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® From the Physicians Committee for Responsible Medicine / Spring 2013 / Vol. XXII, No. 2 ® Can We End Alzheimer’s? Tulane Shifts to Simulators for Trauma Training McDonald’s, Chicken-Fried Steak Served in Top U.S. Children’s Hospitals Pesticide Tests Are Not for the Birds— or Any Animal Here’s the Poop: PCRM Proposes Warning Labels for Chicken Chimpanzee Experiments Nearing End New Online Health Tracker Ask NIH to Reform Heart Failure Research Shut Down the Heart Attack Grill Illustration of amyloid plaques forming on brain neurons

Good Medicine - Spring 2013

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Up until now, it was nothing but bad news. Alzheimer’s 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 disease—smoking, high cholesterol levels, high blood pressure, and diabetes increase risk, while vegetarian diets, exercise, and other factors cut the risk—strategies for preventing brain disorders have begun to emerge, as well.

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Page 1: Good Medicine - Spring 2013

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

Can We End Alzheimer’s?

Tulane Shifts to Simulators for Trauma Training

McDonald’s, Chicken-Fried Steak Served in Top U.S. Children’s Hospitals

Pesticide Tests Are Not for the Birds—or Any Animal

Here’s the Poop: PCRM Proposes Warning Labels for Chicken

Chimpanzee Experiments Nearing End

New Online Health Tracker

Ask NIH to Reform Heart Failure Research

Shut Down the Heart Attack Grill

Illustration of amyloid plaques forming on brain neurons

Page 2: Good Medicine - Spring 2013

2 GOOD MEDICINE Spring 2013

Ha

rry GiG

lio

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

Turning the Corner

Up until now, it was nothing but bad news. Alzheimer’s 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 disease—smoking, high cholesterol levels, high blood pressure, and diabetes increase risk, while vegetarian diets, exercise, and other factors cut the risk—strategies for preventing brain disorders have begun to emerge, as well. People who generally avoid saturated and trans fats—skipping the cheese, bacon, and doughnuts—have had remarkably low rates of Alzheimer’s 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 grandparents—and 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.

2 GOOD MEDICINE Spring 2013

Editorial

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Spring 2013 GOOD MEDICINE 3

ContentsContents

Spring 2013 GOOD MEDICINE 3printEd on rECyClEd papEr

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

10 126

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 CraneSenior Web Designer Lisa Schulz

ADviSOrY BOArDLeslie Brown, M.D. Pontchartrain PediatricsT. Colin Campbell, Ph.D. Cornell University

Caldwell B. Esselstyn, Jr., M.D. The Cleveland Clinicroberta 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 InstituteDavid Jenkins, M.D., Ph.D., Sc.D. St. Michael’s Hospital, TorontoLawrence Kushi, Sc.D. Division of Research, Kaiser PermanenteJohn McDougall, M.D. McDougall Program, St. Helena Hospital

Milton Mills, M.D. Gilead Medical GroupBaxter Montgomery, M.D. Houston Cardiac

Association and HCA Wellness CenterCarl Myers, M.D. Sonoran Desert Oncology

Ana Negrón, M.D. Community Volunteers in Medicine and family physicianMyriam Parham, r.D., L.D., C.D.E. East Pasco Medical Center

William roberts, M.D. Baylor Cardiovascular InstituteJoan Sabaté, M.D., Dr.PH. Loma Linda University

Nutrition School of Public HealthGordon Saxe, M.D., M.P.H., Ph.D. Moores Cancer

Center, University of California, San DiegoAndrew Weil, M.D. University of ArizonaAffiliations are listed for identification only.

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.

16

Prevention and Nutrition

6 Can We End Alzheimer’s?

9 Invitation to the International Conference on Nutrition and the Brain

10 McDonald’s, Chicken-Fried Steak Served in Top U.S. Children’s Hospitals

Another Death at the Heart Attack Grill: PCRM Calls for a Shutdown

11 Here’s 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

13 Pesticide Tests Are Not for the Birds—or 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: Mother’s Cancer inspires Nutrition outreach: Elaine rancatore, D.o.

CoVEr iMaGE: iSToCKPHoTo/CaEl CroFT-PCrM

17

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 [email protected] 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.

