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Good Medicine

From the Physicians Committee for Responsible Medicine / Autumn 2010 / Vol. XIX, No. 4 ®

Pediatricians vs. Junk Food Giants


PCRM Doctors Report from Front Lines of Obesity Battle

NASA Engineer Resigns


Over Monkey Radiation
Experiments

Want to Go Vegan?
There’s an App for That

Ensuring Cosmetics
Testing Bill Supports
Nonanimal Methods

Vegan Diet
Dramatically Improves
GEICO Employees’
Health

Great Ape Protection


Act Reaches Senate

PCRM Sues FDA Over


Avandia’s Side Effects
Editorial

The End of the


Meat Industry
G rowing up in North Dakota, the
acreage all around my hometown
was used for cattle and cattle feed. The
farmers themselves were good people

iSTOCKPHOTO
trying to make a living. My grandfather
raised cattle, and my uncles and cousins
followed in his footsteps.
Unbeknownst to all of us, researchers had meanwhile set up shop in Framingham, Mass., mea-
suring cholesterol levels and blood pressure, and studying who stayed healthy and who did not in
the Framingham Heart Study. Their painstaking research linked the very foods my family raised to
heart disease, high blood pressure, and other health problems. Since then, it has become abundantly
clear that meat eating increases the risk of other problems, too. Meat-eaters have three times the
risk of diabetes, compared with vegans. Red and processed meats are clearly linked to colon cancer
and other forms of the disease. The regular string of meat recalls shows us how often fecal bacteria
contaminate meat products, sometimes leading to deadly infections.
But health problems were just the beginning. Environmentalists soon weighed in, pointing out
that grains used to feed cattle could be much more efficiently used to feed people. And growing
massive amounts of feed grains for animals creates havoc for the environment.
Irrigation of feed grains uses far more water than watering our lawns, washing our cars, or any
other routine human activity. It takes about a million gallons of water to grow just one acre of
corn. As that water trickles into rivers and streams, it carries fertilizer along with it—fertilizer that
the farmers had applied to their fields. That fertilizer makes algae overgrow in the waterways. And
as algae decomposes, it uses up oxygen in the water, killing marine life.
Some doctors wonder whether Long before BP fouled the Gulf of Mexico with oil, there was already an
they should recommend that 8,000-square-mile dead zone below Louisiana and Texas, all thanks to
American agriculture. 
their patients stop eating
Each cow is as big as a sofa, and in the United States, the combined
meat. The fact is, the jury mass of the 100 million or so beef and dairy cattle easily outweighs that
rendered its verdict long ago. of the human population. Every last one is busily belching methane into
the air—methane that is produced as the feed in their stomachs ferments.
Methane is a potent greenhouse gas—much more potent than carbon dioxide.
At any given time, the result is an enormous invisible methane cloud.
Some doctors wonder whether they should recommend that their patients
stop eating meat. Many laypeople wonder if it’s better to set meat aside. The
fact is, the jury rendered its verdict long ago. Whether we are thinking of our
coronary arteries, our children, or the Earth, it is time to rethink our food
choices and act accordingly.
Harry Giglio

Neal D. Barnard, M.D.


President of PCRM

2 GOOD MEDICINE Autumn 2010


Good Medicine®
Contents
Contents
From the Physicians Committee
for Responsible Medicine
Autumn 2010 Vol. XIX, No. 4
Editor in Chief Neal D. Barnard, M.D.
Managing Editor/Designer Doug Hall
Editor Carrie Mumah
Associate Editor Patrick Sullivan
Production Manager Lynne Crane
Senior Web Designer Lisa Schulz
AdvisOrY bOARD
T. Colin Campbell, Ph.D. Cornell University
Caldwell B. Esselstyn, Jr., M.D. The Cleveland Clinic
Henry J. Heimlich, M.D., Sc.D. The Heimlich Institute
Suzanne Havala Hobbs, Dr.P.H., M.S., R.D.
University of North Carolina–Chapel Hill
Lawrence Kushi, Sc.D. Kaiser Permanente
John McDougall, M.D. McDougall Program
Virginia Messina, M.P.H., R.D. Nutrition Matters, Inc. 6 10 11 13 15
Milton Mills, M.D. Gilead Medical Group
Myriam Parham, R.D., C.D.E., C.L.C. Florida Hospital Zephyrhills
William Roberts, M.D. Baylor Cardiovascular Institute
Andrew Weil, M.D. University of Arizona Prevention and Nutrition
Affiliations are listed for identification only.
PCRM STAFF • Kristin Adair Public Affairs Associate & Legislative Counsel • Neal Barnard,
6 Pediatricians vs. Junk Food Giants: PCRM Doctors Report from Front Lines of Obesity Battle
M.D. President • Nancy Beck, Ph.D. Scientific and Policy Adviser • Noelle Callahan Research 8 Vegan Diet Dramatically Improves GEICO Employees’ Health
Program Coordinator • Metta Chaphiv Marketing Associate • Lynne Crane Production Man-
ager • Cael Croft Associate Designer • Claudia Delman, M.P.H. Outreach Manager • Dania 9 PCRM Sues FDA Over Avandia’s Side Effects
DePas, M.C. Communications Assistant • Debra Durham, Ph.D. Senior Research Scientist
• Jill Eckart, C.H.H.C. Assistant to the President • Joanne Evans, R.N., M.Ed., C.S. Nurse Diabetes Educators Learn Vegan Approach
Outreach Coordinator • Tara Failey Communications Coordinator • Hope Ferdowsian, M.D.,
M.P.H. Director of Research Policy • Rebecca Frye Research Program Coordinator • Jessica 10 Want to Go Vegan? There’s an App for That
Frost Communications Coordinator • Noah Gittell Research and Education Programs Coordi-
nator • Joseph Gonzales, R.D. Dietitian • Doug Hall Publications Director • Vaishali Honawar B12 a Good Role Model
Communications Coordinator • Patricia Howard Advertising and PSA Manager • Sanjay Jain
Educational Program and Volunteer Coordinator • Michael Keevican Web Editor/Staff Writer Research Issues
• Mark Kennedy, Esq. Associate General Counsel • Dan Kinburn, Esq. General Counsel • 11 PCRM Conference Pushes Animal Research Dialogue Forward
Leah Koeppel Nutrition and Research Assistant • Elizabeth Kucinich Director of Public and
Government Affairs • Ruby Lathon, Ph.D. Nutrition Policy Manager • Susan Levin, M.S., 12 PCRM Works to Halt Transfer of Chimpanzees to Laboratory
R.D. Director of Nutrition Education • Lauray MacElhern Cancer Project Managing Director •
Lynn Maurer Associate Designer • Greg Mazur Research and Education Program Coordinator True Blood’s Kristin Bauer Speaks Up for Chimpanzees
• Jeanne Stuart McVey Media Relations Manager • Ryan Merkley Manager of Research and
Education Programs • Carrie Mumah Staff Writer • John Pippin, M.D. Senior Medical and Action Alert: Contact the FDA About Animal Testing
Research Adviser • Dawnyel Pryor Marketing Manager • Emily Richard Educational Program
Manager • Chip Rogers Legislative Director • Leslie Rudloff, Esq. Senior Counsel • Chad
13 Victory for Pigs in Wisconsin and Tennessee
Sandusky, Ph.D. Director of Toxicology and Regulatory Testing • Lisa Schulz Web Designer • Seinfeld Writer Supports Humane Charities in Radio Ad
Nick Shahani Physician Outreach Coordinator • Kathryn Strong, M.S., R.D. Dietitian • Kristie
Sullivan, M.P.H. Scientific and Policy Adviser • Patrick Sullivan Director of Communications PCRM Legislative Fund
• Caroline Trapp, M.S.N., A.P.R.N., B.C.-ADM, C.D.E. Director of Diabetes Education and
Care • Anna West Public Relations and New Media Manager • PCRM FOUNDATION • Nabila 14 Ensuring Cosmetics Testing Bill Supports Nonanimal Methods
Abdulwahab Data Processor • Bruce Banks Staff Accountant • Melinda Beard Reception-
ist • Nikki Bollaert, M.N.M., C.F.R.E., C.A.P. Director of Special Gifts • Deniz Corcoran Data 15 Great Ape Protection Act Reaches Senate
Entry Manager • Sossena Dagne Data Processor • John Evans Database/Web Developer •
Stacey Glaeser Director of Human Resources • Erica Hanna Information Technology Man- NASA Engineer Resigns Over Monkey Radiation Experiments
ager • Lesley Hill Budget Coordinator • Stephen Kane Finance Director • Jacqueline Keller
Development Assistant • Brittany Keyes Human Resources Assistant • JohnR Llewellyn
European Space Agency Opposes Monkey Experiments
Internet Marketing Manager • Enrique Lozano Help Desk Technician • Garron Marsh Fa- The Cancer Project
cilities Coordinator • Andria Matrone Internet Marketing Coordinator • Melanie McCormick
Membership Assistant • Debbi Miller Special Events Manager • Margaret Murray Major Gifts 16 The Cancer Project Update Helping Those Who Need It the Most
Officer • John Netzel Facilities Manager • Manali Patel Staff Accountant • Sarah Petersen
Human Resources Coordinator • Isaac Skelton Grants Manager • Kalpesh Suthar Accounts 17 The News You Need
Payable Coordinator • Betsy Wason, C.F.R.E. Director of Development • Rod Weaver Data
Manager • Christopher Wright Finance Assistant • Craig Ziskin Associate Director of Annual Departments
Giving • WASHINGTON CENTER FOR CLINICAL RESEARCH • Laura Adelson Clinical Research 4 The Latest in...
Coordinator • Suruchi Mishra Clinical Research Coordinator • Kavita Rajasekhar Clinical Re-
search Coordinator • Jia Xu, Ph.D. Clinical Research Coordinator • CONSULTANTS • Jonathan 18 Member Support Celebrating 25 Years (25 Good Things to Do Now)
Balcombe, Ph.D. • Amber Green, R.D. • Jennifer Huff • Amy Lanou, Ph.D. • Paul Marcone •
Jennifer Reilly, R.D. 20 PCRM Marketplace
Good Medicine is published quarterly by the Physicians Committee for Responsible Medicine, 5100
Wisconsin Ave., NW, Suite 400, Washington, DC 20016, tel 202-686-2210, fax 202-686-2216. It is 23 Just the Facts
distributed as a membership benefit to PCRM members. Basic annual membership in PCRM is $20
(tax-deductible). PCRM promotes good nutrition, preventive medicine, ethical research practices, and 24 Physician Profile Trauma Training the Modern Way: Marie Crandall, M.D., M.P.H., F.A.C.S.
compassionate medical policy.
Readers are welcome to reprint articles without additional permission. Please include the credit Cover: Doug Hall
line: Reprinted from Good Medicine, Autumn 2010, Physicians Committee for Responsible Medicine.
Articles are not to be reprinted for resale. Please contact PCRM at permissions@pcrm.org regarding
other permissions. ©PCRM 2010. PCRM Phone Extensions 202-686-2210
Good Medicine is not intended as individual medical advice. Persons with Research Issues................................................................................. ext. 335

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lifestyle changes with their health professional. Literature Requests........................................................................... ext. 306 Doctors and laypersons working
“Good Medicine” is a registered trademark of the Physicians Committee for Responsible
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printed on recycled paper Autumn 2010 GOOD MEDICINE 3


The Latest in…
The Latest in…

Research Ethics By Kristie Sullivan, M.P.H.

