Doctor's Note

Be sure to leave any ask-the-doctor type questions and I'd be happy to try to answer them. And please be sure not to miss Medical school nutrition education, Doctors know less than they think about nutrition, and all the other videos on the medical profession.

For some context, please check out my associated blog posts: Nutrition Education in Medicine: a Doctor a Day Keeps the Apples Away, Health Food Store Advice: Often Worthless or Worst, and Watermelon For Erectile Dysfunction.

  • Michael Greger M.D.

    Be sure to leave any ask-the-doctor type questions and I’d be happy to try to answer them. And please be sure not to miss Medical school nutrition education, Doctors know less than they think about nutrition, and all the other videos on the medical profession.

  • joe703631

    Hi Doc,
    Any push back from other docs?

    Is this mandated in other states?

    Joe

    • DrDons

      I testified in support of this bill. It is not mandated in other states. I don’t get push back from individual physicians who practice medicine unless they are in administrative positions in organizations. Those “leaders” actually more aptly termed “politicians” have a knee jerk response against regulation and vested interest in maintaining the status quo. I give educational talks to physicians on preventing and reversing chronic diseases. In speaking with physicians informally… almost all would welcome information on this subject if it is presented in a well done manner offering practical approaches that they would find useful in their practices. Unfortunately many educational conferences are done over lunch or before workdays. I find it challenging to bring together the material and synthesize it into useful information in short time spans while allowing time to answer the attendees questions. Most of the larger educational programs are funded by drug and equipment companies and of course many physicians giving talks have little knowledge in this important area. Keep following NutritionFacts.org… let your physician(s) know about the site and print out abstracts of key articles that are relevant to your care and hand them to your physician(s).

  • http://www.facebook.com/chris.kozura Chris Kozura

    Yes even naturopathic physicians have to continue to update themselves on human nutrition as science continues to see what helps in healing and what doesn’t. We tend to focus on pieces and parts but not wholism when it comes to diet. The question always comes to mind; ‘What is natural?’ Thanks for your website I share it to many people.

  • Meha

    But this will not solve the problem because there is such a pressure to rely on pills and other medications rather than good advices.

    • DrDons

      You are correct it won’t solve the problem as even if it passes(which it did in modified fashion). The physicians could be getting bad information in their CME courses… assuming the Medical Board of California decides to require educational content… the modified bill put the onus on them. As you mention there are other important factors such as reimbursement, misplaced goals(we measure success by our control of chronic conditions not cure), and misplaced organizational pressures and government policies. I do think it is a good first step and helps bring attention to an area where we have clearly learned alot of the last 20 years. The science if skillfully applied could alleviate huge amounts of suffering while saving alot money for patients, organizations and the country.

  • Mike Quinoa

    Considering the hundreds of study hours doctors must log to become MD’s, this seems to me a no-brainer. Diet might not be as sexy as “polypharmacology”—a term I heard Dr. McDougall use—but its importance is vastly understated. Kudos to Dr. John “Potato” McDougall for this initiative, and also to Dr. Greger for helping to spread the word.

  • kpiers

    As my stepdaughter was making her way through medical training (she began teaching/practicing at a prestgious medical school in Chicago in 2010) at some of the very top medical schools in the USA, I asked her how much nutrition training she had received in medical school. At first she asked what I meant, then when I explained the connection between health outcomes and diet as I have come to know them through Dr McDougall’s work and others, she said maybe part of one class was given over to nutrition. It consisted of handing out the food pyramid prepared by the USDA and briefly summarizing the major food groups as a percentage of a healthy diet. My own MD, when I informed him that I had switched to vegan diet a couple of years ago did not even have enough interest in the topic to ask me why I did that. Obviously there is a GREAT need for remedial medical training related to nutrition and health outcomes.
    But the income of many MDs depends on having a steady parade of sick people populating their offices. So as long as we reward MDs for treating sick people but do not reward them for keeping people healthy, nutrition will alwyas be an umpopular topic in our medical schools.

  • Michael Greger M.D.

    For some context, please check out my associated blog post Nutrition Education in Medicine: a Doctor a Day Keeps the Apples Away!

  • Tony

    Awesome work Dr Greger. Please provide follow-up to this mandate as it has been approved. Email: amavros@atsu.edu

  • Charzie

    Dr. Greger, your doctor’s note above said to leave questions here, so I hope this is an appropriate place to bring this up, even though it doesn’t relate to the current video content. I am, however, hoping you can create a video about this, because it is a real game changer that almost no one seems to know about! I hate to sound so dramatic here, but this stuff has revolutionized the health promoting things I can do with food, especially making veganism a more attractive option to other family members and friends.
    I’ve searched the site and couldn’t find anything about this item I am so very excited about and have been having a blast playing with in recipes and such! Though I doubt it would be considered a “health food” per se, since it is a virtually non caloric, odorless, flavorless and colorless powder initially, it is however proving to be an amazing and apparently very healthful addition to my kitchen (& even beyond)! It’s sold as konjac or glucomannan powder, and is a natural, soluble fiber that is found in the konjac plant tuber, a very strange and unusual plant! It is primarily used as a thickener and emulsifier, but this stuff is incredible and it’s applications are endless! It has something like 10x the thickening power of cornstarch, and the beauty of it is it has no calories, and you don’t even have to cook or heat it, to use it! (though warming it will make it thicken faster). The texture is very different than most thickeners. It’s perfect when using it to thicken and emulsify homemade low or nonfat salad dressings for example, where it not only adds body to the mix, but also lends an almost oil-like smoothness too, making a simple water, vinegar or lemon juice, and herb concoction into a almost non-caloric “oil and vinegar” magic dressing! LOL. Puree fruit and a bit of liquid with a very small amount of konjac, and you have a lovely quick desert after it sets for a few, almost like a pudding. Use a tiny bit more, and it becomes more “jello” like, but not at all rubbery. I add a bit to my homemade plant mylks so they aren’t so watery and it gives them a satisfying milk-like consistency, and added to homemade plant mylk yogurt, it gives them body. Puree any flavorful combo of food, raw or cooked (say mushrooms, onions, whatever, with some herbs or spices) with some water, broth or mylk and a bit of konjac, and voila, instant sauce or gravy…low cal and smooth! Or the coolest…add a little more konjac and pour it into a shallow pan and let it set up. In minutes you can slice it into flavorsome cubes to be used like tofu or an unmeat, added to dishes to add yumminess and texture! (once set it doesn’t melt!) The stuff is just awesome! It is a bit pricey, but a little goes a long way, so not too bad really. There aren’t a lot of recipes to take advantage of its unique properties yet, but once you play with it and get an idea of how it works and start experimenting, I’m sure you will come up with tons of them! Wikipedia has some info on it, and this link even gives research info, Dr Greger! Hint hint! LOL! http://www.konjacfoods.com/research.htm …and not their own, many links are NCBI and the like.

    I tell everyone about it, but I really think all the potential of this stuff deserves to be broadcast to a large, aware audience like yours, for it’s multitude of health promoting and life enhancing qualities! Read the link, you’ll be amazed at all the health benefits it can offer! It’s even used as a binder and adjuvant to heal wounds! I guess this probably sounds like a bad commercial, but I really just want to share this!!! What do you think?