Topics of medicine & naturopathy
"It is the fable of old Lessingsche Wolf recalls, the shepherd promises to be only from dead sheep to feed. "But the shepherd through him: "An animal that I am already dead sheep eats, learns easily from hunger sick sheep dead, and healthy for ill."
“ Until after the Second World War, nobody had a "brain dead" seen “. Hoff J, in the Schmitten J; Ed (1994) “ When is a person dead?” Rowohlt, Reinbek, p 155
The game room, which contained a definition of death, and justification, is increasing.The temptation grows, the time of death ever before to relocate.In order to grow the coveted quantum of remaining life, already declared death. This "life balance" is gaining in appeal.Such "dead" have no more rights of the living, but largely their functions.Their bodies are fresh life, their metabolism allows experiments that otherwise no one would Ethics Commission sanctioned.Extremely scientists can imagine such a "dead" the arms or legs to break and to treat different sides to better treatment options under optimal conditions compared to test.The research on brain dead is far no phantom. At the University of Pittsburgh has existed since 2002, a committee to monitor the research with the dead (CORID = Committee for Oversight of Research Involving the Dead) Eberle U (2005) Research at the death bed. Die Zeit Nr 24 v 9.6.2005
According to the Harvard criteria would be the diagnosis of brain death in Germany today, in most cases, not tenable
On closer inspection, it becomes clear that brain death as a major criterion blurred.Who honestly, it must acknowledge that options for action based on this concept found to be difficult to generalize. The guidelines of the Harvard Commission on the diagnosis of brain death in 1968, so to speak, the original code of transplantation medicine, sat - in contrast to today when we valid criteria - total reflex out for the detection of brain death ahead of Ad Hoc Committee of the Harvard Medical School to Examine the definition of Brain Death (1968) A definition of irreversible coma. JAMA 205:337-342
“ Improvements in resuscitative and supportive measures have led to increased efforts to save those who are desperately injured. Somtimes these efforts have only patial succes so that the result is an individual whose heart continues to beat but whose brain is irreversibly damaged. The burden is great on patients who suffer permanent loss of intellect, on their families, on the hospitals, and on those in need of hospital beds already occupied by these comatose patient. (2) Obsolete criteria for the definition of death can lead to controversy in obtaining organs for transplantation.” A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. Journal of the American Medical Association (JAMA)Aug. 1968, Bd. 205, Nr. 6, S. 337
After these criteria would be the diagnosis of brain death in Germany today, in most cases, not tenable.1978 there were already more than 30 different groups criteria for the determination of brain death in use Black AM (1978) Brain death (Part 1 of 2 parts). Engl J Med 299: 338-344 Some require an electric Enzephalogramm, others not.For example, ask the criteria of Minnesota no EEG, whereas this with the criteria of Harvard and in Japan the case. Also in England is used to diagnose brain death EEG is not required, in Norway,however, a cerebral angiography.In England reaches the final failure of the brain stem to the death diagnosis. This means that the existence of isolated functions of the cerebral cortex and thus remains of perception can not be excluded.This was also the reason why two English anaesthetists 2000 in an editorial in the journal Anaesthesi aproposed organ donors organs only in general anesthesia to remove. Theoretically, therefore, a patient in a particular place where valid power of a group of criteria found dead, but not in a other place where a group of other criteria.Britons demand organ harvesting in anaesthesia. NZZ Neue Zürcher Zeitung v 13.9.2000
In Japan,the culture scientist William LaFleur from the Pennsylvania State University, is the association bridge between organ transplantation and cannibalism legitimate, even in the parliamentary debate, while in the West dismissed as a populist polemic.For cultural and religious reasons, the Japanese law on organ transplantation, the organ removal for brain dead for transplantation is allowed, but not the brain death criterion. Provided further that a written consent of the donor and who informed members of abstraction not contradict Saito S (2003) Brain death and organ transplant from a Japanese perspective.In: FS Oduncu, Schroth U, Vossenkuhl (Hrsg) Transplantation. Organ acquisition and allocation. Goettingen, p 118
A multi-organ transplantation in a Western transplant center and the fragmentation of deaths in the Tibetan highlands (air funeral) to the consumption of not otherwise disposed of the body by vultures to facilitate - but also for karmic reasons - are fundamentally different answers to the question, what you can do with the dead.This means that the future of the concept of death, in close ties to the primacy of the natural sources of sovereignty and the socio Back insistence - sense of cultural interpretations could develop.The question would then no longer what we can do for dead, but what can we do with them?Whether this whatsoever identified the dead as dead "really" dead might become a problem downstream.The key would be only if the criteria are fulfilled their instrumentalisation. Even Hans Jonas wrote that the key question is not: "Is the patient died", but: What should be done with him - still a patient - happen? "JonasH (1990) technology, medicine and ethics.In order to practice the principle responsibility.
The brain death as death of the people to define, based on the fundamental assumption that the brain was the central control organ of the body.Doubts are appropriate. First, brain death after the current research situation irreversible failure of an institution, no more and no less. Alan Shewmon, and Brain Death spezialist neurologist at UCLA, in a meta-analysis of 56 patients with chronic brain death (brain death criteria for at least a week after the Brain death diagnosis detectable). Shewmon DA (1998) Chronic brain death: meta-analysis and conceptual consequences. Neurology 51:1538-1545
Some lived a few years without circulatory support, only with artificial ventilation.He observed that the tendency to asystole in a state of brain death sometimes only initially, and only temporarily.This argues against the view that the brain is the central organ for maintaining systemic bodily functions.
Shewmons logical conclusion: If brain death with the death of the same people will have this on the basis of a plausibleren happened as the assumption that the brain is the parent somatic integrative unit.The idea of the brain as the supreme controlling body, the other subsystems are subordinate, is from a renowned brain researcher refuted biological system from a theoretical viewpoint arises life by the ability to self-production (Autopoiese), and self-preservation.They are the result of the interaction of physical-chemical components in a network without an auto localizable central control body.The life stops when this network of mutual production and conservation collapses.This is the case if constitutive organs such as the heart, brain, kidney or liver replacement fail. Roth G, U thickness (1994) The Hirntodproblem from the perspective of brain research. J Hoff, When is a person dead? Brain Transplant.
The overarching thesis of the integrative function of the brain is in the case of a brain-dead pregnant women fully into question.The Brain Death pregnant woman, as "dead" is able, in her abdomen a fetus to feed him and even thrive undisturbed until viability ripen to let logically is for the advocates of braindeath a thorn in the eye.The longest known of a brain-dead pregnant woman was 107 days. It was by Caesarean section to a healthy boy birth (Conley Hilliker), whichis developed normally. Bernstein IM, Watson M, Simmons GM, et al (1989) Maternal brain death and prolonged fetal survival.Obstet Gynecol 74:3 part 2,434-43
Vague explanations were half-used and "subzerebraler neural integration".The pregnant woman was on the status of a "Brutkastens" reduced, only to the fetus with oxygen and nutrients. Oduncu FS (1998) The brain death as a criterion - Bio-medical facts, anthropological and ethical questions.
