Strokeworldwide prevalence of stroke:•33 million•16.9 million first stroke•second-leading global cause of death •11.13% of total deaths worldwide

•No. 4 cause of death in the United States•killing 129,000 people a year• 795,000 people have a stroke every year in USA•U.S. has a stroke about once every 40 seconds•1 of every 20 deaths in the U.S.•Stroke is a leading cause of disability.

Causes of StrokeHemorrhagic weak Blood Vessels

Thrombotic (Blood Clots) Toxic Blood

On August 7, 2014, the American Heart Association/American Stroke Association

“Neck Manipulation May Be Associated With Stroke,” by José Biller, MD, lead author and professor and chair of neurology at the Loyola University Chicago Stritch School of Medicine.

“Treatments involving neck manipulation may be associated with stroke, though it cannot be said with certainty that neck manipulation causes strokes, according to a new scientific statement published in the American Heart Association’s journal Stroke.”

Criminally Misleading !!

Dick 69yo •High Blood Pressure 10yr•High Cholesterol 10 yr

“I’m Not going to let you touch me until I talk to my Cardiologist”

•SMT = 1 in 5.85 million cases

•one occurrence in 48 chiropractic careers. •death resulting from NSAID use is 1,500 times greater than the risk of injury from cervical SMT. • hit by lightning 1 in in 600,000

“We didn’t see any increased association between chiropractic care and usual family physician care,

and stroke,” said Frank Silver, researcher, a professor of medicine at the University of Toronto and director of the University Health Network stroke program

•annual incidence is about 3.3 per 100,000•slightly higher incidence in men (56% versus 44%)•Men are on average 37–44 years old at diagnosis, and women 34–44•dissection of the carotid and vertebral arteries accounts for only 2% of strokes •cause 10–25% of strokes in young and middle-aged people

•about 2.5% in older patients.•increased in patients with fibromuscular dysplasia•Migraine•Hypertension•Smokers•oral contraceptives•Trauma•NSAID’s

Vertebral Artery Dissections

Put the Risk into PerspectiveThe risk for strokes associated with vertebral artery dissection

•general population without manipulation is 2 in 100,000 per year

•With manipulation is 1 in 5.8 million treatment sessions

•Stroke Risk With Chiropractic care 0.00000017•Stroke Risk Without Chiropractic care 0.00002

•lumbar spine surgery, the death rate is 7 in 10,000•two-month course of NSAIDs, risk of death: one in 1,200•death rate for acetaminophen is 1 in 2 million tablets sold

A study by Anthony Rosner, PhD, comparing medical procedures to chiropractic careUsing the estimate of 1 per 1 million as an estimate of stroke incidence attributed to cervical manipulations:

•two times greater risk of dying from transfusing one unit of blood •100 times greater risk of dying from general anesthesia•160-400 times greater risk of dying from use of NSAIDs•700 times greater risk of dying from lumbar spinal surgery •1000-10,000 times greater risk of dying from traditional gall bladder surgery •10,000 times greater risk of serious harm from medical mistakes in hospitals

How many patients were able to avoid death and

injury by avoiding medical and surgical

interventions by getting appropriate Chiropractic

Care?”

Objective. •In older adults with a neuromusculoskeletal complaint•to evaluate risk of injury to the head, neck or trunk following an office visit for chiropractic spinal manipulation•as compared to office visit for evaluation by primary care physician

•we evaluated for adjusted risk of injury within 7 days•those treated by chiropractic spinal manipulation vs. those evaluated by a primary care physician

Risk of Traumatic Injury Associated with Chiropractic Spinal Manipulation in Medicare Part

B Beneficiaries Aged 66-99. Spine: December 9, 2014

Summary of Background Data. The risk of physical injury due to spinal manipulation has not been rigorously evaluated for older adults, a population particularly vulnerable to traumatic injury in general.

Risk of Traumatic Injury Associated with Medical Evaluations in Medicare Part B Beneficiaries Aged

66-99.

How many patients were able to avoid death and

injury by avoiding medical and surgical

interventions by getting appropriate Chiropractic

Care?”

probability of injury:• Chiropractic 40 injury incidents per 100,000•primary care 153 incidents per 100,000

Risk of Traumatic Injury Associated with Chiropractic Spinal Manipulation in Medicare Part

B Beneficiaries Aged 66-99.

risk of injury to the head, neck or trunk within 7 days was 76% lower among subjects with a chiropractic office visit as compared to those who saw a primary care physician.

The study did not take into account the increased risk for any form of medical treatment or drugs as the medical comparison was only done on "...those evaluated by a primary care physician."