Toxicity Testing

Rabbit-Free Skin Irritation Test Adopted Worldwide humane—and more accurate—assess-


ment of the potential for human skin
irritation. Manufacturers construct a
3-D layer of skin using excess skin cells
from surgical procedures; the models
closely mimic the properties of human
skin. Substances are applied to the model

MATTEK
to assess the potential for skin damage.
The OECD produces safety-testing

A fter more than a decade of scientific


research, the Organisation for Eco-
nomic Cooperation and Development
cosmetics, and consumer products
might irritate human skin. The test
involves applying substances to shaved
guidelines for its 31 member nations,
which include North America, Western
Europe, Japan, South Korea, Australia,
(OECD) has approved a new, nonanimal skin on rabbits’ backs. The new guide- and other large economies, as well as
testing guideline for skin irritation that line allows for the use of three artificial many affiliated countries that also abide
can almost completely replace the Draize human skin models engineered by by the test guidelines, such as Brazil,
rabbit skin test. SkinEthic in Nice, France, and MatTek Russia, and India.
The Draize, developed in the 1940s, of Ashland, Mass., or other methods OECD Test Guideline 439—In Vitro Skin Irritation: Reconstructed
has been the traditional way to as- that meet the guideline’s specifications. Human Epidermis Test Method. Available at: http://browse.
oecdbookshop.org/oecd/pdfs/browseit/9743901E.PDF. Accessed
sess whether chemicals, pesticides, These new methods provide a September 2010.

Advances in Inhalation Toxicity Testing metabolic enzymes–crucial for under-


standing the potential toxic effects of

R esearchers in the United States


and Switzerland have created two
new nonanimal models for assessing the
substances cause the cells to produce al-
lergic or other harmful reactions. Micro-
technology can allow many substances to
inhaled substances. Most important,
the model can be used for up to a year,
enabling longer-term tests than other in
dangers of inhaled toxicants. be tested at once, producing faster results. vitro models.
Harvard researchers have invented a Switzerland-based Epithelix created At the recent Linz Congress on Al-
“lung on a chip” that shows great prom- the MucilAirTM model to assess the effects ternatives to Animal Testing, Epithelix
ise for testing human health effects of of repeated exposures to airborne chemi- scientists presented the results of tests
toxicants without using animals. cals on human airway cells. MucilAirTM conducted with formaldehyde on the
The Harvard model uses microflu- is a 3-D construct of human cells from MucilAirTM model. The data strongly cor-
idic technology—tiny chambers of cells the respiratory system. relate with what is known about human
separated by a membrane—to mimic lung When “grown” in a plastic dish, the responses to formaldehyde. The company
construction. A vacuum on either side model differentiates into the various cell plans to expand the model to allow test-
of the cells helps mimic expansion and types of the respiratory system, includ- ing for allergenicity and carcinogenicity.
contraction during normal breathing. The ing goblet, basal, mucus, and ciliated For more information, visit Epithelix.com.
cells in the upper chamber are exposed to cells. The cells even contain CYP450 Huh et al. Science. 2010;328:1662-1668.

air and test substances, while lower cham-


ber cells are bathed in fluid that mimics
the internal side of the lung barrier.
The model can test, for example,
whether inhaled nanoparticles can
EPITHELIX

cross this barrier, or whether inhaled

4 GOOD MEDICINE Winter


Autumn 2010
2006
Nutrition By Susan Levin, M.S., R.D., and Kathryn Strong, M.S., R.D.
The Latest in…

WEIGHT CONTROL
Meat Causes Weight Gain

E ating meat leads to weight


gain, according to a new
study published in the American
Journal of Clinical Nutrition.
Researchers studied the diets
of 373,803 participants in the
European Prospective Inves-
tigation into Cancer (EPIC)
study. Those who ate 8.8 ounces
(about two servings) of meat per
istockphoto

day gained more weight year


by year, compared with people who meat consumption may help people
ate less meat or none at all. The weight avoid weight gain.
gain attributable to meat consumption Vergnaud AC, Norat T, Romaguera D, et al. Meat consumption and
was about 1 extra pound per year. The prospective weight change in participants of the EPIC-PANACEA
study. Am J Clin Nutr. Published ahead of print June 30, 2010. doi:
researchers concluded that reducing 10.3945/ajcn.2009.28713.

REPRODUCTIVE HEALTH

Physical Inactivity Does Not Higher Meat Intake Leads to Earlier Puberty for Girls
Cause Weight Gain in Children
A ccording to a new study, girls who

L
eat the most meat products during
ack of physical activity is not the
childhood may have an earlier occur-
cause of weight gain in children,
rence of puberty, increasing their risk of
according to a study in Archives of Dis-
diseases such as cancer, heart disease, and
eases in Childhood. Researchers measured
osteoporosis. Researchers followed 3,298
physical activity and body fat percentage
girls in Bristol, England, and gathered
in 202 children annually from age 7 to
their dietary intakes when they were 3,
age 10. The amount of physical activity
7, and 10 years old. Forty-nine percent
did not result in changes in body fat.
of girls who ate more than 12 portions
Although physical activity is important,
of meat per week started their periods
focusing on food intake may have a larger
by age 12, compared with 35 percent of
impact on weight loss, the researchers
girls who ate fewer than four portions of
concluded.
meat per week.
istockphoto

Metcalf BS, Hosking J, Jeffery AN, Voss LD, Henley W, Wilkin TJ. Fatness
leads to inactivity, but inactivity does not lead to fatness: a longitu- Rogers IS, Northstone K, Dunger DB, Cooper AR, Ness AR, Emmett PM. Diet
dinal study in children (EarlyBird 45). Arch Dis Child. Published ahead throughout childhood and age at menarche in a contemporary cohort
of print June 23, 2010. doi: 10.1136/adc.2009.175927. of British girls. Public Health Nutr. Published ahead of print June 8, 2010.

MENTAL HEALTH

V
Meaty Diets May Fuel Depression egetarians have lower instances against food frequency questionnaires.
of depression, according to a new The vegetarians consumed less eicosap-
study in Nutrition Journal. Researchers entaenoic acid (EPA), docosahexaenoic
looked at 60 vegetarians and 78 meat- acid (DHA), and arachidonic acid—all
eaters in the southwestern United States animal sources of essential fatty acids—
and found that vegetarians scored signifi- but reported higher mean intakes of plant
cantly better on standardized mood tests. sources of omega-6 and omega-3.
istockphoto

The mood tests measured depression, Beezhold BL, Johnston CS, Daigle DR. Vegetarian diets are associated
with healthy mood states: a cross-sectional study in Seventh Day
anxiety, and stress and were compared Adventist adults. Nutr J. 2010;9:26.

Autumn 2010 GOOD MEDICINE


Winter 2006 5
Pediatricians vs.
Junk Food Giants
PCRM Doctors Report from Front Lines of Obesity Battle

“I had my daughter watch Super Size Me when she


was about 12,” says Dr. Brown. “And she really lost
interest in fast food.”
Pediatricians nationwide are waging a war against
unhealthy school lunches and junk food advertising
targeting children. Children and teenagers see up to
7,600 food commercials each year. Almost none are
for fruits or vegetables. And junk food advertising
doesn’t just mean ads for candy and soda—it means
ads for burgers, chicken nuggets, and even that glass of
milk that is now known to be a major contributor of
fat and cholesterol. Alluring, million-dollar marketing
campaigns are conditioning children to opt for foods
like Big Macs instead of broccoli and bananas.
Major food and beverage companies spend $1.6 bil-

J ack is a typical child in Dr. Rina Shah’s practice.


Except that at 6 years old he weighs 100 pounds.
“The average child his age should be closer to 50
lion per year advertising to children, according to a 2008
Federal Trade Commission report. Other estimates are
as high as $10 billion. Food marketing to children is
pounds,” says Dr. Shah, a pediatrician in Vallejo, Calif. not just TV ads. Companies target children everywhere
“Jack is one of the many children in my practice who they spend time—including school, online, cell phones,
struggles with eating healthy and becoming more active.” video games, movies, and grocery store aisles. Fast food
More than 12 million children and adolescents in restaurants lure kids by offering a free toy with kids’ meals.
the United States are obese. One in three children born Another PCRM member pediatrician, Jay Gordon,
since the year 2000 will develop diabetes at some point M.D., banned fast food from his Los Angeles office. If
in life, according to the Centers for Disease Control someone walks into the waiting room with a McDon-
and Prevention. ald’s bag, they are asked to leave the food at the door.
Dr. Shah and other PCRM pediatricians have shared Research shows that junk food advertisements work.
firsthand accounts of how they are battling the child- In fact, they are so powerful they can convince children
hood obesity epidemic in their own practices. that identical products taste different. A recent study
from Yale’s Rudd Center for Food Policy and Obesity
Fighting Fast Food found that kids are more attracted to junk food when
a cartoon celebrity adorns the package. They offered
Leslie Brown, M.D., a pediatrician in New Orleans, kids identical gummy fruits and other foods—some in
is doing all she can to fight junk food advertising both packaging depicting Shrek and other popular characters
in her practice and in her own family. and some in plain packaging—and half of the children

Rina Shah, M.D., and her daughter Diya Leslie Brown, M.D. Jay Gordon, M.D. Roberta Gray, M.D.

