I recently had the opportunity to conduct a brief interview with Mireille Gingras, Ph.D. President and CEO of HUYA Bioscience on doing business with and in China:
Ceritakan tentang HUYA dan apa yang membuat perusahaan unik?
HUYA Bioscience International has pioneered the most innovative and productive approach for pharmaceutical co-development between the US and China. We were one of the first companies to recognize the potential of China as a source for novel preclinical and clinical stage compounds. Through our partnerships with Chinese companies and institutes, HUYA can use preclinical and clinical stage data generated in China to guide drug development process in the West. Even though clinical trials must still be completed in the West, the process is streamlined, and risks are minimized because HUYA's Western pharmaceutical partners will have access to critical data from China. Simultaneously, HUYA provides significant development assistance to our Chinese partners. As a result, I anticipate that HUYA will source compounds in China that may become important drugs globally.
What led you to target China as a source for compounds?
There is an urgent need in the global pharmaceutical industry for fresh new sources of novel compounds. As a licensing consultant for pharmaceutical and biotech companies, I was seeking to find novel preclinical and early clinical-stage compounds in Europe and Asia. Many of us were looking in the same places and the pools of novel compounds were depleted. I subsequently spent time in China meeting with heads of government research institutions, biotechnology parks, incubators and pharmaceutical companies. In China, I recognized that there were untapped and significant opportunities for drug discovery and development. To leverage these opportunities, I formed HUYA Bioscience International. HUYA's business model, the Integrated Co-Development model (ICM), is designed to reduce the risk and cost of drug development in the US by providing a framework for sourcing, licensing and developing validated, preclinical and clinical stage compounds from China. We currently have two compounds licensed from China that are in preclinical development in the US, thus validating our model.
What are the unique challenges/opportunities to developing compounds sourced from China?
One challenge, of course, is the language difference. We must have bilingual staff in both the US and China so that we are confident that our due diligence is performed with the utmost attention to detail. Another challenge is that I must spend a significant amount of time in China. This is crucial for developing trust, forging partnership agreements and licensing compounds. HUYA has the “first mover” advantage in China, having been there now for four years and developing critical personal relationships with the heads of the Chinese research institutions and pharmaceutical companies. The Chinese seem to prefer to do business with people they trust and with whom they have long-standing relationships. No other company has the breadth and depth of relationships that HUYA has developed in the Chinese research community.
Because of these relationships, we are able to take advantage of the enormous opportunities presented by China's large community of world-class scientists, many of whom were educated in the US and have returned to China to develop their careers. We are also able to draw from the well-established scientific infrastructure in China of research institutes, bioparks, and pharmaceutical companies that provides one of the world's richest sources for novel compounds.
We have a truly unique opportunity to lower the risks and costs of Western drug development by providing access to data from the Chinese development process. Of course, all of the compounds that are developed in the US will have to go through the same rigorous FDA process that they would have gone through had they been sourced from the US, including animal and human trials. But, this process is streamlined, and the risks are minimized because HUYA's US pharmaceutical partners will have access to critical data from our Chinese partners. For example, a US pharmaceutical company that takes on one of the new compounds has access to efficacy, toxicology, and dosing data from Chinese clinical trials, so the trial is not started from scratch, but can be designed based on the information gathered through the Chinese trial. In addition, the Chinese clinical trial data can be used as supporting data to the FDA process here in the US
For each promising new compound in development, HUYA assembles a world-class team of clinical advisors to direct the clinical trials and ensure that they meet US FDA standards. In addition, because HUYA's model is to co-develop compounds with our Chinese partners, we can help our Chinese partners design trials in China that will inform our trials in the US
About Mireille Gingras, PhD, CEO and President of HUYA Bioscience International
Mireille is a seasoned entrepreneur, scientist and consultant with wide ranging experience in drug discovery, licensing programs (both in- and out-license), preclinical research design and academic partnering programs for top pharmaceutical and biotechnology companies including Organon, Cypress Bioscience, Phenomix, and GeminX. She has made major contributions to the study of complex addictive diseases, and has led research and drug development efforts in the areas of neuroactive steroids, and neurological and neurodegenerative diseases. Through her extensive work in China with HUYA, Mireille has developed unrivaled expertise in partnering with Chinese research institutions and pharmaceutical companies and building bridges into the Western development process.
About HUYA Bioscience International
The global pharmaceutical industry faces an urgent need for fresh new sources of novel compounds. HUYA Bioscience International, LLC, was one of the first companies to recognize China's potential to help meet this need through its burgeoning biotechnology industry and world class talent pool. HUYA pioneered an innovative co-development model through which it identifies and licenses the most promising preclinical and clinical stage compounds in China, partners with Chinese research institutions to leverage and extend their research efforts, and provides a bridge into the US development process and the Western biopharma market. Because the compounds have already been validated through a rigorous discovery, selection and development process in China, this model streamlines and accelerates product development in the West, while lowering risk. HUYA is now the leader in US/China pharmaceutical co-development, with three strategic offices in China, the broadest Chinese compound portfolio, and more exclusive agreements with premier Chinese biotech centers than any other company. HUYA has joint headquarters in San Diego, California, and Shanghai, China.

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comments… read them below or add one } {2 komentar ... membacanya di bawah ini atau menambahkan satu }
Dear Dr Gingras,
Saya telah dokter untuk jangka panjang. Saya telah melakukan penyelidikan dan telah belajar penyebab penyakit idiopatik, termasuk neuropati perifer, neuropati pusat, arteriosklerosis, kanker, dan lainnya. Saya menyadari klaim saya terdengar sombong, tapi seperti kebanyakan hal, adalah sederhana sekali prinsip-prinsip yang "tahu".
Saya mencari sebuah "tempat untuk lebih membuktikan teori saya" dan kemudian mengembangkan dan memproduksi memblokir agen autoantibody untuk mengendalikan penyakit autoimun yang mendasari yang menyebabkan target-organ manifestasi, biasanya dianggap penyakit.
Saya memutuskan sifat dari mikroorganisme yang memicu proses penyakit, pada dasarnya.
Jika anda memiliki minat untuk belajar lebih lanjut hubungi saya di e-mail situs saya.
Saya telah di USMC, di Vietnam sebagai seorang pilot dan juga bekerja di Jepang selama setahun. Saya telah di Taiwan, tapi tidak Cina daratan. Saya ingin bekerja di sana sekalipun.
Saya memiliki tiga klinik pada satu waktu, tapi sekarang saya semi-pensiun dan melakukan penelitian akademis untuk memperkuat penyelidikan klinis saya lakukan selama periode tiga tahun. Saya akan melampirkan kertas jika saya bisa.
Sebuah Teori Unifying Penyakit,
Penyakit autoimun dan Target-Organ Manifestasi
Saya seorang dokter umum di bidang kedokteran, dan saya miliki, saya yakin, mengembangkan wawasan yang berarti atas penyebab banyak, sampai sekarang, penyakit idiopatik. Penyakit idiopatik telah dijelaskan dengan meningkatnya frekuensi selama enam puluh tahun terakhir setelah sebagian besar penyakit menular yang dipahami dan dikendalikan dengan antibiotik pada paruh pertama 1900-an. Sekarang, teks medis telah menjadi penuh dengan deskripsi dari ribuan penyakit idiopatik, penyakit-penyakit yang tidak diketahui penyebabnya, dan karena penyebabnya tidak diketahui pengobatan untuk penyakit mereka adalah mengubah tidak menyembuhkan penyakit.
Anehnya, penyakit yang paling idiopatik adalah target-organ manifestasi, proses inflamasi sistemik, autoimun-penyakit. Penyakit autoimun ini disebabkan oleh kondisi inflamasi autoimun, yang itu sendiri disebabkan atau dipicu oleh infeksi oleh mikroorganisme. Ini adalah mikroorganisme yang cukup umum dan di mana-mana untuk populasi vertebrata, yang meliputi binatang peliharaan dan manusia. Dengan pemikiran, seseorang dapat mempertimbangkan penyakit zooinosis bilateral.
