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Marching Lifestyle Medicine into the Belly of the Beast with Ted Barnett, MD: PYP 280

Ted Barnett, MD, is also known as “Dr Veggie.” An interventional radiographer by day, he has been a plant-based advocate, educator, activist, and gadfly in Rochester, NY and nationally since the early 1990s.

Ted got his first glimpse of the power of plants in 1991 when he stumbled upon Dean Ornish's book about reversing heart disease through an extremely low-fat diet. Already sold on the ethical and environmental benefits of eliminating animal consumption, he was doing his due diligence to make sure that a vegan diet wasn't going to compromise his health and that of his growing family. Hopefully, he thought, it won't be any worse than a regular diet.

Ornish's randomized controlled trials, rare in studies of nutrition and lifestyle, provided actual proof of the efficacy of a low-fat, mostly plant-based diet to reverse arterial damage, including before and after angiography. As a radiographer, Ted was impressed by the pictures. His family went vegan overnight.

Over the past 27 years, Ted has been in the forefront of the movement to get lifestyle medicine known, respected, and practiced by the medical profession. We talked about his journey, and the obstacles, and the big challenges still confronting the lifestyle medicine movement as it seeks to deliver true wellness to the masses.

We covered:

  • discovering lifestyle medicine: a “sloping forehead” moment
  • “vegan sounded dangerous to me”
  • the danger of advocating medical solutions at odd with the health of the planet
  • the difficulty in getting funding for nutritional and lifestyle interventions (no prospect of profit for the funder)
  • the research curve is always being pushed in the direction of profit
  • Barnett's First Law: “Expensive solutions to problems will be much more widely known than in ones, even if they are not nearly as good”
  • “there's nobody in a 3-piece suit pushing broccoli and  brown rice”
  • the mental obstacles to acceptance of lifestyle medicine
  • you don't need prior approval from an insurance company to put in a stent, but you can't get them to pay for nutrition education
  • why Ted is now skeptical of large studies, and prefers smaller ones
  • parachutes and randomized clinical trials
  • the old and new problems with the PREDIMED study
  • doctors come to lifestyle medicine when their own health is on the line
  • how a 15-day intervention can lower cholesterol from 220 to 151
  • the research challenge: how to make lifestyle change sustainable
  • studying for and taking (and passing – yea, Ted!) the first ever Lifestyle Medicine Boards
  • the Lifestyle Medicine Vital Signs
  • lifestyle medicine is far more individual than pharmaceutical medicine, and far harder to measure the factors that lead to success
  • cracking the code on supporting patients following their intensive introduction to plant-based nutrition
  • the specialization problem – “you can't take out your own appendix, but you can change your own diet”
  • the costs of diabetes, from diagnosis to renal failure
  • Barnett's Second Law: “Nobody gets credit for bad things that don't happen.”
  • “If you make fun of another doctor, they will turn out to be right.”
  • how to reach those not ready to change by changing the culture
  • what happens to us when we “flip the switch” to an acceptance of the data
  • the lessons of Flatland
  • Moai and the need for human connection
  • new practice models that are eligible for insurance reimbursement
  • getting lifestyle medicine onto the top of options on electronic health records
  • and much more…

Enjoy, add your voice to the conversation via the comment box below, and please share – that's how we spread our message and spread our roots.

Links

PDF: Barnett's General Laws and Rules of Medicine

Rochester Lifestyle Medicine

Rochester Area Vegan Society

Rochester Lifestyle Medicine Institute (they're looking for funding support)

Dr Dean Ornish's Program for Reversing Heart Disease, by Dean Ornish, MD

The PREDIMED Study (Primary Prevention of Cardiovascular Disease with a Mediterranean Diet)

PREDIMED partially retracted

Flatland, by Edwin Abbott

The CHIP Program

“Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials,” by Smith and Pell

“Physician Competencies for Prescribing Lifestyle Medicine” (PDF), by Liana Lianov, MD, MPH and Mark Johnson, MD, MPH

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Music

The Plant Yourself Podcast theme music, “Dance of Peace (Sabali Don),” is generously provided by Will Ridenour, a kora player from North Carolina who has trained with top Senegalese musicians.