6 GOOD MEDICINE Autumn 2010


Prevention & Nutrition

said the cartoon-adorned snack actually tasted better


than the same food in a plain package. Not-So-Happy Meals
“Cultural beliefs and social eating habits are deeply

W
entrenched,” says Roberta Gray, M.D., a PCRM pedia- ith 840 calories, 37 grams of fat, and about as much sodium
trician in Rock Hill, S.C. “Having practiced primarily as a child should consume in an entire day, McDonald’s
in the rural South and Appalachia, where adult and Mighty Kids Meal has topped a list of the five most unhealthful
childhood obesity prevalence has been the highest in fast-food meals marketed to children. The list, based on analysis
the nation for decades, there seems to be a pervasive by PCRM dietitians, also includes meals from Wendy’s, KFC, and
social complacency and acceptance of obesity. All day A&W, as well as Burger King’s just-released BK Kids Breakfast Meal.
eating out of cellophane wrappers is the norm.” “Kids shouldn’t have to dodge cholesterol bombs packaged in
Another recent study confirmed that it’s not sitting colorful, toy-filled boxes,” says PCRM nutrition education director
in front of the TV that makes kids overweight—it’s Susan Levin, M.S., R.D. “We’re losing the war against childhood
the junk-food ads they watch while sitting there. obesity, but fast-food chains are still making obscene profits by
UCLA researchers compared children who watched targeting children with high-fat meals.”
commercial-free programming and DVDs with those Here are the five most unhealthful kids meals, ranked from
watching regular TV with commercials. They found worst to least bad:
that TV watching was associated with increased obesity
rates only among the kids who watched commercials. Rank Five Worst Fast-Food Kids Meals Nutritional Profile
Dr. Gray explains that junk food and fast food per-
McDonald’s Mighty Kids Meal:
meate all aspects of children’s lives, even when they’re 840 calories; 37 grams
Worst Double Cheeseburger, french fries,
of fat
sitting in the doctor’s office. and chocolate milk
“I enter the exam room at 10 a.m. to see my 6-year-
Wendy’s Kids’ Meal:
old, obese, hypertensive patient,” says Dr. Gray, de- 2nd 770 calories; 34 grams
Chicken Sandwich, french fries,
Worst of fat
scribing a typical practice occurrence. “There’s a 1,000 and chocolate Frosty
pound family in this room—mom, dad, maternal
KFC Kids Meal:
grandmother, my patient, and her 4-year-old brother. 3rd
Popcorn chicken, potato wedges,
800 calories; 1,800
The mother tells the children to be good and she’ll take Worst milligrams of sodium
string cheese, and soda
them to Chuck E. Cheese’s. This visit was a follow-up to
A&W Kids Meal:
last month’s visit when they had a lengthy consultation 4th
Cheeseburger, french fries, and
780 calories; 9 grams of
with the pediatric dietitian.” Worst saturated fat
soda

95 milligrams of
Prescription Produce 5th Burger King’s BK Kids: cholesterol; exceeds
Worst Breakfast muffin sandwich meal recommended limit on
Pediatricians and other health care professionals are sodium intake
finding innovative ways to counteract food advertising
and help children develop a taste for fruits, vegetables, ONLINE> Read the complete report: PCRM.org/Health.
whole grains, and other healthful foods. Doctors are
also taking action to improve access to healthful foods.
Doctors at three health centers in Massachusetts believe certain foods are healthful when they are not.
have started handing out “produce prescriptions” to She has been in private practice for 13 years and says
help fight obesity in children in low-income areas. the percentage of overweight and obese patients rises
They give patients’ families coupons to purchase fruits every year.
and vegetables at farmers markets. This program is a Dr. Brown and other PCRM doctors are trying to
new way to compete with the cheap, processed foods give both parents and children a better understanding
on fast-food dollar menus. of nutrition so they know which foods to limit or avoid.
“I think the biggest problem is kids’ access to junk
food and sugary drinks and parents’ unwillingness to An Apple a Day…
limit them,” says Dr. Brown. “I overhear parents of kids
in my practice promising lunch at McDonald’s to make Dr. Shah organized a nutrition seminar for kids like
up for having to come in for a visit.” Jack and their families last summer. Families came once
Dr. Brown says she thinks parents have been led to a week for three weeks and learned about healthy food

Autumn 2010 GOOD MEDICINE 7


Prevention & Nutrition

from a nutritionist and health educator. The seminars “I talk to my 5-, 10-, 15-year-olds about meat and
also included group counseling. cheese and ask them to think about what would be
“The children were eager to participate and learn better for their Saturday afternoon soccer games,” he
about what was healthy and what was not,” says Dr. says. “I say, ‘If you eat more fruits and vegetables, you
Shah. “I saw Jack in follow up about a month later. He can run faster.’”
was eating more fresh fruits and vegetables, exercising, PCRM pediatricians have also been helping with
and trying to be healthier.” PCRM’s campaign to improve school lunches. They’ve
Dr. Shah also asks patients to keep a food diary. She been speaking out against the fast food and cheap
starts with children as young as first grade and asks them processed meat often served in school lunch lines and
and their families to set their own goals for healthy eat- encouraging Congress to provide schools with more
ing. She finds that children are more willing to make vegetarian commodity options.
changes if they create their goals rather than her telling They want children to have access to healthful foods
them what they need to accomplish. at school, at home, and in their communities so they
Dr. Gordon also starts talking to his patients about will develop eating habits that can help keep them
nutrition at a young age. healthy—and out of the doctor’s office.

Vegan Diet Dramatically Improves GEICO Employees’ Health


BEFORE AFTER
(GEICO) employees with body mass indexes above 25
were recruited to participate in the study conducted by
the Washington Center for Clinical Research, a PCRM
subsidiary. Sixty-eight employees at the Chevy Chase,
Md., location were asked to follow a low-fat vegan diet
for 22 weeks without changing their exercise routines.
Participants also attended weekly nutrition presentations
or cooking demonstrations and were offered low-fat
vegan breakfast and lunch options in the company caf-
eteria. Study participants at GEICO’s Fredericksburg,
Va., site were asked to continue their regular diet and
exercise habits.
Employees in the intervention group lost about 11
pounds on average, reducing their risk for heart disease,
high blood pressure, and diabetes. At least two partici-
pants lost more than 40 pounds, and they all missed
fewer hours at work than control group participants.
Control group participants followed an omnivorous
diet and experienced weight gain and a rise in blood
By following a low-fat vegan diet, Hillary and Bruce experienced vast improvements pressure.
in their weight and overall health. Annual costs of obesity-related expenditures to busi-
nesses have been estimated at approximately $13 billion,

T he answer to America’s obesity epidemic could be


as close as the workplace cafeteria. A new study
published in July’s American Journal of Health Promo-
but health care costs for employers who offer worksite
nutrition programs are likely to be lower.
“Employers may be motivated to provide obesity-
tion found that GEICO employees who switched to a related interventions, because they often assume finan-
vegan diet in a worksite nutrition program lost weight, cial liability for health outcomes and costs,” according to
reduced their blood pres- the study’s authors. “Epidemiologic studies have shown
ONLINE> GEICO employees Bruce and Hillary describe sure, and missed fewer that populations consuming low-fat, plant-based diets
the benefits of their employer’s worksite nutrition days of work. reduce body weight, improve plasma lipid concentra-
program in this inspiring video: PCRM.org/GEICOvideo. Government Em- tions, reverse coronary atherosclerosis, and improve type
ployees Insurance Co. 2 diabetes management.”

8 GOOD MEDICINE Autumn 2010


Prevention & Nutrition

PCRM Sues FDA Diabetes Educators Learn


Over Avandia’s Vegan Approach
Side Effects P CRM educated health care professionals about the benefits of
a plant-based approach to treating diabetes at the American
Association of Diabetes Educators annual meeting in San Antonio
this August.
More than 500 diabetes educators attended PCRM’s screening of
Forks Over Knives, the new documentary examining how most de-
generative diseases can be controlled, or even reversed, by remov-
ing animal products from the diet.
Dr. Barnard’s research on how a vegan diet can prevent and
reverse diabetes was presented in a poster session titled “Insulin
Resistance and Diet: Effective Nutrition as First-Line Treatment.”
PCRM director of diabetes education and care Caroline Trapp,
M.S.N., C.D.E., presented on PCRM’s GEICO workplace weight-
loss study and on reimbursement for vegan nutrition education.
Brenda Davis, R.D., author of Becoming Vegan and Defeating Diabe-
tes, discussed her experience helping people in the Marshall Islands
manage their diabetes through healthy eating.

P
During the conference’s awards ceremony, PCRM presented the
CRM wants diabetes patients to know about
first PCRM/American Association of Diabetes Educators (AADE)
dietary alternatives to dangerous oral diabetes
Foundation award, the Plant-Based Nutrition Education Scholar-
drugs. To ensure that doctors and patients get the
ship. The winner, Julie Mantis, R.N., M.S., manages the diabetes
facts, PCRM filed a suit against the Food and Drug
education program at Community Hospital in Crown Point, Ind. Ms.
Administration this July.
Mantis’ application essay explained how PCRM’s presentations at
The lawsuit, filed in the U.S. District Court for the
the 2009 AADE conference and the 21-Day Vegan Kickstart program
District of Columbia, targets Food and Drug Admin-
helped her switch to a vegan diet and inspire her patients and co-
istration (FDA) commissioner Margaret Hamburg,
workers. Ms. Mantis says she’s now a better athlete and can speak
M.D., for failing to act on a PCRM administrative
confidently about this healthy nutrition option with her patients.
petition. The petition urges the FDA to require that
diabetes drugs carry warning labels telling patients that
low-fat plant-based diets can effectively treat type 2
diabetes without dangerous side effects associated with
oral medications.
A 2006 study funded by the National Institutes of
Health found that a low-fat plant-based diet was as
effective as oral medications at reducing blood glucose
and cholesterol in people with diabetes.
“A plant-based diet is as effective as drugs for lower-
ing blood sugar, and much more effective for trimming
body weight,” says PCRM president Neal Barnard,
M.D. “Doctors and patients need the facts.”
BRENDA DAVIS

The lawsuit came after researchers released data link-


ing Avandia to life-threatening side effects that might
have killed or injured tens of thousands of people. Fol-
lowing these findings, the FDA took expert and public Plant-Based Nutrition Education Scholarship winner Julie Mantis, R.N., M.S.,
testimony on Avandia at a special joint meeting of two with PCRM’s Caroline Trapp, M.S.N., C.D.E.
advisory panels.

