***Investigation of axial symptoms after cervical laminoplasty, using questionnaire survey***
While the results of this study should come as no surprise, it is rather unusual for a group of orthopedic surgeons to denounce a particular surgical approach. I can honestly say that it is rare for anyone in my office to end up going through surgery if they stick out a treatment plan. But, I'm pretty strong on the fact that soft tissue work HAS to be a component of a solid musculoskeletal treatment. Couple this with some good ole' fashioned adjusting, and most patients can avoid surgery. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6W7P-4JV5M9H-2&_coverDate=06/30/2006&_alid=396593348&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=6632&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=df11325fa4348c1939a8ee5d826f152e

***Clinical Perspectives of Statin-Induced Rhabdomyolysis***
This is about as screwed up as it gets... Rhabdomyolysis is a condition were your muscles essentially melt, and the increased burden on the kidneys can be fatal (this is the reason Baycol was pulled off the market) Increased risk of rhabdomyolysis was seen in patients w/ elevated trigylcerides (almost always given for Syndrome X despite this being a VERY poor Rx approach) and perioperatively (the research is constantly pounding to give statins on leaving the hospital). And, if you exercise your risk is higher!!! Given that this class of drugs is being pushed on everyone with a cholesterol level that even gets close to 200, we're definately going to see some major ramifications in the next few yrs. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6TDC-4JVBTVX-5&_coverDate=05/31/2006&_alid=396872352&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=5195&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=9704fa26d71e179369cea277dcce4208

***Comparing Rates of Dyspepsia with Coxibs vs NSAID+PPI: A Meta-Analysis***
Man, this gets confusing. Several years back, we saw the appearance of "public service" ads talking about the dangers of NSAIDs on bleeding ulcer risk and death. Noting that some 22,000 people a year die from this complication, the "public service" ad was directing the general public, who had no idea their ibuprofen could kill them, the find more information. Little did the general public know that this "educational process" was designed to introduce callers to a new class of drugs called the COX-2 inhibitors like Vioxx, Celebrex and Bextra, that were safer on the stomach. The cost of these drugs was exceedingly expensive, and nearly bankrupted the healthcare system in Australia and led to phenomenal profits for the drug companies. The rest of the story most are familar with--Merck is fighting off lawsuits because Vioxx had the unintended consequence of increasing risk of heart attacks. So now, come full circle, we have this study that finds that, giving standard NSAIDs along with another drug to protect the stomach is actually much better on the stomach than the COX-2 inhibitors. Geezz!! How 'bout finding a good chiropractor to reduced the arthritis pain instead??? http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6TDC-4JVBTVX-H&_coverDate=05%2F31%2F2006&_alid=396875146&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=5195&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=f31e4d808391cf035e1de9f872197562

***Therapy With Gastric Acidity Inhibitors Increases the Risk of Acute Gastroenteritis and Community-Acquired Pneumonia in Children***
Ok. My first question would be, why the &*^% are we putting any child on acid suppressive therapy!!! Holy physiology disruption, Batman!! And so, we completely mess with one of a child's most important functions, and then wonder why all heck breaks loose and they have increased risk for GI infections and pneumonia? I had a woman call me awhile back because her newborn was vomiting constantly and her pediatrician wanted the baby on prilosec. She was strongly against this so called me for advice. Dietary changes and formula changes hadn't worked. Knowing that improper bacterial flora in the stomach can increase gastritis in adults, I ask about method of birth, thinking C-section may have effected bacterial balance. Nope, normal vaginal. But mom was put on heavy doses of antibiotics prior to delivery for group B strep. With this knowledge I recommended probiotics and asked her to call me with an update. She called back a few weeks later, and right around the time of starting the probiotics, it became gradually clear that the infant had trush. The pediatrician wanted the baby on antifungals at this point. At this point, the use of probiotics was even further indicated (they had not been used more than one or two times prior to onset of thrush). The pediatrician, by missing the real issue, may have set in motion a series of alterations in this baby's physiology that would've left her at increased risk of allergies, asthma and autoimmune conditions... http://pediatrics.aappublications.org/cgi/content/abstract/117/5/e817

***Effects of high-dose sublingual immunotherapy on quality of life in patients with seasonal asthma: a pilot study***
It's funny that with the increasing amount of studies being done on this very safe and effective approach to allergies, that it's still relatively unheard of. I've got a few docs in my area that I refer patients out to and the response is usually quite positive. One thing I do love is that this therapy is actually looking at FIXING the problem, not just suppressing the immune response. About 2/3 of our immune system is centered around the GI tract and this immune group has the ability to turn up or turn down the immune response in the rest of the body. So, give these immune cells a small amount of antigen, and there is a chance that they will send a signal out to the rest of the immune system that this molecule is "ok" and will tone down our response to that molecule. http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2222.2006.00104.x

