Showing posts with label food. Show all posts
Showing posts with label food. Show all posts

Monday, February 2, 2015

Patient Googles His Way Out of Bypass Surgery*

By Robert Ostfeld, MD, MSc



One of the most common operations performed in the world today is coronary artery bypass graft surgery (CABG). I would like to share with you the remarkable story of a recent Cardiac Wellness Program patient here at Montefiore Medical Center (I’ll call him Mr. J), who changed his diet and averted the CABG knife.

Mr. J is a middle-aged man with high cholesterol and a family history of heart disease. Understandably, he desperately wanted to avoid the problems that many in his family had faced, so he ate a “healthy” diet of chicken, fish, and low-fat dairy, with a few fruits and vegetables mixed in. And he exercised. A lot. In fact, he loved exercising so much that he would do it for two to three hours a day — brisk walking, playing sports, etc.

Mr. J. first visited a cardiologist at age 55, after having experienced several weeks of tightness in his neck during physical activity. The condition had worsened to the point that only 30 to 45 seconds of exercise brought on significant discomfort. The doctor ordered a stress test, to see if heart disease could be contributing to this symptom. The test results were so wildly abnormal that he was sent immediately to the hospital for a cardiac catheterization, to look for cholesterol blockages in the vessels that supply his heart with blood. Such severe blockages were found that he was admitted directly to the hospital for coronary artery bypass graft surgery. In less than one day, his life had changed dramatically.

While lying nervously in his hospital bed, he began to think that maybe there was another way to approach this disease, so he went online. There, he read about the impact of a whole-food, plant-based diet on heart disease, and he decided that was the path for him. He called the nurse, gave back his hospital gown, and despite the pleas of his medical team, signed himself out of the hospital against medical advice. Mr. J’s nurse was so concerned that before he was able to leave, she called his wife to have her convince him to stay. He did not. Later, the nurse even called Mr. J at home to plead for his return. He politely declined.

Soon thereafter he found our Cardiac Wellness Program at Montefiore. He was already taking all the appropriate medications, and he chose to completely change his lifestyle as well. He fully embraced a whole-food, plant-based diet without oil and had perhaps the most remarkable turnaround I have ever seen. Within one week, he went from being able to walk only a block before feeling tightness in his neck to walking 25 blocks without incident! Fast-forward three months and he was back to exercising two to three hours each day without symptoms. That is what I call remarkable!

A few weeks later, Mr. J got another call from his nurse. She had just been diagnosed with cholesterol blockages in her heart, and her doctors were recommending cardiac procedures. With Mr. J in mind, she told her doctors no way and called him to learn how to do exactly what he did: embrace a whole-food, plant-based diet!

Mr. J never did get that bypass surgery, nor did he get a coronary stent. In fact, he did not need to have any procedures at all. He got healthier with appropriate medications and by wholeheartedly embracing a whole-food, plant-based diet.

The key to health, it seems, lies at the end of your fork.

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*Postscript: While many heart patients may reverse their disease with lifestyle change alone, Mr. J also continued his prescribed medications, given the severity of his condition, and their doses were lowered as his health improved. Please note that I am not recommending lifestyle change over medical intervention for any particular person, as every case is of course different. Some cases are fraught with more risk than others, so please consult with both your physician and a physician trained in lifestyle medicine before making significant lifestyle changes.

This post was originally published on the Forks Over Knives blog, here.

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Cardiologist Robert Ostfeld, MD, MSc is the founder and director of the Cardiac Wellness Program at Montefiore Medical Center in New York City, where he encourages patients to embrace a whole-foods, plant-based diet. He earned his MD at Yale and his MSc in epidemiology at Harvard, and he is an associate professor of clinical medicine at the Albert Einstein College of Medicine.



As always the information presented in this blog is for educational purposes only. It should not be considered as specific medical, nutritional, lifestyle, or other health-related advice.

Thursday, January 15, 2015

Dietary Guidelines and Food Politics

Warning. This post is political. While it is very different from previous posts, and may seem like I’m abandoning the mission of hosting a plant-based nutrition website. However, as Mark Bittman makes clear, to write or blog about food, is inherently a political act. Therefore I hope you’ll forgive me for such transgressions and continue reading.

