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Siegfried van Hoek

A Medical Research (part A) Version 2008, check with audio-logic test result addition 2011. PART A: A MEDICAL RESEARCH Foreword Page 2 Medical situation of Siegfried van Hoek, narration Page 3 M.R.I. report from Germany with interpretation Page 5 Scan overview 1999-2007 Page 8 Critical analysis of the surgery report October 2000 Page 20 Some scan-extractions from pervious studies Page 24 Conclusion (also included in part B) Page 46 Credits and second thoughts (also included in part B) Page 47 Plight Bloody - Plight Messy (also included in part B) Page 48 6 Enclosures (whereof 2 included in part B) Page 49 - 59 The Medical Research and the Fraud Research are made into separate files, for showing the blamable medical deeds separately from the criminal acts of concealment resulting into respectively part A and part B. PART B: FRAUDE RESEARCH Compilation Medical Research Part A Page 2 Research upon Manipulations of Graphical material Page 3 Conclusion, Credits, Plight Bloody – Plight Messy Page 24 - 26 3 Enclosures (whereof 2 included in part A) Page 27 - 31 This layman study is made with MS Word. For evaluating this work, it is recommended to study it with a computer, so you can use a zoom function. On the printed out version the images shown may be shown in a far less quality.

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A Medical Research. Foreword: Lectori Salutem! In this epistle you’ll find the result of all the studies I performed, in order to investigated and indicated the handlings that did took place during that second neurological treatment on October 30th 2000, of which we had heard experimental (untold) activities took place. In the initial version the findings were started with an introduction of the provision of the brains, in order to give a layman the possibility to judge for him/herself first. To be able to define in plain words does not make someone a doctor, but it is sufficient for pointing out certain matters. (It is in my intention to get a clear understanding of the results of medical activities, but also in possible repair treatments) I also found lacunas in the position of wrights for victims of medical injury of harm. Medical activities are covered by a protecting culture, which is recognized openly as a cult of silence, and whereof apparently conscious abuse can be made off in knowing that the patient is nearly complete defenseless. This ‘rule’ is harming patients in advance, because recognition of their medical complaints when occurring medical injury of harm in general can be denied, even when we are dealing with an honest mistake. The current constellation of legislation is giving space also to conceal causing (deliberate) medical injury of harm (the medical mistake on purpose). Study pointed out that the medical obligation of silence primarily is meant for the medical group of profession themselves, and not protecting the patient. At this moment of writing (2007) a new proposal reformation of legislation is there into a new constellation called ‘Vertel en Herstel’, tell and repair. This proposal is presenting that doctors have to report when a mistake has been made, and they have to define if a repair-treatment can be done. A doctor should not make any statement regarding an eventual financial compensation regarding medical injury of harm, for this is not the domain of profession of a doctor. At the same time a doctor should get professional support when an investigation on the matter starts, in order we all can learn form it. Matters evaluated in that way, makes that abuse and severe neglect can be fought back better as a form of crime. Also the government should take a central place within themselves with an institute that registers medical injury of harm, researches on causes, intermediates in dispute, and advises or gives referrals to the concerning expert. This also is serving the respect for honorable doctors. I state, that in consequence of the medical cult of silence regarding the evaluation of medical injury of harm, the patient also can get harmed in society deliberately in the deliberate neglect of his/her true medical status. Up till today the openly recognized cult of silence is causing harm to civilians by the medical and the managerial domain. Typical enough this proposal of legislation remained a mere proposal (2011). Though there have been made rules of behaviour, ‘Gedragregels Omgaan Medische Aansprakelijkheid GOMA, Rules of Behavior for Dealing with Medical Liability, which aims a step into the good direction in dealing with medical injury of harm. But all alterations in spite of, if legislation is respected as pleased subjectively, very little will change. The taboo on medical injury of harm and the severely blamable activities has to be broken. With my medical case I hope to contribute something in the interest of this matter as well. The following presentation is build up starting with a narration of what I have heard just after that treatment in 2000 (Medical situation of Siegfried van Hoek), followed by a report from M.R.I. Germany with a translation into plain language, a scan overview 1999-2007, and next to this a direct analysis of the surgery report with a critical comment, finally followed with a further analysis in approach regarding the manipulation of medical information with some essential scan-extractions coming from forgoing studies. In order to make clear the information offered also for non-medics it is desirable to have token knowledge from the information offered in A Medical Initiation. For the benefit and the good of truthful doctors and patients, Siegfried van Hoek. (Presentation 2011)

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Medical situation of Siegfried van Hoek: Summer 1999, on a day, I woke up with a sudden continuous loud noise in the left ear. The generalist I visited was thinking of a sudden allergic reaction. In the Hospital AMC 4 months later, they were first thinking of sudden deafness. But MRI scans in the hospital showed that there was a huge cyst (fist-wide!) growing intradural under the skull behind the little brain. This cyst came into existence as a result of a deposition of calcium around a small brain-dural bleeding as consequence of a fall on the back of my head after a climb into a (playground) tower on the pavement at the age of three. In itself this was a phenomena; a cyst of that size inside the head Taking invasively space. The first operation took place in February 2000. They made a hole (Phenestral) in the cyst into the direction of the left (Cisterna Magna) brain fluid chamber, in order to stop the cyst from growing. The operation would have taken more time because the membrane was quiet tough to get through. A few days later there was a talk with a female psychologist of the AMC, she had asked me for an interview, the reason nor the results of that very talk (also after) have never been known to me. In 4 months time the situation was as before, the small hole had closed again, the cyst was growing again. The new proposal to me first was to put a drain from the cyst downwards, but they had not decided yet. They would inform me later. Finally they decided not to do this, but to do the same operation as before, but now manually as has been reported after as well. This would lead to a wider hole in connecting the cyst, providing that it would not close again anymore. The latter decision also had my preference above a drain. If this would not work, they still could consider placing a drain. October 30th 2000 the second operation took place. It started at 09.30 hrs. The operation had ‘complications’. I woke up in a bed filled with tubes and monitors around in a recover-chamber alone at 18.00 hrs with a bleeding pain sense under my skull. I started waving to draw the attention of a nurse trying to wave my left arm. She augmented the intravenous dose of morphine. The operation-chamber nurse came in a little later for a short moment, just to tell me with a peculiar voice in my ear, that she was the nurse assisting the operation, and that I did not had to worry about the extra incision in the neck, they needed that for a moment to get somewhere, i.e. to be able to do ‘something’(!). Then the assistant surgeon came in a little later with a kind of legging steps, and he started to tell me that again they had difficulty to cut the membrane, as during the previous treatment in Feb. 2000, and as a result they had cut a vain, and that they had quiet some trouble to fix this. I responded that making errors is human, I can live with that. Whereupon he told me about how impressing it was cutting the membrane, by which the liquid really squirted out, so much pressure there was in the cyst. Then he asked me, if I remembered the moment that I was brought me back from narcosis and I got unwell, so that they had to take me back under narcosis? I could not remember this (so much). He felt visibly relieved. Then he asked me if I was suffering from something now. I told him that I now was feeling so much pain in my throat. He told me that this was because they had to give me a stomach drain (or sonde) when they had to put me back under narcosis. It was a tremendous pain in my throat, even more then in my head. Surprising for being operated at my head…, the more considering being under continuous intravenous morphine doses. Much later came in the nightshift, and a report between the IC-nurse of the day and the medic of the night took place. (Both were standing at the end of my bed during this medical report / transfer of information. That man was an indirect colleague of mine, at that time I was still working for an International Alarm service-central. So I asked for his name, and made sure to remember that name.) During their medical transfer I heard quiet shocking information, that they had done something what made me becoming completely unwell after bringing me back. So they had to put me back under narcosis, to take everything out again, and continue again with the operation. But now they were working under pressure of time, and they had cut through a vain (so called by accident?), after which they had difficulty to stop the bleeding. (By now we know that this is concerning the main-vene Sinus Rectus; the fifth vene counting from the hart, which is situated due to the cyst on the right half of the head, and can’t be hit by accident of sudden handlings, for the hole was made on the left half.) In 2 minutes time 2 litres of blood would have been lost, (some blood thus also got under the skull) followed by a vacuum in the left hart chamber, and there arose failures in the hart rhythm, and a hart attack was at hand. Hart- injections made ready and a defilibrator was started up and put on stand by.