The German Medical Association differs from the problem by laconically stating: "A pregnancy is endocrinology from the placenta and not by the brain of the mother maintained"Only the crucial fact remains unspoken: The placenta is not in a vacuum or an artificial uterus, but in survivors of aScientific Advisory Board of the Federal Chamber of Physicians (1998) Guidelines for the detection of brain death, 3Updating 1997 under Transplantation Act (TPG).
By Paul A. Byrne, Cicero G. Coimbra, Robert Spaemann, and Mercedes Arzú Wilson
“ In medicine we protect, preserve, and prolong life and postpone death. Our goal is to keep body and soul united. When a vital organ ceases to function, death can result. On the other hand, medical intervention can sometimes restore the function of the damaged organ, or medical devices (such as pacemakers and heart-lung machines) can preserve life. The observation of a cessation of functioning of the brain or some other organ of the body does not in itself indicate destruction of even that organ, much less death of the person”.
What is “ brain death ”? A British physician view DAVID W. EVANS*
“ The term “ brain death ” came into common use amongst those working in Intensive Care Units (ICUs) some 40 years ago. It was not coined in any formal way as the name of a defined clinical syndrome. It was used in communication between ICU staff as a “shorthand” term to describe the state of patients who showed no sign of being able to breathe on their own after many days of mechanical ventilation, and whose coma appeared profound and deepening. When they lay inert and unresponsive, with circulatory instability and no external sign of brain function, they were often (and increasingly) described as “brain dead”.
While there was, as I understood it, a general feeling that the brains of these patients were irrecoverably “out of business” - as a result of the trauma or disease process which had caused the apparently mortal brain damage - there was no pretence to certainty that there could be no residual life anywhere within those brains. It was recognized that the clinical evidence available could not support formal diagnosis of death of the whole of those brains as a matter of fact. There may have been, in the minds of the medical staff, an element of hope that they were really and truly dead - a hope strengthened if electroencephalography (EEG) was available and had recorded no intrinsic electrical brain activity from scalp electrodes - for the clearly hopeless prognosis posed a management problem to which the only humane solution seemed to be discontinuation of life support to allow death to occur. However, it was noteworthy and indeed inspiring to see members of the nursing staff still treating these inert and apparently insentient patients with gentle care, calling them by name and talking to them as if they might be comforted thereby. ..read more :
Apnea Test An essential component in clinical determination of brain death is detection of apnea. Loss of brain stem function definitively results in loss of centrally controlled breathing, with resultant apnea. Respiratory neurons are controlled by central chemoreceptors that sense changes in Pco2 and pH of the cerebrospinal fluid, which in turn accurately reflects changes in plasma Pco2. A variety of complex mechanical and chemical stimuli influence these respiratory neurons of the brain stem.
The exact level of Paco2 necessary to maximally stimulate the chemoreceptors of central respiratory centers remains unknown in conditions consistent with hyperoxygenation and brain stem destruction. Target Paco2 levels have been derived on the basis of both clinical observations and research involving apnea testing in brain death. Advisory guidelines for determination of death based on these clinical and research data recommend achieving Paco2 levels greater than 60 mm Hg for maximal stimulation of brain stem respiratory centers.1 Target Paco2 levels for apnea tests in the determination of brain death may be higher in patients with chronic hypercapnia. If the results of initial arterial blood gas analysis confirm chronic hypercapnia, additional noninvasive confirmatory testing is recommended.
Hypocarbia can also occur in patients with acute catastrophic cerebral injuries and can be caused by therapeutic hyperventilation or hypothermia. Although correction of hypocarbia should precede apnea testing, use of carbon dioxide admixtures should probably be avoided because of associated consequences, including severe hypercarbia and respiratory acidosis.
Cardiac dysrhythmias and systemic hypotension can occur during apnea testing. Cardiac dysrhythmias are usually due to hypercarbia and respiratory acidosis and occur most often in patients with hypoxia. Severe hypotension can occur in well-oxygenated patients whose Paco2 increases to high levels with acidosis. Hemodynamic disturbances can be avoided during apnea testing if respiratory acidosis is limited to a pH of 7.17 (±0.02) and the Paco2 is 60 to 80 mm Hg.15 Hyperoxygenation beforehand and administration of oxygen during the test procedure also can prevent marked hypoxemia during apnea testing.
Investigators have experimented with a variety of derivations in apnea testing, including use of carbon dioxide insufflation and bulk diffusion techniques.16-19 Other researchers20 have reported that a streamlined approach to apnea testing may include establishing baseline Paco2 levels of 40 mm Hg before the test is done, thereby facilitating achievement of the target Paco2 level of 60 mm Hg in less time and with fewer episodes of cardiovascular instability or hypoxia. The current recommendations for apnea testing in brain death are based on review of empirical, research, and clinical evidence.13
The procedure for apnea testing is given in Table 2. To avoid the cardiac dysrhythmias and systemic hypotension that may occur during the test, clinicians should follow the recommendations given in Table 3. The results of apnea tests are interpreted as (1) positive, (2) negative, (3) occurrence of cardiovascular or pulmonary instability, and (4) inconclusive (Table 4).
The possibility of donors feeling pain during organ harvesting isn't the only problem. One body of scientific research opinion suggests the "brain death" test not only falsely attributes death to the donor but also injures the patient and delays crucial treatment. Associate Professor Cicero Galli Coimbra, Head of the Neurology and Neurosurgery Department at the Federal University of Sao Paulo, Brazil has completed the study, " Implications of ischemic penumbra for the diagnosis of brain death. Apnoea testing may induce rather than diagnose brain death ".
The study discovers that where there is brain damage there may be an area of the brain that is destroyed plus an uninjured section (even if there is no apparent function) and between the two a penumbra where brain cells are not functioning but recoverable. In severe cases a person may be wrongly declared "brain stem dead " or " brain dead ".
Mothers of organ donors report:
The fight between relatives and harvesters over the dead body begins with who gets in first. The person lawfully in possession of the body can authorise the excision of organs and other parts. But who has actual legal possession? In the first instance it is hospital staff. Next of kin can sometimes gain possession by entering the hospital and legally taking possession of the body. In some countries, like the United Kingdom, the body remains legally in the possession of the hospital, while it is located therein. This makes it more difficult for next of kin to obtain the body for cremation or burial, or to prevent harvesting.
