BRILLIANT article on Ear Infections

[Guest guest]

BRILLIANT article on Ear Infections

ABSOLUTELY BRILLIANT article on Ear Infections by

MD/Homeopath Moskowitz

So much is called an 'ear infection' that isn't - see below............

Again, you cannot use the remedies he mentions

routinely for your child -each remedy has to be

individualized to your child's individaul, unique

symptoms - it could be one of thousands of remedies that he/she needs.

Sheri

I know this is LONG but VERY VERY IMPORTANT

" " Equating fluid behind the drum with infection

requiring treatment ignores what all

pediatricians know, that URI's with swelling of

the tonsils and adenoids produce congestion of

the middle ear and temporary hearing loss as a

result. Decades of warfare against the

nasopharyngeal bacteria have culminated in a

Vietnam-like strategy of killing everything in the vicinity. "

" In the 1960's, otitis media was an acute

disease, with high fever and pain, which subsided

dramatically once the eardrum burst and

discharged its contents. It didn't last long, had

often taken care of itself before we could do

anything about it, and was unlikely to come back

for a long time. It was just what I have come to

recognize as a favorable sign when I see it today. "

" The most striking and disturbing feature of

these cases is precisely their chronicity, their

tendency to develop smoldering or persistent

responses to illness and to relapse more and more

easily, resulting in a failure to heal or resolve

them in a clearcut or timely fashion. "

" The epidemic of chronic ear disease must be

attributed to two colossal public health

blunders: the war on the nasopharyngeal bacteria,

fought with antibiotics, tubes, and the

cultivation of fear; and the vaccination of

entire populations against a growing list of

diseases with no end in sight, and no strategy or

inclination to consider the long-term consequences. "

" Two of four cases suffered relapses of their

chronic state after a vaccine, one suffered

identical relapses after two different vaccines,

and all four first developed their complaint

during their initial series. In none were their

responses acute enough to be identified as

symptoms of the vaccine. What was repeatable was

simply the chronicity of the responses. "

http://members.aol.com/doctorrmosk/articles/childhood_ear_1.html

Childhood Ear Infections

by Moskowitz, M.D. (homeopath)

Adapted from a lecture presented at the 150th

Anniversary of the foundation of the American

Institute of Homeopathy, St. Moritz Hotel, New

York, April 9, 1994, and published in the Journal

of the American Institute of Homeopathy 87:137, Autumn 1994.

Childhood Ear Infections

by Moskowitz, M.D.

Otitis media has become the commonest pediatric

diagnosis made by physicians who care for

children in the United States, [note 1] with an

annual budget topping $2 billion in 1982, [note

2] and no relief in sight. After decades of

punishing warfare against the nasopharyngeal

bacteria, several medical journal articles have

recently begun to question the safety and

effective-ness of antibiotics and tympanostomy

and the wisdom of continuing the purely military

strategy based on them. [notes 3, 4, 5]

The present impasse creates the opportunity and

the obligation for anyone with a better idea to

share it with the medical community and the

general public. Nobody need take my word for it

that homeopathic remedies are inexpensive,

nontoxic, and effective even in advanced cases,

or that parents, children, and their caregivers

deeply appreciate the non-invasive philosophy

governing their use. I will feel generously

rewarded if more laypeople and professionals will

only try them and see for them-selves.

The following cases of childhood ear infections

are intended to show how the homeopathic

viewpoint can assist both clinically, in the

diagnosis and treatment of these all-too-common

ailments, and in the design of ex-perimental

research into the causal factors that promote and influence them.

The cases that I have chosen are noteworthy not

for any particular skill in choosing the correct

medicine, but in precisely the opposite sense,

that excellent results are regularly attainable

with common remedies and case-taking methods

already well known to the serious student.

Indeed, the exemplary success of homeopathic

remedies in treating such children is itself an

important clue to the mystery of pediatric otitis media in our time.

