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I realize that a lot of people will groan at the sight of another Kruse question, but I think this might be important information to share. Today Carbsane posted a blurb from the American Assoc. of Neurological Surgeons website. It's about Dr. Kruse being suspended from the organization:

"John J. Kruse, MD — Six-month Suspension. The Board concluded that Dr. Kruse gave false testimony in a deposition regarding the size of pedicle screws used in surgery by another neurosurgeon. There were several other matters which, while not the basis for the suspension recommendation, were causes for concern."

So here's my question: how much does this news damage Dr. Kruse's credibility? To what standards of behavior should we hold our Paleo gurus, particularly MDs?

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Jeez Louise this guy is so busy! He has done more in the past 6 months than I have done, well, ever! He really should get into the circles that are into hacking time management and productivity! – none May 5 2012 at 0:05
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I'm no medical expert, but the issue of the screw size seems like a tiny quibble. I'm more curious about these "other matters." – Karen P. May 5 2012 at 0:28
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Having not read his specific case, I really wouldn't make much of the screw. I'm married to a doc, and medical cases are full of contradictions and legal wrangling. It could've been that he was testifying on behalf of the patient and misspoke or it could've been that he was testifying in defense and forgot. It's such a tiny detail that it makes me think the board is trying to put him on notice for larger concerns. That's my point. – Karen P. May 5 2012 at 3:14
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Karen- While this is all speculation, I would imagine that it's not a "tiny detail". My neurosurgery resident friend says that being suspended by the AANS is quite bad, and they take this expert testimony stuff pretty seriously depending on the issue. But I do agree, the "There were several other matters which, while not the basis for the suspension recommendation, were causes for concern." part is way more interesting. – Kamal May 5 2012 at 4:52
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I have dated a doctor who was a total idiot and even he didn't get suspended. It's pretty easy to get sued, but if other doctors suspend you, you've got a problem. – Bread-Eating Beelzebub May 5 2012 at 8:22
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closed as subjective and argumentative by Matt, Paul May 7 2012 at 22:07

19 Answers

28

"Gurus" should be held to NO standard. If your dumb enough to follow someone blindly you deserve what you get.

As to his status as an MD, its up to his peers and state association to monitor his behavior in the clinical respect....

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WELL SAID!!!! CANNOT AGREE MORE!!! I wish I could upvote your answer 1,000 times! – VB May 5 2012 at 1:41
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Eh ... I'm not into gurus, but let's face it, we can't all be experts in every field. We have to rely on someone else more often than we care to. If I were to look for advice in something I have no training in, I'd do my best to vet the person's reputation/background/track record. But there are only so many hours in a day. So that Jack has been keynote speaking at PaleoFX, I think he's doing both an kickoff speech and a presentation on the LC Cruise (sets sail today) and will be on a panel about starches in August AHS, I'd say it's not "dumb" people following "blindly", but folks ... TBC – Evelyn aka CarbSane May 6 2012 at 15:33
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but folks trusting community leaders to somewhat vet the "gurus". The leaders are failing the community here. Badly. – Evelyn aka CarbSane May 6 2012 at 15:34
@Evelyn, my understanding (I think Melissa mentioned it) is that there is a statement from Paleo leaders on the Kruse sitch? – Karen P. May 6 2012 at 21:58
Sorry, should've said, a statement forthcoming. – Karen P. May 6 2012 at 21:58
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I answered a recent question with the following information, but I believe it to be relevant here too. Plus the other question has been deleted so the answer was also deleted with it.

This does not surprise me what so ever. There has been numerous occasions (see previous threads on Kruse) where his honesty has been in question.

I had a twitter 'to and fro' with him very recently, Kruse dished out one of his usual blanket (excuse the pun) statements and I called him up on it. I suggested to him that perhaps he had a duty to his many followers, to be a clearer in his message. He informed me that he only has a duty of care to his patients. I then asked him if he did not think he had a duty of care to the hundreds (if not thousands, although it pains me to say that) of people he gives advice to on his website, here and MDA. His answer -

"I do not give advice over the internet!"

I sh** you not.

If you put your trust in this man, who reiterated to me several times he bears no responsibility what so ever to his online followers, then more fool you.

In my opinion, he is not interested in helping people, he is interested in notoriety. This is evident from his actions and answers when challenged. There is a lot of disturbing behaviour from him on various forums (including non health forums) that puts into question his state of mind. This suspension from the American Assoc. of Neurological Surgeons, is just yet another one of the many nails in his coffin that will hopefully lead to him no longer being a spokesperson of the paleo community. Seriously, how much does one person have to do before people realise he is not worth following?