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How this conversation continued on that point I could not hear, because from here they looked at me and started to whisper now. I was witnessing the conversation between the medical personal of the day and the nightshift standing at the right side of the foot end of my hospital bed, and from this point they started to whisper. But I still heard her saying something about a messy treatment, and that he said upon that they really mess with people in this hospital sometimes, and how lucky they were with this narrow escape and how lucky I was too for some reason… The night-medic still made a remark that I was able to hear what their conversation, whereupon she remarked that I was out on high doses of morphine anyway. (And even if I could have hear all this, then still this would not have any value juridical, my report of what I heard, because I was on a kind of IC on ‘morphine after a neuro-surgical treatment. Reflection looking back: Well, even if my story of what I had heard would not have any value, then still I was carrying the physical evidence in my neck and in my head. I was told about by accident cutting a (none defined) vain only, but not about other handlings that took place as well, like performing surgery in the neck. Next to this I also think that the IC-room-nursery isn’t informed correctly as well by the surgery-offenders, a story had to be brought up where everybody except the victim could get away with. In general a surgeon does not inform a patient if something goes wrong, due to legislation around the procedures with medical errors and their own obligation of silence to protect the image of their group of profession. The insurance explicitly demands from doctors in the Netherlands not to mention anything when errors occur. In my case I think he had to talk, in order to find out what I could remember of what had happened. If they had said nothing etc, then still there was the surprise of a long incision in my neck for me to discover and then to start my investigation (as yet). (The later obtained operation report does treat the issue about a vain being hit, but it doesn’t mention anything regarding implanting an object in the neck. The complications were denied during that last consul in 2003. That very consult later has not been registered and is denied in existence as well.) The operation report differs significant from the report to the generalist regarding the treatment, wherein the complications also were not mentioned, as cause of the cult of silence. Later on after being dismissed from the hospitalisation, on a visit for consult in 2001, I was informed that due to the fact that the cyst was already there, I was now facing a situation, where the brain trunk has to gain more strength, because the space the skull is providing is now larger then the space the brains are asking for. It might cause complaints as if I’m having a permanent concussion of the brain. It can get better or worse, and from there standpoint of view there is no further treatment possible. The space of the cyst started to work as a de-combustion-chamber giving a light sense in the head, where after in result a growing sense of overpressure (pain) around the brain arises during the day, especially more in wintertime. The hard noise did not leave, and I’m getting deafer. The interval between the left and the right ear of a tone is nearly a full tone in difference. I’m having a continuous pain in between the left ear and temple as if there’s something. Other problems that occurred during the last two years are: senses of electricity, dizziness as if there is a lack of oxygen, the sense of bleeding under the skull, a sense of tingling ‘as upcoming boiling milk’ in the head, and continuous pain. De cyst has become wider with the incision of the side-wall falx cerebelli, what is resulting into a lower pressure per cm2 (the force is blood pressure related) on the cortex from the by now again closed cyst. In the year 2011 in result I’m neurological deaf for 70 Db now. During that very (2nd ) treatment quiet other things were done then was agreed and was reported conform agreement after. Requesting for a medical file, besides their unwillingness, will not make a lot in the research of what they truly have done, for a file able to request for will not treat openly a report of what one (untold) medical experimental have been doing. The handlings were in central not meant to treat the pathology. In my research therefore I have found next to a false report also fraud of images for concealment, note in international cooperation. After finding the cults of silence prescribed by law, I thus had to start a study regarding myself leading to this epistle. In part B there will be gone further into the research after the manipulation of graphic material, followed by a condensation of the matter into a short epistle with a conclusion.

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M.R.I. research from Germany with ANALYSIS AND INTERPRETATION Clinical information: Situation of plural operative intervention at an already indicated occipital located cyst. Research question: progress /Research target: development up to present situation. IN MEDICAL EMGLISH LANGUAGE MR-Angiography of the Carotidal with CM dated 13.11.2007. ICPM: 3-828 Research method: MRT of the skull, Carotidal and NVS with CM. Findings: No indication for a fresh Ischemia or a bleeding. Orthotope ventrikelsystem, the Cisterna’s basal are free. Occipital nearby the surrounding of the left cerebellum, shown in the T1-modus there is hypoitens injury, in the T2-modus this injury seems to be homogene hyperintens with contrast-liquid-enhancement. The maximal diameter is lateral 7.2 cm, dorso-ventraal 3.8cm, encranio-caudaal 7.4 cm. In comparison with the last forgoing research of Augustus 18th 2006 there is no significant change to be seen. The injury is shoving the left Pendunculus cerebella ventrally towards the Endunculus cerebella and the A.sinus Sigmoideus and the Sinus Rectus in the neighbourhood of the Confluence Sinuum towards the right side. Although being shoved, the Sinus is showing a norm conform Flow-void. The Sinus Sagittalis is shown with a small calibre. The VV. Emissariae are not dilatered. The left Sinus Rectus is in the forgoing research not shown. In the FLAIR-modus in the parietal marrow there is to the left a hyperintense, maximal 5mm large nidus, in the high parietal marrow to the left there also is a large nidus of max 4mm, and in the left frontal there is a large nidus of max 5 mm to be seen. In first line, these smallest gliose hearths are to be discussed after an operative intervention.

IN COMMON ENGLISH ICPM: 3-828 Research method: MRT of the skull, Carotidal and Neck/Vertebrae/Shoulder with contrast fluid. Findings: No indication for a fresh local lack of blood caused by closure of a vain, or a local bleeding. The ventricle-system is to be found at a normal location, and the basal fluid chambers inside the brain are free. On the backside of the head located in the neighbourhood of the small brain in rendering in the T1-modus we find a large cyst, and in the T2-modus this hypoitens injury seems not to absorb contrast liquid homogeny at all (the phenestral opening is closed.) The max. Diameter is lateral 7.2 cm, dorso-ventral 3.8cm encranio-caudal 7.4 cm. (These figures differ with met Dia Sana, which is showing larger figures. The way of measuring this a-symmetric form produces variables. In comparison with the forgoing re-search of august 18th 2006 there is no significant change of the findings before. The injury has shoved towards the left Pendunculus cerebelli and forwards towards and towards the A.sinus Sigmoideus and the Sinus Rectus in the neighbourhood of the Confluens Sinuum to the writght. (In other words, the cyst is absolutely growing somewhat, and in scan comparison it has grown also towards above.) Although the Sinus shove, it is showing a norm conform Flow-void. The Sinus Sagittalis is shown in a smaller size. The Vv. Emissariae are not moved to another pasture. The (Left? Text is missing?) Sinus Rectus is not shown in the previous research. (The V. Cerebri Magna is a short ‘vaintree’, that is taking care of the arrival of four drainage-venes, and is growing over into the vene Sinus Rectus, which is connected to the V. Cerebri Magna; here just outside the image. There is only one Sinus Rectus, coming from the Sinus Sagittalis Superiores, passing over also into the Cerebri Magna.

In the FLAIR-modus is in the parietal narrow there is to the left a hyperintense, maximal 5mm large nidus, in the high parietal marrow to the left there also is a large nidus of max 4mm, and in the left frontal there is a large nidus of max 5mm to be seen. Those are in first line gliosenidus ( a diffuse usury of neurologic tissue) and only after operative intervention these can be confirmed as conclusion.

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The inner ears are remarkable at both sides. A clear swelling of the mucous membrane is there in the Sinus Maxillares, the right one is for 2/3rd stuffed up by large basal polypoide swellings of the mucous membrane. Swellings of the mucous membrane are also in the Sinus Sphenoidalis, as well as basal swellings of the mucous membrane in the left Sinus Maxillaris. These findings are indifferent with the preliminary investigation. In the cervical vertebral (spinal) column is at the height of the C2/3 an extintionartefact to be seen in the transversal layers with partly an extinction of the spinal canal to the right. The complete cause for this artefact can not be described MR-morphologically, in case needed a conventional X-ray photo should give an exclusion, because also from the surgery report there cannot be deprived from, what intervention as been done. The cervical spinal column shows a stretching deformation. Image of a medial protrusion in segment C6/7 with medial both sided neuroforamine stricture and direct affection of the neural roots. Stricture of the spinal canal for ca 20%. Medial slight protrusion in segment C5/6 without relevant neuroforaminal stricture. The Myelon shows a norm conform signal character, likewise the liquor spaces. No catheter material has been seen. The angio-graphic-sequences show a nonconform separation of the supra-aortale vains. No conformal rendering of the A. Carotis Communis Interna and Externa. The left A. Carotis Interna shows in the neighbour-hood of the skull base an extended kinking.

