Flashback Friday: Evidence-Based Medicine or Evidence-Biased?
Michael Greger M.D. FACLM June 7th, 2019
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Evidence-based medicine may ironically bias medical professionals against the power of dietary intervention.
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Dr. Esselstyn’s landmark study showing even advanced triple vessel coronary artery disease could be reversed with a plant-based diet has been criticized for being such a small study. But the reason we’re used to seeing such large studies is they typically show such small effects. Drug manufacturers may need to study 7,000 people in order to show a barely statistically significant 15% drop in ischemic events in a subsample of patients, whereas Esselstyn got a 100% drop in those who stuck to his diet—all the more compelling given that those 18 participants experienced “49 coronary events [such as heart attacks] in the 8 years before” they went on the diet. And these were the worst of the worst—most of whom having already failed surgical intervention. So, when the effects are that dramatic, how many people do you need?
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Yet physicians in the US are still busily manning the ambulances at the bottom of the cliff instead of building fences at the top.
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Yes, switching to a whole-food plant-based dies is tough. But the alternative is so bleak that it should be in a horror movie. “We, The Sheeple” have been brainwashed into a meme that kills and cripples us.
This doctor advocates going vegan, but he does urge even any change is better than no change.
If you don’t believe it, just look at the death and disease rates in pre- and post- World War 2 Japan, Okinawa, China, and certain African countries like Uganda. Or the examples in the US of the Seventh Day Adventists, who are vegan non-smoker non-drinkers. So it can be done!
I’ve changed my diet. Not nearly as much as I want to. Having just received some “bad” medical news (i.e., some marginal chemistry numbers and a heart murmur), I have become more diligent about my diet and exercise.
Maybe if the public was more aware, a lot of literal heart ache could be avoided.
I’ve begun asking restaurants for their “vegan menu”. Laugh! After a strange stare and an admission they don’t have one, I pick the “least bad option”. You can get a vegetable fajita that almost a good a steak; you just have to pretend that the carrots are steak. Laugh! YMMV!
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