Beberapa target organ manifestasi dari proses penyakit autoimun biasanya mencatat dermatologis. Pengamat medis tidak biasanya berpikir bahwa fitur dermatologi seperti Nevi, penipisan pembentukan kulit dan keriput, seborrheic keratosis, angioma, dermatitis seboroik, eksim, poliosis, beruban rambut, dll yang selalu patologis di alam. Seringkali mereka dianggap sebagai bagian dari proses penuaan. Namun, jika seseorang mengembangkan penyakit arteri koroner, kanker, glaukoma, batu empedu, penyakit arthritis atau diabetes, karena mereka mendapatkan lebih tua, dan masalah dapat diterjemahkan ke organ tertentu oleh spesialis terlatih secara prosedural, diperkirakan menjadi penyakit tertentu dimana itu benar-benar manifestasi target-organ proses, sistemik autoimun yang dimediasi penyakit.
Saya, bekerja sebagai dokter umum, menetapkan bahwa kebanyakan penyakit idiopatik adalah target-organ manifestasi dari suatu proses, penyakit inflamasi sistemik autoimun. Dengan memiliki latar belakang pendidikan yang berbeda (bagian dari itu dalam analisis sistem penerbangan) dan pendekatan klinis untuk obat-obatan, dan dengan memperlakukan pria dan wanita, dari segala usia, untuk semua penyakit, saya bisa memiliki wawasan yang menyebabkan filsafat baru penyakit pembangunan, salah satu yang menjelaskan penyebab penyakit idiopatik paling termasuk kondisi dermatologis banyak, penyakit pencernaan, penyakit saraf, kanker, arteriosklerosis, penyakit arthritis, dan penyakit endokrin, yang bersama-sama, bisa dibayangkan untuk menjadi bagian besar dari proses penuaan .
Saya melihat kunjungan pasien lebih dari 230.000, termasuk 1000 panggilan rumah, dalam masyarakat, miskin semi pedesaan penebangan tanpa industri modern. Selama periode waktu yang panjang saya mencatat kombinasi tertentu penyakit dalam anggota keluarga hingga empat generasi. Karena fenomena, dan karena frekuensi MS dan neuropati perifer dalam komunitas saya, saya memutuskan untuk melakukan penyelidikan klinis dan epidemiologi. Informasi dalam halaman-halaman berikut menjelaskan pencarian saya, beberapa temuan saya, dan beberapa hal yang sesuai di masa depan. Belum saya sebutkan identifikasi mikroorganisme yang memicu respon autoimun karena informasi yang menjadi rahasia milik saya saat ini. Terima kasih untuk membaca surat ini panjang / kertas, di muka.
Saya telah menjadi dokter militer dan sipil untuk tiga puluh satu tahun, seorang teoritikus medis klinis selama tiga tahun terakhir masa praktek saya, dan seorang penyelidik akademik untuk tiga tahun terakhir.
Beberapa ilmu telah mengalami terobosan kuantum di masa lalu, misalnya, fisika (pun intended), kimia fisik, astronomi dan kosmologi, laser ilmu, imunologi dan mungkin bahkan wawasan yang menyebabkan transistor dan digital komputer-kode konsep, yang kemudian menyebabkan ke "revolusi komputer". Kedokteran, sebagai usaha ilmiah, telah mengalami banyak terobosan historis, tetapi tidak ada yang bersifat teoritis yang menjelaskan penyebab penyakit sejak 1700-an atau mungkin 1800-an, ketika hipotesis dan kemudian teori yang dikembangkan bahwa mikroorganisme dapat menyebabkan penyakit. Penemuan itu menyebabkan wawasan, yang menghasilkan pengembangan antibiotik dalam tahun 1930-an dan di tahun 1940. Bahwa penemuan mungkin merupakan terobosan besar terakhir dalam kedokteran!
Seperti yang Anda ketahui, upaya diagnostik dan pengobatan telah dikembangkan selama enam puluh tahun terakhir, dengan meminjam dari lain bidang teknologi tinggi seperti elektronik, laser ilmu pengetahuan, USG, biokimia, dan rekayasa komputer, tetapi bukan dari wawasan ditentukan secara langsung dari obat teoritis, yang dapat memberikan pendekatan langsung dengan sifat perkembangan penyakit dan karena itu pengobatannya. Ada banyak perangkat berteknologi tinggi untuk membantu meminimalkan efek dari penyakit pada organ tertentu atau untuk membantu membuat diagnosis yang lebih pasti, tapi lagi-lagi, mempengaruhi penyakit yang sedang berubah dan mereka tidak sedang didekati secara ilmiah pertama menentukan penyebabnya .
Perkembangan ilmu genetika, sel induk konsep, dan konsep baru lainnya dalam biologi, menelurkan ide bahwa menggunakan penemuan-penemuan yang berarti dan seringkali kompleks tersebut akan mengarah pada pengobatan baru untuk "penyakit ini atau itu" bahkan jika penyebab penyakit tidak diketahui. Selalu ada tampaknya menjadi "penyebab" celebre "baru dalam pengobatan.
Selama tiga tahun terakhir dari periode-praktek saya, saya melakukan investigasi, epidemiologi klinis, dan setelah itu, saya telah melakukan proyek penelitian dua tahun epidemiologi, akademik dan sejarah medis, data dari mana, sangat mendukung teori saya. Selama periode sembilan bulan saya melakukan perjalanan ke sembilan negara dan mengunjungi klinik dan rumah sakit dan berbicara dengan dan memeriksa orang yang saya temui di berbagai locales. Saya meyakinkan diri bahwa infeksi mikroba dan penyakit autoimun yang memicu, yang menyebabkan berbagai jenis organ akhir manifestasi, termasuk kanker, arteriosclerosis, cacat lahir, dan penyakit arthritis, misalnya, adalah salah satu yang ada di seluruh dunia, seperti yang saya berteori, tapi tentu saja lebih serius dalam locales tertentu di dunia daripada yang lain.
Bagian dari proses pemikiran saya terlibat wawasan yang terjadi selama sejarah panjang kedokteran dan bagaimana konsep-konsep medis pembentukan penyakit dan pengobatan untuk mereka telah berevolusi melalui waktu. Seperti yang telah diketahui, penyakit menular yang disebabkan masalah kesehatan yang besar bagi umat manusia selama berabad-abad tak terhitung, tetapi munculnya mikrobiologi dan kemudian penemuan teknik higienis dan antibiotik, pada pertengahan 1800-an sampai pertengahan 1900-an, penurunan frekuensi dan pentingnya penyakit menular . Sebelum periode yang disebutkan, bahkan penyakit yang disebabkan oleh mikroorganisme adalah idiopatik di alam.
Sejak tahun 1930-an, ketika antibiotik pertama kali digunakan secara klinis, teks medis memiliki "menjadi didominasi" oleh deskripsi kondisi yang penyakit benar-benar idiopatik: kanker, neuropati perifer, arteriosklerosis, penyakit arthritis berbagai, penyakit endokrin berbagai, osteoporosis, penyakit Alzheimer, Parkinson penyakit, autisme, ADHD, PTSD, fibromyalgia dan banyak penyakit lebih dari jenis ini. Ini, dan mungkin penyakit idiopatik 2000 tambahan, dikategorikan dalam teks-teks medis, seperti "Prinsip Harrison of Internal Medicine" dan menjadi idiopatik, tidak ada penyebab yang diketahui untuk setiap dari mereka. Jika penyebab penyakit tidak diketahui, perawatan penyakit mengubah, tidak menyembuhkan penyakit, sebagian besar waktu. Sebagai contoh dari situasi ini, biasanya untuk menghilangkan kantung empedu seseorang karena peradangan, tetapi jarang bertanya mengapa ahli bedah kantung empedu dikobarkan di tempat pertama! Pasien dengan MS memiliki tanda peradangan, dan deposito calcific dalam sistem saraf pusat, tetapi ahli saraf jarang berlatih secara serius mencoba untuk menentukan penyebab MS. Pasien yang menderita kanker sering mengalami sakit saraf, tetapi tidak ada yang tahu mengapa mereka memiliki rasa sakit tersebut. Pasien dengan AIDS sering mendapatkan kondisi rematik, neuropati, infeksi dan kanker, tetapi sedikit yang diketahui mengapa mereka semua ada dalam subset dari pasien.
Saya telah menentukan penyebab, salah satu penyebab sistemik yang mendasari, untuk sebagian besar penyakit idiopatik, dan saya telah memberikan deskripsi penemuan saya, di bawah ini. Orang mungkin mengatakan bahwa saya telah menemukan sebuah teori pemersatu penyakit idiopatik, untuk itu akan statistik yang tidak biasa, dan mungkin mustahil, untuk itu menjadi penyebab 2000 untuk 2000, atau lebih, penyakit yang mengisi teks medis dan dengan yang dokter dan peneliti medis menangani, dan bingung dengan, sehari-hari.