Generally, in other countries, to gain possession one doesn`t punch out the doctors and grab the body. Possession simply requires stating one`s next of kin status: mum, dad, child, spouse, etc and ordering directions regarding the body. The hospital will send the body to the funeral parlour of your choice or, with your permission, consider it for harvesting. They may claim the body is theirs for harvesting but when push comes to shove the hospital will back down to avoid scandal. They may also request consent for a post-mortem to examine cause of death, which may be a ploy to remove parts especially if the autopsy consent form contains a tiny clause that authorises body parts donation. You can refuse this autopsy unless death has been sudden, unexpected or mysterious. In these circumstances the Coroner can order a compulsory Coronial post-mortem though this is relatively rare and may occur days later in a separate building. You can insist at this autopsy that no parts be removed for transplant or other purposes. Some Coroners act strictly, as researchers trying to discover the reason for death while others are sneak thieves acting on behalf of the harvesters or medical schools.
Human Rights of the Heart - Beating Dead
The question of human rights for "brain dead" patients has never been fully determined by Australian courts. It is generally believed the corpse has no rights and that being "brain dead" is identical to being a corpse. It is under control of those in possession of it. As stated above hospital staff initially retain control until next of kin or the person with designated power of attorney can be located. If neither party can be contacted within a reasonable amount of time the hospital can decide if the patient is harvested despite not having registered as a donor. The hospital merely needs to say they have no reason to believe the patient was against organ donation. Australian transplant legislation rarely specifies what a reasonable period of time is though the 1964 Tasmanian legislation considered it six hours and this was before mobile phones were invented. In parts of the USA it is a more generous 24 hours. Transplant coordinators or hospital intensive care staff may jump the gun and persuade grieving relatives to sign consent forms prior to the second "brain death" determination.
The procedures used to determine "brain death" vary from country to country. The Japanese require loss of blood pressure to determine "brain death" because the brain stem regulates blood pressure. Normal blood pressure indicates a functioning brain stem and therefore a patient is not considered "brain dead". The United Kingdom rules are different and the same patient considered alive in Japan will be declared "brain dead" and harvested in the UK.
Electroencephalography (EEG) tests are required in parts of the United States, and some European countries. An EEG displays electrical activity in the brain, evidence which indicates life therein. Spain requires two electroencephalograms twelve hours apart for adults and twenty-four hours for children. Two tests separated by time is protection against an initial mistake and the fact that electrocerebral silence may be temporary. This careful Spanish approach contrasts with Australian practice where a person can be harvested within twenty-four hours of presenting at a public hospital so there often isn`t time for a second EEG.
But that doesn`t bother many doctors in Australian hospitals who avoid electroencephalography altogether, claiming it is unreliable and that flickers of electrical activity may be from a decomposing dead brain. Another argument is that an EEG may indicate brain life but that fact is irrelevant. Why? Because it does not affect the prognosis, i.e. because the presence of residual EEG activity does not alter the forecast of death - the final cessation of the heartbeat despite continuing mechanical ventilation - within a few hours or days. So, they rationalise, organ donation might as well begin while the still beating heart perfuses the organs with oxygenated blood. This utilitarian view ignores the uncomfortable fact that we do not know very much about how the brain works and have no means of knowing what persisting EEG activity may be trying to tell us about continuing brain function at some level - even, perhaps, about the persistence of something akin to consciousness (however defined) in some rudimentary form in some remote, untestable, part of that most complex and truly wonderful organ.
One unarguable truth in this debate is that medical experts around the world use a wide variety of techniques to diagnose and certify death on "brain death" criteria. This is not surprising in view of the fact that they can't even agree on what it means to say that a person is dead when his blood is still circulating and his bodily systems are still working, although his brain is so badly damaged that he is almost certain to die - in the commonly understood sense - within a very short time.
Less technological societies determine death differently. They initially consider death as loss of heart beat but keep the body safe for a few days. Their religion may provide rituals to allow the spirit to ascend but for practical purposes it keeps the body safe until the odour of decomposition becomes apparent. The stench indicates the person is really dead. Some nations don`t consider medical "brain death" criteria valid. Pakistan and Romania don`t recognise "brain death" saying the person is still alive. Most Jews don't recognise "brain death" thus organ donation is rare in Israel. Thailand doesn`t accept the concepts of "whole brain death" or "brain stem death". Harvesters cutting organs from bodies with beating hearts are charged with murder, which carries a death penalty.
Donation after the Heart Stops Beating
The irony is that viable kidneys are still obtained from donors whose hearts have stopped. "Brain dead" donation is extremely rare in Japan so they remove kidneys from "cardiac dead" people.
Graft survival rate is slightly lower at 84.2% at one year and 72.7% at five years. Spain also gets good results from "cardiac dead" donors, even when brought to the hospital already dead. Australia also removes kidneys from "cardiac dead" donors, but hasn't announced this in case someone asks, well, aren't kidneys already removed from dead people.42 The Canadian Council for Donation and Transplantation are currently developing protocols for removing kidneys from donors after the cessation of heartbeat. It is doubtful this will dent waiting lists due to the difficulty of obtaining consent and the controversy over killing the donor prior to even the flimsy "brain dead" test. Lungs are harvested from donors in Sweden whose hearts have stopped for one hour alleviating the need to begin lung removal while the donors` hearts are still beating as is presently done elsewhere.
Aggressive Hospital Harvest Teams
Most people retain a warm view of doctors and nurses cooperating with each other to save lives, but reality is different. Hospitals are stressful places where workers frequently end their shifts exhausted and disturbed. Doctors have higher suicide and drug addiction rates than others. They've been deprived of normal comforts for ten years to complete their medical education. They are driven and ambitious to succeed in a demanding profession. Transplant technology dangles the possibility of fame and wealth like Christiaan Barnard, Denton Cooley and Norman Shumway ? and that mystical lure of eternal life. Governments and pharmaceutical corporations pressure hospitals and donation agencies to increase organ supply to "save more lives". The drugs companies crave more patients dependent on permanent medication while governments seek reduced dialysis costs. Surgeons and immunologists are the third force desperate to maintain their market share.
When a brain-injured patient arrives by ambulance it isn`t just a million dollars worth of surgical activity at stake. It's the reputations and life dreams of men and women who seek victory for the sake of themselves and their patients. From this boiler room of adrenaline and hyperactivity the declaration of "brain death" resembles the starter gun at the Olympic one hundred-metre race. Governments want increased kidney and cornea donation for financial as much as for compassionate reasons. Eighteen months on dialysis costs equal to a kidney transplant that should last seven years. Kidney transplants also improve the quality of life unless surgery or immunological complications turn nasty.
Doctor Richard Nilges, Emeritus Attending Staff in Neurosurgery of the Swedish Covenant Hospital in Chicago, USA recounts being pressured to declare patients dead for organ removal who later walked out of the hospital.
