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Fasting, chiropractic, hypertension (also: shoulder dystocia)
SHOULDER DYSTOCIA and HYPERTENSION...
Leslie Iffy, MD et al. say, "[T]he frequency of diabetes in pregnancy and that of hypertension, is about 5% in the United States...Since hypertension causes retarded fetal growth, it cannot be a direct cause of arrest of the shoulders at delivery." --Leslie Iffy, MD et al. (listed below) [Med Law. 2003;22(2):207-19. PubMed abstract] PREGNANT WOMEN: MDs are closing birth canals up to 30% at delivery. It's EASY to allow your birth canal to OPEN the "extra" up to 30%... Just roll onto your side as you push your baby out - but be forwarned: Some MDs will try to close your birth canal (move you back to semisitting or dorsal) as you push your baby out! See GASTALDO'S ABSTRACT, my presentation at a 2002 obstetric conference co-sponsored by ACOG... ACOG's SHOULDER DYSTOCIA VIDEO: MDs admit ON VIDEO that they are closing birth canals routinely - even as they teach themselves to KEEP the birth canal closed when baby's shoulders get stuck! See Dynamic Human Anatomy: Severe vagina tearing and 'the presence of a physician'... http://groups.yahoo.com/group/chiro-list/message/2141 CHIROPRACTIC AND HYPERTENSION "My name is Myron Schultz and I am about to present a paper on working up the hypertensive patient. Is anyone aware of any credible research in the chiropractic treatment of hypertension." --Dr. Myron Schultz on the censored version of chiro-list )... OPEN LETTER (archived for global access***) Dr Myron Schultz Homeopath General & Systemic Pathology Lecturer (Durban Institute of Technology) The Homeopathic & Chiropractic Clinic 110 Kensington Dr, Durban North, 4051 Tel : 031 563-1313 Cell: 083 463-5096 Myron, Regarding chiropractic and hypertension... First things first... A BROADSCOPE definition of chiropractic... "Chiropractic...a science of applied neurophysiologic diagnosis...irritation of the nervous system by mechanical, chemical, or psychic factors is the cause of disease...Diagnosis is the identification of these noxious irritants and treatment is their removal by the most conservative method." [Dorland's Illustrated Medical Dictionary, 1988, 1994, 2000, 27th, 28th and 29th editions] I include this broadscope definition of chiropractic (which I wrote) because broadscope chiropractic includes NON-SPINAL (educational) adjusting - to elicit fasting behavior for example... I seem to remember that the first author of the following two studies - AC Goldhamer - is a DC/DO... J Manipulative Physiol Ther. 2001 Jun;24(5):335-9. PubMed abstract Comment in: J Manipulative Physiol Ther. 2002 Feb;25(2):138-9; author reply 139. Medically supervised water-only fasting in the treatment of hypertension. Goldhamer A, Lisle D, Parpia B, Anderson SV, Campbell TC. Center for Conservative Therapy, Penngrove, Calif, USA. BACKGROUND: Hypertension-related diseases are the leading cause of morbidity and mortality in industrially developed societies. Although antihypertensive drugs are extensively used, dietary and lifestyle modifications also are effective in the treatment of patients with hypertension. One such lifestyle intervention is the use of medically supervised, water-only fasting as a safe and effective means of normalizing blood pressure and initiating health-promoting behavioral changes. METHODS: One hundred seventy-four consecutive hypertensive patients with blood pressure in excess of 140 mm Hg systolic, 90 mm Hg diastolic (140/90 mm Hg), or both were treated in an inpatient setting under medical supervision. The treatment program consisted of a short prefasting period (approximately 2 to 3 days on average) during which food consumption was limited to fruits and vegetables, followed by medically supervised