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Vagina tears clear to the anus vs. Wayne State Med School

Subject: Vagina tears clear to the anus vs. Wayne State Med School
From: "Todd Gastaldo"
Date: 6 Dec 2006 15:56:18 -0800
Newsgroups: sci.med, misc.kids.pregnancy, misc.health.alternative
VAGINA TEARS CLEAR TO THE ANUS VS. WAYNE STATE MED SCHOOL

Kudish et al. 2006 must not have seen my 2001 email, reproduced
below...



PREGNANT WOMEN:  You can help avoid episiotomy and forceps/vacuum
delivery...

By using semisitting and dorsal delivery, MD-obstetricians close birth
canals up to 30% and slice vaginas (episiotomy) surgically/fraudulently
inferring they are doing everything possible to open birth canals -
even as they close birth canals up to 30%.

MD-obstetricians KEEP birth canals closed the "extra" up to 30% when
babies get stuck as they pull with forceps and vacuums...

MD-obstetrician experts have been LYING to cover-up.

For the Four OB Lies (they are whoppers)...

See Dents in babies' skulls"
http://groups.google.com/group/
misc.kids.pregnancy/msg/08abfc7ff242150e

Alternate URL:
                                health.groups.yahoo.com/group/chiro-list/message/3897">http://health.groups.yahoo.com/group/chiro-list/message/3897

LADIES:  To allow your birth canal to OPEN the "extra" up to 30%, just
stay
off your sacrum as you push your baby out.  Many women like side-lying
delivery.  Kneeling against the raised head of the bed works.  So does
standing.  So does hands-and-knees.  Virtually EVERY delivery position
allows the birth canal to open maximally - except dorsal and
semisitting -
the two most commonly used by obstetricians.


KUDISH ET AL. 2006

Kudish et al. studied 33,842 births - most of which were likely
performed with the birth canal senselessly closed up to 30%.

Kudish et al. also studied operative vaginal deliveries (forceps or
vacuum) - most which were likely performed with the birth canal
senselessly KEPT closed up to 30%...

Am J Obstet Gynecol. 2006 Sep;195(3):749-54.  PubMed abstract
Operative vaginal delivery and midline episiotomy: a bad combination
for the perineum.
Kudish B,
Blackwell S,
Mcneeley SG,
Bujold E,
Kruger M,
Hendrix SL,
Sokol R.
Department of Obstetrics and Gynecology, Wayne State University,
Detroit, MI, USA.
OBJECTIVE: The purpose of this study was to determine the impact of
operative vaginal delivery (forceps or vacuum) and midline episiotomy
on the risk of severe perineal trauma. STUDY DESIGN: In this
retrospective cohort study, we assessed the impact of maternal and
obstetric factors on the risk of development of severe perineal trauma
(third- and fourth-degree perineal lacerations) for all singleton,
vertex vaginal live births (n = 33,842) between 1996 and 2003. RESULTS:
Among nulliparous women, 12.1% had operative vaginal delivery, 22.4%
had midline episiotomy, and 8.1% experienced severe perineal trauma.
Among multiparous women, 3.4% had operative vaginal delivery, 4.2% had
midline episiotomy, and 1.2% experienced severe perineal trauma.
Controlling for maternal age, ethnicity, birth weight and head
circumference, evaluation of the interaction of episiotomy and delivery
method revealed that forceps (nulliparous women: odds ratio [OR] 8.6,
95% CI 6.5-10.7; multiparous women: OR 26.3, 95% CI 18.1-34.5) and
episiotomy (nulliparous women: OR 4.5, 95% CI 3.7-5.4; multiparous
women: OR 14.6, 95% CI 10.4-20.5) were consistently associated with the
increased risk of anal sphincter trauma. In fact, the magnitude of
effect of the statistically significant synergistic interaction was
evidenced by more than 3-fold excess of risk of using operative vaginal
delivery alone. CONCLUSION: The use of operative vaginal delivery,
particularly in combination with midline episiotomy, was associated
with a significant increase in the risk of anal sphincter trauma in
both primigravid and multigravid women. Given the reported substantial
long-term adverse consequences for anal function, this combination of
operative modalities should be avoided if possible.