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Do you know any doctor that's allowed to diagnose you and give you advice over the internet? They can certainly tell you general things, but they can't give you specific advice unless they see you in person - and if they do, you fall under confidentiality at that point. – raydawg May 7 2012 at 10:06
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Carly doesn't get it, and raydawg has it right. I believe Jack Kruse is an MD, and in the US it means that he can and will be held liable for any ill effects his advice results in. Him saying he doesn't give advice over the internet is him covering his ass so that lawyers are less likely to have a case against him. Don't blame Jack for the failures of your laws and litigious society. – Wisper May 7 2012 at 12:37
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I've often wondered what constitutes "medical advice" on the internet. On the MDA leptin reset thread, at least, Dr. Kruse offered very specific recommendations about what labs people should have done, as well as interpretations of their lab results. – Chauncey Gardner May 7 2012 at 14:36
I understand fully the legal implications. I am questioning a person's personal responsabilty as a HUMAN when they have been and are giving people medical advice over the internet. You are more than welcome to look at the conversation and make your own mind up at the tone and his attitude towards his followers. I think it's a sad and horrible world we live in when princibles are based only on legislation. How about having personal responsibilty to be clear to the people who are so obviously following your advice? – Carly May 8 2012 at 7:32
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Given as this was one of the sites Jack used to "dump his message" on the paleo community and gather a following, I think it's not only appropriate, but almost imperative that this sort of information be shared.

Jack doesn't speak for paleo, but, then again he does. He has spoken at PaleoFX and TEDx for paleo. He works paleolithic diet into everything he says. His blog is amazingly popular and he's touted by many influential in the greater community. Yet he's someone many do not want to be associated with paleo. What does that say?

I think the timing of this sanction and his blog evolution to paid-for content is worth noting for those inclined to sign up.

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Amen! Jack DOES, in fact, speak for paleo because we have allowed it. That's my big issue with him. I want him excommunicated so that we can all go back to talking about good food and good habits instead of starfish and bags of ice. Just because someone advocates a paleo diet does not mean the rest of his/her ideas fit or are appropriate to integrate into the wider template of health that is advocated. Please let this event help our "leaders" to get some chutzpah and actually lead for a change instead of acting out of fear because they mistakenly think Jack has more power than they do. – Shari Bambino May 5 2012 at 15:40
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Who's to say who can and cannot speak about/for/of paleo? – Matt May 6 2012 at 22:21
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It's becoming apparent that "Paleo" is becoming more of a religion ("excommunicated") to some than a mind altering adventure that it once was. Kruse is as strange and exciting to me today as Sisson & Wolf were 4+ years ago. – Chuck Currie May 6 2012 at 23:12
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Jeez raydawg, it's not the premium content for cryin' out loud!! I don't have a problem with it, but Kurt & Emily have both discussed the problems with giving medical advice on the internet. The problem with Kruse is his credibility, and lying on a deposition is pretty serious stuff. What else has he lied about? I'm just providing information for folks to consider before wasting their money. – Evelyn aka CarbSane May 7 2012 at 11:40
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Matt, your point is taken. This is a diverse community that doesn't even have a singular definition of "paleo" so it's hard to say. The community as a whole gets to in a way by frequenting blogs, attending conferences, etc. But including quacks into the fold will harm the community -- ESPECIALLY if the goal is mainstream acceptance. – Evelyn aka CarbSane May 7 2012 at 11:43
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Ideation without execution leads to deletion.

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Loon- you can flag the answer for moderation attention, and a gaggle of moderators will weigh in. Outside of that, you and Anonymous Chump will have to battle it out inside the Octagon. – Kamal May 5 2012 at 14:52
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I was joking. It's a quote, though I admit that I did not give proper attribution. :( All that notwishstanding, I ain't battling no one in no octagon. – Anonymous Chump May 5 2012 at 18:54
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Yes you are. Read the Paleohacks FAQ more closely. – Kamal May 6 2012 at 1:12
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For all I know, Jack Kruse is completely full of ... doo-doo. I've read his blog, and I have no intention of following any of his recommended protocols.

Having said that, I can't help but make the observation that there's a certain amount of irony in this discussion, for two reasons:

1) Uncritical acceptance of incomplete evidence. None of us really know what Kruse did or if his suspension was justified, we only know what the AANS tells us. My impression is that if this was someone who is less controversial, we would be more skeptical.

2) Uncritical acceptance of the opinion of a national health/professional organization. In other circumstances, this would be a badge of honor. If an MD or RD was suspended from their respective professional organizations for advocating a Paleo diet, they'd be heros in this community, and for all we know the "other...causes for concern" might be Kruse's advocacy of a Paleo diet, as well.

