcomes of particular interventions — hopefully through the use of computers doctors will make better decisions, patients will enjoy better outcomes, and the cost of treatment will be reduced.

Currently, there are over 7,000 self-tracking apps for smart phones.

I use a health monitoring smart phone app called Fitbit to track how many steps I take each day because I want to take at least 10,000 steps per day.

A Fitbit can also be used to track how many hours a person’s sleeps each day, how many calories you “burn”, the number of calories eaten and number of fluid ounces of liquid consumed each day as well as how much you weigh each day.

Other apps make other medically useful measurements.

The market for such gadgets is exploding.

The use of such devices theoretically will lead people into lifestyles that promote good health.

Smart phone apps are available today by which a person can track, calculate, plan and research just about anything health related and personalize that information.

In the not too distant future we may be checking our vital signs on our phones.

I can envision a future in which physicians will prescribe more “smart phone apps” than drugs.

The Cleveland Clinic has a computerized registry called the Cardiovascular Information Registry.  As of 2013, the registry includes data on more than 220,000 patients.

In “The Cleveland Clinic Way” Toby Cosgrove, MD says, “Soon a patient will be able to enter her information into a ‘comprehensive risk calculator’ that uses algorithms to calculate the patient’s risk of complications or success based on the experience of thousands or even millions of other patients, taking into account all the specifics of the patient’s situation. Cleveland Clinic already has some risk calculators online.  Although they’re primarily for doctors, consumers can use them as well.”

Dr. Cosgrove also says:

• In the twenty-first century, no provider can afford to offer anything less than the best clinical, physical and emotional experience.  As patients become savvier, they will increasingly judge health care providers not only on clinical outcomes but on their ability to show compassion and deliver, patient-centered care.
• Medical professionals are thus feeling increasing pressure not just to talk about empathy but to take steps to demonstrate real compassion, even while lowering costs.
• Medical centers, like all businesses, need customers more than customers need them.
  

By the way, the statements, opinions and ideas expressed by me in this book report are either taken from what I read in the books mentioned above or are my own.

The most striking thoughts I took from reading the books written by Esselstyn, Rath and Perlmutter are:

