Issue 19

Are you interested in the USA vaccine schedule?
...can you imagine and project to 2017?

cdc_comparison

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 ""chiropractic services for treatment of children and adolescents is unproven""

I am sending this everywhere, and to Australian Chiropractors TWICE, so they read it.
Who wants to limit the consultation of chiropractor's with children?
Looks like a world phenomenon.
I have had experience in Australia, where the Chiropractic and Osteopathic College of Australasia (COCA, a chimeric group), wanted to limit chiropractors seeing children to those FIRST asking the GP/MD for a referral. Absurd? Angry? See my response to their pseudo-science below.

The JVSR informs of this:
https://www.jvsr.com/researchupdate/detail.asp?ID=1084

THEN SEE MY RESPONSE BELOW.......................

Research Update - 12/5/2007

Open Letter to the Profession

An Open Letter to the Profession, UnitedHealthcare and ACN
From the World Chiropractic Alliance
 

In September 2007, United Healthcare and ACN issued a policy statement that chiropractic services for treatment of children and adolescents is unproven
 
According to their Bulletin, they came to this conclusion after a recent review of clinical evidence published in peer reviewed medical literature.  Following the release of their policy statement, ACNs Vice President of Clinical Programs, Dave Elton, issued a letter to providers stating that they had received input on their policy from the wider profession.
 
According to Elton, this input led to meetings between UHC and ACNs Professional Chiropractic Advisory Committee (CPAC) and that as a result of these meetings they were going to further review and evaluate the available literature and hold more extensive consultation with experts. Thus they temporarily suspended implementation of their policy change on children.
 
According to the letter from Dr. Elton, the Chiropractic Professional Advisory Committee ...is comprised of leadership from several state chiropractic associations... He goes on to state that their additional review "will benefit from the contributions of several well known and well respected researchers, published authors and clinicians" He adds that 'UnitedHealthcare and ACN are committed to transparency and external participation in this process'
 
As all chiropractors we were outraged at the original policy on chiropractic care for children released by UHC and ACN. To be sure, we were even more outraged that they admittedly came to that conclusion through a faulty process and that it took input from the profession for them to come to their senses. We will anxiously await how close their revised policy on the care of children comes to the reality of over 100 years of chiropractic pediatric care. At a minimum, the revised policy will need to include the analysis and reduction of vertebral subluxation for children and adolescents. Anything less will be completely unacceptable. 
   
In the meantime we demand that UHC and ACN demonstrate their commitment to transparency and provide the profession with the names and affiliations of those serving on the CPAC as well as those well known and well respected researchers who will be involved in this further review.
 
Regardless of whether or not a chiropractor is a provider for UHC/ACN or not, the policies promulgated by them effect the entire profession and the consumers we serve. ACN is purportedly the second largest provider of chiropractic managed care in this country with at least 20,000 providers serving over a half million patients. Therefore, their policies have far reaching public health implications and any hint of opacity will not be tolerated.    

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Years ago, 2003, I sent this to COCA:
at first, unrelated....but what this was, was in a 2003 issue of COCA NEWS that they sent to all chiropractors in Australia.

It was a pseudo-scientific discourse on what chiropractors should and should not do:
ie:
1. not see children without a MEDICAL GP APPROVAL FIRST
2. that we should only treat back pain and all other is experimental (heard that before? Like its something new: all health care is experimental, esp. use of drug doses on children: THERE IS NO RESEARCH INTO PROPER CHILD DOSES on many drugs.)
3. if you can somehow convince and hang on to a low back pain patient for 6 weeks, 90% will have success anyway
4. this sentiment seems to be persisting and now the people in this article hold key positions governing your PROFESSION
5. hopefully, 4 years later COCA has changed its unsupportable notion on children, at least

see my letter online at http://www.coca.com.au/newsletter/2003/sep0320aa.htm

or read it here:
Dear Editor:

There are too many scientific misrepresentations in the last COCA News to warrant chance oversight. (1)

Isn't it gratifying after all your study as a doctor of chiropractic that chiropractors should 'counsel parents to start with their general practitioner first for any significant problem relating to infants'? Peter Werth provides a definition of paediatric chiropractic as 'regular or continued manipulation of the spines of children'. He provides no evidence that GPs treat common childhood disorders more successfully than chiropractors.

COCA briefing the media would be comforting, if not for the outdated bludgeoning mattock of research attitude lacking the ability to analyse it. Nobody denies research into paediatric chiropractic is poor, but I wager 90% of kiddies seeking alternatives have already been drugged and de-bugged

In a letter to Townsville Bulletin (2) Bruce Walker wrote that chiropractic is proven only to help back pain. What did he and COCA do before any research showed back-pain efficacy? Was he a fish-monger like Old Dad Chiro before the magical research allowed him to wield his pisiform facet de-blocker against the tirade of lumbago? He wishes to ''take issue..with ...an advertorial [sic] claiming 'a healthy spine leads to a healthy body' '' because there is no proof of this 'ideology'. Walker not awakening to the fact that chiropractors are co-managing children with MDs (3, 4) tends to muffle the fanfare (p1) that he's been admitted to the Spine Society.

Many papers dispute SMT as successfully treating anything. What of this 'research'? Will Walker switch from SMT in view of the back pain study (5) suggesting massage, not SMT reduces costs of care? Or is he only going to organise selected truths?

Also leading you astray (p6) is Simon French agreeing with the Neurology (6) article that we cannot ignore evidence that we dissect vertebral arteries. He ignores research which says it's unlikely that chiropractic adjustment causes dissections (7), that we only seriously hurt one person in every 48 chiropractic careers (8) and BMJ article stating manual therapy is better than phsyio or GP for neck ache (9). Simon, we can ignore your masochistic advice here. Self-immolation of clinicians with flames of scientism, forcing them to prostrate before a GP’s more 'refined diagnostic ability' encapsulates COCAs message.

More false guidance as John Reggars (p11) states that keeping low back pain patients for 6 weeks should milk a success rate of 90%. Slosberg's lectures, Lebouf-Yde's paper on LBP outcomes (10), Croft et al in BMJ (11) all showed us that Reggars statement is a shameful disservice to chiropractic (or is it osteopathy, or both?).

COCA News does not show me an association exploring the evidence, but a chimeric group bumbling around with bits of research, in order that it might unite them one day.

I close with a joke:

God is walking one day and he sees the devil bending down to pick up something. 'Ah, you found the truth?', asks god. 'Yes' says the devil, 'lets organise it'.