No one deserves a free pass, but there seems to be a lower standard of evidence for criticism of Kruse than for other people.

On a related note, I'd expect other PH'ers to do the same thing I did, which is to read what Kruse has to say and accept or reject it based on that. I don't think I, or anyone else, needs "help" from his detractors to make that decision.

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Honestly Sam I think you just haven't' been around here long enough to understand. Jack seems to be gone from PH now so you won't get to witness what many of us have over the past year so it will probably always be hard for you to understand. Consider yourself one of the lucky ones. I hope you stick around long enough to get to know some of us who are not fans of Jack and perhaps you will see that most of us are intelligent, reasonable people who love this community and have just had enough. Right now your disdain for us is quite palpable. I hope that changes one day. – Shari Bambino May 6 2012 at 20:38
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Perhaps you don't mean it to be but it feels like disdain to me. And not just me. Why you think "us" is a very small group escapes me. You clearly have no idea what you are talking about. We are the vast majority in the paleo community. Of this you can be certain. If you want to continue to stir the pot perhaps you could first take some time to understand the history and perhaps even some of the facts of the case? It's all very easy to find for someone with anything remotely resembling an open mind and no agenda of his own to follow. – Shari Bambino May 6 2012 at 23:28
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"Uncritical acceptance of the opinion of a national health/professional organization. In other circumstances, this would be a badge of honor. If an MD or RD was suspended from their respective professional organizations for advocating a Paleo diet, they'd be heros in this community, and for all we know the "other...causes for concern" might be Kruse's advocacy of a Paleo diet, as well." Well, there's a distinction to be made: If one of these organizations censured Kurt Harris for "unorthodox nutritional beliefs," then yes, we would be up in arms. But [Continued] – Paul May 7 2012 at 0:39
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Dude, I'm a neurosurgeon. Who has been suspended from his professional organization for lying in a deposition. That's serious stuff. I don't know about other PH'ers, but suspension from one's professional organization for any reason is not "badge of honor" type stuff. – Evelyn aka CarbSane May 7 2012 at 11:31
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@WCC Paul: I don't think a professional organization would censure someone for lying because they were looking for a reason to do so. That's lawsuit fodder for Jack. – Evelyn aka CarbSane May 7 2012 at 11:33
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I don't find him to be all that credible right now, and pay him little heed.

Actual SUSPENSIONS are hard to trigger, and I certainly would not use him as a doctor knowing about it.

He presents his own synthesis of many, many health ideas... Some of which seem to strongly contradict each other. He may be inspiring to some, but he is so far from clear that I will never give him my money, or much credence.

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Can I get out of this ice bath now? ;)

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The problem here for me is that I view all MDs with a jaundiced eye, often not accepting their assertions and diagnostics without my own verification or substantiation. I'm by no means arguing there aren't amazing MDs out there--I found a great one--I just don't grant my trust, and certainly not my faith, in anyone based on professional credentials. I've known too many dumb people with lofty credentials, and the opposite as well.

So while I might view Kruse or any other MD with suspicion, I'd surely view all his colleagues--the ones who suspended him--the same way. Meaning, their censure could easily be just a different brand of quackery. What happens when a paleo-promoting practitioner is censured by his /her professional community for not promoting, diagnosing, and treating based on the lipid hypothesis?

This question almost has a meta aspect to it, in terms of this site itself. I don't know much about Kruse or his history here. Whether we choose to label someone a guru or a quack (or both), I think people who post here should be held to standards. But we impose those standards ourselves, through the points/reputation system, challenging arguments, etc. And I consider sharing this info to be an important part of how this community defines and polices itself, and vets and curates its own content. If an individual's own professional community censures the individual, something I suppose happens relatively rarely, I want to know about it. But I might not find that sufficient reason to dismiss the individual. It becomes part of the bigger picture.

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I'm very wary of MD's as well. I've been misdiagnosed far too many times for my comfort and there is often "god complexes" involved as well. (That's not to say that there aren't doctors that I have liked and respected, it's just that they are few and far between.) – SarahH May 6 2012 at 20:08
Or for example, when a victim of diabetes writes a blog about it which falls foul of a certain state's laws and he's sued by their medical association (or was that mafia) unless he takes his blog down. – raydawg May 7 2012 at 10:15
@raydawg: I think the Cooksey thing is problematic for him because he was handing out business cards at a meeting. Not defending the ensuing witchhunt, but if it's the law then it's the law. – Evelyn aka CarbSane May 7 2012 at 11:36
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We all know Jack's got a couple loose screws,,, sounds like he's being crucified by his peers to me

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Maybe they're just the wrong size screws ... – interrobung May 5 2012 at 19:05
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If he's got some loose screws, maybe it's good for his peers to give him a hard time. – trjones May 7 2012 at 1:28
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"John J. Kruse, MD — Six-month Suspension. The Board concluded that Dr. Kruse gave false testimony in a deposition regarding the size of pedicle screws used in surgery by another neurosurgeon. There were several other matters which, while not the basis for the suspension recommendation, were causes for concern."