1. There is a general consensus that the typical American diet, what most Americans eat, is toxic.
2. The current practice of medicine with respect to heart disease, stroke, diabetes and brain health is extremely inefficient, primitive and wasteful.
3. If you take cholesterol lowering medication and are “physically fit” that does not guarantee you will not have a heart attack or that you will not have a stroke and the cholesterol lowering drug you are taking might increase the odds that you will get Alzheimer’s disease and/or that you will get diabetes.
4. With respect to preventing heart attacks, experts disagree on what to eat, what not to eat, and what medication (if any) to take.  You might “die” learning which one is right.
5. They disagree on whether having low cholesterol is good for you or bad for you. They disagree on whether or not your total cholesterol or so called “bad cholesterol” level matters.
6. They disagree on whether taking cholesterol lowering drugs is good for you or bad for you.
7. They disagree on whether your cholesterol level is a good predictor of the chance/probability/risk of you having a heart attack or a stroke.
8. They disagree on whether eating meat and eggs is good for you or dangerous, bad for you.
9. They disagree on whether having a high carbohydrate diet is good for you or bad for you.
10. They disagree on whether eating wheat and wheat products is a good idea, is safe or will cause you harm.
11. They disagree on whether the so called Mediterranean diet (i.e., consuming so called healthy oils, virgin olive oil and/or canola oil) is good for you or will harm you.
12. They disagree on whether eating dairy products will be harmful to you.
13. They disagree on whether fish consumption is harmful or helpful.
14. Their state of knowledge (understanding)  of what causes heart attacks, strokes, Alzheimer’s disease, Parkinson’s disease, memory loss, and cognitive impairment seems conjectural to me.
15. Expert opinions and explanations of what “causes” heart disease, heart attacks, strokes, Alzheimer’s disease etc., and their prescription(s) for preventing heart attacks, strokes, etc. seems to me to based on a fallacy which has been recognized since Roman times (400 BC) – post hoc ergo propter hac – it follows this, therefore it was caused by that.
16. It is a logical fallacy if one event follows another the former must have caused the latter.  If that were the case, medical science would dictate that male baldness causes men to die because so many men lose their hair years before they die.
17. Much current advice by the medical profession regarding what should be done to prevent heart disease, etc. – reported by Dr. Esselstyn in “Prevent and Reverse Heart Disease” and reported by Dr. Perlmutter in “Grain Brain” – appears to me to be based on the logical fallacy post hoc, ergo propter hac (that because one event follows another the former must have caused the latter).
18. It appears to me, that medical doctors are guessing when they prescribe cholesterol lowering medications, i.e., they guessing that if you take the cholesterol lowering medication they have prescribed that it will do more good for you then the harm it will cause (i.e., it will be more beneficial than detrimental).
19. The only thing that is true is that you are going to die.
20. All medicines cause effects.  Some of those effects are known and some of those effects are unknown.
21. It is likely that any medicine I take to lower my blood cholesterol level will cause “some effect”; it is not clear to me whether the effect or effects caused by this medication will overall be to my benefit or be to my detriment.
22. One expert (Esselstyn) theorizes that if you lower the cholesterol level in your blood and eat a plant based diet (including grains) you will lower the risk of having a heart attack, while another expert (Perlmutter) theorizes that if you lower the cholesterol level in your blood and/or eat a diet which includes grains [i.e., wheat products (gluten)] such as bread, you will increase the likelihood of brain degeneration, i.e. of having Alzheimer’s disease, dementia, memory loss, cognitive impairment.
23. Here is what Perlmutter says about cholesterol in “Grain Brain”: Cholesterol is at most a minor player in coronary heart disease and represents an extremely poor predictor of heart attack risk.  Over half of all patients hospitalized with a heart attack have cholesterol levels in the “normal” range.  The idea that aggressively lowering cholesterol levels, will somehow magically and dramatically reduce heart attack risk has now been fully and categorically refuted….when I see patients with cholesterol levels of say, 240 mg/dl or higher, it’s almost a given that they will have received a prescription for a cholesterol lowering medication from their general practitioner.  This is wrong in thought and action.  As discussed, cholesterol is one of the most critical chemicals in human physiology, especially as it relates to brain health.  The best lab report to refer to in determining one’s health status is hemoglobin A1c, not cholesterol levels.  It is rarely, if ever, appropriate to consider high cholesterol alone to be a significant threat to health.”
24. Here is what Esselstyn says in “Prevent and Reverse Heart Disease”: … no one who achieves and maintains total blood cholesterol of 150 mg/dl and LDL levels below 80 mg/dl – using strict plant-based nutrition and, when necessary, low doses of cholesterol-reducing drugs – experiences progression of heart disease.  Many, in fact, are able to rejoice at clear medical evidence that they have actually reversed the effect of their disease…. I am convinced from my research and from counseling hundreds of patients with heart disease that you, like them, can make yourself heart-attack proof.
25. “Our research data have clearly confirmed that we were right.  My patients’ decision to enter the study not only put an end to the progression of their disease; the information we have gleaned from their experience has set a new gold standard in the therapy for coronary artery disease.  We can arrest and reverse it.  We can make ourselves heart-attack-proof.  Coronary artery disease need not exist, and if it does, it need not progress.”
26. In general, physicians do not provide their patients with information patients need in order to make informed decisions about preventing heart attacks, preventing strokes, preventing diabetes, or provide worthwhile information on how to maintain their mental faculties.
27. Perlmutter claims the two biggest myths are (1) a low-fat, high-carb diet is good and (2) cholesterol is bad.  Perlmutter claims study after study shows that high cholesterol reduces your risk for brain disease and increases longevity.
28. With respect to preventing heart disease, stroke, diabetes and brain diseases, in general, physicians do not efficiently or effectively provide their patients (such as myself) with sufficient quality information – about the debate briefly outlined above or any other aspect of heart disease, stroke, diabetes, brain diseases, etc. – to enable their patients to make well informed decisions about what to do to increase their chances of living a vibrant healthy life.
29. Instead, physicians treat their patients like unthinking robots.
30. In general, medical doctors are not trained in nutrition; they are trained in writing prescriptions and treating symptoms.
31. I am intuitively sure there is an overlap between what Dr. Esselstyn and Dr. Perlmutter recommend.
32. By the way, I do not believe that wet streets cause rain.
33. I am going to think about that.

