MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

death

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Do you remember the case of Katie May who died “as the result of visiting a chiropractor for an adjustment, which ultimately left her with a fatal tear to an artery in her neck”?

Well, apparently, this story was misreported – at least this is what an article by our friend, Steven P. Brown (who describes himself as “the world’s leading expert on cervical spine manipulation“), now claims.

Here is the abstract:

A 34-year-old female suffered a fatal stroke 7.5 h after cervical spine manipulation (CSM) performed by a chiropractic physician. Imaging noted vertebral artery dissection (VAD), basilar artery occlusion, and thromboembolic stroke. The medical examiner opined that CSM caused the VAD which embolized to cause the fatal stroke. However, causation of VAD by CSM is not supported by the research.

We utilized an intuitive approach to causation analysis to determine the cause of the VAD and the stroke. Causation of the VAD and the stroke by CSM could not be established as more likely than not. The malpractice case was settled by bringing allegations of misdiagnosis and failure to diagnose and refer the VAD to medical emergency.

We conclude that in the absence of convincing evidence that CSM could cause VAD, forensic professionals should consider VAD as a presenting symptom prior to CSM in such cases. Adherence to the standard of care for the chiropractic profession with attention to differential diagnosis could prevent such cases.

The author states that the objectives of this case report were to:

  1. Perform a forensic analysis to determine the most likely causal mechanism of the VAD.
  2. Perform a forensic analysis to determine the most likely causal mechanism of the stroke.
  3. Perform a medicolegal analysis of the standard of care with the aim of determining how this case could have been prevented, and how future such cases could be prevented.

There are, as far as I can see, at least three major problems with these objectives:

  1. The author is not qualified as a forensic analyst.
  2. He is merely a chiro (and acupuncturist) with a massive conflict of interest.
  3. Neither does he seem to be medically nor legally qualified for doing a medicolegal analysis (Dr. Brown received his undergraduate degree in Philosophy and History from Illinois State University in 1989. He went on to attend one semester of Law school at California Western School of Law in San Diego.)

The author even states that his information was taken from publicly available court documents. Background information was taken from publicly available investigative journalism and media coverage of this case. Any information that has not been made public is not reflected in this analysis. Images of the forensic microscopic review of the vertebral arteries were not available for review.

So, how valuable is chiro Brown’s medicolegal second opinion?

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This could well be one of the toughest jobs that I have ever tackled!

But now it’s done.

And I am glad!

Hitler’s Female Physicians – Women Doctors During the Third Reich and Their Crimes Against Humanity” (nothing to do with SCAM, sorry) is a collection of biographical sketches of female doctors who committed crimes against humanity during the Third Reich.

Hitler's Female PhysiciansThe initial chapters provide some context by briefly reviewing some of the worst atrocities of the Nazis:

  • the mass sterilisations of citizens who were deemed to be genetically inferior,
  • the killing of disabled patients who were considered unworthy of life,
  • the mass murder of Jews and other unwanted people.

The book highlights the central role of the German medical profession in all of these barbarities. It explains that, far from being bystanders, German doctors first adopted essential elements of the Nazi ideology, such as ‘race hygiene’, developed the necessary methodologies for mass murder, and later put them into action.

Studying the vast literature on the Third Reich, one easily gets the impression that the monstrosities that followed were an almost exclusively male affair. Many of the most famous Nazi villains were men. What is often forgotten is the fact that women were involved as well – and this is particularly true for medicine.

The main part of the book provides biographical sketches of 38 female physicians who committed highly unethical acts in the name of Nazi ideology. The actions of these women varied greatly; some murdered with their own hands, while others merely promoted or sanctioned such criminality.

When I studied medicine in Munich during the 1970s, some of the ‘doctors of infamy’ became my teachers (either in person or through their textbooks). As students, we had the option of ignoring all this by persuading ourselves that “it has nothing to do with me”. Most of us did exactly that. However, some took a different path, and it is not least thanks to their research that today we know more about the involvement of the German medical profession in the horrors of the Third Reich. My book summarises a hitherto much-neglected aspect. If it can make a small contribution to our understanding of the Nazi doctors’ crimes against humanity, the often depressing process of writing it will have been worthwhile.

