Published in the Aug 2015 issue of Positive Health Magazine

Thousands of former and current patients are well aware that our health depends a great deal on how symmetrical our cranium, jaw, teeth and the skeleton is. Any asymmetry, especially in the temporomandibular joint, [very often caused by extraction orthodontics or the extraction of wisdom teeth], can give rise to some 60 different symptoms. These can only be treated through corrective orthodontic interventions.

Attempts at treating these asymmetry caused symptoms through conventional medicine results in utter failure and have helped create millions of chronically ill people not only in the UK but worldwide.

In this article, I discuss the experiences of one patient which sheds some light on why so many patients are unnecessarily suffering from very treatable illnesses and why healthcare costs are spiraling out of control.

Our NHS is in a state of utter chaos and about to be scandalously handed over to private enterprise. This will, without any doubt, propagate further scams and quadruple costs both for patients and for the government in spite of the ministers reassuring you otherwise.

The financial waste in our health care system is glaringly displayed in the handling of this one patient. Just imagine the scenario that follows repeated many thousands of times in every hospital in the country. The system is a bottomless pit which cannot be satisfied by any amount of funding.

I had a 30-year-old patient attend our office with numerous health problems as shown in the graph below. She was a regular, run-of-the-mill patient, who could have been easily handled through corrective orthodontic care. She was advised to get other consultations before returning and perhaps starting treatment.

Please note that the vertical axis denotes severity of patients self reported symptoms from 0 to 10 with 10 being the worst.

Here are some excerpts from the words of a prominent orthodontist she consulted:

"This patient is here because the parents do not know what to do with her set of complex (and they feel - interrelated) problems. She has a set of very confusing conditions (emphasis mine). She has, at times, been given some unusual advice (emphasis mine)about how to deal with it. The main complaints relate to the Gastro-intestinal system, but she believes her problems are related to her TMJ problems, neck, shoulder, hip, knee and ankle problems, all on her left side. She also feels she has a 'nerve' problem on the right arm.

Extra oral exam: Oval, balanced face.....Maximum mouth opening is 35mm. Had orthodontic treatment 20 years ago with 4 premolar extractions. Several posterior teeth are in crossbite, bilaterally, the upper arch is narrowed. She had her wisdom teeth extracted 3 years ago (emphasis mine)."

Comment: All of the above the orthodontist considers a "normal state of affairs" and baulks and ridicules any attempt by the patient or anyone else, to relate her medical problems to the state of her jaws. He finds the loss of four premolar teeth through amputational, constrictive orthodontics and the loss of 4 wisdom teeth acceptable.

For the record, a normal jaw opening is 50 mm not 35mm. Crossbites often cause serious health problems. Dental extractions destroy the normal skull/neck harmony and the body's skeletal balance leading to some 60 different symptoms from the top of the head to the soles of the feet as seen in the graphical representation above and in hundreds of articles on this website, forums and published articles.

Please read my article on the dangers of wisdom teeth extractions.

He finds her crossbite, her narrow upper arch and severe limitation of jaw opening as normal. A crossbite often causes numerous health problems from fatigue to neck and back pain. A narrow upper arch causes constant sinusitis and a blocked nose. Such patients develop mouth breathing and sleep apnoea and eventually right-sided heart enlargement and failure - all because of extraction orthodontics!

The orthodontist finally says:

"I am unable to compile a sensible diagnosis and treatment plan due to the many extra-oral complicating factors. She may need a multi-disciplinary approach in trying to solve these complaints". (emphasis mine)

He then goes on to refer her for an opinion from a hospital orthodontic consultant asking him to supervise the "multi-disciplinary consultations" she needs for her many 'medical problems'. this in spite of the fact that this patient, now aged 30, had already spent a lifetime pursuing a "multi-disciplinary approach" only to find that her symptoms got progressively worse.

Working with many patients over many years shows that, these iatrogenic asymmetries can affect:

• The musculoskeletal system;
• The heart and the circulatory system;
• The lung function is always seriously affected;
• The cerebrospinal fluid flow hydrodynamics;
• The neurological system;
• And the function of all the body's organs above and below the diaphragm.

In fact, the TMJ dysfunction has very profound ramifications throughout the body which are ill understood by a vast majority of the conventional orthodontic community as per the quoted example. The TMJ and other bodily asymmetries are indeed behind most of the 'medical' illnesses that afflict society.

