DECODING

the Medical Guidelines

Consider the questions given below:
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?
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?

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:

Harrison's Principles of
Internal Medicine
Total Cholesterol (8th Edition) 300
Till 1998 total Cholesterol 240
After 1998 total cholesterol 200
Recommendation for Statin Therapy
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.

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.
 Very common side effects
of blood pressure drugs
1. Ankle swelling 5. Fatigue
2. Impotence 6. Depression
3. Nightmare 7. Kidney failure
4. Cold extremities
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)

“Although Antihypertensive therapy is associated
with a slight increase in subjective symptoms,
it is nonetheless still associated with improvement
in patient’s well being. 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.

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
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
CHOLESTEROL
U. S. Dept. of health & Human Service Cochrane collaboration
National Institute of health
National Heart, Lung and Blood Institute (NHLBI) University of British
Colombia
National Education
Cholesterol Program
ALLHAT - LLT
2004 2005
Aggressive treatment PROSPER Statinshow no health
for primary prevention benefit in primary of
with statin prevention
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
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
speakers bureau from AstraZeneca, Merck,
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
Consider the following reference:

20 yrs (1960 to 1980) study by

World Heath Organisation
Lowering Cholesterol with medication
increased overall risk of death by 47%.

2010 British Medical Journal

Observational study of more than
2 million people treated with statin.
Result: Significantly increased risk of liver
dysfunction, kidney failure and cataract.

Honolulu Heart Program

Low cholesterol had significant association
with mortality, which was an increased
risk of mortality by 64%.
-The Lancet (2001)
The above conclusion was so clear that Pfizer, the largest
manufacturer of Statin was forced to write a disclaimer for several
years as below:

"Statins have not been

shown to prevent
heart disease or heart attack"
- 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.
 The importance of absolute bed rest
for several days in post Infarction
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:

Angioplasty/bypass surgery did not help

avoid death or heart attack in angina patient.
COURAGE Trial
In the above mentioned trial, it was seen that the patients with
similar health conditions /symptoms but did not go for
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
-MONICA study

In 2012, it was reported that French researchers manipulated this

data just to prove the health benefits of red wine.

Photoshop Fraud
theheart.org (Jan13, 2012)
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.

There is no evidence
that Tamiflu does any good at all
-Cochrane review-2009

Roche (manufacturer of Tamiflu)

deliberately hiding clinical trial data
about the efficiency of Tamiflu.
-British Medical Journal-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.
How successful is Bariatric Surgery?
Again, it seems to be a promising procedure for morbidly obese
patients till the time you read the following

Complication after Bariatric Surgery

can be catastrophic, ultimately
resulting in need for Bowel Transplant.
-Pubmed (2014)

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 Study

Pushing Cancer patients from 10th floor on a rock
a) Increases cancer mortality. More Cancer
death 
b) Decreases cancer mortality. Less cancer
death
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 Research
22% more cancer in
regular mammogram screening group
 Discoverer of PSA
The PSA Cancer screening
is hardly more effective than a Coin Toss
Professor Ablin (University of Arizona)

PSA level is having

no correlation with Cancer
New England Journal of Medicine 2005

Finland Study
Over a third of autopsied
bodies had thyroid cancer
Cancer- (1985)
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 : 1952 DSM-III : 1980

DSM-II : 1968 DSM-IV : 1994
DSM-II : 1974 DSM-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.
 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.

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
 Damaged knee cartilage
In 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 back

In 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!

Finally wishing you a 3H’s

Healthy, Hearty and Happy -2016
&
freedom from 3D’s
Disease, Drugs and Diagnosis

Dr. Biswaroop Roy Chowdhury

- President - India Region
(Indo- Vietnam-Medical Board)