NCQA: Obstetricians offer the worst spine care

NCQA: OBSTETRICIANS OFFER THE WORST SPINE CARE

GREAT statement from NCQA's Sarah Scholle, MPH, DrPH quoted below...

PREGNANT WOMEN: Your baby's spine is so important. Don't let an
obstetrician wrench your baby's neck with your birth canal closed the
"extra" up to 30%. It's EASY to allow your birth canal to open the "extra"
up to 30%. See below.

ALSO: Don't let your obstetrician asphyxiate your baby and rob up to 50% of
his/her blood volume. This is happening routinely (to EVERY CESAREAN BABY)
and is also easily prevented.

See retired obstetrician George Malcolm Morley, MB ChB FACOG, quoted below.



MARGARET E. O'KANE

Margaret E. O'Kane is President of the National Committee for Quality
Assurance (NCQA)

Margaret says that the National Committee for Quality Assurance (NCQA)
website is "the premier source for information about the quality of the
nation¹s managed care plans...mission is to improve health care quality
everywhere..."
http://www.ncqa.org/about/about.htm

OPEN LETTER (archived for global access at http://groups.google.com)

Margaret E. O'Kane
President
National Committee for Quality Assurance/NCQA

Via Sarah Scholle, MPH, DrPH, Asst Vice
President, Research and Analysis, National Committee for
Quality Assurance, 2000 L Street NW, Suite 500, Washington,
DC 22031; Tel: (202) 955 1726; Fax: (202) 955 3599; Email:

Also via

Margaret,

Your Asst Vice President Sarah Scholle, MPH, DrPH recently [2005] wrote:

"Recent trends in healthcare costs have raised concerns among purchasers and
consumers of care about whether they are getting reasonable value for their
increasing healthcare outlays." [Am J Manag Care. 2005;11:521-527]
http://www.ajmc.com/Article.cfm?Menu=1&ID=2925

ARE consumers - the ultimate purchasers - getting reasonable value?

The answer is an emphatic NO - American medicine's most frequent surgical
behaviors - the way American MDs perform them - are obvious crimes. American
medicine's MOST frequent surgical behavior - immediate umbilical cord
clamping is the MOST obvious crime.

For details - including The Four OB Lies (they are whoppers) related to a
spinal OB crime...

See ACOG's 2005 edition: How NOT to birth
http://health.groups.yahoo.com/group...t/message/3606

I call for pardons in advance for MDs. As medical students MDs are TRAINED
to perform obvious felonies.

Pardons or not - I want the massive crimes to end. Libertarians have been
mostly silent - with one "Libertarian" MD (Steve B. Harris) arrogantly (but
correctly) stating "no enforcement - no crime"...

See Libertarians: Crooked obstetrician Ron Paul, MD (also: Michael Badnarik
for Congress)
http://health.groups.yahoo.com/group...t/message/3789

Maybe managed care quality folks will do something?

Two Great Birth Robberies (one spinal - one bloody)...

To improve health care quality everywhere, please make sure that all managed
care plans are not letting obstetricians rob babies of up to 30% of pelvic
outlet area and up to 50% of blood volume.

Margaret, will you please forward this email to NCQA's new 15-member Spine
Care Advisory Committee?
http://www.ncqa.org/Communications/News/spinecare.htm

NCQA's new 15-member Spine Care Advisory Committee will no doubt be
interested in looking into The (spinal) Great Birth Robbery - which results
in the bizarre birth-canal-closing spinal manipulation behavior of America's
obstetricians mentioned above and discussed below.

Since (as you say) "Back pain is the nation¹s leading cause of disability
for people under the age of 45 and affects 31 million people annually at a
cost of $50 billion to $100 billion annually in direct medical and indirect
costs"...
http://www.ncqa.org/Communications/News/spinecare.htm

NCQA's new 15-member Spine Care Advisory Committee will no doubt also be
interested in The (related) Great Squat Robbery - our culture's bizarre
practice of robbing children of a fundamental human rest posture.

JUST THINK: Spine surgeons are cutting on spines - and chiros are adjusting
spines - without even mentioning that spines are not being used like nature
designed them to be used.

(NOTE: The Great Squat Robbery and The Great (spinal) Birth Robbery were
related in British obstetrician Jason Gardosi's 1989 Lancet "randomised
controlled trial of squatting" - where nobody squatted.)

More below.

Thanks.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon




BABIES, BIRTH AND SPINE CARE

See my Open Letter to BERNARD H. GUIOT, MD below.