Autumn 2010 GOOD MEDICINE 9


Prevention & Nutrition

Want to Go Vegan?
There’s an App for That

N ow your iPhone can help you get healthy, in addition to amusing you with
games, news, and entertainment. PCRM has launched a free iPhone app
to complement the 21-Day Vegan Kickstart online program.
The Kickstart app provides 21 days of low-fat vegan breakfast, lunch, snack,
and dinner recipes, accompanied by nutrition tips and vibrant photographs of
the recipes. The app allows users to scroll through recipes, check off ingredients,

KATHY PATALSKY / istockphoto


bookmark favorites, and search by keyword.
More than 20,000 people tried out a vegan diet this September through
PCRM’s 21-Day Vegan Kickstart, and many of them took advantage of the
new iPhone app. The next Kickstart begins in January.

ONLINE> Download the free iPhone app and sign up for the January Kickstart at 21DayKickstart.org.

B12 a Good Role Model A Resource for


W hen sharing the health benefits of a plant-based
diet, it is important to lead by example. Don’t 21st Century
Medicine
be a cheese-and-french-fries vegetarian—instead, load
up on fresh fruits and vegetables, whole grains, and
legumes. Also, be sure to plan for complete nutrition.
It’s easy and important.
The main nutrient vegans should plan for is vitamin
B12. It is essential for healthy nerves and healthy blood.
It is made by neither animals nor plants; it is made
by bacteria. Presumably, before the advent of modern
hygiene, the bacteria in the soil and on plants provided
traces of B12. However, those sources are certainly
not reliable nowadays. Deficiencies
are rare, but they manifest as nerve
symptoms that may be irreversible. So
be sure to get your B12 from a daily
multiple vitamin, a B12 supplement,
or fortified foods (e.g., fortified cereals,
NutritionCME.org
A Website for Health Care Professionals
soymilk, etc.)
Overall, vegan diets provide better NutritionCME is an online, evidence-based nutrition
nutrition than any other kind of diet— resource featuring free continuing medical education
with plenty of protein, calcium, and (CME) credits and continuing education units (CEU)
iron, and an abundance of vitamins for physicians, nurses, nurse practitioners, dietitians,
and minerals—without the problems and physician assistants.
posed by animal fat and cholesterol. Sponsored by the Physicians Committee for
istockphoto

But it’s essential to include a source of Responsible Medicine and The George Washington
vitamin B12. And it couldn’t be easier University.
to do.

10 GOOD MEDICINE Autumn 2010


Research Issues

PCRM Conference Pushes Animal Research Dialogue Forward

M ore than 200 scientists, medical professionals,


and policymakers came together in Washington,
D.C., in late August for PCRM’s inaugural conference
on animal experiments and alternatives.
Despite well over a century of debate, the ethical and
scientific issues surrounding animal research have rarely
been studied together in a balanced, organized forum.
But at PCRM’s Animals, Research, and Alternatives
conference, more than 20 speakers from around the
world shared their expertise on the scientific, legal, and
political opportunities and challenges to implementing
alternatives to animal experiments.
During this two-day event, attendees learned how
expanding knowledge of animals’ psychological and
Rep. Dennis Kucinich, Keynote Speaker Charles Kimwele, Ph.D., African Network
social attributes reinforces the urgency of reevaluating for Animal Welfare, University of Nairobi
their use in research.
The first presenter, John Gluck, Ph.D., of the Uni-
versity of New Mexico and the Kennedy Institute for
Ethics at Georgetown University, conducted primate
research for years before turning his attention to the
ethics of animal research. Dr. Gluck and other speakers
explained that animals have their own set of needs—and
that these needs are compromised when animals are
forced to live in laboratory settings.
Jaak Panksepp, Ph.D., of Washington State Univer-
sity, explained that overwhelming evidence supports John Gluck, Ph.D., University of New Alicia Karas, D.V.M., Tufts University
Mexico, Kennedy Institute of Ethics at
that animals experience various emotions. Marc Bekoff, Georgetown University
Ph.D., of the University of Colorado, pointed out why
the emotional and moral lives of animals matter. The conference was co-sponsored by the Institute for
Speakers addressed the physical pain animals suffer In Vitro Sciences, Johns Hopkins University Center for
from in laboratories and also discussed the severe psycho- Alternatives to Animal Testing, The George Washington
logical suffering caused by using animals in experiments. University Medical Center, and the Kennedy Institute
PCRM’s research policy director Hope Ferdowsian, of Ethics at Georgetown University.
M.D., M.P.H., discussed her observational study of Funding for this conference was received from the
chimpanzees, which found that many chimpanzees used Arcus Foundation and the National Science Foundation.
in laboratory research continue to exhibit symptoms of
depression and post-traumatic stress disorder years after
ONLINE> For more information about the conference and speakers,
being released to sanctuaries.
go to ResearchAlternatives.org.
Conference attendees also learned about exciting
advances in medical research, including a surrogate
human immune system for predicting vaccine safety,
a computer simulation environment that designs new
Mike Wilkinson

insulin treatments for diabetes, human tissue assays


for drug development, and a revolutionary approach
to breast cancer research.

Autumn 2010 GOOD MEDICINE 11


Research Issues

Southwest National Primate Research Facility in San


PCRM Works to Antonio, a laboratory notorious for animal welfare vio-
lations. Because of their health conditions and advanced
Halt Transfer of age, some may not even survive the move.
There is tremendous local support for keeping the
Chimpanzees chimpanzees in Alamogordo. PCRM is reaching out
to concerned New Mexico officials, providing them
to Laboratory with resources about NIH’s plan and the ethical and
scientific problems with chimpanzee experimentation.
In July, New Mexico Gov. Bill Richardson wrote a
letter to NIH opposing the move. He later flew to the
D.C. area to meet with agency
officials, and he continues to
support permanently retiring
these chimpanzees.

istockphoto
Unfortunately, the federal
government has ignored ap-
peals from Richardson, phy-

P CRM is working to stop the transfer of nearly 200


chimpanzees from the Alamogordo Primate Facil-
ity in New Mexico to a laboratory in Texas where they
sicians, primatologists, and
others who oppose this plan.
NIH has already moved 14 of
would be used in invasive experiments. the chimpanzees to the Texas
The chimpanzees have not been used in invasive facility and plans to move the New Mexico Gov.
Bill Richardson
research since 2001. Some were previously used in test- other chimpanzees soon.
ing at a privately run facility that was responsible for
35 chimpanzee deaths. Now, the National Institutes of ONLINE> Urge Health and Human Services secretary Kathleen Sebelius
Health (NIH) plans to move the chimpanzees to the to cancel this plan: PCRM.org/Alamogordo.

Action Alert True Blood’s Kristin Bauer


Speaks Up for Chimpanzees
Contact the FDA About Animal Testing

E very day, thousands of animals are experimented on and killed


to create and test drugs, many of which will never help a sick
K
ristin Bauer, who
plays a vampire
on the TV series True
human being. That’s why PCRM and an international coalition
of scientists, doctors, and animal-protection organizations filed Blood, has joined
the Mandatory Alternatives Petition with the U.S. Food and Drug New Mexico Gov. Bill
Administration. The petition asks the FDA to mandate the use of Richardson and many
validated nonanimal testing methods, when those alternatives others who are speak-
exist, to create safer drugs for American consumers. ing out on behalf
The FDA is currently reviewing the initiative. During this time, we of the Alamogordo
need you to contact the FDA and urge the agency to mandate the chimpanzees.
use of validated alternatives to animal tests. Please write to:
“I’ve always been fascinated by chimpanzees.
Margaret A. Hamburg, M.D., Commissioner We now know that these amazing animals use
U.S. Food and Drug Administration tools, grieve for their dead, and are capable of
5600 Fishers Lane complex communication with humans,” wrote
Rockville, MD 20857 Bauer in her letter to NIH director Francis S. Col-
lins, M.D., Ph.D. “When chimpanzees are used in
ONLINE > To learn more about the Mandatory Alternatives Petition, visit invasive experiments, they are kept in small metal
Alternatives-Petition.org. To sign PCRM’s online petition to the FDA, go to
cages, deprived of normal social interaction, and
Support.PCRM.org/FDA_Petition.
often subjected to harmful procedures.”

12 GOOD MEDICINE Autumn 2010


Research Issues

Victory for Pigs in


Wisconsin and Tennessee
iSTOCKPHOTO

lab at the University of Tennessee in 2008. The pigs


were initially replaced with student rotations in an area
hospital before the school purchased two TraumaMan

P CRM has worked for years to replace animal use


with human-based alternatives in medical schools.
With help from members, PCRM recently achieved
System simulators. In June, after PCRM filed a federal
complaint over the school’s use of animals in its ATLS
program, the university confirmed that it has stopped
two more victories when the University of Wisconsin using live pigs and is using those same simulators in its
School of Medicine and Public Health and the Univer- trauma training course.
sity of Tennessee College of Medicine in Memphis both PCRM has just added six more institutions to the list
stopped using live pigs. of trauma training programs using nonanimal methods.
Previously, during the first-year physiology course lab But a handful of programs, including Tulane University
at the University of Wisconsin (UW), medical students School of Medicine, continue to use live animals in
practiced on live pigs before the animals were bled out trauma training courses.
and killed. UW now joins the overwhelming majority At Tulane, the ATLS course still involves cutting
of medical schools that no longer use live animals to open live, anesthetized pigs and practicing procedures
teach future physicians. such as inserting a tube and needle into the animals’
PCRM has been equally effective at ending animal chest cavities and cutting into their throats. After the
use in Advanced Trauma Life Support (ATLS) programs, training session, the animals are killed.
and recently learned that the University of Tennessee has
stopped using live pigs in this course. PCRM helped ONLINE> To help save animals at Tulane, visit PCRM.org/Tulane.
end the use of live pigs in a medical student surgery

Seinfeld Writer Supports Humane Charities in Radio Ad


C arol Leifer finds humor in everything—except
not knowing where her money goes when she
donates to a health charity. In a new radio public service
announcement, she explains how PCRM’s Humane
Charity Seal of Approval program helps donors find
charities that provide vital care and advance research
without using animals.
Leifer, a stand-up comic and author who has writ-
ten for Seinfeld and Saturday Night Live, urges donors
to “give and let live” by supporting compassionate
charities committed to providing vital services and
care to patients or advancing research without the use
of animals.
“Animal experiments are no joke. Thank goodness
scientists are finding better, more humane ways to de-
velop treatments for cancer and other killer diseases,”
says Leifer in the PSA.

