Brainstem infarction secondary to chiropractic neck manipulation

Dr. Ed Cremata, please see below. Thanks for the encouragement.


PREGNANT WOMEN: MDs are senselessly closing birth canals (see my two simple
PROOFS below).

MDs are GRUESOMELY performing bizarre "chiropractic" neck manipulation on
most babies. It is EASY to allow your birth canal to OPEN an "extra" up to
30% - just roll onto your side as you push your baby out - but see the two
simple WARNINGS below...

"Stroke in infants and children is an important cause of morbidity and
mortality..."
--Karin B. Nelson, MD, NINDS (Lynch et al. Pediatrics 2002
Jan;109(1):116-23]


BRAINSTEM INFARCTION SECONDARY TO CHIROPRACTIC NECK MANIPULATION

"A 31-year-old woman suffered a brainstem infarction secondary to
chiropractic neck manipulation. A dissection of both vertebral arteries
could be demonstrated by MR tomography. This case report should alert
therapists to be aware of vertebrobasilar complications after spinal
manipulations."
--Jan Oehler, MD (?) et al.^^^ Neurologische Klinik, Universitatsklinik,
Heidelberg [Orthopade. 2003 Oct;32(10):911-3. PubMed abstract]

^^^Oehler J, Gandjour J, Fiebach J, Schwab S.

OPEN LETTER (archived for global access***)

Jan Oehler, MD (?)
Neurologische Klinik
Universitatsklinik
Heidelberg
GERMANY


Jan,

It's sordidly funny!

Chiropractic physician Mark Levine, DC ) hobnobs with
ER physicians (see below) as he ignores MDs senselessly closing birth
canals...

Dr. Levine isn't alone: MOST chiropractic physicians are ignoring MDs
senselessly closing birth canals!

THINK ABOUT IT JAN: Chiropractic physicians are ignoring MDs gruesomely
(sometimes fatally) manipulating most tiny spines at birth!

THINK ABOUT THIS TOO JAN: ALL spinal manipulation is gruesome with the
birth canal senselessly closed!

MDs are KNOWINGLY closing birth canals. See my two simple PROOFS below...

CHIROPRACTIC BIRTH EMERGENCY...

MDs are senselessly closing birth canals up to 30%.

MDs are gruesomely manipulating - pushing and pulling on the tiniest
spines - with birth canals senselessly closed up to 30%.

Some babies are dying... OBs are killing an estimated six babies per DAY
with vacuum-assisted spinal
manipulation alone - with birth canals senselessly closed up to 30%...

See USUAL MECHANISM (PS5) in my article, "Pregnant chiro patients: BIZARRE
chiro legislation - babies be damned..."
http://groups.yahoo.com/group/chiro-list/message/2135

MD-obstetricians CAUSE cephalopelvic disproportion (and failure to
progress) - then perform c-sections BEcause of cephalopelvic disproportion
(and failure to progress)!

Epidural pain relief is a godsend for some women - but why close birth
canals and make women beg for it?

MORE MD crime against mothers...

MDs are performing "generous" episiotomies when they use their vacuum
extractors and forceps...

MDs are performinig episiotomies - "generous" or otherwise - in MOST
births!

Stated more usefully, in most births MDs are routinely SLASHING VAGINAS -
surgically/FRAUDULENTLY inferring they are doing everything possible to OPEN
birth canals - even as they CLOSE birth canals - up to 30%!

WARNINGS:

1. Most MD-obstetricians close the birth canal up to 30%^^^ even as they
acknowledge that closing the birth canal FAR LESS can kill.
2. Some MD-obstetricians will let you "try" "alternative" delivery positions
BUT they will move you back to dorsal or semisitting (close your birth canal
up to 30%!) for the actual delivery!

^^^NOTE: If the pubic arch is narrow, semisitting and dorsal likely close
the birth canal MORE than 30% in some women. According to Williams
Obstetrics [2001]:

"...With increasing narrowing
of the pubic arch, the occiput cannot emerge directly beneath the symphysis
pubis but is forced increasingly farther down...the ischiopubic rami. In
extreme cases, the head must rotate around a line joining the ischial
tuberosities [!] (p. 438)..."