Joseph J. Ierano BSc, DC
Doctor of Chiropractic

Joseph J. Ierano DC

1. COCA News. June 2003. Vol 7 No 2
2. Letters to the Editor. Townsville Bulletin. Wed 4.6.2003 Stephen D Begbie, Zoltan L Kerestes and David R Bell.
3. Patterns of alternative medicine use by cancer patients. MJA 1996; 165: 540
4. Davis MP, Darden PM. Use of Complementary and Alternative Medicine by Children in the United States. Arch Ped Adol Med. April 2003; Vol. 157, No. 4, pp. 393-396.
5. Daniel C. Cherkin, PhD; Karen J. Sherman, PhD; Richard A. Deyo, MD, MPH; Paul G. Shekelle, MD, PhD. A Review of the Evidence for the Effectiveness, Safety, and Cost of Acupuncture, Massage Therapy, and Spinal Manipulation for Back Pain. Ann Intern Med. 2003;138:898–906.
6. Williams, Linda S. MD; Biller, Jose MD. Vertebrobasilar dissection and cervical spine manipulation: A complex pain in the neck. Neurology, Volume 60(9).May 13, 2003.1408-1409.
7. Journal of Manipulative and Physiological Therapeutics 2002:25(8), pp. 504-510
8. Haldeman S, Carey P, Townsend M, Papadopoulos C. Arterial dissections following cervical manipulation: the chiropractic experience. CMAJ 2001; 165(7):905-6.
9. BMJ. 2003;326:911-914
10. Hestbaek L; Leboeuf-Yde C; Manniche C; European review for medical and pharmacological sciences. Eur Rev Med Pharmacol Sci 1997- 9717360 Eu; 2003 Apr;12(2) p2363
11. Croft PR, Macfarlane GJ, Papageogiou AC, Thomas E, Silman AJ. Outcome of low back pain in general practice: a prospective study. BMJ 1998;316:1356-9.

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This is reeeeeeeaaaaaaal nice chiro art...available at:
http://www.uppercervicalprints.com/




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Allow me to attack this site for you:
http://web.archive.org/web/20010602122001/www.hcrc.org/contrib/contrib.html

And now for our internet comedy segment.

Lighten up, its xmas....even though this guy made me want to scream. I did not. 
Hey, I am on vacation, so lets go...

Some guy called John Bad-anes gives you vital advice on the internet about choosing the likes of yourself, and does not want it distributed without permission...ho-hum. Lets go ...and I am having some fun with it...respectfully, of course.

joe
my response denote by * and/or blue print

PS: if you think HIS guidelines are a joke check the site here:
http://web.archive.org/web/20021211043406/www.hcrc.org/contrib/badanes/guidelines.html
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The following is provided with permission of the author. They may not be reprinted or further distributed without obtaining the author's permission.
Some Guidelines for 
Choosing a Chiropractor
by John Badanes, DC


About the Author
The following guidelines were written to help consumers find a chiropractor who is unlikely to be embroiled in the usual chiropractic antics and health care hooliganism. While I've told people that these GUIDELINES are not fool-proof, I'm pretty confident these tips do minimize the possibility that you will find yourself in the office of a fool.
*yes...of course he does not want it distributed, he is calling anyone who does not agree with him a "fool"-

• Avoid a chiropractor who attributes any of your problems to Vertebral Subluxation and sells the Adjustment as the solution to your complaint.*right, we should not sell adjustments, they should be free, and we just sell our time

• Avoid a chiropractor who practices any brand name Technique (e.g. Activator, NUCCA, Biomechanics, Gonstead, Applied Kinesiology, Thompson, Pierce-Stillwagon, Biophysics, Toggle-recoil, B.E.S.T., Network, etc. etc., or any combination of these 'Chirodigms').*right, a chiropractor should not use any technique - even the technique of palpating McBurney's point should also be avoided due to royalties it may incur. And avoid invented terms like "chirodigm" (I think a chirodigm is actually the equivalent of 10 cents)

• Avoid a chiropractor who uses x-rays to locate your Subluxation and probably any chiropractor who has an x-ray machine in their office.*right, the x ray machine should be outside the office, to allow the rays to escape easily, and to show that the chiro is honest and does not shield his antics from view with lead sheeting. (probably he believes in Superman, too, which is not a good sign, as it reveals guilt)

• Avoid a chiropractor who wants to see you a given number of times per week in an effort to get you to the point of being "on a maintenance schedule" and probably any who use the word "maintenance" as a goal of treatment.*right, the practice of legitimate medicine makes No allowance for maintenance...also, avoid ANY automobile manual that speaks of so-called maintenance...it is a Saudi-Arabic ploy to build more hotels in the UAE. Also, avoid any doctor that wants you to take all the antibiotic pills. One is enough.

• Avoid a chiropractor who suggests that MDs are simply against Chiropraxis and those who in any way imply that chiropractice is somehow better than medicine.

*yes, only see the one who like chiropractic, not chiropraxis. And while you are at it, avoid anyone who invents words that really don't exist, like "chiropraxis" or "chiropractice"...oh, yes...remember, no MD was ever against chiropractic and the Wilk, et al case that found the AMA guilty of conspiracy to eradicate chiropractors was invented by the same paranoid Jew that wrongly accused Hitler of trying to eradicate him. Thanks Badanes, you are a saint.
On the other side of the coin, to complement each 'avoid' above...

• Seek a chiropractor who acknowledges differences in tissue (connective, epithelial, muscle, nerve) and who does not neatly conceptualize pathophysiologic complexity into a Spinal Demon.*correct, bring Histologic samples to your appointment. If the chiropraxtor can't fill in the space at the end of your neatly placed arrows, deny him his request that you disrobe. Beware any skull and crossbones flags placed on your sore back, and/or satanistic depictions of bones out of place offered as bumper stickers. Also, just be very careful if the chiropractor has hoofs instead of feet.

• Seek a chiropractor who when asked, "What techniques do you practice" says that their treatment will depend on what's wrong with you, and not some chiropractic abstraction of your complaint.*correct: avoid a chiro who will not state this exact answer, or to extract a dental cavity, does not use traction, but instead tries an Activator because its gentler. Of course the real answer to the above question is a hearty laugh accompanied by the comment "you thought I'd be trapped into stating a brand name Technique from point no. 2 , didn't you, ay, you little devil"

• Seek a chiropractor who uses a medical facility for x-rays and orders them to rule out fracture and/or gross pathology as indicated by the case history and medical (not chiropractic) exam.*yes. A medical facility will always make sure the x ray does not show a subluxation, which does not exist. Also, if the chiropraxistor owns the medical practice , that may be ok as long as he does not take money. And if the chiro is also a medical doctor then make sure he does not refer you to a radiologist that is not a blood relative, twice removed, or adopted by a dwarf. A dwarf couple is, however, acceptable to John Badanes.

