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Good Medicine

Can We End

From the Physicians Committee for Responsible Medicine / Spring 2013 / Vol. XXII, No. 2

Alzheimers?
Tulane Shifts to Simulators for Trauma Training McDonalds, Chicken-Fried Steak Served in Top U.S. Childrens Hospitals Pesticide Tests Are Not for the Birds or Any Animal Heres the Poop: PCRM Proposes Warning Labels for Chicken Chimpanzee Experiments Nearing End New Online Health Tracker Ask NIH to Reform Heart Failure Research
Illustration of amyloid plaques forming on brain neurons

Shut Down the Heart Attack Grill

Editorial

Turning the Corner

p until now, it was nothing but bad news. Alzheimers hits nearly half of us by age 85, and prevalence will increase sharply over the next few decades. The associated medical costs will be crippling. The personal cost is incalculable. But that scenario is changing. Researchers have begun to identify ways to reduce the risk. In the same way that large population studies showed striking patterns in heart diseasesmoking, high cholesterol levels, high blood pressure, and diabetes increase risk, while vegetarian diets, exercise, and other factors cut the riskstrategies for preventing brain disorders have begun to emerge, as well. People who generally avoid saturated and trans fatsskipping the cheese, bacon, and doughnutshave had remarkably low rates of Alzheimers disease in research studies. Certain vitamins, such as vitamin E and B-vitamins, play key roles in brain health. Metals, such as iron, copper, and perhaps aluminum, have also entered the discussion, with the possibility that getting into better mineral balance will protect us further. And just as physical exercise is good for the heart, the waistline, and every other part of your body, it appears to be good for the brain, too. I wish we had this information long ago. As I saw my grandparentsand then my own father succumb to the effects of dementia, I would have given anything to spare them this awful fate. But we assumed that it was simply a matter of aging or genes, and that there was nothing we could do. While it is not likely that we will be able to prevent all cases of dementia, the possibility of having new tools to prevent the assault on the brain gives us a basis for action. It is important to invest in epidemiological studies, as well as clinical trials, to see how powerful preventive strategies can be. At the same time, it is also important for individuals and families to use what we know now about prevention. It is time to rearrange our plates, lace up our sneakers, and protect what is most important.
Harry Giglio

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GOOD MEDICINE Spring 2013

Neal D. Barnard, M.D. President of PCRM

Good Medicine
From the Physicians Committee for Responsible Medicine
SPRING 2013 Vol. XXII, No. 2
Editor in Chief Neal D. Barnard, M.D. Managing Editor/Designer Doug Hall Editor Michael Keevican Production Manager Lynne Crane Senior Web Designer Lisa Schulz
AdvisOrY bOARD Leslie Brown, M.D. Pontchartrain Pediatrics T. Colin Campbell, Ph.D. Cornell University Caldwell B. Esselstyn, Jr., M.D. The Cleveland Clinic Roberta Gray, M.D., F.A.A.P. Pediatric Nephrology Consultant Suzanne Havala Hobbs, Dr.PH., M.S., R.D. University of North Carolina at Chapel Hill Henry J. Heimlich, M.D., Sc.D. The Heimlich Institute David Jenkins, M.D., Ph.D., Sc.D. St. Michaels Hospital, Toronto Lawrence Kushi, Sc.D. Division of Research, Kaiser Permanente John McDougall, M.D. McDougall Program, St. Helena Hospital Milton Mills, M.D. Gilead Medical Group Baxter Montgomery, M.D. Houston Cardiac Association and HCA Wellness Center Carl Myers, M.D. Sonoran Desert Oncology Ana Negrn, M.D. Community Volunteers in Medicine and family physician Myriam Parham, R.D., L.D., C.D.E. East Pasco Medical Center William Roberts, M.D. Baylor Cardiovascular Institute Joan Sabat, M.D., Dr.PH. Loma Linda University Nutrition School of Public Health Gordon Saxe, M.D., M.P.H., Ph.D. Moores Cancer Center, University of California, San Diego Andrew Weil, M.D. University of Arizona Affiliations are listed for identification only.

Contents

Contents

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Prevention and Nutrition

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6 Can We End Alzheimers? 9 Invitation to the International Conference on Nutrition and the Brain 10 McDonalds, Chicken-Fried Steak Served in Top U.S. Childrens Hospitals Another Death at the Heart Attack Grill: PCRM Calls for a Shutdown 11 Heres the Poop: Physicians Committee Proposes Warning Labels on Chicken 12 New Online Health Tracker: Monitor Your Weight, Blood Pressure, and More Join the VegRUN Marathon Training Program
Research Issues

PCRM STAFF Nabila Abdulwahab Data Processor Ulka Agarwal, M.D. Director of Clinical Research and Chief Medical Officer Zeeshan Ali, Ph.D. Research Fellow Neal Barnard, M.D. President Clarissa Barton Human Resources Assistant Aryenish Birdie Regulatory Testing Policy Coordinator Anne Bunner, Ph.D. Clinical Research Specialist Charu Chandrasekera, Ph.D. Director of Laboratory Science Shaina Chimes Executive Assistant to the President Andrea Cimino Human Resources Coordinator Carrie Clyne, Communications Director Deniz Corcoran Data Entry Manager Lynne Crane Production Manager Cael Croft Associate Designer Sossena Dagne Data Processor Dania DePas Communications Specialist and Social Media Manager Jill Eckart, C.H.H.C. Nutrition Program Manager John Evans Database/Web Developer Rosendo Flores Nutrition and Clinical Research Assistant Jessica Frost Media Relations Specialist Noah Gittell Government Affairs Manager Stacey Glaeser, S.P.H.R. Director of Human Resources Joseph Gonzales, R.D. Dietitian Doug Hall Publications Director Erica Hanna Information Technology Manager Jodie Hayward Accounts Payable Coordinator Patricia Howard Advertising and PSA Manager Mallory Huff Manager of Projects and Logistics Stephen Kane, C.P.A. Finance Director Michael Keevican Web Editor/Staff Writer Mark Kennedy, Esq. Director of Legal Affairs Elizabeth Kucinich Director of Public and Government Affairs Susan Levin, M.S., R.D. Director of Nutrition Education JohnR Llewellyn Internet Marketing Manager Enrique Lozano Help Desk Administrator Bonnie MacLeod Grants Manager Nicole McCann Program Coordinator Garron Marsh Development Assistant Lynn Maurer Associate Designer Greg Mazur Research and Education Programs Coordinator Jeanne Stuart McVey Media Relations Manager Ryan Merkley Associate Director of Research Policy Debbi Miller Director of Special Events P.J. Murphy Director of Major Gifts Margaret Murray Major Gifts Officer John Netzel, C.F.M., C.P.M.M. Facilities Manager Christina Phillips Communications Assistant John Pippin, M.D. Director of Academic Affairs Dawnyel Pryor Educational Programs and Marketing Director Alexandra Ramirez Membership Assistant Matthew Reese Educational Outreach Manager Leslie Rudloff, Esq. Senior Counsel Lisa Schulz Web Designer Meghan Smith Office Services Coordinator Kristie Sullivan, M.P.H. Director, Regulatory Testing Issues Kalpesh Suthar Senior Accountant Caroline Trapp, M.S.N., A.P.R.N., B.C.-ADM, C.D.E. Director of Diabetes Education and Care Francesca Valente Clinical Research and Nutrition Program Coordinator Betsy Wason, C.F.R.E. Vice President of Development Rod Weaver Data Manager Missy Woodward Major Gifts Officer Christopher Wright Staff Accountant Jia Xu, Ph.D. Nutrition Program Coordinator Craig Ziskin Director of Annual Giving CONSULTANTS Melissa Altman-Traub, R.D. Amber Green, R.D. Chanel Li, Ph.D. Paul Poppen, Ph.D.
Good Medicine is published 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 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 compassionate medical policy.

