good medicine - winter 2009

Good Medicine® From the Physicians Committee for Responsible Medicine / Winter 2009 / Vol. XVIII, No. 1

The

Waron Animals

PCRM Confronts the Military’s Deadly Use of Animals for Medical Training

2008: PCRM’s Year in Review

Child Nutrition Act: Time for Reform

Burger King Settles PCRM Lawsuit, Warns of Grilled

Chicken Cancer Risk

New DVD Offers Fresh Approach to Diabetes

Jennifer Landon Honors Her Father, Michael Landon

The Genetic Basis for Obesity and Food

Addictions

8th Annual Airport Food

Review

‘Cut Above’ Award

Winners

� GOOD MEDICINE Winter 2009

Editorial


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NealD.Barnard,M.D. PresidentofPCRM

Lessons That Last

Recently,whiletravelingintheMidwesttogiveaseriesoflectures,IstoppedforlunchataMexicanrestaurant.Aheavysetmanwalkedin.Thehostessknewhimandwarmlyasked

howhewasdoing.“Well,I’mabovethegrass!”hesaid.Hewastohavehisfifthchemotherapytreatmentthenextday.It’saprecautionarystep,hesaid,incaseanyofthecancercellshavespread.Sheseatedhimatatable,andafewminuteslaterafriendjoinedhim.Heonceagainsaid,“Well,I’mabovethegrass!”andwentthroughthesamedetails. Ifoundmyselfthinkingabouthowcommonanddevastatingcanceris.Aboutthehopeswehaveformedicaltreatment,andabouthowfewpeoplerealizethatthefoodsweeatplayaroleinourrisk. Theserverarrivedtotaketheirorder.Andthemansaid,“I’llhavetheshreddedbeefburritowithextrashreddedbeef.”Herepeatedit:“Extrashreddedbeef.”Thepoormanhadprobablybeentoldthatheneededextraproteintofightcancer,andhadnoideahowfoodscaninfluencecancersurvival. Fordinnerthatevening,Iwasontheroadandpressedfortime,soIpickedupasubma-rinesandwich.TheserverwassurprisedthatIwantedonlyveggies—andnomeatorcheese.“I

couldn’tlivewithoutmeat,”hesaid.SoIgentlypointedoutthattherearemanyadvantagestogettingawayfrommeat.Giventhathehadmorethanafewextrapounds,Ithoughttheideamighthavesomeappeal. “I’vebeeneatingalotofturkey,”hesaid,“AndI’veactuallylost60pounds.”Iwasimpressed,untilheadded,“Ofcourse,Ialsohadagastricbypass.” Throughoutmyupbringing,Iateverymuchasthesemenate.Meatwasfrontandcenterontheplate,andameatlessmealwashardtoimagine.WhatIhavefoundsurprising,though,isthatmostpeoplecontinuetoeatthatwaytoday.Despitethewealthofresearchstudieslinkingameatydiettoheartdisease,cancer,obesity,anddiabetes—nottomentiongrotesquecrueltytoanimals,waterpollution,andglobalclimatechange—mostpeopleremainundeterred. Theproblemisearlylearning.Bythetimechildrenreachtheir10thbirthdays,mosthavedevelopedtheeatinghabitstheywillcarrythroughtherestoftheirlives.Governmentprogramsthatprovidefoodtoschools

ensure thatchildrenarewell acquaintedwithchickennuggets,burgers, andcheesepizza.Schoolshavenorequirementtoserveevenasinglemeatlessmeal,andanyschoolthatdoessogetsnohelpfromthefederalgovernment. Asaresult,oneinfivechildrenisnowoverweight,andtwo-thirdswillbeoverweightasadults.Oneinthreewilldevelopdiabetesinhisorherlife.Cancerwillstrikenearlyhalfofallmalesandone-thirdofallfemales. Thisyear,Congresswilldebate theChildNutritionAct,whichdetermines the foodsthatschoolsserve.Itshouldinsistthatschoolshelpchildrengettoknowhealthfulchoices,whethertheyareveggieburgers,beansandrice,veggiechili,orsimplefruitsandvegetables.AndCongressshouldmakethesefoodsavailableandaffordable. MembersofCongressarehearingfromlobbyistsfromthemeat,

dairy,andjunk-foodindustries.Theyneedtohearfromparents,teachers,schoolfoodserviceworkers,andstudentsthemselves.MembersofCongresscanbereachedat202-224-3121.Letmeencourageyoutocalltoaskthatvegetarianmealsberequired—andfunded—inschools.AndvisitHealthySchoolLunches.orgtosignourcongressionalpeti-tion.Ifchildrendonotlearnhealthfuleatinginschool,theymayneverlearnitatall.

By the time children reach their 10th birthdays, most have developed the eating habits they will carry through the rest of their lives.

Winter 2009 GOOD MEDICINE �

research issues

6 The War on Animals: PCRM Confronts the Military’s Deadly Use of Animals for Medical Training

7 A Cut Above: PCRM Announces Dissection Alternatives Award WinnersNutrition and Prevention 8 Vegetarian Foods Taking Off at Nation’s Airports Obesity and Food Addictions May Have Genetic Basis

9 Burger King Warns of Grilled Chicken Cancer Risk: Fast-Food Chain Settles PCRM Lawsuit New DVD Offers Fresh Approach to Diabetes

10 PCRM and Wyntergrace Williams Help Students Get Healthy Child Nutrition Act: Time for Reform2008 year in review

11 Ethical Research, Healthy Bodies On Capitol Hill, In the Public Eye In the National Spotlight PCRM WorldwideThe Cancer Project

16 The Cancer Project Update Jennifer Landon Honors Her Father, Michael Landon / Nutrition and Cooking Program Grows / Five Worst Value Meals

17 The News You NeedDepartments

4 The Latest in...

13 New Online Resources

18 Member Support Join PCRM for a Sublime Send-Off / Book your Caribbean Getaway Now / Member Profile: Gooding

20 PCRM Marketplace

23 Just the Facts

24 Physician Profile Dr. Diana Rebman and Dr. Barry SchenkerCovEr: isToCkPHoTo

PCRM Doctorsandlaypersonsworkingtogetherforcompassionate

andeffectivemedicalpractice,research,andhealthpromotion.

ContentsContents


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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

Good Medicine®FroM THE PHysiCiaNs CoMMiTTEE

For rEsPoNsiBlE MEDiCiNE

WiNTEr 2009 vol. Xviii, No. 1

Editor in Chief Neal D. Barnard, M.D.Managing Editor/Designer Doug Hall

Editor Carrie MumahAssociate Editor Patrick Sullivan

Production Manager Lynne CraneWeb Designer Lisa Schulz

ADviSORY BOARDT. Colin Campbell, Ph.D. Cornell University

Caldwell B. Esselstyn, Jr., M.D. The Cleveland ClinicHenry J. Heimlich, M.D., Sc.D. The Heimlich Institute

Suzanne Havala Hobbs, Dr.P.H., M.S., R.D. University of North Carolina–Chapel Hill

Lawrence Kushi, Sc.D. Kaiser PermanenteJohn McDougall, M.D. McDougall Program

virginia Messina, M.P.H., R.D. Nutrition Matters, Inc.Milton Mills, M.D. Gilead Medical Group

Myriam Parham, R.D., L.D., C.D.E. East Pasco Medical CenterWilliam Roberts, M.D. Baylor Cardiovascular Institute

Andrew Weil, M.D. University of Arizona

Affiliations are listed for identification only.

PCRM STAFF • Kyle Ash Government Affairs Manager • Jonathan Balcombe, Ph.D. Senior Research Scientist • Nancy Beck, Ph.D. Scientific and Policy Adviser • Robin Bernstein, Esq. Legal Fellow • Simon Chaitowitz Senior Communications Specialist • Cael Croft Associate Designer • Claudia Delman, M.P.H. Outreach Manager • Debra Durham Senior Research Scientist • Jill Eckart, C.H.H.C. Assistant to the President • Lucy Enniss Communications Assistant • Tara Failey Communications Coordinator • Hope Ferdowsian, M.D., M.P.H. Director of Research Policy • Rebecca Frye Research Program Coordinator • Patricia Howard Manager, PSAs and Promotional Media • Eric Jonas Research Program Assistant • Michael Keevican Web Editor/Staff Writer • Mark Kennedy, Esq. Associate General Counsel • Dan Kinburn, Esq. General Counsel • Leah Koeppel Nutrition and Research Assistant • Ruby Lathon, Ph.D. Nutrition Policy Manager • Susan Levin, M.S., R.D. Dietitian • Katherine Lin, Esq. Legal Fellow • Lynn Maurer Associate Designer • Jeanne Stuart Mcvey Media Relations Manager • Ryan Merkley Manager of Humane Education Programs • Carrie Mumah Staff Writer • John Pippin, M.D. Senior Medical and Research Adviser • Chad Sandusky, Ph.D. Senior Director of Toxicology and Research • Edith Sodolo Communications Coordinator • Kathryn Strong, M.S., R.D. Dietitian • Kristie Sullivan, M.P.H. Scientific and Policy Adviser • Patrick Sullivan Director of Communications • Caroline Trapp, M.S.N., A.P.R.N., B.C.-ADM, C.D.E. Director of Diabetes Education and Care • THE CANCER PROJECT • Krista Haynes, R.D. Dietitian • Angela Henley Project Coordinator • Lauray MacElhern Managing Director • Mary Ohno Administrative Assistant • Dawnyel Pryor Marketing Manager • Emily Richard Outreach Coordinator • PCRM FOUNDATiON • Nabila Abdulwahab Data Processor • Bruce Banks Staff Accountant • Melinda Beard Receptionist • Nikki Bollaert, M.N.M., C.F.R.E., C.A.P. Major Gifts Officer • Opio Boyd Information Technology Specialist • Deniz Corcoran Data Entry Manager • Sossena Dagne Data Processor • John Evans Database/Web Developer • Stacey Glaeser Director of Human Resources • Sanjay Jain Accounts Pay-able Coordinator • Adam Jones Facilities Coordinator • Stephen Kane Finance Director • Jacqueline Keller Development Assistant • Sakeenah Kinard Data Processor • David Lesser Literature Fulfillment Coordinator • JohnR Llewellyn Internet Marketing Manager • Debbi Miller Special Events Manager • John Netzel Facilities Manager • Manali Patel Staff Accountant • Leroy Perez Director of Technology • Sarah Petersen Human Resources Assistant • Bethany Richmond Human Resources Coordinator • irena Rindos Membership Assistant • Navina Roberts Major Gifts Officer • Stephanie Roth Grants Coordinator • Betsy Wason, C.F.R.E. Director of Development • Rod Weaver Data Manager • Jermaine Wills Internal Help Desk Specialist • Craig Ziskin Associ-ate Director of Annual Giving • WASHiNGTON CENTER FOR CLiNiCAL RESEARCH • Heather Katcher, Ph.D., R.D. Clinical Research Coordinator • CONSULTANTS • Jarrod Bailey, Ph.D. • Joanne Fortune, M.S., R.D., C.D.E. • Amber Green, R.D. • Brent Jaster, M.D. • Amy Lanou, Ph.D. • Paul Marcone • Tim Radak, Dr.P.H., M.P.H. • Jennifer Reilly, R.D. • Garrett Strang • Dulcie Ward, R.D. GoodMedicine is published quarterly 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. Readers are welcome to reprint articles without additional permission. Please include the credit line: Reprinted from GoodMedicine, Winter 2009, Physicians Committee for Responsible Medicine. Articles are not to be reprinted for resale. Please contact PCRM at [email protected] regarding other permissions. ©PCRM 2009. GoodMedicine 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” is a registered trademark of the Physicians Committee for Responsible Medicine. “Physicians Committee for Responsible Medicine,” “PCRM,” “The Cancer Project,” “Humane Charity Seal,” and “The Gold Plan” are trademarks of PCRM, federal registration pending.