• Seek a chiropractor who may or may not choose to treat, and who emphasizes patient empowerment by teaching you how to take better care of yourself.*correct. A good chiropractor is someone who teaches you to empower you to remove the subluxation yourself, which does not exist, and to perform your own adjustment, which is not what you need. And...when you do have a sore back, does nothing but teach you to take better care of yourself in future (you naughty person, you). Of course, the best chiropractors refuse to treat at all. They just refuse to use ANY chiropractic at all. But they can differentiate body tissues. They do not even charge you because they have no interest in getting rich. In fact, communist chiropraxis is a chiropractice of choice. Warning: do not pay money to anybody for anything not medical. 

• Seek a chiropractor who is not competing with MDs at your expense in their effort to promote Chiropraxis and their practice. If you feel like you're being 'sold'... don't 'buy.'

*Yes, boys and girls, dont listen to anybody who tells you what to do. If anybody draws up guidelines for you, do not listen. Anybody who has been to chiropractic school is a liar. I know, I went to one too (NB: John Badanes, chiropractor). Do not take notice of any advice. Or just maybe mine...just this once.
I suspect it will be much more difficult than you think to find a chiropractor if you adhere to these guidelines... but that is exactly what I suggest you do.
Obviously these guidelines will lead you to someone like me. Exactly. That is good. Take my word for it. I know. This is the gospel of Dr Badanes. Amen. Exactly.
PS: I must be right because I do not practice chiropractic. Listen to someone whom it took the completion of an entire degree of study, including costs incurred, for five years, sat all the tests, probably even went to graduation ceremony (or not, I don't know, I'm just the comedy relief) to realise it was bogus. Yes. And dont eat chocolate bars. I have eaten them for years and know they are bad. 
John Badanes

Thanks John, you are a light unto us, who know so little, without ye merciful list of guidelines, in their infinite wisdom.

Joe Ierano (who completed 2 degrees and actually enjoyed it...oh, come to think of it, once I began an architectural drafting certificate course, and dropped out. It took me one day to realise I did not like it. But I am working on some "exact" guidelines)

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Israeli study says regular mobile use increases tumour risk
Regular use of mobile telephones increases the risk of developing tumours, a new scientific study by Israeli researchers and published in the American Journal of Epidemiology revealed on Friday.
An extract of the report seen by Israel's Yedoit Aharonot newspaper put the risk of developing a parotid gland tumour nearly 50 percent higher for frequent mobile phone users -- more than 22 hours a month.

The risk was still higher if users clamped the phone to the same ear, did not use hands-free devices or were in rural areas.

"Analysis restricted to regular users or to conditions that may yield higher levels of exposure (eg heavy use in rural areas) showed consistently elevated risks," said an abstract of the report in the US journal made available to AFP.

The study included 402 benign and 58 malignant incident cases of parotid gland tumour diagnosed in Israel at age 18 years or more, in 2001-2003.

The research was led by Dr Siegal Sadetzki, a cancer and radiation expert at the Chaim Sheba Medical Centre in Israel and as part of a World Health Organisation project.



Copyright AFP 2007, AFP stories and photos shall not be published, broadcast, rewritten for broadcast or publication or redistributed directly or indirectly in any medium

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after my ONE DAY in hospital recently, I can thoroughly attest to the truth of this!

http://www.abc.net.au/science/articles/2007/12/11/2115708.htm

excerpt:
Need your sleep? Stay out of hospital

Intensive care units are so noisy and disruptive that patients cannot get the restorative sleep they need to heal, according to a new report.

But if nurses and technicians would simply adjust their schedules and avoid constantly waking patients through the night, patients may do better, the team at the University of Texas Southwestern found.................

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How the medical folk "get on"... I am glad our annual report is not as entertaining...

"IT WAS a colourful year for Sydney's doctors behaving badly, with several caught having sex with their patients, as well as using and wrongly prescribing addictive drugs, according to the NSW Medical Board's annual report."

http://www.smh.com.au/news/national/drugs-sex-among-gps-complaints/2007/12/07/1196813021216.html
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Now that the landmark stroke study is out....see my site...
This might blow up in their faces:

http://www.chiroweb.com/archives/26/01/02.html

More anti-chiro ads in USA
When the ammunition against this really comes out...they'll be shot down in flames and wished they'd never done anything of the sort, sad as it may be?

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Hi Joe,
A nice collection of .pdf files here for the group looking for chiro evidence.
Donald

http://www.chirocolumbus.com/Research_Research.htm

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Tough being an MD. Tougher as a woman.

BMJ 2007;335:961 (10 November), doi:10.1136/bmj.39391.422650.4E

News

Suicide rate of women doctors in US is twice that of other working women

Roger Dobson

The proportion of female doctors who kill themselves is twice that of other working women, finds a study of self inflicted deaths in 26 US states over nine years.

No overall difference was shown between male doctors and men in other jobs in the proportion who committed suicide—although among men over the age of 45 years the proportion was higher in doctors, the study found (Occupational Medicine doi: 10.1093/occmed/kqm117).

The researchers, from the National Institute for Occupational Safety and Health, Cincinnati, which is part of the Centers for Disease Control and Prevention (CDC), used a national database of deaths to compare numbers of suicides among doctors, dentists, and all other occupations. A total of 203 doctors committed suicide in the study period (1984 to 1992).

The researchers looked at numbers of suicides separately for white male and white female doctors and dentists. There were too few non-white professionals for ethnicity to be included in the analysis, say the authors.

The results showed that the age standardised rate ratio for suicide among female doctors, in comparison with other working women, was 2.4 (95% confidence interval 1.5 to 3.8). The rate ratio also increased with age (P=0.02).

The authors wrote, "Although the suicide rate for white female physicians was only about half as large as that for their male counterparts, the rate was about twice as large as that in the standard working population."

The age standardised rate ratio for suicide among male doctors, in comparison with other working men, was 0.8 (0.5 to 1.2). The authors also found a strong trend for an increasing rate of suicide among male doctors as they aged.

