A Medical Initiation, An initiatial study for a layman needed for the epistle A Medical Research, by Siegfried van Hoek. (Version 2008 with additions and shortening in from 2011)

CONTAINS: I Introduction and situation sketch ………………………………………Page 01II History of cyst (no title) ………………………………………Page 03III Vascular Supply ………………………………………Page 04IV Falx, Tentorium and Sinus Rectus ………………………………………Page 07V Cisterna’s and cyst-risks ………………………………………Page 08VI Anatomy of the Neck and an Artefact ………………………………………Page 10VII Some extra Remarks and pictures ………………………………………Page 11

I: Introduction and situationsketch.Lectori Salutem! This epistle (2008) is a rewritten condensed version of the MEDREM Veneresearch with its Appendix (2007), in order to give the layman the basic ability to judge upon my medical case as it was written down in the final epistle ‘Medical Research’. In the series from 2008 new image material has been added in order to get a better understanding of the anatomy and the functioning of the brain-care-system. Next to this, the following order of information also has changed a little, because the original epistle and its appendix have been merged together. At final there came three epistles into existence and a condensed overview of the case: A Medical Initiation (anatomic introduction), A Medisch Research part A (scan and report analysis), A Medical Research part B (Investigation after image manipulation based on forgoing result), Resumé (mis-) treatment of neurosurgery (overall summarization). After reading the book ‘Neurology for Medical Attendants’ I was able to still add some minor information specially to the epistle A Medical Initiation (2011). With the use Agfa Duoscan all the x-ray’s have been re-scanned in, which gave even more image information next to the investigations already done with a 2 mega-pixel photo camera regarding the image manipulation of those scans. This resulted into a rewriting of part B (2011), and hence with this also of the summery Resumé (2011). The initial study is mainly focused upon the drainage of the brain fluid-system, others topics are treated less. One correction has made before already: The missing vene was the V. Sinus Rectus in stead of the Vene Cerebri Superiors. While performing my first steps into research I was thinking that the V. Cerebri Superioris was hit. Now we call the Vene Sinus Rectus as the vain being violated. In this retouched version an addition has been given regarding the provision of the liquor-system (2011). At the same intervention there also was performed unasked surgery in the neck in secret, where with a -further to be described- artifact was placed into the neck, reason why here also is dealt the anatomy of the neck. The epistle was after a first result from 2008, and was a given a slight retouched form in 2011. This epistle starts with an all-round introduction to the matter, followed with an exposition of the cyst and an initiation regarding the supply-system. To define which artery was hit, I had to study both the arterias and venes in the head in function with the membranes and brain-separation-walls and mainly in relation to the occipital part, because the intervention took place on that very spot. This also gives a better understanding of the measure of causing medical harm, next to an overall understanding of the brain-fluid care-system. Also some about the risks in growing of the cyst has been mentioned. The time that has -gone by since- is showing the cult of silence as well, for in spite of reasonable proof very little has happened with. With my presentation of the 1 st epistle VENERESEARCH , I got some reactions already: Dr. Strack Van Schijndel – Van Hanswijk, being my medical attending specialist, I’m quoting her with her approval: impressive piece of work. By law she is not allowed to bring up the matter either, but under her protection I was able to do this research.Dr. R.Anonymous..: illegal medication experiment with monitor bug? Another case published US Drs. A. Anonymous...: good, but with what cause, because this is what they will ask you as victim, implicitly proving the criminal politics of medical law. Step down from your cross yourselve!

1

Thus the question that will rise is –the why-? I pointed out, that a victim does not want to get the role of the victim by his own mere choice, with the question why this man/woman did this to the victim? Is it Grass’s karma to be walked over? ,,Well a raper rapes”, was the answer. But that was an easy target, that of the raper. This epistle wanted to go deeper intop the case, not why, but for all what did happen. Above even more we only see final results of activities, and what did happen along in the stretch of route is not immediately definable with. The question why medically is a bit too specialistic, but the reason why it happenend can be mentioned: A doctor cures, and a scientist researches and experiments. It is called entanglement of interests, when one individual or sector is acting in both fields, particularly without the permission of the patient. Also the aimed result for treatment and the scientific purpose are not necessarily related with each other. In my case is acted deliberately, and considering the matter being brought up, notably with deliberate and conscious holding back of (medical) information.