2104 was a big year for food politics if you paid attention. Multiple battles over GMO labeling laws brought new urgency and illumination to the issue – although most of those battles didn’t go quiet as well as one would hope! There was a ban against growing GMOs in Maui, soda taxes gained headlines and were passed overwhelmingly in Berkeley, gestation crates turned critical eyes toward New Jersey, and food writer Michael Pollan made a public statement in support for a national food policy!



However there are still many battles to fight – and many of them in the not-to-far-off future.

As some of you may know, the Federal Dietary Food Guidelines are currently under review. These guidelines are reviewed every five years, and have taken form in the past as the Food Pyramid and more recently MyPlate. 



When the panel of experts on nutrition and health announced that they were considering taking the environmental toll of food production into consideration for the new guidelines, there was outrage by certain food industries.

No, Big Broccoli didn’t throw a fit! But organizations like the American Meat Institute (AMI), National Beef Association, and the International Dairy Foods Association (IDFA) among others, have issued statements basically arguing that the expert nutritionists selected to participate in the panel do not have the expertise required to take environmental questions into consideration. Borrowing from the NRA’s playbook, these lobbyist groups announced that they plan to grade Congresspeople on their votes regarding food issues.

This matters because, unfortunately, it roughly costs each of those members of Congress $7 million dollars to run a campaign and win office. While the $100 or so I donate to progressive candidates every election cycle makes me feel good, it’s a drop in the bucket compared to the money spent by businesses and trade groups. According to David Robinson Simon, animal food industry spends more than $100 million paying lobbyists every year! This is a sad but important lesson in American Democracy.

In one study, members of the House of Representatives who received money from the dairy industry were almost twice as likely to vote for dairy price supports as those who received no money from them. While it is illegal to “buy” votes, it is completely legal to vote for a bill your constituents donors want. Furthermore, when a Congressperson votes against their donor’s wishes, those donors often abandon the lawmaker in their next campaign. Money, as they say, talks.

How does all of this relate back to the Dietary Guidelines? Well shortly after the new Republican controlled Congress took session, they did the unthinkable… They passed a bill! Feeling pressure from groups like AMI and IDFA, lawmakers from both parties came together and attached a list of "congressional directives" to a massive spending bill that was passed by both the House and the Senate. One of those directives expresses "concern" that the Dietary Guidelines Advisory Committee "is showing an interest in incorporating agriculture production practices and environmental factors" into their recommendations. The Congressional directives then issued a statement telling the Obama administration to ignore such factors in the next revision of the guidelines.

The question, then, remains, why are these industries so insistent that environmental factors be excluded from the Dietary Guidelines?



It’s because animal foods have a huge carbon footprint. While the numbers vary, it has been estimated that between 14 – 40% of total carbon emissions is attributable to the livestock industry. The 2006 United Nations report, Livestock’s Long Shadow, claimed that animal agriculture makes up 18% of all greenhouse gases. Even this comparably conservative estimate accounts for more than all modes of transportation combined. That’s right. The volume of emissions created by the production of animal foods is greater than those created by operating cars, trucks, buses, airplanes, and ships!

As such, any inclusion of emissions would force the new dietary guidelines to recommend a decrease in the consumption of animal products. As NYU professor Marion Nestle explains, while it is clear that Americans could benefit greatly by reducing animal and highly-processed food products in favor of more fresh fruits and vegetables, in the past, Animal lobbyist have been able to argue over language in the past, rather than saying eat less meat, eat “lean meat.” These types of arguments and compromises have a long history. Going back to the George McGovern report of 1977 – the very first Dietary Guidelines – declared that “most all of the health problems underlying the leading causes of death in the United States could be modified by improvements in diet.” The report blamed the increase in consumption of rich animal foods increasing saturated fat and an increase in added sugars.  It also specifically recommended decreasing meat consumption as the best way to decrease saturated fat intake.

As one of the authors of that original report later accounted, the meat, milk, egg, salt, and sugar producers were all very upset. The National Dairy Industry actually suggested that the food industry should be involved in creating the guidelines.