Personal Perspective

On September 14, 2013, I had a heart attack and was rushed to a hospital in Toronto, Canada while I was having a heart attack.

At the hospital it was determined that one of my coronary arteries was 100% blocked and two other coronaries arteries were seriously blocked.

The three blocked arteries were opened up by angioplasty and a stent was inserted in each artery.

After that, a friend told me that having a stent in an artery does not solve the underlying problem that caused the artery to be blocked in the first place.

My friend told me, You still have heart disease.  Inserting a stent in a “blocked artery” that has been opened by angioplasty does not cure heart disease.  STOP what you are doing right now and read “Prevent and Reverse Heart Disease” by Caldwell B. Esselstyn, Jr., M.D.”  He was a surgeon at the Cleveland Clinic and he has a proven track record.

That friend told me that I need to prevent and/or reverse the underlying problem (the disease) that caused me to have a heart attack.

My friend told me my underlying problem had to be my “diet” – what I was eating; the issue is not being physically fit, not being in “good shape”, not exercising enough, many “fit” people have/had heart attacks.

He told me that I should read and follow the advice given in Dr. Esselstyn’s book “Prevent and Reverse Heart Disease.”

I followed my friend’s advice.

Dr. Esselstyn’s message is: coronary artery disease is preventable, and even after it is underway, its progress can be stopped, its insidious effects reversed.

After I completed reading “Prevent and Reverse Heart Disease three times I began following Dr. Esselstyn’s recommendations.

I am still following Dr. Esselstyn’s recommendations.

Provocative Ideas and Opinions I Took Away As a Result of  Reading “Prevent and Reverse Heart Disease”, “Eat Move Sleep” and “Grain Brain”

HEART DISEASE

In fully one out of four patients with heart disease, the first symptom is sudden death.

In the course of a lifetime, one out of every two American men and one out of every three American women will have some form of heart disease that could have been prevented by eating the right food.

Heart disease, stroke, diabetes and brain diseases are largely preventable by eating the right food and are uniquely tied together.

How long you live your life is more about how you live your life and less about how long your parents lived.

In was observed in 1995 that by the age of twelve, 70 percent of American children had fatty deposits in their arteries, the precursors of heart disease.

In the United States, heart disease is the number one killer.

The United States contains just 5 percent of the global population, but every year physicians in American hospitals perform more than 50 percent of all angioplasties and bypass procedures in the entire world.

Unfortunately, about half of all angioplasties performed in the United States each year are unnecessary.

“Interventional cardiologists earn hundreds of thousands of dollars annually, and particularly busy ones make millions.  In addition, cardiology procedures generate huge revenues for hospitals.”

“All told, there has been little incentive for physicians to study alternative ways to manage disease, so the mechanical/procedural approach continues to dominate the profession even though it offers little to the unsuspecting millions about to become the next victims of disease.”

“HEALTH CARE, to put it mildly, is an industry out of control.

“If we don’t make some major changes, projections show that by the year 2014, spending on health care will account for one-fifth of America’s gross domestic product.

“By the middle of this century, spending on Medicare alone will consume an estimated 40% of the U.S. budget.

“This is unsustainable.

“Starbucks, one of the most successful companies of the past two decades, recently announced that it is spending more on health care for employees than it spends on coffee beans.”

SUGAR IS A TOXIN

Every bite of food you take is a small but important choice.

