Disease care vs health care: Which would you choose?
Contrary to conventional wisdom, chronic disease is not genetically predetermined but results from a mismatch between our genes and environment and lifestyle. What we call a "disease" is the outcome of an imbalance in one or more of the seven core physiological processes. Leveraging a lifetime on the cutting edge of research and practice, Dr. Jeffrey S. Bland lays out a road map for good health by helping us understand these processes and the root causes of chronic illness. As Bland teaches us, no two people have the identical form of any disease, so with the right personalized program, we can safely and effectively manage and ultimately cure what ails us.
In the twenty-first century, medicine is undergoing a paradigm shift comparable to the advances in infectious disease in the late nineteenth century. While these strides have nearly doubled life expectancies in only four generations, quality of life has yet to rise to its full potential. Treatment of chronic diseases - diabetes, heart disease, arthritis, dementia, and many others - is responsible for 78 percent of total health care costs in the United States, yet we're managing the symptoms of these illnesses with pills and temporary remedies instead of identifying, preventing, and addressing their underlying causes. In The Disease Delusion, we learn how we may fundamentally change our perceptions of illness and approach a cure.
Dr. Bland has greatly influenced many of the biggest names in medicine today, but until now we have not had access to the larger framework in which to understand chronic illness or ways to foster lifelong health. Complete with self-evaluation questionnaires and sample meal plans, and supported by the most recent advances in health science, The Disease Delusion is indispensable to anyone determined to live long and well.
©2014 Jeffrey S. Bland (P)2014 HarperCollins Publishers
I love listening to books when cycling, paddleboarding, etc but I press pause when I need to concentrate. Its safer & I don't lose the plot!
This book is phenomenal. I have worked in an acute healthcare setting for nearly 30 years and yet this field is almost entirely new to me. During the course of this book Dr Bland has completely changed my outlook on the causes and management of chronic illness. I have no idea whether I will stick to it, but at the moment I am determined to radically change my diet, because I am now convinced that a careful choice of diet (combined with exercise, which I already do enough of) is the key to staying healthy in the long term and avoiding chronic illness.
At first I thought he was a bit of a quack and I wondered if I was wasting my time and my Audible credit, but as the story unfolded I became completely captivated and convinced by the evidence presented.
I am now going to listen again. I've downloaded the PDF and I'm going to try to implement the lifestyle changes. There are even recipes in the PDF, and I'm going to give those a go!
Bad news is you have to be your own physician. Good news is there are movements like Functional Medicine which offer hope to many of us who have been failed by the system.
The human body is an amazing system. Surprisingly we have very few genes and even fewer genes that make meaningful distinctions among us. Functional medicine offers a way to begin to think about how our genes are interacting with our environment, broadly defined. That broadly defined means hazards as well as diet.
Too many of us have just accepted the "wisdom" of some doctor. Take this pill and you'll be fine. Hey you're an allergy freak, but my allergy shots will desensitize you. Ummm, yeah you're kinda close to metabolic disorder, but a statin will fix that right up. Run harder, longer, accept that your basal metabolic rate is 50-60% of what it should be. It would be comical if it weren't so tragic.
If you love someone whose health is not right or are someone who feels like something just isn't quite right with their health and you want to understand how to think about what might be wrong and how to begin taking healing steps, this book is a great place to start. There is a difficulty because there are so few skilled functional medicine practitioners, but perhaps a dialogue with a trusted open minded physician could enlist an ally. There are likely resources online as well, but caveat emptor. But a better informed patient is more capable of understanding the hazards of different courses of action and weather the blistering criticisms of the big pharma reps (formerly called doctors). This book will give you the tools to be a better informed patient. Some experimentation is also necessary because our genetic codes are all different... so what works for some may not work for you. But you'll be on a more hopeful, optimistic, and empowering journey to restore your health.
Read this book to understand better how to talk to your doctor. Read this book to give up "giving up " to " old age" There is so much you really CAN do to live a better life, and this book gives the science that explains what and why. Well worth it.
This is an incredible journey into epigenetics. It left me with a very positive message: nothing is permanent. I have the power to improve my current and future health. I have ordered and received my genetic information through 23andMe. This is the first step. However, I wish that seeing Dr. Bland wasn't so expensive so that I could really decipher the meaning and start on my individual program for good health. At the end of the book, using a survey method, Dr. Bland attempts to discuss an individual plan, what one can do if they have certain symptoms. However, these are too vague and short to know if these symptom lists alone qualify for a certain change in diet/lifestyle. But overall, the advise is good advise for anyone on the quest for health and feeling good.
Dr Bland systematically explains the science and philosophy of functional medicine. The true value of this book will not be realized for another decade, after more of us come to the conclusion that what we are doing is ineffective, expensive, and unsustainable. Treating chronic conditions and imbalances is challenging and complex, but certainly not impossible or as hopeless as many of us believed.
After following Dr. Bland's work for a decade, I can say this is a manifesto of all is contributions to the field of health and medicine. This book will explain all the limitations of our current approach to disease while offer the most logical and scientific ideas for change. Great book for medical and non-medical readers alike. If you are a student or practitioner of medicine or health care and wish to help patients address the true underlying causes of dis-ease, this book is a must.