It can be found on his first CD, titled Will Ridenour.

You can learn about Will, listen to more tracks, and buy music on his website, WillRidenour.com.

Gratitudes

Thanks to Plant Yourself podcast patrons
– Kim Harrison
– Lynn McLellan
– Anthony Dissen
– Brittany Porter
– Dominic Marro
– Barbara Whitney
– Tammy Black
– Amy Good
– Amanda Hatherly
– Mary Jane Wheeler
– Ellen Kennelly
– Melissa Cobb
– Rachel Behrens
– Christine Nielsen
– Tina Scharf
– Tina Ahern
– Jen Vilkinofsky
– David Byczek
– Michele X
– Elspeth Feldman
– Viktoriya Dolomanova
– Leah Stolar
– Allan Kristensen
– Colleen Peck
– Michele Landry
– Jozina
– Julianne Rowland
– Stu Dolnick
– Sara Durkacs
– Kelly Cameron
– Wayne Pedersen
– Leanne Peterson
– Janet Selby
– Claire Adams
– Tom Fronczak
– Jeannette Benham
– Gila Lacerte
– David Donohue
– Blair Seibert
– Doron Avizov
– Gio and Carolyn Argentati
– Jodi Friesner
– RuthAnn Funderburk
– Mischa Rosen
– Michael Worobiec
– Alicia Lemus
– Val Linnemann
– Nick Harper
– Stephanie Halmes
– Bandana Chawla
– Martha Bergner
– Nikole Ramsay
– Susan Ahmad
– Molly Levine
– The Inscrutable Harry R
– Susan Laverty the Panda Vegan
– Craig Covic
– Adam Scharf
– Karen Bury
– Heather Morgan
– Ashley Corcoran
– Kelly Michiya
– DeAnne Norton
– Bonnie Lynch of Plant Happy Oregon
– Sabine Kurtzhals
– Nigel Davies
– Marian Blum
– Teresa Kopel
– Shell Routledge
– Julian Watkins
– Brid O'Connell
– Brian Sheridan
– Shannon Herschman
– Cate Rolls
– Linda Ayotte
– Julie Lang
– Holm Hedegaard
– Isa Tousignant
– Connie Haneline
– Erin Greer
– Alicia Davis
– AvIvA Lael
– Heather O'Connor
– Carollynne Jensen
– Sheri Orlekoski of Plant Powered for Health
– Karen Smith
– Scott Mirani
– Karen and Joe Crabtree
– Tanya Lewis
– Kirby Burton
– Theresa Carrell
– Kevin Macaulay
– Elizabeth Rothschild
– Kelly Baker Miracle
– Ann Jesse
– Sheryl Dwyer
– Jenny Hazelton
– Valerie Pelletier
– Peter W Evans
– Colleen Harrison
– Justine Divett
– Joshua Sommermeyer
– Dennis Bird
– Darby Kelly
– Lori Fanney
for your generous support of the podcast.

Disclosure

This post may contain amazon affiliate links. I may receive amazon gift certificates from your actions on such links.

Dr Howie Jacobson

This podcast is a labor of love and a way to give back to the world that has given me so much. That's why there aren't any sponsors (except me :).

My day job is helping leaders and their teams master their mindsets to remove all obstacles to heart-centered high performance.

Here are three gigs that I do:

1. Trigger-Free Leadership: Executive and Senior Leadership Mentoring and Facilitation

I work with high performing executive teams in organizations — and executive teams that need to become high  performing. My focus is mindset mastery, because it’s our mindsets that either support high performance or get in the way.

At this level, everyone’s got the skills and experience to excel and contribute at the highest level. What holds people back is mindset stuff: specifically the triggers that get them out of creative engagement and into fight-or-flight defensiveness.

My practice is all about teaching people to respond differently to those triggers by updating old maps — essentially removing the glitches that the triggers grab onto.

2. Executive Coaching: Quick Wins for High Performance

I work with individual executives and leaders, one on one. The program is called Quick Wins for High Performance, and what we do is, we work strategically on one or two areas that are holding you back and keeping you from performing at your best.

We reverse engineer the presenting problems — too much work and not enough time, underperforming employees and teams, maddening organizational inefficiencies, etc — and identify and rewire the suboptimal mindsets that are behind those problems.