When the final report finally came out, almost all of this language had been removed. Specifically, the recommendation to decrease meat consumption was altered to read, “choose meats, poultry and fish which will reduce saturated fat intake.” Do you see what happened there? The recommendation went from a negative, “consume less” to a positive “choose meat…”

Even this wasn’t enough. In the end, the nutrition committee was disbanded and folded into the functions of the Agriculture Committee – the committee that is responsible for protecting producers rather than consumers. 

However, much of Big Agricultures power over the Guidelines will diminish if the committee begins considering the environmental footprint of the food. As Miriam Nelson, a Tufts University professor, and member of the panel, told the rest of the committee, "in general, a dietary pattern that is higher in plant-based foods and lower in animal-based foods is more health-promoting and is associated with less environmental impact."

Now, perhaps you are thinking, “big deal, I ignored the food pyramid, I’ve ignored My Plate, and I’m going to ignore the next set of regulations too.” Well, you’re probably not alone. Most Americans don’t pay much attention to the Federal Dietary Guidelines; however, these guidelines do play a large role in helping to decide which industries are subsidized, and perhaps more importantly, they serve as the guiding principle for federal feeding programs, including school lunches, foods legible for purchase with food stamps, and federal prisons. Such an update to the guidelines could mean that thousands if not millions of Americans would consume less animal products.

Unfortunately, it seems that this fight has already been lost. After a draft was released earlier this month, which included the recommendation to consume less meat, the USDA bent to the pressure of Congress and their masters, and have declared that the environmental impact of food will not be considered when creating the new guidelines.

These types of issues are vital to improving the health of our nation. Being healthy involves knowing what is in your food, where it comes from, and how it is made. These should be rights – not privileges. We must continue to demand that politicians are being held accountable to us, the people, rather than to Corporations. As Lincoln famously once said, " Let us have faith that right makes might, and in that faith, let us, to the end, dare to do our duty as we understand it."


 Further Reading:

Brendan Brazier, Thrive Foods Da Capo Press, 2011.

Dan Charles, “Congress to Nutritionists: Don’t Talk About the Environment.” NPR December 15, 2014.  

David Robinson Simon, Meatonomics Conari Press, 2013.

Richard Oppenlander, Comfrotably Unaware: Global Depleation and Food Responsibility Langdon St. Press, 2011.

Richard Oppenlander, Food Choice and Sustainablity, Langdon St. Press, 2012.

Roberto A. Ferdman, “The Meat Industry’s Worst Nightmare Might Soon Become a Realtiy.” Washington Post January 7, 2015.

T. Colin Campbell, Whole: Rethinking the Science of Nutrition BenBella Books, 2013.

United Nations. Livestock's Long Shadow FAO Rome, 2006.

United States. Congress. Select Committee on Nutrition and Human Needs. “Dietary Goals for the United States” Washington: U.S. Government Printing Office. 1977.


As always the information presented in this blog is for educational purposes only. It should not be considered as specific medical, nutritional, lifestyle, or other health-related advice.


Thursday, October 18, 2012

Kat's Story: "Hold the Meat, Cheese, and Oil"


This week I have a very special post to share with you all. For nearly a year now, I’ve been writing about how eating a whole food, plant-based diet can change your life. I’ve included recipes and reviews of all sorts in the hopes that I’ll convince others to give it a try. I’ve been told by many of you that while you’ve greatly increased the amount of fruits and veggies in your diets, the idea of going vegan is too abstract or difficult to actually follow through on. However, today I’m sharing an open letter from a good friend of mine. Someone who never imagined they would go vegan, but then tried it and watched their life dramatically change for the better. Her husband and I went to school together, and he is also enjoying increased health since making the switch. I can remember a time when I would be hanging out with the guys eating a lentil salad while he and the others would be stuffing cheese steaks into their faces. I now look forward to sharing a lentil salad with him. This post is a post about courage, about change; about the possible. So now I turn the mic over to my friend, Kat and I hope you are as inspired by her story as I am, and hope you are willing to try a whole food plant-based vegan diet. 