"White female physicians have a higher suicide rate than other working white females in the USA regardless of age," concluded the authors. They say that the higher risk of suicide among older doctors may account for the varied conclusions in the literature about suicide among doctors.
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I have to say the videos on here are excellent.
Thanks Dr McDowall for these.
Quite astounding, really, how it seems to affect flow in the body.

http://www.naturality.org.uk/Proprioceptive Medicine.htm
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Manhattan Chiropractor Granted Patent for His Spinal Decompression Group -- First Chiropractor in New York to Receive Patent for Non-surgical Spinal Decompression Treatment

interesting.....
http://www.emediawire.com/releases/spinal+decompression/DRX+9000/prweb576239.htm

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one wonders if animal vaccines are scientifically tested?
BBC reports they may not be...

http://news.bbc.co.uk/1/hi/uk/3588457.stm

'Veterinary surgeons are warning that cat and dog owners are spending tens of millions of pounds on unnecessary and sometimes dangerous vaccines.

The vets are warning the pharmaceutical industry and their own profession about the issue.

In their letter they say that vaccinations for many conditions including distemper, cat flu and parva virus, last a lot longer than a year and sometimes for life.

The letter said: "The present practice of marketing vaccinations for companion animals may constitute fraud by misrepresentation, fraud by silence and theft by deception."'

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http://seattletimes.nwsource.com/html/seahawks/2004075978_hawk160.html

chiropractor mentioned towards end of story

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Have a disgruntled CA then?
this might help them...isn't it just a big, wide wonderful/woeful world then?
Prepare for a really nauseating experience.

http://www.geocities.com/healthbase/ca_whistleblowers.html

AND

this is really incredible...it goes on...I guess we all need to vent about something, but...for goodness sake! Move on and get a life already!

http://chirotalk.proboards3.com/index.cgi?board=assitant

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this is fun and amazing...in years to come we may find its the pleasure involved that provided the benefit?
thanks so much for this dr donald

The Lancet 2007; 370:2070

DOI:10.1016/S0140-6736(07)61873-X
Editorial

The devil in the dark chocolate

A truffle treatment for atherosclerosis is the stuff that chocolate manufacturers (and patients) dream of. But how close is such a scenario to reality? Last month, a study in Circulation showed that dark chocolate that is rich in flavanols induced coronary vasodilatation and improved coronary vascular function in 11 heart-transplant recipients compared with patients taking a cocoa-free control chocolate. Other studies have also suggested that dark chocolate has cardiovascular benefits. A recent small randomised trial showed that people who were prehypertensive or had early-stage hypertension could lower their blood pressure by eating small amounts of dark chocolate as part of their usual diet.

Great news if you happen to be a lover of dark chocolate. However, if your passion is white or milk chocolate, bad luck. Research has shown that this type of chocolate, which is often devoid of flavanols, offers no health benefit. But there is a catch for dark-chocolate fans too. Dark chocolate can be deceptive. When chocolate manufacturers make confectionary, the natural cocoa solids can be darkened and the flavanols, which are bitter, removed, so even a dark-looking chocolate can have no flavanol. Consumers are also kept in the dark about the flavanol content of chocolate because manufacturers rarely label their products with this information.

And, although flavanols, if they are present, seem to offer some health benefit, the devil in the dark chocolate is the fat, sugar, and calories it also contains. To gain any health benefit, those who eat a moderate amount of flavanol-rich dark chocolate will have to balance the calories by reducing their intake of other foods—a tricky job for even the most ardent calorie counter. So, with the holiday season upon us, it might be worth getting familiar with the calories in a bar of dark chocolate versus a mince pie and having a calculator at hand. Of course some would say that, in terms of food intake, the best and simplest health message would be to stay away from the chocolate and eat a healthy, balanced diet, low in sugar, salt, and fat, and full of fresh fruit and vegetables. We say: “Bah, humbug to that. Pass the chocolates.”

The Lancet
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Reducing cancer with 20mins of sunlight (vitamin D) each day
interesting...

http://www.alsearsmd.com/content/index.php?id=dr_house_call_123

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http://news.bbc.co.uk/2/hi/health/7149717.stm

Nerve system link to PMS misery
Women with severe premenstrual syndrome (PMS) may have a permanently depressed nervous system, research suggests.
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Chiropractors Eating Their Own

someone might be interested in my response to this guy

http://www.chiroweb.com/columnist/cooperstein/index.html
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End on a high note...

Stossel exposes Trudeau's Book

truth or selling?
you decide

http://www.youtube.com/watch?v=YN5ihrECJms

...then:

Oh I love this list....Tedd Koren just sent me the funniest bit of current affairs journalism I have seen.
I guess if you go fishing for sharks you might catch one!!!!!!!
Click below....

http://www.youtube.com/watch?v=C35wyVQxXUA&feature=related

Its Stossel getting his just desserts from a pumped up (?) interviewee.

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Issue 18

Now its ok not to refer to Chiropractors.
Here is the evidence.
My friend Dr Hart points out that MDs get CPD credit for reading these poorly produced studies.
That is how you sustain ignorance: provide evidence for its adherence...

Diclofenac or Spinal Manipulative Therapy Not Helpful for Acute Low Back Pain

News Author: Laurie Barclay, MD

November 13, 2007 — Patients with acute low back pain receiving recommended first-line care did not recover more quickly with the addition of diclofenac or spinal manipulative therapy, according to the results of a randomized controlled trial in the November 8 issue of The Lancet.

"Present treatment guidelines for acute low back pain recommend that general practitioners should give advice (remain active, avoid bed rest, and reassurance of favourable prognosis) and paracetamol as the first line of care," write Mark J. Hancock, MAppSc, from the University of Sydney in Australia, and colleagues. "Non-steroidal anti-inflammatory drugs (NSAIDs) and spinal manipulative therapy are recommended as second-line management options for patients who have slow recovery. We do not know whether NSAIDs or spinal manipulative therapy, or both, in addition to advice and paracetamol as initial treatment results in quicker recovery for such patients."

In this community-based study, 240 patients with acute low back pain who had been given advice and paracetamol by their general practitioner were randomized to receive diclofenac 50 mg twice daily and placebo manipulative therapy (n = 60), spinal manipulative therapy and placebo drug
(n = 60), diclofenac 50 mg twice daily and spinal manipulative therapy (n = 60), or double placebo (n = 60). The main endpoint was days to recovery from pain, evaluated with survival curves in an intent-to-treat analysis.