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4 GOOD MEDICINE Winter 2006

the latest in…the latest in…

rESEarCh EthiCS By Kristie Sullivan, M.P.H.

4 GOOD MEDICINE Spring 2013

animal ExpErimEnt FailurES

nonanimal rESEarCh mEthodS

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mice Fail to predict human inflammation

Studies of inflamma-

tory diseases in mice have

been mislead-ing researchers for

years, according to a recent study published

in the Proceedings of the Na-tional Academy of Sciences. The

researchers analyzed data obtained from human patients who had suffered severe blunt trauma, burns, and sepsis

largest Japanese Cosmetics maker Shiseido abolishes animals testing

Shiseido, Japan’s largest cosmetics manufacturer, announced that it will

stop animal testing for products devel-oped 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 prod-ucts already on the market and in some coun-tries where ani-mal testing is legally required.

(the body’s severe response to infection) and other inflammatory diseases. They found that the way in which humans respond to inflammation is “not repro-duced in the current mouse models.” This could explain why more than 150 drugs that were tested in mice failed in patients with sepsis. The study’s 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.

iSToC

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Spring 2012 GOOD MEDICINE 5

nutrition the latest in…by Susan levin, m.S., r.d.

CanCEr

dairy linked to acne development

dairy products increase risk of prostate Cancer

alZhEimEr’S diSEaSE

aCnE

Spring 2013 GOOD MEDICINE 5

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The number of people with Alzheim-er’s 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.Hebert lE, Weuve J, Scherr PA, et al. Alzheimer disease in the United States (2010-2050) estimated using the 2010 census. Neurology. Published ahead of print February 6, 2013.

threefold increase in alzheimer’s disease

hEart diSEaSE

Vegetarian diet reduces risk of heart disease

Vegetarians have a lower risk of heart disease, according to a new study in

the March issue of American Journal of Clinical Nutrition. Researchers followed 44,561 men and women in England and Scotland and found that the vegetarians were 32 percent less likely to be hospital-ized or die from heart disease, compared with those who ate meat products (red

meat, poultry, and fish). The vegetarians were also slimmer and had lower total cholesterol and blood pressure. These findings are consistent with other large population studies showing vegetarians have less incidence of and death from heart disease.Crowe F, Appleby PN, Travis RC, Key TJ. Risk of hospitalization or death from ischemic heart disease among British vegetarians and nonvegetarians: results from the EPIC-oxford cohort study. Am J of Clin Nutr. Published ahead of print January 30, 2013.

Dairy 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 cow’s 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 associa-tion with acne compared with high-fat milk. This study supports the findings in PCRM’s 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.

Dairy products can increase the risk of prostate cancer, according to

a new study published in the Journal of Nutrition. Researchers tracked data from 21,660 participants in the Physi-cians Heath Study for 28 years. Those who consumed more than 2.5 servings of dairy products per day were at a 12 percent increased risk of prostate cancer, compared with those who consumed less than half a serving (one serving equals an 8-ounce glass of milk or 2 ounces of cheese). For skim milk, men were at in-creased risk for early stage prostate cancer. For whole milk, men drinking more than 1 glass per day had double the risk for fatal prostate cancer, compared with men drinking less. The authors concluded that this study further adds to the connection between dairy intake and prostate cancer. 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.

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6 GOOD MEDICINE Spring 20136 GOOD MEDICINE Spring 2013

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Can We End Alzheimer’s?

A lzheimer’s disease is the fastest growing health threat in the United States, accord-

ing 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 Alzheimer’s disease will jump from 4.7 million to 13.8 million by 2050.

prevention & nutrition

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At PCRM’s International Conference on Nutrition and the Brain on July 19 and 20, 2013, some of the world’s foremost experts will share their latest insights on the role of nutrients in Alzheimer’s disease, multiple sclerosis, Parkinson’s disease, and other conditions (for more information, see page 9).

Brain Threats

Saturated fats, 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 saturat-ed fat had more than triple the risk of developing Alzheimer’s disease, compared with people who gener-ally avoided these foods.

Trans fats, found in doughnuts and snack pastries, have been shown to increase Alzheimer’s risk more than fivefold. These “bad fats” raise cholesterol levels and apparently increase production of the beta-amyloid protein that collects in plaques in the brain as Alzheimer’s disease begins.