Do Chiropractors Break Necks? This is an interesting question. “Dr.” Greg Malakoff (Chiropractor/Neurologist, Board Certified) provided the following answer (never mind that he seems to mean ‘do chiros cause strokes?’):

… The total disinformation that seems to be republished monthly on the news concerning chiropractors and strokes is based on a study performed in the 1950’s, that has been totally discredited.  However, students these days are rather lazy and every time a meta analysis is performed on this old study it reaches all the news stations because their main sponsors are drug companies and they don’t want you having the opportunity to get well without their products.  A meta analysis is simply someone reading the old study, and writing a book report on it.

If they were to actually study what has been discovered since the 1950’s, which is a tremendous amount of valid scientific research, not one done on a cadaver and deliberately making false conclusions, they would discover a few things, that I feel you should know.

The typical stroke victim if they survive has stroke posture, which consists of the arm being flexed and a lower leg extended.  That would be a whole lot of brain damage, but we don’t see the entire motor strip damaged on brain scans.  We typically see just a small area with an infarct.  That area is the internal capsule.  Picture a vase with all it’s stems entering into the narrow portion of it.  All the neurons in the brain that leave it from different areas of the motor cortex with long nerves that go to innervate the muscles that you want to move are exiting through this narrow opening called the internal capsule.

Why is that important to know if you ever want a chance at being healthy?  The arteries in the back of your neck, called the vertebral arteries do not go there, they do not go to the internal capsule where we see the stroke damage.  That part of the brain is being fed by the carotid arteries that are in the front of your neck.  That means the chiropractor is not the problem, we are not affecting those arteries.  Case closed.

However, there is a type of more severe stroke related to the back of the neck arteries called vertebral artery dissection.  These arteries feed the brain stem and the vital centers in there.  The vital centers are what keep you breathing and your heart beating.  That means, that I have never been sued by a victim of this because they are going to be dead before they get off of the table.  That doesn’t happen, well it hasn’t happened to me or just about any other chiropractor.  People can get this type of artery damage, but it is proven to be practically impossible to tear those arteries by a chiropractic adjustment.  It would require hundreds of pounds of force to tear those arteries with a chiropractic adjustment.  So unless your chiropractor is the size of a Polar Bear, there is a good chance you are remaining sick or in pain for no reason at all.

I know, what about that playboy model who died from the chiropractor that she went to?  The incompetent medical examiner said that was the cause, but apparently he and all the media don’t read well.  She had fallen and hurt the arteries in her neck a month earlier.  The E.R. didn’t bother to do an ultrasound Doppler study of her arteries and if they had, they might have realized that she was injured more severely.  Instead, she sought help for her neck pain a month later from a chiropractor.  Most chiropractors do not have ultrasound Doppler equipment in their office.  Neither do most urgent medical care centers.  In this case, the adjustment aggravated the severe insult that she had sustained a month earlier.  Perhaps he is guilty of taking for granted that the E.R. had done it’s job properly.  She should never have been released from the E.R.

While it was all over the news everyday, every hour of every day for weeks, just how often does something like this occur?  You are more likely to get blown up out of the sky by a terrorist, and as you are falling to earth still in your seat, get struck by lightning and shot and stabbed by terrorists that have parachuted out of another plane to make sure they had finished their job.  However, they too get struck by lightning and you fall to the ground safely where you are now eaten by a land shark.

With that in mind, millions of people are suffering daily for decades because they are afraid of a chiropractic adjustment.  This is the safest and most powerful form of treatment known to modern medical science.  The number 3 leading cause of death in America is from medicine.  Compare that to the one woman that died from a chiropractor in Canada.  The case is kind of famous because that was the case that had Chiropractic outlawed in a province.  The patient was obese, smoked, was diabetic, and took birth control pills.  She had died of a stroke a month after going to the chiropractor.  She was the perfect storm of walking disease and as I stated earlier, if the chiropractor was to have caused the stroke, she was not walking out of his office.

