Live Real. Eat Real.

Disclaiming

I know I was supposed to post photos of our side of beef being cut, but I have literally had NO time to go over the pictures (there are dozens), pick the best, crop them, size them and write about them – it has just been that kind of week.  I plan to do it this weekend if it kills me (and it very well may).

There was something else I wanted to write about, anyway.  I don’t know if any of you have noticed, but when I changed themes for the month I also added a new page to the blog.  See, up there to the far right on the menu?

Yes, that would be a disclaimer.  This is what it says:

All information provided within this blog is solely the opinion of the author and is for informational and educational purposes only.  It is not to be construed as medical advice or instruction, and no action should be taken solely on the contents. Please consult your physician or a qualified health professional on any matters regarding your health and well-being. All content published on Jan’s Sushi Bar is believed to be accurate based on the best judgment of the author. However, you as the reader must be responsible for your own decisions, consulting with your own health professional(s) on  matters raised within. I will not accept responsibility for the actions or consequential results of any action taken by any reader.

Isn’t that absurd?  But, I’m afraid, completely necessary.

You see, I’ve had several readers tell me that they’ve taken to heart what I’ve been saying here for the last (almost) 2 years, and to their great benefit.  I also have a couple of readers who think I’ve gone off my nut and wouldn’t take my dietary advice if someone held a gun to their heads, but that’s not the point – it’s those who do take my advice (if you really want to call it that).

You see, I’m not a doctor, nurse, dietitian or licensed medical professional of any ilk.  Just a blogger who decided, after years of futile and fruitless dealings with various medical professionals, to take her own health into her own hands and has met with a good measure of success.  I post the recipes for the food my family and I eat and, more importantly, write about the things I’ve learned and how they apply not only to me and mine, but to the public at large – for I really and truly believe that every single one of us is at risk.  I do not believe that war or terrorism or even disease or famine will be our undoing as a species, but the industrialization and bastardization of our food supply.

Let’s face it, eating is universal – one of the few things that every man, woman and child on the planet does.

But I digress.  The reason I’ve put a disclaimer on my blog is because of Steve Cooksey, a blogger in North Carolina who is diabetic, and has taken control of his diabetes completely with (a low carbohydrate paleo) diet and exercise, eliminating his need for insulin and other medications.  Like me, he has gotten correspondence from readers (far more than I have, in fact) telling him that what he’s written has changed their lives – that they or friends or family members have been able to take control of their diabetes or other health issues, often reducing or eliminating their medications, as well.  He has met with so much praise and success that he offered personalized services for a small fee, to help those who might be having a bit of a tough time going it on their own.  But for the most part, Steve merely blogs about his diet, his workouts and his health.  Oh, and posted before and after pictures.

Woof.

Steve is openly critical of the American Diabetes Association, and with good reason:  following their prescribed plan, he was just getting sicker and fatter, taking more and more medication and eating less and less fat (and more and more “whole grains”) in order to “control” his disease.  I understand his frustration and if you wonder why, go back up and click the link about my futile and fruitless dealings with various health professionals.  At any rate, on January 12, 2012, Steve attended a nutritional seminar, where he “spoke up against the normal deceptions and falsehoods that cause diabetics harm.”  Another attendee apparently took great offense to what Steve said, and reported him to the North Carolina Board of Dietitians.

The North Carolina Board of Dietitians is investigating Steve Cooksey, telling him what he can and cannot say on his blog – blatantly violating his First Amendment rights (there are already several blog posts dealing with this aspect alone here, here, here and here).  In short, they are telling him he cannot give anyone any advice, because is not licensed to do so.  If he fights this, he can – and will – be taken to court, charged, fined, and his blog shut down.

Nor is this an isolated case; there is pending legislation in several states – California, New York, Indiana, New Jersey, Colorado and West Virginia – that would make it illegal for anyone who is not a licensed dietitian to give any sort of dietary or health advice.  You may think that’s fine – those of us who wish to continue to do what we do can just go take a test and receive our license, and that’s true…as long as we give the kind of advice the licensing agency wants us to propagate.  They will be perfectly within their rights to revoke said license if they don’t like what we’re saying.

At any rate, that is why I have put a disclaimer on my blog.  Because if it can happen to Steve Cooksey, it can happen to me.

Or to you.

Posted in participation of Food Renegade’s Fight Back Friday


37 comments

Stink! :(

I guess I need to get my technical guru (dh) to put up a disclaimer for me, too, to cover my backside.

It’s junk like this that raises my libertarian hackles!!!

Pseudo says:

Our system is so screwed up. I feel so fortunate to have found an MD who has additional degrees in nutritional and environmental science. Second visit in I asked him, “so, seems to me the medical insurance companies and pharmaceutical companies are in cahoots to keep us sick and make money off of our illnesses.” He replied, “yep. not sure why my colleagues buy into that.”

The American public needs to demand real food and real health care.