Both inner ears do make themselves remarkably seen. Clear swelling of the mucous in the Sinus Maxillares, the right one is closed for 2/3 by large basal polypoide swelling of the mucous stuffed up. Also a swelling of the mucous Sinus Sphenoidalis, and swelling of the mucous also in the left Sinus Maxillaries and in the Sinus Frontalis. (All are affected with the chronic Sinusitis.) This finding did not change from the verbal pre-research at M.R.I 13.11.2007. In the neck vertebrae column at the height of the C2/3there an extinction artifact has been found, with causing already an extinction of a part of the spinal canal to right. (In the spinal canal are 31 pair of nerve-paths IE: this is a damage causing artefact) The artefact can not be described completely with help of the MR-shape-research, in case needed an X-Ray photo could give exclusion, because also the surgery report does not contain the information which treatment has been done, what for and why this has been placed. (The X-rays were frauded after!)

On the scan above we see the artefact from the side. The neck vertebral column shows a stretching deformation. Also there is an indication of a braking-fracture in the middle in between the 6th and 7th vertebrae, with both sided stricture of the nerve-paths, with a direct (sickly disorder) attack to ailing in bad health of the nerve roots. Narrowing of the Spinal canal is for 20%, wherein 31 pair of nerve-paths are located) Also a lighter a braking-fracture in the middle in between the 5th and the 6th vertebrae, but without another narrowing of the spinal-canal. The Meyeol (?) shows a different signal character, like in the liquor chambers. (Maybe that the pressure the cyst is giving to the brain is giving an influence in this?) In any case, there is no drainage material found, resulting to lay off this hypothesis regarding the object in the neck. The description of the running through in the veins shows a different separation of the supra-aortal veins. There is a difference in the rendering of the A. Carotis Communis Interna and the A. Carotis Communis Externa to be found. The A. Carotis Interna (L) shows in the surrounding of the basis of the skull an extended kinking. (Maybe because there is an increase of pressure in the head, and the vain is surrounded with brain tissue, that this augmentation of pressure is showing itself in this way, and the vain might have become even partly a bit larger...)

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In comparison the left A. Vertibralis gives a clear larger impression then the A. Vertebralis on the right side, both veins do not show relevant stenoses. Intracranial rendering of an unremarkable vain architecture without indications for aneurysmatic movement to another pasture. Review résumé: Large cystic injury with caudal shifting of the left Pedunculus Cerebelli and the Sinus to the right. In the Sinus is, as far as to be interpretated, a norm conform Flow-void visible, the Vv. emissariae are not moved to another pasture, the Sinus Rectus (left) is not shown. Indistinctable metal extinction-artefact in the neck nearby the vertebrae C2/3. The cervical spinal column shows a stretching deformation. The left A. Vertebralis is more prominent. Protrusion in the segments C5/6. Explanation for the patient: Dear Mr. Hoek, The scan of your head and the brains show a (known) cystic injury in the left occipital part. In comparison with the previous research results from Augustus 2006 you have had brought with you, there are no relevant changes to be seen. Some parts of the little brain and the Sinus, the veins that are draining away, are shifted. A reduce in function is not assumable. Near the second and third vertebrae unclear signals have been visibly caused by metal. In the surgery reports we have not found a correlation for this. A normal X-Ray photo of the neck could give clarification. The spinal column of the neck shows a stretching deformation of the neck and recesses of the tissue in between the vertebrae between the fifth and sixth and between the sixth and seventh neck vertebrae.

In comparison is the left A. Vertebralis clearly bigger then the A. Vertebralis to the right, both veins do not show relevant narrowing. The inner rendering in the head did not show remarkable vain structures and no (local) widening of one of the veins. Review résumé: large cyst to the left in the backside of the head, with displacements of the Pendunculus Cerebelli downwards towards the spinal marrow and the Sinus Sagittalis Superiores to the right. (The cyst also has grown towards above) In the Sinus as far as to be indicated a different Flow-void is visible; the Vv. Emissariae have not become wider; the (left?) Vene Sinus Rectus is not shown. There is an unclear metal extinction-artefact found nearby the C2/3 in the neck. The spinal column in the neck has a stretching deformation. The left A. Vertebralis is more prominent. Fracture inside the segments C5/6.

Explanation for the patient: Dear Mr. Van Hoek, the scan of your head and brains show the cyst (already known to you) in the backside of your head. In comparison with the given scan results from Dia Sana by you to us, not so much difference was found. From august 2006, there are no relevant changes visible. (there is a growth of the cyst and an increase of the physical complaints, I do become more deaf with more dizziness and pain, but apart from that all is still functioning.) The cyst shoved apart some parts of the body like the little brain, as well the Sinus Sagittalis Superiores with its draining away veins. A decrease of function is visibly not to be seen. At the 2nd and 3rd vertebrae there arose a disturbance in the MRI scan, because of a metal object in the neck located there. In the surgery report we could not find any relation to this, either in treating the cyst as a pathology nor pure registrative. A simple X-ray photo of the neck could give some clarification. A vain clip is quiet impossible considering this can not give damage to the inner part of the vertebrae. (The up following X-ray researches were all manipulated, in the Netherlands as well as in Germany, see part B; it is impossible that a vain-clip is sacking down form the head into the neck and causing such a damage to C3.) The neck vertebrae shows a wrong position and recesses of tissue in between the vertebrae between the 6th and the 7th neck vertebrae, as caused by the herniatic disk C6.

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ANITIAL SCAN RESEARCH AND AUDIOLOGIC RESEARCH

AMC Dec 1999 AMC Feb 2000 In a previous study, I was questioning if monothermy was used during the first surgical treatment, for the end of the left cisterna magna was reaching very far to the outside. Anyhow, the complaints were back quiet quickly, and I wander if the first operation a phenestration took really place to make a connection with the left brain-fluid circulation. Surgical investigation should point this out, because the other layers of the brain membrane (the subarachnoidale space and the pia mater) should show remains of an incision then; otherwise the treatment was used to perform a camera-viewing?

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AMC Aug 2000 AMC Oct 2000 On the AMC October 2000 MRI we see the result of a scan with the use of contrast fluid. The use of contrast fluid was not told to me. Apparently not only blood was taken before that operation... For the 1st operation in February 2000 MRI no navigation-caps on my head and no contrast fluid were used. It also gives an indication that the concealed medical handlings were planned before. For the official planned operation the use of contrast fluid was also not needed, considering it was surgical not needed to go into the brain, but only to cut open brain membrane through the pia mater and the sub-arachnoidale space (It is also very unlikely to hit the vene sinus rectus with a MRI neurosurgical reference with contrast fluid by surprise.)

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AMC Apr 2001 AMC Apr 2001 With 2nd treatment a window opening was made (phenestration) in the cyst by cutting through the falx cerebelli, in stead of cutting through the layers of the membrane (the sub-arachnoid layer and the pia mater), there also was made a permanent connection between the cyst and the brain-fluid circulation, which in its self also could be a correct treatment, but for this one could stay away from the sinus rectus and the neck! The cyst is shown here at its smallest size, giving space back to the brains. Do notice (to the left) the ‘horizontal’ up lightning line to the right nearby C3, and to the left round button seen from behind. This can not be in result of simple vainclip placed between C3 and C4 on the back side of the head. Several MRI scans show/support also the (verbal) statement of Dr. Steuckle M.R.I., that an object is attached from the backside of C3 around C3.

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OLVG June 2006 Dia Sana Aug 2006 Besides that these scans show the growth, the MRI scans show consequently an implantation consequently located at the same spot. The object is to be seen on all MRIS scans starting from April 2001, before there was no such an object, but/because there also was no operation done in the neck. According to Prof. Dr. R. Seibel, we are dealing with an extinction artifact here, which has caused already damage: extinction of a pair of nerves in the spinal column and internal fractures in the C3 neck vertebral. C3 has no arthritis, therefore only the implant can cause such damage. In the further research upon the scans from MRI Germany a few coups were showing that the artifact is containing several parts. The X-ray-investigation advised by Prof Seibel were up following manipulated falsely note in International cooperation together: a vain clip that is located in variation on the scans between the bottom of C2 and the top of C4, double glued over nametags, and other findings that point at the assembled manipulation of negatives; see part B. Apparently there is something to hide, further (criminal) investigation will be needed.

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On the table to the right we can see the gradual growth of the cyst, in February 2000 the cyst was at its largest size. After the 2nd treatment the cyst was at its smallest size in April 2001. Starting from April 2004 the cyst started growing and pressing on the cortex. The growth is the most evident to be seen on the M.R.I. from Nov 2007. After the falx cerebelli was cut through, sideward the cyst became larger, what lowered the surface pressure on the cortex, the pressure force divided over the complete surface of the cyst is related to the blood pressure. Conclusion : the hole has closed, the cyst is still growing, and finally it can grow only downwards with possible disastrous consequences (according to Ms. Dr. Strack Van Schijndel-Van Hanswijk).