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The latest in…The latest in…

rEsEarCH ETHiCs By kristie sullivan, M.P.H.


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German Government studies Nonanimal inhalation Toxicity Testing

Scientists at the German FederalInstitute for Risk Assessment are

testing thepredictivepowerofhumanlungcellsforassessingthetoxicityofair-bornechemicals;thecellscouldbecomepartofastrategytoreplaceanimals inthesetests.TheuseofanimalsinacuteinhalationtoxicitytestinghasconcernedEuropean andAmerican scientists andanimalprotectiongroupsforbothethi-cal and scientific reasons. The animalsusedinthesetestsareconfinedtosmall

ingstudywillcomparetheresultsofcelltoxicityassayswithknowntoxiceffectsof several common gases; preliminaryresultsareexpectedinJune2009.Smirnova L, et al. Prevalidation study: testing the toxic effects of inhal-able substances (gasses) on human lung cells using air/liquid culture technique. Poster presentation at Middle European Society for Alterna-tives in Toxicology Congress, Linz, Austria, Sept. 18, 2008.

cylindersbarelylargerthantheirbodiesandareforcedtobreathetoxicconcen-trationsofcontaminantsforfourtosixhoursatatime,oftendayafterday.Andyetthesestudiesarepoorpredictorsoftoxicityforhumans. Inthenonanimalmethodoftesting,humanlungcellsaregrownonaplasticmicroporousmembranethatallowsthemtobenurturedwithculturefluidonthebottom, while a gas is piped onto thetopofthecells(shownhere).Theongo-

PCrM Expertise sought for EPa Chemical Evaluation Program

The success of PCRM scientists inpromoting“thoughtful toxicology”

has not only saved animals, but alsocaught the attention of the AmericanChemistry Council. The council hasaskedPCRMtojointheHighProduc-tion Volume Chemical Peer Consulta-tionPilotexpertpanel.Theprogramisdesignedtoquicklyassessinformationonthehealthandenvironmentalhazardsof

industrialchemicals.PCRMwillplayakeyrolebysuggestingwaysachemical’spotentialhazardscanbecharacterizedtoprotectpublicandworkerhealth,whileavoidingexpensive,inhumane,andtime-consuminganimaltests. Forexample,chemicalswithstruc-tural or physical similarities can begrouped together, and toxicity in-formation from one chemical can be

“bridged” to other chemicals in thatgroup. Panel representatives consistofscientificexpertsfromtheEnviron-mental Protection Agency, PCRM,and an emeritus toxicologist of theNationalToxicologyProgramwhohasrepresentedanenvironmentalgroupinthepast. For more information, please visitPCRM.org.

NoNaNiMal rEGulaTory TEsTiNG

The European Commission hasannounced new regulations that

would affect the livesof approximately

12 million animals each year in theEuropean Union. These regulationswould outlaw the use of great apes—chimpanzees, bonobos, gorillas, andorangutans—in medical research andtesting.Andforexperimentsinvolvinganyanimalspecies,theEUispushingformorealternativemethods;thepro-posal would establish “national refer-encelaboratories”ineachEUnationtooverseestandardizationandvalidation.Therevisionalsorequirestheuseofal-ternativeswhereavailable,providesforacase-by-caseethicalreviewofallnon-ape

primateuseproposals,andplacesstrongrestrictionsontheuseofwild-caughtpri-mates.Finally,thecommissionproposesto extend protections to all vertebrateandsomeinvertebrateanimalsusedforscientific research, education, toxicitytesting,andtissuesupply. TheseproposalscontraststarklywithU.S.protectionsforanimalsinlabora-tories.TheAnimalWelfareActexcludesthe vast majority of animals used inresearchfromanylegalprotectionsanddoesnotrequirethatalternativesbeusedintesting.

revised European union animal Welfare regulations announced


NuTriTioN The latest in…By susan levin, M.s., r.D., and kathryn strong, M.s., r.D.

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Mostcasesofgastroenteritiscausedby a commonbacteria occurbe-

causepeopleconsumeorpreparemeatfrominfectedchickensorcattle,accord-ingtoastudybyresearchersatLancasterUniversity in the United Kingdom.Ninety-sevenpercentofhumandiseasefromthepathogenicbacteriumC.jejunioriginates in animals farmed for meatandpoultry,thestudyfound.Research-ersanalyzedDNAfrom1,231casesofC.jejuniinfectionsinLancashire,England.Only3percentofcasesweretracedbacktoenvironmentalcontaminationorwildanimal sources.These results implicatelivestock as the primary transmissionroute for the leading cause of gastro-enteritis, which is thought to infect 2millionto3millionpeopleperyearintheUnitedStatesalone.Wilson DJ, Gabriel E, Leatherbarrow AJ, et al. Tracing the source of campylobacteriosis. PLoS Genet. 2008;4(9):e1000203.

Anotherstudyhasshownthatdairyproductshavenoeffectonmetabo-

lismorweightcontrol.TheSwissstudy,published in the American Journal of Clinical NutritionandfundedbyNestlé,testedthehypothesisthatboostingcal-ciumintakepromotesweightloss,atleastinpeoplewhoarenotalreadygettingad-equatecalcium.Participantstookeithera400-milligramdairycalciumsupplementoraplacebotwiceadayforfiveweeks.

Foodborne infection originates in Meat and Poultry

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Plant-Based Diet Helps reduce Premature aging and Disease risk

another study shows No link Between Dairy and Weight loss

Comprehensive lifestyle changes,including a low-fat vegan diet,

increase thebody’sability tofightpre-matureaging,cancer,heartdisease,andother chronic diseases, according to astudy inThe Lancet Oncology.Twenty-four men participating in a prostatecancerstudyswitchedtoavegandietandaddeddailyexerciseandrelaxationtech-niques.Thesedietandlifestylechangesledtoincreasedlevelsoftelomerase,anenzymethatprotectsandrepairsDNA.Bloodlevelsoftelomeraseincreasedbyanaverageof29percentduringthestudy.Ornish D, Lin J, Daubenmier J, et al. Increased telomerase activity and comprehensive lifestyle changes: a pilot study. Lancet Oncol. 2008;9(11):1048-1057.


HEalTHy aGiNGFooD saFETy

Neither treatment had any significanteffectonrestingenergyexpenditureorbodyweight. Thedairyindustryhasspentmillionsofdollarsonmarketingcampaignspro-motingthedairy–weightlosshypothesis,butthisnotionhasnotheldupinclinicaltrials. Bortolotti M, Rudelle S, Schneiter P, et al. Dairy calcium supplemen-tation in overweight or obese persons: its effect on markers of fat metabolism. Am J Clin Nutr. 2008;88(4):877-885.

Lanou A, Barnard ND. The dairy and weight loss hypothesis: an evalu-ation of the clinical trials. Nutr Rev. 2008;66:272-279.


research issues

Forthesoldiersofthe25thInfantryDivision,itmusthavebeenagruesomeexperience.Earlierthis year, instructors with the division’s 3rd

InfantryBrigadeCombatTeamshotagroupofpigsatHawaii’sSchofieldBarracks.Theythen instructedsoldiers topractice treating theanimals’wounds. Inothercombattraumatrainingcourses,pigsaresetonfirewhile stillalive.Thetrainees’ task is tokeepthewoundedpigsaliveforaslongaspossible. PCRMisworkinghardtoendtheuseofanimalsinthesetraining courses.Nonanimalmethods canhandle every

aspectofmilitarymedical training.These methodsrange from high-tech simulatorsto commonsenseapproaches, likethe use of mili-tary and civiliantraumacenterstogainexperience. The Depart-mentofDefense’s(DOD) animaluse violates theagency’s ownanimal welfareregulation, whichrequires nonani-mal alternativestobeusediftheyproduce equiva-lentresults.