I know I belong in the first class of people who have taken your words to heart and those words have helped my family live better, cleaner lives, so there!
There should be a book, “If you give a lemming a lawyer…”

Be says:

Let me guess, the person who turned him in is a dietician registered in NC. They are gonna claim they are only protecting the heath of northern Carolinians, but like all licensing groups are just protecting their market monopoly. And yes you are right, even if you went and got your license and still insisted on going against the conventional wisdom (and the pharmaceutical and food companies) they would shut you down. This is happening now – see:

http://livinlavidalowcarb.com/blog/uk-based-diabetes-forum-bans-canadian-low-carb-doc-for-troll-like-behavior/10672

We can’t take this lightly. “They” can and are coming to shut down free discourse. “They” are trying to tell us what we can and should eat in our schools, communities, and countries. But before we point fingers at “them” we need to ask ourselves how we vote, not just with our ballot, but with our wallets!

I think this weekend I’ll dust off my tri-corner hat and musket.

Good gosh.
This is frightening.
I just started a blog to document what happens to me as I change my family over to a Primal way of living.
My doctor of all people gave my husband and myself the book Primal Blueprint to read because we a super fat, and he lost 70 pounds turning Primal.
America has to wake up, and soon.
I am going to do this on my page too, because all I want to do is show how everything nutrition wise
I have been told my entire life is wrong…and now I am learning from Primal and Paleo people what is right.
I mean seriously…how can whole healthy food be bad for you?
It can’t.
So stay strong…we have your back.

Nancy says:

Hi Sarah:
I just checked out your new blog. Way to go! Unfortunately I can’t comment directly on your blog because I don’t have any of the required “profiles”, but I’ll be reading it often. I’ve been low-carb for 10 years now, and high-fat Paleo for the last 3 or 4 (I had to give up dairy because of respiratory problems which are now GONE). Gone also are my sugar headaches and my aching joints from grain. I know your whole family will be slim, trim and healthy from living this way.

Thank you so much for checking me out ;)
I had no idea where or how to start a blog, and maybe I might have chosen the wrong forum.
I have no idea what “required profiles” you need to comment or how to change that!
I have a computer nerd friend who might be able to advise me.
It’s good to know you can give up dairy and…live. I’m not sure that is in my future till my teens get to college.
One still fights me every morning about not buying frosted flakes, bagels, and chicken nuggets.
I’m pretty sure she might run away from home if there were no cheese in our lives ;)
Thank you again, and I will be following you too…everyday.
Sarah

Holy Poo!
I might be getting good at this.
I figured out how to allow comments from anyone on my page.
So comment away, please!
Because I am sure I will need guidance from others who have been at this fight longer than me.
Thank you again.
Sarah

Hey Jan – you know what? Don’t be so hard about the disclaimer on your site. Robb Wolf has one, so does Mark Sisson – they always have.

The NCBDA is not disputing the dispensing of dietary advice to anyone, as you have put it. Indeed, in the actual guidelines, (that Steve openly stated he did not want to read,) it states:

The following examples appear to meet the definition of general nutrition information:

1) Demonstrating how to cook food;
2) Providing information addressing the recommended amounts of essential nutrients for a healthy
individual, as stated in scientific publications such as the Dietary Guidelines for Americans;
3) Providing information on healthy eating and healthy snacks;
4) Discussing carbohydrates, proteins, fats, vitamins, minerals, and water as essential nutrients required by
the body;
5) Providing statistical, scientific information, regarding the correlation between chronic disease and the
excesses or deficiencies of certain nutrients; and
6) Providing non-fraudulent information about nutrients contained in foods or supplements.

It also states:

… Unlicensed persons can only provide non-medical general nutrition information (see above), and should describe such information as “general nutrition information” or “basic nutrition guidelines.”

Unlicensed persons should emphasize that the nutrition information he/she is able to provide is non-medical and is
based on scientific recommendations for a healthy population. Clients with medical conditions – such as diabetes, hypertension and/or heart disease – seeking individualized nutrition information, should be referred to a licensed dietitian/nutritionist or other medical professional.

Now, I know that I am going to get flamed for this (already have over at Richard’s site…,) but I have to stand on the side of reason here.

You don’t give personlized advice, hell – I don’t even give advice, and I have more experice than both you and Steve on how to deal with a disease like Type 1.

What I can do is give what worked for me, but I will always say that I am not a doctor. Even the big guys do – like Robb Wolf, Miark Sisson.

I am all for freedom of speech – I am all for it. I am also for consequences. I don’t believe that if someone dies because of the advice someone gives out we should just chalk it up to “freedom of speech.” In the case of Mr. Cooksey – by stating the ADA and medical professionals are completely wrong – he is setting himself up for just that.

I get ridiculed because I take insulin – I’m accepting the Standard Conventional Wisdom! But see – I don’t want to die. I get the feeling from Mr. Cooksey, (through statements like “90% of diabetic FAIL!) that he isn’t really out to help me, but pus his own ideas of how my disease should be managed.