Excess iron can build up in the brain, sparking the production of damaging free radicals. Sources of excess iron include cast-iron cook-ware, meats, and iron supplements.

Excess copper impairs cognition—

even in mid-adulthood—and ends up in the plaques of Alzheimer’s disease. It comes from copper pipes and nutritional supplements.

Aluminum has been found in the brains of Alzheimer’s patients, so it pays to err on the side of caution. Avoid uncoated aluminum cook-ware and read labels when buy-ing baking powder, antacids, and processed foods.

Brain-Protecting Foods

Nuts and seeds are rich in vitamin E, which has been shown to help pre-vent Alzheimer’s disease. Especially good sources are almonds, wal-nuts, hazelnuts, pine nuts, pecans, pistachios, sunflower seeds, sesame seeds, and flaxseed. Just 1 ounce—a small handful—each day is plenty.

Blueberries and grapes get their deep colors from anthocyanins, powerful antioxidants shown to im-prove learning and recall in studies at the University of Cincinnati.

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 Alzheimer’s 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” fat—found in milk, cheese, and meat—is strongly linked to the risk of developing Alzheimer’s 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

Sweet potatoes are the dietary staple of okinawans, the longest-lived 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-pro-tecting 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 homocys-teine, which can build up in the bloodstream—rather like factory waste—and damage the brain.

prevention & nutrition

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8 GOOD MEDICINE Spring 2013

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

Super Raspberry Protein BrowniesMakes 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 oil2 15-ounce cans low sodium black beans, drained and rinsed1 cup pitted dates1 cup all-fruit raspberry jam1 tablespoon pure vanilla extract1/4 cup whole-wheat pastry flour1 cup unsweetened cocoa powder1/4 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 proces-sor 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 car-bohydrate, 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.

‘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 Alzheimer’s disease.

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 Brain’s Brain-Boosting Diet

Power Foods for the Brain, the latest book by Physi-cians Committee president and nutrition researcher Neal Barnard, M.D., presents this latest, compelling research on nutrition’s 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 choos-ing 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.

8 GOOD MEDICINE Spring 2013

prevention & nutrition

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Spring 2013 GOOD MEDICINE 9

International Conference on

Nutrition and

the Brain

July 19-20, 2013Grand Hyatt Washington • 1000 H St., NW, Washington, DC 20001

Jointly sponsored byThe George Washington University

School of Medicine and Health Sciences and the Physicians Committee for

Responsible Medicine

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 Alzheimer’s disease, multiple sclerosis,

Parkinson’s disease, and other conditions.

continuing education event for health care professionals

Learn more and register at www.NutritionandtheBrain.org

Spring 2013 GOOD MEDICINE 9

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prevention & nutrition

McDonald’s, Chicken-Fried Steak Served in Top U.S. Children’s Hospitals

Shands Hospital in Florida is a top children’s 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 Com-mittee’s new report on children’s hospitals that serve the most unhealthful foods. Physicians Committee dietitians found that many children’s 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 McDonald’s in a children’s hospital is a way for the purveyors of meat, cheese, and other junk foods to associate themselves with a healthful image. McDonald’s says it has restaurants in 27 U.S. hospitals. A study of California’s children’s 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

The Heart Attack Grill’s 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 urg-ing the Las Vegas Department of Planning to either shut the restaurant down or revamp its menu and name. In 2011, the diner’s 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 shop—or transform its menu. The letter was sent after a diner reportedly had a heart attack while eating the restaurant’s “Triple Bypass Burger.” The medically themed restaurant also boasts a 2-pound “Quadruple Bypass Burger” with four burg-ers, 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 De-partment of Planning director Flinn Fagg, Levin wrote “Please suspend the license of this dangerous business’s efforts to capitalize on obesity, clogged arteries, and now serial casualties.”

The Five Worst Children’s Hospital Food Environments

Institution Nutrition Shocker

Shands Hospital for Children at University of Florida Gainesville, Fla.

At least 5 fast-food outlets, including Wendy’s; patient menu includes a ham-and-cheese croissant, barbecue chicken, and meatloaf with beef gravy

Monroe Carell Jr. Children’s Hospital at Vanderbilt Nashville, Tenn.