PROOF that MDs know they are closing birth canals:

At my request, the authors of Williams Obstetrics *published*
"my" biomechanics - but they left in their text the "dorsal widens" bald lie
that first called my attention to their text.

Here are the biomechanics that were added at my request to Williams
Obstetrics:

"It should be noted...that the increase in the diameter of the
pelvic outlet occurs *only* if the sacrum is allowed to rotate
posteriorly..."
[1993:285, *italics* in original]

OBVIOUS NEGLIGENCE: The authors of Williams Obstetrics left in their text
(in the same paragraph!) the "dorsal widens" bald lie that first called my
attention to their text. For a discussion of other obvious obstetric
negligence - and how the 30% figure was radiographically derived - see
http://home1.gte.net/gastaldo/part2ftc.html. My thanks to Prof. Dr. Moyses
Paciornik, MD, Curitiba, Brazil, for calling my attention to this
chiropractic emergency. See the Paciornik and Gastaldo letters in Birth
[1992;19:230]

FURTHER proof that MDs know they are closing birth canals:

ACOG's shoulder dystocia video purports to show
MDs how to OPEN the birth canal maximally when the shoulders get stuck -
which of course is an indirect admission that MDs are indeed routinely
CLOSING birth canals...

Unfortunately, the ACOG method for opening the birth canal (PROPER
McRoberts) actually keeps it closed...

See IMPROPER McRoberts can save tiny lives and tiny limbs...
http://groups.yahoo.com/group/chiro-list/message/1308

(ACOG = American College of Obstetricians and Gynecologists - the obstetric
trade union to which most MD-obstetricians belong.)

The massive MD crime is obvious.

PARDONS FOR MDs...

As always, I am in favor of pardons in advance for MDs. MDs are just
academic prime cuts forced through this culture's most powerful mental
meatgrinder - medical school.


YES Jan, DO help us clean up our (chiropractic) backyard - or even unfairly
criticize us (did the chiro manips REALLY cause the brainstem
infarction?)...
http://www.cac4life.com/members/lett...Consensus.html

But Jan, also clean up YOUR (medical) backyard. NOW.

"Stroke in infants and children is an important cause of morbidity and
mortality..."
--Karin B. Nelson, MD, NINDS (Lynch et al. Pediatrics 2002
Jan;109(1):116-23]

Stop your fellow MDs from senselessly closing birth canals.

Stop your fellow MDs from gruesomely manipulating most babies' spines at
birth.

See Vagina-related insurance fraud (Dan Fitz. at The Hartford, you're
removed)
http://groups.yahoo.com/group/chiro-list/message/2228
Jan, PLEASE start criticizinig **MD** spinal manipulation!

MD-obstetricians are the most prolific spinal manipulators!

MD-obstetricians are GRUESOME spinal manipulators!

MD-obstetricians MUST stop closing birth canals.

Thanks for reading,

Sincerely,

Dr. Gastaldo


PS ER physicians are senselessly closing birth canals too...teaching each
other to do so...

See Chiropractic for ER physicians (simple birth stuff)
http://health.groups.yahoo.com/group...t/message/2155

Here is chiropractic physician Mark Levine, DC ignoring MDs closing birth
canals - all the while regaling his fellow DCs regarding how he has been
hobnobbing with ER physicians...

From :
"Mark Levine, D.C."

To :


CC :
,

Subject :
[chirolist] Fw: Off-list

Date :
Thu, 30 Oct 2003 22:42:21 -0500

Reply Reply All Forward Delete Put in Folder...InboxSent
MessagesDraftsTrash CanSaves Printer Friendly Version

Well I guess I should have known I'd see a witty retort by this genius Yale
MD. Here goes, enjoy.

