the Medical GuidelinesDECODING

Q1. Diagnosed with H1N1, should I take doctor's

recommended Tamiflu?

Q2 My friend just suffered from a major heart attack.

Should I rely just on clot bursting drugs or go for

immediate bypass surgery as suggested by the doctor?

Consider the questions given below:

When it is a matter of your life and death, your decision can make a

difference. Therefore, it is important for you to not only

understand the latest medical guidelines but should be able to

decode the hidden truth behind it. To understand what I mean by

the words "hidden truth" consider the following:

Q3. Suffering from angina  pain. Should I go for

Angiography?

Q4. Already 90% blockage detected in Angiography.

Should I go for Angioplasty as suggested by the doctor?

Harrison's Principles of Internal Medicine

Total Cholesterol (8th Edition) 300Till 1998 total Cholesterol 240After 1998 total cholesterol 200

Recommendation for Statin Therapy

Pre hypertension- 115/75 

Hypertension- 120/80 Webmed

According to the modern medical industry, there is no such term as

'Healthy People'. Either you are hypertension patient or going to

be hypertension patients (i.e. pre hypertension ). In the same way

either you are diabetic (blood sugar level above 100 mg/dl) or you

are pre-diabetic (blood sugar level below 100 mg/dl).Similarly

with the recent expansion of eGFR standard of 60ml/min/1.73m2,

estimated over 90% of population above 50 yrs of age can be

labeled as chronic kidney disease patients. If you are an informed

individual or also if you a are already consuming hypertension

drugs, you know it comes with several sure-shot side-effects.

Some of them are compiled in next page.

Till 1998 people having total cholesterol level above 240mg/dl

were considered fit for Statin therapy. But then the standard was

lowered to 200 mg/dl which was 300 mg/dl in 1977. It's like, to

prove a footballer worthless, you may conspire to make the goal

post smaller, even smaller than the size of the football itself. Same

is true in the case of cholesterol and hypertension. Please take a

look at the recent recommendation for hypertension.

However, the drug company's sponsored trials to prove that these

medications are good for humanity, can go to any length to sell

their drugs. Just consider the reference below

HOT Trial (Hypertension Optimal Treatment)

1997

If you go through the first part of the conclusion of the HOT Trial it

clearly says, hypertension drugs increase the discomforts and side

effects in its consumer but in the last part of the sentence it just

contradicts itself. You can draw your own convenient conclusion

from this inconclusive conclusions. It's important for us to

understand the process how these 'Guidelines' are established.

“Although Antihypertensive therapy is associated

with a slight increase in subjective symptoms,

it is nonetheless still associated with improvement

in patient’s well being.

U.S. Department Of Health and Human Services have projected

themselves (successfully though) as a self styled medical

parameter and guidelines deciding authority for rest of the world.

Under it is a department called National Institute of Health under

5. Fatigue

6. Depression

7. Kidney failure

Very common side effects of blood pressure drugs

1. Ankle swelling

2. Impotence

3. Nightmare

4. Cold extremities

U. S. Dept. of health & Human Service

ALLHAT - LLTPROSPER

National Institute of health

National Education Cholesterol Program

2004Aggressive treatment

for primary prevention

Cochrane collaboration

University of British Colombia

2005 Statinshow no health

benefit in primary of prevention

CHOLESTEROL

National Heart, Lung and Blood Institute (NHLBI)

National Institute of Health sits National Heart Lung and Blood

Institute (NHLBI) which runs 'National Cholesterol Education

program (NCEP).An 8 member committee of NCEP decides the

cholesterol guidelines ( similarly there are other department in

NIH, engaged in creating guidelines for diabetes , hypertension

etc.) Now to decide the Cholesterol guidelines they refer to some

of the past trials related to cholesterol. In the present case they

referred to two major past trials, 1)" ALLHAT-LLT" and 2)

"PROSPER", and concluded for "aggressive treatment for primary

prevention with Statin", in patients with cholesterol more than

200. Please refer below

Please refer below for the profile of the 8 members of the committee of NCEP.