***Atopic wheezing and early life antibiotic exposure: a nested case–control study***
With all the research pointing to just how darn important a good, balanced, healthy bacterial flora in our GI tract is, you would hope at SOME point pediatricians would back off on antibiotic usage for everything that comes through their office. But hey--give the 3 month old antibiotics for the ear infections caused by cow's milk formula, and you're practically guaranteed that you'll get some extra visits with the child gets older and develops allergies and asthma. Talk about practice building techniques!!! http://www.blackwell-synergy.com/doi/abs/10.1111/j.1399-3038.2006.00389.x

***Clinical outcome of patients with Helicobacter pylori infection: the bug, the host, or the environment?***
See!! It's not just my own rantings and ravings that suggest that it's not H. pylori, but rather the patients' poor environment that leads to problems. We know that more lactobaccillus in the stomach means less H. pylori. We know that Vit C levels are lower in the gastric juices of the patient with H. pylori. We know that H. pylori likes a less acidic environment, which would be readily produced by someone under chronic stress. So, in my own little dream world future, any patient with H. pylori would be counseled on lifestyle changes rather then antibiotics ablation. http://pmj.bmjjournals.com/cgi/content/abstract/82/967/338

***Fetal Programming of Polycystic Ovary Syndrome by Androgen Excess***
Chalk up another chronic disease that begins in the womb. Again, we see quite a bit of validation on the part of some researchers suggesting that maybe we shouldn't off assisted reproductive techniques for patients who have not first tried lifestyle changes. This may sound unfair or cruel, but look at the alternatives--an unhealthy mom can't get pregnant because her body isn't ready. We use the "best" of modern medicine to force reproduction, but in the process we are literally tearing apart the health of our community a generation at a time... http://jcem.endojournals.org/cgi/content/abstract/91/5/1660

***Comparison of Long-Term (Seven Year) Outcomes Among Patients Undergoing Percutaneous Coronary Revascularization With Versus Without Stenting***
This is one I can't hammer on long enough. We have created a huge and profitable subsection of cardiology that, quite frankly, does nothing to change long term outcomes in patients. Cardiologists are getting rich on PCI procedures that, from several studies now, have failed to show a long term benefit. I could not begin to calculate the costs associated with these procedures collectively, but I can guarantee that lifestyle changes would be a little cheaper... http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T10-4JKHJBN-1&_coverDate=05%2F15%2F2006&_alid=399096482&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=4876&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=765ea5439ee044619a97a766301ac0ee

***Adverse drug reactions result in 250 000 UK admissions a year***
If only the general public really knew the true numbers behind just how much prescription drugs cost our society--lives lost and financial. This study only looks at hospital admission in one country. It does not look at deaths. It does not look at in-hospital errors. And this is just in one country. The true numbers are staggerring if you extrapolate them out. The good news? Eventually, the system will fail. We can't possibly continue to gouge the pockets of employers and employees to pay for iatrogenic morbidity and mortality. We will come to a critical juncture. I couldn't tell you exactly when, but I do know the costs associated with our Westernized style of medicine are increbibly high when compared to the poor outcomes we achieve with most of today's chronic diseases. http://bmj.bmjjournals.com/cgi/content/extract/332/7550/1109

***Induction of leptin resistance through direct interaction of C-reactive protein with leptin***
Wow. We've been trying to figure out how leptin--a hormone that's supposed to keep our weight regulated by increasing metabolism w/ decreasing hunger when weight increases and doing the opposite when weight reduces--becomes less and less effective with obesity. Well, this may be a key. When inflammation goes up, as determined by CRP levels, the CRP keeps leptin from working on a cell. Then abdominal obesity goes up and more inflammation is produced. What a nasty viscous circle. http://www.nature.com/nm/journal/v12/n4/abs/nm1372.html

***Long-Term Ingestion of High Flavanol Cocoa Provides Photoprotection against UV-Induced Erythema and Improves Skin Condition in Women***
It's studies like this that lends more credence to the idea that increased rates of melanoma in our kids are NOT coming from increased sun exposure but rather from poorer nutritional support from within. There have also been studies that found that olive oil on the skin has a protective role against cancer as well. So, instead of taking a rational approach to sun exposure, we play the fear game and now we're paying the price in the opposite direction resulting in upwards of 75% of the population being deficient in Vit D. http://jn.nutrition.org/cgi/content/abstract/136/6/1565

Dr. James Bogash, D.C.
1830 S. Alma School Rd, Bldg 7, Ste 135, Mesa, AZ 85210
(Alma School Road, just south of the Superstition Freeway/Highway 60)
Chiropractic Health Care for Chandler, Mesa and Tempe Arizona
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