May 18, 2013

Why Medical Experts Disagree

I wrote an article on medical decision-making for the July issue of the Performance Menu. Here’s a short excerpt:coverIssue 99 231x300 Why Medical Experts Disagree

Have you ever wondered why it is that two different doctors, presented with the exact same information, would come to two entirely different conclusions? Whether they’re evaluating a medical study or determining the safest option for treatment, medicine is rife with disagreement. And hearing differing expert opinions can make a decision even more difficult for a patient considering whether or not to undergo a procedure, take a medication or decide between competing options to treat a disease (or the risk of one). We know that the science is uncertain, but why can’t experts make up their minds?

I’ve assumed in the past that this had to do with people’s respective medical backgrounds, or perhaps one expert isn’t as up-to-date on the latest research or as experienced as the other. But while attending the Health Journalism 2013 conference in Boston last month, I heard endocrinologist Pamela Hartzband and oncologist Jerome Groopman present a different case while speaking to a packed auditorium of conference attendees. Even though they both attended Ivy League medical schools, completed their residencies at Massachusetts General and eventually got married, their opinions on medical treatments are as different as night and day.

Why is that? Groopman and Hartband actually discussed their different temperaments in a book they co-wrote, Your Medical Mind: How To Decide What’s Right For You. In the book, and the talk they gave, they define four different temperaments that affect the way decisions are made and information is interpreted— both in a patient and in a healthcare worker. While these temperaments can change situationally and over time, being aware of the fact that people view medical decisions through these frameworks was eye opening.

You can read the rest of this article for $2.75 at www.cathletics.com/pm/, or pick up the issue for $6.99 (or, better yet, an annual subscription for $29.95.)

Book Review: Everyday Paleo Family Cookbook by Sarah Fragoso

picture 5 Book Review: Everyday Paleo Family Cookbook by Sarah FragosoWhen I did a 30-day Paleo experiment, it was Sarah Fragoso’s first book, Everyday Paleo, that I used. I interviewed her for issue 78 of the Performance Menu because I was so impressed by her recipes: economical, quick, easy and far less complex than ones I’d found elsewhere. Yummy yam spears and dry rub burgers have become staples, and her Paleo apple-cinnamon muffins are a household favorite.

Although I don’t have a family, the Everyday Paleo Family Cookbook is perfect for me. There are time-saving tips (and who doesn’t need those) and recipes with larger quantities of food to provide leftovers. In addition to family-specific chapters, there are 15 quick and easy recipe suggestions, and a nice chart of what  you need to have in your pantry and fridge…and where to find it, information which is startlingly missing from most cookbooks.

The Everyday Paleo Family Cookbook has an emphasis on slowing down and enjoying the moment. Each recipe listed has prep time, cooking time, and something extra–usually a story or some thoughts about what to pair the dish with. The ingredients are not that exotic or extravagant, but do provide variety. Lots of curries and good sauces and dips. I also appreciated the visual table of contents.

This is a great addition to Fragoso’s first cookbook, which is probably the Paleo cookbook I use most often. It’s great for families or those struggling with some of the same issues (such as a lack of time and money). It’ll run you $29.95. If you’re looking for your very first Paleo cookbook, I’d recommend Everyday Paleo. If you’ve had that for a while and are looking for a bit more variety with the same user-friendly style, or want to feed your entire family, this is a very good addition to your library.

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Book Review: Practical Paleo by Diane Sanfilippo

PracticalPaleo CoverFinal 400px 233x300 Book Review: Practical Paleo by Diane SanfilippoWhen I started hearing the hype about Practical Paleo: A Customized Approach to Health and a Whole-Foods Lifestyle, I assumed it was just another cookie cutter cookbook, but Diane Sanfilippo’s masterpiece is much more than that.