Dr. Cleeman: (Chairman)  has no financial relationships to disclose. 

Dr. Grundy: has received honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb, and AstraZeneca; he has received research grants

with statin

from Merck, Abbott, and Glaxo Smith Kline. 

Dr. Bairey Merz: has received lecture honoraria from Pfizer, Merck, and Kos; she has served as a consultant for Pfizer, Bayer, and EHC (Merck ); she has received unrestricted institutional grants for Continuing Medical Education from Pfizer, Procter & Gamble, Novartis, Wyeth, AstraZeneca, and Bristol-Myers Squibb Medical Imaging; she has received a research grant from Merck; she has stock in Boston Scientific, IVAX, Eli Lilly, Medtronic, Johnson & Johnson, SCIPIE Insurance, ATS Medical, and Biosite.

Dr. Brewer: has received honoraria from AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering-Plough, Fournier , Tularik, Esperion, and Novartis ; he has served as a consultant for AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering-Plough, Fournier, Tularik, Sankyo, and Novartis. 

Dr. Clark: has received honoraria for educational presentations from Abbott, AstraZeneca, Bristol-Myers Squibb, Merck, and Pfizer; he has received grant /research support from Abbott, AstraZeneca, Bristol-Myers Squibb, Merck, and Pfizer. 

Dr. Pasternak: has served as a speaker for Pfizer, Merck, Merck/Schering-Plough, Takeda, Kos, BMS-Sanofi, and Novartis; he has served as a consultant for Merck, Merck/Schering-Plough, Sanofi, Pfizer Health Solutions, Johnson & Johnson -Merck, and. Johnson & Johnson.

Dr. Hunninghake: has received honoraria for consulting and s p eak e rs b u reau f r om A s t raZ en eca , M erck , Merck/Schering-Plough, and Pfizer, and for consulting from Kos; he has received research grants from AstraZeneca,

Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, and Pfizer. Dr Pasternak: has served as a speaker for Pfizer, Merck, Merck/Schering-Plough, Takeda, Kos, BMS-Sanofi, and Novartis; he has served as a consultant for Merck, Merck/Schering-Plough, Sanofi, Pfizer Health Solutions, Johnson & Johnson -Merck, and. Johnson & Johnson.

Dr. Stone:  has received honoraria for educational lectures from Abbott, AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, Pfizer, Reliant, and Sankyo; he has served as a consultant for Abbott, Merck, Merck/Schering-Plough.

It is now clear that these members can be greatly influenced by

the drug companies from whom they receive regular grants

/funding or have several monetary tie-ups. So to understand the

real picture of cholesterol guidelines it is important to draw your

attention to Cochrane Collaboration, a highly regarded medical

organization being recognized by and referred by all major medical

agencies across the world. They have branches in more than 130

countries and are known for not accepting any sponsorship or any

kind of grant from any pharmaceutical company. Under Cochrane

Collaboration, is University of British Columbia who on the basis

of same 'ALLHAT -LLT' and 'PROSPER ' trial concluded that "Statin

shows no health benefit in primary prevention". Even in the past,

several medical agencies proved beyond doubts that lowering

Cholesterol through drugs is not only worthless but also injurious

20 yrs (1960 to 1980) study by

World Heath Organisation

2010 British Medical Journal

Result: Significantly increased risk of liver

dysfunction, kidney failure and cataract.

-The Lancet (2001)

Honolulu Heart Program

Consider the following reference:

Low cholesterol had significant association

with mortality, which was an increased

risk of mortality by 64%.

Observational study of more than

2 million people treated with statin.

Lowering Cholesterol with medication

increased overall risk of death by 47%.

The above conclusion was so clear that Pfizer, the largest

manufacturer of Statin was forced to write a disclaimer for several

years as below:

-Pfizer

On the other hand, it was observed that the residents of Rural

China and Central Africa were always found to have cholesterol

levels which were considered dangerously high by the present

medical standards, but these residents are known to rarely suffer

from heart diseases and often live beyond 100 years.