Do I believe that Paleo and Primal are the way to go? I’m not completely convinced… but I know that it has improved my numbers quite a bit. I am in my own N=1 – I’ll tell you what I’m doing, and how it’s working for me – but the second you ask me about individual advice, my conscience tells me that you need to work with your doctor and dietician first – that’s why I stopped giving diabetic advice on my blog long ago.

Jan says:

Do you know what you call the guy graduating from medical school dead last in his class?

“Doctor.”

Anyone can become a licensed dietitian. ANYONE. Hell, anyone with the money and motivation can become a doctor; but having a sheet of paper that says you completed a certain amount of required courses doesn’t automatically mean you will be a GOOD one.

But let’s look at what the state of North Carolina says you CAN do without a license, shall we?

1) Demonstrating how to cook food;
2) Providing information addressing the recommended amounts of essential nutrients for a healthy
individual, as stated in scientific publications such as the Dietary Guidelines for Americans;
3) Providing information on healthy eating and healthy snacks;
4) Discussing carbohydrates, proteins, fats, vitamins, minerals, and water as essential nutrients required by
the body;
5) Providing statistical, scientific information, regarding the correlation between chronic disease and the
excesses or deficiencies of certain nutrients; and
6) Providing non-fraudulent information about nutrients contained in foods or supplements.

I’m not sure which of these amuses me more.

Providing information addressing the recommended amounts of essential nutrients for a healthy
individual, as stated in scientific publications such as the Dietary Guidelines for Americans

SCIENTIFIC PUBLICATIONS such as the Dietary Guidelines for Americans? REALLY?? You mean a publication that will tell you Lucky Charms can be part of a “healthy” diet because the first ingredient on the box is “whole grains”? That Yoplait yogurt is good for you because it’s fat free, even though the second ingredient listed on it’s container is high fructose corn syrup? A “scientific” publication that would recommend ANYTHING that is refined and processed as part of a healthy diet?

Providing information on healthy eating and healthy snacks

You know, my sister-in-law just received a notice from her kids’ elementary school about some sort of party or celebration or what have you; they were asking for the parents to provide snacks. My brother and his wife (who are healthy and raising healthy children) don’t allow processed foods in their home either, but the school forbids my SIL to send *anything* homemade, even for her own children – because of “safety concerns.” But they CAN send: Goldfish crackers, pretzels, Cheezit crackers, marshmallows, Gummy Bears, cereal, chocolate chips, Skittles and M&Ms. All part of the Dietary Guidelines for Americans.

Providing statistical, scientific information, regarding the correlation between chronic disease and the
excesses or deficiencies of certain nutrients

We could carry on all day about who pays for and provides that “statistical, scientific information” but for now, just repeat after me: Correlation does NOT prove causation. Correlation does NOT prove causation. Correlation does NOT prove causation…

Providing non-fraudulent information about nutrients contained in foods or supplements

I, personally, know two (non-health) bloggers who sell supplements on their sites – they both swear up one side and down the other about the efficacy of the products. However, a quick search online (gasp!) results in far more information disputing the “miracle” claims of these products than supporting them. Frankly, I’m immediately skeptical of any product with “miracle” claims, but if they’ve helped my friends, who am I to spit on them? They’re adult women, completely capable of making decisions for themselves and if they have decided to consume and sell these products after doing the research (or not), that’s their choice.

I’ve sat down with a licensed dietitian and, after reviewing my exemplary bloodwork and discussing the 30 pounds I’d lost, was told to abandon my whole foods diet in favor of Cheerios, sugar-free jello, low-fat cheese, unbuttered popcorn, processed turkey lunch meat and Benecol spread because that’s what the Dietary Guidelines for Americans says I should eat.

I’m sorry – I’d rather listen to Steve Cooksey. HE doesn’t have a pharmaceutical rep with an armload of government/Big Pharma/Big Ag propaganda backing HIM up.

Be says:

The day I come home and you are serving “Cheerios, sugar-free jello, low-fat cheese, unbuttered popcorn, processed turkey lunch meat and Benecol spread” is the day I announce our divorce!

;)

Yes – I’d expect that too! For the record, I got about 2 seconds into questions for the dietician and her large plastic display of foods – then I told her in a firm tone that it was whole, REAL foods, that’s it. I’d rather not eat something if it needs to be processed. Whn she mentioned low fat cheese, I gave her a look, and she shut right up. LOL

Like the Paleo/Primal way, I did promise to give their protocol a try for 30 days. With the caveat that there’s no processed, chemical laden foods. Yes, my insulin went up a bit, but it’s also all about my panic disorder as well.

That’s where the fun begins – for me, I have a serotonin issue (a lot of type 1 diabetics get it.) one way (without drugs) to replenish serotonin is through the addition of some carbs.

Now. I got told that 50-60% of my calories needed to be from carbs. I instantly recognize the ADA/CDA DIET. Now – here’s the thing – I DON’T have to completely comply.