The most difficult ethical question facing medicine today is: Are the donors really dead? As a neurosurgeon, I speak for the speechless, the so-called brain dead. When I must make the decision to terminate life support for my patient so that another may live, I feel unclean. I decry the dehumanization of our profession today. We are being asked to place the welfare of the next patient on a recipient list above the best interests of our own patient. The criteria for brain death can be too loosely applied these days, especially if there is a publicity campaign for the transplant of a vital organ, such as a pediatric organ. ( Richard G. Nilges, M.D. Chicago )
"Committed as I was to the seriously injured or very sick patient under my care, whether he or she was brain dead or not, I had to literally fight off the transplant teams. One case I recall was when the transplant team was called to our community hospital without my knowledge and before I was ready to declare brain death on an unconscious patient who had a severe head injury in a motorbike accident. He had reflex extension of his arms and legs on painful stimulation. He was, therefore, not unresponsive even though his movements were no longer under the control of his will. His pupils reacted sluggishly to light. He had none of the criteria of brain death (except unresponsiveness). I rather too abruptly dismissed the transplant coordinator and his "team". I continued to treat this young man`s brain swelling. He walked out of the hospital and returned to college"
Same Day Harvesting and Aggressive Transplant Teams Doctors previously had a minimum of forty-eight hours to treat the patient prior to "brain death" testing. This gave relatives time to discuss the issue of consent with religious advisers and extended family. Time was allowed for repeated electroencephalograms and, most importantly, time for the patient`s condition to improve. In the era of Day Surgery where patients don`t even spend one night in hospital we also have Same Day Harvesting.
Half of all Australian donor patients are declared "brain dead" within 33 hours of entering hospital. 69% are harvested within 12 hours of "brain death" diagnosis and 98% within 24 hours. Queensland is the quickest to harvest incoming donors. Patients may be harvested within 24 hours of suffering brain injury or a stroke.
Doctors worldwide are reporting increased pressure to declare "brain death" before adequate periods of observation, treatment and self-recovery. Transplant surgeons demand other doctors administer drugs and prepare organs for harvesting despite these procedures accelerating brain damage. This changed priority from treatment to harvest preparation shows the paranoia that recuperative treatment may be reduced for prospective donors is not an urban myth.
Dr Richard Nilges recounts more of his experiences: "With patients closer to brain death, the struggle was even more agonizing. The transplant team would be present in full panoply. The coordinator would object to my policy of two flat EEGs separated by 24 hours. I repeat his demand as I recorded it in a newspaper article: "Dr Nilges, you don`t need another electroencephalogram tomorrow. Today`s is flat. Declare death today". Of course, I did not declare death that day
The pressure to declare "brain death" prematurely isn`t limited to United States and Australia. Dr. Yoshio Watanabe, a cardiologist at the Chiba Tokushu-kai Hospital in Funabashi, Japan reports that: “ A 40-year old crime victim with a head injury was brought to the emergency room of Osaka University Hospital in August 1990, the team of physicians apparently looked at him as a potential kidney donor from the outset. Thus, as early as three days before the first diagnostic tests for brain death were made, they had started a set of new regimes (a combination of anti-diuretic hormone that reduces the urine volume, drugs that elevate blood pressure, and a drip infusion of a large amount of fluid) developed by this group, which is considered very effective in keeping transplantable organs fresh and viable. It would, however aggravate brain oedema, increase intracranial pressure, and accelerate the process of brain death. Without telling this fact to the victim`s wife and by using words of threat, they persuaded her (in a manner far from an informed consent) to donate his kidneys. The above example was in 1990 but things haven`t changed. Dr Watanabe reports on one of only four brain dead donors in Japan in a six - month period of 1999,
A middle-aged female with a subarachnoid (and perhaps cerebral) haemorrhage. When she was brought to Kochi Red Cross Hospital, the physicians failed to give certain important life-saving measures, including administration of drugs to lower her extremely high blood pressure. Instead, they immediately told her family that she was in the state of "impending brain death" and did not explain the possibility of surgical removal of intracranial hematoma. A clinical diagnosis of brain death was made 60 hours after admission, disregarding the fact that repeated Phenobarbital administration could have made an accurate evaluation of brain function difficult. Preparations for organ transplantation were expedited"
Dr Watanabe reports that a subsequent review of the incident showed that repeated apnoea tests were performed before the electroencephalogram became flat. This is illegal in Japan. Apnoea testing deprives the brain of oxygen and speeds up "brain death". When done repeatedly, one might suggest, it's being done to create "brain death" rather than test for this condition. Statement Opposing Brain Death Criteria (2000-)
Below is a position statement, signed by over 120 people from 19 nations, including physicans, philosophers, and theologians, opposing brain death criteria for human death. It has been released through the auspices of Earl Appelby, Jr. of Citizens United Resisting Euthanasia ; he would have the most updated list of those who signed the statement), but those who signed the list are a very diverse group. I hope that the list both stimulates discussion and makes the wider community aware that there are a large number of individuals who believe that there are good reasons for opposing brain death criteria.