Case 1. C. Z., a girl of 3, had had recurrent ear

infections since the age of 5 or 6 months,

typically associated with colds and the

production of thick, green mucus, and requiring

antibiotics more or less continuously for several

months at a time. With no fever and at most a

slight earache, she often became irritable and

cranky as the cold ended, when the pediatrician

often made the diagnosis by otoscope. Apart from

mild eczema, the child was seldom ill other-wise,

and rarely had the fevers or acute illnesses to

be expected at her age. A strapping 8 lb. at

birth, she fell short of 16 lb. at 1 year and had

remained small for her age. Teething was late,

painful, and difficult. She had had all the usual

vaccines with no acute reaction.

I chose Calcarea Sulph.. 200, and two months

later her mother reported the best winter ever,

with no ear infections and two light colds that

were quickly aborted with Calc. Sulph. 12C. I

next saw her a year later, several weeks after an

acute episode of wheezing in the middle of a

cold, for which Pulsatilla 30X prescribed over

the phone had worked splendidly. But though she

had been free of ear infections in all that time,

she had had a fever or two and was still plagued

by quantities of thick greenish-yellow phlegm in

her nose and throat. After one dose of Sulphur

200, she never came back. When I called recently,

over five years later, in preparation for this

talk, her mother told me that she had had no more

ear infections, and there was no need to bring

her back, since her general health had remained

good, and the usual first-aid remedies had been

very effective for the usual colds, fevers, and

URI's that had developed along the way.

I want to add a few comments about this rather

typical case. First, as I reread it now, I doubt

that either Calc. Sulph. or Sulphur was the best

remedy for this patient, since she was on the

chilly side, and even after treatment she

continued to produce thick green phlegm and be

subject to rather frequent colds. I can't really

defend or explain either prescription at this

point. Yet her mother was more than satisfied. The ear infections

disappeared and never came back, the long-term or

constitutional issues stayed in the background,

and the remedies she herself came up with

continued to help without further assistance.

Notwithstanding the small remedies and " cured "

cases that we like to parade at our conferences,

I must admit that the bulk of my reputation is

built on stories as generic and unspectacular as

this one. I feel deeply grateful to a method that

adds feathers to my cap even when I bumble or fall short.

Second, my experience confirms numerous reports

in the European literature that most kids

eventually outgrow their ear infections anyway,

if simply allowed to do so without further allopathic interference. [note 6]

Case 2. K. G.-S., a boy of 16 months, had already

had five ear infections and five rounds of

antibiotics when I first saw him. Only the first

episode at six months was associated with fever

(102.8° F.) and acute earache, which subsided

promptly once the eardrum had perforated and

discharged the pus that had accumulated behind

it. Although weighing 7 lb. and appearing normal

and healthy at birth, he was slow to nurse, fell

behind in his gross motor development, had

considerable discomfort with teething, and

weighed only 20 lb. by the time I first saw him.

His only other complaint was a chronic diarrhea

that began on antibiotic treatment and had never

gone away. Despite intense, prolonged crying

after the first and second DPT's, the third was uneventful, as was the MMR.

One month after Sulphur 10M, his mother reported

that the diarrhea had worsened, becoming acute

the first week after the remedy, but that, ever

since a fever of 103° F. on the third day, his

highest so far, he had had no symptoms of a cold

or ear infection at all. Because of the diarrhea,

I gave him Calc. Carb. 10M, and by the next

visit, two months later, he was well, and had

made good pro-gress developmentally, with no ear

infections, one brief cold for which Calc. Sulph.

12C worked well, and no more diarrhea.

I did not see him again for more than a year,

four months after an episode of acute otitis with

no earache but a fever of 103°F. that had lasted

a full week on antibiotics. Apart from a few

colds and a reappearance of diarrhea at these

times, he had had no more ear infections and was

continuing to grow and develop normally.

Repeating Sulphur 10M, I had no further news of

him until I asked my receptionist to call

recently, more than five years later, and learned

that he had been healthy, had had no ear

infections, and needed no antibiotics throughout

that time. After buying a remedy kit and studying

on her own, the mother had found Belladonna to be

highly effective for his various colds and acute

illnesses, and no longer needed my help.