4 fast-food outlets, including Taco Bell/Pizza Hut Express; cafeteria features barbecue chicken, cheesesteak wrap, and chicken-fried steak with cream gravy

St. Louis Children’s Hospital-Washington University St. louis, Mo.

2 fast-food outlets, including Pizza Hut; patient menu includes sausage, bacon, ham, grilled chicken, and roast beef with gravy

Children’s Hospital Los Angeles los Angeles, Calif.

McDonald’s on first floor of hospital; patient menu features pizza and hot dogs

Riley Hospital for Children-Indiana University Health Indianapolis, Ind.

McDonald’s in hospital next to cafeteria; patient menu features sausage, bacon, and corn dogs

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

10 GOOD MEDICINE Spring 2013

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prevention & nutrition

Chicken products may soon carry fecal contamina-tion warning labels if the U.S. Department of

Agriculture complies with a legal petition the Physi-cians 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. “Contami-nated 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 petition’s proposed guidelines and labels. Although USDA holds a zero-tolerance policy for fecal contamination, it applies to visible feces only. Consum-ers 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 at-tached, which are full of fecal contamination. If there is no fecal contamination on the bird’s 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. That’s why it is sometimes called ‘fecal soup.’” Nearly half the chicken products sold in super-markets 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 Committee’s 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 excret-ing,” 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 they’re purchas-ing is likely contaminated with feces.”

Spring 2013 GOOD MEDICINE 11

Here’s the Poop

Physicians Committee Proposes Warning labels on Chicken

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New Online Health Tracker Monitor Your Weight, Blood Pressure, and More

Whether you are trying a plant-based diet through Kickstart, Food for Life classes,

or on your own, the Physicians Committee’s 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.

prevention & nutrition

Join the VegRUN Marathon Training Program

Vegan ultramarathoner Scott Jurek is the author of book Eat&Run. He’s

also a coach for the Physicians Com-mittee’s VegRUN fundraising program that offers a comprehensive plant-based training program for a half marathon and marathon. “Endurance takes training—and that’s what you’re doing now. Soon, you’ll be prepared to continue your vegan diet for the long run,” says Jurek. “I’ve followed a vegan diet for a decade, and I’m the course record holder and consecu-tive seven-time champion of the Western States 100 Mile En-durance Run, two-time cham-

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. You’ll gain exclusive access to a website with: Matt Frazier’s No Meat Athlete half-

marathon 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 world-

class athletes, including world-class vegan cyclist Christine Vardaros; Ironman triathlete Brendan Brazier, author of Thrive Fitness: The Vegan-Based Training Program for Maximum Strength, Health, and Fitness; and Rich Roll, author of Finding Ultra: Rejecting

Middle Age, Becoming One of the World’s 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 fundrais-ing Web page with your story, picture, and fundraising tracker that shows how much you’ve raised for the Physicians Committee. Share your page with friends and family and ask them to make a dona-tion 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. Every-body wins! To sign up for VegRUN, visit VegRUN.org.

ONLiNE> Visit PCRM.org/HealthTracker.

Scott Jurek

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research issues

Pesticide Tests Are Not for the Birds—or Any AnimalThe Physicians Committee recently convinced the

Environmental Protection Agency to spare hun-dreds of animals from being used and killed in cruel pesticide tests. A test for the pes-ticide 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 Com-mittee toxicology experts Kristie Sullivan, M.P.H., and Aryenish Birdie also argued against the EPA’s request for a lethal-dose test on 50 songbirds for aldicarb.

EU Bans Marketing of Animal-Tested Cosmetics and Ingredients

Cosmetics companies can no longer sell animal-tested products in the EU as of March 11. Kristie

Sullivan, M.P.H., the Physicians Committee’s director of regulatory testing issues, and Aryenish Birdie, the Physi-cians Committee’s 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 market-ing of cosmetic products tested on animals. Physicians Committee supporters Alicia Silverstone and True Blood’s Kristin Bauer also wrote letters calling for the ban.

ONLiNE> See the new infographic that illustrates the procedures animals endure before dying in 33 common pesticides tests at PCRM.org/Pesticides.

This ban follows passage of Israel’s Jan. 1 law that no longer allows the import and marketing of cosmet-ics, 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.

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‘Your Mom Is Not a Pig’ Warns Mississippi Newspaper Ad

The Physicians Committee’s “Your Mom Is Not a Pig” newspaper ad warned Jackson, Miss., residents

that the University of Mississippi Medical Center’s 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.