There are millions of dollars to be made off of your medical misery.  You being sick helps fuel our economy.  However, if you want the opportunity to be healthy it can’t be achieved with a lifestyle of drugs.  Chiropractors have been labeled back pain doctors, but we are really brain doctors.  Our treatment affects your brain and your brain is responsible for creating good health.  If you are a drug company, then you would want people to be sick and miserable enough to buy your product.  If you are sick and tired of being sick and tired your best chance of not staying that way is to visit a chiropractor.  Don’t let all the disinformation keep you miserable and unhealthy.

___________________

I find Malakoff’s answer relevant nnot least because it demonstrates a few points that are important:

  • Some chiros call themselves doctors and manage to fool consumers in assuming that they are medically competent.
  • Some even call themselves neurologists, it seems.
  • They are the exact opposite of competent.
  • They understand neither science, nor medicine, nor the methodologies used.
  • They have misunderstood so much about [patho)physiology that it’s frightening to think they treat ill people.
  • Despite all this they love to use pseudo-scientific language.
  • They use it to impress and to white-wash their quackery and the chiropractic profession.
  • They have an unrealistic view about the value of chiropractic.
  • They are in denial about the risks of spinal manipulation.
  • They are consumed by conspiracy theories without even attempting to provide evidence in their support.

The year 2024 brought many disappointments. But let’s not dwell on those, lets get in the mood for tonights celebrations! And what could be more fitting for that than a review of the positive cardiovascular effects of wine drinking? After all wine involves both aromatherapy as well as antioxidants, botanical medicine and naturopathy! As luck would have it, we even have some recent evidence on this very subject.

The objectives of this systematic review and meta-analysis were:

  • (i) to examine the association between wine consumption and cardiovascular mortality, cardiovascular disease (CVD), and coronary heart disease (CHD),
  • (ii) to analyse whether this association could be influenced by personal and study factors, including the participants’ mean age, the percentage of female subjects, follow-up time and percentage of current smokers.

The searched several databases for longitudinal studies from their inception to March 2023.

A total of 25 studies were included in the systematic review, and 22 could be included the meta-analysis. The pooled risk ration (RR) for the association of wine consumption and the risk of CHD using the DerSimonian and Laird approach was 0.76 (95% CIs: 0.69, 0.84), for the risk of CVD was 0.83 (95% CIs: 0.70, 0.98), and for the risk of cardiovascular mortality was 0.73 (95% CIs: 0.59, 0.90).

The authors concluded that their research revealed that wine consumption has an inverse relationship to cardiovascular mortality, CVD, and CHD. Age, the proportion of women in the samples, and follow-up time did not influence this association. Interpreting these findings with prudence was necessary because increasing wine intake might be harmful to individuals who are vulnerable to alcohol because of age, medication, or their pathologies.

What, you suspect that this paper was sponsored by the wine industry?

No, you are mistaken! It was funded by FEDER funds, by a grant from the University of Castilla-La Mancha, and by a grant from the science, innovation and universities.

So, maybe just for tonight we put the worries about our livers aside and enjoy a (non-homeopathic) dose of wine.

Cheers!

Two fatalities have been reported evidently caused by Thai massage. Thai singer Chayada Prao-hom, also known as Ping Chayada, 20, died in a hospital in the northeastern city of Udon Thani on December 8 after claiming she was left paralysed by a series of three “neck-twisting” massage sessions. Ping Chayada posted a poignant final message on social media as she battled ill-health following the massage: “The first time I got a massage, my symptoms were normal. I went for another massage, the same therapist in the same room, this time twisting my neck. After two weeks, I started to have very, very tight pain to the point that I couldn’t lie on my back or stomach. I’ve been learning massage since I was a child. I really like massage. I thought it was just another side effect of the massage, this kind of body pain. I went again. But this new person massaged hard and it was swollen and bruised for a week. After that, I took medicine to relieve the symptoms all the time.” The talented star died on Sunday December 8.Ping Chanada died after a neck massage. Picture: Ping Chanada/Facebook

Just a day earlier, on December 7, a male Singaporean tourist, 52-year-old Lee Mun Tuk, died in Phuket after a 45-minute oil body massage – following which he reportedly went into cardiac arrest and could not be revived.