Once again, not for any elegant prescribing on my

part, much less from any notion that the child

was " cured, " I treasure cases like this

one,because our work together helped the mother

to take charge of her son's health, and to

perform competently in that role. When my own

learned prescriptions fail, as they not seldom

do, I have good reason to feel proud when the

parents themselves find the remedies that work

best for their child. Perhaps the most precious

gift that homeopaths can offer is our

relationships with our patients, which can

continue to grow and flourish even when the

search for the ideal remedy proves elusive.

Case 3. J. L., a girl of 6, had had frequent ear

infections since the age of five months,

especially when exposed to other kids in crowded

day care or classroom settings. With little fever

and no earache, the acute episodes were typically

mild, with red cheeks, loss of appetite, and

grumpy or irritable behavior. Also vulnerable to

staying up late and to sudden changes of weather,

she seldom ran fevers of any degree, the highest

being around 102°F. with a " Strep throat, " but

she had already taken antibiotics over two dozen

times. Although vaccinated at the usual times

without any obvious reaction, she developed an

ear infection soon after her last DPT shot that

had lasted for four months despite continuous

antibiotics, and had subsided only after chiropractic treatment.

Soon after Sulphur10M, she developed a

generalized rash that lasted several days,

followed by a buoyant mood and more lively energy

than she had shown in a long time. At her first

follow-up, she had a cold, with the usual red

cheeks, runny eye, temporary hearing loss, and

the dreaded positive Strep culture. It required a

considerable leap of faith for her mother to let

this tiny cold run its course without

antibiotics, using only Pulsatilla 30X as needed,

and later buying a kit of remedies and a book to

show her how to use them. Two months later, her

pediatrician was happy to report and even take

credit for the fact that her ears were uninfected

for the first time that anyone could remember.

The following winter she returned with mild

symptoms, a low fever, and a weakly positive

Strep culture. As the illness subsided, I

repeated Sulphur 10M, and by her next visit two

months later the picture had changed to recurrent

sore throats, foul breath, enlarged tonsils, dark

circles under the eyes, and a loose, productive

cough. This time I gave her Mercurius 1M,

followed by the 10M a month later, with excellent

results until her next cold many months later,

when she developed the same swollen tonsils and

loose cough as before. After the third dose of

Sulphur 10M, I lost track of her for a few years,

but the mother eventually called to report that

she had been well the whole time, with no major

colds and no ear infections, and a perfect

attendance record at school for the year just

finished. A few months ago, I called to check up

and learned that she was doing splendidly in high

school, with no more ear infections in the nine

years since she had begun using remedies.

Again leaving aside my rather crude prescribing

in this case, I want to point out a few of the

methodological issues it poses, issues so obvious

and fundamental as to be easily overlooked.

First, equating fluid behind the eardrum with an

ear infection requiring antibiotic treatment

ignores what every pediatrician knows, that most

colds or URI's with swelling of the tonsils or

adenoids produce secondary congestion of the

middle ear and temporary hearing loss as a

result. The girl in this case was prone mainly to

tonsillitis, and could be said to have ear

infections only to the extent that pneumatic

otoscopes can detect even minute amounts of

fluid, and that years of deadly warfare against

the nasopharyngeal bacteria have culminated in a

Vietnam-like strategy of killing every living thing in the vicinity.

Second, her longest period of ear involvement

followed a DPT shot, a connection that I have

often verified in practice, but is rarely

sus-pected by pediatricians, because vaccines are

regarded as sacrosanct and almost risk-free,

except for negligibly rare acute reactions

developing within the first hours or days. [note 7]

Third, like most of my chronic otitis patients,

this child seldom ran fevers during the time she

received conventional treatment, and began to do

so only as her general condition improved. Useful

both for reassuring the family and for making a

simple prognosis, this humble fact carries a

profound implication for the natural history of

the disease and its recent evolution.