Name Datum Height Depth AMC 09 Dec. 1999 7.4 cm 4.5 cm 08 Feb. 2000 7.5 cm 4.7 cm 04 Aug. 2000 7.4 cm 4.7 cm 27 Okt. 2000 7.3 cm 4.6 cm 19 Apr. 2001 6.9 cm 3.9 cm OLVG 08 Jun. 2006 6.8 cm 4.17 cm Dia Sana 18 Aug 2006 7.2 cm 4.5 cm UMC 14 Dec. 2006 7.3 cm 4.4 cm M.R.I. 13 Nov. 2007 7.32 cm 4.60 cm

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Selection from the very first audio-logic scan from 161199, after I woke up October 1999 with a sudden very loud continuous noise in my left ear. (A pinching A. carotis interna blood murmuring sound.) Before the first treatment there were two more audio-logic scans made, those two resemble reasonably with the first one above.

Selection from the scan three months after the second treatment from 240101. There is a shift of the deviation of the spectrum of the left hearing to be found, which is pointing out the influence on the hearing-capacity with the fall back of cyst-pressure by the phenestration.

Selection from the scan after the first treatment from 170500. The cyst was getting back on pressure, for there was no flow of brain-fluid circulation between the cyst and the space under the membrane and the brain. Maybe that with the first treatment temporarily a lowering of pressure came there that influenced a bit the hearing spectrum already.

Last performed scan by the AMC from 120603 at the department KNO. In that time also the last consult at the poli neurology took place, where I got a copy of the surgery report from them. We see clearly a recovery of the hearing of the left ear as a result of the fall back of the pressure from the cyst on the cortex. In the up following serie we’ll see with the closure of the cyst (raising pressure) also a decline of the hearing to the left ear.

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Last performed scan by the AMC (120603) at the department KNO. The hearing capacity recovered due to the fall back of pressure on the cortex by the cyst that got opened releasing liquid.

Starting from 2004 I was announced at the ‘Koninklijk Audiologisch Centrum Efatha’. From 2005 they took care of the annual periodical scan-researches after finding the fall back of the hearing in the scan at 280705 as a result of the again rising pressure of the cyst.

On this scan from 260207 the hearing left is gone worse further. Because of cutting in the falx cerebelli as adjacent wall, the cyst took a slightly different form, what in consequence also changed the surface of pressure on the cortex, what in its turn also made a change in the fall back of the hearing spectrum. On the scan from 280705 this was already visible.

On this from 121209 we see that the rising pressure in the head caused by the growth of the cyst worsened the hearing to the left further again. (How far can / must it go before the cyst tears up (downwards?)??)

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The growth of the cyst with its pressure on the cortex in effect with the decline of the left hearing is also possible to make visible neurologically, by a Brain evoked Auditive Respons threshold measurement. By which reliable can be measured to what level the brains register a hearing signal with electrodes glued on the head. Above a selection of graphics from my BAR-research (2010), which in comparison is already showing in Db that to the left I’m deaf. We know that this happened by pressure of the cyst. At this moment (2011) I’m up to a sound level of 70 Db deaf, but the blood murmuring sound I’m still able to hear in a bit lower sound level. Also the brain trunk appeared to be twisted in the UMC research 2007, and there was also a pinching of nervus VIII explaining the hearing problems with. So far some selection regarding the hearing problems to show the growth of the cyst in her effect on that situation (the hearing capacity).

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In addition on that particular comparative Dia Sana scan these two are also interesting. Mark the radiating-shape in the mouth and the neck to the left. Just above the A. Carotis Interna is a black line I cannot define, maybe that is a part of the other Carotis Intyerna? Prof. Seibel did not find clues for an artificial construction of drainage, but the Vene Transversus is not working visibly. The lacking of the vene sinus rectus may be compensated a bit from the outside because of the wider meshes of the white matters. The sensation of pressure as if I’m continuous standing on my head can be explained by the reduced drainage by the lacking vene Sinus Rectus. In the first 3 years after the treatment when the cyst was still open with the the falxes cut through I experience under-pressure, and the cyst was working as a large ‘drainage chamber’.

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From this particular Dia Sana MRI scan we can notice some significant points: The vene missing is: Vene Sinus Rectus. The vene in the middle is the Vene Sagittalis Superiores, starting to visible just before Confluens Cotinuum. The inlet on the bottom in the middle of the image on that Vene Sinus Sagittalis Superiores is the spot where the Vene Sinus Rectus should be attached to. Remaining rest of the venes to the right are the vene Sinus Sagittalis Inferior and the vene Magna Cerebri. Just before the confluence continuum we see an unidentified part of a (natural?) provision-drainage... Also there is a remain of an inorganic object (vein-clip?), and to right there is also a little unidentified artery tissue.

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On this MRI from the M.R.I. institute 13 november2007 we can see the head with partly the torso. Dimensions with a maximal size: 76.3 cm x 49.0 cm. The cyst is an elliptical in 3D ellipses shaped form. Therefore it is difficult to indicate the growth. I went searching for the most equal images to show at least the growth clearly. I choose for one specific sagittal scan. See page 8 till 12. Concerning the growth we can find also that the location of the cyst in its expanding also has moved a bit. Cutting into the falx cerebelli will reasonably also have its influence on the (extension) change of the shape of the cyst. I notice, that there is a clear disturbance of the image in the neck to be seen. These kind of disturbances can also be found back in the MRI scout of the AMC from April 2001. The size of the disturbance over the length of three vertebras really can not be caused by a mere vain clip at the size of 60% of one vertebral, as verbally MRI also mentioned.

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On this MRI from the M.R.I. institute 13 November 2007 we see the backside of the torso with head. We can see vaguely still some of the cyst in black starting from location nearby the ear. Note that in the neck also here a clear disturbance is to be seen (, as stated before on the previous page). Again I mention that the size of the disturbance over a length of about 3 vertebras can not been caused by a mere vain clip at the size of 60% of one sole vertebral only. Down at the lung-heart-stomach-area there is a kind of medical problem to be found concerning the lungs. But maybe this just an effect of the use contrast fluid under which these scans were made. Because at the place of the hart the up lightning spot is the strongest. I do not feel pain, but deep white phlegm is coming from the lungs. We’ll have to checked this out once later on.

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ANALYSIS OF THE REPORT OF THE SURGICAL TREATMENT 30 okt 2000 1sr remark: minimal research has been done, and there was no report made concerning which vene being hit on purpose or by accident. Also the scan result have been manipulated partly. There was no support regarding for me in industrial disability, and the consequences in brain pressure caused by removing a vain have been kept silent deliberately; there has been done minimal research before and after. A tight translation of the original operation report, with a translation in layman language with my additional comment is underneath: IN MEDICAL LANGUAGE Operation report: total anesthesia, lying on the belly. Fixation of the head in the Mayfield holdfast 45° rotated to the left into a slight flexi. Registration procedure in conjunction with the use of neuronavigation. Continued with shaving, iodize, and covering sterile. Hockey stick-shaped incision over the left cerebellair hemisphere. Preparing skin piece ready. Diathermic incision, pushing off periost and muscle. We now get the drillinghole of the endoscopic fenestration à vue, where trough the dura\ cover of the arachnoid cyst is shining through. From out of this drilling hole a bone piece of 3 x 3 cm becomes fraised out. After the bonepiece has been removed, the dura\cover of the cyst becomes incisioned and liquor is spurting out with remarkable high pressure. The opening becomes enlarged further, and the dura gets hung up. In the deep, we get the sight upon the cortex of the left cerebellair hemisphere and more median the foramen of Magendi, al well as the brain trunk.

1:Skin 2:Periost 3:Bone 4:Tough Brain membrane 5:Arachnoidea 6:Soft Brain membrame (layer 5+6 remaining) From the dura of the occipital bone there seems a kind of falx coming from, proceeding into the thin arachnoidal wall, which is drawn tightly over the cortex of the left cerebellair hemisphere. It is imaginable, that from here working like a kind of valve and liquor entrapment from the Cistern Magna is here.