water-only fasting (approximately 10 to 11 days on average) and a refeeding period (approximately 6 to 7 days on average) introducing a low-fat, low-sodium, vegan diet. RESULTS: Almost 90% of the subjects achieved blood pressure less than 140/90 mm Hg by the end of the treatment program. The average reduction in blood pressure was 37/13 mm Hg, with the greatest decrease being observed for subjects with the most severe hypertension. Patients with stage 3 hypertension (those with systolic blood pressure greater than 180 mg Hg, diastolic blood pressure greater than 110 mg Hg, or both) had an average reduction of 60/17 mm Hg at the conclusion of treatment. All of the subjects who were taking antihypertensive medication at entry (6.3% of the total sample) successfully discontinued the use of medication. CONCLUSION: Medically supervised water-only fasting appears to be a safe and effective means of normalizing blood pressure and may assist in motivating health-promoting diet and lifestyle changes. J Altern Complement Med. 2002 Oct;8(5):643-50. PubMed abstract Comment in: J Altern Complement Med. 2002 Dec;8(6):696-7. Medically supervised water-only fasting in the treatment of borderline hypertension. Goldhamer AC, Lisle DJ, Sultana P, Anderson SV, Parpia B, Hughes B, Campbell TC. TrueNorth Health Center, Rohnert Park, CA 94928, USA. BACKGROUND: Hypertension-related diseases are the leading causes of morbidity and mortality in industrially developed societies. Surprisingly, 68% of all mortality attributed to high blood pressure (BP) occurs with systolic BP between 120 and 140 mm Hg and diastolic BP below 90 mm Hg. Dietary and lifestyle modifications are effective in the treatment of borderline hypertension. One such lifestyle intervention is the use of medically supervised water-only fasting as a safe and effective means of normalizing BP and initiating health-promoting behavioral changes. METHODS: Sixty-eight (68) consecutive patients with borderline hypertension with systolic BP in excess of 119 mm Hg and diastolic BP less than 91 mm Hg were treated in an inpatient setting under medical supervision. The treatment program consisted of a short prefasting period (approximately 1-2 days on average) during which food consumption was limited to fruits and vegetables followed by medically supervised water-only fasting (approximately 13.6 days on average). Fasting was followed by a refeeding period (approximately 6.0 days on average). The refeeding program consisted of a low-fat, low-sodium, plant-based, vegan diet. RESULTS: Approximately 82% of the subjects achieved BP at or below 120/80 mm Hg by the end of the treatment program. The mean BP reduction was 20/7 mm Hg, with the greatest decrease being observed for subjects with the highest baseline BP. A linear regression of BP decrease against baseline BP showed that the estimated BP below which no further decrease would be expected was 96.0/67.0 mm Hg at the end of the fast and 99.2/67.3 mm Hg at the end of refeeding. These levels are in agreement with other estimates of the BP below which stroke events are eliminated, thus suggesting that these levels could be regarded as the "ideal" BP values. CONCLUSION: Medically supervised water-only fasting appears to be a safe and effective means of normalizing BP and may assist in motivating health-promoting diet and lifestyle changes. It is necessary to mention BROADSCOPE chiropractic because chiropractic currently has a NARROW SCOPE vertebral subluxation complex (pun intended). Chiropractic's present narrow scope vertebral subluxation complex derives in part from x-ray/subluxation "sabotage" of chiropractic in US Medicare law... Over the objections of doctors of chiropractic, the 1970s US Medicare law *mandated* radiation of all Medicare chiropractic patients - obviously illegal. Also over the objections of doctors of chiropractic, the 1970s Medicare law also mandated that DCs swear on their Medicare bills (by signing) that they demonstrated a vertebral subluxation on an x-ray (if they wanted to get paid)... In 1997, Congress finally admitted that the mandatory radiation of chiropractic patients was wrong... But Congress bizarrely EXTENDED the mandatory radiation of chiropractic patients for two more years - and the largest chiro trade union went along with the gag! For my 1997 article Radiation is NOT a tool of managed care... See PPAC, vaccinations and chiro bouncer Bob (Bob Dubin, Diplomate, American Board of Chiropractic Censorship)... http://groups.yahoo.com/group/chiro-list/message/2143 See also: Pregnant chiro patients: BIZARRE chiro legislation - babies be damned... http://groups.yahoo.com/group/chiro-list/message/2135 The subluxation-on-x-ray fraud was long ago PROVEN to be a fraud by the MD-dominated federal health bureaucracy... But the subluxation-on-x-ray fraud it is not being prosecuted even today by the MD-dominated federal health bureaucracy - likely because THERE IS A NASTY Wilk v. AMA/**VACCINATION** TWIST TO THE STORY... See Chiros might as well be injecting vaccinations themselves... http://groups.yahoo.com/group/chiro-list/message/2139 NOTE: I am NOT opposed to vaccinations - I am adamantly in FAVOR of vaccinations - as long as parents have a true CHOICE. In this regard, I want chiros to unite and stop organized medicine's obvious Exclusion Day vaccination fraud... See EXCLUSION DAY VACCINATION FRAUD - will Rep. Donald Manzullo (R-Ill) help expose it? http://groups.yahoo.com/group/chiro-list/message/2119 I also want chiros to unite and stop organized medicine's practice of closing birth canals and gruesomely (sometimes fatally) manipulating most babies' spines at birth (alluded to above)... See Dynamic Human Anatomy: Severe vagina tearing and 'the presence of a physician'... http://groups.yahoo.com/group/chiro-list/message/2141 See also: Johns Hopkins breast/vagina/penis power! (How America can INSTANTLY save $200 million per year...) http://groups.yahoo.com/group/chiro-list/message/2108 Myron, if you know any chiros, please tell them that I would like to see ACA/ICA/WCA/FSCO unity on these issues by the Sept. 16, 2003 ACA House of Delegates meeting in Albuquerque... Good luck, Todd Dr. Gastaldo Copied to: Dr. Goldhamer PS Myron, just in case you haven't already... I searched PubMed... http://www.ncbi.nlm.nih.gov/PubMed/ I typed in chiropractic and hypertension... The Goldhamer studies did NOT come up... Here is what came up... 1: Crawford CM, Hurtgen-Grace K, Talarico E, Marley J. Related Articles, Links Abdominal aortic aneurysm: an illustrated narrative review. J Manipulative Physiol Ther. 2003 Mar-Apr;26(3):184-95. Review. PMID: 12704311 [PubMed - indexed for MEDLINE] 2: Goertz CH, Grimm RH, Svendsen K, Grandits G. Related Articles, Links Treatment of Hypertension with Alternative Therapies (THAT) Study: a randomized clinical trial. J Hypertens. 2002 Oct;20(10):2063-8. PMID: 12359986 [PubMed - indexed for MEDLINE] 3: Plaugher G, Long CR, Alcantara J, Silveus AD, Wood H, Lotun K, Menke JM, Meeker WC, Rowe SH. Related Articles, Links Practice-based randomized controlled-comparison clinical trial of chiropractic adjustments and brief massage treatment at sites of subluxation in subjects with essential hypertension: pilot study. J Manipulative Physiol Ther. 2002 May;25(4):221-39. PMID: 12021741 [PubMed - indexed for MEDLINE] 4: Seaman DR. Related Articles, Links The diet-induced proinflammatory state: a cause of chronic pain and other degenerative diseases? J Manipulative Physiol Ther. 2002 Mar-Apr;25(3):168-79. Review. PMID: 11986578 [PubMed - indexed for MEDLINE] 5: Jamison