My N=1 includes the addition of small amounts of carbs for each meal, but prepared by me. Ie, a breakfast can be jasmine rice, with eggs, Japanese pickles, kimchi, siracha served up with a small (1/2 cup) of blueberries or strawberries.

Keep in mind that when I say jasmine rice, I’m not talking a huge bowl here – I’m talking 2/3 of a cup – 45 g of carbs.

My meals are 3 squares a day, 4-5 hours apart. That equates out to up to >150g of carbs a day. I have to take a Protien snack with my long acting insulin when I go to bed, depending on my numbers. It could be a hard boiled egg, tablespoon of peanut butter, etc.

Finally, I think it’s just easier for the dietitians to go the easy route. I can’t speak for the states, or other provinces in Canada. The ones here in Quebec don’t eat Cheerios, jello, or anything remotely like it. Most are very regimented in what they eat. I used to joke working with them that while they were hot, they were ugly and boring in how they ate. I’d eat for them. Ha ha.

I mentioned to my Dietician friend some of the things you were saying about the turkey,etc – and she said as much. The hardest part is to try and get a McDicks eating carbasaur to eat real food. They don’t want to do it. They want open, dump, stir. Reheat, serve. It’s SAD, more ways than one.

Be says:

Doctor Oz has credentials! You gonna take health advice from that quack? Check out this for a great belly laugh!

http://www.realfoodfreaks.com/2012/02/02/breaking-news-dr-oz-is-crazy/#comment-1903

Seriously Jason? Do you trust ANYONE over yourself? As a diabetic, do you give a s@#t about anything other than N=1?

Do what works for you.

I do only care about N=1. I only ever pipe up when I think something is wrong – like someone selling a snake oil is all. You know, like a physician (or a neurologist) who claims to have “cured” diabetes by spinal adjustments and freakin diet.

Believe it or don’t – I have been in a massive N=1 since the day I was diagnosed. I have since discovered that Paleo and Primal don’t work for me. Some days I feel like a failure… but others I just realize that hey – my pancreas and I don’t get along. LOL

Dr. Oz? I don’t know, I don’t watch the guy, or anyone else affiliated with Oprah. (Except I used to watch Dr. Phil when he was more a real dude… not some side show…) The link is pretty eye opening … but also demonstrates why I stay the hell away from the guy.

As for my endo – he EARNED my trust. A little known fact: my wife suffered through 5 misscarriages in the journey to have our son. We are still going through the heart ache of trying again, and failing. (Much like Jimmy’s journey there.( The Endo that I waited to see helped my wife with her thyroid problem. That, and another well-respected doctor of (I can’t remember the name right now) is the reason I have a miracle that I call my son.

Those people, I take health advice from. They have demonstrated they know what they are talking about.

Which is what I get around to when I chime up about this issue. The only reason I ever spoke was to put a little reason out there. I mean no offense to Cooksey – but as a person who HAS done their research, still doing the N=1, active in the Diabetic Online Community, and just a general pain in the ass – I can’t just sit back when the result is misinformation being spouted. I speak against the ADA as much as anyone else.

Be says:

Good luck to you and your wife on number two!!!!

I am personally and philosophically excessively pro-technology. I think technology can and will save the world. But when it comes to nearly all “health studies” you have to remember that they are observational and rarely prove anything.

Of course, just because Oz is a quack doesn’t mean all Doctors are either. I think the point is that only YOU can determine what YOU (and ONLY you) need to do for your own well being IF you care to. Hey, nothing is beyond almost everyone’s ability to understand if they give a damn.

You are a great example of what I think needs to be defended. You talk like we should all genuflect and kowtow to “superior knowledge” looking out for our own good. But if you were still following the USDA dietary guidelines (or the Canadian equivalent) you WOULD…BE…DEAD!

If these folks are successful in shutting “us” down we won’t have the option. And when I say “us” I include quacks like Dr. Oz. The solution is not to replace those in power with smarter ones in power – it’s to limit the power of those in power to the minimum required. As far as food is concerned I don’t understand why it isn’t the consumer. I would explain, but I have to run out to get our week’s worth of food from our farmerS!
Cheers!

Se Be – I suck at making myself understood. You should see me in person when I talk – it’s worse. LOL

I’m not saying to bow down to conventional wisdom AT ALL. I sure as hell don’t want a nanny state telling me how to eat. In the end, I put what is in my mouth. I also don’t believe everything I read or hear, either.

I never followed the USDA or the CDA diet after my diagnosis for more than a week. The reason? My numbers were completely shot. I wanted to go from a blood sugar of 32 mmol back down to normal. I knoew the oatmeal, fruit, grains, etc, wasn’t working.

While I did frequent a lot of sites to find my answer (including the diabetic online community,) I did so kowing that I was going against doctor’s orders. But I want to emphatically state, that is not the issue here.