Dr. Brewer writes:

If being a paramedic is the basis of your expertise and involvement in
emergency care then perhaps it would be more appropriate to state so. As for
"the ignorance of prejudice" you may be right: I am prejudiced against
ignorance, and chiropractic relies on widespread ignorance of its utter lack
of a scientific basis in order to survive. Aside from the problem of its
basis, there is no evidence that it is more effective in the one area it has
any legitimacy in: treatment of low back pain. To date, the best claim it
can make is that some studies have shown it to be no less effective than
other methods of treating low back pain, but is clearly more expensive. If
people want to pay more out of pocket for treatment that is no more
effective, that is their business. If on the other hand they want to
increase my health and auto insurance premiums by having money diverted to
more expensive but no more efficacious treatment, that is my business, and I
object.

As to the question of Chiropractors practicing in ED's, would you please
indicate which ones? I happen to chair the Connecticut Hospital Association
ED Directors Conference and I would like to ask my colleagues under what
circumstances they call in a chiropractor to treat a low back pain
patient.Or is it possible that you are referring to chiropractors who are
working in ED's as EMT's and RN's. If that is the case, your claim is
misleading.

Finally, I will decline your offer of a visit. I prefer to rely on the
scientific literature more than anecdotal evidence.

PB

My private off-list message to him was copied to the list moderator for his
approval.

----- Original Message -----
From: "Mark Levine, D.C."
To:
Sent: Thursday, October 30, 2003 9:55 PM
Subject: Off-list


Dr. Brewer:

I have no intention of being asked to leave the list by getting into a DC
vs. MD debate, nor do I stoop to ad hom attacks. If you were to put what
you've heard aside, put down the gloves and give me chance, I'd like to
show
you the 'other' side of evidenced based NMS chiropractic care. You know,
when we ran codes back in the early 70's, we thought that 2 amps of bicarb
followed by epi and CaCl followed by 2 more amps of Bicarb was the thing
to
do. How many patients did we kill? and yet, this was evidenced based on
our
ACLS standards. That evolved and so has my 'faction' of chiropractic
colleagues. I understand New Britain General now has DC's working in the
hospital, and no, not scrubbing the floors. I've been asked by the eminent
Peter Tutschka, MD, head of Oncology at St. Francis Hospital, to develop
an
out-patient cancer-recovery Complementary Medicine department and
free-standing facility. We are currently working with the administration
at
St. Francis in developing a credentialing process to place DC's in all of
the Access-Care Centers. We are already in the Manchester facility as I
understand. The Hartford Medical Group has also recognized the value of
offering chiropractic care in their Windsor, Avon, Manchester and West
Hartford facilities. I've recently opened a dialogue with
Charlotte-Hungerford Hospital to develop a program. My office receives
direct referrals from the ED and Walk-in Center as well as every PCP
Family
Practitioner, General Practitioner and Pediatrician in Torrington and
Winsted, CT. Is everyone of these people just snowed by us?

Here are a few references where DC are on hospital staff. At last count,
we
are now on staff in over 200 hospitals stateside..

Chiropractors on staff at Meadowlands Hospital, NJ
http://www.chiroweb.com/columnist/cerf/bio.html

http://www.chiroweb.com/archives/13/11/17.html

http://www.chiroweb.com/archives/21/11/06.html

NJ Hospital Brings DC's on staff
http://www.chiroweb.com/archives/13/11/17.html

Montclair Community Hospital's Chiropractic Department
http://www.chiroweb.com/archives/15/25/19.html

Division of Chiropractic Medicine, Philadelphia
http://www.chiroweb.com/archives/10/21/11.html

Staten Island NY
http://www.chiroweb.com/archives/18/14/16.html

As far as were we stand on the state of modern chiropractic care, throwing
off the dogma of the past:

http://www.chiro.org
http://www.eurekalert.org/pub_releas...-nfd102803.php
http://www.chiroweb.com/VA/

Peer-reviewed literature search:
(A Connecticut based survey)

http://www2.us.elsevierhealth.com/sc...001088&nav=abs

Research reviews and sites:
http://www.chiro.org/ChiroZine/rsch_1.shtml
http://www.nccam.nih.gov/

Please take the time to read the through the above. I, too have little use
for anecdotal stories. What I am offering is to demonstrate the intake,
exam
and treatment of Neuromusculoskeletal conditions amenable to Chiropractic
Spinal Manipulation and adjunctive physiotherapy. No waving rag dolls here
Doctor.

Respectfully,

Mark Levine, D.C.