I have been a general practice physician, both in the US Navy and in civilian life for nearly thirty years, but over the last six years, the best description of my activities is that I have worked as a theoretical, medical investigator. I was a jet pilot in the US Marine Corps, surprisingly, during my late twenties and early thirties, and then, since I originally had a degree in biology from Whitman College, I re-educated myself, by taking pre-medicine studies at the University of Washington and medical school at the Chicago College of Osteopathic Medicine, into a medical career. I practiced medicine in the Navy as a general medical officer/flight surgeon for five years during active duty and for five years as a reservist. For twenty-three years, thereafter, I was a small-town general practitioner. I always worked mentally in an effort to determine the causes of diseases, since I thought part of my duty as physician was to be a physician-investigator, as well as a being a diagnostician and treating physician.
I practiced in a semi-rural area of southwest Washington for over twenty years. I was a minor entrepreneur in medicine, for I developed three clinics and had three physician assistants helping me, but I personally saw most of the serious disease cases. I had a total enrollment of 7000 patients in my clinics, so I had a great volume of cases. I prided myself, after I had a number of years of experience, in treating all kinds of medical problems, for both males and females, of all ages, and not acting as a conveyor and send patients with meaningful diseases to specialists. Naturally, I referred patients to specialists for major surgery, internal scoping, imaging procedures, and ICU hospitalization since I practiced too far from a hospital to have such a practice. Such an experience in medicine is not common nowadays, since for fifty or more years medicine has been fragmented into artificial procedural, age-defined, organ oriented, system-related, disease related, and politically determined (family practice) specialties.
After seeing patients about twenty-five years I became somewhat introspective and realized that unless a patient had had a sprain, a laceration, or a fracture, or unless they had had an infection, nearly all the rest of the medical problems patients experienced were idiopathic (their causes are not known!). I realized that most treatments for idiopathic conditions had been developed by trial and error methods through the ages and the modern version of those efforts are the “clinical trials” of which you are, no doubt, highly familiar. There were situations wherein treating the above conditions, lacerations, fractures, sprains, and infections, were complicated. Slow healing of lacerations or surgical sites with the formation of incisional hernias, keloid development (large scars) and internal adhesions was common. The non-union or delayed-union of fractures, and sprains that caused chronic pain and swelling for months and sometimes years occurred somewhat frequently. At times, another “idiopathic disease name” was applied to explain patient's chronic pain: reflex sympathetic dystrophy or complex regional pain syndrome. No sure explanation for the cause of these syndromes had ever been given, accurately, in medical texts. Also, some infections are very difficult to treat even with existing antibiotics. There seemed to be something occult going on.
I worked in a logging and millwork area. I practiced in the small town of Toledo, Washington after I was a Navy physician, because the owner, who had had cardiac by-pass surgery wanted to retire and he “sold-out” to me for nothing down. I wanted to be a little isolated from “specialty medicine” because I did not want be, simply, a patient conveyor as I had been in the Navy. Well, I surely was not a conveyor and I was busy from the first day wherein I saw forty-six patients in a 12 hour shift. I worked nearly as steady for 21 years.
During the last five or six years I decided that neurological lumbar and cervical spinal pain was not, most of the time, caused by herniated spinal discs. It was rare that a patient improved, in a reasonable time, after lumbar or cervical spinal surgery! I treated many, many cases through the years. I decided to do an epidemiological, clinical investigation and try to find out the “true cause” for lumbar/buttock pain and neuropathy to the lower extremity and shoulder/neck pain and neuropathy to the upper extremity. Little did I know that I was involving myself in a many year project!
Over a two and one-half year period I attracted nearly 700 miserable, painful patients due to the severe peripheral neuropathy from which they suffered. One might consider them to be the “worst end of the bell-shaped curve”. Many of the patients, probably 40% had had spinal surgery and some patients suffered many, many surgeries. A woman patient had had four cervical surgeries and three lumbar surgeries performed by the same neurosurgeon! She was no better for her experiences. One man had had experienced eight lumbar surgeries and was not any better, either. It was common to have neurological problems in one lower and one upper extremity and at times in all four extremities. It was somewhat common for many members in a given family to have neurologically caused lower or upper back pain! It seemed that there was a systemic, somewhat contagious, occult, disease process going on, but somehow it localized in the nerves of the lumbar/buttock and the shoulder/cervical area.
During my clinical, epidemiological investigation, I used the techniques any physician could use. I did physical examinations and analytic, neurological physical examinations on my patients, but I used them intensely and repeatedly. I did personal and family medical histories intensely and repeatedly, also. I determined that the neurological problems were located deep in the buttock and shoulder, and not in the spine! I realized that pain is just one manifestation of inflammation (dolor, rubor, tumor, calor = from medicine 101), but I did not know what caused the inflammation.
I realized that these severely painful patients had similar dermatological abnormalities, and most had some kind of rheumatological malady. Rheumatoid arthritis, a history of juvenile rheumatoid arthritis, lupus erythematosis, scleraderma, Wegener's granulomatosis, Sjorgen's syndrome, mixed connective tissue disease, ankylosing spondylitis, and psoriasis, were all represented within the group. Naturally, mild rheumatoid arthritis was the most common. I realized that these diseases were all inflammatory and autoimmune in nature.
Many patients had an endocrine condition: hypothyroidism, hypoparathyroidism, Addison's disease, Cushing's syndrome, diabetes, pituitary, testicular and ovarian abnormalities were common. I realized that many of these diseases were also autoimmune in nature.
I did a search of medical literature and found the malady of autoimmune-mediated neuropathy. I realized that my patients had that problem: autoimmune-mediated, vasculitic neuropathy. The findings came from the Mayo Clinic Peripheral Nerve Group and Weill Medical College, which is a part of Cornell University.
Eventually, I learned how the autoimmune-mediated vasculitic neuropathy could be traumatically exacerbated, locally, and caused the somewhat-focused pain deep in the lumbosacral/ buttock area and the shoulder/cervical area. The pathology was not located in the lumbar or cervical spine, as I mentioned above, whereat surgical procedures are focused, but referred pain patterns made the pain radiate into those spinal areas. There are a few herniated discs I suppose, but not many. Surgery for them, however, is quite common! With a touch of sarcasm I will say that some time ago, well-meaning and reputable physicians bled patients for all kinds of problems, too.
As I kept on working on the problem, I attracted more and more patients, and eventually I realized that many patients had had or developed cancer while I was seeing them. Seventy, out of seven hundred, miserable, painful, patients who came to see me due to chronic painful neuropathies, had had or developed cancer. The average age was about 43, or so, and all types of cancers were represented, but of course, the most common kinds such as breast, cervical, skin, and colon were the most common.
Beberapa pasien punya banyak kasus kanker. Seorang wanita yang lahir di Manitoba, yang saya wawancarai di mana ia tinggal di Pulau Vancouver, telah memiliki empat kanker utama dan saya mencatat bahwa dia memiliki karsinoma sel skuamosa di wajahnya selama wawancara pertama saya. Dia menderita kanker serviks, kanker payudara, kanker usus besar, dan kemudian lain kanker payudara, dan kanker sel skuamosa, selama tiga puluh tahun. Tidak ada cara seseorang bisa mengembangkan lima kanker kecuali ada proses penyakit yang mendasari merangsang, patologis somatik, perubahan genetik. Saya belajar bahwa ia menjadi sangat sakit dengan penyakit menular di rumah sakit tempat ia dilahirkan dan tidak diharapkan untuk hidup. Dia "tagged" dengan penyakit autoimun hampir sejak lahir dan dikembangkan lima kanker sekunder pada penyerangan, autoimun peradangan selama hidupnya!
Wanita lain, yang berada di sakit kronis untuk fibromyalgia sebelumnya didiagnosis mengembangkan sarkoma pada fosa anticubital nya (sisi anterior siku) saat aku melihatnya. Seorang perempuan lain telah mengembangkan kanker payudara Paget dan leukemia limfositik kronis, selama periode tiga tahun. Pasien dengan Wegener granulomatosis dikembangkan leukemia dan dia menderita kanker serviks sebelumnya dalam hidupnya. Pria dengan ankylosing spondylitis memiliki karsinoma sel basal besar di hidungnya. Seorang pria yang mengalami nyeri punggung kronis siatik, dan juga radang borok usus besar, yang dikenal sebagai autoimun di alam, mengembangkan kanker usus besar.
