Friday, September 18, 2009

Medical Error

Found this article today....... READ IT! (eye opening info from inside the medical profession)

Journal of the American Medical Association (JAMA)
Dr. Barbara Starfield of the Johns Hopkins School of Hygiene and Public Health describes how the US health care system may contribute to poor health.

ALL THESE ARE DEATHS PER YEAR:
12,000 -----unnecessary surgery (8)
7,000 -----medication errors in hospitals (9)
20,000 -----other errors in hospitals (10)
80,000 -----infections in hospitals (10)
106,000 ----non-error, negative effects of drugs (2)
These total to 250,000 deaths per year from iatrogenic causes!!

What does the word "iatrogenic" mean? This term is defined as induced in a patient by a physician's activity, manner, or therapy. Used especially of a complication of treatment.

Dr. Starfield offers several warnings in interpreting these numbers: First, most of the data are derived from studies in hospitalized patients. Second, these estimates are for deaths only and do not include negative effects that are associated with disability or discomfort. Third, the estimates of death due to error are lower than those in the IOM report.

[Remember, only 60,000 Americans lost their life in the entire Vietnam war!- KSM] (1)

If the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000. In any case, 225,000 deaths per year constitutes the third leading cause of death in the United States, after deaths from heart disease and cancer. Even if these figures are overestimated, there is a wide margin between these numbers of deaths and the next leading cause of death (cerebrovascular disease).

Another analysis (11) concluded that between 4% and 18% of consecutive patients experience negative effects in outpatient settings, with:
116 million extra physician visits
77 million extra prescriptions
17 million emergency department visits
8 million hospitalizations
3 million long-term admissions
199,000 additional deaths
$77 billion in extra costs

The high cost of the health care system is considered to be a deficit, but seems to be tolerated under the assumption that better health results from more expensive care. However, evidence from a few studies indicates that as many as 20% to 30% of patients receive inappropriate care. An estimated 44,000 to 98,000 among them die each year as a result of medical errors. (2) This might be tolerated if it resulted in better health, but does it?

Of 13 countries in a recent comparison, the United States ranks an average of 12th (second from the bottom) for 16 available health indicators. More specifically, the ranking of the US on several indicators was:
13th (last) for low-birth-weight percentages
13th for neonatal mortality and infant mortality overall 14
11th for post neonatal mortality
13th for years of potential life lost (excluding external causes)
11th for life expectancy at 1 year for females, 12th for males
10th for life expectancy at 15 years for females, 12th for males
10th for life expectancy at 40 years for females, 9th for males
7th for life expectancy at 65 years for females, 7th for males
3rd for life expectancy at 80 years for females, 3rd for males
10th for age-adjusted mortality

The poor performance of the US was recently confirmed by a World Health Organization study, which used different data and ranked the United States as 15th among 25 industrialized countries. There is a perception that the American public "behaves badly" by smoking, drinking, and perpetrating violence." However the data does not support this assertion. The proportion of females who smoke ranges from 14% in Japan to 41% in Denmark; in the United States, it is 24% (fifth best). For males, the range is from 26% in Sweden to 61% in Japan; it is 28% in the United States (third best). The US ranks fifth best for alcoholic beverage consumption. The US has relatively low consumption of animal fats (fifth lowest in men aged 55-64 years in 20 industrialized countries) and the third lowest mean cholesterol concentrations among men aged 50 to 70 years among 13 industrialized countries. These estimates of death due to error are lower than those in a recent Institutes of Medicine report (and as said if higher estimates are used, deaths due to iatrogenic causes would range from 230,000 to 284,000).

Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the US, following heart disease and cancer. Lack of technology is certainly not a contributing factor to the US's low ranking. Among 29 countries, the United States is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population. Japan, however, ranks highest on health, whereas the US ranks among the lowest. It is possible that the high use of technology in Japan is limited to diagnostic technology not matched by high rates of treatment, whereas in the US, high use of diagnostic technology may be linked to more treatment.

Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked, whereas they are very low in Japan, far lower than can be accounted for by the common practice of having family members rather than hospital staff provide the amenities of hospital care. Journal American Medical Association, (Vol. 284), July 26, 2000 COMMENT: Folks, this is what they call a "Landmark Article". Only several ones like this are published every year. One of the major reasons it is so huge is that it is published in JAMA which is the largest and one of the most respected medical journals in the entire world. I did find it most curious that the best wire service in the world, Reuter's, did not pick up this article. I have no idea why they let it slip by.