Paul A. Byrne, M.D., FAAP, Past President, Catholic Medical Association, Oregon, Ohio
Walt F. Weaver, M.D., FACC, Clinical Associate Professor, School of Medicine, University of Nebraska, Omaha, Nebraska
Prof. Josef Seifert, Ph.D., Rector, International Academy for Philosophy, Furstentum, Liechtenstein
Mercedes Arzu Wilson, L.H.D., President, Family of the Americas Foundation, Dunkirk, Maryland
Bishop Fabian Wendelin Bruskewitz, Diocese of Lincoln, Lincoln, Nebraska
Bishop Robert F. Vasa, Diocese of Baker, Baker, Oregon
Julie Grimstad, Director, Center for the Rights of the Terminally Ill, Stevens Point, Wisconsin
Earl E. Appleby, Jr., Director, Citizens United Resisting Euthanasia, Berkeley Springs, West Virginia
Neleide Abila, Professor of Law, Universidade Paranaense, Guiara, Brazil
Marcos Antonio Aranda, M.D., Director, ICU Chief, Department of Pulmonology, Hospital Clinicordis, S?o Paulo, Brazil
Christopher R. Bell, President, Good Counsel, Inc., Hoboken, New Jersey
Joan Andrews Bell, Director, PIETA Mission, Hoboken, New Jersey
Yuri Belozorov, Director, Choose Life, Vladivostock, Russia
Fr. Frederick Bentley, OHI, Anglican Priests for Life, Edinboro, Pennsylavania
Robin Bernhoft, M.D., FACS, Chairman, National Parents Commission, Johnstown, Pennsylvania
Giuseppe Bertolini, M.D., Specialist in Anesthesia and Resuscitation, Ospidali Riunti di Roma, Rome, Italy
Cledson Ramos Bezerra, Attorney at Law , Jo?o Pessoa, Brazil
Jerrold G. Black, M.D., Family Practice Physician, Lincoln, Nebraska
Wallace L. Boever, M.S., Clinic Manager, Holy Family Medical Specialties, Lincoln, Nebraska
Massimo Bondi, M.D., L.D., Former General Surgeon, Medical Board, Sydney, Australia; Professor of Surgical Pathology Universit? degli Stud? "La Sapienza", Rome, Italy
Michael Brear, MB, BS, DTM&H, LMCC, General Practitioner, Vancouver, Canada
William Brennan, Ph.D., Professor, School of Social Service, St. Louis University, St. Louis, Missouri
Paul R. Bruch, M.D., Past President, Connecticut Right to Life Corporation, Southbury, Connecticut
L?o Brust, Attorney at Law, Porto Alegre, Brazil
Fr. Christian Marie Charlot, Professor of Bioethics, President, World for Children, Bagnoregio, Italy
Helen Cindrich, Executive Director, People Concerned for the Unborn Child, Pittsburgh, Pennsylvania
Celso Galli Coimbra, Attorney at Law, Porto Alegre, Brazil
Cicero Galli Coimbra, M.D., Ph.D., Associate Professor, Department of Neurology and Neurosurgery, Federal University of Sao Paulo, S?o Paulo, Brazil
Greg Clovis, Executive Director, Human Life International-UK, London, England, UK
Kurt Clyne, M.S., PharmD., Director, Pharmacy, St. Elizabeth Regional Medical Center, Lincoln, Nebraska
Dr. A.P. Cole, FRCP, RFCPCH, Director, Lejeune Clinic, London, England, UK
Kathy Coll, Director, Pro-Life Coalition, Havertown, Pennsylvania
William F. Colliton, Jr., M.D., FACOG, Clinical Professor Emeritus of Obstetrics and Gynecology, George Washington University,
Carlito V. Cruz, M.D., General Surgeon, St. John Hospital and Medical Center, Detroit, Michigan
Gregg Cunningham, Esq., Executive Director, The Center for Bio-Ethical Reform, Los Angeles, California
Joseph W. Cunningham, Esq., President, The Society of Blessed Gianna Beretta Molla, Philadelphia, Pennsylvania
Lorna L. Cvetkovitch, M.D., Obstetrician and Gynecologist, Lincoln, Nebraska
Michael Davies, President, International Una Voce Federation, London, England, UK
Dr. Michael Delany, London, England, UK
Robert Desmond, M.D., Emergency Department, Wood County Hospital, Bowling Green, Ohio
Marie Dietz, Director, Center for Pro-Life Studies, North Troy, Vermont
Dr. Bert P. Dorenbos, President, Schreeow Om Leven, Hilversum, Netherlands
John F. Downs, Director, Partners in the Cross, Mt. Jackson, Virginia
Jim Dowson, National Organizer, Precious Life Scotland, Cumbernauld, Scotland
Sr. Lucille Durocher, Founder, St. Joseph's Workers for Life & Family, Vanier, Canada
Cheryl Eckstein, R.N., Founder and President, Compassionate Health Care Network, Surrey, Canada
David Wainwright Evans, M.D., FRCP, Fellow Commoner of Queens' College, Cambridge, England, UK
Martyn Evans, B.A., Ph.D., Swansea, Wales, UK
Joseph C. Evers, M.D., FAAP, Pediatrician, McLean, Virginia
Timothy R. Fangman, M.D., FACC, Cardiovascular Medicine, Omaha, Nebraska
Sydney O. Fernandes, M.D., M.B.B.S., F.C.P.S., ABIM, ABFP, Internal Medicine, Oregon, Ohio
Vera Maria Vargas Ferreira, Attorney, Porto Alegre, Brazil
Timothy H. Fisher, M.D., Family Practice Physician, Lincoln, Nebraska
Jeffrey L. Fortenberry, M.S., M.A., Member, Lincoln City Council, Lincoln, Nebraska
Elizabeth Fox-Genovese, Ph.D., Professor of History and Humanities, Emory University, Atlanta, Georgia
Nelson Fragelli, Director, Droit de Na?tre, Paris, France
Luigi Gagliardi, M.D., Head Physician, Department of Thoracic Surgery (retired), Ospidale Forlalini di Roma;
Professor Emeritus, Universit? degli Stud? di Roma "La Sapienza", Rome, Italy
Fr. Benedict J. Groeschel, CFR, Ed.D., Director, Office for Spiritual Development, Archdiocese of New York, Larchmont, New York
Karel F. Gunning, M.D., President, World Federation of Doctors Who Respect Human Life, Rotterdam, Netherlands
Denny Hartford, Director, Vital Signs Ministries, Omaha, Nebraska
Lucky M. Hatta, Founder and President, Pro Life Indonesia, Turanggaa Bandung, Indonesia
The Rt. Rev. Mark Haverland, Ph.D., Bishop Ordinary, Diocese of the South, Anglican Catholic Church, Athens, Georgia
Paul L. Hayes, M.D., Obstetrician and Gynecologist, Lincoln, Nebraska
David J. Hill, M.A., FRCA, Emeritus Consultant Anaesthetist, Cambridge, England, UK
Helen Hull Hitchcock, Director, Women for Faith & Family, St. Louis, Missouri
James Hitchcock, Ph.D., Professor of History, St. Louis University, St.Louis, Missouri
Benno Hofschulte, Director, Aktion SOS LEBEN, Frankfurt am Main, Germany
The Reverend Canon Eric Jarvis, M.A., Canon Emeritus, Cathedral Church of St. Peter and St. Winfred, Ripon, England, UK
Fr. David Albert Jones, O.P., M.A., Director designate, Linacre Centre for Healthcare Ethics, London, England, UK
Anthony M. Kam, M.D., FACS, Chief of Staff, Sheridan Community Hospital, Sheridan, Michigan
M.A. Klopotek, Dr. Eng. Habil., Professor, Institute of Computer Science, Akademia Polska, Siedice, Poland
Paul Lagan, President, Alliance for Life Ministries, Madison, Wisconsin
Thomas H. Lieser, M.D., MPH, FACOEM, Board Certified, Family Practice and Occupational and Environmental Medicine; Adjunct Faculty, Medical College of Ohio, Toledo, Ohio