IN NORMAL LANGUAGE Operation report: complete anaesthetization, lying on the belly. The head has been fixed, and slanting rotated, so the spot to operate in at the highest point in sight. Registration procedure in combination with the use of a neuronavigator (MRIscan i.e. very precise.) Continued with shaving sterilizing, and covering sterile. Hockey stick-shaped incision over the head on the position of the left cerebellair hemisphere (, thus no incision going deeply further halfway in the neck till the location of the 4th vertebra.) Skin peace prepared for incision. An electrically-cutting incision is made in the skin piece. Periosteum and muscle (skin) becomes pushed off. We now see the remains of the former treatment in sight, with the drilling hole for the endoscopic window opening by the use of a tool for that kind of surgery, with underneath the dura / cover of the arachnoid cyst is shining through. Starting from this drilling hole a bone piece is been fraised out sized 3 x 3 cm. The hole is within the circle shaped scar. After this fraised out piece of bone has been removed, the brain-membrane, the dura ( and with this also the cover of the cyst) is to be inscisioned. With quiet some pressure brainliquid is squirting out. (It squirted out according to the assistant chirurgeon.) The opening becomes enlarged with a further incision, and the tough brain-membrane becomes hung up like a canvas to the side and side wards upwards. In the deep we get sight upon the cerebral cortex left small brains side, and more to the middle we get the small connective space between the left and the right inner lateral brainfluidchamber of the end-brain-part and the connection of the intermediary brain, the 3rd brain fluid chamber, with aslant down-wards the brain trunk. So there is visible quiet a lot! The bone piece is removed quiet a bit to the middle (, where also the separation-wall falx is situated), while the cyst is mainly situated on the left side. From the occipital membrane a separation membrane is to be seen, which going further into the wall of the cyst, and is also drawn tightly over the left little brain side. Also the little brains are wrapped. That falx is possible also a limiter of the cyst. (Acc. To the Radbout hospital: the cyst was prenatal already in development). The cyst touches also the other half side of the brain, so also the vene sinus sagittalis superiores has been shifted to another location slight, so the falx as well on the MRI to be seen. Some are thinking that from here from the left lateral brainfluid-chamber brainliquid becomes to be catched up into the cyst? There is another explanation

The main part of cysts in the head are normally beyond the inner ear, the liquid is leaking/sweating in and these kind of cysts do not take space invasively. My cyst started to grow after a heavy fall on the back side of my head (liqid retaining chalk deposition around a small dura bleeding) at the age of three.

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The membrane over the cerebelair cortex is now to be removed as good as possible with a pair scissors and diathermy. While cutting into that kind of falx-part, a strong vene-bleeding arises from a vene that is in here apparently.

In coalgulation with bipolar diathermie the opening becomes only bigger, and we are loosing quiet some blood in a short time. The only thing we can do is to bandage with placing patties. We now place a LAILA spatula on the patty, and likewise we become able to get the hemostase under control. Thereupon the opening after removing the bonepiece gets enlarged to an opening of 4 x 4 cm with the high speed frais. Next the dura gets openend furher to solve this problem.

The “falx”/membrame becomes now cut in distal further, so it can get folded back towards the location of the bleeding in the sinus. Carefully we now try to glue the tissue folded back upon the location of the bleeding with Tissucol. When removing the spatula, a strong loss of blood however occurs again after all.

The membrame (the layer underneath) over the cerebral cortex becomes to removed as good as possible with a pair of cissors and electric cutting (, in order to make a connection with the cisterna magna in the layer underneath.) While cutting into the falxpart/membrame in between both the brain sides a strong vene bleeding arises, from a vene that is in here apparently. (Anatomically speaking, this is not a surprise, because on that location notably visible is the vene sinus sagittalis superioris with its side branch the vene sinus rectus at the location of the confluens sinuum. Also the size of the cyst gave the possibility to do such a deed. (Before I was thinking that a vene superioris was hit.) So it can not be a surprise. Moreover the performance was done with surgiscopical reference; ‘i.e. what is a surprise’? To my opinion we are dealing here with a simulation of an accident, the upper part of the layers just needed to be opened aside, without getting close to the falx, in order to make a window-opening underneath. And not sideways which has been done examining the report, after staunching the bleeding). With two sided heating/cauterizing the bleeding had been tried to be staunched (, diathermy can also have a cutting operation effect), the opening just gets only wider, and quiet some blood is lost in a short time (, considering this mayor vene without clutters has been hit, being connected to the hart trough the v. Jugelaris interna). The only thing remaining is using bandage with patties. We now place a LAILA-spatula on the patty, and in this way we are able to reduce/to get under control the bleeding. After losing >2liters of blood, the quantity is not being mentioned in the report. Thereupon the skull bone opening gets enlarged with the high speed frais ( a kind of ‘Dremel’ drilling-machine) to the size of 4 x 4 cm. Next the dura gets opened further so we get more space to solve this issue. (On closer inspection: has there been fraised beyond the location of the falx/separationwall between both the brainsides? The incision scar in the skin, and touch-eximanation does rather indicate space to the left. Maybe likewise one could easier pinch off the v. Sinus sagittalis superiores?) The separation wall is now cut in further away from the center, so it can get folded back towards the location of the bleeding into the cavity, where the v. Sinus sagittalis superiores is located. (Distal means away from the centre) Carefully we now try to glue the tissue with ‘tissucol’a glue-tissue in filmstrips. When removing the spatula, a strong loss of blood however occurs again after all. (The clip gets back on it. The decreasing heartbeat caused by under-pression and followed with the hartrythm-failures, also caused that that the blood pressure lowered, and thus they were able to repair

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the wall of the vene. Compare this with soldering a water pipe while there is still water in ...) The same tactics gets now applied with pieces of muscle and Tissucol. This time it works to control the bleeding, After thorough rinsing and inspection it is dry. Thereupon a large part out of the supposed falx is to be cut (on that spot where no visible vene/venous sinus seems to be present) and the sides become coagulated with bipolar diathermy. A very large phenestration has been made from the cyst to the cisterna magna. The dura gets knotted with Vicryl. The Dura can not be closed completely watertight, and consequently the whole dura in the opening of the skull bone gets covered with duragen. Hereupon pieces of bone tissue are replaced and fixed with Tissucol. Suture over with periost and muscle and closing skin layers after. Post-operative conclusion: microscopic phenestration of a large cerebelair cyst to the left towards the cisterna magna.

Now the same way the repair is done with pieces of muscle and glue on filmstrips. This time controlling the bleeding is successful. After thorough rinsing to be able to inspect the repair the wound is closed and dry. (An achievement upon survival...) Thereupon a large piece is been cut out of the fancied falx (dura pia) ( on that spot where there are no visible (!) vene/venous sinus appears to be present (Weren’t they invisible before in that falx?)) and the sides become congealed / cauterized with two sided heating.) A very large window opening has been made from the cyst to the left side-ventrical-lateral-brainfluid- chamber. (The previous handlings, were they NOT performed with bipolar diathermy!?!) The brain-membrane now gets closed stitching with Vycril. The dura, because of shrinkage, however cannot be closed completely watertight, (indicating with this fact a relatively long operation time?) and therefore consequently the complete dura visible through the opening of the skull, gets covered with Duragen. Hereupon the piece of bone gets placed back with little pieces of bone tissue around into the open groove (of the fraise), which also gets attached with Tissucol. The periosteum (the 1st cover of the skull) and the muscle become knotted, and hereafter the skin. Post-operative finding: microscopic window-opening (with a pair of scissors!) from the cyst located intra-dural near the left little-brain towards the left offshoot of the brainfluidcirculation succeeded. (Microscopic? We just learned above in text about a very large window-opening being cut with a pair of scissors.

The cyst provided the space to cut off the inner brain drainage from its original provision, and to replace it with an artifical one. Starting from the acquired knowledge: the cyst was growing; in stead of cutting through the membrane over the brain, they cut in the separation wall in between both half of the brain. We are dealing here with conscious mutilation and experimental treatment without the agreement of the patient for. I was told quiet another treatment.

V.Sinus | Confluens | V.Sinus | V.Cerebri Sagittalis | Sinuum + | Sagittalis | Magna Superiores | drainage? | | Inferior The Vene Sinus Rectus is missing. To go that deep into the head was not needed for the opening of the brain membrane as meant to do, and as was reported to the generalist. Unregistered activities took place not in favor of treating the pathology.

