MARCH 30, 2007
VOLUME 4 NO. 6

PATIENTS & PRACTICE

The Interview

An MD who lives off the fat of the land

Diet drill sergeant Dr Stanley Bernstein's ultra low-cal 'boot camp' regimen — based on ketosis and boosted by vitamin B shots — has given him a high-cal lifestyle and made him one of the richest physicians in Canada. Here he talks to NRM about fat celebs, Big Macs and Elvis.



Photos credit:Sylvia Pecota

Which celeb would you most like to put on your diet? Oprah Winfrey. She goes on a program and loses weight, but then blows it, then tries another one, etc. This is a girl who has all the opportunities to do the right thing and she has not found it. We'd love to get her on the program — but only if she'd commit to doing a maintenance with me.

Have you ever been fat? No.

So how did you get into the dieting industry? I have a little bit of hypoglycemia. If I go too long without eating, I get light headed. In fixing my problem and rethinking my eating, I realized the patients I was treating in my family practice for obesity and diabetes were having many of the same symptoms as me.

Have you ever done the Bernstein Diet? As a matter of fact I did. I went on it for two weeks and lost seven pounds — many, many years ago.

A man named Glenn Duffin died after being on your diet. Do you disagree with the 1988 coroner's report that said your diet contributed to his death? Definitely. First of all, the coroner's report on Duffin said they could not find a cause of death, could not attribute a cause of death to dieting. He was only on our diet for a week and a half, and he wasn't even following it — he was cheating all the time. Unfortunately, dealing with people who are ill, patients sometimes pass away. The pathologist could not find the main cause of death, could not establish anything related to cause of death.

Then why'd you settle for $700,000? I didn't, the CMPA did. I had no choice, I was adamant the lawyers not sign off because there was no reason to. At the time I was bound to follow them.

Did that upset you? Yes, it led to the concept of a potential placing of blame. It was very surprising to me that the lawyers dealing with it wanted to move on when there was no causative factor.

Is your cookbook's "Spicy Lentil Burger" as good as a Big Mac? [Laughs] I have to tell you, by and large, that the benefit of the recipes is that they all taste good and they're easy to do.

Do you think you could've saved Elvis? I saw him perform in Las Vegas a few months before he died. He looked like he was the product of drug reactions, not obesity.

Does your 1,000-calories-a-day diet really eliminate hunger pangs? When we get our patients into ketosis, we find it helps stabilize blood sugar levels. The only time someone gets hungry on our diet is if they cheat.

Do you think fat doctors should be forced to shape up and set an example? When I go to the bariatric meetings, a good 30-40% of the doctors and nurses there are significantly overweight, and these are people who treat obesity in their practices. Yes, doctors should lead by example, but if they don't it doesn't preclude them from being good professionals.

The Bernstein Diet is notoriously tough. Are you a bit of a drill sergeant? No. I'm a very practical-oriented person and the rigidity comes out of a practical aspect of it, a way to get longterm success. And yeah, I'm a little bit of a perfectionist too.

The archbishop of Ottawa lost a lot of weight on your diet in 2001. Did he give you any kind of special blessing afterwards? [Laughs] No, he was just very thankful.

But were you hoping for a blessing? No.

Has anyone ever told you that you look like David Letterman? No, I never heard that one. But I have been told I look something like Spielberg.

The Bernstein Diet can cost over $150 a week in consultations, followups and vitamin injections. Isn't that kind of pricey? No — pound for pound, we are about one third the cost and many times more reliable than other commercial diets.

If Atkins and Bernstein went head to head, which would come out on top? Bernstein. Every time. I knew Dr Atkins, he was a very nice man, a very bright man. One of the things I like about his program is he gets people into ketosis and they burn fatty tissues. But he tells people to eat high protein and fat. And as soon as they reintroduce carbohydrates, they start a fat rebound weight gain and they don't fix their long-term eating habits, don't undergo behavioural changes. Part of the problem is they are too much on their own.

You've opened up diet clinics in the US now too — are there any differences between Canadian and American dieters? The American patients we have are generally larger than the Canadian patients. The overweight person there tends to let it go a lot farther than people here. At a diet clinic here at a busy time, you might see a couple of people who have more than a hundred pounds to lose. But walk into one of our American clinics, you will see lots of people who have to lose a hundred, sometimes even two hundred pounds.

Blue Jays or Maple Leafs? I'm not a sports fan.

Are your colleagues ill-equipped to treat obesity? The problem is most doctors have never seen anybody lose 100 pounds, so they can't follow the metabolic processes properly. But if you want to treat obesity, you have to be very aggressive, have to put the time and energy into dealing with it. A lot of doctors don't have that time and energy. Most FPs have that problem.

What's your guilty pleasure? I don't have one. Maybe I've mellowed.

OK , what's the craziest thing you've ever done? I used to fly airplanes, small airplanes. I took flying lessons. One day my engine conked out taking off from the St Catharines airport and I had to glide the plane back down very carefully. I did it a few more times and then stopped. That was around when I had kids and I didn't want to look at those potential issues. I learned how to do it, got my kicks out of it, and that was it. Thereafter I took up skiing. [Laughs]

Have you got a pet? A little Yorkie. His name is Jake. He is a great puppy dog.

Do you have any advice for other aspiring millionaire doctors? I had a bit of a business concept and I took some business courses. Because of that I have been able to open many clinics and turn it into a business and that has enabled me to treat thousands of people. I hope I've imparted some of that to my kids. I have three boys — one's a radiologist, one's a lawyer and another is an MD graduate who's in business with me.

Interview conducted by Sam Solomon

 

 

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