Harnelis, a massage therapist with the White Swallow Massage School in the city of Medan in neighbouring Indonesia, said that, while the deaths were tragic, they were not surprising. “Neck and back massage is inherently dangerous and deals with the most vulnerable part of the body,” she said. “You can’t do it carelessly, you have to do it keeping in mind where all the veins and blood vessels are. If you get it wrong, it can be fatal.”

Singer Prao-hom wrote that she had endured two “neck-twisting” sessions and a “heavy handed” third massage at a local parlour before experiencing numbness which spread through her body. She reportedly first went to the parlour, which had the required certification under Thai law, to relieve stiffness in her neck, but found that her symptoms continued to worsen. She was rushed to intensive care but died just two weeks later. Following an autopsy, her cause of death was listed as sepsis, a swollen spinal cord and a fungal infection.

The death of the singer has sparked an urgent investigation by the Thai Department of Health Service Support (DHSS). In the meantime, medical experts are warning of the dangers posed by violent manoeuvres given by poorly trained or unlicensed practitioners.

Thai massage is a widely used massage technique in Thailand and is accepted by the Thai Ministry of Public Health. The technique can be described to be a kind of acupressure massage. Even though there is very little reliable evidence, it is said to be effective for a wide range of conditions, e.g.:

Increased range of motion. Thai massage combines compression, acupressure, and passive stretching. These increase the range of motion in your joints and muscles. This can also improve your posture.

Helps with back pain. Thai massage tends to focus on areas that can contribute to back pain, like the inner thigh and abdomen. However, if you have constant back pain, it’s best to visit a doctor before getting any type of massage.

Reduces headache intensity. One study showed that nine sessions of traditional Thai massage in a 3-week period can reduce painful headaches in people who have chronic tension headaches or migraines.

Lowers stress. In another study, researchers showed that Thai massage reduced stress, especially when combined with plenty of rest.

Helps stroke patients. A 2012 study suggested that stroke patients who get Thai massage regularly may be better able to recover the ability to do daily activities. They may also have lower pain levels and sleep better.

Other benefits of Thai massage may include:

  • Better sleep
  • Better relaxation
  • Improved digestion
  • Calm mind or increased mindfulness

As always with such news reports, many essential details are missing for the two cases reported above. What seems obvious, however, is that the massage itself, even tough occasionally forceful, is not the main danger of Thai massage. The fatal complications seem to occur after spinal manipulation and are thus akin to the ones of chiropractic manipulations.

The use of so-called alternative medicine (SCAM) is popular among cancer patients. SCAM includes vitamins, minerals, phytotherapy, homeopathy, nutritional supplements and probiotics. SCAM use may lead to unwanted risks by interacting with anticancer drugs; therefore, it is important for healthcare providers to be aware of SCAM use by their patients. This article describes the prevalence and potential risk of SCAM use in an adult Dutch cancer population. This is the first study in which SCAM use was investigated using medication reconciliation.

A descriptive, observational study was conducted at Amsterdam UMC between August 2021 and July 2022. Data regarding the use of SCAM was obtained by medication reconciliation reviews with inpatients and outpatients with cancer who received systemic anticancer treatment. Acquired data were evaluated by the research team, and the risks of interactions were classified into relevant, potential, unknown or no interaction. Ultimately, patient-specific recommendations on the use of SCAM were provided.

Of the 100 included patients, 73% used SCAM during the past year and 41% used SCAM actively while receiving anticancer treatment. The most common SCAMs were vitamins and multivitamins (both 28%). Some 10% of SCAM were classified as having a relevant interaction with one or more concurrently used anticancer drugs. No association between age or gender and SCAM use was found, while outpatients used significantly more SCAM than inpatients (72.7% vs 32.1%; p=0.001). Patients received personalised advice from the hospital pharmacy about their SCAM use.

The authors conclused that more than 40% of oncology patients investigated in this study used SCAM while receiving anticancer treatment, leading to unwanted risks. This prevalence is higher than reported in other studies, possibly due to the use of medication reconciliation interviews. To guarantee safety and efficacy of anticancer treatment, communication between healthcare professionals and patients about SCAM is essential.