Seorang pria yang berusia tujuh puluhan atasnya telah pasien saya selama dua puluh satu tahun. Dia sakit ketika dia masih kecil dan sangat sakit ketika dia di Angkatan Laut AS pada akhir Perang Dunia II. Dia punya CABG berusia lima puluhan ketika itu adalah prosedur baru. Ia mengembangkan sindrom Guillian-Barre 'sebelum saya bertemu dengannya. Dia memiliki aneurisma perut yang telah dimonitor untuk ukuran. Dia telah kembali kali sakit banyak dalam hidupnya. Ia mengembangkan mesothelioma, lesi kanker dengan sumber membran pleura, di paru-paru. Ia mengembangkan penyakit radang paru-suka dan gagal ginjal setelah itu dikembangkan dan meninggal. Ada alasan untuk semua kondisi medis pasien di atas telah memiliki atau dikembangkan: sebuah, yang mendasari inflamasi, penyakit autoimun yang dipicu oleh mikroorganisme-cukup umum tertentu.
A man had had back pain frequently in his life, and he had developed many, many skin cancers on his face, ears, and hands through the years. I did quite a bit of surgery removing them, from time to time, for many years. His wife had ulcerative colitis and severe femoral neuropathy. His son had chronic back pain (sciatica), that is, sacral plexus neuropathy. The man developed an infectious disease and I treated him at home. He was an old-time logger and didn't want to go to the hospital. Eventually he died of congestive heart failure. How could that have happened? Eventually all the puzzles, including the involvement of family members would be solved!
I worked and worked intensely, 12-14 hours a day for two and one-half years trying to “break the code”, so to speak, on this systemic disease process. Eventually I had a patient who moved here from Plano, Texas. She said she had fibromyalgia. She arrived taking Oxycontin 20 mg twice a day and Roxicet for breakthrough pain (Oh, crumb, another chronic pain patient!). Many of my other patients had had the same diagnosis before they came to my office. I never used the term fibromyalgia, because the anatomy and pathology of the disease had never been described accurately and the name reflected a symptom complex, only. On about the forth, monthly visit with the above patient, I realized she had the same dermatological abnormalities that many of my other patients who experienced neurological pain exhibited. I asked her when they appeared. She said they appeared when she contracted a certain infectious disease. I was incredulous. I had never treated that disease in my life! I went into my office and reviewed the disease in my texts, since I had not read about it since medical school. I then asked her what her symptoms and signs had been. Her description was perfect, right out of the text! Further research indicated that the microorganism causing the disease could possibly cause an autoimmune stimulation. Now, after a few years of academic research, I know it can cause autoimmune responses of many types and the various sub-types of the microorganism can probably cause different and specific autoimmune responses. Perhaps that variability is one of the reasons why endocrine and rheumatoid diseases have the clinical and serological variables that they do.
I did serological tests on the above woman and they were highly positive. I did serological tests on one-hundred, or so, other patients (those who could afford it) and a total of seventy were positive. I realized that the “normal” levels published by laboratories were skewed too high, because more people had the infectious disease than knew it and answered incorrectly on medical history forms when their blood was drawn, from which, the normal titers were determined! I interviewed the seven hundred patients as they came into my clinic monthly and many of them knew they had had an infection similar to that which I described when they were young or later in life. Many times their sickness was confused with the worst chicken pox, flu, mononucleosis, viral meningitis or measles that any one ever had had. It tended to be “within families” and I had families in my group of 700 wherein all members had had the infectious/autoimmune disease and the sequela to it. I learned clinically, and then from older medical literature, that the infectious disease and therefore the autoimmune response could be sub-acute or even chronic and last months and years. Even the carrier state, I think, can cause an autoimmune response!
Now, after two and one-half years, I finally I had a good mental grasp of the microorganism and the disease it causes and also the inflammatory, chronic autoimmune disease that followed persistently, that presents itself in a delayed fashion, initially as an autoimmune vasculitis. I learned how it could cause neuropathy, the rheumatoid diseases, cancer, arteriosclerosis, endocrine diseases, gastrointestinal diseases, dermatological diseases, somatic conditions, pulmonary diseases, including asthma and COPD, and many psychological and neurological conditions such as peripheral neuropathies, MS, probably ALS, autism, ADHD, PTSD, and others. Last year I discovered a book, “The Autoimmune Diseases” ( Rose and McKay, Elsevier Academic Press, 2006), and therein many of the “diseases” that I had discovered to be autoimmune in nature were also categorized as such in the text. Many, many facts, which are presented in texts like “Harrison's Principles of Internal Medicine” and the prior text, give support to my theory. I do not think there are any conflicts. In the latter text, “Harrison's”, one has to “go through the specialties” to glean out the relationships, but that is something a generalist in medicine, like I, have done for thirty years.
I have determined that the inflammatory autoimmune disease, stimulated by the microorganism in question, causes many of the physical and physiological changes that are thought to be the aging process. If a person gets cancer early in life, they had the infectious disease and the autoimmune response worse. If they get a myocardial infarction at thirty-eight, they just had the disease worse. Many people in my group of seven hundred had premature grey hair! The average age of the group of 700 patients was about forty-two, as I mentioned.
I sold my clinics two years ago after I was hassled by the State of Washington Department of Health since seven out of 7000 patients died over a three-year period. They died of complications connected with the infectious/autoimmune disease, not from any adverse treatment I had given. I had attracted a very ill patient group and had 7000 patients enrolled in my three clinics so the number was not so high from a statistical analysis. Since I was 65, I decided to sell my clinics and further my research from an academic approach. I learned, from experience, how academically weak bureaucratic physicians are and how they and other bureaucrats can use official connivance, modern rhetoric in the form of press releases and television announcements, and litigious muscle to further their ill-conceived goals.
Thereafter, I traveled to nine countries and visited clinics and hospitals and took medical histories on patients I met and examined them to some degree. I have continued to do academic research on what has become an abiding interest. I have completed a book of 180 pages, or so, and it is now being edited. I will publish it unless I make a connection with a pharmaceutical company or research institution that is interested in having me join them and investigate this disease further. If I do make a connection, I will wait to publish my book until a mutually appropriate time.
The human and other vertebrates have evolved with the microorganism in question, for millions of years. Vertebrate hosts have genetically evolved to counter the microorganism's antigenic aggression with an antibody response, but unfortunately for us and other vertebrates, the immunological response is an autoimmunological response and we humans and other vertebrates develop chronic autoimmune disease. We have learned, genetically, to counter the autoimmune disease reasonably successfully, however, and we, and members of our species, usually reproduce and maintain our populations, and the microorganism does the same. We have developed a semi-symbiotic relationship.
In history, there have been many epidemics and pandemics and I believe that during those times when environmental factors favored the microorganism, the infections caused acute and highly chronic inflammatory autoimmune disease (there are many autoantigens within the microorganism's structure) that led to the development of some of those pandemics. The Athenian Plague, 430 BC, the Black Plague of the 1300's and the Influenza of 1918 are examples, I believe. All the above great pandemics took place concomitantly with large military operations, the Peloponnesian War, The Thirty Years War, and of course WW I. The Thirty Years War took place at the time of the “mini-ice age in Europe” and the coolness and poor food supply probably was another adverse factor. There is very little sure knowledge concerning the identification of the pathogens that caused the above pandemics. Influenza, means “from the heavens” in Italian, for instance, and it has only of late become to be known as a disease caused by a virus, but again, that is not a sure thing in many cases, historically, since the electron microscope, which is needed to see viruses, was not invented until 1938.
I hypothesize that the microorganism of which I am speaking is the cause of those great medical disasters. The recent increase of fibromyalgia, autism, ADHD, PTSD, TB, MRSA, AIDs, MS, diabetes and cancer etc. are indicators that the autoimmune disease in question is “gaining ground” on the ability of humans to immunologically protect themselves in this temporal cycle. It is a good possibility! The microorganism is ubiquitous to all vertebrate society, so it is a bilateral zooinosis, so to speak, and there is a constant reservoir of organisms in vertebrate life around the world.