Warning Medical evaluations 382%

Greater Risk of injury to Seniors

vs Chiropractic Care

Review: could Enbrel cause Artery dissection? 3 people for 174,963

•Summary: Artery dissection is reported only by a few people who take Enbrel.•174,963 people who have side effects while taking Enbrel• 3 have Artery dissection•used in rheumatoid arthritis.Artery dissectionArtery dissection has been reported by people with birth control, headache, migraine, dizziness, pain

< 1 month

1 - 6 months

6 - 12 months

1 - 2 years

2 - 5 years

5 - 10 years

10+ years

Artery dissection

0.00% 100.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Top conditions involved for these people1.Rheumatoid arthritis (3 people, 100.00%)2.Diabetes mellitus (2 people, 66.67%)3.Hypertension (2 people, 66.67%)4.Constipation (2 people, 66.67%)5.Insomnia (2 people, 66.67%)

Top co-used drugs for these people * :1.Diovan (3 people, 100.00%)2.Amaryl (3 people, 100.00%)3.Prednisolone (3 people, 100.00%)4.Depas (3 people, 100.00%)5.Selbex (3 people, 100.00%)

Review: could Humira cause Carotid artery dissection?

•Out of 135,988 people who have side effects while taking Humira •4 have Carotid artery dissection •often used in rheumatoid arthritisCarotid artery dissection•birth control•high blood pressure•multiple sclerosis•Migraine•Stress•Anxiety. < 1

month1 - 6 months

6 - 12 months

1 - 2 years

2 - 5 years

5 - 10 years

10+ years

Carotid artery dissection

0.00% 100.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Top co-used drugs for these people:Lisinopril (1 people, 25.00%)Omeprazole (1 people, 25.00%)Boniva (1 people, 25.00%)Prednisolone (1 people, 25.00%)Sulfasalazine (1 people, 25.00%)

Top conditions involved for these people:Rheumatoid arthritis (4 people, 100.00%)Hypertension (1 people, 25.00%)Gastrooesophageal reflux disease (1 people, 25.00%)Osteoporosis (1 people, 25.00%)

Risk Frequency(per Mil l ion)

Neurological Complications From Cervical Manipulations 0.0000001   

Canoeing 3   

Soccer or Football 39   

Venipuncture 40   

Drinking: 1 Bottle of Wine per Day 75   

Automobile Driving (United Kingdom) 169   

Nuclear Bone Scan 333   

GI Bleeding Due to NSAID Use 400   

Spinal Surgery 700   

Smoking: 20 Cigarettes per Day 5000   

Appendectomies 13,500   

Total Hip Replacement 4900-15,300  

Motorcycling 20,000   

Risk in Perspective:Comparison of Death Rates Attributed to Various Causes

Angiography

Bleeding nose

Axial traction

Calisthenics

Cervical extension for xrays or CTS

Cervical rotation while backing up a car

Coughing

Dental procedure

Football

Gymnastics

Hanging out washing

Overhead work

Roller coaster

Telephone call

Traction and short wave diathermy

Trampoline

Watching aircraft

Yawning

Activities Suspected of Disrupting Cerebral Circulation

Activities Associated With CVAsCerebral Vascular Accidents

Archery

Beauty parlor stroke

By surgeon or anethetist during surgery

Calisthenics

Childbirth

Emergency resuscitation

Fitness exercise

Neck extension during radiography

Neck extension for a bleeding nose

Overhead work

Rap dancing

Sleeping position

Star gazing

Swimming

Tai Chi

Turning the head while driving a vehicle

Wrestling

Yoga

Probabil ity of Stroke or Serious Adverse Events Following Cervical Manipulation

Methods Risk

Clinical files of National College 0 complication/5,000,000 in 15 year period

Canadian Memorial Chiropractic College Clinic 0 complication/5,000,000 in 9 year period

RAND Cervical Study Literature Review 0.64 Serious Complications /1,000,0000.27 Deaths/ 1,000,000

Claim Review: Canada's Largest Malpractice Insurance Company

1 CVA/ 3,000,0000 Deaths in 5 Year Period

Claim Review: Principal Chiropractic Malpractice Insurance Company Within the U.S.

1 CVA/ 2,000,000in a 3 Year Period

Claim Review: Canada's Largest Malpractice Insurance Company

0.17 CVA/ 1,000,000in a 10 Year Period

2000-2010 Task Force on Neck Pain and Its Associated Disorders

A Canadian study

indicated there was no increased risk related to chiropractic treatment in the debate about whether neck adjustments can trigger a rare type of stroke.

Researchers found patients are no more likely to suffer a stroke following a visit to a chiropractor than they would after stepping into their family doctor's office.

•iatrogenic deaths from medical care•440,000 patients a year die from hospital errors•some claim this figure is now over 1.5 million deaths due to medical mistakes•chiropractors have the lowest malpractice rates among all spine practitioners. Chiropractors pay approximately $1,600 annually•compared to spine surgeons approximately $71,000 to over $200,000

The American Medical SystemIs The Leading Cause Of Death And

Injury In The United StatesBy Gary Null PhD, Carolyn Dean MD ND, Martin Feldman MD,

Debora Rasio MD, Dorothy Smith PhD

•In-hospital adverse drug reactions (ADR) to prescribed med’s 2.2 million.•The number of unnecessary medical and surgical procedures performed annually is 7.5 million•Unnecessary hospitalization annually is 8.9 million

•Iatrogenic deaths is 783,936•2001 heart disease annual death rate is 699,697•The annual cancer death rate is 553,251.