I would encourage you to bookmark this article and review it several times so you can use the statistics to counter the arguments of your friends and relatives who are so enthralled with the traditional medical paradigm. These statistics prove very clearly that the system is just not working. It is broken and is in desperate need of repair. I was previously fond of saying that drugs are the fourth leading cause of death in this country. However, this article makes it quite clear that the more powerful number is that doctors are the third leading cause of death in this country killing nearly a quarter million people a year. The only more common causes are cancer and heart disease. This statistic is likely to be seriously underestimated as much of the coding only describes the cause of organ failure and does not address iatrogenic causes at all. Japan seems to have benefited from recognizing that technology is wonderful, but just because you diagnose something with it, one should not be committed to undergoing treatment in the traditional paradigm. Their health statistics reflect this aspect of their philosophy as much of their treatment is not treatment at all, but loving care rendered in the home.

Care, not treatment, is the answer. Drugs, surgery and hospitals are rarely the answer to chronic health problems. Facilitating the God-given healing capacity that all of us have is the key. Improving the diet, exercise, and lifestyle are basic. Effective interventions for the underlying emotional and spiritual wounding behind most chronic illness are also important clues to maximizing health and reducing disease.


Related Articles:
Medical Mistakes Kill 100,000 per year US Health Care System Most Expensive in the World Author/Article Information Author Affiliation: Department of Health Policy and Management, Johns Hopkins School of Hygiene and Public Health, Baltimore, Md. Corresponding Author and Reprints: Barbara Starfield, MD, MPH, Department of Health Policy and Management, Johns Hopkins School of Hygiene and Public Health, 624 N Broadway, Room 452, Baltimore, MD 21205-1996 (e-mail: bstarfie@jhsph.edu).

REFERENCES
1. Schuster M, McGlynn E, Brook R. "How good is the quality of health care in the United States?" Milbank Q. 1998;76:517-563.
2. Kohn L, ed, Corrigan J, ed, Donaldson M, ed. "To Err Is Human: Building a Safer Health System." Washington, DC: National Academy Press; 1999.
3. Starfield B. "Primary Care: Balancing Health Needs, Services, and Technology." New York, NY: Oxford University Press; 1998.
4. World Health Report 2000. Available at: http://www.who.int/whr/2000/en/report.htm. Accessed June 28, 2000.
5. Kunst A. "Cross-national Comparisons of Socioeconomic Differences in Mortality." Rotterdam, the Netherlands: Erasmus University; 1997.
6. Law M, Wald N. "Why heart disease mortality is low in France: the time lag explanation." BMJ. 1999;313:1471-1480.
7. Starfield B. "Evaluating the State Children's Health Insurance Program: critical considerations." Annu Rev Public Health. 2000;21:569-585.
8. Leape L. "Unecessarsary surgery." Annu Rev Public Health. 1992;13:363-383.
9. Phillips D, Christenfeld N, Glynn L. "Increase in US medication-error deaths between 1983 and 1993." Lancet. 1998;351:643-644.
10. Lazarou J, Pomeranz B, Corey P. "Incidence of adverse drug reactions in hospitalized patients." JAMA. 1998;279:1200-1205.
11. Weingart SN, Wilson RM, Gibberd RW, Harrison B. "Epidemiology and medical error." BMJ. 2000;320:774-777.
12. Wilkinson R. "Unhealthy Societies: The Afflictions of Inequality." London, England: Routledge; 1996.
13. Evans R, Roos N. "What is right about the Canadian health system?" Milbank Q. 1999;77:393-399.
14. Guyer B, Hoyert D, Martin J, Ventura S, MacDorman M, Strobino D. "Annual summary of vital statistics 1998." Pediatrics. 1999;104:1229-1246.
15. Harrold LR, Field TS, Gurwitz JH. "Knowledge, patterns of care, and outcomes of care for generalists and specialists." J Gen Intern Med. 1999;14:499-511.
16. Donahoe MT. "Comparing generalist and specialty care: discrepancies, deficiencies, and excesses." Arch Intern Med. 1998;158:1596-1607.
17. Anderson G, Poullier J-P. "Health Spending, Access, and Outcomes: Trends in Industrialized Countries." New York, NY: The Commonwealth Fund; 1999.
18. Mold J, Stein H. "The cascade effect in the clinical care of patients." N Engl J Med. 1986;314:512-514.
19. Shi L, Starfield B. "Income inequality, primary care, and health indicators." J Fam Pract. 1999;48:275-284

Wednesday, May 13, 2009

Chiropractic care helps ADHD and child avoids Ritalin

Three-year old shows marked improvement after one month

Chiropractic Care Helps Child
With Attention Deficit Hyperactivity Disorder


(5/113/09 Covington, WA). A recent article published in The Journal of Pediatrics, Maternal and Family Health, March 2009, reports the case study of a 3-year old male patient who had been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD).

