To: LindyBill who wrote (5169 ) 5/20/2009 7:27:48 PM From: Lane3 2 Recommendations Respond to of 39298 He is telling you how to diagnose for CAD. I looked yet again but don't find a discussion of diagnosis anywhere in his piece. What he is telling us is how early CAD starts and what the progression of the disease is. He is describing an existing process. Diagnosis of CAD is outside the scope of the piece.It should be obvious to you that he misses the easiest way to find plaque. It would, indeed, have been obvious to me had he been talking about diagnosing plaque and missed the most valuable diagnostic tool, the heart scan. But since his topic wasn't diagnosis..Most Doctors do the same thing. It's frustrating. I agree, but you are expecting something to be there that has no business being there. And missing the other piece from him that I posted where he ridicules unmercifully the continued assertion of the "diet-heart hypothesis." Here's another comment from him that should really warm the cockles of your heart: "...If you or someone you love has coronary heart disease, you need to know that there's more to successful treatment than drug therapy, angioplasty, and open heart surgery. It's just a fact that many cardiologists - certainly not all - focus on invasive intervention and drug therapy. Invasive intervention typically involves threading a small tube into the heart via the groin artery, opening up a blocked artery with a balloon (angioplasty), and leaving a metal frame behind to keep the artery open. That's what they are trained to do..."blog.nutritiondata.com As you can see, he's frustrated, too. If the guy were a cardiologist I could see how you might expect every post he makes regardless of topic to mention heart scans. But he's a weight-loss specialist, not a cardiologist. Heart scans are way far afield from his specialty. He doesn't diagnose CAD for a living. He's centered diet and metabolic syndrome. It's not reasonable to condemn the guy as "practicing 90s medicine" because he wrote a post that didn't mention heart scans.