13 Pesticide Tests Are Not for the Birdsor Any Animal EU Bans Marketing of Animal-Tested Cosmetics and Ingredients 14 Your Mom Is Not a Pig Warns Mississippi Newspaper Ad Take Action: Ask NIH to Reform Heart Failure Research 15 Tulane Shifts to Simulators for Trauma Training Call to Replace Prolonged Pain Experiments in Mice 16 Chimpanzee Experiments Nearing End 17 Use of Live Animals in Canadian Pediatrics Program Violates Law
Departments

4 The Latest in... 18 Member Support 20 PCRM Marketplace 23 Just the Facts 24 Physician Profile: Mothers Cancer Inspires Nutrition Outreach: Elaine Rancatore, D.O.
COVER IMAGE: iSTOCKPHOTO/CAEL CROFT-PCRM

PCRM.org
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Readers are welcome to reprint articles without additional permission. Please include the credit line: Reprinted from Good Medicine, Spring 2013, Physicians Committee for Responsible Medicine. Articles are not to be reprinted for resale. Please contact PCRM at permissions@pcrm.org regarding other permissions. PCRM 2013. Good Medicine is not intended as individual medical advice. Persons with medical conditions or who are taking medications should discuss any diet and lifestyle changes with their health professional. Good Medicine, Physicians Committee for Responsible Medicine,PCRM,The Cancer Project, Humane Charity Seal, and The Gold Plan are registered trademarks of The PCRM Foundation.

PCRM Phone Extensions 202-686-2210 Research Issues.............................................................................ext. 335 Health Charities ............................................................................ext. 384 Literature Requests.......................................................................ext. 306 Media............................................................................................ext. 316 Membership (change of address, duplicate mailings, renewal questions)....................................................ext. 304 Nutrition.......................................................................................ext. 395

Spring Spring 2013 2013 GOOD MEDICINE

The Latest in

The Latest in
By Kristie Sullivan, M.P.H.

Research Ethics

Animal Experiment Failures Mice Fail to Predict Human Inflammation


tudies of inflammatory diseases in mice have been misleading researchers for years, according to a recent study published in the Proceedings of the National Academy of Sciences. The researchers analyzed data obtained from human patients who had suffered severe blunt trauma, burns, and sepsis

(the bodys severe response to infection) and other inflammatory diseases. They found that the way in which humans respond to inflammation is not reproduced in the current mouse models. This could explain why more than 150 drugs that were tested in mice failed in patients with sepsis. The studys authors concluded: New approaches need to be explored to improve the ways that human diseases are studied.
Seok J, Warren HS, Cuencac AG, et al. Genomic responses in mouse models poorly mimic human inflammatory disease. PNAS. Published online before print February 11, 2013.

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NONANIMAL RESEARCH METHODS Largest Japanese Cosmetics Maker Shiseido Abolishes Animals Testing

hiseido, Japans largest cosmetics manufacturer, announced that it will stop animal testing for products developed beyond April 2013. It will ensure the safety of its products through data from past experiments, in vitro tests, and other nonanimal methods. The company says it will still allow animal testing to

determine the safety of products already on the market and in some countries where animal testing is legally required.

SHISEIDO ZYLERIS PHARMATECH iSTOCKPHOTO

GOOD MEDICINE Winter Spring 2006 2013

Nutrition Cancer

By Susan Levin, M.S., R.D.

The Latest in
ALZHEIMERS Disease Threefold Increase in Alzheimers Disease

Dairy Products Increase Risk of Prostate Cancer

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airy products can increase the risk of prostate cancer, according to Hebert LE, Weuve J, Scherr PA, et al. Alzheimer disease in the United a new study published in the Journal States (2010-2050) estimated using the 2010 census. Neurology. of Nutrition. Researchers tracked data Published ahead of print February 6, 2013. from 21,660 participants in the PhysiHeart Disease cians Heath Study for 28 years. Those who consumed more than 2.5 servings Vegetarian Diet Reduces Risk of Heart Disease of dairy products per day were at a 12 egetarians have a lower risk of heart meat, poultry, and fish). The vegetarians percent increased risk of prostate cancer, disease, according to a new study in were also slimmer and had lower total compared with those who consumed less cholesterol and blood pressure. than half a serving (one serving equals the March issue of American Journal of These findings are consistent with an 8-ounce glass of milk or 2 ounces of Clinical Nutrition. Researchers followed other large population studies showing cheese). For skim milk, men were at in- 44,561 men and women in England and vegetarians have less incidence of and creased risk for early stage prostate cancer. Scotland and found that the vegetarians death from heart disease. For whole milk, men drinking more than were 32 percent less likely to be hospital- Crowe F, Appleby PN, Travis RC, Key TJ. Risk of hospitalization or from ischemic heart disease among British vegetarians and 1 glass per day had double the risk for ized or die from heart disease, compared death nonvegetarians: results from the EPIC-Oxford cohort study. Am J of fatal prostate cancer, compared with men with those who ate meat products (red Clin Nutr. Published ahead of print January 30, 2013. drinking less. The authors concluded that this study further adds to the connection ACNE between dairy intake and prostate cancer.

he number of people with Alzheimers disease (AD) will jump from 4.7 million to 13.8 million by 2050, according to a new report in Neurology. The aging of the baby boom generation will lead to a tripling of AD dementia for people ages 65 years and older unless preventative measures are implemented. Numbers were estimated from U.S. Census Bureau data.

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Song Y, Chavarro JE, Cao Y, et al. Whole milk intake is associated with prostate cancer-specific mortality among U.S. male physicians. J Nutr. 2013;143(2):189-196.

Dairy Linked to Acne Development

airy products and foods with a high glycemic index are the leading causes

of acne, according to a review published in the March issue of the Journal of the Academy of Nutrition and Dietetics. Researchers examined the evidence between acne and diet and found that certain products, particularly cows milk, produce and stimulate hormones linked with acne. The association does not seem to be related to the fat content of milk, as low-fat milk had an even greater association with acne compared with high-fat milk. This study supports the findings in PCRMs 2009 published review of diet and acne.
Burris J, Rietkerk W, Woolf K. Acne: the role of medical nutrition therapy. J Acad Nutr Diet. 2013;113:416-430.

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Spring 2013 2012 GOOD MEDICINE Spring

Prevention & Nutrition

Can We End

Alzheimers?

lzheimers disease is the fastest growing health threat in the United States, according to a new landmark report from researchers at the University of Washington in Seattle. The numbers are staggering. A 2013 study in the journal Neurology found that the number of people with Alzheimers disease will jump from 4.7 million to 13.8 million by 2050.
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GOOD MEDICINE MEDICINE Spring Spring 2013 2013 GOOD

istockphoto/CAEL CROFT-PCRM

Prevention & Nutrition


Associated health care costs will skyrocket from $200 billion to more than $1 trillion by 2050, increasing the cost of Medicaid and Medicare by 500 percent. The disease is incurable. But research is at a critical turning point and shows that diet and exercise can play crucial roles in reducing the odds of developing Alzheimers disease and other forms of dementia.
Fighting Debilitating Memory Loss

The latest scientific findings show that diet and lifestyle changes can create a barrier against cognitive decline.

Researchers from the Chicago Health and Aging Project analyzed the diets of thousands of people over years. The findings are groundbreaking: Saturated bad fatfound in milk, cheese, and meatis strongly linked to the risk of developing Alzheimers disease, increasing risk more than threefold. Trans fats increase risk fivefold. Avoiding these fats can cut risk dramatically. Foods rich in vitamin E, such as broccoli, walnuts, almonds, and sunflower seeds, also reduced dementia risk by as much as 70 percent. Other studies show

Brain Threats

Saturated fats,

istockphoto

found in meats, dairy products, and eggs appear to encourage the production of beta-amyloid plaques within the brain. The Chicago Health and Aging Study reported in the Archives of Neurology in 2003 that people consuming the most saturated fat had more than triple the risk of developing Alzheimers disease, compared with people who generally avoided these foods. Trans fats, found in doughnuts and snack pastries, have been shown to increase Alzheimers risk more than fivefold. These bad fats raise cholesterol levels and apparently increase production of the betaamyloid protein that collects in plaques in the brain as Alzheimers disease begins. Excess iron can build up in the brain, sparking the production of damaging free radicals. Sources of excess iron include cast-iron cookware, meats, and iron supplements. Excess copper impairs cognition

even in mid-adulthoodand ends up in the plaques of Alzheimers disease. It comes from copper pipes and nutritional supplements. Aluminum has been found in the brains of Alzheimers patients, so it pays to err on the side of caution. Avoid uncoated aluminum cookware and read labels when buying baking powder, antacids, and processed foods.