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My additional comment is, that cutting into the falx on the right side of the brain was not needed to make a connection between on the left side situated cyst into the direction of the left cisterna magna (the left lateral-ventrical-brain fluid chamber). Even with global anatomical knowledge (next to the point that those kind of artery are visible through the covering membrane), it becomes clear that there can not be a question of mistake. Notably there was surgery performed under neuro-surgical reference with scans made with contrast fluid. I cite these two phrases: ,,While cutting into that kind of falx part, a strong vene-bleeding arises from a vene that is in here apparently” –end- ,,there upon a large part out of the supposed falx is to be cut (on that spot where no visible vene/venous sinus seems to be present)”. In the first phrase is pointed out that by surprise that the v. Sinus Rectus has been hit by surprise, and implicitly that that vene was not seen at all, while that vene can be seen with scholared knowledge can be found and in the second cite one is indicating implicitly that they were able to see that vene, because they cut further in the falx where they thinking not to see a vain. Arteries are visible trough the membrane. I put the attention to the fact that the falx cerebelli and the sinus rectus can be seen directly if the hole through the skull would have been made to the right from the middel of the head, for they were even able to see the braintrunk through the hole and the membrane on the left side. Was there an issue of a artery-deviation experiment, which they also had to undo again? There is a reason, why I got completely unwell, after they had me brought back to consciousness, so that had to put me back under full narcosis, and notably they had to question me about it to get to know what I could remember of it after. The assistant -surgeon was telling about slipping while cutting, , and thus he was not telling about a surprise but about an accident. Later I have heard even more information while I was on a kind of IC in that very hospital. But all this has not been reported to the generalist. The medical intervention took much longer in any case, concerning the simplicity of the actual (official) intended medical surgery; while I went under narcosis around 09.30 hrs. and I came back to consciousness around 18.10. Taking the last phrase of the report in mind, it appears to me as if they had been rewriting ‘creatively’ the very first surgery report towards a new situation, wherein they have been trying to conceal the actual handlings. ADD TO THIS, the incision goes much further till deep into the neck, and even further then the occipital bone, as was reported. The inorganic object in the neck as well as the incision have not been reported, while (even as a layman) this still is the easiest fact to see. The use of clips has not been reported as well, and it is very unlikely that a clip has traveled in one month time from within the backside of the head, through the membrane and the foramen magnum without causing any (fysical) complaints, for to remain for seven years at one location after. On the MRI scan we can see inorganic material that remained back in the head. Also with the image material has been frauded. Prof. Seibel advised to make an x-ray. These have been made as well, but also these give an strong indication of fraud. According to MRI Germany the artifact vain-clip Anyhow the Dia Sana scans show an indication of a clip still being in the head, the inorganic object in the neck is according to MRI Germany absolutely not a vainclip. Therefore a further scouting research will be needed, to point this out verified. Underneath a list of explanatory terms that were found in the report: Diathermy Electric cutting / cauterizing tissue to close like vene. Mono-D is to scald into the head. Vicryl Material to stitch, self dissolving in a later stage Duragen Vector with Glue for closing the Dura after a neurosurgical treatment. Tissucol Covering glue material, which can work filling and moisture regulating. Lailaspatel Surgical extentionpiece ‘of the hand’ as spatula Patty not indicated, most probably absorbing bandages Flexie Rotation Distal vs Median respectively being away from the middle versus towards the middle Resuming: We found that the vene sinus rectus has been violated/is missing, and an an-organic object (clip?) remained in the head. There has been operated in the neck unregistered and without my permission. Cutting through the vene sinus rectus is a risky thing under peril of life. The getting back under control of such a bleeding can be seen as lifesaving, but this becomes another story when the violation was done deliberately. And in combination with the implantation of a damage causing artifact in the neck, the violation of the vene sinus rectus gets an extra dimension of interpretation. For more background information I refer to part B. In my situation are now playing several medical problems to be treated. Now some scan extraction will follow to go deeper in the issue of the artifact and the (so called) putative vain clip in the neck.

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ADDITIONAL SCAN RESEARCH

09 Dec 1999 AMC 08 Feb 2000 AMC 04 Aug 2000 AMC 27 Okt 2000 AMC In the series above until the 2nd surgical treatment, no implantation is to be seen nearby the 4th C-vertebra.

Serie of 19 April 2001 AMC photograph Sept 2006 This series above starting from the 2nd surgical treatment shows an implantation nearby the 4th vertebra.

It is impossible to cut on three locations at one time. The neck muscles-anatomy show that it is possible to operate behind without cutting into the muscles, but by just shoving them a bit away. (The images just above are set to their normal perception being not mirrored.)

On the screen-overvieuw above we see a MRI serie staring from just above the shoulders upwards till we just see a part of cheek becoming visible. In the beginning we see muscle, vain and also vertebral tissue. But then starting from the 13th image a black spot arises disturbing the scanner in its exposure. The scan disturbance is around the vertebras, if just a clip from behind in the neck caused the distur-bance, the disturbance limited itself to that side of the vertebral; so not around. The 17th coup is shown to the right. After the spot is gradually diminishing. According to Dr. Steuckle, this is cause by some metal artifact that is attached around the 3rd vertebral. Underneath follow some extractions about:

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Even in this vague scan out of a serie from MRI, we can distinguish two black spots in the neck, on the spot where the artifact was found by professor Seibel. I choose this photo, because it was the only one out of the serie that was also showing something at the backside of the chest. Is this a [ice of artery we see there under the use of contrast fluid?

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From this particular scan are many resembling scans to be seen in the series from the OLVG, Dia Sana, MCU and M.R.I.. In spite of the scan disturbance the artifact is partly to be seen near C3. Next to this we see a square shaped form lightning up in the mouth space. Also this is a bit peculiar considering I have porcelain-fillings now..., and the form is geometric, inorganic, not quiet resembling to a little rest-lump of amalgam. The cyst is shown quiet well, and it seems to me that we can even see a cutting through of the vene sinus rectus from the vene sagittalis inferior and the vene cerebri magna. On top under the skull we can still see partly the vene sinus sagitalis superiores.

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On this particular we see the artifact causing a larger disturbance to the MRI scanner. The size and location is covering over the wideness of the cervical column, which is also an indication to me that the artifact is not just a mere vain clip in the vertebral canal behind the column vertebral. What is the black line going downwards just under the white arrow? Membrane? Also we can see some remains of a chronic sinusitis, which has been indicated by Prof. Dr. Seibel, at the medial wall (lamina orbitalis ossis ethmoidalis etc) till the naison. The problem to me is that radiology (analyzing scans) is a special kind of specialism, where for one has to have a good three dimensional vision of the anatomy in order to be able to interpretate scans, and where also the knowledge of experience is needed for making interpretations of scans, regarding how scans show something, and is mainly important diagnostically. Scan do not know perspective view, and under certain settings scans may give image torn apart. But with a certain amount of acquired anatomic knowledge quiet some still is to be found.

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The zig zag shape in the neck is typical disturbance of the scan caused by a large metal part in the neck. The location of the disturbance is also making clear that this not caused by an object which just is located at the back side of the neck. An inlet in between the vene sinus sagittalis inferior and the sinus rectus is again indicating the disabling of the inner brainfluid circulation.

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Seen from the back, it seems we are dealing with an object attached to the vertebral in the neck, with a kind of double string around? Besides a single wire as a strap in a circleway is to be seen. Scans are namely a 2D interpretation of a 3Dimensional situation.

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This scan from the same serie as just above is showing clearly something as a kind of knob sided by two dark inorganic black lines, which is indicating to me that this is a kind of strap around holding something. The glowing ball just underneath is a part of the artifacts. So actually, we find more parts remaining from a unregistered medical activity inside the neck... I fact what we are dealing with is not clear. It is not very likely that the function of the artifact is only to extinct? An investigation with surgery on that spot with local anesthesia should give more information. This however should be done under juridical protection etc.

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On this solarised scan we can see the string around as a kind of ‘tie-wrap’? Mark the hole in the left cerebellum towards the cisterna magna. I was wondering if this was a result of using monothermy to make a connection from the cyst towards the left cisterna magna during the first operation, or if this was a natural prolongation of the offspring of the left cisterna magna, caused by a slightly different growth/ development in the exact location of the brain in its occiptal parts, caused by the development of the cyst. Regarding that hole, a scan comparing with the AMC MRI from Dec. 1999 and February 2000 could give answer.

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A black knob is clearly seen as a metal part. Apparently we are dealing with an artifact that is containing more parts, then just being a mere vain clip as the AMC suggested

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Here we see an MRI with another kind of odd appearance at the location of the artifact. I was wondering if this is caused by the results of a early haemorrhage, or just another kind of effect shown as result of the disturbance of the MRI scan caused by the metal artifact. In the upfollowing scans this points out far more as traces of an old hematome, for blood is containing Ferrum (hemoglobine).

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Going further in this serie, we see the spot growing.