The 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 dogs—like Queenie—before forcing the animals to run on treadmills. Queenie was sold to a university laboratory that performs cruel, unnec-essary experiments on live animals. In the lab, Queenie and countless other healthy dogs were cut open, devices were implanted in their blood vessels,

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.

TAKE ACTION: Ask NIH to Reform Heart Failure Research

ONLiNE> Ask UMC to stop using and killing live pigs for medical education at JacksonTakeAction.org.

ONLiNE> Please politely urge NIH direc-tor Francis Collins, M.D., Ph.D., to withdraw funding from the use of dogs in heart failure research. Go to PCRM.org/HeartFailure.Queenie

14 GOOD MEDICINE Spring 2013

research issues

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Tulane Shifts to Simulators for Trauma Training

After 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. Tulane’s end of live pig use follows the Physicians Committee’s 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 Committee’s state cruelty complaint against the school, and she wrote to administrators. PCRM supporters sent more than 66,000 e-mails to Tulane. Tulane’s ATLS training involved cutting into live, anesthetized pigs and practicing procedures such as inserting a tube and needle into the animals’ chest cavi-ties and cutting into their throats. After the training session, the animals were killed.

Call to Replace Prolonged Pain Experiments in Mice

A new literature review by Physicians Committee authors published in the Journal of Applied Ani-

mal Welfare Science raises serious questions about pain experiments in mice. The review shows that the number of prolonged neu-ropathic, 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 re-searchers 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 study’s authors concluded: “New approaches need to be explored to improve the ways that human diseases are studied.”

research issues

Leslie Brown, M.D. TraumaMan

ONLiNE> Read more about the problems with mice experiments at PCRM.org/Mousetrap.

Spring 2013 GOOD MEDICINE 15

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research issues

Chimpanzee Experiments Nearing End

After a long battle, the use of chimpanzees in labora-tory 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 investiga-tive 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 Protec-tion 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 im-plement the IOM committee’s findings. If chimpanzees are not actually necessary for research, NIH asked, what do we do with the chimpanzees still in laboratories? The

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 work-ing 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 justifica-tion 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 support-ers have signed a petition asking Dr. Collins retire all government-owned chimpanzees to sanctuary.

ONLiNE> Sign the petition to NIH at PCRM.org/GAPCSA.

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research issues

Use of live Animals in Canadian Pediatrics Program Violates lawL aval University regularly violates Quebec law by

subjecting live animals to abuse and ill-treatment in the school’s pediatrics residency program. In March, the Physicians Committee filed a complaint asking Quebec’s 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 Quebec’s public records law, each pediatrics resident is instructed to make an incision between a piglet’s ribs, insert tubes into the chest cavity, insert a needle into the abdominal cavity, cut open and insert a needle into an animal’s 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 animal’s throat, into which a tube is inserted. These activities constitute “abuse or ill-treatment” specifically prohibited by Quebec’s Animal Health Protection Act, according to the Physicians Committee’s complaint. Laval’s animal use protocol justifies the use of piglets by claiming “there are no satisfactory options allowing realistic demonstration and practice of all the proce-dures.” But several human-based simulators—including SimBaby, BabySim, SimNewB, Airway Newborn, the TraumaChild System, and Nita Newborn V800—are available and allow these procedures to be taught with-out the use of live animals. “High-fidelity simulators are life-like mannequins connected to computer systems that control the physi-ological 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 technol-ogy has been used to teach all aspects of medical care, including medical knowl-edge, technical skills, and behavioural training or communication skills.”

Nita Newborn V800® from Gaumard

TraumaChild® from Simulab

SimBaby® from laerdal

BabySIM® from CAE Healthcare

SimNewB® from laerdal

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Gm

13Sp

member Support

18 GOOD MEDICINE Spring 2013

Learn More About PCRM’s Lifetime Partner Program and Planned Giving Opportunities at PCRM.PlanYourLegacy.org. 

Please send me PCRM’s 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 StatE/proVinCE

Zip/poStal CodE Country

E-mail phonE

please mail to: pCrm, attn: betsy Wason • 5100 Wisconsin ave., nW, Suite 400 • Washington, dC 20016

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 contri-bution to be used for its general purposes.”