PCRM research program assistant Eric Jonas, director of research policy Hope Ferdowsian, M.D., M.P.H., and manager of humane education programs Ryan Merkley work to end the use of animals in military medical training.

Inthecivilianworld,surgeons,emergencyphysicians,nurses,andphysicianassistantslearnbymentoringwithexperiencedcliniciansinhospitals,clinics,andtraumacenters,asPCRMpresidentNealBarnard,M.D.,point-edoutinanopinionpiecepublishedintheHonolulu Star-Bulletin. “Training on a pig is no substitute forpropermedicalexperience,”Dr.Barnardwrote.

Experiments on Monkeys and Goats

Themilitary’suseofanimalsgoesbeyondpigshoot-ing.TheDODalsousesvervetmonkeystotrainmedicalpersonnel to treatpeoplewhohavebeenexposed tonerveagents.Tomimictheadministrationofchemicalwarfareagents,themonkeysaregivenanoverdoseofphysostigmine,whichcausesseverediarrhea,vomiting,averylowheartrate,andsometimesdeath.Again,thetraineesdesperatelyattempttoresuscitatethemonkeys.If the monkeys live through this extremely painfulprocedure,theywillbesubjectedtoitasmanyasfourtimesperyearuntiltheydie. Livegoatsaresubjectedtoamputationandhemor-rhaginginasimulatedbattlefield.Duringtheseexer-cises,thegoatsarecommonlygivenketamine,adrugthat disrupts mental processes but does not inducefullanesthesia.Theanimalsmayfeelintensepainandconfusionasthetraineesstruggletokeepthemalive.Becauseagoatisnotagoodmodelforvenousaccess,manytraineesarenotabletosecureintravenouslines,causingthegoatstosufferfromfatalhypovolemicshockandhypothermia.

Battling for Nonanimal Alternatives

Unlike animals, realistic human-based simulatorsduplicate human anatomy and allow trainees to re-

The

War on Animals

PCRM Confronts the Military’s Deadly Use of Animals for

Medical Training

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peatedlypracticecriticalprocedures.Managementofhemorrhage, the most common cause of battlefielddeath,canbetaughtusingSimManfromLaerdalandtheSimQuestLimbHemorrhageSimulator,whichwasdevelopedspecificallyfortheU.S.Army.Traumaexpo-surecanbeprovidedbyhigh-volumetraumacenters,whichexposemilitarycaregiverstotraumaticinjuriessimilartowhattheymayencounteronthebattlefield. The DOD currently uses live animals in combattrauma and chemical casualty management coursesconductedby theArmyandNavy,aswellasprivatecontractors such as theVirginia-based companyAd-vancedTraining and Solutions (ATS). Between July2005 and September 2007, DOD agencies had 64contractswithATS,totalingmorethan$4million.In2007,theDODusedandkilledmorethan3,500pigsandmorethan5,000goatsincombattraumacourses.PCRM’sResearchAdvocacyDepartmenthasfiledre-queststhroughthefederalFreedomofInformationActtoobtaindocumentstolearnmoreabouttheDOD’suseofanimalsinmedicaltraining. InacampaignledbydirectorofresearchpolicyHopeFerdowsian,M.D.,M.P.H.,PCRMwill continue toinvestigatethesecoursesandinsistthattheDODre-placetheuseofliveanimalswithnonanimalmethods.TogetthelatestnewsonPCRM’scampaigntoendtheDOD’suseofliveanimalsintraumatraining,pleasevisitPCRM.org.

A Cut AbovePCRM Announces Dissection Alternatives Award Winners

KaraHairston,asixth-graderatBelzerMiddle School in Indianapolis,

Ind., objected to dissecting animalsin her science class. Through her ownresearch,Karafoundoutthatthefrogsused in her school’s dissections weretakenfromthewild.Shevoicedhercon-cernstoherteacherandprincipal,butshedidnotstopthere.Karawenttothe

school board with a letterandapresentation,andherschool is now planning topurchasenonanimalmodelstoreplacealldissection. Ann Smart has taught

biologyatCabriniHighSchool inCov-ington,La., for30years, andher lessonplansalwaysteachstudentstorespectalllife.Morethan15yearsago,Annstoppedusingdissectioninherclassroomwhensherealizedthatnotonlydoesdissectionpro-moteadisrespectforlife,butmanystudentscannotevenidentifytheorgansorsystemsafter they dissect an animal. Thanks to

Ann,CabriniHighSchoolhascompletelyreplaceddissectionwithnonanimalteach-ingmethods,includingvideos,diagrams,models,andcomputerprograms. BothCutAboveDissectionAlternativesawardwinnerswillreceive$2,000,includ-ing$1,000forthewinnerand$1,000foreachoftheirschools.Thankyoutoallwhosubmittednominationsandtoallstudentsandeducatorswhoworktoreplacedissec-tionwithnonanimalalternatives.Tofindoutmoreaboutdissectionandwhatyoucandotohelpyourlocalschoolsmovetononanimalteachingmethods,pleasevisitDissectionAlternatives.org.


Action Alert Contact the FDA About Animal Testing

Everyday, thousandsofanimalsareexperimentedonandkilledtocreateandtestdrugs,manyofwhichwillnever

helpasickhumanbeing.That’swhyPCRMandaninterna-tionalcoalitionofscientists,doctors,andanimal-protectionorganizationsfiledtheMandatoryAlternativesPetitionwiththeU.S.FoodandDrugAdministrationonNov.14,2007.Thepetitionasks theFDA tomandate theuseof validatednonanimaltestingmethods,whenthosealternativesexist,tocreatesaferdrugsforAmericanconsumers. TheFDAiscurrentlyreviewingtheinitiative.Duringthistime,weneedyoutocontacttheFDAandurgetheagencytomandatetheuseofvalidatedalternativestoanimaltests.Pleasewriteto:

AndrewC.vonEschenbach,M.D.,Commissioner U.S.FoodandDrugAdministration 5600FishersLane Rockville,MD20857

Morethan60,000PCRMmembershavealreadysignedpeti-tionsthathavebeensenttotheFDA. TolearnmoreabouttheMandatoryAlternativesPetition,visitAlternatives-Petition.org.TosignPCRM’sonlinepetitiontotheFDA,gotoSupport.PCRM.org/FDA_Petition.


Prevention & Nutrition

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Vegetarian Foods Taking Off at Nation’s Airports

Obesity and Food Addictions May Have Genetic Basis

mineisabrainchemicalassociatedwithpleasure. PeoplewiththeA1variantgetlessthanthenormalamountofdopaminestimulationandtendtocompen-satewithself-stimulatorybehavior,suchassmoking,drinking, gambling, and overeating. In this clinicaltrial of 93 adults with type 2 diabetes, the A1 genewasidentifiedinabouthalftheparticipants.Insomegroups,theprevalencewassimilartothatobservedinsubstance-abusingpopulations.Dr.Barnardspeculatesthat,foraffectedpeople,alackofdopaminereceptorsleads toovereatingandweightgain. In turn,weightgainleadstodiabetes. Halfthepeopleinthisstudywereonalow-fatvegandiet,andhalffollowedthestandardAmericanDiabetesAssociationdiet,whichhasstrictportioncontrols.Dr.BarnardfoundthatthosewhodidnothavetheA1genediddramaticallybetteron thevegandiet, comparedwiththoseonthestandarddiabetesdiet.ThosewiththeA1genegotpoorerresultsonbothdiets,althoughtheydidslightlybetteronthevegandiet. Thisshowsthat,formanypeople,itiseasiertosimplyleaveproblemfoodsasideinsteadoftryingtomoder-atetheirintake.Italsosuggeststhat,forsomepeople,foodshaveanattractionsimilartothatofhabit-formingdrugs.

Airport Score1. (tie) Dallas/Fort Worth International Airport 95%1. (tie) Detroit Metropolitan Wayne County Airport 95%2. Chicago O’Hare International Airport 88%3. Houston George Bush Intercontinental Airport 83%4. Phoenix Sky Harbor International Airport 82%5. Los Angeles International Airport 81%6. Denver International Airport 79%7. (tie) Minneapolis-St. Paul International Airport 77%7. (tie) San Francisco International Airport 77%8. Orlando International Airport 76%9. (tie) Miami International Airport 75%9. (tie) Newark Liberty International Airport 75%10. Las Vegas McCarran International Airport 71%11. Hartsfield-Jackson Atlanta International Airport 67%12. Ronald Reagan Washington National Airport 60%

out,PCRMdietitians lookedat foodsservedinrestaurantsat15ofthebusiest

airportsinthenation—andthey discovered that vege-tarianfoodsareincreasinglyavailable. PCRM’s eighthannual Airport Food Re-viewfoundthat80percentof theairports’ restaurantsoffer at least one low-fat,high-fiber, cholesterol-freevegetarianoption. In this year’s report,Dallas/FortWorthInterna-tionalAirport tied forfirstplace with Detroit Met-ropolitan Wayne CountyAirport: 95 percent of therestaurantsatbothairportsoffer at least one vegetar-ian meal. The airport that

Wherecanahungryairlinetravelerfind a healthful meal? To find

reallytookoffwasHoustonGeorgeBushIntercontinental Airport, which, afterrankingin10thplacein2006andnotparticipatingin2007,emergedinthirdplacethisyear. Even some low-ranking airports aremaking improvements: Ronald ReaganWashington National Airport remainedinlastplaceforasecondyear,butitwasmost improved inpercentage of restau-rantsofferinghealthfuloptions—from42percentin2007to60percentin2008. HealthfuloptionsatairportsincludetheMediterraneanplatteratLaTapenadeMediterraneanCaféatChicagoO’HareInternationalAirport,theveganstrom-boliatFrenchMeadowBakery&Caféat Minneapolis-St. Paul InternationalAirport,andtheroastedveggieciabattaatBriocheDoréeatLosAngelesInterna-tionalAirport.