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Going further again in this serie, we still see the spot growing. According to Dr. Steuckle from M.R.I. Germany this can absolutely not be caused by a mere vainclip. Do notice the disk-herniation of the 6th vertebral, leading to a narrowing of the spinal column at that location. (In general this kind of herniation at that location even is quiet common to people getting older.) Also the sinusitis is shown again.

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Further in that MRI serie, we found this scan, which we have put into negative. Now we see that this kind of disturbance also is seen upwards towards the backside of the neck. I notice that the (so called) vain-clip would be located in the Myelum canal, the disturbance should be limited to that spot in that case, but that is not the case, because the next scan is even showing traces up till just under the skin of the neck. Considering that the incision is going also that far and similar to the location of these spots, it indeed might be traces of an old haemorrhage. And besides that I did not need an incision going that far into the neck for a minor craniotomic treatment as simply cutting through the brain membrane’s sub-arachnoidal space and the Pia Mater, this also really indicates the fact that a certain non registered medical activity took place in the neck. A Dutch research-institute acknowledged that there was an issue of unregistered surgery in the neck, but called this as being very normal in the Netherlands. (Apparently it is quiet normal when you go to a hospital in the Netherlands that other things can happen to you, then you are not sure of your life and well-being, you risk to fall into the hands of a career adventurer. The obligation of silence is only there to protect the group of profession showed out in another research, and is dated from the same époque as when the medical sector started using the euhgnetics (extinction of inferior considered humans), long time before the name Dr. Mengele got ‘famous’ with these kind of practises. I think that it is important for the integrity of the medical sector to start to denounce evil matters, because otherwise the obligation of silence will start to work wrongly on the image of integrity of medics.)

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This scan extraction shows the spot at its largest size. Now we see the other ‘disturbance’ in the neck also a bit more. Either this might be traces of haemorrhage, or the second disturbance in the neck is a sort of echo of the disturbance around the vertebral C3, as a result of electromagnetic resonance to the MRI scanner by the artifact. Because of the growth while scrolling through the images, this seems more remains of a bleeding to me.

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On this strongly solarised scan extraction scan the hernia of the 6th vertebral C6 is clearly seen. The bone tissue is sacked in some, compare (white arrow) this with the two vertebras next to it C5 and C7. Note: According to some x-ray scans being manipulated (shown in part B) C7 however would show a very strong hernia, clearly more then C6. Prof. Seibel called C6 as the herniatic disk. Met ander woorden, deze specifieke vernauwing kan enkel veroorzaakt worden door een artefact rondom C3 bevestigd is geworden. Het spinaal kanaal (zwarte pijl) verloopt enigszins verplaatst ter hoogte van C3, hetgeen duidelijk maakt dat dit beeldaspect niet een verstoring is als het gevolg van elektromagnetische verstoringen. On this scan we also see a narrowing of the spinal column near C3 from the backside. Prof. Seibel stated a narrowing of 20%. The vertebral does not show any kind of hernia as at C6. In other word, this particular narrowing can only be caused by the artifact being tightened around C3. The spinal canal (black arrow) goes somewhat shifted at the height of C3, which is making clear that this image aspect can not be the result of an electro-magnetic disturbance.

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On this scan extraction there is little disturbances of the magnetic field of the MRI scanner, and it is showing clearly the narrowing of the spinal column at C3 and C6. On C6 we see an up lightning spot, maybe indicating a local irritation caused by the herniation. C3 is not having any sagging herniation caused by arthrose. On the backside of the neck behind C3, we see some part of the vertebral shoven and narrowing the spinal column. Prof. Dr. Seibel had found internal fractures within C3. Considering the C3 has no sagging herniation, this can only be caused by the artifact around C3, by a strong pinching attachment of the artifact around C3 in the neck. The inner part of the vertebral is the spinal canal, so the bone tissue is all around, or in other words, the attachment has to be that pinching strongly as a stranglehold to cause such a damage. C6 has a more trapezium like shape in stead of a rectangle, indicating the sagging herniatic disk.

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Although enough scan extractions have been shown by now regarding the indication of the artifact, still some are worth to mention, because of their specific odd appearance. On this slightly solarised and reversed into negative do show also a particular shape I can not define at all. It looks as a kind clasp... But maybe under the effect of the psychology of perception I’m associating parts fitting together into the shape of a clasp… while it may be just loose different pieces of organic material. Scans are 2Dimensional and do not know perspective. Still, real or not, the existence of an extinction artifact has been found by Prof. Dr. Seibel form M.R.I..

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In this extractions set to negative and then solarised, we see a bit of a vene or drain going downwards. In the beginning of my study/research I was thinking that this might be drainage. But I also found this back in earlier MRI scans before that 2nd neurological treatment, so I assume that this human tissue, and not an artificial drain. Next to the veins there are also lymph-vessels.

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This particular scan extraction shows cerebellum, the neck and the chest from the back. Interesting in this scan is that we see clearly column vertebral surrounded by it’s feeding liquid. The liquid is in direct contact through the system of cisterna’s with the brainfluid circulation.

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We see white spots in the dark tissue of the brain. According to Dr. Steuckle M.R.I. Germany this was caused by blood that has gone under the skull during that second surgical treatment. Cutting open the inner drainage from the vene sinus rectus must have been a bloody undertaking, considering that the vene from the head do not have any clutters, and cutting through the 4th vene seen from the hart. Dr. Steuckle also showed a scan where the endings of the vene cerebri superiores were lightning up, which I have not could find back, that also was related to the impair of the braintissue, caused by blood coming under the skull. Blood coming under the skull is not a surpise while cutting the vene sinus rectus, for there is a large pressure in that vene, beingthe forth vene seen from the hart and without clutters. Cutting through makes, that the hart is pushing back the blood through it. (compare: cut a rubber garden hose through while water is running through, and then try to glue this hose without turning off the tap...). Cutting through the sinus rectus makes that the blood will be pumped back up from the hart. An extreme situation full of risks.

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On the 90 degree’s counter clockwise rotated cropped scan extraction we see above in the edge still a bit of the vene sinus rectus sagittalis superiores, with ‘diagonal downwards’ pieces remaining of the sinus rectus, and the cutting off the vene sinus sagittalis inferior from the vene sinus rectus. And how come the vene sinus transverses is not visible? There was no issue of an artifical drainage being placed? Not everything has been clarified, but the violation of the vene sinus rectus, cutting of the falx cerebelli, and the unregistered implanting in the neck have become clear. And although the surgery report is very insufficient, the report is not contradicting the scan results with what the report declared half.

The left two images are selections from the scan extraction above, the two to the right are from Dia Sana Also Dia Sana showed that operation material was left behind, next to disabling the inner drainage leading to the unconfirmed question if an artificial brain fluid-drainage might have been placed.

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In addition on the scans already treated, I still wanted to ask attention for these three scans underneath. On the scan to the left here, we get a view of the size of the cyst from the backside. On the scan here to the left, we see a white Smudge going downwards from the bottom of the skull into the neck. My radiological knowledge does not go that far to make a statement in full conviction and knowledge, but I suspect that we maybe see liquor-fluid (remnant?) what is percolating from the bottom of the scull downwards into the neck? On this last scan to the left we see (shown as false suggested) vein clip a not to be defined further (non organic shape. In part B we will go further into the manipulation of CT- and X-ray scan material. There are even scans that falsely show a herniatic disk on C7 (the seventh neck vertebral), while I have a sagging in of C6 as seen by MRI and as prof. Seibel also diagnosed.