Indo-Vietnam Medical Board Guidelines:1) Cholesterol : No drug treatment at any level of cholesterol.

2) Diabetes : Drug therapy only if blood sugar is beyond 250mg/dl

(reference Joslin Diabetes Center, Harvard University)

3) Blood Pressure: Drug treatment only above 160/100mmHg (Joint

British Guidelines & Cochrane Collaboration-2012)

What about the care for heart attack patients?If you refer to JAMA (The Journal of American Medical

Association)-1912, it states that a post heart attack patient must

go for absolute bed rest for six week.

"Statins have not been

shown to prevent

heart disease or heart attack"

Journal of American Medical Association (1912)

This recommendation remained unchanged for nearly 50 years

till the medical community realized that it claimed more than 2

million deaths.

Some time the guidelines were made without any basis or simply

on the mood of a particular doctor who was framing the

guidelines.

What about angiography / angioplasty/ bypass surgery?Angiography is one of the worst diagnostic process, often life

threatening. Indo-Vietnam Medical Board strongly disapproves it.

For decision making, you must consider the largest ever trial on

patients with heart vessel blockage. Refer below for any

conclusion:

COURAGE Trial

The importance of absolute bed rest

for several days in post Infarction

Angioplasty/bypass surgery did not help

avoid death or heart attack in angina patient.

In the above mentioned trial, it was seen that the patients with

similar health conditions /symptoms but did not go for

-MONICA study

angioplasty/bypass surgery were having better quality of life and

even lived longer in comparison to those, who went for

conventionally recommended angioplasty/bypass surgery.

Is Red wine good for Heart health?It has been widely promoted by the mainstream media that red

wine is good for heart. And this promotion was based on the belief

that there are fewer deaths due to heart diseases among French

citizen and may be its because of their habit of drinking Red wine.

However WHO funded MONIKA Study proved it other way.

French incorrectly certify death

from heart disease

i.e they don’t have

a low rate of heart disease

In 2012, it was reported that French researchers manipulated this

data just to prove the health benefits of red wine.

theheart.org (Jan13, 2012)

Photoshop Fraud

How effective is medication/Tamiflu for Flu?

In 2009, several countries including India were in the grip of fear of

H1N1 Swine-flu. No coincidence, a magic pill in the name of

"Tamiflu" entered the market, overstocked by government and

distributed on the street like a candy. Even doctors were trained or

rather brain washed in such a manner that they started having a

belief of acquiring a godly power to diagnose H1N1Swine- flu even

over telephone. The whole conspiracy was exposed in 2009 itself,

as it was made clear by the following reports.

Roche (manufacturer of Tamiflu)

deliberately hiding clinical trial data

about the efficiency of Tamiflu. -British Medical Journal-2009

There is no evidence

that Tamiflu does any good at all

-Cochrane review-2009

However it is sad to acknowledge that the mainstream media was never interested to publish the above reports as the mass media is mostly a sponsored media.

-Pubmed (2014)

Complication after Bariatric Surgery

can be catastrophic, ultimately

resulting in need for Bowel Transplant.

It has been clearly established that the bariatric surgery patients always end up being a patient of the side effects of the surgery itself which not only is always painful and traumatizing for the patient but also known to reduce the quality of life and life span.

Research on Cancer?Among all researches in medical science, cancer seems to be most interesting even promising. Try answering the question below:

New Cancer StudythPushing Cancer patients from 10 floor on a rock

a) Increases cancer mortality. More Cancer

death 

b) Decreases cancer mortality. Less cancer

death

How successful is Bariatric Surgery?Again, it seems to be a promising procedure for morbidly obese patients till the time you read the following

Surely the answer is (b). Such is the orientation of cancer research.

Refer to information given below:

It is clear that early cancer screening and detection seems to

increase the survival rate without benefitting the patients in real.

Whether it is breast cancer screening or the screening for Prostate

Cancer, the facts given below established one truth; more

screening for cancer leads to more suffering and more deaths

without any real benefit or relief to the patients.