Canagenemakeyouovereat?AccordingtoanewresearchstudyledbyPCRMpresidentNealBar-

nard,M.D.,asinglegenemaycausepeopletoovereat,eventothepointofobesityanddiabetes. Thestudy,publishedinthejournalNutrition,findsthattheTaq1A1gene,avariantthatresultsinfewerdopaminereceptorsonbraincells,issurprisinglywide-spreadamongindividualswithtype2diabetes.Dopa-


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Burger King Warns of Grilled Chicken Cancer RiskFast-Food Chain Settles PCRM Lawsuit

BurgerKingisthefirstofsevennationalrestaurantchains to settle a lawsuitfiledbyPCRMovera

dangerouscarcinogenfoundinthecompanies’grilledchicken.AspartofitsagreementwithPCRM,BurgerKinghaspostedwarningsignsinitsCaliforniarestau-rantstoalertcustomersthatitsgrilledchickenproductscontain PhIP, a cancer-causing compound producedwhenmeatsarecookedathightemperatures. “We appreciate Burger King’s decision to warncustomersthatgrilledchickendishescontaindanger-ouscarcinogens,”saidPCRMpresidentNealBarnard,M.D.“Health-consciousAmericanshavelongsteeredclearoffriedchicken,butmanyhavenoideathatgrilledchickenmaybeasbadorworse.” PCRMfiled suit againstBurgerKing,alongwithMcDonald’s,Chick-fil-A,Applebee’s,OutbackSteak-house, Chili’s Grill and Bar, and T.G.I. Friday’s inJanuary 2008 for knowingly exposing customers toPhIPwithoutwarningthemofitsrisks.ThecasewasfiledunderCalifornia’sProposition65,whichstatesthatconsumersmustbewarnedaboutproductsthatcontainknown carcinogens. For more than a decade, PhIPhasbeenontheCaliforniagovernor’slistofchemicalsknowntocausecancer. PCRMfiledthissuitaftercommissioninganinde-

pendentlaboratorytotest100grilledchickensamplesfrom chain locations throughout California. Thelaboratory tested Burger King’sTendergrill ChickenSandwich, which was found to contain PhIP. ButBurgerKingdoesofferPhIP-freemenuoptions:TheBKVeggie and theVeggieWhopper (Burger King’smeatlesssandwiches)donotcontainPhIP,whichformsonlyinanimalprotein. InSeptember,PCRMscientistspublishedastudyinthejournalNutrition and CancershowingthatPhIPispervasiveingrilledchickenproducts. BurgerKinghassteppedupandwarneditsCalifor-niacustomersaboutPhIP,buttheothersixdefendantscontinue to fight the lawsuit, hoping to be able toavoid informingcustomersaboutthecancer-causingchemicalsintheirproducts.

New DVD Offers Fresh Approach to Diabetes

PCrM’s new DvD program empowers people with diabetes to move

beyond simply managing the disease. PCrM president and nutrition researcher Neal Barnard, M.D., provides eight essential lessons for turning back the clock on diabetes through a low-fat vegan diet. His presentations, based on his groundbreaking research funded by the National institutes of Health, cover vegan diets, using the glycemic index, healthful foods while traveling, and other essential topics.

Chef Toni Fiore demonstrates how to prepare fast and satisfying recipes that eliminate the need for calorie counting and restricted portions. The DvD also includes a grocery store tour with valuable tips from PCrM dietitian susan levin, M.s., r.D., and director of diabetes education and care Caroline Trapp, M.s.N., C.D.E. To find out more about the new approach to nutrition for diabetes or to order a copy of this new DvD, please visit PCRM.org/Diabetes.


10 GOOD MEDICINE Winter 2009

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PCRM and Wyntergrace Williams Help Students Get Healthy

WyntergraceWilliams,daughter of televi-

sion show host Mon-tel Williams, has askedPCRMtohelpherspreadthe word about vegetar-ian diets. Wyntergrace is14 years old, and threeyearsago,shechangedtoa vegetarian diet out ofcompassion for animalsand for health concerns.Shepersuadedhermotherto join her, and now shewants to make sure stu-dents across the countryhave access to healthfulvegetarianfoods.

WyntergraceattendsamiddleschoolinGreenwich,Conn.Shelovesherschoolbutnoticeditneededmorevegetarian options in the lunch line. Realizing thatmanyother studentswere also looking forhealthiercafeteriameals,shestartedapetitiontogethealthfulfoodsinherschool. Thepetitionsaid,“Whetherwechoosethemoutof compassion for animals, or because of concerns

abouthealthortheenvironment,weallbenefitfromhavingplant-basedmealsavailable.Wewanttoworkwithourcafeteriatomakethesenewhealthfulofferingsasuccess.” The school was nothardtoconvince.PCRMisnowworkingwiththefoodservicemanagerstotestandimplementnewveganmealoptions. Eager to help allstudents find health-ier foods at school,Wyntergrace is nowworking with PCRMto create a nationalpetition that studentsacrossthecountrycansign to gain supportfor more vegetarianoptions.

Child Nutrition Act: Time for Reform

Five days a week, most children get their meals from school food services.

Too often, lunch lines serve foods that are higher in fat and cholesterol than they should be. Cash-strapped schools often find it hard to add more options. But PCrM hopes that will soon change: The Child Nutrition act, which determines what foods are served in the National school lunch Program, is up for reautho-rization in 2009. PCrM is working hard to ensure that

the new Child Nutrition act will increase access to low-fat, cholesterol-free vege-tarian foods, provide for equal reimburse-ment for nondairy beverages as for cow’s milk, and include removal of processed meats from the list of commodities avail-able to schools. if you are a parent, teacher, student, or concerned citizen who wants to help get healthier foods in your local school, please call 202-686-2210, ext. 338, or visit HealthySchoolLunches.org.

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Winter 2009 GOOD MEDICINE 11

2008 year in review

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Winter 2009 GOOD MEDICINE 11

ETHICAL RESEARCH, HEALTHY BODIES InSeptember,theUniversityofVermontCollegeofMedicineandUniversityofIowaHospitalsandClinicsstoppedusinganimalsinATLScourses.InNovember,PCRMlaunchedapublicefforttoendtheuseoflivedogsfromalocalanimalshelterforATLStrainingat

Idaho State University. PCRM’s effortssparked widespread media coverage,and just seven days after the campaignlaunched,theschoolannounceditwouldendthepractice. Asthesepostgraduateprogramsarere-placinganimalusewithhumanelearningmethods,itisbecomingevenmoredif-ficultforcollege,highschool,andmiddleschool educators to justify classroomdissection.TheNationalScienceTeachersAssociation,thelargestscienceeducationassociationintheworld,hasannounceda revision to its position in support ofhumanealternativestodissection. PCRMwillcontinueitsworktoencour-age alternatives to animaluse in science

educationandmedicaltraining.Tolearnhowyoucanhelp,gotoPCRM.org.

Big Win for Animals in California Proposition 2—a California ballot measure thatwillimprovethelivesofanimalsonfarmsacrossthestate—wonbyahugemarginonNov.4,andPCRMplayedanimportantroleinthisvictory.Themeasurerequiresthatbreedingpigs,calvesconfinedforveal,andegg-layinghensbegivenenoughspacetostandup, turn around, and fully extend their limbs orwings.Morehygienicconditionswillalsodecreasethechanceofpathogensinfectingtheanimalsandspreadingtohumans. PCRMgatheredthousandsofsignaturestohelpget Proposition 2 on the ballot.Memberdoctorspublishedop-edsandletterstotheeditorsupportingtheinitiativeandorganizedget-out-the-voteefforts.

PCRM 2008 The Year in Review

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Alternatives to Animals in Medical Education

This has been an extraordinary year. From encour-aging better nutrition in schools to promoting alternatives to animal use in medical education,

PCRM has accomplished more than ever before. Here are highlights from our major campaigns.

PCRM continues to push hard for animal-freemedicaleducation,andoureffortshavepaidoff.

Everynewmedicalschoolestablishedinthepastquar-ter-centuryhasananimal-freecurriculum,confirmingthatthemedicaleducationstandardnolongerincludestheuseofanimals. InMarch,PCRMlearnedthattheBrodySchoolofMedicineatEastCarolinaUniversitywouldendtheuseofliveanimals,andCaseWesternReserveUniversitySchoolofMedicineinOhioannouncedthatitwouldenditsliveanimallabprograminJune.InNovember,theUniversityofTennesseeannouncedthatstudentswill no longer practice on animals. This leaves onlyeightU.S.medicalschoolswithliveanimallaboratories.PCRMisactivelyworkingtoendtheselastliveanimallabs. PCRMhasalsosteppedupitscampaigntoendtheuseofanimalsintraumatraining.Over90percentofU.S.andCanadianfacilitiesnolongeruseanimalsforAdvancedTraumaLifeSupport(ATLS)training.

1� GOOD MEDICINE Winter 2009

Third Annual Cancer Symposium Morethan300physicians,dietitians,nurses,andotherhealthcareprofessionalsattendedTheCancerProject’s 2008 Cancer and Nutrition Symposium.This thought-provokingsymposiumondiet,cancerrisk, and public policy featured eight presentationsbytopresearchersandpolicyexpertsfromacrossthenation.RowanChlebowski,M.D.,Ph.D.,JohnPierce,Ph.D.,andRuthMarlin,M.D.,describedhowfoodchoices influence survival from breast and prostatecancers. Other speakers addressed controversies innutritionandpublicpolicy,includingaproposalbyPCRMandCancerProjectpresidentNealBarnard,M.D., to ban processed meats from school lunchprograms. Symposium presentations can be viewedatCancerProject.org.