Yes, it’s loaded with recipes, each of which includes prep time, cooking time and yield, along with notes about whether the dish includes nuts, eggs or nightshades, as well as helpful tips or suggestions for replacing certain ingredients..and gorgeous photos, of course. The comprehensive recipe selection includes breakfast foods, entrees (categorized by the type of meat used), sides and salads, sauces and dips, and desserts. The recipes are quite forgiving, which is always nice if you’re trying something new or aren’t used to cooking, and everything we’ve sampled so far (about 15 recipes) has been delicious. The spice blends section alone will help provide flavor and variety to your dishes.

There’s also 30-day meal plans, and the thing that’s so great about them is that there are so many to choose from…and each include some information on the condition or issue you’re trying to address, diet and lifestyle recommendations, supplements and herbs to consider, supportive nutrients (and the foods that contain them), and, of course, the meal plan. A heart-health meal plan. A meal plan for people recovering from cancer. One for blood sugar regulation. One for digestive health. One for autoimmune conditions. One for thyroid health. Parkinson’s, Alzheimers, fibromyalgia, chronic fatigue, multiple sclerosis… you name it, and there’s a 30-day meal plan for it. There’s also a squeaky clean Paleo plan, if you’re testing out the diet for the first time, and my favorite–a plan for athletic performance, which includes an ample amount of much-needed starchy grains. Diane’s website, Balanced Bites, even has grocery list printouts of a handy guide of ingredients you can download each week for each plan, which saves a ton of time if you wish to follow them. (A word of warning: if you’re used to cooking with leftovers and just eating eggs for breakfast every morning, meal plans can get $$$, even when they do incorporate leftovers, like Practical Paleo’s does. We did notice that a week of meal plan foods lasts us a good 10 days, though.)

What else does this book have? Really great pullout guides and info sheets on everything from what foods you can eat to tips for travel and eating out. Guides to Paleo foods, how to stock the pantry, food quality, fats and oils and cooking fats (as in, which to use depending on what temperature you’ll be cooking them at.) A guide to dense sources of Paleo carbs. A guide for sweeteners to use. These guides are all simultaneously easy to use and incredibly comprehensive. Sanfilippo must be one of those hyper-organized people, because all the recipes have specially designated key codes for types of foods–so if you want a quick visual guide to avoid using nightshades, for example, or would prefer to cook without fish, you’re set.

Most Paleo cookbooks explain the diet, and this was no exception–comprehensive yet highly accessible information on all things Paleo. One thing that was unique to this book (which isn’t sexy to write about, but is a great feature), was detailed information on different types of poop (complete with drawings of shapes and texture), what’s actually going on in your body, and what you can do to address it. I love that someone actually took the time to discuss this, because bowel movements are largely ignored, except by acupuncturists.

My new favorite Paleo cookbook is always the one I’m using, but Practical Paleo has quickly made its way to the top of the list. It’s available online for $26 or so,  and is well worth the price. Very highly recommended.

 

Book Review: Bones of Iron – Collected Articles In the Life of a Strength Athlete by Matt Foreman

book bonesOfIron Book Review: Bones of Iron   Collected Articles In the Life of a Strength Athlete by Matt ForemanI was pretty psyched when Matt Foreman said he’d send me a copy of his book, Bones of Iron. Matt’s an English teacher, weightlifter and coach, so he’s the perfect person to write about Olympic lifting–and he does it beautifully.

The book is a collection of articles he’s written for the Performance Menu between 2008 and 2011, along with some newer, shorter material. As the managing editor of the journal, I get to read his essays each month before they go to press, and I always look forward to it. Foreman’s writing is as entertaining as it is informative. His topic of choice might be weightlifting, but in many cases this theme is simply a backdrop as he delves into a combination of personal anecdotes, historical details and philosophical musings on the topic at hand. His writing is as witty and humorous as it is practical, and personal anecdotes and the lessons he’s gleaned are often applicable to more than just lifting a bar overhead, but to life in general. Sure, you’ll get some training tips and tricks, but amidst the training information are all sorts of stories which are often hilarious and always enlightening. If you’re a weightlifter, a coach or are simply interested in the sport, if you’re interested in witty and engaging writing on the topic and could use some tips and tricks, pick up Bones of Iron. It’s all of that and more.