Sweet potatoes are the dietary

BrainProtecting Foods

Nuts and seeds are

rich in vitamin E, which has been shown to help prevent Alzheimers disease. Especially good sources are almonds, walnuts, hazelnuts, pine nuts, pecans, pistachios, sunflower seeds, sesame seeds, and flaxseed. Just 1 ouncea small handfuleach day is plenty. Blueberries and grapes get their deep colors from anthocyanins, powerful antioxidants shown to improve learning and recall in studies at the University of Cincinnati.

staple of Okinawans, the longestlived people on Earth, who are also known for maintaining mental clarity into old age. Sweet potatoes are extremely rich in beta-carotene, a powerful antioxidant. Green leafy vegetables provide iron in a form that is more absorbable when the body needs more and less absorbable when you already have plenty, protecting you from iron overload which can harm the brain. Green vegetables are also loaded with folate, an important brain-protecting B-vitamin. Beans and chickpeas have vitamin B6 and folate, as well as protein and calcium, with no saturated fat or trans fat. Vitamin B12 is essential for healthy nerves and brain cells. While many people have trouble absorbing vitamin B12 from foods, B12 in supplements is highly absorbable. Together, folate, vitamin B6, and vitamin B12 eliminate homocysteine, which can build up in the bloodstreamrather like factory wasteand damage the brain.

At PCRMs International Conference on Nutrition and the Brain on July 19 and 20, 2013, some of the worlds foremost experts will share their latest insights on the role of nutrients in Alzheimers disease, multiple sclerosis, Parkinsons disease, and other conditions (for more information, see page 9).
Spring 2013 GOOD MEDICINE

Prevention & Nutrition


This recipe for brain-boosting brownies is just one of the 75 recipes developed by chefs Christine Waltermyer and Jason Wyrick for Power Foods for the Brain.

Super Raspberry Protein Brownies


Makes 16 brownies A brownie made with beans? You bet! The beans add fiber, calcium, and protein, making these brownies a nutritious indulgence. 1/4 teaspoon safflower oil 2 15-ounce cans low sodium black beans, drained and rinsed 1 cup pitted dates 1 cup all-fruit raspberry jam 1 tablespoon pure vanilla extract 1/4 cup whole-wheat pastry flour 1 cup unsweetened cocoa powder 1/4 teaspoon sea salt Preheat the oven to 350 F and grease an 8x8-inch baking pan with the oil. Combine the black beans, dates, jam, and vanilla in a food processor and process until smooth. Add the flour, cocoa powder, and salt and process again. Pour into the prepared pan and smooth the top with a spatula. Bake for 30 minutes or until the top looks set. Remove from the oven and cool completely, then cut into 16 squares. The brownies will keep, refrigerated in a covered container, for up to 1 week. Per serving (1/16 of recipe): 145 calories, 5 g of protein, 33 g carbohydrate, 15 g sugar, 1 g total fat, 7% calories from fat, 8 g fiber, 110 mg sodium
From Power Foods for the Brain by Neal Barnard, M.D.; recipe by Christine Waltermyer, C.H.H.C.

that foods overly rich in iron or copper can promote cognitive loss, while folate, vitamin B6, and vitamin B12 may help protect the memory. This brain-healthy diet is almost identical to the diet that helps prevent stroke, heart disease, obesity, and other chronic diseases: a low-fat diet of vegetables, fruits, whole grains, and legumes. Combining this with physical and mental exercise, and avoiding harmful toxins such as aluminum in supplements or cookware, can maximize protection for the brain.
Power Foods for the Brains Brain-Boosting Diet

Power Foods for the Brain, the latest book by Physicians Committee president and nutrition researcher Neal Barnard, M.D., presents this latest, compelling research on nutritions surprising effects on the brain. Dr. Barnard lays out a three-step plan to protect the mind and strengthen the memory: Put power foods to work, strengthen your brain, and defeat memory threats. The book also includes 75 power-food recipes, sample mental stimulation exercises, guides to choosing aluminum-free foods and medicines, and a guide to physical exercise.

ONLINE> Learn more about brain health and purchase Power Foods for the Brain at PCRM.org/Brain.

Protect Your Memory on PBS


Watch Protect Your Memory with Dr. Neal Barnard on PBS this spring to learn more about how to protect against memory loss and offset the risks for dementia and Alzheimers disease.

GOOD MEDICINE Spring 2013

International Conference on
the

Nutrition and
continuing education event for health care professionals

Brain

Brain disorders are the newest frontier in medical science.


Come and hear leading experts share the latest insights on the role of nutrients and lifestyle in Alzheimers disease, multiple sclerosis, Parkinsons disease, and other conditions.

Grand Hyatt Washington 1000 H St., NW, Washington, DC 20001


Jointly sponsored by The George Washington University School of Medicine and Health Sciences and the Physicians Committee for Responsible Medicine

July 19-20, 2013

www.NutritionandtheBrain.org
Spring GOOD MEDICINE MEDICINE Spring 2013 2013 GOOD

Learn more and register at

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Prevention & Nutrition

McDonalds, Chicken-Fried Steak Served in Top U.S. Childrens Hospitals


The Five Worst Childrens Hospital Food Environments Institution Shands Hospital for Children at University of Florida Gainesville, Fla. Monroe Carell Jr. Childrens Hospital at Vanderbilt Nashville, Tenn. St. Louis Childrens Hospital-Washington University St. Louis, Mo. Childrens Hospital Los Angeles Los Angeles, Calif. Riley Hospital for Children-Indiana University Health Indianapolis, Ind.

Nutrition Shocker At least 5 fast-food outlets, including Wendys; patient menu includes a hamand-cheese croissant, barbecue chicken, and meatloaf with beef gravy 4 fast-food outlets, including Taco Bell/ Pizza Hut Express; cafeteria features barbecue chicken, cheesesteak wrap, and chicken-fried steak with cream gravy 2 fast-food outlets, including Pizza Hut; patient menu includes sausage, bacon, ham, grilled chicken, and roast beef with gravy McDonalds on first floor of hospital; patient menu features pizza and hot dogs McDonalds in hospital next to cafeteria; patient menu features sausage, bacon, and corn dogs

ONLINE> Read the report at PCRM.org/Hospital.

hands Hospital in Florida is a top childrens hospital for heart surgery. But it has at least five fast-food outlets serving greasy burgers, cholesterol-laden pizza, and chicken sandwiches loaded with saturated fat. The patient menu includes artery-clogging meatloaf with gravy, a ham-and-cheese croissant that increases cancer risk, and beef lasagna, according to the Physicians Committees new report on childrens hospitals that serve the most unhealthful foods. Physicians Committee dietitians found that many childrens hospital cafeterias and patient menus are dominated by foods high in fat, cholesterol, calories, sugar, and sodium. Processed meats, such as bacon, sausage, and hot dogs, are also common, despite their established link with cancer and diabetes. A study in the journal Pediatrics found that the presence of a McDonalds in a childrens hospital is a way for the purveyors of meat, cheese, and other junk foods to associate themselves with a healthful image. McDonalds says it has restaurants in 27 U.S. hospitals. A study of Californias childrens hospitals published in Academic Pediatrics found that almost 40 percent had signs encouraging unhealthful eating. Hospitals that increase the availability of low-fat, healthful options go a long way toward improving the health prognosis of both patients and visitors.