Johann Loibner, M.D., General Practitioner, Graz, Austria
Luiz Anderson Lopes, M.D., Pediatric Department, Ecola Paulista de Medicina, Universidade Federal S?o Paulo; Professor of Pediatrics, Universidade de Santo Amoro, S?o Paulo, Brazil
Prof. Roberto de Mattei, Professor of Modern History, University of Cassino, Cassino, Italy
Maria Cristina Mattioli, Federal Labor Judge, Federal Labor Court of the 15th Circuit, Campinas, Brazil
Fr. Daniel Maurer, C.J.D., Canons Regular of Jesus the Lord, Vladivostok, Russia
Philip D. McNeely, M.D., Family Practice Physician, Lincoln, Nebraska
Walter Menz, Attorney at Law, Porto Alegre, Brazil
Judge Joseph Moylan, Omaha, Nebraska
Nerina Negrello, President, Lega Nazionale Contro la Predazione di Organi e la Morte A cuore Battente, Bergamo, Italy
Dr. Claude E. Newbury, M.B.B.Ch., D.T.MTH., D.O.H., M.F.G.P., D.P.H., D.A., D.C.H., M.Prax. Med., President, Pro-Life South Africa, Johannesburg, South Africa
Richard G. Nilges, M.D., FACS, Neurosurgeon, Valparaiso, Indiana
Dr. Peggy Norris, MD, ChB, BAO, Chairman, A.L.E.R.T.; Hon. Secretary, Doctors Who Respect Life, London, England, UK
Marquis Luigi Coda Nunziante di San Fernando, President, Famiglia Domani, Rome, Italy
Dr. Charles Oďż˝fDonnell, MRCP, DA, EDIC, FFAGM, Consultant in Emergency and Intensive Care Medicine, Whipps Cross Hospital, London, England, UK
Ruth D. Oliver, M.D., FRCP(C), Psychiatry, Surrey, Canada
Tony C. Palmer, ScD, FRCVS, Veterinary Neurologist, University of Cambridge, England, UK
Larry Parsons, M.D., Family Practice Physician, Board Certified, Omaha, Nebraska
Captain (Ret.) Charles J. Pelletier, II, President, Mother and Unborn Baby Care of Northern Texas, Fort Worth, Texas
Mary Patricia Pelletier, Vice President, Raphael (God Heals) of Northern Texas, Inc., Fort Worth, Texas
Luca Poli, M.D., Neurologist Boselga de Pin?, Trento, Italy
Michael Potts, Ph.D., Associate Professor of Philosophy, Methodist College, Fayetteville, North Carolina
Walter Ramm. Director, AKTION LEBEN, e.V., Absteinach, Germany
Marlene Reid, President, Human Life Alliance, St. Paul, Minnesota
Charles E. Rice, Ll.M., J.S.D., Professor Of Law, University of Notre Dame, Notre Dame, Indiana
Fr. George M. Rinkowski, Toledo, Ohio
Maria Luisa Robbiati, M.D., General Medicine and Specialist in Anesthesia and Resuscitation, Rome, Italy
Gelson Luis Roberto, Clinical Psychologist, Associa??o Brasileira de Etnopsiquiatria e Psiquiatria Social, Porto Alegre, Brazil
Gilson Luis Roberto, M.D., Clinical Medicine, Medical Clinic, Porto Alegre, Brazil
Jaqui Rose, Catholic Action Life League, Cape Town, Republic of South Africa
Derek Sakowski, Seminarian, Pontifical College Josephinum, Columbus, Ohio
Rich Scanlon, Executive Director, Human Life Alliance, St. Paul, Minnesota
Joseph M. Scheidler, Executive Director, Pro-Life Action League, Chicago, Illinois
Ingolf Schmid-Tannwald, M.D., Professor of Gynecology and Obstetrics, Medical School University of Munich; President, ?rtze f?r das Leben e.V., Munich, Germany
Elida Seguin, Ph.D., Professor of Law, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
Mary Senander, Minneapolis, Minnesota
Giueseppi Sermonti, Professor Emeritus of Genetics, Universities of Palermo and Perugia, Editor, Rivista di Biologia, Rome, Italy
Rogerio Passos Severo, MA, Professor of Philosophy of Law and Logic, Faculdades Ritter dos Reis, Porto Alegre, Brazil
Jerome T.Y. Shen, M.D., FAAP, Clinical Professor Emeritus of Pediatrics, St. Louis University School of Medicine, St. Louis, Missouri
Saulo Sirena, Attorney at Law, Porto Alegre, Brazil
Fr. Robertas Gedydas Skrinskas, President, Pro Vita, Kauno, Lithuania
Dick Sobsey, Professor of Educational Psychology, University of Alberta, Alberta, Canada
Robert Sutherland, President, Right to Life Association of Thunder Bay and Area, Thunder Bay, Canada
Dr. Pravin Thevatathasan, MRC Psych., MSc., Consultant Psychiatrist, London, England, UK
Fr. Hugh S. Thwaites, S.J., Bexhill, England, UK
Adrian Treloar, MRCP, MRC Psych., Consultant and Senior Lecturer in Old Age Psychiatry, Guys, Kings, and St. Thomas Hospital, London, England, UK
Sue Turner, M.Sci., Troy, Alabama
Dr. Cristina Valea, President, Pro Vita Medica, Timasoara, Romania
Sr. Paula Vandegaer, SSS, LCWS, Founder, Scholl Institute of Bioethics, President, International Life Services, Los Angeles, California
Josephine Venn-Treloar, MRCGP, General Practioner, London, England, UK
Prof. Guido Vignelli, Director, SOS Ragazzi, Rome, Italy
Dr. Paul Vooht, Stevenage Herts, England, UK
Yoshio Watanabe, M.D., FACC, Professor Emeritus of Medicine, Fujita Health University; Consultant Cardiologist, Chiba Tokushu-kai Hospital, Funabashi, Japan
Germaine Wensley, R.N., B.S., Immediate Past President, California Nurses for Ethical Standards, Los Angeles, California
John W.S. Yun, M.D., FRCP(C), Internal Medicine and Medical Oncology, Richmond Health Science Centre, Richmond, Canada
Here we must digress a bit, to provide a historical summary of the issues involved in the definition of ” brain death. ” In 1968 the ” Harvard Criteria ” were published in the Journal of the American Medical Association, entitled ” A Definition of Irreversible Coma .” This article was published without substantiating data from scientific research nor from case studies of individual patients. And the so-called science that has been used to support the notion that “brain death” and actual death are identical and equivalent has not improved since the promulgation of the Harvard Criteria.
“Unreceptivity and unresponsivity the patient is completely unaware of externally applied stimuli and inner need. He/she does not respond even to intensely painful stimuli.
No movements or breathing the patient shows no sign of spontaneous movements and spontaneous respiration and does not respond to pain, touch, sound, or light.
No reflexes the pupils of the eyes are fixed and dilated. The patient shows no eye movements even when the ear is flushed with ice water or the head is turned. He/she does not react to harmful stimuli and exhibits no tendon reflexes.
Flat electroencephalogram (EEG) this shows lack of electrical activity in the cerebral cortex.”
In 1971 the Minnesota Criteria were published, using only nine patients who had electroencephalographic (EEG) evaluation. Two of the nine had EEG activity; seven did not. From this inadequate study the authors concluded that it is no longer necessary to require EEG evaluation before declaring ”brain death.”