The book is 182 pages and runs for $16.95 in paperback or PDF. Pick up a copy on Amazon or through the Performance Menu store (not an affiliate link).

E-Book Review: Thank You For Not Laughing by Chris Illuminati

thankyoufornotlaughingfinalcover E Book Review: Thank You For Not Laughing by Chris IlluminatiFirst I must start with a standard disclaimer. Chris Illuminati is an editor at TownSquare Media, and that’s how I know the guy–I send him blog posts to edit and try to get him to talk to me. Since I’m a fan of Robert Anton Wilson (of Illuminatus Trilogy fame), I immediately googled Illuminati’s name and found his web site, which had all kinds of comedic writing that sent me into fits of riotous laughter (and only made me feel a little like a stalker.)

Illuminati’s e-book, Thank You For Not Laughing, is a comedic journal which will lighten up your mood without taking up too much of your time (unlike the Illuminatus Trilogy, which is encyclopedic in volume.) It’s got 40 pages of musings, which are sort of like a cross between going to stand-up comedy and listening to your really funny but very strange friend rambling about life and other random things. Topics include the types of people you see in coffee shops, stolen office supplies, energy drinks, seizures, karma, death and decaf “coffee”.  Each “chapter” is brief, witty and entertaining. It’s snarky, but  not overtly sarcastic, and is easy to relate to despite sometimes being mildly disturbing.

Thank You For Not Laughing is 40 pages and only $1.99, which is crazy cheap,  and you can read a small sample on Tumblr, if you’re so inclined. And you can read the book for free if you’ve got Amazon Prime. But if you had Amazon Prime, you probably wouldn’t be hard up for a couple of bucks.

Illuminati’s also got another funny Tumbler site called Message With A Bottle, which has personal messages to himself about what to not do when raising a child. Oh, and he has other books for sale, but I haven’t read them yet.

Book Review: Olympic Weightlifting For Sports by Greg Everett

book OlyForSports Book Review: Olympic Weightlifting For Sports by Greg EverettGreg Everett is the king of coaching Olympic weightlifting, and the author of Olympic Weightlifting: A Complete Guide for Coaches and Athletes… but unless you’re really into the sport, you probably won’t make it through that 423-page tome. Olympic Weightlifting For Sports, however, is a sleek 120 pages jam-packed with useful information on the lifts and highly accessible to coaches and athletes of all stripes.

This book is not for competitive weightlifters (his other book’s for that), but that level of detail isn’t exactly essential for the rest of us. If you simply want to learn the Olympic lifts (or variations thereof) to improve your athletic performance in a different sport, this book has everything you need.

Olympic Weightlifting For Sports begins with an explanation of the benefits of Olympic weightlifting, including kinesthetic awareness,  knee and hip extension power (aka explosiveness), the ability to effectively decelerate or oppose force (which is really useful for anyone in a sport where you need to “stop, change direction or absorb the force of colliding opponents”) chief among them.

Everett, who works as  the head coach of the Catalyst Athletics weightlifting program as well as the director of training at the gym, takes the reader through his 9-part learning progression for the lifts with clear and concise descriptions, step-by-step instructions, and great photographs, so you can learn what you need to without any unnecessary detail — and even refer to the bullet points for the fundamental information.

My favorite thing about the book is that it’s entirely devoid of hype, which leaves room only for information which is useful for the reader. Instead of stating that ALL athletes need to learn ALL the lifts, Everett encourages coaches to look at all the variables in each specific situation–availability of equipment, time considerations, starting competence, and so forth. Not all athletes need all lifts, and it’s refreshing to come across a book that doesn’t read like ad copy.

What else is in it? Everett also included a nice dose of error correction, touches on flexibility, and has a section on program design, which includes a 2-day template, 3-day template, and a sample 12-week training program. And that’s it. Really great, concise information on the lifts and their variants in language that anyone can understand.

Disclosure: I did not use affiliate links in this review. I did received a review copy of the book, and have worked with Greg on various projects over the years–but only because he is awesome. 