The issue is all about accounatbility, not a freedom of expression. Let me explain:

If Steve Cooksey had a disclaimer on his site, (like MArk Sisson, Robb Wolf, Art De Vany, and others,) stating that his advice was not meant to replace that of the heathcare team you are seeing, then we wouldn’t be having this huge conversation.

Instead, Steve is “taking it to the man!” For instance, here is his “new” disclaimer:

—————————-
I am not a doctor, dietitian nor nutritionist… in fact I have no medical training of any kind. If I can figure this out so should they… if it wasn’t for their …

A) Intellectual Laziness
B) Willful ignorance
C) Greed
D) All of the Above

Or, my favorite:

I highly recommend, suggest, advise you to eat this way!!!!

Now, I’m all for sticking it to the man, but you have to understand something about me. I can tolerate civil disobedience, but I cannot tolerate stupidity.

In the end, I actually belive BOTH the ADA and Steve Cooksey are quacks. So does the Diabetic Online Community (which Steve is conspicuosly absent from these days) In my view, I have one organization yapping about HIGH carbs, and another going on about LOW CARBS.

The difference between the two is only that the ADA isn’t really calling Steve down like he is… yet.

Again, I have no problem with the Low Carb lifestyle, the paleo lifestyle, REAL food. None at all. To each his own. If you want to manage your diabetes with that, awesome. I just don’t tolerate stupid very well.

The last question I need ask – how is all this helping the “cause” to get the ADA to change it’s spots? Here I have a guy who is refusing to even “work” within the guidelines to help advance our cause. (Like Mark Sisson, Robb Wolf, Art De Vany, etc.)

Sheesh. Whatever happened to the Land of the FREE and the Home of the BRAVE?

We need to find ourselves a working Time Machine.

And like Sarah said, we’ve got your back. :)

[…] advice without a license. Other blogs have come to Steve's defense but there are some who now put disclaimers on their blogs, because they are also unlicensed. There are also blogs with the position that Steve […]

Michele says:

Well now, this has all been entertaining. Nothing I like better than a good debate where I have no dog in the fight.

Sean says:

Thanks for the link Jan, and I’m sorry I missed the fireworks with Jason. I apologize in advance for my upcoming language.

“If Steve Cooksey had a disclaimer on his site, (like MArk Sisson, Robb Wolf, Art De Vany, and others,) stating that his advice was not meant to replace that of the heathcare team you are seeing, then we wouldn’t be having this huge conversation.”

Fuck you Jason and your ‘necessary disclaimer’. People ought to be allowed to say whatever they want. PERIOD.

“The issue is all about accounatbility, not a freedom of expression. Let me explain:

If Steve Cooksey had a disclaimer on his site,”

And it’s OK to publish Mein Kampf as long as we have a disclaimer, otherwise millions of children will be turned into Nazis!!! I’m a big fan of free speech as long as it’s modified by disclaimers. Otherwise it’s dogs and cats sleeping together.

Sean says:

“Again, I have no problem with the Low Carb lifestyle, the paleo lifestyle, REAL food. None at all. To each his own. If you want to manage your diabetes with that, awesome. I just don’t tolerate stupid very well.”

No, Jason doesn’t tolerate the stupid, even though he advocates regulating their speech (well, speech in general, it’s it’s complicated explaining the difference between state-approved and free speech).

Fuck off, slaver.

Wow. I don’t know what to say. I see you feel pretty strongly about this.

Again, someone has to evoke Godwin’s Law. LOL

I’m all for free speech. Hell, (excuse the language here Jan) say whatever the fuck you want.

Just realize that one day, you will have to pay for your actions, and for what you say. Free speech doesn’t mean you can say whatever you want without consequence. If you think that, then go re-read your own consitution, and get a clue.

I’ll put it to you like this: the problem with Steve Cooksey isn’t that he has an opinon. It’s not that he has results. It’s not even that he might be right.

The problem stems from what accountability he would have if his “advice” or actions ended up harming someone. Call me an asshole all you want – and a “slaver,” whatever the hell that is supposed to mean – but facts are this:

If someone visit’s Steve’s site, takes his counselling for a nutrtional plan – then ends up in the hospital from Diabetic Ketoacidosis, or HyperInsular Coma, then how do we hold Steven accountable? Do we just turn around and say, oh well, buyer beware?

If he had a disclaimer, and stopped giving individual dietary advice that he has no fucking business giving (which he alludes to the fact he has no training whatsoever,) then we wouldn’t be having this converstaion. I guess I have him to thank for that.

Now, we are just talking about what if someone goes to his site and comes to harm. Now think of this: There is the possibility that someone is gonna look for answers for thier child when they get diagnosed for diabetes.

See, Steve says on his site that the control is “Simple.” Here’s the thing – it’s not. If it were that simple, children would not be dying from this disease.

For instance, Steve contends (still) that the main problem is the high blood sugar that is causing the problem. Like I stated to Jan on my site, that’s only a symptom. In the end, most times it’s an INSULIN problem.