Unfortunately, people have been brainwashed into attending their medical doctor for their 'illnesses'. (Please visit my home page to see the list: http://dramir.com/index.php)The doctor has absolutely nothing to offer such patients other than symptomatic relief with pills. These pills cannot cure any condition but will often end up causing more adverse effects which will get treated with yet more pills.

The circus continues for the rest of the patients' lives for which the taxpayers pay. In fact, we pay for the cushy lives of thousands of consultants pen-pushing their way through life perpetuating untold number of illnesses and misery upon society. This contention is well illustrated in one of my many articles about different illnesses. This one is oncardiology.

The symptoms emanate from temporomandibular joint and bodily asymmetries and need physical interventions by a dentist. The absence of such remedial treatment has plagued society with chronic illness and a National Health Service which is a bottomless pit. The government can throw £500 billion at it and there will still be waiting lists!

Further notes:
This patient returned after 9 months seeking to be re-accepted for treatment. She also dropped off the letter from the hospital consultant orthodontist along with copies of numerous consultations with various medical specialists which she had undertaken in the previous nine months.

Here is a summary of the hospital consultant orthodontist's verdict:

1) "I have advised that her temporomandibular joint pain is NOT(emphasis mine) related to abdominal pain."

".......the temporomandibular joint should NOT(emphasis mine) be treated to relieve symptoms associated with her abdomen."

"The temporomandibular joint would be best managed conservatively with the use of a removable splint in order to alleviate the muscular symptoms." [This the patient duly undertook and her symptoms deteriorated considerably]

2) "There is NO (emphasis mine) evidence to suggest that orthodontic treatment can improve temporomandibular Joint dysfunction. It is likely that orthodontic treatment would result in the condition remaining the same or could perhaps get worse."

3) "I would NOT(emphasis mine) advise the placement of dental implants."

4) "I suggest she await the results of her colonoscopy and attend her upcoming rheumatology appointment related to her abdominal pain."

5) "The issues relating to her facial pain should be managed as a separate entity."[No mention is made as to how this would be addressed.]

6) "In the long term, if there are still ongoing issues with left-sided body pain no pathological cause identified, a psychololgical evaluation (emphasis mine) may be of benefit."

This is pathognomonic of orthodox medicine - when no cause is found because of the medical systems inadequacies and cock-ups, write the patient off as a psychiatric case, whilst throwing cold water on anyone else who may have a solution to the patient's problem.

This embarrassingly ill-informed consultant at the helm of Orthodontic teachings at a teaching hospital probably had a few orthodontic students around him as he glossed over the patient's symptoms and rendered his outdated opinion.

Unfortunately for the patient, she opted to follow some of the advice of this academic consultant even though that advice sharply contradicted both, another Harley Street practicing orthodontist's advice and mine.

The patient was then handed over to the medical department starting with medical consultants mainly centered around gastroenterology ignoring all skeletal asymmetry issues.

Some excerpts from the gastroenterology consultations follow. Please, as you read along, keep a note of the number, the possible costs and extent of the medical investigations this patient was subjected to.

Here is an excerpt from the first gastroenterologist:

1) "I am pleased to report that the blood tests that we sent which included full blood count, urea and electrolyte, liver function tests, calcium and C-reactive protein were all reported with normal limits. An abdominal ultrasound was unremarkable. Endoscopic 'top and tail' identified no pathology either.

......I wonder if it will be helpful to refer her now to Rheumatologists....... I shall be seeing her again in clinic routinely."

2) Another gastroenterology consultant writes:

".....She has been troubled by such symptoms which may have been precipitated by events at work (emphasis mine)."

"She has had an ultrasound scan, MRI scans, repeated stool samples, and blood tests as well as less conventional investigations including hair analysis.

In addition to seeing conventional doctors, she has consulted chiropractors and an osteopath......She is taking probiotics and Ayurvedic supplements...........Relatively recent blood tests taken include a negative coeliac antibody screen, normal vitamin D levels and thyroid function and calcium all within normal levels as well as an unremarkable IgE. A feacal antigen test for hepatic pylori was negative in April.

In addition to the GI features, she also comments on a number of bony issues including what appears to be a temporomandibular joint pain, problems with her left pelvis and left ankle which "clicks out" She comments on problems at C5/C6 too."