The largest study on ”brain death” that is currently available is the Collaborative Study, which was conducted in the early 1970s on 844 patients. The results of the report dealt with only 503 patients. What were the results for the remaining 341 patients? In “An Appraisal” an article published in the Journal of the American Medical Association in 1977, after the data were collected, the resulting criteria for brain death were recommended for a larger clinical trial. More than 20 years later, no such clinical trial has been carried out.
Between 1968 and 1978, thirty sets of criteria for ”brain death” were published. Many more sets of criteria have subsequently appeared. Each succeeding set of criteria has tended to be less strict than the previous ones. However, no matter the differences, none have declared any other preceding criteria to be obsolete nor does any criterion for ”brain death” state that it is equivalent to true biologic death of the person.
American law has accelerated the multiplication of brain-related criteria for the definition of death by giving the physician the authority to determine death. Every transplant center agrees that death is whatever and whenever a doctor says it is. The Uniform Determination of Death Act (UDDA) states that the determination of death must be in accordance with accepted medical standards. Therefore the law, not medicine, gives the physician the authority to determine his own criteria. These indiscriminate standards of judgment have given physicians excessive and unrestrained power.
In short, the clearly determined parameters commonly held by the international scientific community to which the Pope refers do not, in fact, exist. And since there are no clearly determined parameters there is no so-called consensus held by the international scientific community.
The medicine of the antique
He came from a famous doctor Familie, was highly intelligent and enjoyed an excellent education, with the big minds at that time of Greece. The special position of his family was based among other things on the fact that they led back her family tree on a God, the remedial God Asklepios. This was and is till this day a method used at all times by which to themselves - families - trunks - found people - by tip to descent - genotype - blood lines - as something special , the other from nature consider to be. National pride - racism, from it born concepts - cause for so much grief and misery.
Hippocrates, great Greek physician of the fifth century B.C., is pictured palpating a young patient. Kindliness and concern, embodied in his aphorism. Where there is love for mankind, there is the love for the art of healing, are reflected in Hippocrates face. This revered practitioner, scientist, and teacher, well deserved the title, ”Father of medicine” which has been associated with his name for more than 2,000 years.
In the oath ascribed to him he obliged the doctors quite high-respectable already at that time to the secrecy of her knowledge before the people who did not belong to this élite class. Extract from the first sales of the oath which one ascribes to him:
“ I swear by Apollon to the doctor and by Asklepios, Hygieia and Panakeia, as well as under invocation of all gods and goddesses as witnesses that I will fulfil this oath and this contract after forces and according to my judgment :
I will treat as equal that which has taught me this art to my parents and divide the life with him; if it is necessary, I will supply him with.
I will respect his male descendants like my brothers and teach them without fee and without contract this art if they want to learn them. With lessons, lectures and all remaining aspects of the education will supply I my own sons who have signed sons of my teacher and those pupils, which according to medical custom the contract and have taken the oath, but, otherwise, nobody."
2,500 years was this oath obligatorily for this élite of the Doctors. The successor is called the "Genevan vow", also "Sermentd"Hippocrate, Formulede Geneva". It was formulated in 1948 by the world doctor's alliance in Geneva and forms - easily modified - since 1950 the preamble for the occupational orders of the single German medical associations. The background is the participation of the doctors in the Greultaten/experiments in the 3rd empire. The text was modified constantly, for the last time in 2006.
DECLARATION OF GENEVA
I SOLEMNLY PLEDGE to consecrate my life to the service of humanity;
I WILL GIVE to my teachers the respect and gratitude that is their due;
I WILL PRACTISE my profession with conscience and dignity;
THE HEALTH OF MY PATIENT will be my first consideration;
I WILL RESPECT the secrets that are confided in me, even after the patient has died;
I WILL MAINTAIN by all the means in my power, the honour and the noble traditions of the medical profession;
MY COLLEAGUES will be my sisters and brothers;
I WILL NOT PERMIT considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient;
I WILL MAINTAIN the utmost respect for human life;
I WILL NOT USE my medical knowledge to violate human rights and civil liberties, even under threat;
I MAKE THESE PROMISES solemnly, freely and upon my honour.
Today the doctors must not perform this vow as an oath, however , are obliged of the occupational order of the doctors. §9 - Oath of secrecy - confirms the obligation of the secrecy towards non-accompanying of her state. State in 2006 federal medical association,
An exception of the modern times was Professor Dr. Julius Hackethal 1921 - 1997
His oath “ Humanitas vow " > I promise: “ Every patient as my best friend to treat or not at all “
As a patient doctor out of love, I promise:
1st My health assistance should be geared for my patient with a possible happy life according to their desire to achieve happiness.
2nd My patients only in accordance with the precepts of caring love and mercy operating with the aim to advise and provide: Not harm and best help.
3rd My patients an honest, sincere and reliable partner to them about their illness, treatment accurately and thoroughly.
4th The therapy sovereignty of my patients as principal of health assistance, particularly their desire welfare as supply directive note, never against their will to act and their patients lawyer decision to fully accept.
5th The health assistance only on the bottom of a truth and knowledge search for the rules of critical scientific exercise.
6th First and foremost, the health of my patients to the best of its ability to protect and strengthen in order to prevent diseases as well as my patients in the basic rules of self-help health training.
7th In health, medical and emergency assistance to the principle of proportionality in the selection of funds, in particular no diagnosis and therapy to offer or carry out, especially strict standards for the indication position to mutilating surgery, radiation or the like and Regulation hochgiftiger funding them.
8th Health assistance only as a holistic medicine to operate, ie compliance with the multiple holistic medicine bids with a view to the mind-body-soul unity, support for self-healing powers, particularly the healing inflammation and other health aids.
9th My patients about the test results and their evaluation well informed and to ensure their confidentiality, only on request and / or consent of the patient medical information to colleagues, health insurers and others to it, where no legal disclosure requirement.
10th Everything to do to my patients physical and emotional pain to spare and their suffering, anguish and fears its best efforts to mitigate.
11st For hopeless condition is a painful disease and death controlled assistance under the guidelines of the seven Eubios bids for a killing from compassion under provisions of law.
12nd Only modest fees for the treatment to ask the doctor this time, the level of difficulty and the personal skills - not abstract fees regulations figures - the main yardstick and the patient before beginning to understand supply on the likely costs.
13rd With my patients a patient-physician contract, the Humanitas-this vow and the promise of the patients against a friendly partnership and collaboration best to restore health to content.
14th The natural environment against damage and threats to help protect vigorously.
15th Medical research only on the principle to operate each patient as my best friend to treat my patients never objects as an attempt to abuse. This means: no test series with double-blind clinical trial or trials with Losauswahl and the like.
16th I'm never in excruciating animal testing.