For instance, with a little kid, their pancreas will still produce insulin at the time of diagnosis. This is called the honeymoon stage. The problem is, it’s like blocking a hose by kinking it. What happens when you let go? It shoots water all over the place.

The same thing happens in a T1D. So, the protocol is to go on insulin and drugs to give that pancreas a rest. See, when the pancreas senses there is insulin already in the blood stream, it doesn’t work… it’s lazy. It just goes dormant.

Now, if you are the parent, reading Cooksey’s site, you are going to see how the ADA wants to poison your kid. Fine. You are gonna see how the dietary plan the ADA puts out there is crap for your kid. Fine.

But then you see that he gives a nutrtional plan. And he even gives “guidance.” That’s where the problem lies.

With kids, it’s a whole new ballgame. They generally run higher blood sugars when they grow up, because that is normal for a kid. In fact, EVEN Dr. Bernstein will let up pn his stringent control with a kid.

But you don’t see that on Passionate Mr Cooksey’s site. You only see a diet plan that worked for him.

You know what? In many ways he is JUST AS BAD as the ADA. His plan is the only way?

Now, the crux of the matter is, a LOT of diabetic children die in the night. It’s called Dead-In-Bed syndrome. Why? Well, one theory is that during the night, the blood sugar rises from the Dawn. What happens is the liver dumps glycogen into the system, and raises the blood sugar. The pancreas overworks itself, dumps a large amount of insulin into the blood stream, and the kid goes into shock. Then the kid dies. From a low blood sugar.

Now, you wonder why I advocate against Steve Cooksey’s “right” to give advice that he is not licensed, nor equipped to give? In almost every book you see, every website you see, there is a disclaimer saying that the advice given is not intended to replace that of the medical team.

I know I am talking to a wall when it comes to this, but I feel like I need to explain some reason. I mean, to me it means the difference between having SOME standard, or having something like a snakeoil salesman come into town and give his “advice.” There’s a reason you don’t see many snake oil salesmen now, or that they don’t last long…

Jan says:

Jason, this is my last say in the matter.

I think you’re missing the point. One of the reasons there’s disclaimers everywhere is that we live in a
ridiculously litigious society – you can get sued for looking at people the wrong way these days. No one
seems to want to take responsibility for their own actions, they want someone or something else to be
held responsible for all the baaaaaad things that happens to them. No one is saying that Steve Cooksey
shouldn’t be held accountable if he gives bad advice to someone – THAT is what courts are for (or what
they SHOULD be for). But you know, if I buy the snake oil, doesn’t that responsibility lie with me? No one
forced me too. You seem to have done YOUR homework on the issue and disagree (quite vehemently)
with Mr. Cooksey – are the rest of us just too goddamn stupid to do the same? You seem to think so.

The problem I have, and people like Sean or Richard Nikoley have, is that once you begin fucking around
with the rights of the people, where does it stop? Do we let the government detain us without reason,
essentially throwing our rights of habeas corpus out the window? Do we let them tap our phones,
confiscate our business records and generally spy on us just because they can? Because all of those things
are happening NOW, so don’t tell me that I can’t or won’t be prosecuted or jailed because I sought the
advice of a blogger who is not licensed by the state.

Toot finee. I’m done.

Okay. Matter rested.

I definately DON’T think you all are “too stupid-” and if I came off that way – know that it was not my intention.

Sean says:

Yeah, I can see a point.

I would like to point out the Steve puts up a very clear disclaimer, unless he just added this,

“Note: I am not a doctor, nutritionist nor dietitian … and I am so thankful for that.
…… and I found it. AND I share with you… ABSOLUTELY FREE!!! :) Guess what??? I have NO formal medical training of any kind. :)

(the fuck off slaver expression is sort of a libertarian inside joke, he he, sorry)

I don’t have a problem with snake oil salesman as long as they don’t try to pretend to be doctors, that’s fraud of course. And as I mentioned in my reply on my blog, I think it’s the pseudo-qualifications that have more of a potential for harm.

We DO have a standard. Medical doctors have to be qualified as doctors and dieticians, well, don’t get me started. And we have snake oil salesman parading as doctors (at least in the eyes of some of the public) by having alternative medicine qualifications.

So I don’t have a problem with someone giving out very specific advice when they clearly say my only qualification is that I reversed Type II diabetes and am much healthier by following this diet, I got from Primal Blueprints, blah blah blah.

I personally think Steve ought to be more circumspect when it comes to Type I diabetes and perhaps this is what Dr Kurt Harris was referring to when he said he found some of the advice to be dangerous. But Kurt also agrees that Steve ought to have the right to say whatever he wants.

Having standards is NOT the issue.

Jan says:

Steve has ALWAYS had a disclaimer on his blog – he’s just now made it far more prominent (and a
bit more tongue-in-cheek)…because he was forced to.

Be says:

At least you finally came out with a good example of why simple advice isn’t simple.

You say, “In many ways he is JUST AS BAD as the ADA. His plan is the only way?”