>>>>>END Kudish et al. PubMed abstract


KUDISH ET AL. (and others at Wayne State) MUST NOT HAVE SEEN MY 2001
E-MAIL...


Wayne State Emergency/Gastaldo maneuver

From:Todd Gastaldo - view profile
Date:Fri, Jan 19 2001 1:48 pm
Email: "Todd Gastaldo" <gasta...@xxxxxxx>
Groups: misc.health.alternative, misc.kids.pregnancy, sci.med

"I believe students are going to college to learn how to cope in a
rapidly
changing world. As the nature of higher education changes, so must the
institutions that provide that education. As president, I intend always
to
keep Wayne State University on the forefront of these changes."
--Dr. Irvin Reid, President, Wayne State University (copied via
r.wart...@xxxxxxxxx )

ATTENTION Wayne State Medical Faculty Senate Executive Committee
(listed
below)...

EMERGENCY!

If Wayne State Medical School is using ACOG's Shoulder Dystocia Drill
video,
Wayne State med students may be learning to CLOSE birth canals (up to
30%!)
when the shoulders get stuck.

Stated more bluntly, Wayne State Med School - indeed ALL American
medical
schools - may be teaching med students to kill or paralyze babies.

I urge Wayne State Med School to consider teaching the Gastaldo
maneuver.
(The Gastaldo maneuver is SIMPLE: Don't put women on their butts or
backs at
delivery - but if you must put women on their butts or backs - use
Extreme
Lithotomy - NOT the fetal skull squashing McRoberts maneuver pictured
in the
ACOG video.  See URL below.)

Please IMMEDIATELY convene an Executive Committee meeting to consider:
1)
the Gastaldo maneuver; 2) the grossly erroneous ACOG video; and 3) the
1989
Gonik paper pictured in the ACOG video - i.e., Wayne State Medical
School
Faculty Member Bernard Gonik, MD's obvious inlet shoulder dystocia hoax

paper - which is discussed in the following Open Letter...

CAUTION:  By using the word hoax, I am intentionally indicating that
Prof.
Gonik's error was intentional/deceitful.  Regardless though - given the

gravity of his error - i.e., given the fact that his error may be
contributing to mass human suffering - including infant paralysis and
death - Prof. Gonik might become extremely depressed and in need of
preventive attention.

The mass criminal negligence is rather obvious; I am quite sincere in
my
wish for pardons in advance for MDs.

See the relevant URL below.

Onward...

OPEN LETTER

Wayne State University School of Medicine
Medical Students - CLASS OF 2001
                                www.med.wayne.edu/classpages/class2001/email2.htm">http://www.med.wayne.edu/classpages/class2001/email2.htm

Dear Class of 2001,

Please help me stop a massive (sometimes fatal) obstetric travesty.

I am writing to you specifically because the obstetric travesty is
buttressed by a 1989 paper the first author of which was one of your
professors - Bernard Gonik, MD (see Shoulder Dystocia URL below).

Prof. Gonik's 1989 paper [Obstet Gynecol Vol. 74] mysteriously
("scientifically") created an obvious inlet shoulder dystocia hoax
after
Prof. Gonik called shoulder dystocia "a true outlet obstruction" in
1983 [Am
J Obstet Gynecol Vol. 145].

(Head-out-the-vagina inlet shoulder dystocia is a physical
impossibility.
With the posterior shoulder trapped way up the Curve of Carus at the
sacral
promontory, there is no force that would push the fetal head out the
vagina - even if the fetal neck could stretch that far.)

A page from Prof Gonik's 1989 inlet dystocia hoax paper is actually
pictured
in a 1995 ACOG video ("reviewed in 1998") which was recently accepted
(March
2000) as evidence by a federal appeals court.