Another Death at the Heart Attack Grill

PCRM Calls for a Shutdown

he Heart Attack Grills unofficial spokesman John Alleman died Feb. 11 after suffering a heart attack in front of the restaurant he came to every day. In response, the Physicians Committee is urging the Las Vegas Department of Planning to either shut the restaurant down or revamp its menu and name. In 2011, the diners official spokesperson Blair Rivers died at age 29. Because he weighed 575 pounds, he got to eat for

free at the restaurant under its promotion offering free food to anyone weighing more than 350 pounds. Last year, the Physicians Committee told the Heart Attack Grill that it should declare moral bankruptcy and close up shopor transform its menu. The letter was sent after a diner reportedly had a heart attack while eating the restaurants Triple Bypass Burger. The medically themed restaurant also boasts a 2-pound Quadruple Bypass Burger with four burgers, bacon, and cheese, Flatliner Fries cooked in lard, waitresses dressed as nurses, and a fake ambulance parked outside. Meaty, cholesterol-laden meals are not a joke, as the owner would like us to believe. They are deadly, says Physicians Committee director of nutrition education Susan Levin, M.S., R.D. In a letter to Las Vegas Department of Planning director Flinn Fagg, Levin wrote Please suspend the license of this dangerous businesss efforts to capitalize on obesity, clogged arteries, and now serial casualties.

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GOOD MEDICINE Spring 2013

Prevention & Nutrition

Heres the Poop

Physicians Committee Proposes Warning Labels on Chicken


C
hicken products may soon carry fecal contamination warning labels if the U.S. Department of Agriculture complies with a legal petition the Physicians Committee filed March 14. The petition calls on the USDA to declare feces an adulterant in poultry products and label products to warn consumers about likely contamination. USDA should make consumers aware that chicken often contains feces, says Mark Kennedy, director of legal affairs with the Physicians Committee. Contaminated chicken often passes right through inspection, is marketed as wholesome, and lands on unsuspecting consumers dinner plates, feces and all. Kennedy also wrote to the co-chairs of the newly reorganized Congressional Chicken Caucus, Reps. Rick Crawford and Sanford Bishop, urging an immediate industry-wide shift to the petitions proposed guidelines and labels. Although USDA holds a zero-tolerance policy for fecal contamination, it applies to visible feces only. Consumers assume that this policy guarantees that the products they eat are not tainted with fecal matter. In practice, however, enforcement standards are lax, allowing fecal contamination as long as the feces are not touching chicken skin or visible to the naked eye. As a result, contaminated meat and poultry products pass inspection. A federal inspector said, We often see birds going down the line with intestines still attached, which are full of fecal contamination. If there is no fecal contamination on the birds skin, however, we can do nothing to stop that bird from going down that line. It is more than reasonable to assume that once the bird gets into the chill tank, that contamination will enter the water and contaminate all of the other carcasses in the chiller. Thats why it is sometimes called fecal soup. Nearly half the chicken products sold in supermarkets are contaminated with feces, according to independent laboratory testing commissioned by the Physicians Committee in 2012. The study analyzed chicken samples from 15 grocery store chains in 10 major U.S. cities. The Physicians Committees petition explains that even thorough cooking does not remove feces from meat. Feces may contain round worms, hair worms, tape worms, and leftover bits of whatever the animal excreting the feces may have eaten, not to mention the usual fecal components of digestive juices and various chemicals that the animal was in the process of excreting, the petition states. The presence of feces can shut down a neighborhood pool for days, says Joseph Gonzales, R.D., staff dietitian with the Physicians Committee. No one wants to swim in feces, much less eat it. Consumers deserve to know that the chicken breasts or ground beef theyre purchasing is likely contaminated with feces.

Spring 2013 GOOD GOOD MEDICINE MEDICINE

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Prevention & Nutrition

New Online Health Tracker

Monitor Your Weight, Blood Pressure, and More

hether you are trying a plant-based diet through Kickstart, Food for Life classes, or on your own, the Physicians Committees new Health Tracker helps you track your improvements in weight, cholesterol, blood pressure, blood sugar control, and more. Just enter a few basic health measurements to begin tracking your progress.

ONLINE> Visit PCRM.org/HealthTracker.

Join the VegRUN Marathon Training Program

egan ultramarathoner Scott Jurek is the author of book Eat&Run. Hes also a coach for the Physicians Committees VegRUN fundraising program that offers a comprehensive plant-based training program for a half marathon and marathon. Endurance takes trainingand thats what youre doing now. Soon, youll be prepared to continue your vegan diet for the long run, says Jurek. Ive followed a vegan diet for a decade, and Im the course record holder and consecutive seven-time champion of the Western States 100 Mile Endurance Run, Scott Jurek two-time chamGOOD MEDICINE Spring 2013

pion of the Badwater Ultramarathon, three-time Spartathlon champion, and winner of Hardrock 100. Your $50 donation to the Physicians Committee will kick off your fundraising efforts and provide you weekly e-mail messages leading up to your event. Youll gain exclusive access to a website with: Matt Fraziers No Meat Athlete halfmarathon and marathon training plans Plant-based recipes for breakfast, lunch, dinner, side dishes, snacks and dessert, and pre-race fuel Fit facts and nutrition tips Advice from more than a dozen worldclass athletes, including world-class vegan cyclist Christine Vardaros; Ironman triathlete Brendan Brazier, author of Thrive Fitness: The VeganBased Training Program for Maximum Strength, Health, and Fitness; and Rich Roll, author of Finding Ultra: Rejecting

Middle Age, Becoming One of the Worlds Fittest Men, and Discovering Myself A Facebook page monitored by running experts and nutritionists where you can get your questions answered and share your successes and challenges You can also create a personal fundraising Web page with your story, picture, and fundraising tracker that shows how much youve raised for the Physicians Committee. Share your page with friends and family and ask them to make a donation to support your fundraising goals. As you fundraise, you will also qualify for incentives, such as a VegRUN technical T-shirt, a selection of books and products from VegRUN celebrity coaches, and other running gear and products. Train with the Physicians Committee and support lifesaving programs. Everybody wins! To sign up for VegRUN, visit VegRUN.org.

LUIS ESCOBAR

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Research Issues

Pesticide Tests Are Not for the Birds or Any Animal T


he Physicians Committee recently convinced the Environmental Protection Agency to spare hundreds of animals from being used and killed in cruel pesticide tests. A test for the pesticide thiobencarb, a commercial-grade herbicide, would have killed 200-600 animals, including newborns. An immunotoxicity test for aldicarb, an insecticide used to kill roundworms, would have dosed at least 40 rats with the pesticide daily for 28 days without pain relief, after which the rats would have been killed. Physicians Committee toxicology experts Kristie Sullivan, M.P.H., and Aryenish Birdie also argued against the EPAs request for a lethal-dose test on 50 songbirds for aldicarb.
ONLINE> See the new infographic that illustrates the procedures animals endure before dying in 33 common pesticides tests at PCRM.org/Pesticides.

EU Bans Marketing of Animal-Tested Cosmetics and Ingredients

osmetics companies can no longer sell animaltested products in the EU as of March 11. Kristie Sullivan, M.P.H., the Physicians Committees director of regulatory testing issues, and Aryenish Birdie, the Physicians Committees regulatory testing policy coordinator, have spent years rallying support for the ban that will save the lives of countless rabbits, guinea pigs, mice, and rats who suffer and die each year for cosmetics testing. Last year, the Physicians Committee delivered nearly 25,000 letters from EU residents and people around the world to the European Commission, calling on the EC to maintain its 2013 deadline for a ban on the marketing of cosmetic products tested on animals. Physicians Committee supporters Alicia Silverstone and True Bloods Kristin Bauer also wrote letters calling for the ban.