-OR-

“I give, devise and bequeath to the Physicians Committee for Responsible Medicine, tax ID 52-1394893, 5100 Wis-consin Ave., Ste. 400, Washington, DC 20016, _____Percent (_______%) of my residuary estate as a charitable contribu-tion 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 PCRM’s future efforts. Our Life-time Partners receive a certificate signed by PCRM president Dr. Neal Barnard, special updates on our work throughout the year, and recognition at special events.

A Sublime Send-off!On 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 restaurant’s world-famous cuisine in a setting of waterfalls, Italian tiles, and amazing artwork. Thank you, Nanci!

Join us in Atlanta on June 27, 2013.

See more upcoming events at

PCRM.org/EVENTS.

PCRM president Neal Barnard, M.D., Sublime restaurant owner Nanci Alexander, VegNews editor Joe Connelly

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

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

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member Support

Doris Carey: Ensuring a More Compassionate Future

Thirty years ago, Doris Carey heard Dr. Neal Barnard speak about the

cruelties of animal experiments con-ducted 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

students—the very people we count on to be healers—were killing animals in their training, she has been a staunch supporter of PCRM’s efforts to reform medical education. She’s celebrated every success and cheered on every institution that was persuaded to embrace compas-sion 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 grand-children, 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 respect—to allow them to suffer.”

That’s 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 PCRM’s work continue even after I am gone. It’s important to me that I leave a legacy of compassion for future generations, and PCRM’s 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 202-527-7366. Together, we can ensure that com-passion for all living creatures becomes a way of life for future generations.

Spread the Word

As 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 every-thing 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 PCRM’s monthly e-newsletter and sign up for Breaking Medical News, free weekly

recipes, and action alerts to support our campaigns. Concerned a b o u t t h e “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 spe-cial. 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 you’re 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 Kick-start. More than 200,000 people have participated in this free online program

that delivers daily messages to your inbox filled with nu-trition facts, recipes, cook-ing videos, and tips from celebrity coach-es. Four versions are offered monthly. Whether i t’s helping our chil-dren get healthy school lunches, getting reports and surveys on everything from cookbooks to air-port 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 do-nation, becoming a monthly supporter, or encouraging the support of others by sharing the links, whatever you do is greatly appreciated. Getting active couldn’t be easier—pick one thing that speaks to you, and take action!

Spring 2013 GOOD MEDICINE 19

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pCrm marketplacepCrm marketplace

ReseaRch Issues

What Will We Do If We Don’t Experiment on Animals?Medical Research for the 21st CenturyC. Ray Greek, M.D., and Jean Swingle Greek, D.V.M. The Greeks answer the title’s 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 ac-cumulated from animal experimentation. 262 pgs, $24.99

The Exultant Ark: A Pictorial Tour of Animal PleasureJonathan BalcombeIn 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 MedicineThis comprehensive medical refer-ence manual covers nearly 100 diseases and conditions, including risk factors, diagnoses, and typical treatments. Most importantly, it provides the latest evidence-based information on nutrition’s 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

The Best in the WorldFast, Healthful Recipes from Exclusive and Out-of-the-Way RestaurantsNeal D. Barnard, M.D., EditorThis popular collection of wonder-fully healthy recipes comes from the world’s best and most unusual restaurants. Enjoy these vegan delicacies at home. Hardcover, 71 pgs, $11.95

The Best in the World IIHealthful Recipes from Exclusive and Out-of-the-Way RestaurantsJennifer L. Keller, R.D., EditorTravel around the world to discover treasures from side-street cafes and elegant hotel dining rooms. At-tractively illustrated, this delightful vegan cookbook is the sequel to PCRM’s original international recipe collection. Hardcover, 71 pgs, $11.95

The Best in the World IIIHealthful Recipes from Exclusive and Out-of-the-Way RestaurantsNeal Barnard, M.D., EditorDiscover 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

veganist Lose Weight, Get Healthy, Change the WorldKathy 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 medi-cal researchers. The book concludes with a step-by-step practical guide to becoming a veganist easily and gradu-ally. It is an accessible, optimistic, and illuminating book that will change the way you eat forever. 304 pgs, $15.00