I concur wholeheartedly with the authors’ conclusions. In fact, I have warned about the dangers of SCAM-cancer drug interactions for about 30 years.

Did my warnings have any effects?

I am sad to say that probably they resulted in very little.

Findings like the above beg the question: WHY DO CANCER PATIENTS USE SCAM?

One answer is that they a desperate, and I entirely understand and sympathise with their fear. But patients should realise that the risks of using SCAM is not offset by any benefit.

The authors of the above investigation state that the most frequently reason for using SCAM was the hope for an improvement in the immune system.  But – as pointed out many times on this blog – SCAM cannot not do that. Yes, it is often advertised for this purpose, but such claims are bogus.

No SCAM improves the natural history of any cancer and many SCAMs have the potential do make it worse. Those SCAM entrepreneurs who claim otherwise are, in my view, criminal. And those patients who fall for their bogus claims surely deserve better.

We had to deal with Hongchi Xiao several times before:

Slapping therapy is based on the notion that slapping patients at certain points of their body has positive therapeutic effects. Hongchi Xiao, a Chinese-born investment banker, popularised this SCAM which, he claims, is based on the principles of Traditional Chinese Medicine. It is also known as ‘Paida’—in Chinese, this means ‘to slap your body’. The therapy involves slapping the body surface with a view of stimulating the flow of ‘chi’, the vital energy postulated in Traditional Chinese Medicine. Slapping therapists believe that this ritual restores health and eliminates toxins. They also claim that the bruises which patients tend to develop after the treatment are the visible signs of toxins coming to the surface. Hongchi Xiao advocates slapping as “self-healing method” that should be continued until the skin starts looking bruised. He and his follows conduct workshops and sell books teaching the public which advocate slapping therapy as a panacea, a cure-all. The assumptions of slapping therapy fly in the face of science and are thus not plausible. There is not a single clinical trial testing whether slapping therapy is effective. It must therefore be categorised as unproven.

Now it has been reported that Hongchi Xiao has been sentenced to 10 years in prison for the death of a 71-year-old diabetic woman who stopped taking insulin during one of his workshops.

Hongchi Xiao, 61, was convicted of manslaughter by gross negligence for failing to get medical help for Danielle Carr-Gomm as she howled in pain and frothed at the mouth during the fourth day of a workshop in October 2016. The Californian healer promoted paida lajin therapy which entails getting patients to slap themselves repeatedly to release “poisonous waste” from the body. The technique has its roots in Chinese medicine and has no scientific basis and patients often end up with bruises, bleeding — or worse.

Xiao had extradited from Australia, where he had been convicted of manslaughter after a 6-year-old boy died when his parents withdrew his insulin medication after attending one of his workshops in Sydney. “I consider you dangerous even though you do not share the characteristics of most other dangerous offenders,” Justice Robert Bright said during sentencing at Winchester Crown Court. “You knew from late in the afternoon of day one of the fact that Danielle Carr-Gomm had stopped taking her insulin. Furthermore, you made it clear to her you supported this.” Bright added Xiao only made a “token effort” to get Carr-Gomm to take her insulin once it was too late and had shown no sign of remorse as he even continued to promote paida lajin in prison.

Carr-Gomm was diagnosed with type 1 diabetes in 1999 and was desperate to find a cure that didn’t involve injecting herself with needles, her son, Matthew, said. She sought out alternative treatments and had attended a previous workshop by Xiao in Bulgaria a few months before her death in which she also became seriously ill after ceasing her medication. However, she recorded a video testimonial, calling Xiao a “messenger sent by God” who was “starting a revolution to put the power back in the hands of the people to cure themselves and to change the whole system of healthcare.”

Xiao had congratulated Carr-Gomm when she told other participants at the English retreat that she had stopped taking her insulin. By day three, Carr-Gomm was “vomiting, tired and weak, and by the evening she was howling in pain and unable to respond to questions,” prosecutor Duncan Atkinson said.

A chef who wanted to call an ambulance said she deferred to those with holistic healing experience. “Those who had received and accepted the defendant’s teachings misinterpreted Mrs. Carr-Gomm’s condition as a healing crisis,” Atkinson said.

______________

A healing crisis?

A crisis of collective stupidity, I’d say!