Various environmental conditions make the often-subtle infections more common. Living in economically poor societies, existing in crowded conditions, living in more soiled environments, and existing in cooler, damper environments all cause the disease to be more common. Within the military environment, especially overseas, two of the three factors, mentioned above, are prominent: living in crowded environments and living in economically poor societies. I am quite sure that the Vietnam Syndrome and the Iraq War Syndrome are manifestations of the underlying infectious and autoimmune disease of which I am writing.
It is common for those with the rheumatoid diseases, cancer and arteriosclerosis (and aneurysms) to have neuropathies. It is common for patients with AIDS to have neuropathies, rheumatoid diseases, cancer, psychological abnormalities including homosexuality, and other infections, as you know. Typical texts like “Harrison's Principles of Internal Medicine” mentions the associated problems, mentioned above, in AIDS patients, but also that they have rheumatological disease paradoxically! The rheumatoid diseases are known to be paraneoplastic, especially, dermatomyositis and Wegener's granulomatosis, but in my patients through the years, all patients that developed cancer had, at least, mild rheumatoid arthritis. Guillain-Barre' syndrome is a paraneoplastic disease also, and it is basically a wide-spread neuropathy, something like acute MS, which it surely is. Those diseases are thought to be paraneoplastic, because the underlying inflammatory, autoimmune disease causes the syndrome in question, but also the cancer that somewhat frequently appears with them.
The organism in question is endemic in society. It is ubiquitous in nature and I found information in Russian literature that all domestic animals have infections by and are carriers of this organism at various times in their lives. I believe all vertebrates, in general, suffer infections from and are carriers of, the microorganism in question, many times in their lives, also.
A prime concept is: from the first infection by the microorganism in question that a person has in their life, they develop the inflammatory autoimmune disease at some level. Additional infections cause an increase in the subtle, or not so subtle, autoimmune response! I think the genetics of the microorganism is varied enough to enable the organism “morph” with certain micro-environments so as to be able to exist in different micro-anatomical niches. The previous idea is a hypothesis, but it would be easy for a microbiologist to check.
As a side-note I will mention that I met a woman who lived on Vancouver Island, British Columbia. She developed cervical cancer during her late twenties and had the surgical treatment appropriate for that condition. Then, thereafter, she had breast cancer in her mid-forties. She had bilateral mastectomies and reconstructive surgery. While talking with her I learned that her father had been a Canadian Forces dentist. There is no place more likely to contract microbial disease, than working on people's teeth, daily! Her son had Asperger's syndrome, an autistic spectrum mental condition. Her father died of congestive heart failure caused by idiopathic cardiomyopathy, and a sister had neurofibromatosis, all caused, I believe, by this underlying autoimmune disease that is itself caused by the microorganism in question. The former condition, cardiomyopathy, is considered in the text, “The Autoimmune Diseases”, previously cited, to be of an autoimmune nature. The latter disease, neurofibromatosis (Von Recklinghausens's syndrome), is a disease with which I had only one patient, but I have connections to three others, and I think this underlying, inflammatory, autoimmune disease is connected to its pathogenesis.
I had a good friend, and about ten years ago he developed ALS and died. His mother died from MS. His wife had lumbar surgery for an alleged herniated disc that was not cured by surgery. The reality is that she had sacral plexus neuritis from the same underlying, chronic, inflammatory, autoimmune disease her husband had. My friend had certain mental characteristics connected to the autoimmune disease and, of course, he eventually presented with neurological symptoms consistent with ALS. His son had chronic seizures. These neurological syndromes, within families, again, are similar to those I noted, through the years, in my practice of medicine in Washington State.
Washington State, by the way, has, I believe, has the eighth highest attack rate for cancer considering all the states in the USA. It is well-known that the MS attack rate is high in northern tier countries and I know it is because infections by the microorganism in question are more common in cooler, more-damp locales. MS is common in my practice area. There is a semi-rural road just north of Toledo, Wa., a town with only 690 inhabitants, and three people who live thereon have MS and they are living within a half-mile of each other. Two other people who developed MS grew up close by! There has to be a logical reason! The reason is, no doubt, that they all went to the same schools and the microorganism in question was spread amongst the children as they attended school!
I mentioned infectious diseases like AIDS, MRSA and TB, because they are not usually highly contagious, but with a relatively high-grade inflammatory, autoimmune disease the protective immune system is degraded, over time, permitting these relatively mild pathogens to become more invasive and pathological. There are other bacterial, viral, parasitic and fungal pathogens, which can cause infections in those who are immunologically depressed. For instance, perhaps malaria, leprosy, sleeping sickness and many viral diseases are members of the same subset. In areas such as Sub-Sahara Africa, a locale in which the population experiences the subject infectious disease and autoimmune response at a high frequency, it is likely that the population, as a whole, probably has a severe impairment with their immune response so that they easily contract the diseases, mentioned.
Also, even though those with AIDS have immune deficiency due to the pathological action of the AIDS virus itself, the patients probably had immunological deficiency from the autoimmune disease in question and it permitted the AIDS virus to invade initially. It may be that some subspecies of Staphylococcus aureus are highly resistant to antibiotics, including methacillin, since it has had the opportunity to evolve genes contributing to antibiotic resistance in those humans, who have had immune system degradation previously by the autoimmune disease in question. This is another hypothesis within my theory, but I have reasons for it, since many of my patients developed unusual, aggressive infections especially if they had the autoimmune disease seriously.
Another area of medicine and human behavior I have touched on, above, is the common development of psychological disease states and these are usually described as autism, ADHD, PTSD, schizophrenia, depression, manic-depressive illness, chronic anxiety, explosive personality, the driven, Type A personality, Alzheimer's disease, and Parkinson's disease (the last two are probable). Other, more subtle psychological and personality abnormalities are also caused by this underlying autoimmune disease process, such as learning deficits. In addition, chronic fatigue syndrome and perhaps anorexia nervosa are caused by this disease process. All the above conditions exist as central nervous system neuropathies, that is, central nervous manifestations of a systemic autoimmune, inflammatory disease process. The inflammatory autoimmune disease disturbs the blood-brain barrier enabling autoimmune factors and other serum factors to enter the brain tissues and cause neurological tissue damage. The time in life, the severity, the chronicity, the subtypes of microorganism, the frequency of the infection, all which affect the autoimmune response, and the ability of a given person immune system to combat the infectious disease and autoimmune response, causes the variation in clinical psychological manifestations noted in the above conditions.
To understand the systemic autoimmune inflammatory disease process, one has to mentally exit from the a priori thought picture, that we, physicians, medical scientists and lay-persons, have been conditioned to think about disease development. For sixty years, at least, we have been educated to think according to the “specialist divisions of medicine”. The human body is not naturally segregated, conveniently, into systems except as a tool to understand anatomy in medical training as one is learning that subject. One must think as the body reacts: in a systemic fashion. A person must realize that there is an infectious disease, which can be acute and important or so mild and chronic that the patient may feel normal, but both cause an inflammatory, autoimmune attack, usually subtle, but which can be acute and severe. Even the carrier state stimulates an immune and therefore an autoimmune response. One has to realize that the autoimmune attack ebbs and flows over time within the individual depending on the microbial environment in which one lives and depending on the individual immune response to the infectious process and the autoimmune process.
One has to realize that each tissue and therefore organ will respond to the pathological, inflammatory, autoimmune attack differently. The heart develops arteriosclerosis, cardiac arrhythmias, cardiomyopathy and pericarditis; the skin develops rosacea, erythroderma, spider nevi, nevi, seborrheic keratosis (age marks) and dermatitis and graying of the hair. The gastrointestinal system organs develop esophagitis, ulcers, polyps, diverticula, primary sclerosing cholangitis, ulcerative colitis, Crohn's disease, autoimmune hepatitis , cholecystitis, and pancreatitis. The brain develops functional abnormalities such as autism, ADHD, PTSD, schizophrenia, disassociative phenomenon, manic-depression, depression, learning deficits, personality disorders, Alzheimer's disease and Parkinson's disease. Many humans are in jails and prisons because of the behavioral abnormalities they develop from autoimmune cerebritis. Patients can develop learning deficits and one of the losses can be moral learning. The subtle mental change that takes place during puberty can be altered and some individuals experience a decreased transition to the heterosexual orientation and stay non-differentiated in that respect, but they develop normal somatic secondary sexual characteristics, thus the homosexual individual is developed. A combination of the explosive personality, deviant sexual orientation, and immoral thinking patterns produce, I think, the criminal personality. We are conditioned to think that people are just bad, but I think they suffer from an organic, inflammatory, autoimmune cerebritis, which causes their abnormal behavioral tendencies.