2008 year in review

Healthy School LunchesPCRMisworkingtoimproveschoollunchesacrossthecountry. Thisyear,PCRMhelpedWashing-tonInternationalSchoolinWashing-ton, D.C., add vegan options. Andafterasuccessfultestofveganoptionsin Broward County, Fla., the entireschool district—the nation’s sixth-largest—added vegan meals to theregularmenu. PCRM’s seventh School LunchReportCardgradedschoolsontheirmenus and nutrition education,and offered suggestions on howto improve. The 2008 report card

showedanincreasingnumberofhealthfulvegetarianandveganoptions,andalltheschoolsparticipatingofferedanondairybeverage.Thereisstillroomforimprovement.WhilesevenschooldistrictsreceivedanA-orhigher,sixdistrictslaggedbehindwithD’sandF’s.

Hot Dogs Feeling the Heat TheCancerProjectlaunchedamajorcampaigntoed-ucatethepublicaboutthecancerriskfoundinprocessedmeats.Hotdogs,bacon,andotherprocessedmeatscausecolorectalcancerandshouldbeavoidedcompletely,ac-cordingtotheAmericanInstituteforCancerResearchandtheWorldCancerResearchFund. InJuly,TheCancerProjectreleased“ProtectOur

Kids,”aprovocative30-secondTVcommercialthatsparkedmajormediacoverageandbecameaYouTubehit.Theadfeaturesthreeyoungactorsdescribingtheirlivesfromtheperspectiveofadultswithcancer.Theadinvitesviewerstohelp“getprocessedmeatsoutofourschools.”

CancerProjectnutritionistsalsoconductedastudyof29largeschooldistrictsacrossthecountry,findingthatschoolmenusarepackedwithprocessedmeats;16ofthe29districtsreceivedfailinggrades. TheCancerProjectfiledapetitionforrulemakingcallingontheU.S.DepartmentofAgriculturetoelimi-nateprocessedmeats from school lunches.Thepeti-tionincludesdeclarationsofsupportfromprominentnutritionandcancerexperts,includingWalterWillett,M.D.,Dr.P.H.,chairofthedepartmentofnutritionattheHarvardSchoolofPublicHealth. Tolearnmoreandfindouthowyoucanhelp,visitCancerProject.org.

ON CAPITOL HILL, IN THE PUBLIC EYE

2008 Cancer and Nutrition Symposium speakers Alison M. Duncan, Ph.D.; Stephen L. Joseph, Esq.; Mark J. Messina, Ph.D.; Cancer Project director Lauray MacElhern; Neal D. Barnard, M.D.; John Pierce, Ph.D.; and Ruth Marlin, M.D.

PCRM offered vegan options in Broward County, Fla.

“Protect Our Kids”

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Winter 2009 GOOD MEDICINE 1�

New Online Resources

Join PCRM on Facebook! keep up to date on PCrM’s recent activities and campaigns and spread the word to your friends by joining the growing number of PCrM Facebook fans. on our page, you can view photos and videos, interact with other supporters, and stay posted on PCrM news and events.

Alicia Silverstone’s Tasteful Treatactress alicia silverstone joined PCrM to promote healthy vegan fare, donating her Tasty Tostadas recipe to NutritionMD.org. The Web site offers many more delicious celebrity recipes.

2008 year in review

Author Rory Freedman on Capitol Hill PCRMbroughtRoryFreedman,co-authorofthebest-sellingdietmani-festoSkinny Bitch,toCapitolHilltooffernutritionadvice,weightlosstips,andsamplesofdeliciousveganfoodtomembersofCongressandtheirstaffs.Freedmanentertainedmorethan160congressionalstaff-ers with her candid, tough-loveapproach tohealthier eating.Shechallenged participants to try avegandietfor30daysbymakinga“vegpledge.”

Spelling Out the Real Cause of Salmonella After the Food and Drug Administration spentmonthstryingtoidentifythesourceofthenationwidesalmonellaoutbreak,PCRMliterallyspelledouttheanswerinfrontoftheU.S.DepartmentofHealthandHumanServicesbuilding.Usingmorethan1,000to-matoes,PCRMphysiciansandstaffspelledout“It’sthemeat,stupid!”—areferencetothepoliticaladage,“It’s

theeconomy,stupid!”Theeventcalledattentiontothefactthatsalmonella,E.coli,andotherfoodbornepathogensare intestinalorganisms thatoriginate inlivestock production. And, of course, a tomato hasnointestine.

PCRM’s Continuing Education for Health Care Professionals This year, PCRM expanded its continuing medi-cal education program. After successful programs inAtlanta,SanAntonio,Washington,D.C.,AnnArbor,Mich.,andBethesda,Md.,PCRMofferedsessionsforhealthcareprofessionals inAlbuquerque,N.M.,andFargo, N.D. At these free dinner programs, PCRMpresidentNealBarnard,M.D.,andPCRMdirectorofdiabeteseducationandcareCarolineTrapp,M.S.N.,

C.D.E., spoke about recent research showing that alow-fatvegandietcanhelppreventandmanagetype2diabetes.Thefeaturedspeakersalsoexplainedtothephysicians,dietitians,nurses,andotherhealthcarepro-fessionalshowtoimplementthisnewdietaryapproachwithpatients.ThenextstoponthistourwillbeFortLauderdale,Fla.,inFebruary2009. PCRMalsointroducedNutritionCME.orgthisyeartoallowhealthcareprofessionals toearncontinuingmedical education creditsfromhome. NutritionCME.org, co-sponsored by PCRM andThe George WashingtonUniversity Medical Center,offersfreeonlinecoursesoncancer, cardiovascular dis-ease, diabetes, obesity, andothermedicaltopics.


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2008 year in review


This year, PCRM reached a wider audience thanever before, receiving extensive coverage in majornewspapersnationwide,making appearancesonThe Ellen DeGeneres ShowandothernationalTVshows,andlaunchingnewpublicserviceannouncements.

Pushing the Press PCRM’sexpertsonresearchandnutritionpennedhundredsofletterstotheeditorandopinionpiecesin

newspapers across the country, includingUSA Today,The Chicago Tribune,The New York Times,andThe Washington Post. In an op-ed published in USA Today,PCRM president Neal Barnard, M.D.,explained that a vegetarian diet is thehealthiest choice for everyone, includingathletesliketheMilwaukeeBrewers’PrinceFielder,whorecentlyswitchedtoaplant-baseddiet.“Fielderisarolemodelforhisathleticprowess—andhishealthydiet,”Dr.Barnardwrote. The Washington PostalsocoveredPCRM’sworkthroughouttheyear.Twoarticleshigh-

lightedthegradesgiventoareaschoolsintheSchoolLunchReportCard,andanotherexaminedTheCancerProject’sprocessedmeatevaluation.The Washington Post alsocoveredPCRM’scallfortheUniformedServicesUniversityof theHealthSciencesmedical school toendtheirpracticeofusingliveanimalsineducation.

PCRM Surfs the Channels In 2008, PCRM made appear-ancesonmajornationalTVshowsandevenhadthechancetobringadoseofrealitytothehitprime-timedramaGrey’s Anatomy. PCRMpresidentNealBarnard,M.D., appeared on The Ellen DeGeneres Show toexplainhowa

healthydietcanhelpbreakunhealthyfoodcravings. InaGrey’s Anatomyepisode,Dr.IzzieStevenstookastrongstandagainstusinganimalsfortraumatrainingafterPCRMexplainedtoproducerstheoverwhelmingmovetowardusingsimulatorsinsteadofanimals.

TV Spots Highlight Benefits of Vegetarian Diet Thisyear,PCRMandTheCancerProjectreleasedtwonewTVpublicserviceannouncementsthatinformthepublicaboutthemanybenefitsofavegetariandiet.“MedSchool”and“PokerNight”canbeseenonTVstationsacrossthecountry.

In“MedSchool,”atakeoffontoday’spopularTVmedicaldramas,internsseeacolorfularrayoffruits,vegetables,beans,andwholegrainsonanX-raylightboardandlearnthataplant-baseddietcanhelppre-ventdiseases. “PokerNight”sendsthemessagethathealthyeat-ingcanhelppreventprostatecancer.Inthishumor-ousspot,a“newguy”makesthemistakeofbringingabucketofchickentothepokertablethatisfulloflow-fatvegetariansnacks.

PCRM WORLDWIDE

IN THE NATIONAL SPOTLIGHT

Diabetes in India… InJanuary,PCRMpresidentNealBarnard,M.D.,traveledtoIndiatolectureatmedicalschoolsandhos-pitalsacrossthecountry.VegetariandietshavealongtraditioninIndia,butmeat-heavyWesterndietshave

recentlymoved in,bringingdiabetesandother typi-callyWesterndiseases alongwith them.Dr.Barnardencouragedparticipantstohelptheirpatientsadoptalow-fatvegandietandofferedthemresources,includingmodifiedversionsoftraditionalIndiandishes.