Compared with placebo drug or placebo manipulative therapy, neither diclofenac nor spinal manipulative therapy significantly decreased the number of days until recovery (diclofenac hazard ratio [HR], 1.09; 95% confidence interval [CI], 0.84 - 1.42; P = .516; spinal manipulative therapy HR, 1.01; 95% CI, 0.77 - 1.31; P = .955). By 12 weeks after randomization, 237 (99%) patients had either recovered or were censored.

Secondary analyses showed no significant effects on pain, disability, or global perceived effect at 1, 2, 4, or 12 weeks, when diclofenac or spinal manipulative therapy, or both, was added to baseline care.

Possible adverse reactions occurred in 22 patients; these included gastrointestinal tract disturbances, dizziness, and heart palpitations. Half of these patients were in the active diclofenac group, and the other half were taking placebo. One patient taking active diclofenac stopped treatment because of a suspected hypersensitivity reaction.

"Neither diclofenac nor spinal manipulative therapy gave clinically useful effects on the primary outcome of time to recovery," the study authors write. "We can reasonably assume that when quality baseline care is provided, previously effective treatments might no longer provide additional benefit."

Limitations of the study include cointerventions during the study period in 28 patients and imperfect compliance rates.

"These results are important because both diclofenac and spinal manipulative therapy have potential risks and additional cost for patients," the study authors conclude. "If patients have high rates of recovery with baseline care and no clinically worthwhile benefit from the addition of diclofenac or spinal manipulative therapy, then GPs [general practitioners] can manage patients confidently without exposing them to increased risks and costs associated with NSAIDs or spinal manipulative therapy."

Alphapharm donated the active diclofenac and Bill Rae provided the placebo tablets. Australia's National Health and Medical Research Council mainly funded the trial. One of the study authors had been a member of an advisory board about paracetamol for GlaxoSmithKline. Some of the study authors have obtained funding.

Lancet. 2007;370:1638-1643.
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Drug trial scandal: babies born disabled
Natasha Wallace Health Reporter
November 19, 200

Disabled births after drug trial
Up to 12 mothers who had disabled children after a drug trial could sue a hospital for millions of dollars after it agreed to pay more than $750,000 to a woman whose child was born with cerebral palsy. more

UP TO 12 mothers who had disabled children after a drug trial could sue a hospital for millions of dollars after it agreed to pay more than $750,000 to a woman whose child was born with cerebral palsy.

The mothers are among 50 worried about their involvement in the trial at Wagga Wagga Base Hospital of the drug misoprostol to induce labour at full term.

The trial has been shrouded in secrecy, but the manufacturer of misoprostol, marketed as Cytotec, had warned as early as 2000 that it should not be used by pregnant women because it could cause unwanted abortion and birth defects such as club foot, missing fingers and brain injury.

Kimberley Reid sued the hospital after her son, Joshua, was born in 2001 with severe cerebral palsy. She said she was told that misoprostol was the only available drug for induction at the time and that she was not informed of the associated risks.

Her lawyer, John Potter, said yesterday that Ms Reid was asked during labour if she wanted to take part in the trial.

The Greater Southern Area Health Service had fought the case for the past three years. It was due to go to a six-week hearing today, but the hospital settled late on Friday after local media published details of it. The area health service has refused to provide any information on the trial, believed to have taken place between 2000 and 2003.

Misoprostol is licensed in Australia for the treatment of gastrointestinal ulcers in men and non-pregnant women and to treat hemorrhage after normal delivery.

It can also be used for low-cost abortions or in the case of a stillbirth, but is not licensed here for those purposes.

Joshua's father, Tony Reid, is also suing, and is expected to settle today. All cases heard in the NSW Supreme Court are for more than $750,000 in damages.

Mr Potter said the terms of Ms Reid's settlement were confidential and should be finalised in court on Wednesday, but the hospital had already admitted negligence.

"They certainly admitted that they had breached some of their obligation to the plaintiff," Mr Potter said. "Whilst this lady signed a consent form she wasn't informed of the risks involved, so we say there was no informed consent. The allegation is that they said there was no other treatment available at the time."

The Herald understands the hospital settled for more than what Ms Reid had offered to accept a year ago.

Mr Potter said 50 other mothers who had taken part in the trial had contacted him since the case was made public in July.

"Half-a-dozen of them have children with disabilities, but I can't yet sheet that home to the trial," he said. He was still investigating their cases.

Mr Potter said the manufacturers of the drug warned it should not be used for live births. "It [the warning] was certainly there at the time that the trial was conducted at Wagga Wagga," he said. "The only countries that I can find [using it for live births] are Egypt and Libya."

The Department of Health will not reveal how many women took part in the trial, nor who was responsible for it.

Mr Potter said misoprostol was a fraction of the price of other labour-inducing drugs.

Joshua is the Reids' first child and requires 24-hour care. "It's a very tragic case … it has been devastating," Mr Potter said.

Mr Reid told the Herald yesterday that it had been a long and painful journey. "It's definitely not celebrations here," he said.

A spokeswoman for the area health service said she could not discuss the trial because the case was still before the courts.

http://newsletters.fairfax.com.au/cgi-bin16/DM/y/hBUZ40T1LXb0Bhi0P7Ni0Gs

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it would be something if the vaccine proponents attempted to be scientific and individualistic in application of medicine
like the new discovery whether chemotherapy is actually working on each individual

BMJ 2007;335:1016 (17 November), doi:10.1136/bmj.335.7628.1016-b

Immunity against some viruses would last for centuries
The immune system has a very long memory after live viral infections, say researchers who examined repeated blood samples from 45 volunteers working in a primate research centre in Oregon. The samples spanned up to 26 years of follow-up and showed that antibodies generated in response to natural viral infections have half lives ranging from an estimated 50 years for varicella zoster virus to more than 11 000 years for Epstein-Barr virus.Antibodies against mumps, measles, and rubella were also remarkably stable, implying lifelong immunity (estimated half lives 542 years, 3014 years, and 114 years).