Everything about that statement is disconcerting and his share price just dropped in my book.

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Well, let's see, he gave testimony that was incorrect about the size of screws used by another doctor. So, why doesn't that testimony count as hearsay?

If I heard you say that, six months ago on a specific date, you had a rib eye steak, and it actually turned out you really had prime rib, and I testified that "to the best of my knowledge" you had a rib eye, but then someone pulled the restaurant receipt, would I really be giving false testimony based on my, unknown to me, incorrect knowledge?

Really, in the end, I don't care about that. What I do care about is whether or not his ideas are correct and useful. These can be proven via studies, when those studies are done, or if he has references to existing ones, backed up by such. I do recall from his earlier posts, that I did see such references. And when I read his newer stuff on CT, I'll note whether such exist.

Yes, I do wish he was more clear in his posts about the exact mechanisms, he is certainly sloppy in his writing. But again, at the end of the day, either his ideas on cold, and leptin, are the real meat of the question.

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It wouldn't be hearsay if he had actual knowledge of the size of the screws. If he was testifying about the contents of medical records, it would be part of the foundation of the opinion he was rendering as an expert. For all we know the length of the screws was a critical issue in the case. – tdgor May 7 2012 at 12:38
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Oh, and if you're hired as an expert witness, part of your JOB is to know the facts of your case. There's a distinction between "erroneous" (mere ignorance) and "false" (deliberate) and to be censurable Kruse's testimony would have to fall into the latter category. – tdgor May 7 2012 at 12:42
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Whats with another kruse thread? If you dont like him,fine but your obsessive hatred of him is pathetic. Move on.

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It's not hatred, it's warranted concern. – Carly May 5 2012 at 8:46
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There's no hatred. But am I interested in whether one of the most visible doctors in the paleosphere is a competent, ethical practitioner? Yes. – Chauncey Gardner May 5 2012 at 10:56
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LOL. "Haters gonna hate" right? It's a mean cruel world out there Wayne now isn't it? Hilarious. – Shari Bambino May 5 2012 at 15:43
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@Chauncey, but you do realise that the kangaroo court beating down Dr. Kruse is the same type of organization that fights tooth and nail to keep alternative medicines/diets (paleo perhaps) down, right? Should we really give a flip what these nonsense licencing boards say? – Matt May 6 2012 at 23:59
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Ehh, I give a flip about surgical errors. Just because this is a western medical association doesn't mean we shouldn't give a flip. I disagree with a lot of what the FDA and USDA do, but that doesn't mean they are 100% BS. – Jules K May 7 2012 at 12:05
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You're right...Le groan.

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Hi Karin! Totally off-topic, but I recognized your name, and remembered that you had/have TN. Any improvements? – Kamal May 5 2012 at 0:56
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Thanks for asking and yes, so much improvement I can't remember when I had my last flare up....amazing really. – Karin May 5 2012 at 1:17
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That's awesome! I'm so happy for you. We're doing a project at work on accuracy and cost of neuroimaging for headaches, and when TN is mentioned my ears perk up. Crazy stuff, and it must be so nice to get back close to normal. – Kamal May 5 2012 at 1:28
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I would venture to say, if a neurosurgeon used a non-standard size of screw, it wouldn't be because the hardware store was all out. I would say, some thought was involved. I guess that means conventional wisdom was questioned. Sounds like he got his hand smacked and took a bullet for a patient.

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Oh. My. God. Cherry or Grape? – Shari Bambino May 5 2012 at 1:24
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purplesaurus rex, please. – luckybastard May 5 2012 at 1:27
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I suppose that's one explanation, Lee. Not sure it's the most plausible one, though. – Chauncey Gardner May 5 2012 at 1:29
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Hang on. He was acting as an expert witness. Not a question of taking a bullet for a patient, but money for his testimony. Questioning conventional wisdom is not the same thing as providing false testimony about an objective fact (the size of the screws actually used). – tdgor May 5 2012 at 13:28
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He doesn't speak for paleo. No one can speak for the whole community or claim to own the idea of eating and living more in accordance with our ancestral and genetic composition.