“It all started when I was nine months old. My mom was eating crackers with peanut butter and just as any nine month old would, I picked up the lid to the peanut butter jar and put it in my mouth. It wasn't long before I was a swollen, hive-ridden infant. I had already been diagnosed as being lactose intolerance but that day we discovered my allergy to peanuts as well. Little did I know it was just the beginning. As I got older, my reactions became more frequent and more severe. At eighteen, I developed four new allergies and I had been in anaphylaxis (a life-threatening state, caused by an allergic reaction) twice. In between these severe reactions I was constantly having gastrointestinal upset and eczema. By the time I was twenty two I had been in the emergency room a grand total of six times for anaphylaxis, receiving intravenous epinephrine, prednisone, rinantidine, and antihistamine. Food was my mortal enemy.

Somehow, I was still able to find love, and beyond that, he turned out to be a man who wanted nothing more than to help improve my broken relationship with food. He started by cooking everything from scratch for us when we ate in; and asked more questions at restaurants than my mind could even fathom. Unfortunately, it seemed I was still stuck with unexplained symptoms like constipation, diarrhea and an unruly dermatitis. My allergist suggested that I try eating completely organic to rid myself of these symptoms. This helped some, but in the interim I developed a condition known as Oral Allergy Syndrome (OAS) where I would react to uncooked, or undercooked foods that grew close to my environmental allergens. These reactions remain localized to the mouth and throat and rarely require any more treatment than a low dose of Benadryl. Still, it was annoying, to say the least.



While my relationship with food was slowly improving, my relationship with that man continued to grow and eventually he became my husband. Together we experimented with different types of diet changes with the hopes of it further reducing my sporadic reactions. Everything was hit or miss, and I was ready to give up. After twenty-two years I was finally accepting that, I would never really be able to enjoy food.

Recently, however, that all changed. This past July my husband and I were on vacation and he said to me "you remember Ant? He is a vegan, we should look into that" and the research began. He messaged Ant on Facebook asking for tips and I started reading "Skinny Bitch" (knowing that vegan activist, Ellen DeGenerous, had recommended it). Once again I started to believe that my diet could change my life. I read articles, watched "Forks Over Knives" and my husband and I started to eat less meat... Instead of going cold turkey as the saying goes, I decided to throw the turkey out completely along with all other meats, dairy, and eggs from my diet.

It only took a few weeks of eating this way before I stopped having the gastrointestinal symptoms, the eczema, and the OAS. I now have more energy, feel more nourished and have also been able to greatly reduce the amount of daily medications I need to take. Because of these results I now have the full support of my allergist and primary-care doctor. Both of them were shocked by my success and have voiced their desire to share what I have done so other patients who have similar symptoms can learn about how food can help heal us.

I now keep a record of my daily intake just to be sure all my nutritional requirements are being met. As any reader of BYOL will tell you, it’s no surprise that they always are. Never once have I been protein deficient. I get all the vitamins and minerals I need. Neither is my carbohydrate intake too high or anything of that sort. Becoming a vegan has changed how I live my life. Although I still have numerous severe food allergies, the complications that made them so difficult to deal with are gone and that has significantly improved my quality of life.

On top of that, my husband has also found new vitality. He still eats meat occasionally- about once or twice a month- typically when I work late, but he believes in the results I've had and also finds he feels better eating less meat. He also loves coming up with new recipes.

Our favorite recipe is probably my husband’s vegan stuffed mushrooms but I also want to add that we tried and loved BYOL's sweet potato curry recipe - we actually made that for my parents and they loved it as well. It helped them realize they could afford to cut some meat out of their diet while still enjoying their food. Now they are only eating meat two days a week! 

Going out isn't a problem either. Almost everywhere I go has a soy milk option for my coffee, and I can get an awesome fresh salad or vegan taco anywhere, even if I just have to ask them to hold the meat. When I order, Steve and I give them the run down on what I'm allergic to, how serious it is, and then finish with “hold the meat, cheese, and any oil or sauce.”

Finally, I'm eating more than ever before, and yet my weight is more stable than at any other period of my life. It truly is a thrill for both of us. I firmly believe that becoming a plant-strong vegan has repaired my broken relationship with food. I've learned about diet, lifestyle and health will continue to impact me personally as well as professionally. The answer is not a new pill or medication; the answer is spinach. I encourage you all to try a vegan diet, if only for one month. I am willing to bet that, similar to what I experienced, the change will be so profound you'll never look back. I know I'm not.

Thanks for everything, wishing you all good health,

Kat”

**RESULTS ARE TYPICALLY**