Humoral immunity against tetanus and diphtheria, induced by vaccination with protein antigens, decayed much faster than that triggered by a natural viral infection. In vaccinated volunteers, tetanus specific antibodies had an estimated half life of just 11 years, and those directed against diphtheria had a half life of 19 years.
N Engl J Med 2007;357:1903-15
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The NSW Coroner has found there is sufficient evidence for the Director of Public Prosecutions to consider laying charges against the parents of a baby who died after they treated her with homeopathic remedies.
.....more below
http://www.smh.com.au/news/national/baby-death-call-for-homeopath-rules/2007/11/19/1195321684868.html

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this http://www.atlasprofilax.ch
has got to be a scam of scams
its one thing to discredit upper cervical by saying we cause strokes, but another to fob yourself off as an upper cervical practitioner with NO education

procedure is also being offerec in beauty parlours, last I heard

i had yet ANOTHER enquiry from the public about it...this time when they asked if it would help their daughter with MS, they stated that the parents had to be treated first

sounds worse than scams we know all to well
watch out for it in your state

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as my friend says, they are baffled...imagine giving adjustments and 80% of your patients get worse?

AIDS vaccines experts confused and dismayed

Thu Nov 8, 2007 1:56pm EST

By Maggie Fox, Health and Science Editor - Analysis

WASHINGTON (Reuters) - AIDS vaccine researchers are worried about the future of their field after learning an experimental HIV vaccine not only does not work, but just might make recipients more susceptible to infection with the AIDS virus.

They are worried about their volunteers and the future of AIDS vaccines in general. And they are worried because they cannot understand how a vaccine would make a person more vulnerable.

Researchers from Merck & Co. (MRK.N: Quote, Profile , Research), which makes the vaccine, and the National Institute of Allergy and Infectious Diseases, which is helping develop it, said on Wednesday they believe a type of common cold virus used as the basis of the vaccine may somehow have made their volunteers more susceptible to HIV.

They are meeting this week in Seattle to hash through the data and figure out what happened.

This is what they know: Out of 1,500 people vaccinated, 82 became infected with the AIDS virus. Of these, 49 got the vaccine and 33 got a placebo shot.

While they are counseling volunteers that they may have raised their own risk of becoming infected, they are also trying to figure out what happened.

"The data are disappointing and puzzling but we don't have definitive answers," Dr. Lawrence Corey of Fred Hutchinson Cancer Research Center in Seattle, who was organizing the trial, told reporters.

Only one woman in the trial became infected with HIV. The rest were men having sex with other men, and it was the men who started out with the highest immune response to the adenovirus 5 common cold bug used to make the vaccine who were the most likely to become infected with the AIDS virus.



But the infected men were also less likely to have been circumcised -- circumcision can also prevent HIV infection -- and may have engaged in more risky behavior. So did the vaccine actually do something, or were the results a fluke?

"I don't think we really do know," Dr. Keith Gottesdiener of Merck Research Laboratories told Reuters.

FUTURE OF THE FIELD

Nearly 30 potential AIDS vaccines are being tested in people around the world.

"It is very important for the future of the field," said Margaret Johnston, director of the AIDS vaccine research program at the NIAID.

"It makes us rethink some of the candidates that are in trial," said Dr. Seth Berkley, president of the International AIDS Vaccine Initiative.

Even vaccine advocates are calling it a setback.

"These data are deeply disappointing and troubling, and raise more questions than answers for the field of AIDS vaccine," said AIDS Vaccine Advocacy Coalition executive director Mitchell Warren.

"This setback should not and can not diminish our commitment to developing an effective HIV vaccine," said NIAID director Dr. Anthony Fauci. "Every day, another 12,000 people become infected with HIV, most of whom live in resource-poor countries," he added.

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for full story click link...

Health authority bans physician shadowing

Deborah Jones
Vancouver

In British Columbia's biggest health authority, the days when a pharmaceutical or medical equipment sales representative could scrub in and attend a surgery in an operating theatre, wander unattended through the emergency room or even be involved in the delivery of medications to patients, are now over.


http://www.cmaj.ca/cgi/content/full/177/11/1339?etoc

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interesting vax article relating Autoimmune diseases
click link for whole article

Key messages

• It is tempting to consider that 2 events that occur in close temporal association are causally related. This temptation is greatest for outcomes that are unexpected, severe or disabling; for outcomes whose pathophysiology is poorly understood; and for outcomes that affect previously healthy people whom we love or care for.

• The temptation to consider a temporal association as causal increases if the event is perceived to be aggressive or complex, if it has long-lasting effects or if the disease is only partly characterized.

• The likelihood of a temporal association between vaccination and an adverse event is proportional to vaccine coverage and to disease prevalence in the target population.

• Autoimmune diseases occur in adolescents and young women, and they are more frequent in young women.

• The large-scale implementation of a new vaccination program in a population of adolescent and young women inevitably will markedly increase the number of apparent cases of autoimmune diseases occurring after immunization.

• Coincidences are not indicative of a causal link.

• Determining local health-resource use before and after initiation of a new vaccination program may be a useful method to provide the rapid answers that vaccine safety concerns deserve to protect public health.


Begin forwarded message:
Hi Joe,
For the Group.
This topic is the main struggle for vaccines.
But its example also has some inferences as to how we look at Stroke and practice related injuries.
http://www.cmaj.ca/cgi/content/full/177/11/1352?etoc
Donald

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Cholesterol Drug May Affect Sleep

Study Shows Some Users of Zocor Report a Poorer Quality of Sleep
By Charlene Laino
WebMD Medical News
Reviewed by Louise Chang, MD

Nov. 7, 2007 (Orlando, Fla.) -- Are you tossing and turning at night? A popular cholesterol-lowering drug may be to blame.

In a new study, those who took the statin drug Zocor reported they had a significantly worse quality of sleep than those who took a placebo or Pravachol , another statin drug, says researcher Beatrice Golomb, MD, an associate professor of medicine at the University of California, San Diego.

Participants did not report any specific sleep disturbance, just generally having a worse night's sleep, she says.

"Problems with sleep initiation, problems with sleep maintenance, a feeling that sleep was unrestful, and napping during the day -- none of those actually were what was going on," Golomb tells WebMD.

So what's left?

Maybe nightmares, something related to sleep-disordered breathing, or some as yet unexplored problem, Golomb says.

"Although the average effect on sleep was detrimental on Zocor, this does not mean that everyone on Zocor will experience worse sleep," she says.

The study involved 1,016 people with no signs of heart disease and LDL "bad" cholesterol levels between 115 and 190. LDL levels below 100 are optimal, according to the American Heart Association.

They were randomly assigned to Zocor, Pravachol, or a placebo for six months. Participants rated "sleep quality" and "sleep problems" on two standardized sleep scales.

Insomnia is listed as a possible side effect on the labeling of all statin drugs. Â

The findings were reported at the American Heart Association's (AHA) Scientific Sessions 2007.