Skinny Bitch in the KitchRory Freedman and Kim BarnouinKick-Ass Recipes for Hungry Girls Who Want to Stop Cooking Crap (and Start Looking Hot!)Here’s the companion cookbook to the outrageous best-seller 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 CookbookSouth Florida’s Ultimate Destination for Vegan CuisineNanci AlexanderThe flavors and beauty of south Florida’s award-winning Sublime Restaurant are compiled here with some of Sublime’s most famed culi-nary 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

20 GOOD MEDICINE Spring 2013

Crazy Sexy DietEat 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 can-cer survival guidebooks, Karr’s latest book is for everyone looking for a healthier lifestyle. 240 pgs, $19.95

Dr. Spock’s Baby and Child Care: 9th EditionBenjamin Spock, M.D., and Robert Needlman, M.D. For 65 years, parents have relied on the guidance of renowned pediatrician Dr. Benjamin Spock. Still provid-ing reassuring advice on caring for a new baby, this new version also contains more information about obesity and nutrition, immunizations, and children’s learning and brain development. Largely vegan. 1152 pgs, $19.99

Killer FishHow Eating Aquatic Life Endagers Your HealthBrian R. Clement, Ph.D., N.M.D., L.N.Contrary to popular opinion, fish is not a healthful alter-native to red meat. Clement separates myth from fact, explaining the deadly toxins concentrated in both farmed and wild fish.163 pgs, $14.95

SPECIAL OFFER!The Best in the World I, II, and III

3 book set • $23.95

Grills Gone VeganTamasin NoyesMove over meat! Plant-based pro-teins, vegetables, and even fruits take center stage. Readers can think beyond burgers and kabobs and cre-ate everything from quick appetizers and sandwich fillings to side dishes and even a surprising array of sweets—all on the grill. Tamasin’s 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

The Allergy-Free Cook Bakes Cakes and CookiesGluten-Free, Dairy-Free, Egg-Free, Soy-FreeLaurie Sadowski This book is designed for anyone who needs to avoid gluten, dairy products, and other common food allergens but doesn’t 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

NEW!

NEW!

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Food for Life 90-Day JournalThis 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 PosterThe 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. 17”x22”, $6.00

Prescription for Life PosterThis 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. 17”x22”, $6.00

The Cancer Survivor’s GuideNeal 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 Survivor’s Guide. Nine nutrition presentations and nine cooking lessons provide powerful tools for making changes in health and well-being. 270 mins, $19.95

pCrm marketplace

Spring 2013 GOOD MEDICINE 21

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

21-Day Weight Loss KickstartBoost Metabolism, Lower Cholesterol, and Dramatically Improve Your Health

Based on PCRM’s popular online Kickstart program, Dr. Barnard’s 21-Day 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 Cookbook125 Easy and Delicious Recipes to Jump-Start Weight Loss and Help You Feel Great These recipes are based on Dr. Neal Barnard’s landmark two-year study, which shows that a vegan diet effectively controls type 2 diabetes. In fact, it’s 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 DVDTurn 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 Barnard’s Program for Reversing Diabetes

If you have diabetes or are concerned about developing it, this program could change the course of your life. Dr. Barnard’s 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

for malfunctioning insulin like other treatment plans, Dr. Barnard’s program helps repair how the body uses insulin. Includes 50 delicious recipes. 288 pgs, $15.99

Foods That Fight PainDid 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 SeductionWe all have foods we can’t resist, foods that sabotage our health. But banishing those cravings for choco-late, cookies, cheese, or burgers isn’t a question of willpower, it’s 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 GenesGenes, including those that shape our bodies, actu-ally 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 long-term weight loss and better health. 350 pgs, $14.95

A Physician’s Slimming Guide for Permanent Weight ControlYou can succeed in becoming and staying slimmer! This book is not a diet—it’s a comprehensive program that takes the reader beyond artificial “formula approaches.” 96 pgs, $7.95

Food for LifeThe 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

Kickstart Your Health with Dr. Neal BarnardMore than 100,000 people have participated in PCRM’s 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

Tackling Diabetes with Dr. Neal BarnardDrawing 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

DvDs from PBS

From PCRM

Bravo!Health Promoting Meals from the TrueNorth Health KitchenChef 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