This ban follows passage of Israels Jan. 1 law that no longer allows the import and marketing of cosmetics, toiletries, or detergents that have been tested on animals. The Physicians Committee is now working with U.S. lawmakers and cosmetics manufacturers to help the United States join the EU and Israel. The Come Clean campaign asks cosmetics companies to reveal whether they perform skin irritation and corrosion tests on animals, so Physicians Committee scientists can help them transition to nonanimal test methods that are both cruelty-free and technologically advanced.
ONLINE> Learn more about Come Clean at PCRM.org/Cosmetics.

Spring 2013 GOOD MEDICINE

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Research Issues

Your Mom Is Not a Pig Warns Mississippi Newspaper Ad

he Physicians Committees Your Mom Is Not a Pig newspaper ad warned Jackson, Miss., residents that the University of Mississippi Medical Centers use of animals for medical student training is substandard. The ad was part of a month-long series that ran in the Jackson Free Press throughout January. Ninety-eight percent of U.S. and Canadian medical schools exclusively use nonanimal education methods. UMC currently operates a simulation center and could replace its use of animals immediately.
ONLINE> Ask UMC to stop using and killing live pigs for medical education at JacksonTakeAction.org.

TAKE ACTION:

Ask NIH to Reform Heart Failure Research


and then they were forced to run on treadmills. The experimenters then induced hypertension in Queenie by reducing the flow of blood to her kidneys. After nine torturous months, Queenie was killed. It is too late for Queenie, but not thousands of animals like her.
ONLINE> Please politely urge NIH director Francis Collins, M.D., Ph.D., to withdraw funding from the use of dogs in heart failure research. Go to PCRM.org/HeartFailure.

Queenie

he Physicians Committee is pushing the National Institutes of Health (NIH) to withdraw millions of dollars in funding from university research during which devices are surgically implanted in dogslike Queeniebefore forcing the animals to run on treadmills. Queenie was sold to a university laboratory that performs cruel, unnecessary experiments on live animals. In the lab, Queenie and countless other healthy dogs were cut open, devices were implanted in their blood vessels,

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GOOD MEDICINE Spring 2013

Research Issues

Tulane Shifts to Simulators for Trauma Training


fter a long dispute, Tulane University in New Orleans has replaced the use of live pigs with the TraumaMan simulator to teach physicians in Advanced Trauma Life Support (ATLS) courses. Tulanes end of live pig use follows the Physicians Committees campaign that began in 2007 and had tremendous support from members, including local physician Leslie Brown, M.D., who helped PCRM plan and hold a large public demonstration outside Tulane in 2010. She also signed the Physicians Committees state cruelty complaint against the school, and she wrote to administrators. PCRM supporters sent more than 66,000 e-mails to Tulane. Tulanes ATLS training involved cutting into live, anesthetized pigs and practicing procedures such as inserting a tube and needle into the animals chest cavities and cutting into their throats. After the training session, the animals were killed.

Leslie Brown, M.D.

TraumaMan

Call to Replace Prolonged Pain Experiments in Mice


new literature review by Physicians Committee authors published in the Journal of Applied Animal Welfare Science raises serious questions about pain experiments in mice. The review shows that the number of prolonged neuropathic, inflammatory, and chronic pain experiments on mice has increased dramatically in the past decade. In the 55 studies reviewed, there were no references to basic animal welfare standards. The authors say that their findings suggest that researchers conducting prolonged pain research on mice are paying little, if any, heed to even simple ethical principles, let alone nonanimal methods.

The review also stresses that alternative approaches can replace animal use. Aside from ethical problems, studies in mice have been misleading researchers for years, according to a new study just published in the Proceedings of the National Academy of Sciences. The studys authors concluded: New approaches need to be explored to improve the ways that human diseases are studied.
ONLINE> Read more about the problems with mice experiments at PCRM.org/Mousetrap.

Spring Spring2013 2013 GOOD MEDICINE

15

Research Issues

Chimpanzee Experiments Nearing End

fter a long battle, the use of chimpanzees in laboratory experiments is about to end. To recap from the beginning of the story: In September 2010, the Physicians Committee and others began a campaign to stop the National Institutes of Health from transferring a group of chimpanzees from Alamogordo, N.M., to the Texas Biomedical Research Institute. As the controversy grew, NIH called for an investigative report by the Institute of Medicine as to whether chimpanzees were actually required in research. The Physicians Committee managed to have some biased IOM committee members removed, including the chair, and Physicians Committee director of academic affairs John Pippin, M.D., testified to the IOM panel about the scientific and ethical problems of chimpanzee use. The resulting IOM committee report was surprisingly strong, not finding any area of invasive chimpanzee experiments that cannot be replaced with nonanimal methods. Meanwhile, however, the Great Ape Protection and Cost Savings Act, which passed the Senate committee, was blocked by a handful of senators as the session came to a close, and it died as the clock ran out. But that was not the end of the story. On Jan. 23, 2013, NIH released its own report on how it would implement the IOM committees findings. If chimpanzees are not actually necessary for research, NIH asked, what do we do with the chimpanzees still in laboratories? The
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GOOD MEDICINE Spring 2013

answer, thankfully, was to let them go. The NIH panel decided that all but 50 of the 360 government-owned chimpanzees will be retired to sanctuaries as quickly as space can be made available, effectively ending the use of chimpanzees in federally funded research. The NIH decision left two issues: 50 chimpanzees are to be held in reserve, in case some unanticipated need arises. The Physicians Committee is now working to have them sent to sanctuaries, too. Second, this new policy does not cover chimpanzees not owned by the federal government, so it is essential that private industry follow suit. We do not believe there is a valid scientific justification for reserving a population of captive chimpanzees for potential future research needs, said Dr. Pippin in a letter he wrote to NIH director Francis Collins, M.D., Ph.D., this February. It is in the best interest of NIH, progressive research practices, and captive chimpanzees to phase out all invasive experiments on these chimpanzees and retire them to sanctuary. More than 25,000 Physicians Committee supporters have signed a petition asking Dr. Collins retire all government-owned chimpanzees to sanctuary.
ONLINE> Sign the petition to NIH at PCRM.org/GAPCSA.

iSTOCKPHOTO

Research Issues

Use of Live Animals in Canadian Pediatrics Program Violates Law


L
aval University regularly violates Quebec law by subjecting live animals to abuse and ill-treatment in the schools pediatrics residency program. In March, the Physicians Committee filed a complaint asking Quebecs legal system to investigate the live animal component of this training program and take steps to prevent further violations of Quebec law. According to documents obtained by the Physicians Committee from Laval via Quebecs public records law, each pediatrics resident is instructed to make an incision between a piglets ribs, insert tubes into the chest cavity, insert a needle into the abdominal cavity, cut open and insert a needle into an animals veins, and insert a needle under the breast bone and into the sac surrounding the heart. The piglet is then killed and residents are instructed to make incisions in the animals throat, into which a tube is inserted. These activities constitute abuse or ill-treatment specifically prohibited by Quebecs Animal Health Protection Act, according to the Physicians Committees complaint. Lavals animal use protocol justifies the use of piglets by claiming there are no satisfactory options allowing realistic demonstration and practice of all the procedures. But several human-based simulatorsincluding SimBaby, BabySim, SimNewB, Airway Newborn, the TraumaChild System, and Nita Newborn V800are available and allow these procedures to be taught without the use of live animals. High-fidelity simulators are life-like mannequins connected to computer systems that control the physiological and physical responses of the mannequin, said an article in the official journal of the Canadian Paediatric Society. These simulators are able to provide direct feedback to learners in safe, risk-free environments. This technology has been used to teach all aspects of medical care, including medical knowledge, technical skills, and behavioural training or communication skills.

SimBaby from Laerdal Nita Newborn V800


from Gaumard

TraumaChild
from Simulab

SimNewB from Laerdal

BabySIM from CAE Healthcare


Spring 2013 GOOD MEDICINE

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Member Support

A Sublime Send-Off! O

n Friday, March 1, 2013, Nanci Alexander hosted a Bon Voyage Party at her landmark Sublime restaurant in Fort Lauderdale, Fla., to benefit PCRM. For years, this fun event has taken place on the eve of the Holistic Holiday at Sea cruise departure. A packed house of guests from all over North America and beyond got to hear Dr. Barnard talk about his newly released book, Power Foods for the Brain, and then stayed on to experience the restaurants world-famous cuisine in a setting of waterfalls, Italian PCRM president Neal Barnard, M.D., Sublime restaurant owner tiles, and amazing artwork. Nanci Alexander, VegNews editor Joe Connelly Thank you, Nanci!