As written in other escritoires by me, it has been pointed out, that because of the protection law a culture of silence is kept regarding medical activities and handlings. Without going to deep into this matter, this brings main causalities; also my case was subject to this.

1. At the arise of medical injury, one gets confronted with the culture of silence regarding, a juridical verdict has to be done first, before recognition. Next to this there is an obligation of silence in doctory, primarily to protect/conceal the proper group of profession.

2. The moment this culture arises, the patient risks to be called closed from further possible treatment, there are no more physical complaints. The patient gets released from treatment.

3. The patient gets ‘lucky’ bilateral, on one side he gets a psychiatric file on his/her head, the patients complaints are imaginary, on the other side the patient risk the further denial of medical treatment, because the complaints are now being considered as illusionary.

4. Thereupon the patient may get harmed even further in society in consequence of the cult of silence, with the denial of his physical complaints by a doctor of inspection.. In case the patient is reporting during the inspection of reintegration, the attempt to get a serious matter exposed may be neglected. On one hand the institute may become accomplice by noticing the report of the patient, while not reporting this further elsewhere, and on the other hand the institute may get consciously accomplice by (also) denying the medical complaints and continuing reintegration after having taken notice of the report of the patient anyway.

5. Individuals within the medical sector can violate deliberately and conscious the constellation of laws for ‘personal/scientific’ goals, knowing the patient being nearly defenceless caused by the cult of silence protecting doctors without questioning.

As mentioned before, in my intention I eager for an honest treatment of my medical situation, next to a demand for a discussion about necessary improvements in medical law in the favor of the rights for honorable doctors and truthful patients. The actual pathology to be treated: a fist wide intradural invasively growing cyst:

The cyst is located at the left half of the head, in between the brain-membrane that is covering the brain just under the skull. For treating this cyst from growing, only cutting through the mebrame and making a hole in in connecting with the brainfluid that is circulating just under was needed to do. Scan-extraction from MRI 2007 show the cyst seen from three sides. Mark the little hole above the cyst, is this in result of using monothermy in febr 2000, or is this the end of the Cisterna Magna called Cornu Occipitale.

2

Before the first treatment of feb 2000. AMC Dec 1999 and AMC Feb 2000.

AMC Aug 2000 AMC Oct 2000 Note Before the second treatment that on the MRI Oct 2000 contrast fluid was used.

AMC Apr 2001 AMC Apr 2001After the treatment of the second operation. The cyste (temporary) has gone smaller now, and there is a flow with the brainfluid, but something is to be found at the bottom of the image in the neck...

3

III: Vascularisation.All the mayor cerebral vasculars are located on the brainsurface without exception. From here the arters and arteriols enter into the brainsubstance perpendiculary, and split further. The capillary net is more dense in the grey matter (cerebral cortex covering as a kind of rind on the hemisphere), while in the white matters (mainly offshoots of nerve-cells) the meshes of the capillary net are significantly wider. The supply and the drain away veins are being called resp. arteria and venes.

The Arterial feeding vains The Vene drainage vainsThe brain is fed by 4 mayor arterias: 2x Arteria Carotides Internea + 2x Arteria Vertebrales. Both pairs of arterias are connected by the aa. Communicantes Posterius. The connection is rather small, and does not let through a remarkable amount of blood under normal balancing function, so under normal(!) intracranial relations each hemnisphere is fed by its own artery. The feeding is separated for both halfs of the brains, having both a A.Carotis Interna both coming from the A. Carotis Communis in the neck, and then going both further upwards, supplying simply put each its own side of the brain. There is 2x A.Vertebralis which is for feeding the little brain and the inner ear with its offspring the A. Basilaris. Eaxh ventrikel situated in the head (page 8) n prgan full of blood is situated the plexuschoroidus, which is forming brain-fluidfrom the blood (cerebrospinalis), which in its turn is caring the brains (and also the spinal marrow). In grosso modo.., we might say there are four main arteria’s going upwards through the neck for feeding the head, the brains and the forhead-face. The drainage goes with one main vain that is situated halfround on top and in the middle of the brains: the v. sinus sagittalis superiores. That vene enables the drainage of the on the surface situated venes: the v. sinus sagitt superiores in itself with the vene cerebri superfiscialis. And the drainage with deeper situated venes the v. cerebri profundae drains via the left and right situated venes sinus sagittalis inferior and the underneath situated venes cerebri magna, which end in the unanimous single vene siknus rectus, which in its turn is connected with the vene sagittalis suprior in the confluens continuum, where after via the vene transverses is ending in the vene jugelaris that is leading to the hart. Situated into the arachnoidal membrane are kind of folds called Granulations of Pachioni take care for that the liquor is given back to the blood within the venes that are situated within the membranes. In Grosso Modo…there is a single central placed drainage for both the brain halfs with sidewards offsprings to the left and the right for both half, with venes on the surface of the brains, the v. Cerebri Superficiales, and with venes deeper situated in the brain the v. Cerebri Profundae. (The finding of the vene sinus rectus on that spot cannot be a surprise).