Power Foods for the BrainAn Effective 3-Step Plan to Protect Your Mind and Strengthen Your MemoryIn 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 Alzheimer’s disease, stroke, and other less serious malfunctions, including low energy, poor sleep patterns, irritability, and lack of focus. 320 pgs, $26.99

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Monkey Refrigerator Magnet 2"x3½". $1.00

Show your support for humane research with Humane Charity Seal of Approval Items

Dog Magnetic Bumper Sticker $2.00

Cat Magnetic Bumper Sticker $2.00

22 GOOD MEDICINE Spring 2013

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

Main Street VeganEverything You Need to Know to Eat Healthfully and Live Compassionately in the Real WorldVictoria MoranHolistic health practitioner Victoria Moran offers a com-plete guide to making the shift to a vegan diet with an emphasis on practical “baby steps,” proving that you don’t have to have a lifestyle coach on speed dial to experience the benefits of being a vegan. 400 pgs, $16.95

Many PCRM fact sheets and booklets are downloadable without charge or available in print at

minimal cost at PCRM.org/factsheets

Find even more healthful resources at

PCrM Marketplace

OnlinePCRM.org/Shop

iStoC

Kpho

to

Unlocking the Power of Plant-based Nutrition DVD SeriesYou can buy all three Unlock-ing the Power of Plant-based Nutrition DVDs–Food for Life, Weight Control, and Heart Health–for $29.95. That’s a savings of nearly $15. Each disc features the segments “Getting Started” with Neal Barnard, M.D., and “In the Kitchen” with TV’s Totally Vegetarian Chef Toni Fiore. Discs average 58 minutes in length. $29.95

The Great Life CookbookWhole Food, Vegan, Gluten-Free Meals for Large GatheringsPriscilla 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

Fit Quickies5-Minute Targeted Body-Shaping WorkoutsLani MuelrathDevelop a flatter belly, shapelier thighs, firmer arms, a tighter tush, a whittled waist, and a strong core with targeted exercises—with illustrations and step-by-step instructions. Muelrath backs up her exercise plan with guidance regarding a plant-based diet and mind-set mastery. 270 pgs, $19.95

NEW!

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Just the Facts

A Weighty ProblemDespite 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 Antibiotic-Resistant BacteriaManure from Chinese pig farms carries high concentrations of antibiotic-resistant bacteria that pose risk to worldwide human health, says a recent study in the Proceedings of the National Academy of Sciences.

Mars Needs VegetariansAccording to RT (Russian Television), billionaire Paypal co-founder Elon Musk aims to start a vegetarian-only settlement on Mars.

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

Curious ChimpanzeesChimpanzees who completed a puzzle—with the reward of either inedible tokens or edible Brazil nuts—enjoyed solving the puzzle whether they got the Brazil nuts or not.

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

No Shock: Crabs Feel PainCrabs placed in a tank with two shelters—one that gave them a mild shock and one that didn’t—learned to pick the shelter that didn’t give them pain, proving the obvious: animals feel pain.

Fast-Food FuneralDavid 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 King’s drive-through, where mourners got a Whopper Jr.

Heartening Berry NewsWomen 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.

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24 GOOD MEDICINE Spring 2013

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ensure that we’ll 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 Alzheimer’s can be.

“Patients don’t just forget names and dates—they 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 cre-ated to promote healthful nutrition and physical activity, to develop and encourage healthy habits in our nation’s youth, to stem the epidemic of obesity and chronic diseases, and to support and promote re-search in cancer prevention and treatment. She also spreads this message as a media spokesperson for the Physicians Commit-tee’s 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.

After losing her mother to cancer, Elaine Rancatore, D.O., began edu-

cating everyone from high school students to senior citizens about the benefits of a healthful plant-based diet. When Physicians Committee presi-dent 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 Alzheimer’s disease and demonstrated how to make the book’s Blueberry Breakfast Smoothie. “There is no time to waste in putting this new brain-boosting diet into action. We should all encourage physicians, di-etitians, teachers, parents, and everyone else to spread the word,” says Dr. Rancan-tore. “And let’s not forget to make these changes in our own homes—it will help

Mother’s Cancer Inspires Nutrition outreachElaine Rancatore, D.o.

Fa c e b o o k . c o m / P C R M . o r g @ P C r M P i n t e r e s t . c o m / P C r M . o r g