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Walter Kempner and the Rice Diet: Challenging Conventional Wisdom, by Barbara Newborg
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In 1934, a brilliant young scientist, Walter Kempner (1903-1997), was brought as a refugee from Nazi Germany to join the faculty of Duke Hospital s department of medicine. The first AMA presentation, in 1944, of his unconventional research in the origins and treatment of metabolic diseases provoked wide attention and considerable controversy, but the results of his strict diet regimen were undeniable. Patients flocking to Durham for the famous Rice Diet found their diabetes, kidney and cardiovascular diseases once considered fatal cured or greatly improved. The headline-grabbing success of Dr. Kempner's diet contributed significantly over the years to Durham's economic growth and Duke's transformation into a world-famous center for medical research and care. From his arrival at Duke, Kempner worked to help friends get out of Germany. For several who had been scholars in pre-war Germany he found positions here. They and a few others associated with the Rice Diet became a close-knit community in exile around the central figure of Dr. Kempner. One, author Barbara Newborg, worked with him for 40 years, much of that time as his chief medical associate. This first-hand account of Kempner's life and of his work comprises two dramatic interrelated narratives. The story of a charismatic but always controversial personality and his circle of accomplished followers, and their wartime experience as refugees and exiles, will interest general readers, including thousands of ''Ricers.'' For medical professionals and scholars, the book documents historic research that elucidated underlying principles of kidney, diabetic and cardiovascular disorders, and their successful treatment without drugs. The book includes many rare personal photographs (which Kempner suppressed during his life) and clinical images including graphs, x-rays, eye-grounds, and photos.
- Sales Rank: #543028 in Books
- Published on: 2011-03-15
- Original language: English
- Number of items: 1
- Dimensions: 9.25" h x 6.25" w x .75" l, .95 pounds
- Binding: Paperback
- 274 pages
About the Author
Barbara Newborg (MD, Johns Hopkins University, 1949) is an Associate Professor of Medicine Emeritus at Duke University. She lives in Durham, North Carolina.
Most helpful customer reviews
55 of 58 people found the following review helpful.
good if you want to know more about Dr. Kempner
By Whimsy Taylor
If you want to know more biographical background on Dr. Kempner, this book will certainly shed some light for you. I had hoped to find more in-depth information about the research behind the rice diet, and there isn't as much in here as I thought there might be. Basically, it seems that in looking for a low sodium low protein solution for kidney disease and life-threatening hypertension (prior to the advent of antihypertensive meds), Dr. K. just pulled rice and fruit pretty much out of thin air because so much of the world's population has survived on rice. There doesn't seem to be much more history behind his choice than that. Or if there is, you won't find it in this book.
The book is comprised of three definite separate sections, although there is overlap and repetition among them. I would have preferred a book that traveled in a more solid time line, but the author and editor must have felt differently.
I did find some disturbing information about Dr. K. from reading this book, and it made me glad that I never met Dr. Kempner personally. I have worked with a lot of physicians, and most of them are real ego maniacs, so I wasn't totally surprised by that aspect of Dr. K. Yes, he was a caring man in many ways, but he was also very egocentric and a real control freak when it came to his rice diet. But what I found disturning was the revelation that he whipped patients for going off the diet! The author is okay with that because she states that either the patients themselves suggested it or pre-consented to it!!! It also disturbs me that Dr. K. evidently only used this technique with women! As a man who never married, and any reference to any sort of romantic attraction is entirely missing in this biographical account, this is just very disturbing information. No wonder Dr. K. held such a tight control over his rice diet plan, and felt no one could duplicate the study! Not when patients faced those sorts of shaming techniques!
There are some worthwhile reasons for reading this book, though, despite what respect I may have had for Dr. K. pretty much vanishing after reading this book. These are some worthwhile, informative excerpts.
"Kempner found that, in his experimental animals, he could produce very low blood sugar through fasting, in the absence of insulin and without causing convulsions. Relevant to the future development of the rice diet, he also found he could raise blood sugar levels with injections of adrenaline. Because the adrenal gland responds to sodium, its activity is decreased by the removal of sodium. These observations on sodium later bore fruit when they helped lead Dr. Kempner to the idea that sodium might play a role in both diabetes and hypertension via the adrenal glands and, more important, that maximum restriction of sodium could contribute to the treatment of these and other symptoms." (p. 44)
"As Dr. Kempner had pointed out to the medical students, his research had strongly indicated that a radical reduction of sodium, protein, and fat could halt or at least slow the disease process in patients with damaged kidneys. He had not imagined that, also in hypertensive patients with no evidence of kidney disease, the rice diet could actually reduce blood pressure, reverse heart failure, heal retinopathy, and, most astonishingly, significantly shrink disease-enlarged hearts." (p. 129)
"Another attempt to explain away the benefits of the rice diet was to attribute them to simple starvation. Dr. Kempner pointed out the 'fundamental chemical differences between the effects of starvation and of the rice diet... hemoglobin, red blood cells, calcium, and total protein, A/G ratio, sugar, carbohydrate tolerance, and CO2-combining power in the blood are decreased in starvation. On the rice diet, they are unchanged or increased. The blood non-protein nitrogen and urea nitrogen are increased in starvation. On the rice diet, they are decreased. Blood volume and interstitial fluid volume are unchanged or increased in starvation. On the rice diet they are decreased. The nitrogen balance is negative in starvation. On the rice diet, it is in equilibrium.' " (p. 156)