17th For culpable medical errors (malpractice) and liable to cooperate in their education, not to create false reports, either at the expense of patients, or of medical colleagues.
18th Never better reflect the knowledge or against my conviction, so aware of false testimony in oral or written off, particularly with regard to value judgments on the health status of people and about alleged health aids.
19th I am not directly or indirectly in operations to destroy human life unwerten allegedly involved.
20th My supply contract immediately return if I promise not one of those no longer hold or unable or unwilling to meet
"We are the biggest
The oath of the Hippokrates made it possible: this worldwide self-assessment of the doctors. Megalomania became the doctor - law of the battlefield for healthy and sick people. Instead of swearing, every doctor should pray every morning: Dear God, help me against my 3 hereditary sins: Selfoverestimation, Own - criticism lack and arrogance. I call my doctor of colleague : "Friends we are recognised. Who does not believe this, turns the leaves through the Serre." I advise my person from charity: Read Serre, before you go to the doctor. Nothing is exaggerated: The wish about Claude Serre the foreword to this doctor's picture-Michelangelo to write, is for me the highest class: "Por le merite". Dear God, protects me better against megalomania. “"
Caude Serre - 1938 - 1999 one of the largest Cartoonist of the 20th Century, his books have millions of copies
His 33 orders
1st Give much love, so you get a lot of love. But be hard against evil.
2nd Breathe consciously. Nothing you need to survive more than fresh air. Fly from bad air. Rinse your nose floor daily and umsorge your respiratory tract with devotion.
3rd Dining and drink wisely. Before the course Natural food. Forget fasting.
4th Adequate care for purification and detoxification in a natural way. Huste and sweat you healthy. Sundays care liver and kidneys.
5th But billions of care your small pets, your friend microbes on the skin and mucous membranes. Kill them. Forests on from time to time.
6th Care your skin from head to toe. Bathing them daily, they hardness and verstopfe it is not too much. It is your main protection body and the mirror of the soul.
7th Scorer, exercise and take care of eyes and ears. You are your most important informers.
8th Move, strong and dehne your joints and muscles according to plan. But they do not prematurely by overloading broken.
9th Head right and not too long, change the seating position more often. Put Register during the day too long, with the legs as high as possible.
10th Register hanging upside down Sunday. Loose as your spine. And treib by the blood in the brain arteries, so that they remain resilient.
11st Make sport, but believe measure. Too much is more harmful than enough, because the wear and tear, ie the aging process.
12nd Use natural materials. Not constantly running around in rags.
13rd Take lots of sun and light. Twice a year, crisp brown. Nothing keeps you healthy reliable.
14th Register school of thought. Stupidity is brain laziness. Strictly your brains, but do not forget the dream.
15th Enjoy your life the best, but above and untertreibe nothing.
16th Pool several times every hour and at least once a day loudly. The diaphragm must jump for joy. Wines too, is not too proud.
17th not secretly angry, which erodes the soul. Register brigade, if necessary.
18th Stop talking to myself, especially with problems. Talk with you like a timid child. Everything is well again, it certainly is.
19th Sleeping eight hours a day. Get tired, but not with sleeping pills. Hol missed sleep.
20th Choose your profession, like your bride. Grab the escape from a job, you are annoyed.
21st Work with dedication, because it makes happy. But also make a break and holidays.
22nd Travel at least once a year for two to three weeks to the sea or high mountains. Swim and hike out.
23rd Marriages not too fast and separate Register necessary soon.
24th Let your children example. Care for them, but they are not covered by verdirb monkey love.
25th Not lies. Be friendly and considerate. Say thank and often pardon.
26th Learn about health. Learn disease signals to that process. Know that there are healing diseases to strengthen the healthy force. Learn emergency handles.
27th Strength of your life and health through regular self-treatments, especially following the rules of Sebastian Kneipp. Put few months all health record and erase health sins by victims to health
28th Beware of medical engineers, hospital, factories, prevention research, especially clinical trial studies.
29th Beware of prescription medicines, vitamin pills, drops of vitality and wonder Bals Amen.
30th The more risky and dangerous, the doctor recommended diagnosis and treatment, the more you need to ask doctors.
31st Remember in everything you do and leaves that are inheritable sins. Do not legacies.
32nd Think of your health so you do not die with pain. Give a patient advocate for you to protect against medical engineers and a machine existence.
33rd Fear before the death, if you've lived as a villain, but otherwise not, because in heaven there can only be beautiful.
In the course of the years originated the worldwide net of the relation patient - doctor. Today it functions perfectly. The majority of the population is persuaded of the fact that it would become without constant care, by doctors, not enough capable of surviving, necessarily ill and early die.
Complicated laws remitted by governments and enacted Health - directives came for person and animal, from the cradle up to the death reaching, Inoculating, - food, - and drug programmes, with running precaution, - and Kontroll investigations, constant availability of medical professional forces, exhaustive subdivision of the country under the Doctors. The majority of the horses, - and dogs owner submits to this system. One has resigned the responsibility for own life and that of the entrusted to this class to experts. Has the humanity thereby become sound?
In Germany the number of the annual dead people lies by drugs and their side effects between 16,000 and 58,000. The dark figure substantially higher, cause for 300.00 illnesses.
All hospitals have infection control procedures and policies and staff take every precaution to avoid infections. However the risk of infection can never be completely eliminated and some patients have a higher risk of acquiring an infection than others.
Lung, wound, urinary tract and bloodstream infections can be picked up during a stay in hospital. These are called hospital-acquired infections or HAI. They are also known as nosocomial infections. There are things you can do before and during your stay in hospital that will help reduce the chance of picking up extra infections.
Infection An infection is a disease caused by micro-organisms like viruses, fungi, bacteria or parasites. These micro-organisms are often called ‘bugs’ or ‘germs’. Bacteria are the most common cause of HAI.
Hospital infections HAI usually occurs two to three days after admission to hospital. These infections occur at a cost to the community and the patient because they cause:
* Illness to the patient
* Longer stay in hospital
* Longer recovery time
* Costs associated with a longer stay in hospital and longer recovery time.
World empires - blossoming nations with the best, affectionate, nice and highly intelligent people, were destroyed, disappeared without a trace, because of lies, deceptions and seduction of the majority. Germans should not forget so fast. More and more apply sceptical reflexion though to politics , nevertheless, clip religion and science particularly medicine, as a taboo subjects from. One forgets with the fact that it the majority of the élite from religion - science - justice - economy - medicine was> Mengele / concentration camp which supported the national-socialist system, with his theoretical bases, including the races - apprenticeship, not only half-heartedly, but put through with all her academic authority with which she carries the main guilt for the disaster biggest in debt up to now by people. This élite has kept after the end of the 2nd world war her posts and duties and has determined the life of the majority of the population further.
galaxy m 33