• Sugar is a toxin.
• It fuels heart disease, diabetes, cancer and obesity.
• Much like cigarettes, sugars are addictive.  Each time you eat sweets, it causes your brain to want more sugar.
• Your brain builds a tolerance to sugar over time.  As a result, once you consume sugar your body needs larger quantities over time to mimic the pleasurable sensation.
• At the current dose we consume, more than 150 pounds per person per year, sugar and its derivatives kill more people than cocaine, heroin or any other controlled substance.
• Sugar is “candy” for cancer cells.
• It accelerates aging and inflammation in the body and subsequently fuels tumor growth.
• What you eat can greatly reduce the risk of cancers growing and spreading.
• It is clear if you lower your sugar intake, you reduce the odds of cancer.
• Half of all men and one third of all women in America will be diagnosed with cancer.
• Cancer is the number 2 killer in the United States.
• Glucose levels of 82 to 110 mg/dL have an adverse impact on your health over time.
• Blood sugar levels at the higher end of the normal range have been linked to significant shrinkage of the brain.

The next time you are with two friends, consider that two of the three of you are likely to die from heart disease or cancer.

Heart disease, stroke, diabetes and brain diseases are largely preventable by eating the right foods and are uniquely tied together.

Unfortunately, due to lack of reliable information and proper advice, people find it easier to figure out their income taxes than to know how to eat right.

BEING SEDENTARY WILL KILL YOU

Being active throughout the day is one of the most important things you can do to keep you healthy.

• On average, we now spend more time sitting (9.3 hours) than sleeping in a given day.  The human body is not built for that.
• Reducing this chronic inactivity is even more essential than brief periods of vigorous exercise.
• “Sitting is the most underrated health threat of modern times.  On a global level, inactivity now kills more people than smoking.”
• “Sitting more than six hours a day greatly increases your risk of an early death.  … Every hour you spend on your rear end – in a car, watching television, attending a meeting, or at your computer – saps your energy and ruins your health.”
• “One leading diabetes researcher claims that sitting for extended periods poses a health risk as ‘insidious’ as smoking or overexposure to sunlight.  He contends that physicians need to view exposure to sitting just like a skin cancer expert views exposure to direct sunlight.”
• “As soon as you sit down, electrical activity in your leg muscles shuts off.  The number of calories you burn drops to one per minute.  Enzyme production, which helps break down fat, drops by 90 percent.”
• “After two hours of sitting, your good cholesterol drops by 20 percent.”
• “… people with desk jobs have twice the rated of cardiovascular disease.”
• The critical variable is how many hours you sit, not how many hours you work out.
• You should move around every twenty minutes.
• Find a few moments each day when you an walk briskly.  Do a few push-ups or anything else to break up a 10 hour span of limited activity.
• If nothing else, make sure you get up several times a day and move around your office.
• One way to force movement is to increase your consumption of liquid.  This makes you get up more often for refills and restroom breaks.
• At a minimum at least two or three times an hour get up and stretch lightly or change position or take a walk.
• “Don’t worry about breaks every 20 minutes ruining your focus on a task … taking regular breaks from mental tasks actually improves your creativity and productivity … mental concentration is akin to muscle that gets fatigued with prolonged use.  It needs a period of rest before it can recover.  Getting up for the sake of your body may yield as much benefit for your mind … organize your home and office to encourage movement over convenience.”
• People who walk fewer than 5,500 steps per day are considered sedentary.
• The average American falls below the sedentary level at just 5,117 steps per day, in comparison the average Australian takes 9,695 steps per day, nearly two times the average American steps per day.
• This helps explain why Australia’s obesity rate is just 16% while the United States is 34%.
• Ten thousand steps per day is a good target for overall activity.  This equates to roughly 5 miles per day.
• “When scientists from the National Institutes of Health followed 240,000 adults for a decade they discovered that exercise alone is not enough.  Even seven hours a week of moderate to vigorous physical activity was not enough to keep people alive.  Among the most active group studied, who exercised more than seven hours a week, those who spent the most time sitting had a 50 percent greater risk of death from any cause.  They also doubled their odds of dying from heart disease.”
• “… technology – from computers to washing machines – minimizes the need for manual labor and our health suffers as a result.”
• Today, only 20% of jobs require real activity.
• You can now accomplish countless tasks with the click of a mouse and a few key strokes.  While this increases efficiency, it comes at the expense of our physical health.
• In many ways we’ve engineered physical activity out of our lives, so we’ve got to find ways to put it back into our lives.
• You need to find ways to infuse deliberate movement into your day.