Front row: Nanci Alexander, Arlene Berkman; back row: James Holcomb, Patricia Palafox, Ron Morgan, Midge Steuber, Neal Barnard, Milton Berkman, Bridgett Smith

Volunteers Jessica Spain, Curtis Brock

Ann and Larry Wheat, Colleen Patrick-Goudreau

Jimmy Conway, M.D., Sandy Pukel, Andrea Conway

Join us in Atlanta on June 27, 2013. See more upcoming events at PCRM.org/EVENTS.

How Do I Include PCRM in My Will?


The following sample is language that may be used in your will or trust: I give, devise and bequeath to the Physicians Committee for Responsible Medicine, tax ID 52-1394893, 5100 Wisconsin Ave., Ste. 400, Washington, DC 20016, the sum of $___________ (or describe the real or personal property or portion of estate) as a charitable contribution to be used for its general purposes. -ORI give, devise and bequeath to the Physicians Committee for Responsible Medicine, tax ID 52-1394893, 5100 Wisconsin Ave., Ste. 400, Washington, DC 20016, _____Percent (_______%) of my residuary estate as a charitable contribution to be used for its general purposes. Please let us know! When you include PCRM in your will, you join a special group of members who have planned to support PCRMs future efforts. Our Lifetime Partners receive a certificate signed by PCRM president Dr. Neal Barnard, special updates on our work throughout the year, and recognition at special events.

Learn More About PCRMs Lifetime Partner Program and Planned Giving Opportunities at PCRM.PlanYourLegacy.org.
Please send me PCRMs brochure Wise Giving to Ensure a Compassionate Future. I have already named PCRM in my will, trust, life insurance policy, or retirement plan. Please contact me to activate my Lifetime Partner status. I have questions! Please contact me at the phone or e-mail listed below.
Name Address City Country State/Province

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GM13SP

Please mail to:

PCRM, Attn: Betsy Wason 5100 Wisconsin Ave., NW, Suite 400 Washington, DC 20016

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GOOD MEDICINE Spring 2013

Member Support

Doris Carey: Ensuring a More Compassionate Future


studentsthe very people we count on to be healerswere killing animals in their training, she has been a staunch supporter of PCRMs efforts to reform medical education. Shes celebrated every success and cheered on every institution that was persuaded to embrace compassion over cruelty. Today, the number of schools using animals can be counted on just one hand. Ms. Carey explains, I am so proud to be a member of an organization that is creating a better future for our grandchildren, and, of course, for animals. But I also understand how much work must still be done. Too many people still find it acceptable to treat animals without respectto allow them to suffer. recipes, and action alerts to support our campaigns. Concerned about the health advice you might be getting from other online medical sources? Be sure to check out NutritionMD.org for up-to-the-minute dietary approaches to your health concerns. Protect Your Memory with Dr. Neal Barnard is a new PBS special. Get some friends together for a party to watch the show, and serve healthy, plant-based foods. Check your local PBS station to see when it airs. Then check out our recipes online to find something delicious and healthy to serve. While youre there, be sure to sign up for the recipe of the week and visit the archives for hundreds of other recipes. Sign up for our 21-Day Vegan Kickstart. More than 200,000 people have participated in this free online program Thats why Ms. Carey has become a PCRM Lifetime Partner by including PCRM as a beneficiary in her will. I want to do all I can to ensure that PCRMs work continue even after I am gone. Its important to me that I leave a legacy of compassion for future generations, and PCRMs development office offered me the guidance I needed. You can learn more about our Lifetime Partner program and different types of legacy gifts at PCRM.PlanYourLegacy.org. Or contact Betsy Wason, PCRM vice president for development, at 202-5277366. Together, we can ensure that compassion for all living creatures becomes a way of life for future generations.

hirty years ago, Doris Carey heard Dr. Neal Barnard speak about the cruelties of animal experiments conducted in the name of medical education. What he said changed the way she viewed the world. Since that day nearly 30 years ago, when she learned that medical

Spread the Word


s you know, a plant-based diet has positive benefits for our health, animals, and the planet. Here are some resources to help you become an activist in your own community and to further our shared efforts to make the world a healthier, more compassionate, and kinder place to live. You can find links to everything listed below at PCRM.org. PCRM has an abundance of books on vegan nutrition and a wide variety of literature; much is free and downloadable. Join our online community! Get PCRMs monthly e-newsletter and sign up for Breaking Medical News, free weekly

that delivers daily messages to your inbox filled with nutrition facts, recipes, cooking videos, and tips from celebrity coaches. Four versions are offered monthly. Whether its helping our children get healthy school lunches, getting reports and surveys on everything from cookbooks to airport food, or offering continuing medical education to health care professionals, there are myriad ways for you to become a PCRM health advocate. Become a PCRM member! If you wish to support PCRM by making a donation, becoming a monthly supporter, or encouraging the support of others by sharing the links, whatever you do is greatly appreciated. Getting active couldnt be easier pick one thing that speaks to you, and take action!
Spring Spring2013 2013 GOOD MEDICINE

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PCRM Marketplace

PCRM Marketplace
The Best in the World Fast, Healthful Recipes from Exclusive and Out-ofthe-Way Restaurants Neal D. Barnard, M.D., Editor This popular collection of wonderfully healthy recipes comes from the worlds best and most unusual restaurants. Enjoy these vegan delicacies at home. Hardcover, 71 pgs, $11.95 The Best in the World II Healthful Recipes from Exclusive and Out-of-the-Way Restaurants Jennifer L. Keller, R.D., Editor Travel around the world to discover treasures from side-street cafes and elegant hotel dining rooms. Attractively illustrated, this delightful vegan cookbook is the sequel to PCRMs original international recipe collection. Hardcover, 71 pgs, $11.95 The Best in the World III Healthful Recipes from Exclusive and Out-of-the-Way Restaurants Neal Barnard, M.D., Editor Discover delicious and unique recipes from restaurants across the globe.Join monks in a temple courtyard in the Far East, passengers on a French luxury yacht, or even a rock star in Akron, Ohio, for an unforgettable culinary adventure. Often exotic and always flavorful, these plant-based recipes are designed to be within the abilities of any amateur chef. Hardcover, 71 pgs, $11.95 SPECIAL OFFER! The Best in the World I, II, and III 3 book set $23.95 Killer Fish How Eating Aquatic Life Endagers Your Health Brian R. Clement, Ph.D., N.M.D., L.N. Contrary to popular opinion, fish is not a healthful alternative to red meat. Clement separates myth from fact, explaining the deadly toxins concentrated in both farmed and wild fish.163 pgs, $14.95 Grills Gone Vegan NEW! Tamasin Noyes Move over meat! Plant-based proteins, vegetables, and even fruits take center stage. Readers can think beyond burgers and kabobs and create everything from quick appetizers and sandwich fillings to side dishes and even a surprising array of sweetsall on the grill.Tamasins rubs and sauces make tofu, tempeh, and seitan explode with flavor, and her marinades infuse portobello mushrooms and other succulent vegetables with savory depth. 192 pgs, $19.95 Dr. Spocks Baby and Child Care: 9th Edition Benjamin Spock, M.D., and Robert Needlman, M.D. For 65 years, parents have relied on the guidance of renowned pediatrician Dr. Benjamin Spock. Still providing reassuring advice on caring for a new baby, this new version also contains more information about obesity and nutrition, immunizations, and childrens learning and brain development. Largely vegan. 1152 pgs, $19.99 The Allergy-Free Cook Bakes Cakes and Cookies Gluten-Free, Dairy-Free, Egg-Free, Soy-Free NEW! Laurie Sadowski This book is designed for anyone who needs to avoid gluten, dairy products, and other common food allergens but doesnt want to feel deprived. Now those with food sensitivities can fearlessly indulge in delicious baked goods. Learn how to interpret food labels, prevent cross-contamination, and make ingredient substitutions. 144 pgs, $14.95 Skinny Bitch in the Kitch Rory Freedman and Kim Barnouin Kick-Ass Recipes for Hungry Girls Who Want to Stop Cooking Crap (and Start Looking Hot!) Heres the companion cookbook to the outrageous bestseller Skinny Bitch. Seventy-five easy, satisfying recipes, served up with fun. A hilariously bawdy vegan cookbook for the modern Mrs. Cleaver. Domino 192 pgs, $14.95 The Sublime Restaurant Cookbook South Floridas Ultimate Destination for Vegan Cuisine Nanci Alexander The flavors and beauty of south Floridas award-winning Sublime Restaurant are compiled here with some of Sublimes most famed culinary creations. From Asian, Latin, or Mediterranean influences to more typical American fare, each recipe is delightfully conceived, beautifully presented, and yet surprisingly quick to prepare. 117 pgs, $19.95