The brain malfunctions in various ways depending on the pattern of infectious disease and therefore the autoimmune response, and how the autoimmune attack has developed. Most children with autism are treated by pediatricians or pediatric neurologists. Patients who have Parkinson's disease are seen by neurologists, internists, or psychiatrists, so the similarities are not noticed in the current specialty, clinical arrangement. If you think about it, a child with high-grade autism acts like a miniature individual with high-grade Parkinson's disease. I have had both types of patients in my clinic and I was surprised how familiar they were. The child with autism had developmental hemophilia due to the autoimmune disease in question also. The child's mother had lupus erythematosis and fibromyalgia with sciatic neuritis and brachial plexus neuritis, all of an autoimmune cause. The child's mother was, no doubt, the “microbial carrier” that led to her child developing autoimmune disease manifested by severe autism (autoimmune cerebritis) at about thee years old.
The vascular tree develops arteriosclerosis, aneurysms, phlebitis, thrombophlebitis, thromboembolism and lymphedema. The autoimmune attack on the gonads disturbs meiosis and causes genetic changes that lead to genetic birth defects. A similar inflammatory autoimmune attack on somatic cells causes somatic genetic aberrations, which can lead to clinical cancer development. Autoantibodies can pass through the placenta and cause a great variety of developmental birth defects. One has to realize that phenomenon that appear in complex systems appear in a somewhat random fashion!
Those with autoimmune inflammatory disease experience difficulty healing. The slow- union or non-union of fractures, the slow healing of surgical sites with the development of keloids, incisional hernias, and adhesions are common in such a group. At times women, if they experience a high-grade autoimmune condition, can pass autoantibodies through the placenta and cause difficulty in embryological tissue-plane-merging and so cleft palate and spina bifida, among other developmental birth defects, can develop. This infectious disease and the autoimmunological response is much more common in “third world countries” such as Vietnam, and of course there are many missions to that country to repair cleft palate and developmental abnormalities to the heart, for instance.
Patients and clinicians notice abnormalities in the organs of special senses most commonly. The eyes develop cataracts, presbyopia, macular degeneration, glaucoma, retinal detachment, iritis, uveitis, penguecula development, diplopia, scleritis and choroiditis, etc. The hearing sense develops tinnitis, and decreased function. The vestibular nerve can malfunction and the individual may develop vertigo. The facial nerve abnormalities lead to Bell's palsey. Autoimmune trigeminal neuritis causes migraine headaches. Rheumatoid tempo-mandibular arthritis causes TMJ headaches and it is not unusual for both types of headaches to exist concomitantly since they are both caused by the same underlying autoimmune vasculitic condition.
Most people have heard about the risk factors of coronary artery disease: a positive family history of CAD, type A personality, high cholesterol, diabetes, hypertension, transverse ear lobe folds (an idea of about 15 years ago), and I will ad my own: neurological back pain: sciatica. The same risk factors fit for those with arteriolar aneurysms and peripheral vascular disease. The reality is that all the markers or risk factors are simply concomitant phenomena caused by the inflammatory, autoimmune disease about which I am writing. The positive family history is not due to genetics, it is because individuals within families are more likely to contract the infection in question, and therefore develop the autoimmune disease, more frequently.
Saya telah berkunjung ke Vietnam, Taiwan, dan Meksiko baru-baru ini untuk waktu yang lama dan saya tahu penyakit infeksi yang mendasari dan respon autoimun lebih berat dan endemik pada mereka Lokal lebih ekonomis belum berkembang daripada di sini, di Amerika, dan di Eropa Barat. Mikroorganisme ini telah dibawa ke sini, termasuk berbagai strain yang lebih patologis, dan impor tersebut telah menyebabkan peningkatan kesamaan dan beratnya proses penyakit autoimun, yaitu sistemik di alam, dan karena itu kondisi di atas lebih banyak terjadi daripada, membiarkan kita katakan, 30 tahun lalu. Ada pengaruh lainnya yang menyebabkan infeksi dan respon autoimun menjadi lebih umum, juga.
Menjadi seorang dokter umum, dan pernah bekerja di Angkatan Laut AS di Amerika Serikat dan luar negeri, atau di kota kecil klinik semua kehidupan profesional saya, jadi saya belum dipublikasikan dalam jurnal akademik. Aku, bagaimanapun berbicara pada Konferensi Dunia Kedua tentang Immune-Mediated Penyakit di Moskow, September lalu. Saya menjadi pembicara pengganti, karena aku mengambil tempat seorang ilmuwan Rusia yang telah mengalami serangan jantung, pada sore hari salah satu hari terakhir. Saya pikir sebagian besar "pendengar" yang alergi pediatrik Rusia, karena mereka disponsori pertemuan. Sebagian besar "akademisi" internasional telah meninggalkan sejak mereka ada di sana, pada dasarnya, untuk memberikan ceramah mereka sendiri. Saya tidak yakin jika banyak orang Rusia mengerti "Bahasa Inggris cepat" saya sejak saya hanya memiliki dua puluh lima menit untuk berbicara. Karena ini adalah proses penyakit sistemik, secara alami kompleks. Untuk alasan itu saya telah menulis buku sehingga saya dapat menjelaskan lebih banyak tentang mekanisme produksi penyakit pada berbagai jaringan dan organ dan bagaimana, yang mendasari sistemik, penyakit autoimun peradangan memainkan peran kunci.
Sebagian besar penelitian medis dan ilmiah, saat ini, dilakukan melalui sarana mikroskopis atau submicroscopic. Artikel pada 2000, atau lebih, jurnal medis dicetak di dunia bisa membuktikan fakta itu. Temuan penelitian yang paling tidak benar-benar mempengaruhi kemajuan praktis ilmu kedokteran dimana pengobatan penyakit ditingkatkan. Penelitian saya adalah dari alam, makroskopik klinis dan epidemiologis. Saya menggunakan induksi untuk alasan keluar dan melihat hubungan antara pengamatan biologis dan klinis saya telah membuat menjadi dokter. Saya telah melihat 230.000 pasien dan antarmuka yang terdiri dari sejumlah besar pengamatan. Aku punya pengaturan yang besar, menjadi seorang pemilik klinik independen, di daerah miskin, selama hampir seperempat abad. Orang miskin adalah orang-orang sakit, secara umum, dan menjadi dokter umum, dan mengobati semua penyakit, saya "sempat" untuk menempatkan puzzle bersama.
Keuntungan lain yang saya miliki, mungkin, adalah bahwa saya seorang mantan Marinir AS petugas. Saya adalah seorang Phantom II percontohan dengan 146 misi tempur di Perang Vietnam. Sementara terbang jet kinerja tinggi, saya harus belajar untuk mengintegrasikan sejumlah besar faktor, secara bersamaan, dan mungkin saya menjadi sesuatu dari analis sistem, di 500kts dengan orang menembak aku! Marinir punya pepatah, "yang sulit kita lakukan segera, dan mungkin hanya memerlukan waktu sedikit lebih lama." Humoris, itu, tapi Tarawa, Iwo Jima, dan tempat-tempat jahat lainnya ditangani dengan berhasil melalui ketekunan lebih dari intelijen. Penyelidikan saya mengambil sejumlah besar ketekunan, pengetahuan yang berpengalaman entitas penyakit, yang terletak di salah satu klinik untuk waktu yang lama, dan aku melihat, secara medis, pria dan wanita dari segala usia dan untuk semua penyakit. Saya memiliki ketekunan dan rasa kewajiban kepada pasien saya untuk bekerja 12-14 jam sehari selama dua setengah tahun dan akhirnya saya "tahu" teka-teki, teka-teki!