PREGNANT WOMEN: Standard delivery positions (semisitting and dorsal) close
the birth canal up to 30%.

Fortunately, SQUATTING allows the birth canal to OPEN the "extra" up to 30%.

HAVE YOU LOST THE ABILITY TO EASILY SQUAT?

No problem! LOTS of delivery positions allow the birth canal to open the
"extra" up to 30%. (Side-lying, hands-and-knees, kneeling, standing, etc.
all allow the birth canal to open the "extra" up to 30%.)

See ACOG's 2005 edition: How NOT to birth
http://health.groups.yahoo.com/group...t/message/3606



BABIES, BIRTH AND SPINE CARE

"[Bernard H. Guiot, MD]...focuses on all aspects of spine care...from the
skull base to the sacrum."
http://www.spineuniverse.com/mdpage.php?doctorID=3256

OPEN LETTER (archived for global access at http://groups.google.com)

Bernard H. Guiot, MD
Director of Spine Surgery
Department of Neurosurgery
University of South Florida
Tampa, FL, USA
(813) 259-0979
Via
Also via

Bernard,

MD-obstetricians are not delivering good spine care.

MD-obstetricians are closing birth canals up to 30%.

MD-obstetricians are KEEPING birth canals closed the "extra" up to 30% when
babies get stuck - as they pull with hands, forceps and vacuum extractors.

MD-obstetricians sometimes pull so hard they rip spinal nerves out of tiny
spinal cords - with birth canals senselessly closed the "extra" up to 30%.

In discussing iatrogenic carotid artery injury, you (and Inamasu) mentioned
chiropractic manipulation but failed to mention OBSTETRIC manipulation...

[Inamasu J, Guiot BH. Neurosurg Rev. 2005 Aug 10; Epub ahead of print/PubMed
abstract]

I agree (as you say) that "Prevention is the best treatment" and that
"further accumulation of...knowledge of iatrogenic [carotid artery injury]
will result in further reduction of this complication]."

It seems likely that iatrogenic carotid artery injury following chiropractic
manipulation is far less frequent than that following obstetric manipulation
- since obstetricians wrench so many tiny spines and sometimes wrench them
so hard they rip spinal nerves out of tiny spinal cords.

Regardless, MD-obstetricians should not be closing birth canals the "extra"
up to 30% - or keeping birth canals closed the "extra" up to 30% as they
pull on tiny spines.

Please help stop MD-obstetricians from closing birth canals the "extra" up
to 30%.

Prevention is indeed the best treatment.

Perhaps you could write an article about the bizarre baby spine "care"
offered by MD-obstetricians.

Thank you.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon


Copied to: Augustus A. White, III, MD, PhD
Director of Spine Surgery, Harvard
Via

Copied to: All the other Spine Surgery Fellowship Residency Programs with
email addresses listed at...
http://66.102.7.104/search?q=cache:K...t_links/f-spn/
default.htm+bguiot%40hsc.usf.edu&hl=en&ie=UTF-8

ATTENTION AMERICAN SPINE SURGEONS

BE ADVISED: You are cutting on the spines of adults who, as children, are
being robbed of full use of their spines...

See Falling over backwards in childbirth class - The Great Squat Robbery
http://health.groups.yahoo.com/group...t/message/3784

According to Guiot and Fessler [2000], the intervertebral disc undergoes
observable morphological changes as it degenerates including "dehydration,
fissuring, and tearing of the nucleus, annulus and endplates."

Guiot and Fessler [2000] write further: "On the molecular level,
degenerative changes include decreased diffusion, decreased cell viability,
decreased proteoglycan synthesis, and alteration in collagen distribution."

What if, after Fahrni [Orth Clin N Am 1975] chairdwellers are suffering
ASYMMETRIC wear and tear on their discs and tears in the POSTERIOR annulus -
because their culture isn't allowing them to load their discs evenly - as in
flat-footed squatting?

Since Guiot and Fessler write that the role of inflammatory mediators and
growth factors "are under active investigation...[and]...may soon contribute
significantly to our understanding of degenerative disc disease.
[Guiot BH, Fessler RG. Neurosurgery. 2000 Nov;47(5):1034-40]

IN THE MEANTIME... Maybe spine surgeons everywhere could call for an end to
The Great Squat Robbery REGARDLESS whether (paraphrasing Guiot and Fessler)
inflammatory mediators play a role in disc degeneration - regardless whether
growth factors can delay or reverse the degenerative cascade?