If you live in the UK, you could not possibly escape the discussion about the ‘Assisted Dying Bill’ which passed yesterday’s vote in the House of Commons (MPs have voted by 330 to 275 in favour of legalising voluntary assisted suicide). Once the bill passed all the further parliamentary hurdles – which might take several years – it will allow terminally ill adults who are

  • expected to die within six months,
  • of sound mind and capable of managing their own affairs

to seek help from specialised doctors to end their own life.

After listening to many debates about the bill, I still I have serious concerns about it. Here are just a few:

  1. Palliative care in the UK is often very poor. It was argued that the bill will be an incentive to improve it. But what, if this is wishful thinking? What if palliative care deteriorates to a point where it becomes an incentive to suicide? What if the bill should even turn out to be a reason for not directing maximum efforts towards improving palliative care?
  2. How sure can we be that an individual patient is going to die within the next six months? Lawmakers might believe that predicting the time someone has left to live is a more or less exact science. Doctors (should) know that it is not.
  3. How certain can we be that a patient is of sound mind and capable of managing their own affairs? By definition, we are dealing with very ill patients whose mind might be clouded, for example, by the effects of drugs or pain or both. Lawmakers might think that it is clear-cut to establish whether an individual patient is compos mentis, but doctors know that this is often not the case.
  4. In many religions, suicide is a sin. I am not a religious person, but many of the MPs who voted for the bill are or pretend to be. Passing a law that enables members of the public to commit what in the eyes of many lawmakers must be a deadly sin seems problematic.

In summary, I feel the ‘Assisted Dying Bill’ is a mistake for today; it might even be a very grave mistake for a future time, if we have a government that is irresponsible, neglects palliative care even more than we do today and views the bill as an opportunity to reduce our expenditure on pensions.

The alleged harm of Covid-vaccinations is a topic that still leads to misunderstandings, perhaps nowhere more than in the realm of so-called alternative medicine. Therefore, this paper seems relevant.

The first dose of COVID-19 vaccines led to an overall reduction in cardiovascular events, and in rare cases, cardiovascular complications. There is less information about the effect of second and booster doses on cardiovascular diseases. Using longitudinal health records from 45.7 million adults in England between December 2020 and January 2022, this study compared the incidence of thrombotic and cardiovascular complications up to 26 weeks after first, second and booster doses of brands and combinations of COVID-19 vaccines used during the UK vaccination program with the incidence before or without the corresponding vaccination.

The incidence of common arterial thrombotic events (mainly acute myocardial infarction and ischaemic stroke) was generally lower after each vaccine dose, brand and combination. Similarly, the incidence of common venous thrombotic events, (mainly pulmonary embolism and lower limb deep venous thrombosis) was lower after vaccination. There was a higher incidence of previously reported rare harms after vaccination: vaccine-induced thrombotic thrombocytopenia after first ChAdOx1 vaccination, and myocarditis and pericarditis after first, second and transiently after booster mRNA vaccination (BNT-162b2 and mRNA-1273).

The authors concluded that these findings support the wide uptake of future COVID-19 vaccination programs.

The authors stress that their study has several limitations.

  • First, residual confounding, including that linked to delayed vaccination in high-risk individuals, may persist despite extensive adjustments for available covariates. We were able to identify some, but not all people who were clinically vulnerable (and hence might have been eligible for earlier vaccination): for example, younger adults in long-stay settings could not be reliably identified.
  • Second, we did not adjust for potential confounding by time-varying post-baseline factors that may have influenced receipt of vaccination and the outcomes of interest: for example, development of respiratory symptoms or being admitted into hospital leading to postponement of vaccination. Such confounding may explain estimated lower hazard ratios soon after vaccination.
  • Third, ascertainment of some outcomes may have been influenced by public announcements from regulatory agencies, such as the European Medicines Agency Pharmacovigilance Risk Assessment Committee announcement or the CDC announcement on myocarditis. This was addressed in sensitivity analyses for myocarditis and pericarditis, censoring follow-up at the time of public announcements of these adverse effects of vaccination, although the shorter follow-up times and corresponding smaller numbers of events in the restricted analyses meant that aHRs were estimated with reduced precision.
  • Fourth, outcomes may be underreported, particularly from people in nursing homes or among those with severe health conditions, due to diagnostic challenges; also, routine electronic health records, not intended for research, may under-ascertain less severe, non-hospitalised events. Both forms of potential underreporting, however, are expected to be uncommon for hospitalised thrombotic events.
  • Fifth, we restricted follow-up to 26 weeks after vaccination to prevent an influence of subsequent vaccinations on estimated associations and limit the impact of delayed vaccination on our findings. Horne et al. demonstrated selection bias in estimated HRs for non-COVID-19 death arising from deferred next-dose vaccination in people with a recent confirmed COVID-19 diagnosis or in poor health.
  • Sixth, we did not address long-term safety of vaccination, or the impact of subsequent booster doses.