See Costantino v. Herzog/Gerontologic White Elephants/Footprints on the

toilet seat
                                www.deja.com/getdoc.xp?AN=709143144">http://www.deja.com/getdoc.xp?AN=709143144

See also Judges! (esp. female judges!): Get off your butts! (esp. at
delivery!)
                                www.deja.com/getdoc.xp?AN=709194402">http://www.deja.com/getdoc.xp?AN=709194402

Since Prof. Gonik's inlet shoulder dystocia hoax is now lodged in the
system - since it is subluxating MD thinking not to mention
occasionally
paralyzing or killing a baby (the ACOG video *says* the pelvic outlet
opens - but teaches positions which only close the pelvic outlet - and
since
the ACOG video actually pictures a page from Prof. Gonik's 1989 inlet
dystocia hoax paper)...

By copy of this letter to the Wayne State Medical Faculty Senate
Executive
Committee, I ask that your obstetric curriculum be changed IMMEDIATELY.


I'm assuming, of course, that your thinking *is* being subluxated -
just
like the thinking of jurors is being subluxated - i.e., I'm assuming
you are
being taught what's on the ACOG video - to close birth canals when the
shoulders get stuck.

See Shoulder dystocia: Extreme lithotomy good/Gastaldo maneuver better
                                www.deja.com/getdoc.xp?AN=717755249">http://www.deja.com/getdoc.xp?AN=717755249

A few biomechanical certainties:  By positioning women on their butts
and
backs at delivery, MD-obstetricians are routinely closing birth canals
up to
30% - routinely trapping fetal shoulders - and routinely pulling on
fetal
heads sticking out of vaginas. (In 10 to 15% of births MD-obstetricians
are
reaching into the vagina to pull on the fetal head with forceps and/or
vacuum devices - and with the birth canal closed up to 30%!)

Sometimes MDs pull so hard (with the birth canal closed up to 30%!)
that
spinal nerves are ripped out of tiny spinal cords.  And this is only
PART of
the massive obstetric travesty - which includes senseless routine
vagina
slashing - sometimes clear up the rectum (euphemisms "routine
episiotomy"
and "episioproctotomy")...

See again Shoulder dystocia: Extreme lithotomy good/Gastaldo maneuver
better
                                www.deja.com/getdoc.xp?AN=717755249">http://www.deja.com/getdoc.xp?AN=717755249

In these uncertain times of managed care, you are to be congratulated
for
bravely choosing medicine as a career.  Everyone knows that MDs in
general -
and MD-obstetricians in particular - do many wonderful medical and
surgical
things.

But then again - MDs have a legal MONOPOLY on doing many wonderful
medical
and surgical things - a legal monopoly which they are GROSSLY abusing -

mothers and babies be damned.

Instead of welcoming my criticisms, MDs are meeting me with
psychological
violence.

See again Shoulder dystocia: Extreme lithotomy good/Gastaldo maneuver
better
                                www.deja.com/getdoc.xp?AN=717755249">http://www.deja.com/getdoc.xp?AN=717755249

On top of this, as DCs suck Medicare mud - MDs illegitimately
monopolize
BILLIONS in Medicare funding for hospital training...

See MD slaps RN/Two MDs on nurse practitioners (Clergyman Harris and
High Priest Borao)
                                www.deja.com/getdoc.xp?AN=651989270">http://www.deja.com/getdoc.xp?AN=651989270

Please help.

Please begin your medical careers by doing some non-spinal chiropractic

adjusting to save tiny lives and tiny limbs.

REGARDING VERTEBRAL SUBLUXATIONS...

At least one MD (Beidemann in Germany) is delicately adjusting tiny
spines -
and he is reporting spectacular results - just like DCs report
spectacular
results...

See Kiwi nurses/Adjusting babies (Apology)
                                www.deja.com/getdoc.xp?AN=699670201">http://www.deja.com/getdoc.xp?AN=699670201

With GRUESOME routine MD spinal manipulations at delivery, I believe
MD-obstetricians are generating spinal adjusting business for DCs...