Norwegian Research22% more cancer in

regular mammogram screening group

PSA level is having

no correlation with CancerNew England Journal of Medicine 2005

Finland StudyOver a third of autopsied

bodies had thyroid cancerCancer- (1985)

Discoverer of PSAThe PSA Cancer screening

is hardly more effective than a Coin Toss

Professor Ablin (University of Arizona)

What about Mental Disorder?More than 70% of the psychiatrists across the world refer to DSM

(Diagnostic & Statistical Manual of Mental Disorder) as their

reference guide, can be called as Bible of Psychiatry. Now look at

the facts below:

DSM-I : 1952DSM-II : 1968DSM-II : 1974

DSM-III : 1980DSM-IV : 1994DSM-V : 2013

Could you recognize something unusual? DSM V took unusually longer time to come into existence. Principally, the latest edition of DSM is bound to include any new discovery in the field of mental disorder, which may affect the diagnostic protocol.

In recent years there were several "uncomfortable findings" (for psychiatry industry). One of the prominent being, 'the structure of neurons of the mental disorder patients keeps changing frequently. As a result their response and symptoms also change'. This means a patient diagnosed with depression (and also treated with depression medications) may also be diagnosed as a patient of Schizophrenia on the basis of his changed symptoms and then to a bipolar disorder patient. That also means, no medication can be considered suitable for mental disorder patients because of the unpredictability of his future status of symptoms and accordingly shift in his disease based on the new symptoms. This new finding deemed to make the complete Psychiatry industry "obsolete".But as expected, the profit minded editorial committee of DSM -V decided not to publish this new finding keeping in mind the career of the people associated with psychiatry and ignoring the well being of the humans.

What about diagnostic test during Pregnancy?One of the craziest thing about the modern medical industry is that

they identify pregnancy as a disease and therefore address the

pregnant women as a "Patient". The major irony being converting

every pregnancy into a business through meaningless regular

diagnostic tests and then finally C-section. Below mentioned facts

are an unignorable evidence of it.

The best way to terrify

pregnant women

The journal of ultrasound in medicine(2000)

What about yearly complete body preventive medical checkups?

The propaganda of preventive medical checkup is one of the

biggest trap set by the modern medical industry. Before you decide

to go for any preventive medical checkup you must refer to the

following facts:

Gallstones In people without any symptoms

of gallbladder disease, about 10 percent

have gallstones when scanned by ultra sound

- Investigative Radiology 1991

Cochrane Collaboration The Cochrane collaboration found no

substantial benefit to routine ultrasound.

In fact it appears to lead to more

C- sections, although the mechanism

is not clear.

Damaged knee cartilageIn people without knee pain

or a history of knee injury, about 40 percent

have meniscal damage in their knees

when scanned by MRI

- New England Journal of Medicine 2008

Bulging discs in the backIn people without any back pain,

over 50 percent have bulging lumbar

discs when scanned by MRI - New England Journal of Medicine 1994

MRI Scan found that over 10 percent

of healthy participants had stroke

-Framinghan Heart study

Those who elected to undergo

total body CT screening people

with no symptoms,

86% had atteast abnormality detected.

-Radiology 2005

The above facts are just the glimpses of the medical diagnostics

mind-set and their intention to convert every human into patient.

Here, we must understand that we are not a product coming out

from a factory with clearly defined dimensions and characteristics.

We are a living being with millions of biochemical processes going

on simultaneously every second, and which is incomprehensive for

the man with its limited understanding of the function of the

human body and also limited diagnostic processes. Micro cancer

tumors and polyps keeps on forming in the body as a routine

process and also it go away as a part of the metabolic functioning of

the body. Any, so called abnormal diagnosis in an otherwise

asymptomatic person should not be confused with a disease!

Dr. Biswaroop Roy Chowdhury- President - India Region

(Indo- Vietnam-Medical Board)

Finally wishing you a Healthy, Hearty and Happy -2016

&freedom from 3D’s

3H’s

Disease, Drugs and Diagnosis