Nonetheless, this study offers reassurance regarding the cardiovascular safety of COVID-19 vaccines, with lower incidence of common cardiovascular events outweighing the higher incidence of their known rare cardiovascular complications. No novel cardiovascular complications or new associations with subsequent doses were found. These findings support the wide uptake of future COVID-19 vaccination programs. The authors express their hope that this evidence addresses public concerns, supporting continued trust and participation in vaccination programs and adherence to public health guidelines.

Will the evidence convince the notorious anti-vaxers that regularly comment on my blog?

I very much doubt it – not because of the limitations of the study but because of the fact that anti-vaxers seem to be immune to any evidence that is out of line with their beliefs and conspiracy theories.

While medical experts across the world have expressed dismay at Trump’s appointment of Robert Kennedy, the ‘International chiropractors Association’ has just published this remarkable note:

Donald J. Trump made it official that he was nominating Robert F. Kennedy, Jr. to serve as the Secretary of Health and Human Services. Secretary-designee Kennedy has spent his entire career championing the health of the nation through education, advocacy, research and when needed litigation.

Among his many accomplishments are protecting the environment with Riverkeeper and the Natural Resources Defense Council His work at Riverkeeper succeeded in setting long-term environmental legal standards. Kennedy won legal battles against large corporate polluters. He became an adjunct professor of environmental law at Pace University School of Law in 1986 and founded the Pace’s Environmental Litigation Clinic which he co-directed for a decade.

It would be in the Pace Law Review that the landmark paper, “Unanswered Questions from the Vaccine Injury Compensation Program: A Review of Compensated Cases of Vaccine-Induced Brain Injury” (https://digitalcommons.pace.edu/cgi/viewcontent.cgi?article=1681&context=pelr) would be published in 2011.

Kennedy became laser focused on the autism epidemic while giving lectures on the dangers of mercury in fish, he was repeatedly approached by the mothers of children born healthy who regressed into autism after suffering adverse reactions from childhood vaccines, including their concern about the mercury-based preservative, thimerosal, being used in vaccines including the Hepatitis B vaccine given at birth. Kennedy’s approach to the issue was the same as it always, looking at the science. He assembled a team who gathered all the science and reviewed the issues with him. This resulted in the publication of the book, Thimerosal: Let the Science Speak
The Evidence Supporting the Immediate Removal of Mercury—a Known Neurotoxin—from Vaccines.

After establishing and leading the nonprofit Children’s Health Defense, last year Kennedy stepped back from the organization to throw his hat in the ring to be President. Becoming the embodiment of his uncle John F. Kennedy’s famous quote, “Ask not what your country can do for you, but what you can do for your country!”, Kennedy reached out to President Trump to form an alliance to focus on the crisis of chronic disease in the United States, and suspended his campaign to focus on the Make American Healthy Again (MAHA) Initiative.

ICA President, Dr. Selina Sigafoose Jackson, who is currently in Brazil promoting the protection of chiropractic as a separate and distinct profession stated, “Many ICA members have been supporters of Robert F. Kennedy, Jr.’s philanthropic activities and are all in on the MAHA Initiative. The Mission, Vision, and Values of the ICA align with the stated goals of the MAHA Initiative. We stand ready to provide policy proposals and experts to serve as advisors to the incoming Administration and to Secretary Kennedy upon his swearing in.”