From :
"Mark Levine, D.C."

To :


CC :


Subject :
[chirolist] Fw: [EMED-L] Chiropractic and joint injuries

Date :
Thu, 30 Oct 2003 17:50:24 -0500

Reply Reply All Forward Delete Put in Folder...InboxSent
MessagesDraftsTrash CanSaves Printer Friendly Version

![endif]--
eDocs:

I thought the following might be of interest to both groups. Recently Buddy
sent me a private eMail expressing his concerns over how DC's are regarded
by MD's. I confine my practice to NMS conditions by choice and have
developed an excellent rapport with my local medical community. What follows
is an interesting, albeit poignant exchange between myself and several ER
MDs. Read the exchange from the bottom up for proper sequence. I hope you
find it interesting. Please, no flames on how I practice, this is what I do;
no you outta... comments are needed.

Mark Levine, DC
Torrington, CT



----- Original Message -----
From: Mark Levine, D.C.
To: Buddy
Sent: Thursday, October 30, 2003 5:42 PM
Subject: Fw: [EMED-L] Chiropractic and joint injuries


Buddy-

Just as you asked the question, I had the following exchange on a list
almost exclusive to ER MD's Read from the bottom on up.

Mark


----- Original Message -----
From: Anderson, Warner J. COL
To:
Sent: Thursday, October 30, 2003 5:06 PM
Subject: [EMED-L] Chiropractic and joint injuries


I agree that an opinion form a chiropractor is useful to me, as well. To
dismiss the questions asked - albeit rhetorically - is argumentum ad
hominem.

Look at the recent literature on acute non-traumatic back pain - a problem
we deal with all to often in the ED. "Success rate" FP = chiropractor =
ortho. Of course, the average costs were all different.

Warner J Anderson
COL MC FS
Assistant Dean
Joint Special Operations Medical Training Center
Office: (910) 396-8298

-----Original Message-----
From: Gary Wright, MD, FACEP ]
Sent: Thursday, October 30, 2003 15:52
To:
Subject: [EMED-L] Chiropractic and joint injuries


Dr. Levine,

Your point is dead true.



I m sorry that at least several members of the list feel your participation
is inappropriate.



Like or not, as the demands of patients frequently involve chiropractic care
for traumatic injuries, it is important for us to engage our Chiropractic
colleagues in dialog which will enhance patient care.



I appreciate your experience and ask that you actively participate when you
feel it is appropriate.



Best regards,



Gary Wright, MD, FACEP

ED Medical Director and Chief of Staff Elect

South Baldwin Regional Medical Center, Foley, AL

Alabama Councillor, American College of Emergency Physicians

President-Elect, AL ACEP

Member, ACEP Reimbursment Committee

Chief Operating Officer

Emerald Healthcare Group, PA

Doctor's Resource Group, Inc.

www.statdoc.com



Buddy - below is my response and above the follow ups from several MD's

Dr. Brewer:

Having been one of the first EMS Paramedics in the USA and one of the most
experienced, I am more than qualified to provide an opinion on the topics at
hand. I have worked ER-based 911 Paramedic units in NYCEMS and was the lead
instructor of the 15 module DOT Paramedic program for the State of Florida.
I am also a qualified Expert Witness in Emergency Medicine. In addition to
the D.C. after my name, I could also add B.S., M.S., ACLS affiliate
faculty, ATLS, PALS, EMSI and numerous other professional credentials. I
see no reason to do so. I'd be interested to hear from you as to what you
disagree with in my post. After 32 years in healthcare the ignorance of
prejudice still confounds me. Chiropractors are now working in many
Emergency Departments throughout the US, in fact, several right in
Connecticut. I invite you to visit my office about an hour north of Yale in
the Northwest Hills for a tour of my facility.

And for those that would like to see an unbiased view of today's
chiropractic, AMA members may consult their own web site as well as
http://www.amchiro.org or http://www.chiro.org of which I am on the Board of
Directors.