See DCs sue MDs for defamation
                                www.deja.com/getdoc.xp?AN=692983796">http://www.deja.com/getdoc.xp?AN=692983796

I know many of you - probably most of you (if not all of you) - do not
believe that vertebral subluxations exist let alone cause disease.
There
is, of course, no scientific evidence.

But I still believe vertebral subluxations exist and cause disease -
and I
believe that your non-spinal chiropractic adjusting will not only save
tiny
lives and tiny limbs - it will also PREVENT more vertebral subluxations
than
DCs will ever be able to adjust by hand.

See Chiropractic diagnosis can save babies
                                www.deja.com/getdoc.xp?AN=703990491">http://www.deja.com/getdoc.xp?AN=703990491

Class of 2001, you will receive nothing further from me unless you
e-mail me
asking to keep you posted. (Alternatively, you can subscribe to sci.med

and/or to chiro-list - an e-mail list which I use as an auxilliary
archive.
See                                 www.egroups.com/group/chiro-list">http://www.egroups.com/group/chiro-list)

You do not have to unsubscribe from any list in order to receive
nothing
further from me.

I do hope some of you will help me with the obvious priority in my
life's
work: implementing the Gastaldo maneuver globally - in obstetrics and
midwifery.

My passion is related to my priority; my passion is ending the related
Great
Squat Robbery.

See the "Gerontologic White Elephants/Footprints on the toilet seat"
URL
cited above...

Good luck in your medical careers.

Sincerely,

Todd D. Gastaldo, D.C.
8948 SW Barbur Blvd
Box 6
Portland, OR 97219
FAX (815) 366-2814
TEL (503) 640-0456
gasta...@xxxxxxx
                                www.egroups.com/group/chiro-list">http://www.egroups.com/group/chiro-list

Copied to:

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

EXECUTIVE COMMITTEE OF THE FACULTY SENATE

JOSHUA WYNNE, M.D.
PRESIDENT, Faculty Senate
Department of Internal Medicine
1BNHarper Hospital
745-2637 (2001)
745-6799 Fax
w...@xxxxxxxxxxxxxxxxxxxxxxxxxxx

DANIEL WALZ, PH.D.
VICE PRESIDENT, Faculty Senate
Department of Physiology
5234 Scott Hall
577-9325 (2003)
577-5494 Fax
d.a.w...@xxxxxxxxx

BRIAN EDWARDS, PH.D.
SECRETARY, Faculty Senate
Department of Biochemistry & Molecular Biology
4117 Scott Hall
577-5107 (2001)
577-2765 Fax
bedwa...@xxxxxxxxxxxxx

AYAD AL-KATIB, M.D.
TREASURER, Faculty Senate
Department of Internal Medicine
4b South - Harper Hospital
745-8853(2001)
993-0307 Fax
alkat...@xxxxxxxxxxxx

HARRY GOSHGARIAN, PH.D.
MEMBER AT LARGE
Department of Anatomy & Cell Biology
9304 Scott Hall
577-1045(2002)
577-3125 Fax
hgosh...@xxxxxxxxxxxxx

JOSEPH KAPLAN, M.D.
MEMBER AT LARGE
Department of Pediatrics
3K64 Children's Hospital
745-0970 (2001)
993-7158 Fax
jkap...@xxxxxxxxxxxxx

JOHN PHILLIS, Ph.D.
MEMBER AT LARGE
Department of Physiology
5374 Scott Hall
577-6745 (2001)
577-5494 Fax
jphil...@xxxxxxxxxxxxx

ANDERS SIMA, M.D., Ph.D.
MEMBER AT LARGE
Department of Pathology
9374 Scott Hall
577-1150 (2003)
577-0057
a...@xxxxxxxxxxxxx

VASUNDHARA TOLIA, M.D.
MEMBER AT LARGE
Department of Pediatrics
3N17 Children=s
745-8858(2002)
745-5155 Fax
vto...@xxxxxxxxxxxxx

BLAINE WHITE, M.D.
MEMBER AT LARGE
Department of Emergency Medicine
51 Lande Building
577-5738 (2003)
745-3653
bwh...@xxxxxxxxxxxxx