Katherine Heigl as Dr. Izzie Stevens of Grey’s Anatomy

“Med School”

Prince Fielder of the Milwaukee Brewers

Dr. Neal Barnard and Ellen DeGeneres

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2008 year in review

Physicians Committee for responsible Medicine �00� CONSOLIDATED FISCAL YEAR REPORT

Contributions and Donations ................. $ �,��,��

Legacies and Bequests ............................ $ 1,0��,1�0

Grants .............................................................$ ��,��0

Other Revenue ............................................ $ ��,��

TOTAL SUPPORT AND REvENUE ........... $ 10,��,��0

Mission statement: Founded in 1985, the Physicians Committee for responsible Medicine (PCrM) is a nonprofit organization that promotes preventive medicine, conducts clinical research, and encourages higher standards for ethics and effectiveness in research.PCRM Board of Directors: Neal D. Barnard, M.D., President; Mark sklar, M.D., Director; russell Bunai, M.D., secretary and TreasurerPhysicians Committee for Responsible Medicine is a 501(c)(3) nonprofit organization. Contributions are tax-deductible. PCrM, 5100 Wisconsin ave. NW, suite 400, Washington, DC 20016, (202) 686-2210, PCRM.org

Contributions and Donations ��.�1%

Legacies and Bequests 10.��%

Grants 0.��%

Other Revenue �.�0%interest, dividends, royalties, merchandise

sales, and other income Net Assets, End of Year $ 1�,��,�1�

Program Services ��.��%research advocacy, Clinical research, Nutrition Education, legal advocacy, Publications, Public

Education, Communications

General Operations 11.��%

Membership Development/Fundraising

10.��%

Program Servicesresearch advocacy ..................$ 2,455,657Clinical research .......................... $ 376,885Nutrition Education .................$ 2,347,308legal advocacy ............................ $ 801,807Publications ................................... $ 494,174Public Education .......................... $ 631,523Communications .........................$ 711,177

Total Program Services ............................$ �,�1�,��1Operations ................................................$ 1,1��,��Development ............................................$ 1,0��,��

TOTAL ExPENSES ................................... $ 10,0�0,��

SUPPORT AND REvENUE

ExPENSES

…and Australia, New Zealand InDecember,Dr.Barnardtookhispowerfulapproachto preventing, controlling, and reversing diabetes toAustraliaandNewZealand.Hesharedfindingsfromhislateststudies,showingthatalow-fatvegandietcanhelppatientscuttheirbloodsugars,improveinsulinsensitiv-ity,andreduceoreveneliminatetheirmedications.

Fostering Compassion in South Africa Thispastspring,PCRManimalbehaviorexpertJona-thanBalcombe,Ph.D.,spenttwoweeksinSouthAfricaencouragingpeopletorethinkhowwetreatanimals. SincehisgroundbreakingbookPleasurable Kingdomwaspublishedin2006,Dr.Balcombehasbeencriss-crossingtheglobespreadinghismessageofcompassiontowardanimals.Pleasurable Kingdomshowsthatlifeforanimalsmeansmuchmorethansimplysurvival.

Reducing Animal Testing Around the World PCRMisalsoworkingonaglobalscaletoencouragehumanealternativestotoxicitytestingusinganimals.TheOrganizationforEconomicCooperationandDe-

velopment(OECD)isaninternationalbodythatcoor-dinatestestingpoliciesfromvariouscountries.PCRMserves as the Elected Secretariat of the InternationalCouncilforAnimalProtectioninOECDProgrammes(ICAPO), which encourages OECD to incorporatealternativestoanimaluseinchemicaltesting. PCRM’s Chad Sandusky,Ph.D., and Kristie Sullivan,M.P.H., coordinate ICAPO’sactivitiesandworktobuildinflu-enceatOECD.SeveralproposalsICAPOhassubmittedtoOECDfor consideration since PCRMbecame Secretariat have beenadopted by member countries,including the United States,UnitedKingdom,andGermany.OECDalsohasaninnovativenewresearchdatabase,theQSARToolbox,whichallowsscientistsandregulatorstoeasilyaccessinformationaboutthepotentialtoxicityofachemical.TheQSARToolboxisadirectresultofICAPO’seffortstoreduceanimaltesting.


1� GOOD MEDICINE Winter 20091� GOOD MEDICINE Winter 2009

The Cancer Project’s New Book on Foods for Cancer Survival

The CancerP r o j e c t ’ s

new book, The Cancer Survivor’s G u i d e : F o o d s That Help You Fight Back, up-datesthepopularSurvivor’s Hand-book and includes hundreds of newrecipes, a nutrition and cooking DVDcompanion presentation, and the latestresearchonusing foods topreventcan-cerandimprovesurvival.Toorder,visitCancerProject.org.

Five Worst Value Menu Items Revealed

Wendy’sintroducedthedollarmenu20yearsago,andotherfast-foodchains

have followed suit. Unfortunately, high-fat,high-cholesterolitemsdominatevaluemenus,increasingtheriskofheartdisease,diabetes,andsometypesofcancer. Cancer Project di-etitians analyzed thevalue menu offeringsatfivefast-foodchains:Wendy’s,TacoBell,Mc-Donald’s,BurgerKing,andJackintheBox. Jack in theBox’s Ju-niorBaconCheeseburg-

er,a$1sandwichwithahamburgerpattyand hefty helpings of cheese and mayo-onionsauce,toppedthelistbecauseithas23gramsoffat,860milligramsofsodium,and bacon, a processed meat associatedwithincreasedcolorectalcancerrisk.

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Jennifer Landon Honors Her Father, Michael Landon

Rank Worst Value Menu Item Fast-Food Restaurant

1 Junior Bacon Cheeseburger Jack in the Box

2 Cheesy Double Beef Burrito Taco Bell

3 Breakfast Sausage Biscuit Burger King

4 McDouble McDonald’s

5 Jr. Bacon Cheeseburger Wendy’s

During the holiday season, three-timeEmmyAward-winnerJennifer

Landonlaunchedapublicawarenesscam-paigninsupportofTheCancerProject.Jennifer’s father,actorMichaelLandon,whostarredinBonanza,Little House on the Prairie,andotherhitshows,diedin1991ofpancreaticcancer.NovemberwasNational Pancreatic Cancer AwarenessMonth,andJenniferaskedsupporterstojoinherinmakingagenerousgifttoTheCancer Project. Jennifer also recordeda new Cancer Project public serviceannouncement.Thankfully, more andmore people are realizing the power of

their plates—more than 25,000 peoplehave joinedforces inmore than80cit-ies across the country to support TheCancer Project andto learn about thelinkbetweennutri-tionandcancer.Butas demand for thisknowledgeincreases,sodoesourneedforyour support.Tomakeadonationortributegiftinhonorofalovedone,visitCancerProject.org/Support.

Thisfall,12newinstructorsjoinedTheCancerProject’sFoodforLifeteam.Onamissiontoreachmorecom-

munitiesacrossthecountry,thenewinstructorsareeagertoempower cancer survivors, friends, and family with cook-

The Cancer Project’s Nutrition and Cooking Program Continues to Grow

ingskillsandlifesavingnutritionknowledge.TobecomeaFoodforLifecookinginstructor,pleasevisitCancerProject.org/Careers. To host a class at your organization, [email protected].

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The Cancer Project updateThe Cancer Project


The News you NeedThe Cancer Project

www.CancerProject.orgThe Cancer Project is a nonprofit PCRM subsidiary that advances cancer prevention and survival through nutrition education and research.


By Krista Haynes, R.D., L.D.

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Fiber’s Benefits Moving up

Dietaryfibernotonlyprotectsagainstcoloncancer,butitalsoprotectsagainstcancerdevelopingin

thesmallintestine,whichmakesup75percentofthedigestivetract. A study in the journal Gastroenterology analyzedfoodconsumptiondatafromalmost500,000adults.Followupoveranaverageofsevenyearsshowedthosewhoconsumedthemostfiber,specificallyfromwholegrains,hada49percentlowerriskofdevelopingsmallbowelcancer,comparedwiththosewhoconsumedtheleastfiber. CurrentrecommendationsfromtheAmericanHeartAssociationandtheAmericanDieteticAssociationfordietaryfiberintakerangefrom20to35gramsdaily.U.S.adultsarecurrentlyconsumingonlyabouthalfofthisamount.Schatzkin A, Park Y, Leitzmann MF, et al. Prospective study of dietary fiber, whole grain foods, and small intestinal cancer. Gastroenterology. 2008;135:1163-1167.

Nicotine Causes Breast Cancer to spread

Nicotine,acomponentof tobacco,mayencour-agebreastcancercellstomigratetootherparts

ofthebody,accordingtoarecentstudypublishedinCancer Research.

Researchers studied bothcancerousandnoncanceroushu-manbreastcellsandfoundthatnicotinecausescancerousbreastcells to grow more vigorouslyandmakes themmore capableof invading other areas of thebody. Researchers also foundthatnicotinemakesprecancer-ous breast cells more likely tobecomecancerous.Guo J, Ibaragi S, Zhu T, et al. Nicotine promotes

mammary tumor migration via a signaling cascade involving protein kinase C and CDC42. Cancer Res. 2008;68(20):8473-8481.

obesity and insulin influence Prostate Cancer outcome

Prostatecancerpatientswhoareobeseandhavehighlevels of insulin in theirbloodstreams aremore

likelytosuccumbtothedisease,accordingtoarecentfindinginThe Lancet Oncology. Inastudyofmorethan2,500menwhowerefol-lowedfor24yearsinthePhysicians’HealthStudy,over-weight men weremore than two-and-a-half timesmore likely todieof prostate cancerthanmenofregu-lar weight. Thosewhoalsohadhighinsulin levels hadquadrupletheriskofdying fromthedisease.Ma J, Li H, Giovannucci E, et al. Prediagnostic body-mass i n d e x , p l a s m a C - p e p t i d e concentration, and prostate c a n ce r- s p e c i f i c m o r t a l i t y in men with prostate can-cer : a long-term sur vival analysis. Lancet Oncol. 2008; 9(11):1039-1047.

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Discover the Many Ways Planned Gifts Can Benefit You and PCRM at PCRM.PlanYourLegacy.orgPlease send me information about:

bequests gift annuities other planned gifts

i have already named PCrM in my will, trust, life insurance policy, or retirement plan. Please contact me to activate my lifetime Partner status.