Mark Levine, D.C.
Torrington, CT








Here's how the sh*t starts---

"FROM AN OLE TIME JERK" ML





Forgive me, but I object to someone with the initials "D. C." after his name
making comments about appropriate emergency care on emed-l. This is a
list-serv intended for emergency physicians. Comments by other providers of
emergency care, such as EMT's, emergency nurses, etc. are also seen from
time to time, but I would prefer that representatives of practices which are
not scientifically based, including chiropractic, find their own discussion
forums. In addition, I would recommend that anyone who feels that
chiropractic has a legitimate basis look up the program on Scientific
American's excellent website at:

http://www.pbs.org/saf/1210/features/spine.htm

Phil Brewer, MD FACEP









-----Original Message-----
From: EMED-L -- a list for emergency medicine practitioners.
]On Behalf Of Mark Levine, D.C.
Sent: Thursday, October 30, 2003 8:21 AM
To:
Subject: [EMED-L] PET Scans for ED patients



The simple answer begs the question: Is the information gleaned from the
test going to change how the ED or you treat the injury? Sure it might be
nice to have the patient bring the MRI to the Ortho referral, but how many
ER docs do the orthopedic tests to ddx a knee? Since you are probably not
going to do anything more than soft immobilization and analgesia, does it
really matter whether its sprained vs ACL or meniscal tear?



Mark Levine, D.C.

----- Original Message -----


From:

To:

Sent: Thursday, October 30, 2003 9:08 AM

Subject: [EMED-L] PET Scans for ED patients



I would like to "hook onto" the trend for ordering MRI's out of the ED. I
am faced with the "knowledgeable" patient who after injuring a knee comes
into the ED because he (or she) wanted to know if the an MRI were going to
show internal derangement. This puts me in the middle of a conflict with
the Radiology Department at my hospital who repeatedly reminds me there is
no such theing as an "Emergency MRI." Thanks, Wayne Barry , MD FACEP


END chiropractic physician Mark Levine, DC ignoring MDs closing birth
canals - all the while regaling his fellow DCs regarding how he has been
hobnobbing with ER physicians...




AN ENCOURAGING NOTE...

Dr. Levine writes:

And just when you thought all was lost.... check this guys and gals and have
a really great weekend!


Mark Levine, D.C.
Torrington, CT


----- Original Message -----
From: Quality Life
To:
Sent: Friday, October 31, 2003 5:36 PM
Subject: [EMED-L] Chiropractic fact or fiction?


Well, I'm sure I'm going to step right into the middle of something, but my
vote goes to chiropractic along with or ahead of NSAID's, bedrest, muscle
relaxants and even epidurals for my back pain.

I would cautiously suggest to Dr. Brewer that he should keep an open mind
about chiropractic and when he develops incapacitating radiculopathy as I
did this spring, if he is time urgent to get back to work again, he should
consider a referral to a chiropractor from one of his colleagues, like me,
who believes in the empirical basis of medicine.

No offense, Phil, but after two weeks of severe pain, an MRI that was
typical (more disease in the unaffected nerve roots than in the dermatome
defined one) and two epidurals, I had a close personal professional friend
who recommended a "Directional Non-Force" Chiropractor
http://www.nonforce.com/. If you have trouble with the scientific basis for
regular chiropractic you'll get an arrhythmia with this form. What can I
say? Three "adjustments" over the course of 10 days and I was running and
cycling again.

Placebo effect? I'm tempted to say that about Celebrex, Naprosyn, Prednisone
and even Neurontin, but not D.N.F.T.

There certainly is a place for well conducted scientific studies in medicine
but when I listen to much more erudite members of this list like Dr. Mann
discussing the difficulties in making sense of them I harken back to the
difficulty in controlling for all the confounding variables. I'm sure that
chiropractic is very operator dependent, but so is EM to some degree
(perhaps more than we'll admit).

Let the games begin!

Fred Dennis MD MBA FACEP

GO MARK! GO FRED!



FURTHER ENCOURAGING NOTE...

ED CREMATA, DC...

First Ed Cremata, DC asked me to take him off my distribution list...

See 'Floppy babies' and AASP (and MD Manipulation Under Anesthesia)
http://health.groups.yahoo.com/group...t/message/2222

Ed then read "Floppy babies" and asked me to put him back on my distribution
list.