Case 4. L. P., a girl of ten months, had already

had four acute ear infections and received

antibiotics for each one. The first began at two

months, when her mother weaned her to go back to

work, and the child developed a rash and

unusually cranky behavior on a milk-based

formula. These symptoms were also intensified for

the week following her first DPT shot. A few

weeks after that, the ear infection developed

suddenly, with high fever and violent earache,

like all the others. With the help of Calcarea

Carb. 1M initially and Chamomilla 30X as needed

acutely, she did quite well, with fewer colds and

no acute episodes, but mild symptoms persisted

and were aggravated by teething, when the

remedies had to be repeated. She relapsed the

following spring, six months later, with three

acute ear infections and three rounds of

antibiotics in the three months since her father

had insisted on her long-overdue MMR shot.

At this point I gave Lycopodium 10M, Sulphur 10M

a month later, and almost a third remedy after

that, but I heard that the parents had separated

and were vying angrily over the child. From then

on, she did very well on infrequent doses of

Sulphur, despite a violent gastroenteritis

following a DT-polio booster, and a tendency to

relapse when she stayed with her father, who let

her eat her fill of dairy products and took her

to the doctor for her regular quota of vaccines

and antibiotics. I have continued to see this

child at long intervals for more than nine years,

and although she has long since outgrown her ear

infections, her underlying health issues have not

changed very much. Since the acute, vigor-ous

responses of her infancy, her basically strong

constitution and maturing immune system have

enabled her to bounce back more quickly when she

does fall ill. While very fond of milk and cheese

and somewhat allergic to them as well, she

continues to grow and develop normally in the

face of her conflicted heritage that she can as

yet neither understand nor change.

In short, this is a child of strong vitality,

representing the opposite side of the same issues

already discussed: 1) an innate ability to

respond acutely and vigorously, and rebound

quickly from illness; 2) a tendency to relapse

following vaccination (and milk allergy, often

associated with it); and 3) the classic signs and

symptoms of acute otitis media that were the rule in the pre-vaccine era.

With these representative cases in mind, I will

try to summarize my experience with otitis media

in children, giving special emphasis to the

practical issues of diagnosis, treatment,

prognosis, and long-term case management. As with

my allopathic colleagues, middle-ear infection is

one of the commonest presenting complaints of

children in my practice. In an average week I

will triage several acute episodes over the

phone, and see at least one new and probably two

or three established patients with chronic or

recurrent otitis that has been diagnosed and

treated on a long-term basis or repeatedly with

antibiotics or tympanostomy or both.

What most of these patients have in common is the

absence or paucity of strong symptoms like high

fever or violent earache that would indicate an

acute, vigorous response to their illness. With a

few notable exceptions, like the last case I

presented, their symptoms even during acute

flareups are typically vague or nondescript in

character, e. g., fussy or cranky behavior,

whining or picking at the ear, congestive hearing

loss, poor appetite, and the like. In quite a few

cases, there are no symptoms whatsoever, and the

child behaves and functions normally, but at the

well-baby visit the pediatrician detects fluid in

the ear, signs it off as an " ear infection, " and

begins or continues the cycle of antibiotics that

often proves so difficult to break.

Similarly, although the symptoms often recede

during treatment, relapse is common, and even

when the child appears clinically well, the

presence of fluid is regularly interpreted as

continuing infection and cited as a mandate for

further treatment. In this way, a child who may

never have been that sick never gets entirely

well, and continues to relapse until the doctor

recommends antibiotics for months at a time and

later surgical drainage as well, if the condition

persists despite these lesser measures, as indeed

it often does. In short, the most striking and

dis-turbing feature of these cases is precisely

their chronicity, their tendency to develop

smoldering or persistent responses to illness and

to relapse more and more easily, resulting in a

failure to heal or resolve them in a clearcut or timely fashion.

Breaking this cycle of chronicity proves quite

easy if parents and caregivers can suspend the

conventional wisodm that reduces the art of

diagnosis to the specialized detection of

abnormalities and the goal of treatment to the

killing of our resident bacteria. As much as

finding the correct remedy, the critical

requirement for success in treating these kids is

to re-educate the parents and develop an

alternative model that works and makes sense to everyone.