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No, I agree. But it sure would get interesting if folks used him as an example to discredit Paleo in general. I'm imagining the headlines now about a doc being stripped of his license to practice because of Paleo. – Karen P. May 5 2012 at 3:17
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Quitting Paleo or making an argument against it because of the actions of one person would be like quitting your faith because a religious leader was found to be gay, or molested someone, or spent donation money on trips to Las Vegas...using one person's actions to base your entire argument on is just silly.

Truth.

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Honestly confused, T.Inc, and not trying to cause trouble: Did anyone imply that they were going to quit paleo because of this? Or you thought someone might potentially do that? – Paul May 5 2012 at 4:14
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I didn't see anyone quitting Paleo over this either. Huh?? – Evelyn aka CarbSane May 5 2012 at 13:02
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Thanks for clarifyin'. – Paul May 5 2012 at 15:39
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I'm quitting paleo because of this! – Warren D May 5 2012 at 16:45
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Actually, I think there are a non-trivial number of newcomers to paleo being turned off by him before really getting started. That's not the same as the entrenched leaving, but still a sorry situation. – Ambimorph May 7 2012 at 0:45
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I was rear ended in a left turn lane 24 days ago, while I was on the way to my gym. 12 sessions of neuromuscular therapy and a shit load of cold therapy have alleviated much of the whiplash.I'm guessing the neuromuscular therapy accounts for %80 of the recovery. That's not my point. .......Through this period I've leaned out. My four pack became a six pack . Very little activity.Just my regular %100 paleo and lots and lots and lots of cold thermogenesis. It works people. GET USED TO IT. Try it , you'll like it! STOP THE HATE!

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Your answer doesn't address the question, shah78, which is about whether Dr. Kruse's suspension from AANS damages his credibility in the paleo community. And again (I guess it can't really be said enough), nobody is "hating" on Dr. Kruse. Some of us have perfectly legitimate concerns about his credibility. – Chauncey Gardner May 7 2012 at 12:22
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Then let my try again.I could care less if the Quilt got sanctioned by a bunch of tight assed MD's. You can imagine how tight the asses are of a bunch of brain surgeons! He throws the finger at his profession and they push back. Ever hear of the story about the guy who tossed the bird to another group of Scribes and Pharises a few (thousand)years ago . You guys are so eager to toss him out of "PaleoWoerld", can you imagine the politics involved with a bunch of BrainSurgeons? So my answer:I don'tcare if he got suspended.He should wear it as a badge of honor! – shah78 May 7 2012 at 12:31
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I don't know what your profession is, shah78, but if you were publicly censured by your peers for lying under oath, would you wear that as a badge of honor? If so, it's pretty clear that we're not going to agree on much of anything. – Chauncey Gardner May 7 2012 at 14:18
I have never seen any professional, political,religious,acedemic oranization et al.that I would join or care if I were tossed out of. Talk about neolithic bull shit. I once tried to "disjoin" the Amherst College Alumni Association ,but it involved too much "paperwork". – shah78 May 7 2012 at 15:01
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That info helps put your answer in context. – Chauncey Gardner May 7 2012 at 15:07
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I hesitate to point out that the Kruse pointed out in the article is a "John" while the crazy CT leptin one is a "Jack"...

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Same guy: vitals.com/doctors/Dr_John_J_Kruse.html – tdgor May 5 2012 at 12:27
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Yes, there can be no mistake there. Jack even posts as "john" on Blogger blogs. – Evelyn aka CarbSane May 5 2012 at 12:57
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Nice and confusing then ;) Thanks for the clarifications! – Nivanthe May 5 2012 at 17:42
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Jack is a nickname for John. Until recently it virtually always referred to a John. – Ambimorph May 7 2012 at 0:47
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Just my thinking. Let's put Jack kruse on PaleoWorld trial for "actions" unbecoming a Paleo Guru". Clinton was impeached and put on trial for his proclivity toward skanks and Jack lied about the size of a screw. The horror! Let's exhume Rhenquist and put back on his chevron sleeved gown and get rid of Jack once and for all. If we can't get Bill Rhenquist, I can try to get his son Jim Rhenquist, who graduated Amherst two years earlier than me.(he was very good at basketball!) Who wants to assume the role of Gingrich? Life is way too short people, especially if you can't , or refuse too lengthen your telomeres.:)

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In your other post on this thread, you told people to "stop the hate." Now you're wanting to literally create a trial court for the purpose of putting Kruse on trial? What's next from you, Shah? – Anonymous Chump May 7 2012 at 21:05
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Have you ever seen Saturday Night Live? The Daily Show? Better yet The Colbert Report? It's called Parady! WOW! How about Seinfeld? – shah78 May 7 2012 at 21:09
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It's called Parody! – shah78 May 7 2012 at 21:11

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