ONLINE > To listen to the PSA, visit HumaneSeal.org.

Autumn 2010 GOOD MEDICINE 13


PCRM Legislative Fund

Ensuring Cosmetics Testing


Bill Supports Nonanimal
Methods
ONLINE> For more information on our chemical
policy work, go to PCRMLF.org/Tox.

iSTOCKPHOTO
T
he PCRM Legislative Fund is working to ensure
that new cosmetics testing legislation includes pro-
visions to support the development and use of effective
are concerned they will have to test ingredients such as
lavender and sage in animals.
“Animal tests are not a good way to assess how
nonanimal test methods, an approach that will protect cosmetics ingredients will affect human health,” says
millions of animals and help produce safer products PCRM scientist Nancy Beck, Ph.D. “And even if they
for humans. were, the amount of testing required by this bill is
The Safe Cosmetics Act of 2010, H.R. 5786, was completely unworkable because of the huge number of
introduced in July by Reps. Jan Schakowsky, D-Ill., animals, laboratory capacity, time, and money required
Edward Markey, D-Mass., and Tammy Baldwin, D- for testing, as well as the resources needed for FDA to
Wis., to overhaul cosmetics regulation. The bill was review all this data.”
introduced within two days of the Toxic Chemicals PCRM is pushing for commonsense safety testing
Safety Act, which PCRM is also working to strengthen, by urging legislators to support testing tailored to an
and is part of a broader trend over the last few years to ingredient rather than a one-size-fits-all checklist. In
improve regulation of chemicals in the environment addition, PCRM scientists are calling for a mandate
and in consumer products. that the FDA and cosmetics companies consider all
Currently, cosmetics are regulated by the Food existing data on an ingredient to determine whether
and Drug Administration (FDA) through the Federal additional information is needed. This approach would
Food, Drug, and Cosmetics reduce animal use while also creating a more efficient
Act (FFDCA). Under the assessment system.
“Animal tests are not a good
FFDCA, cosmetics manu- Although the Safe Cosmetics Act calls for increased
way to assess how cosmetics facturers are responsible for testing, it does include a section that requires the use
ingredients will affect human verifying the safety of their of existing nonanimal alternatives “where practicable.”
products, but they are not This is stronger language than the new chemical testing
health,” says PCRM scientist required to perform par- legislation, which only encourages the use of alternatives.
Nancy Beck, Ph.D. ticular safety tests or gain PCRM is pushing for even stronger provisions in the
approval from the FDA bill to replace animal testing with effective alternatives,
prior to marketing their products. This concerns many including explicit mention of modern toxicity testing
who desire greater oversight of consumer products. approaches such as in vitro and computational methods.
H.R. 5786 would increase regulatory authority, but The European Union recently adopted a new cosmet-
the bill would also require that cosmetics ingredients ics testing model, the Cosmetics Directive, 76/768/
undergo extensive toxicity tests for an array of potential EEC. This legislation has spurred innovation in test
health effects. Although there are acceptable nonanimal method development by gradually banning the use of
methods for certain types of safety tests, much of the animals. The ban effectively prompted the development
mandatory testing called for in this bill would require of several advanced methods to address cosmetics safety.
the use of animals. The testing requirements are so PCRM is urging United States legislators to follow this
far-reaching that companies with all-natural products model.

14 GOOD MEDICINE Autumn 2010


PCRM Legislative Fund

Great Ape Protection Act Reaches Senate


T he PCRM Legislative Fund’s campaign to end
chimpanzee experiments took a critical step forward
in August with the introduction of a bipartisan Senate
director of research policy Hope Fer-
dowsian, M.D., M.P.H. “This new
bill would release chimpanzees and
bill. Washington Sen. Maria Cantwell, Vermont Sen. ensure that tax dollars are not wasted
Bernie Sanders, and Maine Sen. Susan Collins intro- on these cruel, failed experiments.”
duced the Great Ape Protection Act, S. 3694, a parallel The Legislative Fund team con-
bill to the House version, H.R. 1326. These bills would tinues to meet with Senate offices to
end the use of chimpanzees in invasive experiments, garner additional support for S. 3694.
release more than 500 federally owned chimpanzees to The House bill has gained significant
permanent sanctuaries, and prohibit the breeding of momentum and now has nearly 150
chimpanzees for research. co-sponsors.
“Millions of wasted dollars and decades of failed ex-
iSTOCKPHOTO

ONLINE> Ask Congress to pass the Great Ape


periments have demonstrated that chimpanzees are poor
Protection Act: PCRMLF.org/GAPA.
models for researching human disease,” says PCRM

NASA Engineer Resigns Over


Monkey Radiation Experiments
N ASA engineer April Evans recently resigned when
the space agency refused to address her concerns
about its proposed monkey radiation experiments.
toward modern nonani-
mal alternatives, such as
anthropomorphic phan-
Evans’ decision to quit NASA, where she was an ar- toms, which are proven
HOUSTON CHRONICLE

chitect on the International Space Station, has received more accurate than animal
extensive coverage, including a story in the Houston experiments.
Chronicle.
In September, Evans left a voicemail message for ONLINE> The PCRM Legislative Fund is urging members of Congress to take legislative action
employees at Brookhaven National Laboratory on Long against NASA’s proposed experiments. Contact your representative today: PCRMLF.org/NASA.
Island, where the squirrel monkeys will be exposed to
radiation, and McLean Hospital in Belmont, Mass.,
where the animals will be housed during the duration
of the experiments.
European Space Agency Opposes
“I’m calling because your employer is responsible for Monkey Experiments
making the final decision on whether to allow NASA
to expose squirrel monkeys to harmful levels of radia-
tion,” said Evans in her voicemail. “Irradiating monkeys
cannot bridge the gap of knowledge critical to enabling
T he European Space Agency recently became the first space
agency to voice clear opposition to primate experimentation.
In April, the agency’s director Jean-Jacques Dordain wrote a letter
long-term human space exploration. There are better to Animal Defenders International stating that the European Space
strategic approaches available for NASA to combat Agency (ESA) “declines any interest in monkey research and does
radiation, such as developing space radiation shielding not consider any need or
technologies to protect our astronauts.” use for such result.”
NASA’s planned experiments involve spending This demonstrates a
$1.75 million to study the effects of a few hours of clear opposition to NASA’s
radiation exposure on 2-pound squirrel monkeys in an proposed monkey radiation experiments. PCRM and other orga-
attempt to determine the effects of months or years of nizations are urging NASA to consider ESA’s views and focus on
space travel on 180-pound human astronauts. PCRM nonanimal research methods relevant to human astronauts.
is pushing the agency instead to allocate this money

Autumn 2010 GOOD MEDICINE 15


The Cancer Project
The Cancer Project Update
Helping Those Who Need It the Most
Our Daily Bread, Christopher and delicious foods; where to access them; vegetarian meal choice to the more than
Place Employment Center and how to prepare their own meals as 700 daily patrons of Our Daily Bread. 
part of a healthy lifestyle. To date, the pro- If you are interested in discussing
gram has provided nearly 300 people with how your donation could make a differ-
this critical, intensive education program ence, contact Betsy Wason at bwason@
and has introduced a healthy, satisfying PCRM.org.

OUR DAILY BREAD


Grilled Chicken Cancer Warning Lawsuit Moves Forward

D avid P. Tenberg (1914–2005) was


an extraordinary man, a retired
P CRM’s warning-label lawsuit
against fast-food restaurants moved
forward in August. The State of Cali-
McDonald’s, Chick-fil-A, Chili’s, T.G.I.
Friday’s, Outback Steakhouse, Burger
King, and Applebee’s. The findings, com-
Baltimore pharmacist and animal lover fornia Court of Appeal in Los Angeles piled from independent laboratory tests
whose work and dedication to service reversed a lower court’s ruling, putting commissioned by PCRM scientists, were
continues to make a dramatic difference consumers one step closer to victory. The published in the September 2008 issue
in the lives of those who need it the most. lawsuit seeks to compel McDonald’s and of Nutrition and Cancer.
The estate of David P. Tenberg Charitable other chains to post warnings in Califor- The latest ruling received extensive na-
Foundation Inc., managed by Marvin nia restaurants about the cancer risk of tional media coverage, including articles
Tenberg, first began working with The grilled chicken. in Forbes and The Wall Street Journal.
Cancer Project to introduce a healthy The fast-food chains will now face Burger King has settled the lawsuit
vegetarian meal choice—a delicious lentil- trial for selling products containing PhIP, and posted warning signs in its California
based dish—to the patrons of Our Daily one of a group of carcinogens found in restaurants. But the other defendants
Bread hot meal program, which serves grilled meat. The lawsuit was filed under have yet to inform customers about the
more than a quarter-million meals to the California’s Proposition 65, which states cancer-causing chemicals in their grilled
hungry of Baltimore City each year. that consumers must be warned about chicken products.
This achievement led to a grant for The products that contain known carcinogens.
ONLINE> Learn more about grilled chicken and
Cancer Project in January 2009 to hold The lawsuit is based on tests that found
PhIP at PCRM.org/Health.
ongoing nutrition and cooking classes PhIP in 100 grilled chicken samples from
to teach crucial, potentially lifesaving
skills to the patrons of Christopher Place Educational Alliance Partner Highlight
Employment Academy, an intensive resi-
dential program that provides education
and training as well as recovery support
to formerly homeless men. The success
D avid White
and Mary-
Alice White, R.D.,
patients, caregivers, and family members
of those who died of cancer, and those
interested in learning how to live more
healthfully to prevent cancer down the
METTA CHAPIV
of this program led to an expansion into of the Mount
My Sister’s Place, where homeless women Pisgah Academy road. The classes were well-received with
and their children in Baltimore City can Seventh-day Ad- positive comments from participants
safely spend their day and have access to ventist Church in Candler, N.C., have noting how much they appreciated the
resources and direct services they need to been busy bringing cooking and nutrition information Cancer Project president
begin the transition back to residential classes to their community through The Neal Barnard, M.D., presented on the
stability and self-sufficiency.  Cancer Project’s Educational Alliance DVDs, and sharing dietary changes such
By adding the missing nutrition com- Program. Late in the spring, the Whites as “beginning to eat more vegetables and
ponent to Our Daily Bread’s programs, taught their first course, Cancer-Conquer- fruits.”
The Cancer Project has empowered this ing Cuisine, based on The Cancer Project’s ONLINE> Learn more about how your institu-
community with the knowledge of how popular Food for Life program. They tion can become an Educational Alliance Partner:
to choose the healthiest, most affordable, taught a group of 32 cancer survivors, CancerProject.org/Edu.