First, it is necessary to redefine the illness

and how best to detect it, beginning with basic

anatomy and the clinical and pathological

features of a URI with ear involvement

(congestion, earache, etc.), in contrast with

classic acute otitis media. In my own practice I

emphasize the signs and symptoms that parents

themselves are aware of, i. e., how each child

feels and functions in his or her own special

world, or what homeopaths like to call the

" totality of symptoms. " If they are willing to

trust me thus far, I'll take the next step and

propose that we not look in the ear unless the

illness is acute and intense, or hasn't resolved

after giving remedies, or either of us is so

panicked that we just have to know. Since any URI

can produce detectable fluid or congestion behind

the eardrum, and the homeopath does not need or

even want to treat illness all the way to the

end, the totality of symptoms is what best

defines the illness, and the otoscope is useful

primarily to confirm or qualify what the alert observer already knows.

With significant ear involvement, it is helpful

to assure the parents that antibiotic treatment

is no more effective than placebo, [notes 8, 9,

10] and that it produces more frequent relapses

than giving symptomatic treatment or simply

allowing the children to recover on their own.

[note 11] At that point it makes sense to offer

homeopathic remedies, both as needed for the

acute episodes, and preventively, to minimize their number and severity.

Finally, it is imperative to take a careful

vaccine history, and to look for familial

influences or other factors that may aggravate a

pre-existing chronic state, such as traumatic

birth, food allergy, emotional upset, and the

like. Quite often, the first episode can be

traced to the time of a DPT, MMR, or other

vaccine, even though no acute or obvious reaction

was noted at the time, [note 12] or an old

pattern of chronic or recurrent otitis is

activated by a booster after a long period of

remission. [note 13] Such apparent-ly speculative

connections have also been verified by the

successful use of homeopathic " nosodes " prepared

from the vaccines themselves in re-solving

difficult cases. [note 14] Drawing on these

experiences, I routinely ask parents not to

vaccinate their children until they are cured,

and refer them to my various publications on the

subject for further study. While I have also seen

chronic otitis in unvaccinated kids, the crucial

importance of vaccines lies in the fact that they

are compulsory for all and regarded as so

uniformly safe and beneficial that the

possibility of chronic, long-term problems from

them is seldom investigated or taken seriously. [note 15]

With this educational work in progress, it is

appropriate to proceed with homeopathic remedies.

Both the procedure that I follow and the remedies

I use are much the same as would be found in any

homeopathic practice involving children, and I

see no need to elaborate on them here. If the

child is not acutely ill at the time of the first

visit, I may begin with one dose of the indicated

constitutional remedy, or perhaps three weekly

doses. In addition, it is reassuring to give

parents a strategy and a list of remedies to have

on hand for acute flare-ups, and to see the child

or at least coach the parents through these

episodes with words of encourage-ment, changing

the remedy as needed. Often these acute remedies

will include the constitutional plus a few others that are complementary to it.

Once remedies help them through this critical

phase of the illness without antibiotics, the

rest of the treatment is likely to proceed very

smoothly. But if the child has never responded so

acutely or intensely before, it is useful to

prepare the family for such an eventuality as the

underlying condition improves. By no means cause

for discouragement, relapses many months or even

years later are much easier to treat, since

precipitating factors are usually much more

obvious after a long period of good health, and

remedies that worked well before will most likely

do so again, as the children often know and will

ask for it themselves. Indeed, this uncanny

clarification and ordering of cases over time is

a major and predictable benefit of successful

treatment, and the awe and wonder it inspires in

doctor and patient alike are among our highest rewards.