Book Review: Sweet Potato Power

 Book Review: Sweet Potato PowerIf you’re Paleo or simply dabbling with a Paleo diet, and especially if you’re an athlete, there’s times when you just need more carbs. So how do you maintain a healthy diet without feeling sluggish and unable to perform at your peak? Starchy carbs are the answer, and design strategist Ashley Tudor’s book, Sweet Potato Power, celebrates the tasty tuber in all its glory.

The book begins with some basic information about the Paleo diet, and more specifically, about good vs. bad carbs. The second section has a thorough but not overly complicated analysis of nutrition biochemistry. Perhaps the most valuable section for people who really want to get individualized information is the book’s 3rd section, which describes a wide variety of tests you can use to figure out what’s going on in your body. From glucose testing to interpreting bloodwork to looking at cortisol and c-reactive protein, Sweet Potato Power has some details for those who really want to geek out on these details and be their own health detective.

But my favorite part is the 4th section: recipes! Ranging from meals to side dishes to desserts, the book contains over 30 recipes–including a recovery drink, sweet potato cupcakes, sweet potato poppers (and vegetable latkes), a morning hash, sweet potato soup, sweet potato salsa, and more!

If you’re a sweet potato enthusiast and want to get some info on nutrition biochemistry, instructions on individualization and some recipes to boot, this book is a nice combination of all three elements.

Book Review: The $100 Startup by Chris Guillebeau

100 Startup Cover Chris Guillebeau Book Review: The $100 Startup by Chris GuillebeauThe $100 Startup is the latest offering from the amazing Chris Guillebeau, who runs a fun blog at The Art of Non-conformity, where he writes great manifestos, updates readers on his mission to visit every single country by the time he turns 35 (he has about 10 months to visit the last 10 countries on his list), and sells some nifty e-books to aspiring travel hackers and creative entrepreneurs.

This book is Guillebeau’s second and is a bit more polished than his first, while being equally charming. As expected from the title, the $100 Startup focuses on people who built profitable business with small amounts of startup capital, and now earn at least $50,000 a year. Guillebeau definitely did his research for this one, with detailed anecdotes from successful entrepreneurs were woven seamlessly into key points he was trying to make.

If you have a vague idea and are looking to quit your job and start anew, but really have no idea where to start or what to consider, the book provides a very good primer. You’ll have all sorts of checklists and guidelines to consider (some of which are available for free on 100startup.com), and all sorts of information you likely hadn’t even considered.

The book is a quick and fun read, and covers an incredibly wide range of topics, ranging from location independence to health insurance, from an info product launch to making decisions about everything from outsourcing to choosing between ideas for projects.

The only place where I felt the $100 Startup fell short is that it was so heavy on success stories by successful small businesses where almost identical ideas by equally eager and skilled individuals have fallen flat. Although Guillebeau touches on areas that could lead to less-than-stellar results, and even focused on specific missteps of the successful entrepreneurs he profiled, this may not be the best book for people who make a passable living from their business but want to get to that $50,000+/year level.

On the plus side, Chris Guillebeau’s integrity and generosity really shines through in the book. The $100 Startup is a breath of fresh air if you’re used to reading ones fixated on marketing gimicks; he asks the reader to focus on how you can actually improve people’s lives–not how you can convince them that you are. It is always refreshing to get business advice from someone who actually wants to help people.

art 2 Book Review: The $100 Startup by Chris GuillebeauChris’s first book, The Art of Non-conformity, is both useful and thought-provoking, providing both personal anecdotes and helpful suggestions for anyone who’s not satisfied living life in the way everyone says you need to. It is divided into three sections. Part 1, The Remarkable Life, delves into setting one’s own terms for living. This includes fear management and finding ways to “fight authority” without falling into the traps of ineffective sign-holding or getting beat up and arrested for smashing windows and burning down buildings. Part 2, Reclaiming Work, gives various strategies for making one’s way without being permanently stuck in a cubicle doing mind-numbing work that is useless and meaningless. Part 3, The Power of Convergence, discusses finding one’s legacy work and letting go of things which no longer serve you, be they excessive e-mails, clutter in your home or tasks you don’t want or need to be doing.