JOHN D. CRISSMAN, M.D.
INTERIM DEAN
1241 Scott Hall
577-1335
577-8777 Fax
jcri...@xxxxxxxxxxxxx

(Also ZIRKA CLARK
SOM PERSONNEL 577-1163)
zcl...@xxxxxxxxxxxxx

Copied also to the following persons in the:

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

CHAIRMAN'S OFFICE
John Malone, Jr., MD, Interim Chair jmal...@xxxxxxx
Stanley Berry, MD, Vice Chair for Obstetrical Services
jokl...@xxxxxxxxxxxxx
Michael Diamond, MD, Vice Chair for Research mdiam...@xxxxxxxxxxxxx
Gene S. McNeeley, MD, Vice Chair for Gynecological Services and
Education
gmcn...@xxxxxxxxxxxxx

SINAI-GRACE HOSPITAL - 6071 W Outer Dr, Detroit, MI 48235
John Malone, Sr., MD via Jane Stephens jstep...@xxxxxxx
Karoline Puder, MD via Karen MacKenzie kmack...@xxxxxxx

RESIDENT EDUCATION
Theodore Jones, MD Director, Residency Program thjo...@xxxxxxxxxxxxx
Carl Christensen, MD, PhD Assoc. Prog. Dir. for Curriculum, Residency
ccmd...@xxxxxxx
Carole Kowalczyk, MD Assoc. Program Dir., Residency via
dpadu...@xxxxxxxxxxxxx
Kenneth Ginsburg, MD Course Director, Year III OBGYN via
kgins...@xxxxxxxxxxxxx

RESIDENTS
Dawn Ackley, MD
Amal Awwad, MD
Ingrid Carlson, MD
Leslie Danley, MD
Dionne Dickerson, MD
Janeta Dimante, MD
Richard Drake, MD
Ann Elrington, MD
Jayson Field, MD
Habibeh Gitiforooz, MD
Kondeh Greaves, MD
Jill Hechtman, MD
Anita Iyer, MD
Manish Jain, MD
Amanda Johnson, MD
Temeka Johnson, MD
Kianoush Khaghany, MD
Nahla Khalek, MD
Bela Kudish, MD
Diane Laurin, MD
Alecia Lucas, MD
Caprice McGrail, MD
Shobha Mehta, MD
Nicole Metcalfe, MD
Phillis Mims, MD
Julia Moldenhauer, MD
Darlene Morgan, MD
Stephanie Morreale, MD
Ndaya Muleba, MD
Suchada Nopachai, MD
Gina Northington, MD
Ngozi Nwankpa, MD
Renee Page, MD
Jennifer Price, MD
Gautam Rao, MD
Madhuri Reddy, MD
Anjali Sahai, MD
Anjali Sharma, MD
Troy Sibson, MD
Orlene Thomas, MD
Kimberly Tyner, MD
Krystal VanLowe, MD
Diane Vista, MD
Lori Warren, MD
George Williams, MD
Andrew Yeh, MD
Judith Zacher, MD

>>>>>END Dr. Gastaldo's 2001 email to Wayne State Med School

Quoting Kudish et al. [2006] regarding anal tears and
forceps/vacuums/midline episiotomies...

"Given the reported substantial long-term adverse consequences for anal
function, this combination of operative modalities should be avoided if
possible.

Why are MD-obstetricians being allowed to KEEP birth canals closed the
"extra" up to 30% when babies get stuck - as they give women "generous"
episiotomies - as they pull on tiny spines with vacuums and forceps.

Why are they being allowed to close birth canals the "extra" up to 30%
in the first place?

Todd

Dr. Gastaldo
Hillsboro, Oregon
USA
todd@xxxxxxxxxxxxxxx

Copied to:  The Wayne State Faculty Senate - with emails listed at:

                                www.med.wayne.edu/faculty_senate/executive_committee_membership.htm">http://www.med.wayne.edu/faculty_senate/executive_committee_membership.htm


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