What is mysterious and problematic about ear

infections in children thus lies not so much in

their treatment, which is not particularly

difficult and involves many of the same remedies

as for other chronic ailments, as in the

disturbing fact of that chronicity itself. As a

medical student in the early 1960's, I

encountered otitis media promarily as an acute

disease, usually presenting in the Emergency Room

with high fever and piercing screams of pain,

both of which subsided dramatically once the

eardrum burst and discharged its infected

contents. While certainly not a pleasant

experience for doctor or patient, it didn't last

very long, indeed had often taken care of itself

before we had a chance to do anything about it,

and was unlikely to come back for a long time to

come. In every way it close-ly resembles the kind

of flare-up which, when I see it in a patient

today, I have learned to recognize as a favorable sign.

After 1982, when I moved to Boston, stopped

attending births, and limited my practice to

homeopathy, I began to see large numbers of the

sort of chronic otitis patient that I have just

described. Why the sporadic acute infections I

knew in medical school had mushroomed into a

chronic disease of colossal proportions was also

precisely the question with which I began this

article. Both my clinical experience and the

research I have conducted to try to make sense of

it have strongly corroborated my " gut " feeling

that the modern epidemic of chronic ear disease

must largely be attributed to two colossal public

health blunders that carry on the same outmoded militaristic philosophy:

1) the war on the nasopharyngeal bacteria, fought

with antibiotics, tympanostomy tubes, and the

systematic cultivation of fear; and

2) the vaccination of entire populations against

a growing list of diseases, with no end in sight,

and no inclination or strategy to consider the possible long-term consequences.

Based on Koch's postulates and their immense

predictive power, the war on bacteria is

nevertheless unwinnable even in thought. As the

most basic life form on the planet, bacteria

reproduce themselves in about six hours, and

through natural selection rapidly become

resistant to even the most lethal antibiotics. In

clinical medicine, some major examples include

hospital-borne epidemics of resistant

Staphylococci and E. coli, and the emergence of

infections with L-forms, Mycoplasma, and PPLO

organisms, all lacking cell walls, neat

adaptations to penicillin-rich environments. In a

recent Newsweek cover story, the spread of

resistant strains made U. S. hospitals look like

centers of germ warfare from which many types of

virulent organisms are disseminated into a

general population more or less helpless to stop them. [note 16]

In the case of childhood ear infections,

resistant strains have been similarly implicated

in the weak primary immune responses and high

relapse rates associated with antibiotic

treatment. [note 17] Other frequent com-

plications include superinfection with yeast and

other common fungi, as well as the food and

environmental allergies that often accompany them.

Furthermore, numerous studies have shown that the

supposedly causative organisms isolated from

children with chronic ear infetions are simply

the common pathogens of the tonsils and

nasopharynx, such as the " pneumococcus, " or

Streptococcus pneumoniae, Group A ß-hemolytic

Streptococcus, Hemophilus influenzae type B, and

Staphylococcus aureus, all of which are regularly

found in healthy throats as well. [note 18] In

25% of children with acute otitis, and in 80% of

those with the most prevalent chronic serous

variety, the middle-ear discharges and cultures

are sterile and contain no organisms whatsoever.

[notes 19, 20] Once these resident bacteria are

destroyed, the result could have been foreseen by

ordinary common sense: chronic serous otitis, or

" glue ear, " an important cause of chronic and

even permanent deafness. Thus even more

destructive than these antibacterial weapons

themselves is the fanatical strategy of attacking

and killing that makes such imagery seem attractive.

A further application of the same approach has

been the develop-ment of the pneumatic otoscope,

its tight seal permitting the detection of even

minute amounts of fluid and thus facilitating

both early diagnosis and more minute

surveillance. Yet diagnosing more infection has

only unleashed more of the same firepower, and

thus more of the same results already described.

Indeed, with tympanostomy the war against chronic

otitis media has reached its final dead end,

since it looks like an obvious mechanical

solution to the problem, yet has itself recently

been found to be a major cause of otosclerosis

and permanent hearing loss, the same spectre used

to browbeat reluctant parents into accepting it

in the first place. [note 21] Still more ironic

is the fact that it simply makes permanent and

structural the natural perforation and drainage

that the acutely infected ear heals so well by

itself and with so few complications.