I'm hoping DCs are finally waking up to the massive MD spinal manipulation
crime.

I'm hoping that when I post this to the censored version of chiro-list - I
won't get kicked off again.

I'm hoping that if I DO get kicked off - people will protest this time - at
least until MDs stop closing birth canals, etc.

REMEMBER: I was kicked off the Dziuba/Cronshaw cum Dubin/Zaleski censored
of chirolist back when it was UNCENSORED.

Indeed, right before I was censored, Cronshaw assured me that "unmoderated
means uncensored - anything goes."

If I remember correctly, Dubin publicly protested my censorship by Dziuba,
as did others...

Most recently though, when Dubin took over the list from Cronshaw, he said,

"Dr. Gastaldo is not welcome in this forum, as he was not welcome prior to
our taking over the administrative tasks of managing the listserv." (!)

At one time, Dubin wanted to get the Calif. Chiro. Association on board in
stopping MDs from closing birth canals!

Then he said CCA said no...

He told me when he got into a position of power - THEN he could do
something.

Dubin subsequently served two terms as CCA PRESIDENT!

Not a peep from CCA Pres. Dubin about MDs closing birth canals and
gruesomely manipulating most babies' spines!

NOT A PEEP!

WHY BOB?

How about that new definition of chiropractic in Dorland's!

That involved similar chiro fraud...

Dorland's now has a definition of "straight" chiropractic - but it's
patently obviously wrong!

BJ-"straights" - who de facto define what "straight" is now that DD is dead
are NOT practicing in accord with DD's principles!

For my mention of the Dorland's now having a definition of "straight"
chiropractic...

See Arnold! (also: Channeling Gastaldo) (chiros/SACA/WFC) (Warning about
usenet MDs)
http://health.groups.yahoo.com/group...t/message/2197

Dubin's censorship - babies be damned - is a major chiropractic subluxation.

I hope chirolisters don't let Dubin's censorship stand.

Thanks for reading everyone,

Sincerely,

Todd

Dr. Gastaldo


PS Bob, I've enjoyed reading the censored version of chirolist.
Fortunately, my wife subscribed pseudonymously as "Lisa Winters" before I
was censored. For a time, she too enjoyed reading...

If I am to stay on - please change everything to my real name, etc. I tried
to do so before posting this (hopefully it will get posted, BTW...)

I am practicing chiropractic QUITE actively as you know. I am practicing
that huge neglected area of chiropractic (education) for which no license or
degree is necessary.

I let my license go inactive in part because a man calling himself Michael
Schroeder, attorney for the Calif. Chiro Bd, told me it was outside the
Calif. chiro scope of practice.

Coincidentally, a Michael Schroeder, attorney for the Calif. Chiro Bd, was
defending regulation (Rule 302) that he wrote as CCA attorney - against the
ostensible attack on his Rule 302 by 10 MD-obstetricians - who I think were
"attacking" to intentionally lose - to judicially rubberstamp Schroeder's
Rule 302 - because MD-obstetricians did not want DCs THINKING about birth -
not with MDs closing birth canals...

Also coincidentally, at about the time I was censored from chirolist, I was
SUED by Attorney Michael Schroeder - as I was dialoguing with Bob about the
bizarre Rule 302 judicial rubberstamping activity...

Bob, Mike Schroeder likely trusts you. Will you ask him to use the LEGAL
system to chiropractically adjust MDs - to make them stop closing birth
canals, etc?

No hard feelings, Bob - but you have flip-flopped babies be damned.

Please stop your flip-flopping - and your censorship - and join me in
protesting MDs closing birth canals and gruesomely manipulating most babies'
spines at birth.

Thanks Bob.

Sincerely,

Your friend,

Todd

Dr. Gastaldo

Hillsboro, OR

***I think it is Mark Levine, DC who claims to have an "uncensored"
chirolist. Anyone know?

This article will be instantly archived for global access on the *truly*
UNCENSORED chiro-list at...
http://groups.yahoo.com/group/chiro-list/message/2229

Within 24 hours it
will be in the google archive. Search
http://groups.google.com for "Brainstem infarction secondary to chiropractic
neck manipulation"