Langkah berikutnya dalam memberikan jaminan yang tepat bahwa teori saya benar, adalah bahwa saya perlu menghubungkan dengan kelompok investigasi yang memiliki koneksi ke sistem rumah sakit / klinik besar dan mengkoordinasikan serologi dan tes penanda inflamasi dari kohort pasien. Pasien dengan: kanker payudara, kanker usus, kanker otak, leukemia, diabetes, sindrom Cushing, penyakit Addison, penyakit ovarium polikistik, penyakit Parkinson, penyakit Alzheimer, arteriosklerosis, stroke, hipotiroidisme, kolitis ulseratif, sakit kronis dari fibromyalgia dan neuropati, esofagitis, borok, AIDS, TB, MRSA, penyakit rematik, penyakit Crohn, radang lambung, dll
Mungkin lima puluh dari setiap jenis pasien dapat terdaftar dalam penelitian serologis. Phlebotomies dapat diorganisir melalui rumah sakit dan klinik melalui perjanjian kontrak dan setiap pasien atau pengasuh bisa menandatangani surat izin untuk ujian. Pengujian tersebut cukup sederhana untuk mengatur, saya pikir. Jika hasil serologi positif, seperti mereka di klinik saya sendiri, yaitu, jika sesuatu seperti 60% pasien memiliki serologi tinggi, teori ini terbukti. Tingkat antibodi drop, dari waktu ke waktu, jika pasien tidak memiliki infeksi pada periode intervensi, tetapi sistem kekebalan tubuh masih beroperasi dengan cara patologis, bahkan jika antibodi, yang juga autoantibodi, berada pada tingkat yang lebih rendah. Pasien masih imunologis prima untuk merespon secara agresif terhadap infeksi berulang di masa depan. Inilah yang menyebabkan eksaserbasi rheumatoid arthritis, misalnya, dan mengapa nyeri punggung memperburuk: karena penyakit autoimun membaik, sampai tingkat tertentu, jika seseorang tidak memiliki infeksi, oleh organisme yang bersangkutan, untuk jangka waktu tertentu, dan kemudian jika infeksi baru terjadi penyakit autoimun peradangan akan menjadi lebih buruk.
Seseorang dapat memilih untuk melakukan pengujian lebih lanjut pada sejumlah yang lebih besar dan pada kohort yang lebih bervariasi dari pasien, di samping itu, untuk membuat perusahaan bukti lebih. Setelah teori ini terbukti, penelitian ini dapat mulai dalam upaya untuk membuat autoantigen, autoantibody dan target-jaringan agen blocking. Yang pertama dan terakhir mungkin serupa. Sekelompok obat dari Pharmacopeia yang ada dapat dikembangkan untuk menghambat respon autoimun. Aku punya banyak, banyak pasien pada pilihan obat yang membantu tanpa pertanyaan. Vaksin dapat dikembangkan!
Banyak orang mati sejak awal kehidupan dari kanker, penyakit jantung, dan pembentukan aneurisma, karena mereka, kurang lebih, usia dini. Organ-organ individu yang mengembangkan kelainan klinis dari penyakit, yang mendasari inflamasi, autoimun menunjukkan mereka dengan beberapa keacakan, yang akan menjadi alami dalam suatu sistem yang kompleks. Hal ini sangat umum, namun, bagi seseorang untuk memiliki sakit punggung rendah, kepribadian peledak atau driven (Tipe A), beberapa arthritis di lutut, dan mengalami prosedur bedah arthroscopic. Lalu kemudian, arthritis di tangan mungkin muncul dan kemudian usia tanda (keratosis seboroik) berkembang. Individu mungkin punya Nevi dan perlu menonton untuk melanoma ganas. Setelah beberapa tahun mereka memiliki infark miokard atau angina dan memiliki stent emplaced. Mungkin nanti, mereka mengembangkan fibrilasi atrium, dan kemudian sepuluh tahun kemudian mereka mendapatkan kanker. Penampilan temporal penyakit yang disebutkan di atas, yang benar-benar target-organ manifestasi penyakit autoimun yang mendasari, dan berada dalam urutan saya catat dalam anggota keluarga di daerah saya, antara lain. Salah satu fenomena yang terjadi, bahwa kita hanya menerima begitu saja, adalah bahwa seiring dengan bertambahnya usia kita mendapatkan wajah kemerahan dan beruban rambut. Keduanya adalah manifestasi dari penyakit, halus autoimun, inflamasi yang kita semua miliki! Fisik perubahan universal yang semua pengalaman manusia, biasanya disebut penuaan, adalah, pasti, untuk sebagian besar, manifestasi fisik dari proses infeksi / autoimun yang mendasari, inflamasi.
Seperti semua break-through dalam ilmu, saya adalah penerima jutaan bit pengetahuan dari mentor saya selama bertahun-tahun dan kemudian dari pengalaman saya sendiri klinis. Semua bit dari pengetahuan "berlalu-on" (saya terdengar seperti Bill Gates = bit pengetahuan) dan pengamatan medis pribadi menyebabkan generalisasi. Seperti banyak wawasan baru itu mudah sekali dipahami, seperti: E = MC persegi Bahkan visualisasi dari penyakit mental, agak mirip dengan pengalaman heuristik Einstein yang menyebabkan teori relativitas khusus.
Einstein menulis, makin sederhana sebuah teori, dan pengamatan lebih itu menjelaskan, semakin besar kemungkinan untuk menjadi benar (paraphrased). Teori saya adalah sederhana dan menjelaskan sebagian besar pengamatan membingungkan saya telah di kedokteran selama lebih dari tiga puluh tahun, dan pengujian serologi dan pengambilan sejarah medis membuktikan itu benar.
James W. Goding, MD, Ph.D., Universitas Monash, Australia, menulis dalam epilog "The Penyakit autoimmune", "Akankah autoantigen Estat Silahkan Stand Up!" Dia merujuk pada konsep bahwa ada mungkin salah satu autoantigen atau kelompok antigen dari satu sumber yang menyebabkan penyakit autoimun yang tercantum dalam teks panjang. Aku telah menemukan itu, saya sangat yakin.
Saya tahu bahwa banyak akan berpikir bahwa saya, menjadi enam puluh delapan tahun osteopathic, dokter umum, mungkin salah satu dari para profesional medis yang paling mungkin untuk mengembangkan wawasan yang besar dalam kedokteran! Aku, bagaimanapun, yang secara independen melihat pasien dari kedua jenis kelamin, dari segala usia, untuk semua penyakit, di satu komunitas, untuk jangka panjang, situasi yang tidak biasa dalam kedokteran saat ini dalam periode prosedural kedokteran, khusus yang didominasi. Dalam pengaturan saya, saya sendiri memiliki tanggung jawab untuk menentukan apa yang secara medis menyebabkan proses penyakit dalam pasien saya. Saya adalah seorang dokter yang independen dan bekerja di daerah ekonomi miskin. Saya memiliki kemerdekaan berpikir, untuk menentukan apa yang saya telah berhasil.
Juga, kita harus menyadari bahwa John Snow, seorang dokter umum di London, melakukan studi epidemiologi dan menetapkan bahwa kolera tersebar oleh pasokan air sebelum teori mikrobiologi telah berkembang dengan baik. Selain itu, orang harus ingat bahwa Louis Pasteur dan Claude Bernard tidak terhubung ke sebuah lembaga penelitian. Orang bisa menganggap bahwa Walter Reed dan rekan nya dokter, Dr.Jesse Lazear dan Dr James Carroll, dan bahkan Dr Carlos Findlay, dokter Kuba yang maju teori bahwa nyamuk menular demam kuning dua puluh tahun sebelum proyek penelitian Dr Reed, yang bersama-sama membuktikan bahwa Demam Kuning itu menyebar melalui nyamuk, hanyalah dokter praktek umum. Untuk Sejujurnya, pembagian obat ke dalam spesialisasi telah merugikan penemuan proses penyakit karena spesialis, dengan konsep dan pelatihan, mengembangkan pandangan terbatas dari ilmu kedokteran dan waktu t tidak pernah melihat pasien yang sakit. Karena ini penyakit autoimun menyajikan terutama sebagai vaskulitis, dan karena tidak ada vasculogists (kata baru), tak seorang pun akan menentukan bahwa orang memiliki meluas, inflamasi, autoimun, penyakit vaskulitis!
