Page 57 - Winter2009
P. 57

All Thumbs Book Reviews







          dense food the logical choice.                                  Einstein, that everything important cannot be
              Kendrick explains how the population of Roseto, Pennsylvania is  measured and everything that can be measured
          protected from heart disease with the same argument that was made  is not necessarily important. That is a bit glib for
          in Malcolm Gladwell’s book Outliers. Misreading the Roseto evidence  the reality of clinical practice.
          seems to be a cottage industry among these authors. Residents of Roseto     Cortisol levels barely rate a mention and
          immigrated from Roseto Valfortore, Sicily in a surprisingly coherent pat-  even then in the most general way. Taking a utili-
          tern. Yes, there was relatively little social disruption but that also included  tarian approach, cortisol levels can and should
          continuation of the Mediterranean diet. As Sally Fallon Morell and Mary  be measured, but not by standard blood tests.
          Enig pointed out in a previous Caustic Commentary, there sure was a  Salivary cortisol testing is acceptable according
          whole lot of lard consumed in that town, but why let that fact conflict with  to the Massachusetts General Hospital Hand-
          Kendrick’s good story?                                          book. The best way to measure it is in multiple
              Many well-intentioned medical doctors have been jaded by the medi-  readings from when one wakes up until when
          cal system and have become nihilistic. To their credit, they are against  one goes to sleep. The readings should be taken
          the excesses in “Medicine,” but they never commit themselves to healthy  with concomitant DHEA levels, which should be
          alternatives. They need to become proponents for lifestyle choices that  an inverse proportion. Finally, a healthy cortisol
          can actually make a difference. It is easier to be professional when you are  level should be highest in the morning, waking
          against something than taking a stand for a practice that present research  one up, and lowest at night so you can go to
          may not completely support. It is sad; many physicians fear appearing silly  sleep. Unfortunately, too many people have this
          more than they embrace getting excited about improving patients’ lives.  reversed, and can’t wake up in the morning or
              Kendrick talks of diabetes being a risk factor for heart disease but  get to sleep at night.
          never mentions sugar avoidance and consumption of nutritionally dense     This is an excellent book to debunk the cult
          foods as an antidote—hardly a quantum leap. Anyone who has studied  of cholesterol bashing and its bogus treatment,
          diabetes knows that nutrition is paramount but Kendrick avoids the sub-  but it never transcends itself to help create health.
          ject. I know he is writing to a broad audience and his main priority is to  As I advise my patients, read the first eight
          sell books and slam statins, but is that enough? In my own practice I’ve  chapters but feel free to skip the last three and
          seen patients with uncontrolled diabetes on insulin handle their disease  replace it with all of Eat Fat, Lose Fat. The Great
          so well dietetically that they were able to get off all medication and keep  Cholesterol Con gets a conditional thumbs up.
          their blood sugar in a healthy range through food choices alone.
              Another concern is his discussion of stress levels. Obviously stress   Review by Dr. Steven Lativan, who is a chiropractor, licensed
                                                                          acupuncturist, and nutritionist in Teaneck, NJ.
          is difficult to measure. He repeats a quote, often attributed to Albert


          Milk, Continued from page 53.
          may be produced differently but I just visited an organic creamery at a  age city-dweller might think.
          very opportune time. A calf had just been born hours earlier. When the     There is another problem. If we gullibly
          calf reached the ripe old age of about four hours a farm hand came along,  accept the premise that organic is identical to
          grabbed the calf and unceremoniously dumped it on an ATV and started  commercial, that implies that the grand solution
          to drive it away. Momma cow was understandably upset and tried to fol-  amounts to essentially re-labeling the milk to ap-
          low, only to be smacked in the head a few times and physically blocked  peal to a more upscale customer. I can’t say I’m
          from following. It was quite disturbing to watch. This was done because  impressed with the integrity of that position.
          the creamery was more interested in getting all the milk they could from     In many ways, the book is good, but these
          the cows rather than in the well-being of the animals. The point is, even  fatal flaws force me to give it a thumbs down.
          organic is not always as humane and environmentally friendly as the aver-   Review by Tim Boyd

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