NaME

aDDrEss

CiTy sTaTE/ProviNCE

ziP/PosTal CoDE CouNTry

E-Mail PHoNE

Please mail to: PCrM, attn: Betsy Wason5100 Wisconsin ave., NW, suite 400Washington, DC 20016 GM09WN

Join PCRM for a Sublime Send-Off

Make your reservationsnow to joinPCRM president Neal Barnard,

M.D.,andspecialguestsT.ColinCamp-bell,Ph.D.,andChristinaPirelloforaneveninginFortLauderdale,Fla.,toben-efitPCRM’swork.NanciAlexanderwillhostthesecondannualBonVoyagePartyfortheHolisticHolidayatSeaCruiseather legendary Sublime restaurant. It’s agreatopportunity forout-of-towners toexperienceworld-classvegancuisinethe

night before the cruise departs and forlocalstotakepartinafuneveningatthisaward-winninghotspot.

Saturday,Feb.28,20095:30–7p.m.

$50perpersonforreception;dinnernotincluded

RSVP:954-539-9000Last year’s event sold out quickly!

Book Your Caribbean Getaway Now!

TheHolisticHolidayatSeaisaseven-night luxury cruise through the

CaribbeanwithvisitstoKeyWest,Fla.,theCaymanIslands,Roatan,Honduras,andCozumel,Mexico.Thecruisefeaturestheexperienceandwisdomofmanyoftheworld’sleadinghealthexperts,includingPCRMpresidentNealBarnard,M.D.,T.ColinCampbell,Ph.D., SherryRogers,M.D.,andmanyothers.Learnallaboutthe cruise at ATasteOfHealth.org, andthenbooktheultimategetawayforyourmind, body, and spirit by calling 800-496-0989.

Longtime members Doris and Jerry Carey (here with PCRM president Neal Barnard, M.D.) sponsored an evening in Cherry Hill, N.J., in September—guests came from as far away as Brooklyn to enjoy an incredible array of vegan hors d’oeuvres, wine tast-ing, and a presentation by Dr. Barnard on PCRM’s efforts to stop cruel animal experi-ments and promote better health. Thank you, Doris and Jerry! If you are interested in hosting an event for PCRM to help us spread the word about our work and to raise funds in support of our efforts, please contact special event manager Debbi Miller at 202-686-2210, ext. 340.

Special Thank You to These Holistic Holiday at Sea SupportersBrendanBrazier•TeriGalvez•Lovin’SpoonfulsRestaurant

PatrickMcDonnell•MillenniumRestaurant•Pangea

Neal Barnard, M.D. Christina Pirello T. Colin Campbell, Ph.D.

Member support



Member support

Asachild,Goodingwasoftenstruckbytheabilityofanimalstobecom-

fortableintheirownskins.“Iwasmovedbyhowtheycouldbeatpeacewithwhothey were, sometimes even when theyweresuffering,”hesays.Evenasachild,Goodingsawthisasastarkcontrasttothewayhumanstriedtocontroleverythingaroundthem—oftentothedetrimentoftheirenvironmentandtheanimalswhosharedit. As Gooding became more aware ofanimal experimentation issues in highschool,hisconcernforthesufferingofanimalsatthehandsofhumansgrew.“ApivotalmomentformewasthefirsttimeIsawfootageofanimalsbeingtorturedsimplytoprovideuswithproductsthatIdoubtweevenneed,orthatwealreadyhave15versionsof,”hesays.“Irealizedhow much I needed to take a look atmyconsumptionandmychoices.”This,alongwithreadingPeterSinger’sAnimal Liberationwhilemajoringinfilmincol-lege,fueledanangryenergyinGooding.Duringthistime,hewroteandproducedFactory Blue, an albumhedescribes as“anauralwitnesstoastoryoflove,hate,

andtheendofthehumanworld.” He eventuallydevelopedthealbumintoa multimedia live per-formance that includedfootageofexperimenterslaughing while abusinganimalsinlabsandthat,hesays,“generallydidn’tmake the customers atthebarwanttostayandhaveanotherbeer!” Gooding has felt hisyouthfulangertransitioninto a more optimisticoutlook on animal suf-feringissues.“Ihavealot

more hope now, even though the sameterriblethingsarehappeningallaroundus,”hesays.“Istrivetoremainpositive

andleadbyexample.”Wheninterviewedbythemedia,Goodingalwaystalksabouthispassionforanimalrights,andhe’s“theguyontourwiththecoolerfullofveganfoodfromthelastWholeFoodsstop.” Goodingpassesupevenlucrativeop-portunitiesiftheydonotmeethisethicalstandards.“Youdon’thavetogiveupyourbeliefstobesuccessful—ifyoufollowthepath,youwillfindothersonitaswell,andyourworkwillbebetterforit.” AndwhatdoesGoodingloveaboutPCRM?“I’mamazedathowyoualwayskeep the issues right at the forefront,and your approach is scientificallybased,” he says. “You present alterna-tives,youpresentthemoralargument,andyoushowthatscienceandbusinesscanadvancejustfinewithoutharminganimals.That’sunique.”

Gooding was 4 years old when he saw the band kiss and heard

Queen’s Flash Gordon. it was this convergence of rock ‘n’ roll and movie soundtracks that set him on his career path that continues today. after studying film at the university of kansas and the university of Califor-nia, los angeles, Gooding went on to produce music acts, run music studios, and launch an independent record label (s3 records) and a boutique mu-sic licensing catalog (kingdom 2). He currently records and tours extensively with his band, The angel/Devil. Gooding’s music has been heard in The Matrix: Revisited and Animatrix, We

Are Marshall, Ice Age 2, Children of Men, and The Fast and the Furious: Tokyo Drift, and on Tv shows like Nip/Tuck, Stargate SG-1, The Closer, and MTv’s The Real World and Road Rules. Beyond his passion for music, Gooding is and always has been a staunch champion of animals. Gooding is a member of the remembering rodney society, PCrM’s monthly giving program. you can hear Gooding’s music at GoodingMusic.com.

a Dedicated Musician, a staunch Champion of animals

Gooding Ethics, Passion, and rock ‘n’ roll

�0 GOOD MEDICINE Winter 2009

PCrM Marketplace

Healthy Eating for Life for ChildrenPCRM with Amy Lanou, Ph.D.When children learn proper nutrition early in life, they are more likely to avoid heart disease, obesity, and diabetes. Here’s how to get them started. Includes kid-tested recipes. 258 pgs, $14.95

Healthy Eating for Life book series from PCRMPCRM’s series of medically sound, reader-friendly books explains diet’s role in wellness and disease prevention. Each book includes at least 80 healthy, delicious vegetarian recipes. Forewords by PCRM president Neal D. Barnard, M.D.

Healthy Eating for Life for WomenPCRM with Kristine KieswerLearn how the right foods can ease men-strual and meno-pausal symptoms, strengthen bones, encourage weight loss, protect the heart, and help pre-vent certain cancers. 260 pgs, $16.95

Healthy Eating for Life to Prevent and Treat DiabetesPCRM with Patricia Bertron, R.D.Studies show that diabetes can be highly responsive to diet and lifestyle changes. PCRM explains these changes and how to put them into practice. 244 pgs, $18.95

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Prevent and Reverse Heart DiseaseCaldwell B. Esselstyn Jr., M.D.Drawing on findings from his 20-year study, noted surgeon and researcher Esselstyn presents a scientifically proven, nutrition-based program that stops and reverses heart disease, even for people who have been affected for many years. More than 150 great recipes. 308 pgs, $15.95

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 accu-mulated from animal experimentation. 262 pgs, $24.99

Pleasurable KingdomAnimals and the Nature of Feeling GoodJonathan Balcombe, Ph.D.Life as experienced by animals is not a grim struggle for survival, according to animal behavior researcher Balcombe. He presents persuasive evidence that animals—like humans—find enjoyment in touch, food, aesthetics, companionship, anticipation, and more. Full of insight and humor, the book poses vital ethical questions. 360 pgs, $14.95

hEALTh AND NUTRITION

Nutrition Guide for CliniciansPhysicians 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. 884 pgs, $19.95 Special Discount $17.95

LANDMARK BooK FRoM PCRM

�0 GOOD MEDICINE Winter 2009

vegan in 30 Days Get Healthy, Save the WorldSarah TaylorWhether you want to lose weight, prevent or reverse disease, increase energy, save animals, or reduce your carbon footprint, this book will help you achieve your goal. Filled with insights, practical tips, and recipes. 104 pgs, $14.95

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The Best in the WorldFast, Healthful Recipes from Exclusive and Out-of-the-Way RestaurantsNeal D. Barnard, M.D., EditorThis popular collection of wonderfully 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. Attractively illustrated, this delightful vegan cookbook is the sequel to PCRM’s original international recipe collection. Hardcover, 71 pgs, $11.95

“Best in the World” Matched Set OfferGet both beautiful volumes for $18

Quantum Wellness: A Practical and Spiritual Guide to Health and HappinessKathy Freston Learn how to make the small steps that can significantly improve the health of mind, body, and spirit. In addition to promoting wholeness in work and relationships, Freston explains the advantages of a plant-based diet from health, ethical, and environmental perspectives. Includes 45 veg-etarian recipes, two weeks of meal plans, and a general shopping list. 288 pages, $23.95

Skinny BitchA No-Nonsense, Tough Love Guide for Savvy Girls Who Want to Stop Eating Crap and Start Looking Fabulous!Rory Freedman and Kim Barnouin This bestselling vegan guide pulls no punches. Entertain-ing and sassy, the book rests on a solid health and nutrition foundation. “Many priceless-yet-unprintable dictums certainly make you laugh in a way few diet books can.” –iVillage 224 pgs, $13.95

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Macro for the Mainstream DVDSheri DeMarisTV host Sheri DeMaris believes “your kitchen is your medicine cabinet.” In this exciting DVD, she prepares easy-to-follow macrobiotic recipes using whole, organic foods and offering simple suggestions for improving one’s health and the health of our planet. $24.95