One can see why Dr. Bland is referred to as the Father of Functional Medicine. This book was such a clear summary of the principles of Functional Medicine, and gives tools to implement right away as well. I wish I had this before I started studying Functional Medicine!
The content is good. The subject matter is relevant. I live a pretty healthy lifestyle but was inspired to do better by the information in this book. It's also change some of my thinking about how important environmental exposures and lifestyle are to our genes an expression of disease. There are quizzes in many of the chapters which the reader goes through? Question. I found myself zoning out during these portions.
A quick scan of the reviews that I've done will show that I'm not one to slam a book just for the sake of it, even if I don't like a book, I try to give it the due it deserves.
But this was just really bad. The narrator spoke for an hour and a half and still hadn't said anything substantial as the author was obviously trying to inspire instead of inform. There was some vague cancer statistics thrown out and a study or two mentioned and how great the study was and how respected the researcher was, but no actual facts.
I was left with the feeling that someone was trying to sell me something but didn't want to get into the details for fear of what I might think or misinterpret. Smarmy stories about people using their first names and how great their lives are now that they have this great new and improved product. But I couldn't get any real details about the product he was selling, only the pseudo-inspiring stories about the awesome people who had benefitted from it all.
It's interesting to see an author write about mistakes made in the past in medicine and particularly in nutrition and nutritional science, and then go on to promote his own views of what proper nutrition is without having a lot of evidence or studies in many cases to back it up.
I tend to largely ignore any author the writes that saturated fat is bad. Does that mean vegetable oil, which I can agree is harmful, or grass-fed butter and virgin coconut oill which do more to promote health than most other foods? Don't expect a detailed discussion here since all saturated fat is deemed to be harmful to one's health without a single study or other piece of evidence listed in support of that claim.
Further, the Mediterranean diet is clearly the author's focus as the nutritional cure-all. He cites Dean Ornish's diet, which is massively and in my view dangerously low in healthy fats, and claims that all of the benefits from the Ornish diet are due to the food. However, the Ornish diet recommends meditation, various forms of stress relief, quitting smoking and several other things, so could it be that the diet is even slightly unhealthy and these other factors more than make up for that to lead to a positive result?
Overall, the book was okay. The author should insist that when his book has numbered lists (it has many of these) that these should likely be removed and added on a website for separate viewing. There are cumbersome and not worthwhile content when listening to an audiobook.
It certainly seems to me that many scientists/researchers and now writing books (i.e. Oxygen Effect, Telomere Effect) where very little new research or in depth consideration of issues are raised and instead the authors basically decide to write about a wide varitety of issues that they basically have no experience with. At least this book was an improvement in that regard. Hopefully the author will do some reading of the current research on whole foods based modified ketogenic diets and then I suspect the advice re: Mediterranean diets (at least as the only reasonable option) will change considerably.
"dodgy science from snake oil salesman"
I would really like to believe that all the chronic disease which blights the west and developing world could be cured by diet and supplements. The authors claims rely on a mixture of anecdotes and rather dodgy science rather than real evidence. There are no rigorously carried placebo controlled trials to demonstrate efficacy. The authors $66 million supplement company selling the miracle cure phytonutrient promoted in the book represents an elephant in the room which just can't be ignored.
No , I will continue to search out genuine scientific books on nutrition and health
A bit too american sounding
Disappointed, as i believe lifestyle and diet play a very important role in good health but this book simply is not a reliable source of information. I am also concerned that people could be given false hope and even persuaded to part with their hard earned cash on expensive supplements which are unlikely to confer any benefit, and may even be harmful. The author is advising megadose get of certain vitamins / antioxidants. There is some real evidence from recent trials that this is actively harmful , and can actually increase cancer risk!
Chronic diseases are terrible burden for huge numbers of people. Readers could be duped into thinking that these theories represent genuine scientific consensus as to the cause of chronic diseases. This is absolutely not the case, this is very much an alternative medicine view, which when considered alongside the authors business interest in the sale of the very supplements recommended in the book detract any credibility from the narrative.
There is much that is true, correct and valuable here. Yet the obsessive and repetitive condemnation of saturated fat, lack of mention of the paleo diet and evolutionary biology, constant stressing of individual differences ultimately lead to rather confused, shallow and disappointing conclusions. Read "It Starts With Food" instead, it's much better.
"fascinating and very informative"
really injured this book fascinating read/listen. As a medical practitioner it even taught me new ideas and alternative treatments. I will be using this information to improve my own health.
Some really interesting new and thought provoking ways of looking at how we treat diseases. Good possible explanations as to why there are so many chronic diseases for which there still are no cures and possibles answers as to how to avoid those. No magic bullets just simple real foods and good lifestyle.
I highly recommend this book to health professionals from all walks of life. A really credible account of research and experience from a top MD and functional medicine practitioner. Well narrated also.
all you need to know about keeping healthy. very good listen.
about time to leave war time medicine.
I found it quite heavy going at times although still very interesting. Some of it seems a bit out of date with the way medical science is now leaning towards epigenetics and a vegan diet. Nevertheless, a worthwhile listen and an intelligent book full of fascinating facts and studies.
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