The National Institutes of Health funded the study.

Fat-Soluble vs. Water-Soluble

Zocor and Pravachol dissolve in the body differently, says Gordon Tomaselli, MD, chairman of the committee that picked the studies to highlight at the meeting. Tomaselli is chief of cardiology at Johns Hopkins University School of Medicine in Baltimore.

Zocor dissolves in fat, so it can more easily penetrate cell membranes and cross the blood-brain barrier into the brain. Pravachol dissolves in water, so it has a hard time penetrating these barriers.

"It's easy to theorize that if you get a foreign substance in the brain, it might affect sleep, cognition and other processes controlled by the brain," Tomaselli tells WebMD.

Tomaselli says statins do not interfere with most people's sleep. "But if you are having sleep problems, ask you doctor if you should switch to a medication that has less fat solubility," he advises.

Other statins that are fat soluble include Lipitor and Mevacor. The statins Crestor and Lescol are water soluble.

Merck, the maker of Zocor, says in a statement that it conducted sleep studies with Zocor, Pravachol, and a placebo and found no difference with regard to sleep disturbances between Zocor and the placebo.

Additionally, in a study of more than 20,000 patients, people taking Zocor were no more likely to stop taking it because of sleep disorders than those on placebo, Merck says.

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From the BBC:

http://news.bbc.co.uk/1/hi/health/7104155.stm

Half of trauma care 'not good'

About 800 trauma patients end up transferring hospitals
More than half of trauma patients are not receiving good care, experts say.
The National Confidential Enquiry into Patient Outcome and Death looked at the care given to 795 patients, many with head injuries from falls and crashes.
It found medical staff in 200 hospitals in England, Wales and Northern Ireland often did not appreciate the severity and displayed little urgency.
It said care would improve if services were centred at fewer sites - something which is already government policy.
NCEPOD said many of the problems identified in nearly 60% of patients treated across 200 hospitals were associated with staff being too inexperienced.

Our mortality rates are among the worst in the developed world, and yet trauma care remains a low priority for the government
Royal College of Surgeons spokesman

'They just diagnosed a broken arm'
In particular, they found patients were not always given essential tests such as CT scans or assessed by hospital consultants, especially during the night.

Researchers said most hospitals would only deal with one trauma patient a week and this meant staff did not get the necessary experience to keep skills up to date.

They also said about 800 trauma patients each year needed to be transferred to other hospitals - often in an "ad hoc" manner - because of a lack of specialist facilities such as neurological services.

Ambulance crews were also criticised for failing to always unblock airways and alert hospitals of incoming cases.

But the researchers said in hospitals which dealt with more than 20 cases a week the care was classed as good.

The report said this in itself was a good argument for centralising services in regional centres.

Services

This is already a government policy, but it is proving controversial because of the aim of a whole host of other services such as maternity and A&E being centralised as well.

Campaigners say such a move would lead to many local hospitals being stripped of key services.

Report author Dr George Findlay said: "The number of patients seen has a direct bearing on the experience and ability of clinicians to manage challenging cases.

"It is not possible for all hospitals to have a trauma team on call with the necessary experience, organisation and support structures.

"We need to look at how we can organise trauma care on a regional basis."

The Royal College of Surgeons said care urgently needed to improve.

A spokesman said: "Our mortality rates are among the worst in the developed world, and yet trauma care remains a low priority for the government.

"This a national health service and what we need is a national trauma system."

Health Minister Ben Bradshaw said: "We have argued for some time that it is not the proximity of the nearest A&E that matters to most trauma victims but the care they receive from ambulance and paramedic staff and the quality of care they receive once they arrive at hospital.

"Concentrating trauma treatment in specialist centres can arouse opposition from some people concerned about 'downgrading' of their local A&E facilities, but what the opponents often fail to recognise is that lives will be saved and the quality of care improved, as this report makes clear."

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scope practice bill in NJ is of interest to all

http://www.courierpostonline.com/apps/pbcs.dll/article?AID=/20071120/NEWS01/711200360/1006

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do back supports help?
MAYBE!

http://www.annals.org/cgi/content/abstract/147/10/685

Lumbar Supports to Prevent Recurrent Low Back Pain among Home Care Workers

A Randomized Trial

Pepijn D.D.M. Roelofs, MSc; Sita M.A. Bierma-Zeinstra, PhD; Mireille N.M. van Poppel, PhD; Petra Jellema, PhD; Sten P. Willemsen, MSc; Maurits W. van Tulder, PhD;Willem van Mechelen, MD, PhD; and Bart W. Koes, PhD

20 November 2007 | Volume 147 Issue 10 | Pages 685-692


Background: People use lumbar supports to prevent low back pain. Secondary analyses from primary preventive studies suggest benefit among workers with previous low back pain, but definitive studies on the effectiveness of supports for the secondary prevention of low back pain are lacking.

Objective: To determine the effectiveness of lumbar supports in the secondary prevention of low back pain.

Design: Randomized, controlled trial.

Setting: Home care organization in the Netherlands.

Patients: 360 home care workers with self-reported history of low back pain.

Intervention: Short course on healthy working methods, with or without patient-directed use of 1 of 4 types of lumbar support.

Measurements: Primary outcomes were the number of days of low back pain and sick leave over 12 months. Secondary outcomes were the average severity of low back pain and function (Quebec Back Pain Disability scale) in the previous week.

Results: Over 12 months, participants in the lumbar support group reported an average of –52.7 days (CI, –59.6 to –45.1 days) fewer days with low back pain than participants who received only the short course. However, the total sick days in the lumbar support group did not decrease (–5 days [CI, –21.1 to 6.8 days]). Small but statistically significant differences in pain intensity and function favored lumbar support.

Limitations: Study participants were unblinded, and a substantial amount of missing data required imputation. Objective data on sick days due to low back pain were not available.

Conclusion: Adding patient-directed use of lumbar supports to a short course on healthy working methods may reduce the number of days when low back pain occurs, but not overall work absenteeism, among home care workers with previous low back pain. Further study of lumbar supports is warranted.

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wow, you've found another great study... showing that breast milk is important for bacteria development in infants
link follows...