16 GOOD
GOOD MEDICINE
MEDICINE Autumn
Autumn 2010
2010
The Cancer Project
The News You Need By Joseph Gonzales, R.D., and Susan Levin, M.S., R.D.

Diabetes Linked to pausal women who consumed plenty of lignans reduced


their risk of breast cancer by 14 percent. Lignans are
Increased Cancer Risk similar in some ways to the isoflavones found in soy
products, but are found in a variety of foods other than
soy products. Researchers reviewed 21 prior studies to
observe the connection between diet and breast cancer
risk. The benefit from lignans may be due to their abil-
ity to block estrogen’s activity in the body or to other
anticancer effects.
Buck K, Zaineddin AK, Vrieling A, Linseisen J, Chang-Claude J. Meta-analyses of lignans and
enterolignans in relation to breast cancer risk. Am J Clin Nutr. Published ahead of print May
12, 2010. doi: 10.3945/ajcn.2009.28573.
iSTOCKPHOTO

Meat Intake Linked to


Bladder Cancer
P eople with diabetes have up to twice the risk of de-
veloping liver, pancreatic, and endometrial cancers
of people who do not have diabetes, according to a study C onsumption of red and processed meats increases
the risk of bladder cancer, according to a new
published in CA: A Cancer Journal for Clinicians. Can- study. Researchers looked at more than 300,000 men
cers of the colon, rectum, bladder, and breast are also and women and found that those who consumed the
more common among people with diabetes. The reason most red meat had a 22 percent increased risk of bladder
for the increased risk is unknown, but it may be similar cancer, compared with those who ate the least. Con-
risk factors for both diseases, such as obesity and older sumption of nitrites and nitrates, compounds used for
age. The link may also be from diabetic complications preserving, coloring, and flavoring processed meats, was
like high blood sugar, high blood insulin, inflamma- associated with a 28 to 29 percent increased risk at high-
tion, or altered hormone regulation, all of which can est intake levels. PhIP, a chemical commonly found in
increase cancer risk. This report from the American grilled chicken and other meats
Diabetes Association and the American Cancer Society heated to a certain temperature,
suggests that a high intake of whole grains, fruits, and was associated with a 19 percent
vegetables and a low intake of processed and red meats increased risk of bladder cancer.
are associated with lower cancer risk. Participants were part of the
Giovannucci E, Harlan DM, Archer MC, et al. Diabetes and cancer: a consensus report. CA Cancer NIH-AARP Diet and Health
J Clin. Published ahead of print June 16, 2010. doi: 10.3322/caac.20078.
Study and were included in a
seven-year follow-up.
PhIP has been linked to
Dietary Lignans Reduce numerous cancers in humans,
Breast Cancer Risk including breast, colon, and
prostate. Nitrites and nitrates
P ostmenopausal women whose diets include plenty
of lignans, natural compounds found in whole
grains, fruits, vegetables, and flax and sesame seeds,
have long been recognized as
potent carcinogens.
iSTOCKPHOTO

may have a lower risk of breast cancer, according to Ferrucci LM, Sinha R, Ward MH, et al. Meat and
components of meat and the risk of bladder cancer
a recent study published in the American Journal of in the NIH-AARP Diet and Health Study. Cancer. Pub-
lished ahead of print August 2, 2010. doi: 10.1002/
Clinical Nutrition. Researchers found that postmeno- cncr.25463.

www.CancerProject.org
The Cancer Project is a PCRM program that advances cancer prevention
and survival through nutrition education and research.

17 GOOD MEDICINE Winter 2010 Autumn 2010 GOOD MEDICINE 17


Member Support

Celebrating 25 Years (25 Good Things to Do Now)


P CRM turns 25 this year and the
organization is expanding in size and
scope like never before! The key to our
2 Send your friends and family an
e-mail encouraging them to sign
up for PCRM’s free online community
4 Bring PCRM’s
Vegetarian
Starter Kits to your
success has always been the people behind (PCRM.org/ next community
the work—our physicians and scientists Community). tabling event.
and the members who provide support for
their efforts. Your involvement has opened
doors, encouraged advancements, and
provided us with invaluable guidance. To
strengthen this partnership, we have put
together a list of 25 things you can do to
5 Make a
donation to
help ensure PCRM
help us continue on the path to success. has the funds

iSTOCKPHOTO
Here are the first five:
3 Invite your Facebook friends to
become fans of PCRM’s page
needed to take
action for people

iSTOCKPHOTO
Help Us Grow! (Facebook.com/Doctors.Care). and animals.

1 Bring your
physician a copy
of Good Medicine
Thank you for your continued support!

and ask him/her to


become a member. ONLINE> For the complete list, please visit
PCRM.org/25Things.

Creating a Compassionate Future M ost of us want to be sure that our


work for a more compassionate
world carries on well into the future. A
Learn More About PCRM’s Lifetime Partner Program and Planned simple bequest provision can make that
Giving Opportunities at PCRM.PlanYourLegacy.org.  happen. Investment accounts and tangible
property, such as real estate and artwork,
 Please send me PCRM’s planned giving brochure “Wise Giving to Ensure a can be identified in a will and designated
Compassionate Future.” to benefit a particular person or organiza-
 I have already named PCRM in my will, trust, life insurance policy, or tion. Many people are now creating wills

DAVID MICHAEL PHOTOGRAPHY


retirement plan. Please contact me to activate my Lifetime Partner status. at a younger age, and it’s never too early
if you have assets to pass along. PCRM
recommends working with an attorney
Name
specializing in wills. The cost for creating
a basic will is very reasonable, and the re-
Address
sulting peace of mind is invaluable. Every
City State/Province five years, you should evaluate your will
and make updates as needed.
zip/Postal Code Country Members who include PCRM in their
wills are part of our special group of Life-
E-mail Phone
time Partners. To learn more about our
Please mail to:
Lifetime Partner program and about creat-
PCRM, Attn: Betsy Wason • 5100 Wisconsin Ave., NW, Suite 400 • Washington, DC 20016 ing a will, visit PCRM.PlanYourLegacy.org
GM10AT or return the form on the left.

18
18
18 GOOD MEDICINE
GOOD MEDICINE Autumn 2010
GOOD MEDICINE Autumn
2010
Autumn 2010
Member Support

Alec Baldwin Brings Star Power to Sag Harbor Fundraiser

O n Aug. 7, Sag Harbor resident art- as roasted vegetable skewers with miso
iSTOCKPHOTO

ist Dorothy Frankel generously vinaigrette dipping sauce and artichoke


opened her home and sculpture garden to heart fritters with lemon zest and pine
host a PCRM benefit. Special guest Alec nuts. Ms. Frankel presented Mr. Bald-
Remembering Rodney Baldwin joined PCRM president Neal win with one of her bronze sculptures in
Society Calendar Barnard, M.D., and PCRM director of recognition of his outstanding advocacy
public affairs Elizabeth Kucinich to speak efforts on behalf of people and animals.

T his 13-month calendar is filled with


beautiful images celebrating animals
in their natural surroundings. It’s our 25th
about the organi-
zation’s work to
promote a plant-
anniversary gift to all our monthly donors based diet for
in the Remembering Rodney Society. Our good health and
special society members are invited to to end the use of
join an annual President’s Update Call, animals in exper-
receive insider campaign reports, and iments. Guests
help provide steady funding to keep all of were treated to
Jakes van der Watt

PCRM’s programs and campaigns going an eyeful of mes-


strong. To receive your calendar, become merizing art—all
a society member with a monthly gift of created by the
$5 or more by calling 202-527-6304 or party host—and
visiting PCRM.org/Rodney. vegan treats such Alec Baldwin, Elizabeth Kucinich, Dorothy Frankel, and Neal Barnard, M.D.

rates from
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at Cornell University, and director of the T. Colin Campbell Grand Cayman; and historic Cozumel, Mexico. February 27 - March 6, 2011.
Foundation, Dr. Campbell is author of the bestseller The China
Study: The Most Comprehensive Study of Nutrition Ever • Bask in warm, gracious, Italian hospitality and service all while enjoying spirited lectures and
Conducted and the Startling Implications for Diet, Weight vegetarian/vegan natural foods and beverages prepared by our own chefs and bakers. Regular
Loss and Long Term Health. cruise menu and gluten-free options available.
• Over 30 teachers and 120 holistic lectures, workshops and 10 vegan cooking classes. Don’t miss
Marilu Henner Marilu Henner’s “Role of Your Life” workshops. Private consultations and treatments† available.
Award winning star of stage, screen, and TV and New York
Times best-selling author of seven health and fitness books • Daily Yoga, Meditation, Pilates, Do-In, Slimming Dance Walk, Run/Walk Stretch and AB Workouts.
including Marilu Henner’s Total Health Makeover. On Marilu. • Continuing Education Credits available.
com she teaches classes based on her books, and her • Dancing, fun socials and singles events; vegan pizza and ice cream parties; cancer support group and
series Shape Up Your Life is currently seen on the Discovery recovery panel.
Network’s FitTV.
• Also scheduled to appear: yoga sage Yogi Desai, vegan chef and cookbook author Isa Chandra
Christina Pirello Moskowitz, world-famous author and pioneer in integrative medicine, Joan Borysenko, Ph.D., Will
Christina is a nationally known vegetarian/vegan chef, Tuttle, Ph.D., Ronald Peters, M.D., Jessica Porter, Sherri Baptiste and many others.
Emmy Award-winning TV celebrity hosting her own
show, “Christina Cooks,” and author of several best-selling For program info, visit www.atasteofhealth.org or contact Holistic Holiday at Sea directly.
cookbooks including Cooking the Whole Foods Way, This Crazy
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of a Shopaholic), TV host (“The Best Damn Sports Show
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organizations like PETA and PCRM, speaking to Congress and *Rate is in U.S. dollars, per person, based on double occupancy, minimum category. Includes holistic program. Government
appearing on Dr. Oz and other talk shows to promote health fees, gratuities and fuel surcharge, if any, additional. Certain restrictions apply.
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Chosen by National Geographic Traveler as ”One of the 100 best worldwide vacations to enrich your life.”