JR. Related Articles, Links Reducing the personal risk of perceived disease: the chiropractic patients' self-care endeavor. J Manipulative Physiol Ther. 2001 Jul-Aug;24(6):378-84. PMID: 11514814 [PubMed - indexed for MEDLINE] 6: Goodman G, Jones TR. Related Articles, Links The chiropractic profession, dietary calcium, and the diseases associated with calcium-deficient diets. J Manipulative Physiol Ther. 2001 May;24(4):305-7. No abstract available. PMID: 11353944 [PubMed - indexed for MEDLINE] 7: Plaugher G, Bachman TR. Related Articles, Links Chiropractic management of a hypertensive patient. J Manipulative Physiol Ther. 1993 Oct;16(8):544-9. PMID: 8263434 [PubMed - indexed for MEDLINE] 8: Terenzi T, Gallagher D, DeMeersman R, Beadle E, Muller D. Related Articles, Links The age-related advancement of arterial disease measured by Doppler ultrasound diastolic flow analysis. J Manipulative Physiol Ther. 1993 Oct;16(8):527-36. PMID: 8263432 [PubMed - indexed for MEDLINE] 9: Clark WL, Alpern HL, Breall WS, Hyman RM, Markovitz A, O'Brien JB, Starke RD. Related Articles, Links Suggested guidelines for rating cardiac disability in workers' compensation. Medical and Chiropractic Advisory Committee to the Administrative Director of the California Division of Industrial Accidents. West J Med. 1993 Mar;158(3):263-7. PMID: 8460507 [PubMed - indexed for MEDLINE] 10: Brien P. Related Articles, Links Chiropractic adjustment in the management of visceral conditions: a critical appraisal. J Manipulative Physiol Ther. 1992 Jul-Aug;15(6):408-9. No abstract available. PMID: 1431627 [PubMed - indexed for MEDLINE] 11: Jamison JR, McEwen AP, Thomas SJ. Related Articles, Links Chiropractic adjustment in the management of visceral conditions: a critical appraisal. J Manipulative Physiol Ther. 1992 Mar-Apr;15(3):171-80. PMID: 1573346 [PubMed - indexed for MEDLINE] 12: [No authors listed] Related Articles, Links Effects of chiropractic treatment on blood pressure and anxiety: a randomized and controlled trial. J Manipulative Physiol Ther. 1991 Jan;14(1):74-7. No abstract available. PMID: 2002292 [PubMed - indexed for MEDLINE] 13: Jamison JR. Related Articles, Links Dietary intervention in the clinical prevention of ischemic heart disease. J Manipulative Physiol Ther. 1990 Jun;13(5):247-52. PMID: 2165514 [PubMed - indexed for MEDLINE] 14: Nykoliation J. Related Articles, Links Effects of chiropractic treatment on blood pressure and anxiety: a randomized and controlled trial. J Manipulative Physiol Ther. 1990 Feb;13(2):113. No abstract available. PMID: 2307919 [PubMed - indexed for MEDLINE] 15: Kaminsky A. Related Articles, Links Dietary control of mild essential hypertension. J Manipulative Physiol Ther. 1988 Feb;11(1):58-9. No abstract available. PMID: 3351405 [PubMed - indexed for MEDLINE] 16: Gomer GK. Related Articles, Links The management of hypertensive disease: a review of spinal manipulation and the efficacy of conservative therapeusis. J Manipulative Physiol Ther. 1987 Dec;10(6):334-5. No abstract available. PMID: 3437239 [PubMed - indexed for MEDLINE] 17: Theisler CW. Related Articles, Links Benign intracranial hypertension: diagnosis and conservative management. J Manipulative Physiol Ther. 1986 Mar;9(1):33-8. PMID: 3701224 [PubMed - indexed for MEDLINE] 18: Crawford JP, Hickson GS, Wiles MR. Related Articles, Links The management of hypertensive disease: a review of spinal manipulation and the efficacy of conservative therapeusis. J Manipulative Physiol Ther. 1986 Mar;9(1):27-32. Review. PMID: 3517211 [PubMed - indexed for MEDLINE] 19: Marati-Vilalta JL. Related Articles, Links [Risk factors in cerebrovascular pathology] Med Clin (Barc). 