The work is all about updating your mental maps so your actions and responses are always appropriate, proportionate, and strategic.

3. High Stakes Conversations for Fast Growing Small Business Teams

I help small business teams have high stakes conversations with skill, humor, and grace. When people feel safe, they can do their best, most creative, most collaborative work.

So that's what I do. If you'd like any of those results, drop me a line and tell me about yourself.

You CAN Change Other People!

Well, that's what Peter Bregman and I claim in our provocative book of that title.

What we really mean is, you can bring out the best in the people around you. If you think you're powerless to help people change, it's because you've been going about it the wrong way.

Discover our straightforward, replicable process here: You Can Change Other People.

Music

The Plant Yourself Podcast theme music, “Dance of Peace (Sabali Don),” is generously provided by Will Ridenour, a kora player from North Carolina who has trained with top Senegalese musicians.

It can be found on his first CD, titled Will Ridenour.

You can learn about Will, listen to more tracks, and buy music on his website, WillRidenour.com.

Gratitudes

Thanks to Plant Yourself podcast patrons – Kim Harrison – Lynn McLellan – Brittany Porter – Dominic Marro – Barbara Whitney – Tammy Black – Amy Good – Amanda Hatherly – Mary Jane Wheeler – Ellen Kennelly – Melissa Cobb – Rachel Behrens – Tina Scharf – Tina Ahern – Jen Vilkinofsky – David Byczek – Michele X – Elspeth Feldman – Leah Stolar – Allan Kristensen – Colleen Peck – Michele Landry – Jozina – Sara Durkacs – Kelly Cameron – Janet Selby – Claire Adams – Tom Fronczak – Jeannette Benham – Gila Lacerte – David Donohue – Blair Seibert – Doron Avizov – Gio and Carolyn Argentati – Jodi Friesner – Mischa Rosen – Michael Worobiec – AvIvA Lael – Alicia Lemus – Val Linnemann – Nick Harper – Bandana Chawla – Molly Levine – The Inscrutable Harry R – Susan Laverty the Panda Vegan – Craig Covic – Adam Scharf – Karen Bury – Heather Morgan – Nigel Davies – Marian Blum – Teresa Kopel – Julian Watkins – Brid O'Connell – Shannon Herschman – Linda Ayotte – Holm Hedegaard – Isa Tousignant – Connie Haneline – Erin Greer – Alicia Davis – Heather O'Connor – Carollynne Jensen – Sheri Orlekoski of Plant Powered for Health – Karen Smith – Scott Mirani – Karen and Joe Crabtree – Kirby Burton – Theresa Carrell – Kevin Macaulay – Elizabeth Rothschild – Ann Jesse – Sheryl Dwyer – Jenny Hazelton – Peter W Evans – Dennis Bird – Darby Kelly – Lori Fanney – Linnea Lundquist – Emily Iaconelli – Levi Wallach – Rosamonde McAtee – Dan Pokorney – Stephen Leinin – Patty DeMartino – Mike and Donna Kartz – Deanne Bishop – Bilberry Elf – Marjorie Lewis – Tricia Adams – Nancy Sheldon – Lindsey Bashore – Gunn Marit Hagen – Tracey Gulledge – Lara Hedin – Meg from Mamasezz – Stacey Stokes – Ben Savage – Michael K – David Hughes -Coni Rodgers – Claire England – Sally Robertson – Parham Ganchi – Amy Dailey – Brian Tourville – Mark Jeffrey Johnson – Josie Dempsey – Caryn Schmitt – Pamela Hayden – Emily Perryman – Allison Corbett – Richard Stone – Lauren Vaught of Edible Musings – Erin Hastey – Sean Owens – Sagar Naik – Erika Piedra – Danielle Roberts – Michael Leuchten – Sarah Johnson – Katharine Floyd – Meryl Fury – for your generous support of the podcast.

Disclosure

This post may contain affiliate links. I may receive compensation from your actions on such links. It don't cost you a dime, tho.

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Hi, I’m Howard Jacobson, host of the Plant Yourself Podcast, co-author of You Can Change Other People and Sick to Fit, and co-founder of WellStart Health Coach Academy.

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