And in everything you say not just here but on other blogs indicates that while you disagree with the ADA/government, or even one puny blogger’s suggestions, you would prefer to replace them with a “better set of standards”. That is THE issue that I think most of us take issue with (and why some of us might express this sentiment in ways like “fuck off slaver”).

A “better” set of oppression is still oppression. We WANT the right to listen to the Interwebs, Steve Cooksey, and even Dr. Oz. Let “US” decide for us. Sorry, ANY regulatory body by its nature will be incomplete. Like it or not, YOU are ultimately responsible for YOU. Maybe that scares you, but please don’t infringe on MY RIGHT to make MY OWN decision. THAT is exactly what the NC Dietary Board (and EVERY regulatory board/organization) does.

And they are doing it ALL THE FREAKING TIME!

Jan says:

Okay, so I have one last thing to say after all.

From Denise Minger’s blog, rawfoodsos.com/about :

“I firmly believe we all have the right to be healthy, and that an understanding of nutrition isn’t a privilege reserved for the elite. Speaking of which…

“Who do I think I am, running a health blog without a nutrition PhD? Shouldn’t I be flipping burgers at McDonalds like all those other English majors?

“I get this question a lot. It speaks volumes about how we view learning, and why we’ve abandoned personal responsibility for using our own brains when it comes to health. ‘We can’t possibly understand nutrition if we haven’t paid for a degree! Let’s just trust someone with formal credentials instead of thinking for ourselves.’

“First of all, if you believe valid education only happens in a classroom setting, I sure hope you aren’t reading this blog on a computer—since both Steve Jobs and Bill Gates were college dropouts without any credentials to work with technology. ;)

“…But I also believe that—for people who are self-motivated, have the time and resources for independent study, and aren’t learning something like dentistry or surgery that requires hands-on training—that a college education can be wildly inefficient and sometimes a barrier to objective thinking. Teachers, after all, come equipped with their own set of biases—ones students must cater to or even adopt if they want a good grade. (My college Women’s History prof comes to mind. Don’t agree that men are the root of all things evil, fattening, and smelly? Then no “A” for you!) At least in my experience, college fostered an atmosphere where the rewards (high marks, scholarships, making the parents proud) were more pertinent than what was actually learned.”

I dare you to take this young woman to task. Absolutely DARE you.

LOL. Jan – I thought we left it at that?

If Denise did the same thing that got Steve into hot water, (that is giving “individual nutritional advice” to a diabetic,) then I would not only take her to task, but I would get a lot of other people involved innthe diabetes online community involved as well to take her to task.

The thing is – Denise Minger is not doing that. She is nowhere on her site violating any guidelines about dispensing advice. Her site is dedicated to breaking down the science of the studies. I love Denise’s site – its great for a food need like me.

One thing I have to get out in th open here to both you and Be is that I’m am NOT against freedom of speech. If Steven Cooksey wants to do what he is doing, fine. I am simply stating from the get go that there is a consequence to his actions.

The part that pisses me off on all this is I am called the “slaver” or it is implied that I don’t understand about liberties and freedoms. I’m Canadian, sure – but trust me when I tell you that I understand more than you know about what it’s like living in what you all fear – a nanny state. I live in Quebec – where it’s illegal to have a sign in English if the French innthe sign is not AT LEAST twice the size. You want to talk about the right to send your kids to English schools? By law here, if you can’t prove you went to elementary school in English – guess why? Your kids HAVE TO go to school in French.

Yes, I can tell you what its like to live in that.

I am not suggesting to take away Steve’s right to do what he’s doing, (or by extension your right to listen to him) Hell, if you want to go over to Steve’s house, listen to him about how to manage his condition and how it’s the best way sight unseen to manage yours, all the power to you.

What I object to – (and I’ve tried to say this from ye get go-) is when the shit hits the fan, instead of taking the consequence for his actions (and in his case, the remedy is simple – preface his advice with I’m not a doctor, or something to that effect) he chooses to aggrivatr the situation more.

What I don’t get is why do you think NO ONE from the DOC (that’s the diabetic online community) has jumped on the bandwagon to help this guy? If the same were to happen to Dr Bernstein, I can tell you there would be a freakin uproar.

Instead, I only have health bloggers who are up in arms.

Hell – I’m all for freedom of speech – but I am for consequences too. The advice the guy gives can be dangerous in some instances.

I will say this though – if you feel it’s a freedom of speech issue at its core – then I stand with you on that issue – but not on this guys “right” to dispense advice.

I took Robb Wolf to task when he had a post explaining how Paleo “cured” a type 1 diabetic. I respect the guy immensely. But I still spoke up – as is my right, and mainly for other diabetics as well. Is it because I’m jealous? No – because I’m not. It’s because I don’t want to see anyone out there fall victim to that advice without understanding why may be coming from that advice. (In the case of the testimonial, a woman claimed to be almost completely off of her insulin while only going Paleo. Haven’t heard anything on her blog since the story broke back in August, and there hasn’t been any updates since.)