The child’s mother indicated that her son’s birth was traumatic and complicated, including a fractured left clavicle during birthing. The boy showed signs of ADHD from the age of two, including falling out of bed as many as three times a night and having a history of ear infections and respiratory problems. The child’s pre-school teacher referred him to a psychologist because of temper tantrums and biting incidents with other children.

“The usual medical treatment for children diagnosed with ADHD is a psycho-stimulant drug, like Ritalin,” said Covington-based Dr. Treye Hovinga, D.C. “This type of treatment is reported to be about 70% effective, but there are serious side-effects of these drugs, like stunted growth, insomnia, loss of appetite, dizziness, stomach aches, and, in some instances, heart and blood pressure problems.”

In the case of this 3-year old, the mother wanted to try chiropractic care as a way to avoid using the drug regimen usually prescribed. The examining chiropractor, using a non-intrusive device known as an Insight Subluxation Station, conducted thermal scans of the child’s spine and found the existence of a subluxation in the child’s upper cervical area.

“A subluxation is a misalignment of the spine that disturbs normal nervous system function,” said Dr. Hovinga. “Many chiropractors, including myself, have this technology that allows them to conduct thermal and Surface Electromyography (sEMG) tests to assist in locating where such conditions exist.”

The patient underwent chiropractic care, including spinal adjustments, with frequency of care initially set at three times per week for the first three weeks, then once a week, then once every two weeks. After one month, the mother and teacher noted improved attention and less hyperactivity. The patient’s thermal scans also showed improvement. The child remains on a twice-monthly plan of chiropractic care, with no drug therapy, and continues to show improvement.

“This is just one case study,” explained Dr. Hovinga, and more studies are needed before any absolute conclusions can be drawn.”

Dr. Hovinga’s chiropractic practice features the Insight Subluxation Station. This technology is certified by the Space Foundation, which was co-founded by NASA, and is used by 8,000 chiropractors worldwide to measure nervous system health and performance.
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Editor’s note:
Anyone wishing more information may contact Dr. Treye Hovinga, whose office is located at 17039 SE 272nd St. STE 100, Covington, WA. 98042 (253) 639-9822.

Thursday, April 30, 2009

Ear Infections and Chiropractic


Chiropractic Care Helps Child With Headaches,
Chronic Ear and Sinus Infections


(April 30, 2009, Covington). An article published in Proceedings, a respected journal of the Council on Chiropractic Pediatrics of the International Chiropractors Association, reports the case study of an eight-year old female patient suffering from recurring headaches and chronic ear and sinus infections. The child had been through repeated rounds of antibiotic treatments and sinus surgery. Even the extreme procedure of two typanectomy surgeries to one of the child’s eardrums failed to alleviate her condition.

“Children are often plagued with sinus and ear conditions,” said Covington-based Dr. Treye Hovinga, D.C. “This case study illustrates that when medical treatment fails to bring about the desired results, chiropractic care may be an effective alternative. It is a non-invasive approach.”

In the case of this 8-year old, the parents had taken their child to several medical practitioners, but symptoms persisted. The child’s regular pediatrician was about to recommend another tympanectomy and a continued regimen of antibiotics. Before following that recommendation, the parents took their daughter to a chiropractor.

The examining chiropractor found the existence of a subluxation in the child’s upper cervical area and, using sEMG scanning technology, evidence of muscle hypertonicity, or tightness, in both the cervical and thoracic areas.

“A subluxation is a misalignment of the spine that disturbs normal nervous system function,” said Dr. Treye. “Many chiropractors, including myself, have technology that allows them to conduct Surface Electromyography (sEMG) tests to assist in locating where such conditions exist.”

The patient underwent chiropractic care, including spinal adjustments. After one month of such care, child and parents noted an absence of headaches, and sinus and ear pain had also decreased markedly. As a result, the planned third ear surgery was cancelled. The patient’s sEMG scans showed improvement, but chiropractic care was continued. After four months, the patient reported that headaches had ceased and that ear and sinus infections were absent. Her sEMG scans and x-rays were at, or near, normal.

“This is just one case study,” explained Dr. Treye, and more studies are needed before any absolute conclusions can be drawn.”