4

The nomenclature has been treated a bit deeper in the original epistle Veneresearch.Without giving all the names we can see that the feeding is starting from the centre going outwards, while the drainage is draining from the outside towards the inside. Likewise there is an overall kind of fluidcirculation, where the fluid has to pass through brain material before it can be drained away, avoiding supplied fluid is drained away directly in a kind of shortcut.

An Arterial preparation, and a Vene preparation of the human head.

The arteria’s supplie towards the outside . The vene’s drain towards the centre.Compare both the images with the schedule just above, and on page 4. See page 12 for nomination.Mark that the sinus rectus (white arrow) is the connected with the vene sinus sagittalis superiores for draining the innerside of the brains. The vene sinus sagittalis superiores is connected to the vene jugelaris, that is going back to the heart. Mark that the sinus rectus is missing and/or harmed on the scan on the next page here underneath. The vene sinus rectus is at his turn connecting the vene sinus sagittalis inferior and the vene cerebri magna for drainge, which are two way sided resp. above and underneath the brainfluidchamber Cisterna Magna.

These private made scans from 2006, do show already some wrong even when not knowing to see.

5

On this scan we can see a disconnection of the vene sinus rectus from the sinus sagittalis inferioris as well from the vene cerebri magna. Thus the sinus rectus is missing (or not functioning). Prof. Dr. Seibel M.R.I. (D) stated the sinus rectus was not found in this series. Also a vain clip is found still in the head. The unidentified piece of organic material could be a piece of supplying artery, while the bended line situated underneath could be part of a drainage, it also could be a part of the vene occipitalis. The image to the left underneath shows a cutting through of the sinus rectus. Note: that the sinus is surrounded by falxmaterial as a pipe in a wall, removing the sinus still leaves a space for drainage. Either the sinus has been removed or not, it’s not performing its function as should be anymore after the last performed neurosurgical ‘treatment’ upon.

The next scan to right is showing the sinus sagittalis superioris, but after the confluens continuum, the vene ‘disappears’. There is a kind of noodle starting from the cisterna magna just above the carotis interna. At first I was thinking at an artificial drain for compensating the vene sinus rectus, but after re-study this appeared to be a piece of supply artery a.carotis interna. For the official planned operation they only needed to cut through the brainmembrane just above the surface of the brain. As we will see next, the vene sinus rectus is located in between both half of the brain in the falx cerebelli. The cutting has been done rather deep, with the use of contrast fluid. For the first surgery contrastfluid was not used. There is situated only one vene on the crossroiad of falxes (incl. cerebelli): de vene sinus rectus. Hitting the vene sinus rectus by accident in this pre-decided surgical situation is impossible, for they had nothing to ‘intervene’ medically on that exact spot. The cerebral venes do not have clutters. Probably this caused the complication-problem in trying to close that 2nd degree mayor vene after being cut, resulting in a vacuum of the hart left chamber, hart rhythm failure, so they were obliged to start a cardio-protocol etc? In this chapter of the condensed initiative epistle we gave the highlights of the background information regarding the vene that has been hit, as has been partly reported in the surgery report. (NB: Because we are dealing with concealment of medical blameable activities in performance, a private research with study was needed, in order to get facts brought on the table.)

6

Falx, Tentorium, and V. Sinus Rectus.

The brains are surrounded by a mesodermale cover: the brain membrane (minges), which is build up out of three layers. The outer and toughest layer is the Dura Mater(1), and the spiderweb- membraneinneweb- the arachnoidale space (2), and the soft bloodvains containing brane membrane called the Pia Mater (3). From the Pia Mater Bloodvains runs into the brain-tissue. The spiderweb-membrane and the Pia Mater form together the so called Leptomeninx.