Summary

Background The sources and the impact of maternal bacteria on the initial inoculum of the intestinal microflora of newborn infants remain elusive.
Objective To assess the association between maternal breast-milk and fecal bifidobacteria and infants' fecal bifidobacteria.
Methods Sixty-one mother–infant pairs were included, special emphasis being placed on the maternal allergic status. Bifidobacteria were analysed by a direct PCR method in fecal samples from mothers at 30–35 weeks of gestation and from infants at 1 month of age and from breast-milk samples 1 month post-partum.
Results Fecal Bifidobacterium adolescentis and Bifidobacterium bifidum colonization frequencies and counts among mother–infant pairs correlated significantly (P=0.005 and 0.02 for frequencies, respectively, and P=0.002 and 0.01 for counts, respectively). Only infants of allergic, atopic mothers were colonized with B. adolescentis. Each of the breast-milk samples contained bifidobacteria [median 1.4 × 103 bacterial cells/mL; interquartile range (IQR) 48.7–3.8 × 103]. Bifidobacterium longum was the most frequently detected species in breast-milk. Allergic mothers had significantly lower amounts of bifidobacteria in breast-milk compared with non-allergic mothers [median 1.3 × 103 bacterial cells/mL (IQR 22.4–3.0 × 103) vs. 5.6 × 103 bacterial cells/mL (1.8 × 103–1.8 × 104), respectively, (P=0.004)], and their infants had concurrently lower counts of bifidobacteria in feces [3.9 × 108 bacterial cells/g (IQR 6.5 × 106–1.5 × 109) in infants of allergic mothers, vs. 2.5 × 109bacterial cells/g (6.5 × 108–3.2 × 1010) in infants of non-allergic mothers, P=0.013].
Conclusions Breast-milk contains significant numbers of bifidobacteria and the maternal allergic status further deranges the counts of bifidobacteria in breast-milk. Maternal fecal and breast-milk bifidobacterial counts impacted on the infants' fecal Bifidobacterium levels. Breast-milk bacteria should thus be considered an important source of bacteria in the establishment of infantile intestinal microbiota.

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wiggle into chiropractic:

http://www.businesswire.com/portal/site/google/index.jsp?ndmViewId=news_view&newsId=20071017005757&newsLang=en

October 17, 2007 09:53 AM Eastern Time
Chiropractic Care: On the Road with `The Wiggles' and Other Celebrities

CHICAGO & CARMICHAEL, Calif.--(BUSINESS WIRE)--When entertainers such as the Australian children’s entertainment group “The Wiggles”, and their cast and crew members are on tour, they often discover that chiropractic care is an essential ingredient for addressing the impact of demanding schedules, late hours and constant physical exertion. Many of these entertainers during their national tours turn to Heidi Froehlich, Heidi’s Fabulous Fatigue Fighters Worldwide, http://www.FabulousFatigueFighters.com a reliable resource for chiropractors, massage therapists and wellness professionals.

“Nearly all of the 14 dancers on tour with The Wiggles were suffering from shin splints, sore knees and hamstring problems from their grueling tour schedule before enlisting the help of Dr. James Stoxen's in 2004,” said Anthony Field, the "blue Wiggle," speaking from Sydney, Australia.

“Many of their pains were due to lack of proper injury prevention exercises and poor dance performance footwear,” Field said. "Dr. Stoxen a local Chicago chiropractor showed us exercises and the right footwear. Once the foot was right, the rest of our bodies were OK."

Too often, in fact, athletic shoes cause body aches that people don't associate with their footwear, says Stoxen. The foot becomes lazy as the muscles that would naturally be exercised while walking are allowed to remain lax, he says. "Walking and running (are) a natural stress placed on the foot," he said. "Each step we take puts a stress on the body muscles. They rebuild and the body gets stronger. The arch of the foot has a natural spring mechanism that through evolution has allowed walking and running efficiently. It's a magnificent structure, the foot.

Dr. Stoxen explains that, “Shoes designed with too much spongy material increases the natural stress the on foot and the arch. Initially, the leg muscles compensate, but eventually, they become exhausted.”

“The realignment can lead to the displacement of the kneecap, hip and back,” says Stoxen who is working with major shoe manufacturers to design a better athletic shoe that will replicate "natural barefoot" walking and running, and presumably eliminate the foot, knee and hip problems that can develop later in life.

Chiropractic care is now recognized as one the most effective approaches to achieving wellness and optimal health, asserts The Foundation for Chiropractic Progress (FCP) www.f4cp.com, an organization dedicated to increasing the awareness about the benefits of Chiropractic services.

“Entertainers with physically demanding tour schedules benefit significantly from chiropractic care because the relief is often immediate,” says James Stoxen, DC. He has lectured to over 20,000 medical doctors and scientists from 60 countries on the effects of abnormal biomechanics of the foot and the effect on the musculoskeletal system. Over the last 4 years he has been called to treat the cast and crew of over 130 concert tours including more than 40 Grammy-nominated recording artists. He is a favorite of the Australian children's and The Wiggles that entertain young children across the world.

About F4CP

The Foundation for Chiropractic Progress is a 501c6 corporation that represents a cross section of the chiropractic and vendor communities with the goal of increasing the public’s awareness of the benefits of chiropractic. http://www.f4cp.org.

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Mercola

http://www.youtube.com/watch?v=FPI7zdGdqo4

If you can pick up youtube video, then its worth a look.
This is an exceptionally good 'infomercial' for Dr Mercola.
Mercola is an osteopathic physician, I believe.
Its amazing he's not been assassinated yet for this video.
Obviously not ALL medicine is evil...but many of the facts in this are tragically true, esp. for USA.
I met a fellow just TODAY who had holes burned in his gut: by taking ASPIRIN. It happens.

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if you have the time, watch this...its long
http://www.juryroll.com/forum/view_topic.php?id=1257&forum_id=27
click on the movie screen to play...
BUT:
you might learn why the medical system is the way it is today
I dont think the drug in question is of much relevance, but look at the attitude of the doctors to this "cure"...if they cant control it, they get very upset...
thanks Dr Michael for this Canadian documentary
...now to look up if it really exists or not...
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Fear and loathing over
canine vaccination
The index case involved – and I
don’t know if I want to read too
much into this – a lawyer’s dog.
It received a routine triple vaccination,
went into anaphylaxis and died, despite
aggressive therapy. Nothing strange here,
except that the grieving owner was
convinced this particular vaccine is too
dangerous for dogs and should be
banned. She started a campaign against
this family of vaccines by writing to
kennel club publications and numerous
chat lines for dog enthusiasts.

http://www.ava.com.au/avj/0305/03050237.pdf

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I think this group released a great article in the Australian Journal recently about atlas adjusting and BP.
Here is another..