[No further comment is made about these extremely important points. The gastroenterologist recommends repeating all the above tests - at the taxpayer's expense so the merry-go-round goes round and round again while the patient continues to get worse.]

3) A private gastroenterologist remarks:

"If further investigations prove to be normal she may benefit from dietetic advice."!

4) Yet another gastroenterologist gives his verdict:

"On examination, she looked clinically well. She was not anaemic. There was no lymphadenopathy and her skin was fully intact(emphasis mine). I do not think any further investigations were required and I thought her symptoms were very much in keeping with an irritable bowel......... she should make dietary modifications to obtain better symptom control."(emphasis mine)

5) A consultant urologist now comes into the picture:

"...She has been extensively investigated with a CT scan and ultrasound of the abdomen, and has recently been to India, and has had an MRI of the lower back and intravenous pyelogram all of which have been normal.

Whilst in India she underwent an investigation of the urine and underwent further extensive blood tests including sugar, liver function tests, urea and electrolytes and staining for acid-fast bacilli. All these tests including Mantoux and health tests were normal.

Abdominal tuberculosis has been excluded on CT scan, and there appears no abnormality on the intravenous pyelogram..... most significant finding is an elevated ESR of 39.

In the first instance, I do not think she needs a flexible cystoscopy and hydrodistension, but I am organising a four-day frequency voiding volume chart and performing an MSU to see whether there is still a sterile pyuria........
She will need further investigations with respect to the raised ESR."

6) In comes a private rheumatologist:

"......At the moment the only working diagnosis is Irritable Bowel Syndrome [meaning we do not know what it is.] Her high ESR and platelets suggest a possible underlying inflammatory process.

.....as you know there is a long list of possible causes of her symptoms and I am sure some of the symptoms may be related to her irritable bowel. Inflammatory processes involving costochondral joints in the ribs are a possibility and also instability in the ribs can cause this type of pain.

I have asked her GP to organise some further blood tests and refer her to my NHS practice for further investigations with isotope bone scanning and possibly MRI. In terms of the high ESR we will need to do auto-immune screening and both protein and urine electrophoresis."! [God help! Did I read auto-immune? This is an entirely different subject which regularly sucks in thousands of patients. Please read under Multiple Sclerosis many postings on this blog]

7) Back comes an original gastroenterologist:

"Symptoms have improved by taking Motilium [Domperidone used for nausea and vomiting and associated with an increased risk of serious ventricular arrhythmias which could be life threatening]. The left-sided abdominal pain has not entirely cleared. She has not improved with antispasmodics and the next agent to be used is amitriptyline [This drug is supposed to be prescribed for depression and nocturnal enuresis] which is known to improve the symptoms of IBS."

Comment: I had been wondering when they will get to this 10 penny a tablet amitriptyline - a mainstay of most IBS patients after costing the NHS some £50,000 of expenses on the various futile tests, scans, consultant and hospital costs - to date and ongoing. This drug carries a number of warnings and I have seen it used on patients for dozens of conditions such as headaches, tummy aches, back pain and an endless list of other symptoms.

It is ironic that despite the expertise of a dozen 'specialist' consultants costing the country upwards of £250,000 each per annum, the use of equipment and facilities costing billions of pounds, in the most modern healthcare settings, the patient is no better and if anything worse and still on the 'medical investigations' merry-go-round.

IBS affects one in five people in the UK. Our NHS is indeed paralysed with absolutely useless "multi-disciplinary approaches" wasting some 20 billion pounds a year on these futile investigations, ordered by thoroughly incompetent specialists, which fail to find anything wrong perhaps 98% of the time. It keeps many hospital departments abuzz with activity whilst the taxpayers pay for these dramas enacted day in and day out in almost every hospital. The gastroenterology departments are usually the biggest part of most hospitals - they need to be, to carry out the millions of tests and scans, to finally condemn the patients into syndromes such as Irritable Bowel Syndrome (IBS) meaning we do not know what is wrong with you; Here take these antidepressants!
The finality is as crude as that.

This scenario is repeated all over many other departments in cases of Myalgic Encephalomyelitis (ME), Chronic Fatigue Syndrome (CFS), Fibromyalgia (FM), Multiple Sclerosis (MS) and Rheumatoid Arthritis (RA) to name just a few.