How to Eat Like a vegetarian Even if You Never Want to Be OneCarol J. Adams and Patti BreitmanOut of time and out of ideas? Cook fast, cook healthy with more than 250 shortcuts, strategies, and simple solu-tions. More than a cookbook—though it abounds with recipes—this guide will get you started on a healthier path with a few flips of the page. 214 pgs, $20.00

Skinny Bitch in the KitchKick-Ass Recipes for Hungry Girls Who Want to Stop Cooking Crap (and Start Looking Hot!)Here’s the companion cookbook to the outrageous bestseller Skinny Bitch. 75 easy, satisfying recipes, served up with an irreverant sense of fun. “A hilariously bawdy vegan cookbook for the modern Mrs. Cleaver.” –Domino192 pgs, $14.95

Winter 2009 GOOD MEDICINE �1

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

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, $25.95

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 ev-eryday ailments and cure chronic pain with common foods. 348 pgs, $14.00

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 ap-proaches.” 96 pgs, $7.95

Breaking the Food SeductionWe all have foods we can’t resist, foods that sabotage our health. But banishing those cravings for chocolate, cookies, cheese, or burgers isn’t a ques-tion 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, $14.95 $7.00

Turn Off the Fat GenesGenes, 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 Jen-nifer Raymond. Here are powerful tools for achieving long-term weight loss and better health. Paperback, 350 pgs, $14.00

Food for LifeThe breakthrough book on aging, heart disease, cancer, weight con-trol, and general health. Preface by Dean Ornish, M.D. Loads of tips on changing your diet, 21 days of menus, plus delicious recipes by Jen-nifer Raymond. 334 pgs, $14.00

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 from The Cancer Project. 17”x22”, $6.00

The Cancer Survivor’s GuideFind 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 videoThis groundbreaking video is designed to work hand-in-hand with the companion The Cancer Survior’s Guide. Together they’ll provide you with empowering information on how simple, everyday choices can cause major changes in your health and well being. Contains eight presentations by Neal Barnard, M.D., Jennifer Reilly, R.D., and Amy Lanou, Ph.D. 103 mins.DVD $14.95VHS $14.95

SPECiAL viDEO / SURvivOR’S GUiDE COMBO OFFERDVD / Guide $29.95VHS / Guide $29.95

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From The Cancer Project

Winter 2009 GOOD MEDICINE �1

spEciaL discouNt

Dakota: A NovelMartha GrimesBestselling author Grimes tells the story of a young woman who takes a job at a massive pig-farming facility in North Dakota. As she uncovers the dark truth about the slaughterhouse, Andi must contend with two men who are on her trail. The book offers a searing indictment of cruelty to animals on modern factory farms. The author donates a portion of proceeds from Dakota to PCRM. 432 pgs, $25.95

Local Bounty: Seasonal Vegan RecipesDevra GartensteinUsing fresh local produce enliv-ens your meals and preserves resources. This book divides its recipes among spring, summer, fall, and winter sections, enabling cooks to tap into seasonal harvests. More than 150 recipes, with shopping and cooking tips. 187 pgs, $17.95

Becoming Whole: The Story of My Complete Recovery from Breast CancerMeg Wolff, Foreword by T. Colin Campbell, Ph.D.Eight years after losing a leg to bone cancer, Meg Wolff was dying of breast cancer. Conventional treatments were not expected to save her life, but Meg fought back with a macrobiotic diet and a determination to control how she would live or die. Discover Meg’s story of physical and emotional healing and how it could apply to your life. 288 pgs, $21.00

A New Approach to Nutrition for Diabetes DVDNeal D. Barnard, M.D.Turn back the clock on diabetes through a low-fat vegan diet. In eight compelling lessons, Dr. Barnard explains his groundbreaking research, funded by the National Institutes of Health, 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

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The New Four Food Groups Grocery Tote Bag

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Bumper Sticker Full color. $1.00

vegetarian Starter KitIt’s all here. Learn about the power of a plant-food diet for fighting disease and maintaining a healthy weight. Get the facts on vegan diets for pregnant women, babies, and children. Try delicious sample recipes. Debunk common myths. And make friends with the New Four Food Groups! 16 pgs, $2.00

Go veg—B4 it’s 2L8 Quality 100% cotton. Yellow on forest green. $11.95

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Refrigerator Magnet Full color, 2"x3½". $1.00

Go vegan Multilingual ApronVeg-friendly phrases in ten languages. 21"x 28" gourmet apron with pocket. Cream on forest green. $13.95

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Choose Health! Four Food Groups Poster Striking color photos illustrate PCRM’s New Four Food Groups for complete nutrition without cholesterol and excess fat. Includes serving recommendations. 22"x17", $6.00

Cartoon Four Food Groups PosterPCRM’s colorful and informative guide to nutritional recommendations, illustrated for younger eaters. 22"x17", $6.00

New Four Food Groups Place Mats Four color ful guides to the New Four Food Groups. The flip side provides cooking and food storage tips, unmasks dietary myths, and suggests additional reading. 17"x11", $12.00

Guía de Iniciación para una Dieta VegetarianaThe Spanish-language version of PCRM’s popular Vegetarian Starter Kit. $2.00

Winter 2006 GOOD MEDICINE ��

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Just the Facts

Brain Wormarizona doctors got a surprise in the operating room when they were expecting to remove a tumor from a woman’s brain but found a worm instead. The woman had a tapeworm in her brain stem, and this parasitic worm is only found in undercooked pork.

Leanspacea study of more than 3,800 inner-city children showed that neighborhood greenspace—parks, grass, flowers, and trees—helps children avoid overweight.

Get Fit or Payalabama, ranked third in national obesity scores, is cracking down on overweight and obese state employees. The state has given its almost 40,000 employees one year to get in shape—or they will pay $25 every month for insurance that is otherwise free. some states reward employees for adopting healthy lifestyles, but alabama will be the first to charge workers for their weight.

Jammin’Pectin, found in citrus fruits, apples, and other fruits, has been shown to help stop cancer from spreading. it is commonly used as a gelling agent in jams and jellies.

Trick or TreatThe brain’s reaction to tasty food may predict obesity. researchers recorded women’s levels of dopamine, a pleasure-providing brain chemical, while they were slurping milkshakes, and they found that obese women had a muted pleasure response. When the brain does not sense enough pleasure from food, people often overeat to compensate, leading to obesity and other diet-related problems.

Kidney-Stone KidsDoctors across the country are seeing a steep rise in kidney stones in children as young as 5. some hospitals are even opening pediatric kidney stone clinics. Dietary factors, especially animal protein and salt, are the leading cause of kidney stones.

Bad for BabiesCompared with the 15 other wealthy countries that have at least 100,000 annual births, the united states has the highest infant mortality rate and the highest maternal mortality rate.

Rats Laugh When Tickled like humans, rats laugh when tickled. animal behaviorists have found that rats chirp when they are tickled. some laugh more than others, and those rats who chirp less seem more prone to anxiety.

Winter 2009 GOOD MEDICINE ��


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Drs.DianaRebmanandBarrySchenkerare rolemodels for

theirpatientsandstudents,enticingthem with irresistible vegan foodandspreadingPCRM’smessage. Dr.RebmanisagraduateoftheUniversityofCincinnatiCollegeof Medicine. She completed her

anesthesiologyresidencyattheUniversityofCalifor-nia,SanFrancisco,andhaspracticedatalocalhospitalsince1986. She is concerned about the epidemic obesity sheseesinherpatients,andsheencouragesthemtoadoptmorehealthfuldiets.ButDr.Rebmanhasalsoledbyexample.Afterswitchingtoavegandietandaddingexercise, sheburnedoff30pounds. Inaddition, shehascalledforhealthierfederalfoodpolicies,supportingPCRM’scampaigntoremovecancer-causingprocessedmeatsfromtheNationalSchoolLunchProgram.Ina

letterpublishedintheSan Jose Mercury News,shewrote,“Teachingkidstoeat foodsthathavebeenlinkedtocolorectalcancer—adiseasethatkills50,000Americanseveryyear—isjustunacceptable.” Dr.Rebman’shusband,Dr.BarrySchenker,prac-ticedchiropractic for17years.Formanyofhispa-tients,unhealthydietshadledtoobesity,causingbackproblemsandevencontributingtoseriousstructuraldamageoftheirbodies.Dr.Schenkerencouragedthemtoconsiderhowgoodnutritioncouldbringthembackintoshape. Dr.SchenkerlearnedaboutPCRM20yearsagoandhasbeenadevotedsupportereversince.HeandDr.Reb-manhostedaPCRMreceptionattheirhomein2007,invitingmemberstoenjoyhissignaturevegancookingandtoreceiveanupdateonPCRM’scampaigns. Dr.Schenkerhasfollowedavegandietfor10years.Recently,hehascombinedhisinterestingoodnutri-tionwithhisloveoffinediningbyteachinggourmetvegancookingatamonthlyMarketplaceDinneratBerkeley’s Hillside Club (HillsideClub.org). The all-organic, seven-course dinners—which feature suchmouthwateringoptionsasfarrorisottowithroastedredpeppercashewsauce—attracteveryonefromlong-timelocalveganstovisitingprofessorsteachingattheUniversityofCalifornia. Dr.Rebmansaysattendeesatthesehands-oncookinglessonsare“uniformlyinaweoftheincrediblefood.”Thesememorabledinnersshowthatadoptingavegandietnotonlymeansgoodhealthbutitalsomeansdis-coveringnewfoodsandexploringnewtastes.

Dr. Diana Rebman and Dr. Barry Schenker

Teaching Good Nutrition

Physician Profile

good medicine - winter 2009

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