Autumn 2010 GOOD MEDICINE 19


PCRM Marketplace
PCRM Marketplace
Research Issues Crazy Sexy Cancer Tips NEW!
The Best in the World Kris Carr
What Will We Do If We Don’t
Fast, Healthful Recipes An advice-from-the-trenches cancer
Experiment on Animals?
from Exclusive and Out-of- survival guidebook for young women
Medical Research for the 21st Century
the-Way Restaurants with cancer. Here it is, a righteous
C. Ray Greek, M.D., and Jean Swingle Greek, D.V.M.
Neal D. Barnard, M.D., Editor guide to kicking cancer’s tail and living
The Greeks answer the title’s question with a tour of truly
This popular collection of wonder- the best life ever. Part memoir, part
modern medical research. With advances in the study
fully healthy recipes comes from tips, tricks, how-to’s, and insights. Kris and her posse of
of human genetics and the ability to measure human
the world’s best and most unusual 13 unbelievable survivor-babes contribute their lessons
responses to drugs at the molecular level, researchers will
restaurants. Enjoy these vegan to the adventure story. Join the cancer stitch ‘n’ bitch and
find it increasingly difficult to justify the crude data accu-
delicacies at home. Hardcover, 71 pgs, $11.95 pass the wisdom along to someone who needs it – whether
mulated from animal experimentation. 262 pgs, $24.99
The Best in the World II they face the little “c” or other life lemons. 208 pgs, $18.95
Second Nature
Healthful Recipes from Exclusive Skinny Bitch
The Inner Lives of Animals
and Out-of-the-Way Restaurants A No-Nonsense, Tough Love Guide for Savvy Girls Who
Jonathan Balcombe, Ph.D.
Jennifer L. Keller, R.D., Editor Want to Stop Eating Crap and Start Looking Fabulous!
Do baboons have a keen sense of right
Travel around the world to discover Rory Freedman and Kim Barnouin
and wrong? Do chickens find certain
treasures from side-street cafes This bestselling vegan guide pulls no punches. Entertain-
human faces attractive in the same
and elegant hotel dining rooms. ing and sassy, the book rests on a solid health and nutrition
way people do? Balcombe paints a new
Attractively illustrated, this delight- foundation. “Many priceless-yet-unprintable dictums
picture of the inner lives of animals
ful vegan cookbook is the sequel certainly make you laugh in a way few diet books can.”
that diverges from the struggle-or-perish image often
to PCRM’s original international recipe collection. –iVillage 224 pgs, $13.95
presented in the popular media. He challenges traditional
Hardcover, 71 pgs, $11.95
views of animals and spells out why the human-animal Skinny Bitch in the Kitch
relationship needs a complete overhaul. 256 pgs, $27.00 The Best in the World III NEW! Kick-Ass Recipes for Hungry Girls Who Want to
Healthful Recipes from Exclusive Stop Cooking Crap (and Start Looking Hot!)
Health and Nutrition and Out-of-the-Way Restaurants Here’s the companion cookbook to the outrageous
Neal Barnard, M.D., Editor bestseller Skinny Bitch. 75 easy, satisfying recipes, served
NEW EDITION FROM PCRM
Discover delicious and unique up with an irreverent sense of fun. “A hilariously bawdy
Nutrition Guide for Clinicians, second edition recipes from restaurants across vegan cookbook for the modern Mrs. Cleaver.” –Domino
Physicians Committee for Responsible Medicine the globe. Join monks in a temple 192 pgs, $14.95
This comprehensive medical refer- courtyard in the Far East, passen-
ence manual covers nearly 100 gers on a French luxury yacht, or How to Eat Like a Vegetarian Even If You
diseases and conditions, including even a rock star in Akron, Ohio, for an unforgettable Never Want to Be One
risk factors, diagnoses, and typical culinary adventure. Often exotic and always flavorful, Carol J. Adams and Patti Breitman
treatments. Most importantly, it these plant-based recipes are designed to be within Out of time and out of ideas? Cook
provides the latest evidence-based the abilities of any amateur chef. Hardcover, 71 pgs, fast, cook healthy with more than 250
information on nutrition’s role in prevention and $11.95 shortcuts, strategies, and simple solu-
treatment. Includes an in-depth examination of tions. More than a cookbook—though it abounds with
general nutrition, macronutrients, micronutrients, Macro for the Mainstream DVD recipes—this guide will get you started on a healthier
and nutritional requirements for all stages of life. Sheri DeMaris path with a few flips of the page. 214 pgs, $20.00
745 pgs, $19.95 Special Discount $17.95 TV host Sheri DeMaris believes “your kitchen is your The Spectrum NEW!
medicine cabinet.” In this exciting DVD, she prepares A Scientifically Proven Program to Feel Better, Live Longer,
Quantum Wellness easy-to-follow macrobiotic recipes using whole, organic
A Practical and Spiritual Guide Lose Weight, and Gain Health
foods and offers simple suggestions for improving one’s Dean Ornish, M.D.
to Health and Happiness
health and the health of our planet. $24.95 Whether you want to lose weight, lower
Kathy Freston
Learn how to make the small steps that Speed Vegan your cholesterol, reverse a major disease,
can significantly improve the health of Quick, Easy Recipes with a Gourmet Twist or find a sustainable, joyful way of life,
mind, body, and spirit. In addition to Alan Roettinger this book can make a powerful difference.
promoting wholeness in work and relationships, Freston Chef Roettinger’s fun and creative cooking style results in Dr. Ornish’s latest research shows how
explains the advantages of a plant-based diet from health, meals that stand out from the ordinary. Includes recom- changing your lifestyle changes your genes, turning on
ethical, and environmental perspectives. Includes 45 veg- mendations for basic kitchen staples and ways to save disease-preventing genes while turning off disease-
etarian recipes, two weeks of meal plans, and a general money on essential kitchen equipment. All dishes can be promoting genes—even affecting parts of chromosomes
shopping list. 288 pgs, $14.95 completed in 30 minutes or less. 192 pgs, $19.95 that control lifespan. Includes 100 recipes. 416 pgs, $17.00

20 GOOD MEDICINE Autumn 2010


From Neal D. Barnard, M.D., PCRM president PCRM Marketplace
NEW!
The Get Healthy, Go Vegan Cookbook
125 Easy and Delicious Recipes to Jump-Start Weight Loss and Help You Feel Great The Sublime Restaurant Cookbook
These recipes are based on Dr. Neal Barnard’s landmark two-year study, which shows South Florida’s Ultimate Destination for Vegan Cuisine
that a vegan diet effectively controls type 2 diabetes. In fact, it’s also beneficial for Nanci Alexander
weight loss, the reversal of heart disease, and the improvement of many other condi- The flavors and beauty of south
tions.Dr. Barnard and nutritionist Robyn Webb offer easy, delicious meals to improve Florida’s award-winning Sublime
your health. 248 pgs, $18.95 Restaurant are compiled here with
some of Sublime’s most famed culi-
A New Approach to Nutrition for Diabetes DVD Breaking the Food Seduction nary creations. From Asian, Latin, or
Neal D. Barnard, M.D. We all have foods we can’t resist, Mediterranean influences to more typical American fare,
Turn back the clock on diabetes through a low-fat vegan foods that sabotage our health. each recipe is delightfully conceived, beautifully presented,
diet. In eight compelling lessons, Dr. Barnard explains But banishing those cravings for and yet surprisingly quick to prepare. 117 pgs, $19.95
his groundbreaking research, funded by the National chocolate, cookies, cheese, or burg-
Institutes of Health, and how to put it to work in your life. ers isn’t a question of willpower, it’s
a matter of biochemistry. Drawing
From The Cancer Project
Includes cooking demonstrations by chef Toni Fiore and
a grocery store tour by Susan Levin, R.D., and Caroline on his own research and that of The Nutrition Rainbow Poster
Trapp, M.S.N., C.D.E. 192 mins, $19.95 other leading institutions, Dr. Barnard reveals how The more naturally colorful your meal is, the more
diet and lifestyle changes can break the craving cycle. likely it is to have an abundance of cancer-fighting
Dr. Neal Barnard’s Program
324 pgs, $16.99 nutrients. Pigments that give
for Reversing Diabetes
fruits and vegetables their
I f you have diabetes or are Turn Off the Fat Genes bright colors represent a variety
concerned about developing it, Genes, including those that shape our bodies, actu- of protective compounds. The
this program could change the ally adapt to outside influences. Dr. Barnard explains Nutrition Rainbow poster shows
course of your life. Dr. Barnard’s the process and provides a three-week gene-control the cancer-fighting and immune-
groundbreaking clinical studies, program complete with menus and recipes by Jen- boosting power of different-hued
the latest funded by the National nifer Raymond. Here are powerful tools for achieving foods. 17”x22”,$6.00
Institutes of Health, show that diabetes responds long-term weight loss and better health. Paperback,
dramatically to a low-fat, vegetarian diet. Rather than Prescription for Life Poster
350 pgs, $14.95
just compensating for malfunctioning insulin like other This whimsical work of art
treatment plans, Dr.Barnard’s program helps repair how A Physician’s Slimming Guide for introduces your patients to the
the body uses insulin. Includes 50 delicious recipes. Permanent Weight Control importance of fruits, vegetables,
288 pgs, $15.95 You can succeed in becoming and staying slimmer! This whole grains, and beans in
book is not a diet—it’s a comprehensive program that cancer prevention and survival.
Foods That Fight Pain It also tells how to obtain free
takes the reader beyond artificial“formula approaches.”
Did you know that ginger can information about nutrition,
96 pgs, $7.95
prevent migraines and that coffee recipes, and classes from The Cancer Project. 17”x22”,
sometimes cures them? Drawing Food for Life
$6.00
on new research, Dr.Barnard shows The breakthrough book on aging, heart disease, cancer,
readers how to soothe everyday weight control, and general health. Preface by Dean New Versions
The Cancer Survivor’s Guide
ailments and cure chronic pain Ornish, M.D. Loads of tips on changing your diet, 21 days Neal Barnard, M.D., Jennifer Reilly, R.D.
with common foods. 348 pgs, of menus, plus delicious recipes by Jennifer Raymond. Find out how foods fight cancer and the advantages
$14.95 334 pgs, $14.95 of a high-fiber, low-fat, dairy- and
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The Love-Powered Diet Building Bone Vitality prostate and breast cancer sec-
Eating for Freedom, Health, and Joy A Revolutionary Diet Plan to Prevent tions, tips for making the dietary
Victoria Moran Bone Loss and Reverse Osteoporosis transition, and more than 130
Drawing on her personal experience, Amy Lanou Ph.D., Michael Castleman recipes. 245 pgs, $19.95
Moran applies Twelve Step principles Bone vitality doesn’t come through dairy
to find freedom from compulsive eat- products, calcium pill, or drugs. Using the Eating Right for Cancer Survival dvd
ing and yo-yo dieting. She proposes a peaceful, natural latest clinical studies, Dr. Lanou explores Neal Barnard, M.D., Chef Sualua
way of eating that keeps weight off without dieting. the calcium myth and explains why a low-acid diet is the Tupolo, Stephanie Beine, R.D.
241 pgs, $20.00 only effective way to prevent bone loss. 256 pgs, $16.95 This exciting 2-disc set is designed to
work hand in hand with the companion
The Kind Diet book, The Cancer Survivor’s Guide. Nine
Alicia Silverstone, Introduction by Neal Barnard, M.D. nutrition presentations and nine cook-
Deliciously empowering, The Kind Diet opens the door to effortless weight loss, high energy, clear skin, and smooth ing lessons provide powerful tools for making changes
digestion, all while protecting the planet. Three separate dietary tracks—from Flirting to Superhero—help readers in health and well-being. 270 mins, $19.95
make the vegan transition at their own pace. Discover food that satisfies at every level. Hardcover, 320 pgs, $29.99