61 yo male RobertStroke 3 years before Chiropractic careHigh BP Meds 15 yearsCholesterol Meds 10 Years

"Our analysis indicates that in settings of high recurrent intracerebral hemorrhage risk, avoiding statin therapy may be preferred,“ Dr. Brandon Westover of Massachusetts General Hospital and Harvard Medical School and colleagues wrote in the Archives of Neurology.

“The researchers said it is not clear how statins increase the bleeding risk ….. “

Pfizer's Lipitor or atorvastatin has global sales of $11 billion a year while AstraZeneca's Crestor has global sales of more than $5 billion.

“statins are commonly used to prevent heart attacks and strokes, (Statins) could increase the risks of a second stroke in these patients, outweighing any other heart benefits from the drugs.”

Cholesterol Lowering Medication Increase Stroke Risk

“Despite the greater improvements in lipids, there was no differences in calcified plaque progression. The conclusion: with respect to LDL cholesterol lowering, “lower is better” is NOT supported by changes in calcified plaque progression.”This means your arteries have no less plaque than before treatment!

American Journal of Cardiology 2003, August 1; 92(3): 334-6

What Are Your Cholesterol Drugs Doing For You?

13 studies were included. Of 34533 patients, 18315 received intensive glucose    lowering treatment and 16218 standard treatment.  

a more than twofold increase in the risk of severe hypoglycaemia.

Over a treatment period of five years, 150 patients would need to be treated to avoid one myocardial infarction

142 patients to avoid one episode of microalbuminuria

47% increase in risk of congestive heart failure

9% reduction of glucose = 19% increase in all cause mortality 14% reduction of glucose = 43% increase in cardiovascular death.

BMJ 2011; 343 doi: 10.1136/bmj.d4169 (Published 26 July 2011) Cite this as: BMJ 2011;343:d4169

9% reduction of glucose = 19% increase in all cause mortality

14% reduction of glucose = 43% increase in cardiovascular death.

The Angiogram has become the gold standard for testing heart patients.

It is done more than a million times/year Cost: More Than $1 000 000 000.00 per year Accurate: ONLY 22% OF THE TIME Source: National Heart Lung, Blood Institute/ “Interobserver Variability in

Coronary Angiography,” Circulation 53 No. 4 (Apr 76: 627-632)

Inter-observer Variability: 33% Same test read by the same

person: Diagnosis was the same only 1/3 of the time.

Source: National Heart Lung, Blood Institute/ “Inter-observer Variability in Coronary Angiography,” Circulation 53 No. 4 (Apr 76: 627-632)

The average death rate for bypass surgery is greater than the average death rate of heart patients treated without surgery.

Heart disease progresses faster in those who have had invasive surgery than in those treated non-surgically.

Heart Surgery kills thousands of patients per year and debilitates thousands more.

Nearly Half …..46% How Many is Operations is that? In 1987…..110 000 operations In 1990…..180 000 operations Despite the preponderance of scientific evidence, they,

bypass and other invasive heart surgeries are still being performed at an alarming rate, with increases every year.

Source: The Appropriateness of Performing Coronary Artery Bypass Surgery: JAMA 260, no.4 (July22/29. 1988)

Normal Bipolar DisorderDepression

The Curve in the Neck is the Arch of Life

1. Stop viruses adhering to cell walls (Cranberry bladder infect)

2. Antioxidant 3. Antibacterial

4. Stimulate or suppress enzymes

5. Stop Abnormal DNA replication (Cancer)

Juicing helps you absorb all the nutrients from the vegetables. Juicing will help to "pre-digest" them for you, so you will receive most of the nutrition, rather than having it go down the toilet.

Juicing allows you to consume an optimal amount of vegetables in an efficient manner. You should eat one pound of raw vegetables per 50 pounds of body weight per day. You can add a wider variety of vegetables in your diet.

A study of more than 125,000 healthcare workers found that just one additional daily serving of fruit or vegetables lowered the risk of heart disease.

Vegetables such as spinach , kale , broccoli and fruits such as oranges , grapefruits Fiber , potassium , folate , antioxidants

Annals of Internal Medicine June 19, 2001;134:1106-1114

Just One Extra Serving of Vegetables

Flavonoids are found in numerous fruits and vegetables, as well as in certain types of tea. Flavonoids appear to reduce oxidation of LDL cholesterol in the bloodstream, preventing cholesterol from sticking to artery walls, which can lead to clogged arteries and boost heart attack risk.

American Journal of Epidemiology May 15, 1999;149:943-949

Calvin 60 yo Before:•High BP Meds•High Cholesterol Meds•NSAID’s Calvin 60 yo 90 days after:

Proper nerve supply – FREE of subluxation

Regular Exercise

Proper Nutrition

Sufficient Rest

Prayer and Meditation

Keep Informed, Stay Healthy:

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