Dr. Treye’s chiropractic practice features the Insight Subluxation Station. This technology is certified by the Space Foundation, which was co-founded by NASA, and is used by 8,000 chiropractors worldwide to measure nervous system health and performance.

Monday, March 30, 2009

Chiropractor made my baby poo!!!

Chronic constipation second most frequent pediatric complaint

Study Shows Chiropractic Care Benefits Constipated Infants


Mar. 30, 2009 - Covington, WA. A very small study group—three infants, all under two years of age—was put into chiropractic care for periods of three weeks to three months in a controlled research project. Following the study, which was funded by the International Chiropractic Pediatric Association of Media, PA, all three children showed marked improvement in their condition.

“Chronic constipation afflicts the very young and the aged among our population with more frequency than the rest of us,” said Covington-based Dr. Treye Hovinga, D.C. “This problem accounts for 25% of all visits to pediatric gastroenterologists, but few formal studies have been conducted.”

Researchers chose three infants who were experiencing infrequent bowel movements of from once a week to once every 3 or 4 days. Parents of these infants had tried dietary changes and the use of cod liver oil and mineral oil, all under the direction of medical doctors. Nothing worked.

“The infants received full spinal chiropractic care,” said Dr. Hovinga, “for periods ranging from three weeks to three months. All three experienced almost immediate improvement, and by the end of the study, all three had bowel movements at least once every 1-2 days.”

“This study represents a very preliminary level of findings, and much more research is needed,” Dr. Hovinga added. “But the results should offer some encouragement for parents of children with this problem. In fact, I have had great results with infant constipation in my own office."

Anyone wishing more information may contact Dr. Hovinga, whose office is located at 17039 SE 272nd St, STE 100, Covington, WA. (253) 639-9822.

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Reference:
“The successful chiropractic care of pediatric patients with chronic constipation: A case studay and selective review of the literature,” Clinical Chiropractic (2008) 11, 138-147.

Friday, November 14, 2008

Chiropractic Care Eases Severe Depression

A case study authored by Alain M.J. Desaulniers credits regular chiropractic care with helping a 46-year old man overcome his major depression and increase his quality of life.

More than 15 million American adults are diagnosed with mood disorders every year, which include major depression, Dysthymia and Bipolar Disorder. The disease is usually treated with antidepressants, according to the study, but the quality of life of people who are clinically depressed is subdued by the medications’ many unwanted side effects.

The prevalence of the disease has Dr. Hovinga pointing to the case report published this year in the Journal of Vertebral Subluxation Research. The report states the important role chiropractic care can play in the management of depressions.

In this particular study, a 46-year old man suffered from major depression and was taking an antidepressant with unwanted side effects, such as decrease in his sex drive, dizziness, muscle weakness and insomnia. A chiropractic evaluation revealed that he had suffered physical trauma in the past, which led to vertebral subluxations. A subluxation is a condition in which the body is unable to function properly because of interferences with the nervous system, and the condition may be corrected with chiropractic adjustments.

The patient had a total of 34 adjustments done on various parts of his spine over a period of 11 months. After the first visit, his dizziness subsided, and he experienced a decrease in lower back and neck pain. After three visits, he felt less anxious and fatigued and reported an increase in muscle strength. Over time, his depression significantly improved, and he was eating healthier.

Previous studies have shown a correlation between injury or trauma to the spine and the onset of social disorders, in addition to biochemical changes in the brain.
One of the areas that chiropractic care focuses on in the spinal cord is enriched with neuropeptides receptors, which are responsible for the so-called brain reward cascade that triggers a feeling of well-being.

“An impairment of these receptors due to subluxation in the corresponding area of the spine can be one of the underlying causes for depression and for mood or social alterations,” said Dr. Hovinga. “However, more studies of this kind are needed. But one thing is clear: An adjusted spine is vital to our health, to our overall state of well being and thus to our quality of life.”

#
Editor’s note:
Anyone wishing more information may contact Dr. Treye Hovinga, whose office is located at 17039 SE 272nd St. STE 100, Covington, WA 98042 (telephone 253-639-9822).


Reference:
“Effect of Subluxation-Based Chiropractic Care on Quality of Life in a Patient With Major Depression” by Alain M.J. Desaulniers, Journal of Vertebral Subluxation Research, April 23, 2008.

Wednesday, September 24, 2008

Diet Change May Ease ADHD

An article authored by Nina Larson credits changes in diet with the successful treatment of hyperactivity in children.