Research Issues What Will We Do If We Dont Experiment on Animals? Medical Research for the 21st Century C. Ray Greek, M.D., and Jean Swingle Greek, D.V.M. The Greeks answer the titles question with a tour of truly modern medical research. With advances in the study of human genetics and the ability to measure human responses to drugs at the molecular level, researchers will find it increasingly difficult to justify the crude data accumulated from animal experimentation. 262 pgs, $24.99 The Exultant Ark: A Pictorial Tour of Animal Pleasure Jonathan Balcombe In more than 130 striking images, this book celebrates the full range of animal experience with dramatic portraits of animal pleasure. These photos, windows onto the inner lives of pleasure seekers, show two polar bears engaged in a bout of wrestling, a young bull elk sticking out his tongue to catch snowflakes, and many other rewarding moments. Biologist and best-selling author Balcombe is our guide. Hardcover, 224 pgs, $36.95 Health and Nutrition Nutrition Guide for Clinicians, second edition Physicians Committee for Responsible Medicine This comprehensive medical reference manual covers nearly 100 diseases and conditions, including risk factors, diagnoses, and typical treatments. Most importantly, it provides the latest evidence-based information on nutritions role in prevention and treatment. Includes an in-depth examination of general nutrition, macronutrients, micronutrients, and nutritional requirements for all stages of life. 745 pgs, $19.95 Special Discount $17.95 Veganist Lose Weight, Get Healthy, Change the World Kathy Freston Veganist is filled with compelling facts, stories of people who have improved their weight and health conditions as a result of making the switch, and Q&As with leading medical researchers. The book concludes with a step-by-step practical guide to becoming a veganist easily and gradually. It is an accessible, optimistic, and illuminating book that will change the way you eat forever. 304 pgs, $15.00 20
GOOD MEDICINE Spring 2013

Crazy Sexy Diet

Eat Your Veggies, Ignite Your Spark, and Live Like You Mean it! Kris Carr; Foreword by Dean Ornish, M.D. With sass, wit, and advice from a posse of experts, Kris Carr puts you on the vegetarian fast track to vibrant health and happiness. Following on the heels of her best-selling cancer survival guidebooks, Karrs latest book is for everyone looking for a healthier lifestyle. 240 pgs, $19.95

From Neal D. Barnard, M.D., PCRM president


NEW! Power Foods for the Brain An Effective 3-Step Plan to Protect Your Mind and Strengthen Your Memory In Power Foods for the Brain, Dr. Neal Barnard has gathered the most important research and studies to deliver a program that can boost brain health, reducing the risk of Alzheimers disease, stroke, and other less serious malfunctions, including low energy, poor sleep patterns, irritability, and lack of focus. 320 pgs, $26.99

PCRM Marketplace
Bravo! Health Promoting Meals from the TrueNorth Health Kitchen Chef Ramses Bravo, Foreword by T. Colin Campbell, Ph.D. Bravo! features delicious recipes from the TrueNorth Health Center, whose dietary program has helped more than 7,000 people recover from chronic diseases, including diabetes, high cholesterol, obesity, and hypertension. No salt, oil, or sugar. Includes tips, guidelines, and 14 days of menus. 160 pgs, $19.95

21-Day Weight Loss Kickstart NOW IN Boost Metabolism, Lower Cholesterol, PAPERBACK and Dramatically Improve Your Health Based on PCRMs popular online Kickstart program, Dr. Barnards 21Day Weight Loss Kickstart will help you get fast results: drop pounds, lower cholesterol and blood pressure, improve blood sugar, and more.With more than 60 recipes, daily meal plans, and tips for grocery shopping, this book will get you on the fast track to better health. 368 pgs, $15.99 The Get Healthy, Go Vegan Cookbook 125 Easy and Delicious Recipes to Jump-Start Weight Loss and Help You Feel Great These recipes are based on Dr. Neal Barnards landmark two-year study, which shows that a vegan diet effectively controls type 2 diabetes. In fact, its also beneficial for weight loss, the reversal of heart disease, and the improvement of many other conditions. Dr. Barnard and nutritionist Robyn Webb offer easy, delicious meals to improve your health. 248 pgs, $18.95 A New Approach to Nutrition for Diabetes DVD Turn back the clock on diabetes through a low-fat vegan diet.In eight compelling lessons, Dr.Barnard explains his groundbreaking research and how to put it to work in your life. Includes cooking demonstrations by chef Toni Fiore and a grocery store tour by Susan Levin, R.D., and Caroline Trapp, M.S.N., C.D.E. 192 mins, $19.95 Dr. Neal Barnards Program for Reversing Diabetes If you have diabetes or are concerned about developing it, this program could change the course of your life. Dr. Barnards groundbreaking clinical studies, the latest funded by the National Institutes of Health, show that diabetes responds dramatically to a low-fat, vegetarian diet. Rather than just compensating DVDs from PBS Kickstart Your Health with Dr. Neal Barnard More than 100,000 people have participated in PCRMs Kickstart program. Here Dr. Barnard describes the 21-day plan for a smarter, slimmer, and healthier you. Achieve lifelong results with this quick and easy approach. 60 mins, $9.95

for malfunctioning insulin like other treatment plans, Dr. Barnards program helps repair how the body uses insulin. Includes 50 delicious recipes. 288 pgs, $15.99 Foods That Fight Pain Did you know that ginger can prevent migraines and that coffee sometimes cures them? Drawing on new research, Dr. Barnard shows readers how to soothe everyday ailments and cure chronic pain with common foods. 348 pgs, $14.95 Breaking the Food Seduction We all have foods we cant resist, foods that sabotage our health. But banishing those cravings for chocolate, cookies, cheese, or burgers isnt a question of willpower, its a matter of biochemistry. Drawing on his own research and that of other leading institutions, Dr. Barnard reveals how diet and lifestyle changes can break the craving cycle. 324 pgs, $16.99 Turn Off the Fat Genes Genes, including those that shape our bodies, actually adapt to outside influences. Dr. Barnard explains the process and provides a three-week gene-control program complete with menus and recipes by Jennifer Raymond. Here are powerful tools for achieving longterm weight loss and better health. 350 pgs, $14.95 A Physicians Slimming Guide for Permanent Weight Control You can succeed in becoming and staying slimmer! This book is not a dietits a comprehensive program that takes the reader beyond artificialformula approaches. 96 pgs, $7.95 Food for Life The breakthrough book on aging, heart disease, cancer, weight control, and general health. Preface by Dean Ornish, M.D. Loads of tips on changing your diet, 21 days of menus, plus delicious recipes by Jennifer Raymond. 334 pgs, $14.95 Tackling Diabetes with Dr. Neal Barnard Drawing on the latest scientific research, Dr. Barnard explains how a low-fat vegan diet can fight diabetes by controlling blood glucose, weight, and heart disease risk. In many cases, it will even eliminate the need for some medications. 60 mins, $9.95