Unlike other books of its kind, the Art of Non-Conformity features both description and prescription, offering useful suggestions and examples to help pave the way without being preachy. It is refreshingly idealistic without smacking of fantasy. It has an international perspective, and draws on inspiration of many people doing some great work around the world. As a former wage slave turned freelance writer, the Art of Non-Conformity gave me many things to ponder, and I’ve been reflecting on changes I need to make both in my daily activities and long-term vision. I was also left with a list of useful resources and interesting people to look up. An added bonus is some great information on what Guillebeau terms “travel hacking,” which I’m still hoping to tap into so I can travel the world on frequent flyer miles.

Full Disclosure: I did receive a review copy of this book. However, I also purchased several copies on my own, and am not using any affiliate links in this review.

Paleo Cookbooks: A Roundup

 MG 0703 Paleo Cookbooks: A RoundupA reader recently asked me which Paleo books and cookbooks I’d recommend, and so I thought I’d post links to all of my reviews and interviews in one handy place. This isn’t a comprehensive list, and there’s a handful of books I hope to review in the future, but this will give you a pretty good place to start. I love all these unique cookbooks, but they all have different personalities–some mean and dirty recipes, some far more complex. Click through to the links to get all of the information about what’s included in the book, who it’s for, etc.

  • The Paleo Solution by Robb Wolf. This is actually more of a book about Paleo theory and practice than it is a cookbook, but there is a 30-day meal plan written by Scotty Hagnas. The portion sizes can be challenging to navigate, but the recipes give you a place to start. And if you haven’t checked out Robb’s website (or my  interview with him for T-Nation), you are totally missing out.
  • Make It Paleo by Bill Staley and Hayley Mason is probably one of my favorite Paleo cookbooks. An added bonus is the recipe groupings for special events, in case you want to create an elaborate five-course Paleo meal for a loved one. I’ve used 3 of these, and they were some of the best meals I’ve ever made.
  • Paleo Comfort Foods by Julie and Charles Mayfield is great if you’re a very strict Paleo eater and want to find a way to indulge in the tastes and flavors you grew up with, but without feeling sick afterwards. It ain’t always cheap and quick, but it’s always magically delicious.
  • Well Fed by Melissa Joulwan is a nice, small cookbook with an interesting change of flavors and a lot of creativity.
  • One very notable exception from the cookbook reviews on my blog is the excellent Everyday Paleo by Sarah Fragoso. Although I didn’t review the book, I did include photographs of ALL of the meals from the 30-day meal plan in a series of weekly posts about Whole30. I also have an interview with Sarah Fragoso in issue 78 of the Performance Menu, yours for $6.99. The cookbook is excellent, especially if you have kids.
  • And I can’t finish this post without mentioning Scotty Hagnas’ Cooking for Health and Performance (Volume 1 and Volume 2). These are both e-books packed with recipes, and available for $24.95. If you liked Scotty’s recipes in the Paleo Solution (or the Performance Menu, for that matter), here’s loads more of them.
  • Full disclosure: I’ve received free review copies of roughly half of the Paleo books mentioned above, am an affiliate for one of the above products, helped proofread an early version of one of the above books, and have worked with another of the above authors on a various projects. And I still would never try to talk up a book I didn’t like. I promise.
  • Non-Paleo cookbooks I like, which can sometimes be adapted for a Paleo diet, include Gourmet Nutrition, Nourishing Traditions and Full Moon Feast. I also like Sandor Katz’s books on fermentation. The Body Ecology Diet and the Maker’s Diet have been on my bookshelf, begging to be used, for far too long. I do not have any of Mark Sisson’s cookbooks, nor do I own Art DeVany’s book, but I’ve heard great things. I also get a nice chunk of recipes I make and eat from various websites, but that’s a different post for a different day.
  • Did I miss anything? Disagree with one of my reviews or selections? Leave your thoughts in the comments!