As part of a long-term study that began in 1996-1997 in the southwestern Norwegian town of Stavanger, 23 children aged four to 11 — all suffering from hyperactive disorders including ADHD — were put on milk-free and/or gluten-free diets. Their development has been monitored by researchers ever since in a quest to prove a theory by scientist Karl Ludvig Reichelt that a metabolic disorder hinders the adequate breakdown of certain proteins in kids suffering from hyperactive disorders.

Eating certain foods like milk and gluten may accelerate ADHD in the children, because they lack an enzyme that breaks down proteins like casein (which is found in milk and enables milk-clotting to make cheese), explains Covington-based Dr. Treye Hovinga, D.C. Moreover, the missing or inhibited enzyme has an opium-like effect on the children’s brains. By reducing the intake of foods containing proteins that require casein for proper digestion, the patients’ hyperactivity can be controlled.

Dr. Treye points to the study published this year by Agence France Press.

In the study, 22 of the children taken off milk products and other foods containing casein showed an almost immediate improvement in their mental health, including overall behavior, enhanced attention-span and increased learning capabilities. The symptoms returned, however, as soon as the foods were reintroduced into their diets. Most kids had been taking medications, like Ritalin, to treat the disorders prior to changing their diets. After adjusting their food intake, however, they were taken off the medicine.

Similar international research has already been done to link the protein disorder with autism and schizophrenia. Now, ADHD may stem from the same digestive disorder as well.

“Digestive problems and metabolic imbalances have an overall effect on our bodies, even on our mental state,” explains Dr. Treye, who also stresses the importance of a properly functioning nervous system. Dr. Treye’s chiropractic practice features the Insight Subluxation Station, a technology used by NASA in the space program, to measure nervous system health and performance.

“Listen to your body and you can dramatically alter your well-being,” Dr. Treye continued. “That old adage is true: You are what you eat.”


Anyone wishing more information may contact Dr. Treye, whose office is located at 17039 SE 272nd St. STE 100, Covington, WA 98042 (telephone 253.639.9822).

Reference:

“Diet Change Gives Hyperactive Kids New Taste for Life in Norway” by Nina Larson, AFP and Yahoo! News, Feb. 24, 2008.

Sunday, September 7, 2008

Infants and chiropractic

Local Doctor Calls for Further Research

Chiropractic Care Helps Pre-Term Infant Thrive

(Aug 14, 2008~ Covington, WA). A case report authored by Kelly A. Miller credits chiropractic care with the successful management of a pre-term infant who had suffered severe lung ailments, gastrointestinal complications and developmental delays, both physical and mental.

More than 50,000 babies are born prematurely in the United States each year, according to Covington-based Dr. Treye Hovinga, D.C. Of those who survive, many suffer from lung ailments and respiratory distress, with some facing a life-long battle.

These alarming numbers have Dr. Hovinga pointing to the case report published this year in the Journal of Vertebral Subluxation Research. The report suggests that chiropractic care may alleviate some associated effects of premature births.

In this particular study, an infant born at 24 weeks gestation, underwent surgery and spent four months in a neonatal intensive care unit. After her discharge from the hospital, she continued to receive antibiotics as well as ventilation and oxygen therapy. Three months after her discharge, she was diagnosed by a
chiropractor with spinal subluxations. The infant weighed only 12 pounds; she
was listless, constipated and congested. She was put on a regimen of regular
chiropractic evaluations and adjustments, starting with twice daily for two weeks,
that were decreased gradually to once every two weeks. During the course of chiropractic care, according to the case report, the baby increased her range of motion and started breathing on her own as her lung function improved; she was less congested and colicky and became noticeably more verbal and alert to her surroundings. She sat up and was able to stand on her own.

Four months later, the infant was virtually symptom-free and in no need of further medical attention. In her physical and cognitive development she was now one month ahead of her age.

“This case study, where chiropractic care improved health challenges associated with premature birth, is promising,” said Dr. Hovinga, “but more studies of this kind are needed. Nevertheless, this report gives hope to many parents of premature babies with underdeveloped lungs. Even full-term infants as young as a few months can benefit tremendously from regular chiropractic care.”

#
Editor’s Note:
Those seeking additional information regarding this study may contact Dr. Treye Hovinga directly at 17039 SE 272nd St. STE 100 Covington, WA 98042, telephone (253) 639-9822

Reference:
“Chiropractic Care of a Pre-Term Infant with Bronchopulmonary Dysplasia & Vertebral Subluxation” by Kelly A. Miller, Journal of Vertebral Subluxation Research, February 19, 2008.