1984 Mar 10;82(9):418-22. Review. Spanish. No abstract available. PMID: 6371405 [PubMed - indexed for MEDLINE] FINALLY, back to Leslie Iffy, MD et al... Med Law. 2003;22(2):207-19. PubMed abstract Diabetes, hypertension and birth injuries: a complex interrelationship. Iffy L, Djordjevic MM, Apuzzio JJ, Martin JD, Sama JC. U.M.D.N.J. New Jersey Medical School, Newark, New Jersey, USA. ABSTRACT... Seemingly coincidental occurrence of various pathological conditions may derive from common etiologic denominators. While reviewing 240 malpractice claims involving shoulder dystocia related fetal injuries, we found two antenatal complications in the background conspicuously often. Chronic or pregnancy induced hypertension was identifiable in 80 instances (33%). Pregnancy induced or preexisting diabetes was diagnosed 48 times (20%). Many of these patients were poorly controlled. The blood pressure was usually checked during the antenatal visits. However, about one-half of all patients received no diabetic screening. Therefore, this study may underestimate the actual incidence of diabetes. It has been calculated that the frequency of diabetes in pregnancy and that of hypertension, is about 5% in the United States. Thus, the rates of these complications in this selected group of gravidas was severalfold higher than in the general population. Since hypertension causes retarded fetal growth, it cannot be a direct cause of arrest of the shoulders at delivery. The likely common denominator is maternal diabetes a known predisposing factor both for preeclampsia and shoulder dystocia at birth. In the course of litigations for fetal injuries, demonstration of the predisposing role of seemingly unrelated shortcomings of the medical management may profoundly influence the outcome. This principle is demonstrated by the presentation of an actual malpractice action which resulted in a substantial settlement. LESLIE IFFY, MD... OBSTETRICAL IN-PATIENT LABOR AND DELIVERY SERVICE (OBG 9071)...DIRECTOR: Dr. Leslie Iffy...Please email questions and comments to: Norbert I. Swislocki, Ph.D. http://njms.umdnj.edu/educ/elect/dept/gyn.htm I'll copy Leslie via Norbert Norbert, will you ask Leslie if semisitting/dorsal delivery (closing the birth canal) is used there at UMDNJ New Jersey Medical School? I am trying to stop this bizarre birth practice of MDs... Actually, I am trying to curtail American medicine's most frequent surgical behaviors... See again: Dynamic Human Anatomy: Severe vagina tearing and 'the presence of a physician'... http://groups.yahoo.com/group/chiro-list/message/2141 See also: Johns Hopkins breast/vagina/penis power! (How America can INSTANTLY save $200 million per year...) http://groups.yahoo.com/group/chiro-list/message/2108 Still no luck finding Leslie's email. I'll also cc via Joseph Apuzzio, MD JOE APUZZIO, MD/ACOG Dr. Apuzzio is Chair of the New Jersey Section of American College of Obstetricians and Gynecologists[ACOG]. http://njms.umdnj.edu/obgyn/apuzzio.htm Joe, as noted above... ACOG's SHOULDER DYSTOCIA VIDEO: MDs admit ON VIDEO that they are closing birth canals routinely - even as they teach themselves to KEEP the birth canal closed when baby's shoulders get stuck! See Dynamic Human Anatomy: Severe vagina tearing and 'the presence of a physician'... http://groups.yahoo.com/group/chiro-list/message/2141 I'll also cc Leslie via others at UMDNJ ; ; ; Please guys, help stop the obvious massive MD birth fraud. Thanks for reading, Sincerely, Todd Dr. Gastaldo Brian : Please post this to the censored version of chiro-list ..***This Open Letter will be instantly archived for global access on theUNcensored version of chirolist... http://groups.yahoo.com/group/chiro-list/message/2145 Within 24 hours itwill be in the google archive. Search http://groups.google.com for "Chiropractic and hypertension...and shoulder dystocia..." |
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