Sorry Jan – You called me out there. LOL.

I guess you can just blame Canada. LOL

BTW: are you gonna make goat ossobucco? I am interested to see how that will pan out…

Jan says:

Oh, I’ll make some sort of braised dish with the goat shanks, I’m sure – but it won’t be anytime
soon, I’m afraid. Jolly and the G Man are here for the better part of the month; I got the ground
goat past them (in the Italian meatloaf), but I’m not sure I could do that with the shanks.

Wish I lived close, I’d try my hand out with ya! I think it would be hard to pass off the stuff with my son and Wife as well. My Better half is picky enough, the thought of goat in front of her would be the deal breaker- i’m afraid. LOL

That said, I once made a chili with bison and horse meat – and it passed… but only with a grumble that it was a bit … weird … in texture. Har Har.

And Be – I see here:

“A “better” set of oppression is still oppression. We WANT the right to listen to the Interwebs, Steve Cooksey, and even Dr. Oz. Let “US” decide for us. Sorry, ANY regulatory body by its nature will be incomplete. Like it or not, YOU are ultimately responsible for YOU. Maybe that scares you, but please don’t infringe on MY RIGHT to make MY OWN decision. THAT is exactly what the NC Dietary Board (and EVERY regulatory board/organization) does. ”

I understand what you mean. You want the freedom to chose who to listen to, and make your own decision regarding your care. I am thinking you are stating that any regulation in matters would be moot, but I could be misunderstanding.

In this case, I agree with the first part of your statement – you should have the option to choose the quality and the type of care you want. That should be a fundamental right. (IE – the Dr in Texas who is trying to treat cancer getting harassed by the FDA is complete crap!) Hell, he’s the guy I want in my corner if that situation ever arises!

Where we disagree is the notion of whether we need regulation or not, and whether it’s effective. I don’t think either of us will convince each other, so it is what it is. :)

I respect your opinion, and I also see your point. We need more of you types up here in La-La land, maybe then therie wouldn’t be as much bullshit as you see up here with the rights of citizens being systematically trampled day in, and day out. If you only knew… I don’t think you would believe it. All in the name of the majority here in Quebec (which ironically is only 17% of the population of Canada.)

Fortunately, this is a food blog. Sorry for hijacking this Jan! ;)

Cross posted this on Sean’s site:

Well, this statement is actually not bad:

Carbs, especially processed carbs and sugar are bad for a diabetic.

There is nothing in the State Guidelines that specifically prohibit you from saying that. In fact, from NC guidelines, (that Cooksey refuses to even read,) it actually states that “Providing statistical, scientific information, regarding the correlation between chronic disease and the excesses or deficiencies of certain nutrients;”

“appears to meet the general definition of Nutritional information”

Let’s not confuse the issue here. The issue wasn’t that he was expressing an opinion. The issue is that he is offering tailor-made advice for the management of a chronic disease. It’s a no-brainer. He is simply not equipped to make a judgement for a nutrtional plan on a case-by-case basis, given the medical history, the metabolical markers, their situtation, even by their numbers.

All he has is a sense of what worked for him. He CAN give general advice, just not tailor-made advice.

Okay, so I have just listened to Jimmy’s LLVLC Episode with the lady in dietary guidelines.. I have to make a statement.

You are all absolutely right that the guidelines the ADA puts out for health are … well – as it’s put on the podcast – a self-fulfilling machine. You are also right that we need to have a right to challenge the guidelines as they are put forth, especially when it involves care. You are also right that the freedom of expression is at stake here, and the freedom of a livelihood of a dietician if they were to “buck” the trend as set out by the guidelines. (An example is the dietitian censured for speaking out against using margarine, and advocated the use of butter.)

I won’t conceed the point that I think specialized care needs to be done in a clinical setting, if only for reasons that the care might be more complicated than a typical layperson could give. With that said, the rock and hard place is that those guidelines are set out on the backs of faulty ADtA guidelines.

The only hope that I can see on this for a change is EXACTLY what is advocated by the woman in Jimmy’s podcast. That is, ALL the fringe people need to get together and take it to them.

Forget Paleo/Primal/Low Carb/Bernstein/ADA/Vegan, whatever. We need to get the DOC involved in a grassroots movement that will actually affect change.

So, one way I am thinking is that the assumption that a lot of diabetics are completely responisble for their condition needs to go. There is that undercurrent in the Primal/Paleo movement that bothers me – it’s as if the disease is alwyas the person’s fault. Again, it could be dietary guidelines that caused the disease, or it could very well be something like all of us are carrying cellphones now. The answer is not totally clear, or supported by the science. Perhaps the use of GMO products is making us all sick – or it could be a million other things as well.

What is clear is that there is an opportunity to actually make a change. I am Canadian, so I don’t know squat about revolution, but I do see that there has to be one! I hope this patches up the matter a bit … :)

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