Ellen - here's a great article to share - Childhood Ear Infections by Richard Moskowitz, M.D. (homeopath)

[Sheri Nakken]

Childhood Ear Infections by Richard Moskowitz, M.D. (homeopath)

BRILLIANT article on Ear Infections

ABSOLUTELY BRILLIANT article on Ear Infections by
MD/Homeopath Richard 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 individual, 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/arti ... ear_1.html

Childhood Ear Infections
by Richard 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 Richard 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 Harris 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