Dr. George Goodheart D.C.
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Transcript of Dr. George Goodheart D.C.
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Dr. George Dr. George Goodheart D.C.Goodheart D.C.
ICAK Meeting Antwerp September 2008
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Patients with diffuse symptomsPatients with diffuse symptoms
Vegetative Symptoms:Vegetative Symptoms: Tiredness, fatigueTiredness, fatigue Sweat at nightSweat at night ShiversShivers Attacks of feverAttacks of fever Feeling sickFeeling sick Reduced and poor enduranceReduced and poor endurance Intolerance of alcohol and foodIntolerance of alcohol and food
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Patients with diffuse symptomsPatients with diffuse symptoms
Cardial SymptomsCardial Symptoms PalpitationsPalpitations Mayo- or PericarditisMayo- or Pericarditis
Intestinal SymptomsIntestinal Symptoms Nausea, gastralgia, burpNausea, gastralgia, burp FlatulenceFlatulence DiarrhoeDiarrhoe
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008Patients with diffuse symptomsPatients with diffuse symptoms
Musculo-skeletal SymptomsMusculo-skeletal Symptoms Arthralgia of changing localisationArthralgia of changing localisation Myalgia Myalgia Feeling of stiffness in the musclesFeeling of stiffness in the muscles Tendinitis with or without swelling, Tendinitis with or without swelling,
especially Achilles tendon, Epicondylitis, especially Achilles tendon, Epicondylitis, plantar fascitisplantar fascitis
Recurrent swelling of fingers, toes and handsRecurrent swelling of fingers, toes and hands Pain of the sterno-chondral junctions of the Pain of the sterno-chondral junctions of the
ribsribs Pain of TMJ Pain of TMJ
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Patients with diffuse symptomsPatients with diffuse symptoms
Neurological Symptoms (central)Neurological Symptoms (central) Disturbed vision ( blurry, wash out, aching Disturbed vision ( blurry, wash out, aching
eyeballs, aching eyemovements, sensitivity to eyeballs, aching eyemovements, sensitivity to light )light )
„„burning tounge“burning tounge“ Tinnitus, vertigoTinnitus, vertigo Headache, unilateral and diffuse without relief Headache, unilateral and diffuse without relief
by analgeticsby analgetics Loss of concentration, loss of memory, reduced Loss of concentration, loss of memory, reduced
perceptionperception Disturbed sleepDisturbed sleep Depression, irritability, anxiety, fluctuation of Depression, irritability, anxiety, fluctuation of
moodmood
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008Patients with diffuse Patients with diffuse
symptomssymptomsNeurological Symptoms (peripheral)
Paraesthesia of limbs
Disturbed superficial sensation, hyperpathia
Backpain, sciatica
Sensitivity of scalp ( „aching hairs“ when combing )
Muscular twitching
Sudden weakness in the legs
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Patients with diffuse Patients with diffuse symptomssymptoms
Urogenital Symptoms:Burning aches in the bladder, pollakisuria
Pressure sensation in the bladder
Incontinency, disturbance of micturition
Loss of libido
Impaired potency
Recurring aches of testicles, ovaries, vagina
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
These patients These patients may havemay havechronic chronic
borreliosis !!borreliosis !!
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Germ of Lyme DiseaseGerm of Lyme Disease
Borrelia burgdorferi sensu lato
Spezies: B. burgdorferi sensu stricto
B. gariniiB. afzelii
Carrier: hard ticks (Ixodes ricinus)
(Attention : the ticks transmit CEE, only for this vaccinations are available)
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Possible Infections by Tick bitePossible Infections by Tick bite
CEE
Borrelia
Ehrlichia
Bartonella
Rickettsia
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Epidemiology of BorreliosisEpidemiology of Borreliosis
in Germany 10 to 40 % of ticks are infected with Borreliafor an successfull contamination the ticks should suck up to > 6 hours (the shorter , the more unlikely are infections)
Infections from April to October early manifestation in June - peak at August
In Germany annualy up to 60.000 new infections with clinical manifestations
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Infection by ticks (Ixodes ricinus) Infection by ticks (Ixodes ricinus)
Early onsetErythema migrans (50% of all cases)
Influenzalike symptoms
Cephalgia
Facial nerv palsy
Cardial arhythmia
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Conventional Medicine saysConventional Medicine says
Most valid diagnosis by skin biopsy or arthrocentesis of joint effusion
Assay of IG G and IG M of Borreliosis is only a presumption diagnosis
Prof. Stanek, University of Vienna
Ärztemagazin, July 2008
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008Borrelia burgdorferi – Course of Borrelia burgdorferi – Course of
InfectionInfection
Bite of a infected tick
Infection
Stadium I
Stadium II
Stadium III
5 - 48 days
Period of 4-6 weeks, Autotherapy very likely
Period of 4-6 monthsAutotherapy still possible
Moths tillyears p.i.
NO autotherapy !!
4 -12 Wo. p.i
Transmission of Borrelia
Local breeding of Borrelia
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
LabratoryLabratory
If IGM and IG G of Borrelia are If IGM and IG G of Borrelia are positiv remains the question:positiv remains the question:
ExpiredExpired infection or infection or activeactive infection?infection?