In any case, it makes little sense to search out

and destroy the friendly bacteria that already

live with us and police our bodies so

effect-ively most of the time, or to imagine that

making war on them could ever produce anything

but more devastation, more war, and ultimately

more resistant and less friendly bacteria.

Although I have previously written about

vaccinations in some detail, relatively little of

my experience with vaccine-related illness is of

the kind that Coulter and Barbara Fisher

write about in A Shot in the Dark, [note 22] or

what might be termed the specific effects of a

particular vaccine. While these reactions are apt

to be the most severe and also the most useful in

learning how to prescribe the nosodes that

correspond to them, most of the complications I

have seen in my practice have been limited to

subtler reactions that I would describe as

non-specific in type. By that I mean that they

resemble exacerbations of the pre-existing

chronic state, looking more or less the same in a

given individual, regard-less of which vaccine is

given, and are benefited by the same group of

remedies are used to treat chronic illness in the

general population, vaccinated or not. Although

such reactions are more difficult to recognize

and verify, they are also much more common, and I

suspect much more important as well.

Thus two of the four cases I presented suffered

prolonged, severe relapses of their chronic state

after a vaccination, one patient suffered almost

identical relapses after two different vaccines,

and all four first developed their chief

complaint during their initial three-dose vaccine

series. In no case were their responses acute or

obvious enough to be identified as a repeatable

symptom of the vaccine. Indeed, all that was

repeatable in all cases and with all the vaccines

was simply the chronicity of the responses, the

fact that they occurred more frequently,

persisted for longer periods of time, and were

less likely to resolve spontaneously.

It is just this congruence between the

vaccine-related responses and the original

illness that suggests how vaccines act

nonspecifically on the immune system as a whole,

and so implicates vaccination in the basic riddle

of chronicity itself. As new biotechnology

companies produce new genetically-engineered

vaccines as fast as possible, the unrestricted

war against identifiable acute diseases has

already added to the pre-existing chronic disease

burden a considerable array of DNA and RNA

fragments looking for chromosomes to recombine

with and certain to engender new diseases of

which as yet we know nothing. In short, I am

afraid that doctors, like politicians, are here to stay.

--END--

Notes

1. Koch, H., Office Visits to Pediatricians,

National Center for Health Statistics, Washington, 1974.

2. Bluestone, C., " Otitis Media in Children, " New

England Journal of Medicine 306:1399, June 10, 1982.

3. Cantekin, E., et al., " Antimicrobial Therapy

for Otitis Media with Effusion, " Journal of the

AMA 266:3309, December 18, 1991.

4. Frenkel, M., " Acute Otitis Media: Does Therapy

Alter Its Course? " Postgraduate Medicine 82:83, October 1987.

5. Family Practice News, December 15, 1990, p. 1.

6. Van Buchem, F., et al., " Therapy of Acute

Otitis Media, " Lancet 2:883, 1981. [back]

7. Moskowitz, R., " The Case Against

Immunizations, " Journal of the American Institute

of Homeopathy 76:7, March 1983. [back]

8. Cantekin, op. cit. [back]

9. Van Buchem, op. cit. [back]

10. Townsend, E., " Otitis Media in Pediatric

Practice, " New York State Journal of Medicine 64;1591, June 1964. [back]

11. Cantekin, op. cit. [back]

12. Moskowitz, R., " Vaccination: A Sacrament of

Modern Medicine, " Journal of the American

Institute of Homeopathy 84:96, Dec. 1991. [back]

13. Ibid. [back]

14. Ibid. [back]

15. Ibid. [back]

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16. " The End of Antibiotics, " Newsweek, March 28, 1994, p. 47. [back]

17. Cantekin, op. cit. [back]

18. Bluestone, op. cit. [back]

19. Ibid. [back]

20. Cantekin, op. cit. [back]

21. Family Practice News, op. cit. [back]

22. Coulter and Fisher, DPT: A Shot in the Dark, Avery, New York, 1991