The aranoidea lays close to the inner side of the Dura, and is separated by a thin cappilaire cleft (Cavum Duralis), and connected by Trabekels (14) and Septen, forming a close network, and thus system of communicating vessels within the arachnoidale space. (The space within is called the Sub-arachnoidale space (13).) From that arachnoidale space (‘usuries’ ) Granular-es van Pachioni (15) enter in to the bloodvains. Mostly they appear in the surrounding of the Sinus sagittalis superioris (16), being the primairy drainage vene, and also by the Lacunae Lateralis (17). Rarely they get nearby spiral nerves. Elderly people can heave these flocks, because of their growth, even penetrated into the vains of the Diploë (18). The liquor passes into the blood of the venes at these flocks. On the image shown to the top right section we can see under the skull, around the brain is the Dura, and the Sinus Sagittalis infrior (de lower vene (7)), and the Sinus Sagittalis Superior (de upper located vene (8)), and also the Sinus transversus (9). The hemispheres is separated in half by the Falx Cerebri (4), stretching out towards both sides out like a tent. Tentorium Cerebellum (5) divides the small brain parts.

The blood from the brains is first passing through the brainvenes to the stiff bloodvains of the brainmembrane, and goes further through the neckvenes, the countenancevenes, and/or verte-bralvenes. All mayor brainvenes are close to the (sub-) arachnoïdale space. The possible tearing up of the (intradural) cyst also has a direct consequence on the bloodcirculation. The Sinus sagittalis suprior goes along the ‘schedeldakaan-hechting’ calvaria-affix of the brainsickle, the Falx Cerebri, and the Sinus sagittalis inferior goes along the under-surface of the brainsickle. Smaller vene come out into there from the brains. Also the Sinus Occiptalis is connecting the venes beyond the os occipitalis hole with the area of merging sinuses for further drainage (Confluens Sinuuum) drainage.

(0=opening for the braintrunk, 4=falx cerebri5=tentorium, 7= dura sinus rectus circle= cyst)The cyst is located on the left side of the head. The falx cerebelli is one of its sides of the cyst as the layers of the membrane too for the rest of the cyst. Hitting the V. Sinus Rectus is not a surprise while cutting the falx cerebelli.

7

IV: Liquorspaces Brainfluidciculation with Ventrickles and Cisterna’s, and cyst-risks. In between the supply and drain system is the phase of liquor spaces. There are 4 inner and 4 outer liquor spaces, and they are connected together in the area of the 4th ventricle (in between the brain trunk and the little brain). The inner spaces are called ventricles and are indicated with Roman ciphers. The outer liquor space is limited by the arachnoidale (and subaranoidale space where the cyst is located). The biggest outer liquor space is called the Cisterno Cerebello Medullaris, and is located just under the little brain. Close to the inter-mediary brain are the Cisterna Interpeduncularis and the Cister Chiasmatis located. And finally, the Cisterna Ambiens ( permeated with wide meshed connective tissue) is limited by the surface of the little brain and the ‘vierheuvel-plaat’ (“four-hill-plate”). The latter Cisterna is also limited by the cyst. This is relevant regarding the risk of further complications. Compare the scan ventricles and cyst with the diagram.