Indication for LTT to Borrelia = Indication for LTT to Borrelia =
LLymphocytes ymphocytes TTransformation ransformation TTestest
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008Lymphocytes Lymphocytes
Transformation TestTransformation Test1. Extraction of lymphocytes and
monocytes out of heparinized blood by densitiy-gradient centrifugaionfugation
2. Transformation of 1,2 x 106/ml vital cells on to a cell cultural kit (3 times)
Lympho-/Monocytes
Erythro- and Granulocytes
Serum
3. Adding of antigenes of Borrelia(z.B. OspC)
Day 0 „sleeping T-cells“
4. Incubation for 6 days, 37°C, 5%CO2
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Result afer 6 Result afer 6 days:days:
66. Measurement of DNA-Newsynthesis in Beta-Counter
55. Quantification of antigen-induced DNA-newsynthesis by assay of 3H-Thymidine-built-in
Negative result Positive result
clonal prolifeated antigen-spezific T-Lymphozyten
77. Outcome as SI = Antigen-induced T*-built-in blank measurement-T*-built-in
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Result of positive LTTResult of positive LTT
a positive LTT of Borrelia says:
There are Borrelia- spezific T- memory-cellsin the blood, the infection is active!!
After a study of Hopf-Seidel on 210 Patients,2007,9% of the patients had negative serum findings but positive LTT! Every tenth of patients has false negative findings!Donta is reporting 2002 of 20% negative false findings in serum assays
Are Borrelia-spezific memory-T-cells in the blood of the patient ?
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008Hypothesis of persisting or chronic Hypothesis of persisting or chronic
BorreliosisBorreliosis
Insufficient diagnosis and therapy ( often in conventional medicine )
Inducing of immunogene reactions by Borreliosis
( Prof. v. Baehr )
Persisting Neurotoxins in the fatty tissue ( Shoemaker )
Hiding of parasites in the connective tissue ( Donta )
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008TherapieTherapie
ss
Conventional Medicine: Penicilline, Ampicillin, Tetracycline, Doxcycline, Ceftriaxone,
Cefaroxine, Clarithomycine, Azithromycine, Ciprofloxacine for a
fortnight or 4 weeks
Donta: Hihg dose antibiotics like a above, at least 1 month, when symptoms
were longer at least 3 month, when symptoms last for longer than a
year, treatment should last 12 to 18 month, toegether with
CHLOROQINE, an antimalarial, ( Resochine, Quensyl )
Shoemaker: From 4 to 6 weeks high dose antibiotics mostly Doxycycline
overlapping with colestyramine 2-4 g, when complications
( Herxheimer reaction ) Enbrel
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Resume of problems in chronic Resume of problems in chronic borreliosisborreliosis
Serum diagnosis is not reliable
Conventional therapies often don‘t treat sufficently
Borreliosia can probably disappear from the surface
In certain phases antibiotics don‘t reach the parasite
Symptoms of chronic borreliosis are of great variety and not specific
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
How can
Applied Applied KinesiologyKinesiology
help?
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
CasereportCasereport
10 patients from 71 to 29 years
Period of symptoms: from 2 till over 15 years
7 patients have severe general symptoms
( fatigue, aching and swelling joints etc.)
3 patients have „only“ local symptoms ( aching Achilles tendon, aching knees, aching fingers)
8 had negative serological assays of Borrelia
4 of them had an postive LTT and 4 had negative LTT‘s
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
CasereportCasereport
4 patients, 2 with positive LTT 4 patients, 2 with positive LTT and and
2 with negative LTT of Borrelia 2 with negative LTT of Borrelia showed Borrelia in theshowed Borrelia in the
DARKFIELD MICROSCOPY !!DARKFIELD MICROSCOPY !!
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Hypothesis and Hypothesis and ResultsResults
There are no really reliable labratory tools in veryfying chronic borreliosis
There are clues for hiding of Borrelia spirochetes in the tissue, causing no immune reaction
The most reliable labratory tool seems to be the Lymphocytes Transformation Test
Remarkable results supplies the DARKFIELD MICROSCOPY
Chronic Borreliosis seems more widespread than ever thought
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
AK ProcedureAK Procedure
General and local muscletesting
Any findings should negated by
homeopathic nosode of low potencyantibiotics on the tongue and CHOLOROQINE(mostly Minocyline, passing hematoencephalic barrier )150 to 200 mg Minocycline per day and 200 to 400 mg Cholorquine every second day
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
AK ProcedureAK Procedure
If improvement follow up examination should include, they should test normal
TL of NV suprapinatus
BE points
All alarm points
Local spots of pain
Don‘t stop the treatment earlier, even the patient feels better
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Supplementary TherapySupplementary Therapy
Nosodes of Borreliosis
Rizol oils
Colestyramine
Vitamines ( A, C, E, D, B )
Minerals ( Zinc, Calcium, Mg, Potassium )
Support of organs by phytotherapy, especially liver, gut
EFS ( linseed oil )
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Best thanks to
Prof. Rüdiger v. Baehr, Berlin
Dr. Ulrike Lex, Nuremberg
for their contributions
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Thank you for your Thank you for your attention !!attention !!
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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie
DIBAKAlserstrasse 43
1080 Wien
ICAK Meeting Antwerp September 2008
Adress: Adress:
Dr. Werner KloepferDr. Werner Kloepfer
Alserstrasse 43Alserstrasse 43
A- 1080 WienA- 1080 Wien
E – mail : werner.kloepfer@ spai.atE – mail : werner.kloepfer@ spai.at