Un cardiologue se Confesse

[PremierJour]

« Nous les médecins, avec toute notre expérience et notre autorité, nous devenons souvent très présomptueux et avons du mal à reconnaître nos torts. Alors voilà, j'admets ouvertement que je me suis trompé. En tant que chirurgien cardiaque avec 25 ans d'expérience, ayant réalisé plus de 5 000 opérations à cœur ouvert, le jour est venu de corriger mes erreurs sur la base de preuves médicales et scientifiques. »

Ce sont les premiers mots d'un texte publié sur Internet par un chirurgien cardiaque américain, le Dr Dwight Lundell, qui a évidemment fait le tour de la toile et déclenché près de 300 000 « likes » (« J'aime ») sur Facebook.

Le chirurgien continue en expliquant qu'il a enfin découvert qu'un régime alimentaire de produits frais, naturels, non transformés, dans le cadre d'un mode de vie sain, avec un exercice physique modéré (promenades régulières) permet de prévenir et même de soigner les maladies cardiaques, l'hypertension, le diabète et la maladie d'Alzheimer.

Il revient sur deux décennies et demie pendant lesquelles il a prescrit des médicaments pour faire baisser le taux de cholestérol (fibrates, statines) et recommandé, à mauvais escient, un régime pauvre en graisses à ses patients. Il déclare avoir récemment réalisé son erreur, renoncé à la pratique médicale, et consacré le reste de sa carrière à la prévention des maladies cardiaques.

Le Dr Lundell explique que recommander des médicaments contre le cholestérol et les régimes pauvres en graisse « n'est plus moralement défendable ». Ceci parce que les régimes pauvres en graisse sont riches en glucides simples et complexes qui détruisent activement la paroi des vaisseaux sanguins en provoquant une inflammation chronique.

C'est cette inflammation qui fait que le cholestérol se colle aux parois des artères et, en se liant à d'autres éléments (plaquettes sanguines, calcium) forme la plaque artérielle qui réduit le diamètre et augmente le risque qu'un caillot ne vienne s'y coincer, provoquant une embolie, un infarctus ou un accident vasculaire cérébral (AVC).

20min.fr

[haddou]

l'erreur est humaine , c'est avec les erreurs qu'on se professionnalise , sauf que dans ce cas , elle entraîne la mort pour que d'autres survivent

[PremierJour]

l'erreur est humaine , c'est avec les erreurs qu'on se professionnalise , sauf que dans ce cas , elle entraîne la mort pour que d'autres survivent

Tout à fait d'accord avec toi , seulement je trouve que ce cardiologue exagère un peu en parlant d’erreurs .
La définition d'une alimentation saine suscite et suscitera toujours des débats et ce cardiologue n'a fait qu'adhérer à ce qui a été largement adopté

[foufoumimi]

salut premier jour

Ceci parce que les régimes pauvres en graisse sont riches en glucides simples et complexes qui détruisent activement la paroi des vaisseaux sanguins en à ......... j ai pas bien compri mai je supoose que tout les medecin quand le patien a un risque cardio vasculaire ils interdisent beacoup plus le sucre rapide parceque c est celui la qui se transforme en matiere grasse dans le corp

[mertaw]

..

j ai pas bien compri mai je supoose que tout les medecin quand le patien a un risque cardio vasculaire ils interdisent beacoup plus le sucre rapide parceque c est celui la qui se transforme en matiere grasse dans le corp

Il ne faut lui en vouloir , il n'est pas un médecin, c'est un chirurgien

[mertaw]

This article tells why I would not trust Lundell's advice.
Medical and Regulatory History

After graduating from the University of Arizona Medical School in 1971, Lundell completed a one-year internship and two years of surgical residency in general surgery at the University Medical Center in Tucson, Arizona, followed by two years of residency in chest surgery at Yale University Medical Center in New Haven, Connecticut. He became certified in cardiothoracic surgery, which he practiced for about 25 more years.
In 2007, Lundell began the Healthy Humans Foundation Blog, which stated that he was "refocusing" his career on the prevention and cure of heart disease [1]. He also produced a book called The Cure for Heart Disease which, according to its description on Amazon Books, "is different than every other book exploring the number one killer of Americans" and is "a riveting yet straight forward discussion that challenges public consensus, explains the reasons for the epidemic of heart disease, and provides an easy to follow guide to eliminate heart disease." [2] A comment on the Amazon page indicate that it advocates a high-protein, low-carbohydrate diet, low-dose aspirin, fish oil,l and conjugated linoleic acid supplements for everyone.

In 2004, the Healthy Humans Foundation issued a news release that plugged the book and said that Lundell had retired from the practice of surgery in 2004 [3].
Between 2000 and 2008, Lundell was subjected to five regulatory actions by the Arizona Medical Board:

• In 2000, the board concluded that his postoperative management of a patient who had died following carotid artery surgery was substandard and insufficiently documented. He was censured for unprofessional conduct, assessed a $2,500 civil penalty, and placed on probation during which he was required to take continuing medical education courses in carotid artery surgery and medical recordkeeping. He was also required to submit to monitoring of his patient records [4].
• In 2003, the board noted that 13 out of 20 charts reviewed by the consultant were deficient because they did not include adequate initial evaluations of the patients. Lundell was censured again and was placed on probation that included quarterly chart reviews [5].
• In 2004, the board found fault with his management of two patients and concluded that his records for these patients were inadequate. He was reprimanded and ordered to serve two more years of probation, during which he was required to undergo an extensive evaluation of his fitness to continue practicing medicine [6].
• In 2006, the board sent him an advisory letter for failure to maintain adequate records and for a technical surgical error [7].
• In 2008, the board reviewed Lundell's management of several more patients and revoked his medical license. The board's order mentioned that the board was investigating his care of seven patients because the Banner Desert Medical Hospital had suspended Lundell's surgical privileges [7].

Financial and Legal Trouble

Lundell also ran into considerable difficulty in his nonmedical affairs. Although the full records are not readily available, documents I found on the Internet indicate the following:

• In 1990 Lundell filed for bankruptcy. At that time, there were several lawsuits pending in state court on the theory that he was a partner in a construction business called West Coast Construction in which he had invested. I don't know the outcome of these suits, but he ultimately wound up owing at least $20 million dollars.
• In 2005, he again filed for bankruptcy, claiming to have assets of $12,990 and liabilities of $20,185,769.60. The liabilities included $74,264.77 in credit card debts, $78,932.48 for accounting services, the $20 million debt related to the previous bankruptcy, and "unknown amounts" of state and federal taxes owed. The financial statement also listed his earnings as $0 for 2005, $0 for $2004, and $288,436 for 2003 [8].
• In 2004, Lundell pleaded guilty in federal court to three counts of willful failure to file income tax returns. A newspaper report indicates that he had become a client of "tax protester" Wayne C. Bentson after a long-running dispute with the IRS and that rather than filing tax returns from 1992 to 1996, Lundell had filed affidavits contesting the government's right to levy taxes [9]. In 2005, Lundell was sentenced to three years' probation, but the probation was terminated after 16 months. Bentson was ordered to pay $1,129,937 to the Internal Revenue Service and was sentenced to four years in prison, to be followed by three years of supervised release [10].