Autumn 2010 GOOD


Autumn 2010 GOOD MEDICINE
MEDICINE 21
PCRM Marketplace Many PCRM fact sheets
and booklets, including our
popular Vegetarian Starter Kit,
The Secret Life of Mitch Spinach NEW FOR KIDS! Power Plate Poster are available without charge
Hillary Feerick; Jeff Hillenbrand; Joel Fuhrman, M.D. “These healthful at PCRM.org/Resources
Illustrated by Andrea Vitali food groups help
Mitch Spinach seems to be an ordinary you live longer, stay
kid. But while other kids eat their slimmer, and cut
usual chicken fingers and pepperoni your risk of heart
pizza, Mitch’s high-powered fruit and disease, diabetes,
vegetable smoothies give him special and high blood
Packed with Plant Power Lunch Tote Bag
powers, such as supersonic hearing and amazing night pressure.“ 18"x 24",
Share your enthusiasm for a vegan diet with
vision to tackle problems and solve mysteries at Sunchoke $6.00
this insulated 8.5x6x6-inch lunch bag with zip-
Elementary. Mitch Spinach is a great role model for all the
pered top, front pocket, and 32-inch shoulder
things children need help with—eating well, kindness, Go Vegan strap, $9.95
compassion, helpfulness, and modesty. 28 pgs, $16.95 Multilingual Apron
Veg-friendly phrases in ten languages. Show your support for humane research with
21"x 28" gourmet apron with pocket. Humane Charity Seal of Approval Items
Thrive Fitness Cream on forest
The Vegan-Based Training Program for Maximum Cat Magnetic Bumper Sticker $2.00
green. $13.95
Strength, Health, and Fitness
Brendan Brazier
Professional Ironman triathlete Brendan
Brazier presents his own easy-to-apply
system of total health and fitness. Learn Monkey Refrigerator Magnet 2"x3½". $1.00
how to get maximum results in minimum
time, sharpen mental clarity, increase Rabbit Refrigerator Magnet 2"x3½". $1.00
energy, and prevent injuries. Includes 6-week workout plan
and list of 15 top foods to fuel workouts, as well as 30 vegan
recipes. 272 pgs, $15.95

Dog Magnetic Bumper Sticker $2.00

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22 GOOD MEDICINE Winter


Autumn 2010
2006
Just the Facts
Vegetarian in Chief?
The slimmed-down physique
former president Bill Clinton
revealed this summer at the
wedding of his daughter,
Chelsea, may be due to
a vegetarian, dairy-free
Out of Sight, Out of Mind diet. According to People
Children who live closer to cheap burgers and fries are more magazine’s Sandra Sobieraj
likely to be obese, according to a study from the College of Westfall, Clinton lost 20
William & Mary. Even after adjusting for economic status, pounds for the big day by
proximity to fast-food restaurants was tied to obesity and giving up meat and dairy
higher body mass indexes. products. Not Making the Grade
Princeton University
Rocking Reds A Statin a Day? researchers may have
Dave Matthews makes fine Researchers from the Imperial College London suggest that mishandled primates in
music—and now, fine wines. fast-food outlets begin handing out cholesterol-lowering a research lab. According
Matthews owns Blenheim drugs alongside the fatty fare. They found that a daily drug to the U.S. Department
Vineyards, just south of would be required to neutralize the cardiovascular risk of an of Agriculture inspection
Charlottesville, Va., with his almost half-pound cheeseburger and small milkshake. No report, the animals may
family. The vineyard recently word on the dosage needed to counteract a typical American have been receiving
hosted an elaborate vegan supersized meal. water at levels below the
dinner to celebrate its minimum amounts allowed
selection of vegan wines. Not a Charade by the Animal Welfare Act
A new report looking at 20 and may not have been
years of data on the apes of given painkillers following
Poultry Poison
Borneo, Indonesia, finds that surgeries.
Chickens, turkeys, and other
poultry birds are the leading orangutans play out scenes
to communicate with one Maggots on a Plane
cause of food poisoning
another and to humans. This Passengers on a US Airways
outbreaks, according to the
charadelike behavior was flight got a rude welcome on
Centers for Disease Control
previously thought to be a recent flight from Atlanta:
and Prevention. Poultry
unique to humans. maggots falling from an
consumption accounted
overhead bin. The maggots
for 17 percent of foodborne
A Patent Problem Dead Meat originated from a package of
illness outbreaks reported to
Eli Lilly and Co. stopped Cows being cloned for spoiled meat that had been
the government in 2007.
final-stage clinical trials of breeding stock to boost meat brought aboard in carry-on
an experimental Alzheimer’s production in the United luggage. The plane had to be
drug after realizing patients’ States are being created from cleared and cleaned before
symptoms worsened after the cells of dead animals. takeoff.
taking the drug. Presumably Farmers are looking to clone
the drug showed promise in cows whose meat they
animals and in small-scale consider “exceptional,” which
human trials, only to fail in can only be determined from
large human trials. inspecting their carcasses.
PCRM Illustrations/doug Hall

Emotional Intelligence
Like humans, animals have emotions that may tell them how dangerous their world is,
according to a new review published online in the Royal Society’s Proceedings B: Biological
Sciences. Animals regularly threatened by predators will develop a negative “mood,” researchers
found, while the opposite is true of animals in a less-threatening environment.

Autumn GOOD MEDICINE


2010 GOOD
Winter 2006 MEDICINE 23
PCRM Physicians Committee for
Responsible Medicine
5100 Wisconsin Ave., NW, Suite 400
Non-Profit Org.
U.S. Postage
PAID
Washington, DC 20016 Bolingbrook, IL
Permit #491

Physician Profile
Trauma Training the Dr. Crandall teaches at Northwestern Uni-
versity, students use patient scenarios with
Dr. Crandall says that although
wounds “can be interesting and dramatic,
Modern Way moulage volunteers and human simulators they are not the target of any immediate
to learn and practice critical procedures. intervention other than wound coverage,
Marie Crandall, M.D., M.P.H., F.A.C.S. splinting fractured extremities, and hold-
“The value of the simulators is that they
have interchangeable, replaceable parts,” ing pressure to control hemorrhage.”

T rauma surgeon Marie Crandall, says Dr. Crandall. “One simulator can be She explains that these procedures—
M.D., cares for seriously injured used for 15 students to place chest tubes, and other, more important procedures—
patients at Northwestern Memorial Hos- just by  exchanging the chest wall for a can be taught using nonanimal methods.
pital in Chicago. She operates on patients fresh one. The anatomic correctness and “What is really important is the recog-
with life-threatening injuries, such as stab tissue feel are absolutely unparalleled.”   nition and management of immediately
wounds to the heart or ruptured spleens. Dr. Crandall has played a central role life-threatening injuries that occur to the
And she learned all of her surgical skills in PCRM’s campaign to end the mili- airway, lungs, heart, and great vessels,”
using methods based on human anatomy, tary’s use of animals in trauma training. explains Dr. Crandall. “Trauma training
not animal anatomy. In August, she flew to San Antonio to with simulation can optimally teach pro-
“Animals were not a regular part of sur- demonstrate trauma procedures on a viders necessary surgical skills and provide
gical training at my residency program,” human-patient simulator, SimMan, for a both tactile and computer-simulated
says Dr. Crandall.  “Training consisted al- reporter interested in the campaign. She feedback for learners that can be practiced
most solely of a graduated apprenticeship also has attended congressional meetings and repeated, similar to the simulation
model of slowly increasing responsibility to urge her members of Congress to sup- training utilized by fighter pilots.”
for patient care. Advanced Trauma Life port the BEST Practices Act, the bill that From the critical injuries she
Support was taught using animals, but by would require the military to replace the sees and treats every day, Dr.
the time I was a trauma fellow, Trauma- use of animals with simulators and other Crandall knows how crucial it
Man was being used. As technology has human-based methods. is that all trauma trainees have a
advanced, simulation and other  high- “Many branches of the military are complete, accurate understanding
retention, risk-reduced methods have already setting the standard for simulation- of human anatomy.
become a vital part of surgical education.”  based medical education,” says Dr. Cran-
Advanced Trauma Life Support (ATLS) dall. “Other military leaders feel that wound
is a two-day course for advanced practitio- care instruction in the field can only be
ners to learn the evaluation and stabiliza- mimicked by real wounds—thus they use
tion of trauma patients. In the ATLS course animals and inflict wounds on them.”

With postage, printing, and handling expenses, each returned copy of Good Medicine costs PCRM more
Please keep than $2. Over the year, this adds up to thousands of lost dollars. If your address has changed, please
in touch. let us know promptly.
addresschanges@pcrm.org or 202-686-2210, ext. 304 printed on recycled paper
24 GOOD MEDICINE Autumn 2010

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