Maybe spine surgeons could do this when they publicly call upon
MD-obstetricians to stop closing birth canals the "extra" up to 30%?

Just a thought.

Thanks for reading everyone.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon


Well, OK, since people are still reading... : )

ANOTHER SIMPLE PREVENTION OPPORTUNITY

Obstetricians are temporarily asphyxiating babies - forcing them to breathe
through their lungs before they want - and in the process robbing babies of
up to 50% of their blood volume.

This is happening to EVERY CESAREAN BABY, according to retired obstetrician
George Malcolm Morley, MB ChB FACOG.

See again: ACOG's 2005 edition: How NOT to birth
http://health.groups.yahoo.com/group...t/message/3606

Keeping in mind that babies breathe through their umbilical cords, Dr.
Morley is recommending a sort of temporary baby strangling experiment to
help obstetricians understand that they shouldn't rob babies of massive
amounts of blood...

Here is Dr. Morley's temporary baby strangling experiment:

"[T]he umbilical cord [is] immediately closed between finger and thumb...The
[fetal heart rate/FHR] will decelerate quickly to about 60 bpm...the color
will change from purple-pink (normal at birth) to pallid blue
(vaso-constriction and asphyxia.)...Few midwives or obstetricians will be
able to observe, without interference, a deep, prolonged FHR deceleration on
a non-breathing newborn for a period of 60 seconds.* Common sense will soon
release the finger and thumb."
http://www.cordclamping.com/ac og-cp.htm

PREGNANT WOMEN: To make sure your baby gets the "extra" up to 50% of blood
volume, do not let the obstetrician or midwife clamp your baby's umbilical
cord until it has stopped pulsating and your baby is pink and breathing and
not in need of resuscitation. *Talk to your obstetrician or midwife today.

This Open Letter to Bernard Guiot, MD and Spine Surgery Fellowship Residency
Programs will be archived for global access in the Google usenet archive.

Search http://groups.google.com for "Babies, birth and spine care."

END Gastaldo's Open Letter to Bernard Guiot, MD et al.

The members of NCQA's new 15-member Spine Care Advisory Committee a

Richard Deyo, M.D. (chair)
University of Washington, Department of Medicine *

Gunnar Andersson, M.D., Ph.D.
Rush University Medical Center

Douglas Dammrose, M.D.
BlueCross of Idaho Health Service, Inc

David Deitz, M.D., Ph.D
Liberty Mutual Insurance *

Peter Gerszten, M.D., MPH
University of Pittsburgh, Department of Neurological Surgery *

Jordan Ginsburg, M.D.
UnitedHealthcare *

Linda Golodner
National Consumers League *

Ken Grossman, M.D.
General Electric *

Pamela Hymel, M.D.
CISCO Systems *

Jeffrey Katz, M.D.
Brigham and Women¹s Hospital Division of Rheumatology and Immunology *

Tom Marr, M.D.
HealthPartners *

John J. Triano, D.C., Ph.D.
Texas Back Center*

Jan Vest
Signature Health Services, Inc. *

William Charles Watters, III, M.D.
Baylor College of Medicine
Representative of the American Association of Orthopaedic Surgeons *

James Weinstein, D.O., M.S.
Dartmouth-Hitchcock Medical Center, Department of Orthopaedic Surgery





NOTE: Over the years I have contacted several members of NCQA's new
committee - to no avail.

I was truly surprised when NCQA's John C. Triano, DC, PhD remained silent.

Meanwhile obstetricians have been senselessly closing birth canals and
ripping spinal nerves out of some babies' spinal cords - as they wrench MOST
babies' spines...

Silence of spine care experts as obstetricians senselessly close birth
canals the "extra" up to 30% is VERY bad spine care.

NCQA's John J. Triano, DC, PhD isn't the only chiropractor who has been
shouting in silence...

See Prof. Joe Keating, babies and subluxated obstetricians
http://health.groups.yahoo.com/group...t/message/3793

As noted above, one arrogant "Libertarian" MD (Steve B. Harris) has
correctly noted: "No enforcement...no crime"

As arrogant as MDs are, I am still in favor of pardons in advance for MDs.
As med students, MDs are TRAINED to perform felonies.

This Open Letter to NCQA Pres. Margaret E. O'Kane will be archived for
global access in the Google usenet archive.

Search http://groups.google.com for "NCQA: Obstetricians offer the worst
spine care."