The diagram of the ventricles, the Cisternas and the size of the little brain is slightly adapted in diagram towards my situation according to the Dia Sana Scans. In the original diagram the little brain was larger and a bit more below. The development of the cyst started gradually after a physical hematomic trauma at the age of three. The diagram refers to my actual situation. (The half sized moon shape indicates up till where the little brain normally goes.) So the cyst is also part of the limitation of the Cisterna Ambiens. The cyst is also nearby the largest Cisterna Cerebello Medullaris, which is normally limited by the (sub)arachnoidale space. The cyst is growing again, and can gain some space upwards. The space available upwards is limited by the skull and brains, but downwards there is lesser limitation. Each time it needs to gain more space, there is also more pressure on the brain, giving more physical complaints; sense of fainting, sickness, more pain of the 8th brain nerve. The space up is limited by the brain and skull, downwards however there is lesser limitation. The cyst finally may grow more downwards only. The cyst is intradural, in between the skull membrane. Downwards to the os occipital and atlas the skull ends. If the cyst reaches that point it might brake, leading to a large space connecting the brain fluid circulation downwards. This will lead to a significant decrease of brain fluid pressure, turbulation, and circulation. An infarct caused by insufficient feeding of the brain becomes realistic. This also might provide a connection downwards for the Cisterna’s resulting in a flow away of brain fluid, leading to an overall infarct in just a few seconds. This also according to dr. Strack Van Schijndel Van hanswijk. Treating the cyst from growing, besides searching for the cause (because that has not been done at all), it is also possible to cut through the Sub-Arachnoidale space and the Pia Mater towards the Cisterna Ambiens... At the first surgical treatment they had to perform likewise – which at the second surgical treatment should have been repeated but now fully manually in order to make a lager hole preventing the cyst from closing again. The cyste is functioning then as a kind of ‘communicating drainage’ with such an opening in it.

On this page the liquidciculation is shown for a better understanding. Also the effect of the lack of an active Vene Sinus Rectus and the presence of an artefact in the neck around the third vertebral C3 is better to understand with.

8

Nomenclature of the image above:1.Arachoidale space 2. big brain Cerebrum3.Plexus Choroideus in the 3rd ventrickle 4.Hypofyse 5. Medulla Spinnalis spinal marrow6. Cisterna Terminalis (at the of spinal column)7. Plexus Choroidus in the 4th ventrickle8. Cerbellum little brain 9. Aqueductus Cerebri10. 3rd Ventrickle 11. contour sideventrickleBlack circle is approximately my Cerebellum.

Nomenclature of the transvers section of a vertebra shown to the right:1. Vertebral Column covering grease-tissue 2. Pia Mater 3. Arachnoidea 4. Dura Mater 5. Back Root 6. Front Root 7. Ganglion Spinale 8. Dorsal branch of the nervus spinalis 9. ventrale tak van de nervus spinalis 10. adertje 11. Fissura Mediana 12. Voorhoorn13. Central Canal 14. White material (side strand zijstreng) 15. Back Horn 16. partition between both back strands.

Maybe there is a relation between the reduction of the drainage by disabling the vene sinus rectus, and the placement of the extinction-artefact in the neck, what apparently has been tighted so much this would mean a reduced passage of fluids on several levels, including the Arachnoidea. But I call this in such a situation as the consequence of a activities in causing injury of harm.

V: Anatomy of the neck and the finding of an artefact.

9

To determine the exactlocation of the implant after discovering it on the MRI, was anatomically far more easy. In total there are 7 neck-vertebrals, starting with the Atlas. The atlas C1 carries the head in connection with the os-occipitalis and downwards she forms a joint with the axis C2. The axis has a large protuberance needed for turning the head. This Axis (‘draaier’) is the first one shown clearly on the scans. Counting downwards leads to the conclusion that the metal implantation is backwards on the rightside of the 4th neck vertebral C4. Professor Seibel stated that the object is attached to the third vertebral, and that it appears to him as an extinction artifact, that has caused internal fractures within the third vertebrae C3 and also an extinction of one pair of the spinal nerves. Further investigation after scan-results pointed out that the artifact quiet possible is made out of several parts. Regarding the sixth vertebrae Prof. Dr. Seibel diagnosed arthrosis. Maybe because of the extinction of that pair of nerves I do not feel a Hernia starting, while C6 is sagged in. By the way, this arthrosis is a normal to people get when they get older.

On this particular Dia Sana scan we see at the location of the artifact a peculiar kind of radiance. We can also find this radiance in the oral cavity. Note that I have three ‘plastic’ fillings with two ancient amalgam replaced... Pb-lead is not sensitive to magnetism!

On this M.R.I. scan from 2009 we a large scan disturbance. We see a sinusitis in the medial wall (which is chronicle) and possible old traces of Blood (Ferrum) near C3 and finally also an arthrosis of the sixth vertebral (herniatic disc)

In the final epistle A Medical Research is pointed out why the disturbances of the MRI-scanner in the neck can not have been caused by a mere vain clip as was suggested by the AMC with their CT-scan. (In that epistle more scans images are shown for pointing that out.) Also it points out that there has been done an attempt to manipulated graphical material, in order to hide the true medical actions done during that second surgical treatment, which again is also pointing out the awareness of illegal activities being done by the operators. Why it has been put on C3-C4 might be shown by how the neckmuscles are being placed anatomic.