In some countries, this system regularly bankrupts families who fall victim to a myriad of 'manufactured' illnesses and syndromes with not a semblance of a cure in sight. In fact, medicine has conveniently made the word "cure" a taboo and no one dares ask their physician if they have any chance of a cure.

There is a pill for every illness, mostly inappropriate and often with serious adverse reactions. The idea of altruistic behaviour remaining at the heart of medical professionalism appears to have long disappeared and instead been engineered into a societal monster. The incessant advancement of the often deceitful pharmaceutical agenda is corruptive and casting medical altruism back into the dark ages of medicine.

More particularly, do these specialists, on whom the public so relies upon, ever think that after failing, again and again, day in and day out, to bring any relief to the patients, that there could be something seriously amiss in their knowledge and methodology. They should perhaps open their eyes and ears and listen to the patient who is screaming out, "it is my jaw, it is my neck, it is my shoulder, it is my hip". No one listens. What an embarrassingly shameful handling of patients.

It makes it very difficult for a general dentist or orthodontist to accept such a patient for treatment as she has the backing of a hospital consultant who categorically claims that such treatment does not work. She is condemned to the medical specialists who are already contemplating putting her in the cuckoo's nest through the illicit use of antidepressants because they have absolutely NO answers for her illness.

I am not only sorry for this patient but sorry for thousands of others who are victims of such disgraceful inadequacies in our teaching institutions and decadent professionalism on a daily basis.

My point could not have been better emphasised than what appeared in the Telegraph newspaper today and reads:

NHS tests and drugs 'do more harm than good'

"Senior doctors have warned that patients are given drugs and tests they may not need because GPs and hospitals are paid for the quantity of treatment.

Please read more here.

©2015 -2020 Dr. M. Amir. All rights reserved.

On reading this blog some comments received from patients:
1) "I have experienced a gastroenterologist before; I was very anaemic a few years ago, I should have been referred to a gynaecologist but my GP referred me to a gastroenterologist instead. Only on the basis of the anaemia, he did a colonoscopy, gastroscopy, and capsule endoscopy! What a complete waste of time and money! It transpired a few months later, that in fact I had fibroids and needed a hysterectomy!"

2) "This has very much been my wife's experience over the last 8 years. We have spent many hours in hospital waiting rooms waiting for consultants to tell her they have done all their tests which have come back negative or inconclusive.

Ultimately my wife ended up at the Neurologists door and had the tests that suggested that it was, in the absence of other possibilities, 'MS'. When Ruth asked what she should do next, his response was "Go and get on with your life. See you in a year's time".

Then my wife had alternating 6 monthly visits between the very well-meaning, but ultimately useless, 'MS' Nurse and the, not so well-meaning but equally useless, Neurologist. Usually, after having to wait an hour or more at the hospital, she would have 5-10 minutes to tell them how her symptoms were progressing and list any new symptoms. They would then send letters to the GP to prescribe more/different (often off-label) drugs to treat the symptoms

Some of the drugs had very nasty side effects with no perceivable therapeutic effect......

The neurologist in question has his own theory, which he published in 2010, that 'MS' was more likely if you were born in certain months. How convenient to have as a specialty a disease caused by something that cannot be changed... your birthday!

Ultimately he is paid huge sums of money, to treat (but not cure!) people with a disease that neither he nor any of his colleagues understand. On top of that, he is almost certainly being "encouraged" to prescribe lengthy courses of expensive drugs that are not designed to cure the disease but merely, in some cases, to maybe slow down the progression with no way to actually prove whether it does or not."

30th August 2016
A comment received by another patient after she sought a second opinion:
"I am not sure who you saw in London but as there is no scientific evidence behind what you have been told. This will mean that you are very likely to undergo a very long uncomfortable and expensive process that will not work. I would not want that for you and therefore would not want to be involved in any such treatment. There is no evidence that extractions can cause ill effects and no evidence that orthodontics has any effect on the TMJ. There is also no evidence of any link with ME."
This despite my website showing prima facie evidence of the connection between the two:
http://dramir.com/blog/archives/364-How-to-avoid-the-diagnosis-of-ME,-CFS,-FM,-MS-or-Mental-illness.html

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Revised January 2020
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