Exercise prevents cognitive decline.  It flips the switch that spurs the growth of new brain cells.

Exercise actually reverses memory decline in elderly humans by increasing the growth of new brain cells in the brain’s memory center.

The more you move, the fitter your brain becomes.

Your brain’s healthy functioning requires regular physical activity.

Examine your surroundings and think about how you can prevent sedentary time.

Organize your home and office to encourage movement over convenience.

Exercise is a wonder drug.

There is no shortage or reasons to move more today.

SLEEP

Getting a good night’s sleep is essential.

Sleep is not a luxury.  It is a basic necessity.

If you sleep less, you eat more, you remember less, you get sick more often and you make poor decisions.

Every hour of sleep is a positive investment.  It is not an expense.

Sleep less, achieve less.

Poor sleep leads to high blood pressure, irritability, and poor decision making.

• In some work places it is a badge of honor to ‘pull an all nighter.’

• “One hour less of sleep does not equal an extra hour of achievement or enjoyment.  The exact opposite occurs.”

• “The person you want to fly your airplane, operate on your body, teach you children or lead your organization tomorrow is the person who sleeps soundly tonight.”

• “Getting fewer than six hours of sleep leads to burn out on the job.  If you want to succeed in your job, make sure your work allows you to stay in bed long enough.”

INTELLECTUAL STIMULATION

Keeping the brain mentally stimulated is a good thing for brain health.

The brain rises to the challenges of intellectual challenges.

When intellectually stimulated, the brain becomes faster and more efficient in its processing capacity and also better able to store more information.

Thinking is good for your health.

Personal Weight Loss

I have been trying to lose weight since September, 2012.

In September, 2012, I weighed 187 pounds and my waist size was approximately 40 inches.

In January, 2014, I weighed 135 pounds and my waist size had become 34 inches.

In the time period September, 2012 through January, 2014, I lost over 50 pounds and my waist measurement shrank approximately six inches, from a 40 inch waist to a 34 inch waist.

Personal Observations

Published information about health is very confusing, contradictory.

People need individualized guidance because they do not know enough to understand the “big picture”, how one thing is related to another thing or how everything is related to everything else.

We, not our doctors, are responsible for our health.

If we want to lose weight and/or if we want to avoid or prevent our self from having a heart attack or to avoid/prevent having a stroke or diabetes or Alzheimer’s disease we need to know the right questions to ask , we need to know what is the information we need to know.

Reading “Prevent and Reverse Heart Disease”, “Eat Move Sleep” and “Grain Brain” and talking to my friends about what I read helped me determine questions to ask, things to think about including the right questions to think about.

I would be happy to discuss my “quest” with you.

Gary Smolker

Copyright © 2014 by Gary S. Smolker

January 7, 2104 (A Day in the Life of Gary S. Smolker): A $71.13 Bowl of Corn Chowder Soup and A Coffee Mocha at LYFE Kitchen in Culver City, Vegan Versions of Oysters Rockefeller, Paella, etc.

Wednesday, January 8, 2014

I am in Los Angeles, California.

It is 4:10 a.m., PST.

I was in a meeting most of the day yesterday (January 7, 2014).

Besides being in meetings, I spent my time “running” from “here to there.”

Believe it or not, at one of my meetings I was talking to a friend about why he should create (design) a [NEW] “healthy food preparation survival merit badge” and write a healthy nutritious food survival merit badge manual and program for the Boy Scouts, and talk the Boy Scouts into adopting such a program, promote a similar program for FEMA, and manufacture and distribute relatively “long” shelf-life healthy nutritious survival food, and on and on and on.