10

One reason is that the muscles in the way they are anatomically placed in such a way, that they provide more space on that location to get acces from there without removing muscles etc... (Another reason is that downwards from the 4th vertebral the processus spinosus has become larger, providing more bone tissue for attaching the implantation.) The incision goes down till the 4th neck vertebral. The placement was done diagonally downwards into the neck I assume. Where the hairline starts the scar is also a little wider indicating a deeper cut? For the de cyst-phenestral intervention a space within the circle shape was enough. Such a large incision for intervention was not needed at all. Maybe the exact function of the artifact was not extinction but another, but the artifact might have been attached to tight around the neck vertebral? The location is suitable for it, and the muscles gives space for without moving them aside a lot for placing the artefcat. According to prof. Siebel the exact meaning and functioning of this (extinction) artifact still have to be pointed out further (reliably). Also note that the shape of the scar has a kind of artistic appearance. Even if this meant to hide the activity and the result of a large scar under the flag of a kind of piercing-art making scars, even then still there is an artifact is to be found in the neck.

VII: Some extra Remarks on the matter.Performing surgery with a surgiscoop, and a MRIscan with contrastfluid as preparation in advance for surgical reference, and with scholared knowledge, it is not very likely to hit by accident that vain, for going to the right through a hole on the left half into the wrong direction for cutting on the other half of the brains, while the left offshoot of the Cisterna Magna is on the left side. Notice that the brainmembrane is + 0,4 mm thick, main venes are shown transparantly visible through. Note that from the cyst the falx can be seen as well as the vene sinus rectus; after opening the cyst they could also see the brain trunk. Under the flag of an error and a surprise quiet some other handlings took place? It seems we are dealing with a well planned medical experiment without permission and not needed for treating the pathology. The exact function of the artefact in the neck still has to be poited out by surgery. The cyst is growing, thus pushing the brain towards a smaller volume. The pressure on the brain is slowing down the brainfluidcirculation, and also pressing on the nervus. I sence burning pain, tintling, various kind of noises, neurological deafness left ear, pressure in the head and accidental electricity, and the feeling like the lack of oxigen. The MRI scans did show out quiet some. For treating me well, the true medical status has to be aknowledged. Siegfried van Hoek.

11

In the schematic above becomes clear that the supply goes from the inside outwards, and that the drainage is actually going from the outside inwards and also from the inner centre.

The drainage of the brainliquid goes like this: the Vene Sagittalis Superiores -with offspring Vene Sinus Rectus etc (!) for the inner part-, goes further into the Vene Transversus, which goes through the Vene Sigmoidalis to the Vene Jugelaris Interna into the direction of the Hart. The lacking of the Vene Sinus Rectus and a reduced activity of the Vene Sinus Transversus, also points at a drainage for compensating the lacking.

Do compare the schematic of the venes with `the ‘real life’ Vene-Preparation on the next page.

12

Underneath in bold the main relevant nominations of artery, because they form the main basic drainage. The slanting black line is parallel with the Vene Sinus Transversus. The head is turned over a bit to the front, the vene is actual transverse on the body axis, so to say is running more horizontal when head is straight up.

2 Vene Sinus Sagittalis Superiores

3 Vene Cerebri Superiores

4 Vene Meningea Media

2 Vene Sinus Sagittalis Interior

3 Vene Sagittalis Inferiores

5 Vene Cerebri Interna

4 Vene Sinus Rectus

6 Vene Transversus

7 Vene Sinus Inferior

Pijl Vene Cerebri MagnaCerebral and non-cerebral venes in the head

13

Enlargement of the marks of scars:

The small half-moon circle is quiet possible the result of the intervention from February 2000, but the bigger and larger incision is surely the remaining of that very intervention in October 2000. Note: Both surgical treatments should have been the same kind of intervention and should have comparable incisions.

In this initiation some information about secret medical activities has been shown. In the next epistle Medical Research part A we will study two medical reports deeper, where after we will go deeper into the available scan material. In the rewritten part B the various acts of concealment will be largely treated. At closing a new written small summary will follow of the facts being found.

14