From PCRM
Food for Life 90-Day Journal This portable spiral notebook helps you to keep a daily of record of fiber intake and physical activity. Additional features include a seven-day sample menu, 22 recipes, tips for breaking food cravings, pantry suggestions, how to track fiber intake and body mass index, recommended resources, and plenty of inspiration from PCRM. 144 pgs, $12.00, discount price $10.99 The Nutrition Rainbow Poster The more naturally colorful your meal is, the more likely it is to have an abundance of cancer-fighting nutrients. Pigments that give fruits and vegetables their bright colors represent a variety of protective compounds. The Nutrition Rainbow poster shows the cancer-fighting and immune-boosting power of different-hued foods. 17x22 , $6.00 Prescription for Life Poster This whimsical work of art introduces your patients to the importance of fruits, vegetables, whole grains, and beans in cancer prevention and survival. It also tells how to obtain free information about nutrition, recipes, and classes. 17x22 , $6.00 The Cancer Survivors Guide Neal Barnard, M.D., Jennifer Reilly, R.D. Find out how foods fight cancer and the advantages of a high-fiber, low-fat, dairy- and meat-free diet. Includes updates from the latest research, special prostate and breast cancer sections, tips for making the dietary transition, and more than 130 recipes. 245 pgs, $19.95 Eating Right for Cancer Survival dvd Neal Barnard, M.D., Chef Sualua Tupolo, Stephanie Beine, R.D. This exciting 2-disc set is designed to work hand in hand with the companion book, The Cancer Survivors Guide. Nine nutrition presentations and nine cooking lessons provide powerful tools for making changes in health and well-being. 270 mins, $19.95
Spring 2013 GOOD GOOD MEDICINE MEDICINE

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PCRM Marketplace
Fit Quickies NEW! 5-Minute Targeted Body-Shaping Workouts Lani Muelrath Develop a flatter belly, shapelier thighs, firmer arms, a tighter tush, a whittled waist, and a strong core with targeted exerciseswith illustrations and stepby-step instructions. Muelrath backs up her exercise plan with guidance regarding a plant-based diet and mind-set mastery. 270 pgs, $19.95 The Great Life Cookbook Whole Food,Vegan, Gluten-Free Meals for Large Gatherings Priscilla Timberlake, Lewis Freedman, R.D. Every Friday night for more than 17 years, the authors have been cooking for their family and community. They invite you to explore the monthly dinner menus and dare to cook wholesome and delicious vegan dishes for your friends! 96 recipes, from soup to dessert arranged in 12 seasonal menus. 240 pgs, $26.50 Main Street Vegan Everything You Need to Know to Eat Healthfully and Live Compassionately in the Real World Victoria Moran Holistic health practitioner Victoria Moran offers a complete guide to making the shift to a vegan diet with an emphasis on practical baby steps, proving that you dont have to have a lifestyle coach on speed dial to experience the benefits of being a vegan. 400 pgs, $16.95 Unlocking the Power of Plant-based Nutrition DVD Series You can buy all three Unlocking the Power of Plant-based Nutrition DVDs Food for Life, Weight Control, and Heart Healthfor $29.95. Thats a savings of nearly $15. Each disc features the segments Getting Started with Neal Barnard, M.D., and In the Kitchen with TVs Totally Vegetarian Chef Toni Fiore. Discs average 58 minutes in length. $29.95

Many PCRM fact sheets and booklets are downloadable without charge or available in print at minimal cost at PCRM.org/factsheets

Power Plate Poster These healthful food groups help you live longer, stay slimmer, and cut your risk of heart disease, diabetes, and high blood pressure. 18"x 24", $6.00

Find even more healthful resources at

Show your support for humane research with

Humane Charity Seal of Approval Items


Cat Magnetic Bumper Sticker $2.00

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PCRM.org/Shop

Monkey Refrigerator Magnet 2"x3". $1.00 Rabbit Refrigerator Magnet 2"x3". $1.00

iSTOCKPHOTO

Dog Magnetic Bumper Sticker $2.00


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Spring 2006 2013 GOOD MEDICINE Winter

Just the Facts

Fast-Food Funeral
David S. Kime Jr. recently died from heart complications after visiting Burger King in Manchester, Pa., every week for a Whopper Jr. The funeral procession went through the Burger Kings drive-through, where mourners got a Whopper Jr.

Curious Chimpanzees
Chimpanzees who completed a puzzlewith the reward of either inedible tokens or edible Brazil nutsenjoyed solving the puzzle whether they got the Brazil nuts or not.

No Shock: Crabs Feel Pain


Crabs placed in a tank with two sheltersone that gave them a mild shock and one that didntlearned to pick the shelter that didnt give them pain, proving the obvious: animals feel pain.

Mars Needs Vegetarians


According to RT (Russian Television), billionaire Paypal cofounder Elon Musk aims to start a vegetarian-only settlement on Mars.

Heartening Berry News


Women who eat three or more servings of blueberries or strawberries per week reduce their risk of heart attack by 32 percent, according to a study in the journal Circulation.

A Weighty Problem
Despite the obesity epidemic, physicians are doing less patient counseling for weight problems now than they were a decade ago, according to the National Ambulatory Medical Care Survey.

Manure Spreads AntibioticResistant Bacteria


Manure from Chinese pig farms carries high concentrations of antibioticresistant bacteria that pose risk to worldwide human health, says a recent study in the Proceedings of the National Academy of Sciences.

Empathic Monkeys
A new study finds that capuchin monkeys avoid humans who they observe having negative interactions with other humans.

Fruits and Vegetables for the Mind


PCRM/DOUG HALL

A new study of New Zealanders found that the more fruits and vegetables the participants ate, the calmer, happier, and more energetic they felt.

Spring Spring 2013 2012 GOOD MEDICINE

23

PCRM

Physicians Committee for Responsible Medicine 5100 Wisconsin Ave., NW, Suite 400 Washington, DC 20016

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Physician Profile Mothers Cancer Inspires Nutrition Outreach


Patients dont just forget names and datesthey can often end up in situations that are harmful to their physical health, she adds. They may forget to turn off the stove, or they may get lost and end up walking in the street. In addition to her position at Baptist Health South Florida, Dr. Rancatore is a co-founder of 2R-Health, which was created to promote healthful nutrition and physical activity, to develop and encourage healthy habits in our nations youth, to stem the epidemic of obesity and chronic diseases, and to support and promote research in cancer prevention and treatment. She also spreads this message as a media spokesperson for the Physicians Committees 21-Day Vegan Kickstart, which she has participated in several times. Dr. Rancatore received her medical degree from the University of Medicine and Dentistry of New Jersey, New Jersey School of Osteopathic Medicine. She also recently completed Integrative Health Coach training at Duke University, which allows her to help patients make behavior changes that foster good health.

Elaine Rancatore, D.O.


fter losing her mother to cancer, Elaine Rancatore, D.O., began educating everyone from high school students to senior citizens about the benefits of a healthful plant-based diet. When Physicians Committee president Neal Barnard, M.D., recently gave a lecture on his new book, Power Foods for the Brain, in Broward County, Fla., Dr. Rancatore talked about the benefits of fruits and vegetables in preventing Alzheimers disease and demonstrated how to make the books Blueberry Breakfast Smoothie. There is no time to waste in putting this new brain-boosting diet into action. We should all encourage physicians, dietitians, teachers, parents, and everyone else to spread the word, says Dr. Rancantore. And lets not forget to make these changes in our own homesit will help

ensure that well have as long as possible to spend with those we love. A longtime Physicians Committee member, Dr. Rancatore has practiced emergency medicine for 18 years and knows just how serious and debilitating Alzheimers can be.

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Please keep If your address has changed, please let us know promptly. AddressChanges@PCRM.org or 202-686-2210, ext. 304 printed on recycled paper in touch. 24 GOOD MEDICINE Spring 2013

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