____________________________

 

Perhaps I am permitted to contrast this with some health-related truths about Robert F. Kennedy, Jr. (my apologies, if the list is incomplete – please add to it by posting further important issues):

  • Robert F. Kennedy, Jr. has, since about 20 years, been a leading figure of the anti-vaccine movement.
  • During the epidemic, he pushed the conspiracy theory that “the quarantine” was used as cover to install 5G cell phone networks.
  • He claimed that “one out of every six American women has so much mercury in her womb that her children are at risk for a grim inventory of diseases, including autism, blindness, mental retardation and heart, liver and kidney disease.”
  • He wrote that, “while people were dying at the rate of 10,000 patients a week, Dr. Fauci declared that hydroxychloroquine should only be used as part of a clinical trial. For the first time in American history, a government official was overruling the medical judgment of thousands of treating physicians, and ordering doctors to stop practicing medicine as they saw fit.”
  • He pushed the conspiracy theory that COVID-19 had been “ethnically targeted” to spare Ashkenazi Jews and Chinese people.”
  • He claimed in a 2023 podcast interview that “There’s no vaccine that is safe and effective”.
  • In a 2021 podcast, he urged people to “resist” CDC guidelines on when kids should get vaccines.
  • He founded Children’s Health Defense’ that spreads fear and mistrust in science. One chiropractic group in California had donated $500,000 to this organisation.
  • In 2019, he visited Samoa where he became partly responsible for an outbreak of measles, which made 5,700 people sick and killed 83 of them.
  • He called mercury-containing vaccines aimed at children a holocaust. In 2015, he compared the horrors committed against Jews to the effects of vaccines on children. “They get the shot, that night they have a fever of a hundred and three, they go to sleep, and three months later their brain is gone. This is a holocaust, what this is doing to our country.”
  • He repeatedly alleged that exposure to chemicals — “endocrine disruptors” — is causing gender dysphoria in children and contributing to a rise in LGBTQ-youth. According to him, endocrine disruptors are “chemicals that interfere with the body’s hormones and are commonly found in pesticides and plastic.”
  • He stated “Telling people to “trust the experts” is either naive or manipulative—or both.”
  • He plans to stop water fluoridation.
  • He slammed the FDA’s “suppression” of raw milk.
  • He said that a worm ate part of his brain which led to long-lasting “brain fog.”
  • He has a 14-year-long history of abusing heroin from the age of 15. The police once arrested him for possession; he then faced up to two years in jail for the felony but was sentenced to two years probation after pleading guilty.
  • He stated: “WiFi radiation … does all kinds of bad things, including causing cancer…cell phone tumors behind the ear.”
  • He claimed that rates of autism have increased even though “there has been no change in diagnosis and no change in screening either.” Yet, both have changed significantly.
  • He wrote: (Fauci’s) “obsequious subservience to the Big Ag, Big Food, and pharmaceutical companies has left our children drowning in a toxic soup of pesticide residues, corn syrup, and processed foods, while also serving as pincushions for 69 mandated vaccine doses by age 18—none of them properly safety tested.”
  • He stated that cancer rates are skyrocketing in the young and the old – a statement that is evidently untrue.
  •  He authored a viral post on X: “FDA’s war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything else that advances human health and can’t be patented by Pharma. If you work for the FDA and are part of this corrupt system, I have two messages for you: 1. Preserve your records, and 2. Pack your bags.”
  • He has also aligned himself with special interests groups such as anti-vaccine chiropractors.
  • He stated categorically: “You cannot trust medical advice from medical professionals.”
  • He said he’s going to put a pause on infectious diseases research for 8 years.
  • He promoted the unfounded theory that the CIA killed his uncle, former President John F. Kennedy.
  • He linked school shootings to the increased prescription of antidepressants.
  • An evaluation of verified Twitter accounts from 2021, found Kennedy’s personal Twitter account to be the top “superspreader” of vaccine misinformation on Twitter, responsible for 13% of all reshares of misinformation, more than three times the second most-retweeted account.

 

PS

Let me finish with a true statement: The World Health Organization has estimated that global immunization efforts have saved at least 154 million lives in the past 50 years.

 

 

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