At one time, years ago, this friend was involved in and spear headed “recruiting” efforts for Sambos, when Sambos was opening two new Sambos Restaurants a week and managed and organized and coordinated a similar recruiting/hiring effort for Sizzlers when Sizzlers was in its growth spurt.

Our meeting was held at the LYFE Kitchen in Culver City — which is a fabulous operation.

While waiting for my friend to arrive I bought a snack [a bowl of corn chowder (delicious) and a coffee mocha].

My bill was $71.13 (before tip).

Why was my bill $71.13 you ask?

Answer:

While waiting in line, I couldn’t resist buying Tal Ronnen’s “the conscious cook” – delicious MEATLESS recipes that will CHANGE the WAY you EAT – and Art Smith’s “HEALTHY COMFORT” – How America’s Favorite Celebrity Chef Got it Together, Lost Weight and Reclaimed His Health.

Tal is the kind of guy who, if he finds a spider in his house, will gently pick up the spider, bring it outside and set it free.

Tal, from time to time, wears a T-Shirt which boldly proclaims “WORLD PEACE BEGINS IN THE KITCHEN.”

Tal is the owner-chef of a restaurant (CROSSROADS) on Melrose Avenue in Los Angeles, which my sister Toby [who is a “A” list “liver” who has been everywhere ‘nice’] highly recommends.

While in my car, on my way, to LYFE Kitchen in Culver City, I called a friend to find out if he was still alive.  My friend told me I wouldn’t believe the “cluster fuck” he found himself in.

He told me he was ‘stuck’ at LAX, his flight to Cabo San Lucas had already taken off without him or his “family.”

They didn’t board the flight because when they got to the airport they discovered that their 15 year old girl had forgotten to take her Passport and she would not be allowed into Mexico without a passport.

During my phone call with my friend, a fight was in progress between he and his wife about whether the three of them (grown up man, grown up woman and 15 year old girl) should go to Hawaii instead of driving back home since their flight to Cabo San Lucas had already left without them.

My 3:00 p.m. appointment got cancelled because a Beijing based client of the person I was meeting unexpectedly flew in from Beijing and demanded that an emergency meeting take place.

So instead of meeting that friend at “Crossroads” at 3:00 p.m. I drove to the Topanga Shopping Mall in Woodland Hills, CA. to get holes punched in 10 of my belts that were then (yesterday) too big.

I could no longer wear those belts because I had purchased and worn those belts when I had about a 40 inch waist.

Due to changes in diet and lifestyle since September, 2012, my waist is now (at the beginning of 2014) 34 inches.

I am very interested in the relationship between food, diet, exercise, life style and health and longevity.

I know that the human body depends upon cellular renewal to survive.

Yesterday morning I read that cells in the heart and cells in the brain replace themselves, as follows.

• At age 25 one percent of heart muscles replace themselves.
• At age 75 less than half a percent of heart muscle cells that die are replaced by new heart muscle cells.
• The gene that turns on cell growth (new cell generation) is activated by physical activity, caloric restriction, ketogenic diet, and the addition of certain nutrients such as curcumin, and the omega 3 fat DHA.
• Aerobic exercise turns on genes linked to longevity.
• The more you move the fitter you become.

I believe people should take care of themselves by eating healthy nutritious food and have an emergency supply of healthy nutritious food.

I believe people should take care of their own health by learning about epigenetic factors, how to turn on the genes that prolong life and how to turn off the genes that shorten life.

According to a book I am reading, right now, our day to day activities have a profound effect on the activity of our genes.  We can change the expression of more than 70% of the genes that have a direct bearing on our health and longevity.

Scramble scramble scramble:

I’m torn between going to my office today to “work” or staying home and writing an article on preventing heart attacks, preventing diabetes, preventing memory loss, preventing Alzheimer’s disease and other cognitive problems, and how to preserve and increase mental acuity by eating the right foods and keeping active.

It’s now 5:00 a.m. and I’m hungry.

Gary

Copyright (c) 2014 by Gary S. Smolker