"Dr. Kempner ...found that hemoglobin and serum protein levels stayed constant, sometimes increased, on the strict rice diet, and that the high-carbohydrate diet provided calories sufficient to spare body protein. Moreover, he ascertained that the protein in rice supplied adequate amounts of essential amino acids and was particularly easily absorbed. The fact that nephrotic children treated with the rice diet grew healthfully provided additional evidence that the protein content of the rice diet was adequate." (p. 185)
"More fundamentally, thanks to his research, the essential roles of sodium, fat and cholesterol in a variety of diseases--although still not given their full due--are increasingly acknowledged in current medical practice. In a symposium honoring Dr. Kempner in 1974, one of his former associates pointed out the areas where Dr. Kempner's contributions become the basis of modern therapy: 'The restriction of sodium in the treatment of hypertension and cardiovascular renal disease is today, as a consequence of Kempner's research, standard practice.... [C]urrent recommendations state that "every effort should be made by the physician to control the symptomatic, maturity-onset diabetic with diet alone ... The principles established with this [rice diet] by Kempner's work, in extreme, now have been applied, in moderation, to all these medical problems. (Skyler 1974, p753)' " (p218)
"The pharmaceutical industry's success in winning over patients and physicians as well to drug treatment came not just from the force of its marketing but from cultural trends as well. Advertising and technology have created in our society the expectation of instant gratification with minimal effort. The rice diet, however, as Dr. Kempner repeatedly preached, requires commitment to a sustained effort, for which our tolerance seems to be nearly extinct. ... As multiple drug therapy has become the norm in treating patients with the multiple 'disease' sequelae of modern lifestyles, it has brought its own hazards with it. We read with distressing frequency of inadequate drug trials, under-reporting of side effects, unexpected drug interactions, and lack of oversight of drug administration. Moreover, it is too early to say what possible ill effects will be produced by the long-term use of potent chemicals." (p. 223)
Thankfully, the diet itself must be separated from the man who brought it into the world. I think there is more to the sodium key than even Dr. K. knew. Although the scientific evidence of how sodium triggers adrenaline is a real key puzzle piece for me personally that no one else has ever mentioned, and it was an almost-in-passing comment in Newborg's book.
Also thankfully, due to my persistent research into this area, I have found the other half of the puzzle piece---increasing potassium intake while simultaneously decreasing sodium is exactly the necessary information for better health for which I have searched for years. Dr. K was an advocate of the first half--restricting sodium. Richard D. Moore, M.D., Ph.D, author of The High Blood Pressure Solution: A Scientifically Proven Program for Preventing Strokes and Heart Disease, has brought the second half of the puzzle to light. Taking care of the sodium-potassium pump in every cell in our bodies is truly the key to health!
In the end, I am glad I read the book, mostly for the quotes I excerpted above. While the book wasn't quite as I expected it to be, and some of the biographical information about Dr. K. rather disturbing, I am glad I gave it a read.
If you are looking for biographical info on Dr. Kempner, this is definitely the book to read. If you are looking for more scientific information about the rice diet, this book might give you some vital information. If you are wanting to know how to improve your health in amazing ways, I suggest Dr. Moore's book, The High Blood Pressure Solution: A Scientifically Proven Program for Preventing Strokes and Heart Disease. And if you are simply interested in following the rice diet for weight loss and improved health, then I suggest bypassing all other rice diet books and just buying The Rice Diet Cookbook. It has good recipes, a full 3 week menu making the diet easier to begin and follow, and condenses everything you need to know about the rice diet and a few opening chapters. It is much recommended over any other rice diet books.
8 of 8 people found the following review helpful.
Scholarly and thoroughly
By E. D.
If you want to know full details about the man who developed the Rice Diet -- his life as well as the science behind the diet that has saved many lives since 1939 from kidney disease, obesity, and other ailments -- this is the book. It's written by the doctor who worked with him for forty years. It's not casual reading. While scholarly and detailed, it likely will appeal mostly to readers whose health has been improved by this revolutionary dietary regime and who want to know the full story of the man and the diet.
9 of 11 people found the following review helpful.
The white rice-diet to treat disease?
By William J. Burns
You learn about Kempner's life, some friends, family, mentors, and how lucky he was in getting to where he got. Certainly he was a gifted man, but as he had said without Otto Warburg, things probably would not have been successful for him. Under Warburg's excellent science, Kempner learned how to discover what is going on within the body, that the teaching of the time wasn't telling him. Through reading half of this book, I found out why he chose the rice diet to treat disease, and you get a glimpse into some of his and others observations in their scientific studies. Though I am only half way done with the book, I definitely would recommend it to any who wanted to understand his life and why his methods worked, and that his choice of the rice-diet wasn't an arbitrary guess, but through his medical training, a reasonable approach that opened up the door for more discovery. Though the book showed some of his personal flaws so far, it seemed to present him in to perfect a light. No footnotes to check to see if others thought of him in the same way, even though I have seen at least one MD interviewed online regarding W. Kempner, and it confirmed that the biography was telling us the truth, but would have liked more corroborating evidence to show that we were getting the real picture. It was also fascinating to see a little glimpse into Nazi Germany, and why by some Hitler was thought to have not lasted long. But Kempner's friend, and father figure Stefan George foresaw terrible times coming to Germany, and he died in 1931. It seemed like that if you were into politics, you would have known that Hitler was a very dangerous man, as usual most people were trying to survive in such difficult times that they probably didn't have the time to really do much of anything. As Churchill has said in his 6 volume work on WWII, that the war could be called the unnecessary war, it all could have been prevented if England did what they should have done early on. This goes to show us that political lies can bring a country down into the abyss.
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