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CONCLUSION Because the cyst is going that deep, it was possible to cut into the vene sinus rectus. The opportunity makes the thief, in this case the researcher. There was made a MRI scan right before with contrast fluid and marking tops as a kind of buttons glued upon my head, which were removed after that surgical treatment, so as the insufficient surgery report mentions the actions done were under neuro-navigation. They knew exactly what they were doing. Next a hole was made craniotomical on the left side of the head, and after underneath damaging surgery was performed on the right half of the head. In stead cutting a piece of membrane (covering layer) out which is containing three layers on top of each other, with life endangering underneath to the right deeper inside the head they violated the vene sinus rectus and with this all the brain separation walls: in stead of cutting a hole through the sub-arachnoid layer and the underlying pia mater, they have been cutting in the falx cerebelli on notably the right half of the head. Also illegal surgery has been performed in the neck, where with a damage causing artifact has been placed. There is no vain clip that sagged down from the head into the neck, that is technically impossible even; moreover it appeared that a vain clip or an-organic object was still present in my head. The secret medical activities inside the head are to be brought back in relation with the size of the cyst providing the space for, but the surgery in the neck is not directly related back to the medical subject of the cyst. Regarding the why are a lot of suggestions to be made, like regarding what they were trying out experimental before arriving to this final medical situation, but fact is that all is to lead back to the abuse of a patient for scientific targets, without the interest and permission of the patient. For this plural fraud has been committed for concealment of criminal activities, notably even in international cooperation concerning the fraud with x-rays. Likewise falsely the suggestions had been made that a vain clip sank down from the head into the neck. Inside the head remained back operation material for now not named yet. I can call in fact the formation of an organization for criminal handling in cooperation within the medical sector with. Meanwhile my results of investigation have been accepted by the doctors of the institutes of inspection, only the offenders and their compagny-management remain stiff, what also is behaviour of offenders. The AMC responded that they give a different interpretation to the WGBO (legislation for medical treatments). But blameable criminal offences have been committed. All doctors work under an obligation of silence, by which victims of medical injury of harm are being victimised secondarily. By study it appeared that the obligation of silence (the right to remain silent) of doctors mainly is there to protect their own group of profession, and not falsely as presented as guaranteeing a fearless way for the care seekers to the care supplier. Note: the legal formulation dates from the same time as when doctors were formulating the eugenetics, the extinction of inferior considered people. The lack of empathy is apparently a quality within the medical domain to ill-treat people on purpose. There is a taboo on medical injury of harm that has to broken. Also the power of the medical sector should not be absolute in issues of dispute, they should not be able to use fraud without punishment for etc. The law is not respected. Severe neglect and abuse have to be criminal prosecuted in order to be able to sift grain from chaff. Normal medical mistakes have to become arguable and should not be about financial compensation. We have found that there is no worked out trias politica in healthcare, the doctor is seated on the chair of the health carer, legislator and the judge, and all under the oath of profession to remain silent for personal interest. Here with the codifications is also not respected. Legislation and rules are applied as pleased when it suits them (prof. Legemaate). But with this the principle of sovereignty of the state upon the civilian is expired, and the civilian can start to obtain the wrights to proper judging execution, as a natural law. I use my case in the interest of honourable doctor who is obstructed and honest patient, I order to break through the impasse around cases of medical injury of harm, for severe neglect and abuse should absolutely be indeed prosecuted criminal to make the difference. Malpractices in medical activities should be fought back also in respect for the work of honourable doctors.

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CREDITS and second thoughts. For this study I used Philips Media Medical Encyclopedia barcode 8712581 450632 and the Sesam Anatomic Atlas part 3 Neural system and organs of senses ISBN 90 246 6916 2 and Neurologie voor Verpleegkundigen ISBN 90 232 3394 8, the medical site of Harvard and other internet-sources. Also did I use a PIII computer with MS Windows 98 and Word, Irfanview and Paintshop Pro, with a scanner, and a digital photocamera. And I used a whole lot of consecration and patience to get to this result. While thinking back, I think that the ward sister also had not been informed exactly regarding the actual handlings, so everybody but the victim could get away with it, but to hear about their transmission was for me a useful push to investigation. When I first had made my Dia Sana scans in august 2006, I was already thinking to it would be treated quickly after. But because of the cult of silence I was forced to investigate all myself. It took me nearly two years to understand the scan results, it really took time to be sure of the results. But from that time on I remarked a continuous counter-acting to gets this case on the table in spite of proof. So I have had made private MRI scan research at Dia Sana and M.R.I. Germany. After making a anatomic study I became able to interpretate the scan results. All pictures from all the MRI scans were extracted with the extraction tool of their original MRI-viewer, but this did not work quiet well. Therefore I used DOS to convert the DICOM files to viewable independent files (.DCM) in respective maps for converting them after in Irfanview to .tif and .jpeg file formats. (This leads to the opportunity to scroll through an amount of images, and even to group certain images together into a little .AVI-film.) After that selected files were researched further with Paint Shop Pro with adjusting the contrast and the light, color enhancement in gray tones up to even solarisation, all to get things better visible, because besides the malfunctioning extraction tools from the MRI DICOM viewers, there abilities (except the OLVG viewer) to adjust contrast settings etc. were quit poor... (Microsoft, Jasc Software, Irfanview, internet, thank you very much; power to the people for democracy!) What you have read here in this epistle are the out comings of an honest attempt to get clear understanding of what has happened, and what is the result now. With certain acquired knowledge in my ability as a layman I have pointed out the case at its maximum I think. The size of the cyst gave the opportunity to perform such a unique (unregistered) medical experiment, without my permission. A parody is written ‘Pleit Zooie en Pleit Dooie’ Plight Bloody Plight Messy in addition on the next page. Here we are dealing with a deliberate medical handling. I command you to use the case in the interest of honourable doctor and honest patient.

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PLIGHT BLOODY - PLIGHT MESSY Cutting through of the falx cerebelli in stead of the spoken and to the generalist reported phenestral cutting through the lowest layers brain membrain into the direction of left cisterna magna being the sub-arachnoid layer and the Pia Mater. The more they report this violation as if it is the most common thing in the world, under ignorance of basic knowledge of the anatomy according to this surgery report. But the falx cerebelli is the separation wall between the left and the right half of the little brains. The tentorium is the horizontal separation wall separating the larger brains form the little brains, the larger brains also have a separation wall falx cerebellum which is situated in the lengthened of the falx cerebelli. In the cross point of the falx cerebelli / -cerebellum and the tentorium is enclosed the unanimous major vene sinus rectus. (In case the cyst was situated on both halfs at start, instead of the left half only in the left quadrant underneath, then maybe there was a deviating anatomic situation, but not in this case.) The single vene sinus rectus is draining away as a vene the inner brain fluid from the left and right venes sagittalis inferior and the underneath situated venes cerebri magna. The vene sinus rectus is in the confluence continuum connected to the vene sinus sagittalis superioris which is ending up via the vene transverses into the vene jugelaris which is leading to the hart. To report to have hit a vain so-called by surprise, (with conversion of the report being the vene sinus rectus) is false. The vene sinus rectus is the fifth vein counting from the hart, which in its existence with knowledge from the anatomy notably under neuro-navigation reference (with the untold use of contrast fluid) can be found. Venes are by the way visible through the membrane. Next this that vene has not been named, and also it has not been reported if the vain was repaired; only the staunching of the bleeding has been reported. Hereafter they even cut further into the falx cerebelli, where they think not to see a vain. They suggest as if they operate in a dangerous area; Ambush! They might think of course that under the flag of ignorance, and a surprise everything is allowed for them? The surgery report is significant insufficient. The vein being hit is not named, neither if that one was repaired. The use of a clip in the head has not been reported as well, and neither the incision that running down half way the neck, neither the illegal implant. An incision of that dimensions was not needed for the proposed operation. A hart operation is also not done ‘funny’ with an incision from the navel, Harakiri! Thus, a crime concealed in medical terms… The parables underneath give a comparing in non medical parole:

- In stead of the demanded hole into the floor a hole has been made into the wall. There were some electricity-plugs known, and likewise they hit so called by surprise a wiring not to be called. This one they remove just ‘eyes wide shut’, under the excuse not to see that one, where in result the wiring hit is also not existing anymore: problem solved for the wiring being hit. Fact remains: the demanded hole in the floor has not been made, but the undertaking has been reported and billed such as being done.

- Operation target: opening backseat trunk and taking out sport bag (with the car key belonging to…!): To open the trunk we crash the back-window, and take the suitcase (!?) from the backseat… We put the suitcase back again, and we enter the trunk by pulling forward the backseat. We grab the sport bag and put the backseat back in its place. For closing we glue a thin plastic layer in front of the smashed in window. Conclusion: miniscule operation (with sledgehammer) successful. (Was there something inside that suitcase?)

- A bank robber does not grab in the cash-desk where he is not thinking to see money, but he also does not give a copy of his passport while performing his violating way of reign. And in case he does leave something behind, (identification) this will certainly not be correct information. We also do not ask the robber to cooperate in the investigation, to point out some responsible for this. In the medical branch however this is such as happening in the judgment of cases. One judges primary with the report of treatment without external expertise…

The above stated parables are mend as a comparison to point out my findings in other ways by deduction of the juridical and medical facts and nomenclature. Unfortunately the parables are to be recognized back from the facts in the research file. What they have been experimenting underway is not complete clear, but the final results of the treatment are far going pointed out, and here is acted definitely unacceptable. Reason to bring up this matter in the service for honorable doctor and honest patient. Underneath still some inclusions for verification. Make the System Work!

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