Untuk memberikan ide yang lebih baik tentang bagaimana sederhananya adalah, lihat saja di "Prinsip Harrison of Internal Medicine, Edisi 16", dalam bagian yang membahas rheumatoid arthritis. Informasi yang diberikan menunjukkan bahwa tidak ada penyebab yang diketahui untuk rheumatoid arthritis (RA), dan bahwa itu adalah penyakit, sistemik autoimun yang memiliki radang sendi, neuropati, dan vaskulitis, dan bahwa hal itu dapat menyebabkan infark organ, bahkan infark miokard. Edisi sebelumnya (edisi 13, misalnya) juga menunjukkan bahwa penyakit demam dapat menyebabkan eksaserbasi RA. Sejak infark miokard yang disebabkan oleh arteriosklerosis, sebagai proses penyakit umum, manifestasi klinis lain adalah penyakit pembuluh darah perifer, stroke, aneurisma arteri dan kelainan vena seperti trombosis vena. Aku hanya harus belajar apa yang menyebabkan penyakit demam yang memicu eksaserbasi RA, dan menempatkan puzzle bersama. Setelah itu, saya hanya harus menambahkan pada kenyataan bahwa kebanyakan orang yang mengembangkan kanker memiliki, setidaknya, salah satu penyakit rheumatological, untuk rheumatoid arthritis misalnya, setidaknya kehalusan, dan tidak ada keraguan bahwa penyakit arthritis dan kanker disebabkan oleh proses penyakit yang sama yang mendasari autoimun.
Bahkan Galen, dokter Yunani terkenal, ilmuwan dan filsuf, pada 200 AD, diciptakan kata "rematik" karena rheum kata-root berarti dahak. Dia tahu bahwa pernapasan infeksi yang sering disebabkan dahak (batuk berdahak) dan coryza (lendir dari hidung), menyebabkan suatu kondisi, sengsara kronis pada pasien-pasiennya. Dia disebut itu "rheumatismos" atau dalam bahasa Inggris, "rematik". Ya, arteriosklerosis, kanker, penyakit endokrin, penyakit arthritis, neuropati perifer dan pusat dan kondisi banyak lagi adalah bagian dari konsep rematik. Mereka semua organ akhir manifestasi dari penyakit, sistemik autoimun, inflamasi rematik!
Filologi, ilmu bahasa, telah, lebih dari ratusan tahun, dimasukkan sejumlah besar kebijaksanaan dalam dirinya sendiri. Dalam Kamus New Century Twentieth yang Webster, 1976, menyebutkan di bawah rematik kata: "salah satu dari kondisi menyakitkan berbagai sendi dan otot; utama y, penyakit yang diyakini disebabkan oleh mikroorganisme dan ditandai dengan peradangan dan nyeri pada sendi . "
The "kacang" dari teori saya telah dikenal selama ribuan tahun, tapi sekarang dengan menambahkan, pengetahuan yang lebih baru dari bakteriologi, imunologi, dan konsep autoimun, dan dengan berpikir secara sistemik, seperti aku melihat pasien-pasien saya, terutama selama, klinis epidemiologis penyelidikan yang telah saya sebutkan, sifat dari proses penyakit membiarkan dirinya diketahui.
Saya telah menyajikan kasus ini untuk penyakit yang sangat umum, karena disebabkan oleh mikroorganisme di mana-mana untuk masyarakat vertebrata, dan, inflamasi autoimun mempengaruhi begitu universal, bahwa kita semua memilikinya. Kau, aku, anak-anak saya, mantan istri, tetangga saya (saya tahu keluarga: Ayah memiliki Charcot-Marie-Toothe syndrome (lengkungan tinggi dan neuropati pada kaki), stent jantung dan kemudian CABG dan antara keduanya adalah di rumah sakit selama 8 hari untuk "pneumonia dengan komplikasi", yang benar-benar episode penyakit dari organisme yang bersangkutan. Kedua anak-anaknya memiliki penyakit ini cukup bermakna karena mereka memiliki rasa sakit kronis dan neuropati perifer Kita semua manusia di dunia memiliki. penyakit, karena organisme ini begitu di mana-mana Beberapa orang dan keluarga miliki. lebih buruk, secara alami. Individu-individu dan keluarga sering tidak berfungsi dengan baik dalam kehidupan.
Karena saya telah menyelesaikan satu buku sekitar 200 halaman mengenai proses penyakit saya alami bisa menulis dan terus. Saya tidak akan, bagaimanapun, tapi saya akan mengatakan ini: Selama lima belas tahun terakhir telah terjadi peningkatan besar dalam jumlah kanker, fibromyalgia, sakit kronis, dan pasien autis dan munculnya banyak infeksi seperti TBC, syphlis, MRSA , dll, dalam adegan Amerika, yang paling saya kenal. Ada juga manifestasi khusus dari penyakit, psikologis dan fisik, pada pria militer yang kembali dari tugas luar negeri, terutama dari Vietnam dan Timur Tengah. Alasan ini benar, saya percaya, adalah bahwa patogen yang menyebabkan penyakit lebih sering terjadi pada masyarakat miskin dan kami, dengan kegiatan perang kita, membuat penyakit ini lebih nyata pada warga sipil di zona perang dan dalam pasukan kami sendiri. Selain itu, infeksi oleh mikroorganisme dan oleh karena respon autoimun telah menjadi lebih bermakna dalam masyarakat Amerika karena imigrasi dari sepuluh juta orang dari Meksiko dan Asia Tenggara. Sering perjalanan udara internasional telah memperkenalkan mikroorganisme, atau strain lebih patologis mikroorganisme, ke negara kita juga.
Mudah-mudahan, Anda telah menemukan surat ini sedikit menghibur dan menarik. Saya pikir saya benar tentang prinsip-prinsip teori saya. Saya telah mewawancarai, secara medis, lebih dari 230.000 pasien selama periode 30 tahun praktek. Saya adalah seorang dokter dalam kedokteran, dengan minat luas dan tanggung jawab untuk merawat pasien saya dengan semua masalah medis. Saya berlatih di daerah yang secara ekonomi miskin, dengan cukup beberapa imigran Meksiko, sehingga penanda penyakit tampak lebih terang-terangan daripada di masyarakat yang lebih makmur. Saya telah membuktikan teori saya melalui pengujian serologis. Saya menghabiskan sembilan bulan mengunjungi sembilan negara untuk menentukan bahwa proses penyakit adalah seluruh dunia. Saya menyajikan generalisasi baru dalam pengobatan, teori pemersatu sebagian besar atau banyak dari entitas penyakit idiopatik yang telah mengisi buku kedokteran selama beberapa dekade. Teori membimbing, dan prinsip-prinsip patologis dan imunologis yang mendukungnya, akan memungkinkan para ilmuwan medis untuk "fokus" pada penyebab penyakit (benar-benar target-organ manifestasi dari suatu penyakit autoimun yang mendasari) dan bukan hanya mencoba molekul ini atau itu acak melalui uji klinis, untuk melihat apakah ia bekerja pada penyakit ini atau itu.
Saya memiliki kesulitan menyampaikan informasi saya untuk sebuah organisasi penelitian karena saya semi-pensiun, enam puluh delapan, seorang dokter umum osteopathic, dan tidak seorang dokter allopathic, karena saya belum pernah bekerja di sebuah organisasi riset dan saya belum punya penelitian yang dipublikasikan . Sungguh, saya telah menemukan bahwa sebagian besar individu, yang berada dalam organisasi investigasi, biasanya nyaman berhubungan dengan profesional mirip dengan diri mereka sendiri dan tidak terang-terangan terbuka untuk ide-ide baru dari seseorang tidak sedang dalam industri penelitian terstruktur. Tentu, saya bisa mengerti keengganan tersebut. Kenyataannya adalah, bagaimanapun, jutaan peneliti di seluruh dunia biasanya bekerja dengan seperangkat mental sama, menggunakan teknik yang mirip dan pendekatan intelektual, dan hasil penelitian daun hal yang diinginkan karena tidak ada "besar" terobosan merinci menyebabkan suatu penyakit utama dalam beberapa dekade!
Saya tertarik pada bekerja sama dengan sebuah organisasi riset yang dapat membantu lebih membuktikan teori saya dan mengembangkan obat-obatan diperlukan untuk mengontrol proses penyakit. Saya berpikir bahwa obat-obatan pasti akan menjadi yang paling bermanfaat untuk anggota masyarakat manusia, dan karena itu yang paling menguntungkan, dalam sejarah pengobatan medis!
Saya telah menjadi praktisi solo di sebuah kota kecil sebagian besar karir medis saya dan tidak terkait dengan dokter lain banyak. Aku punya, bagaimanapun, seorang teman profesional dan pribadi tua, Albert Markus, yang saya kenal sejak saya masih 16, karena saya bekerja untuk dia ketika dia adalah seorang apoteker aktif. Teleponnya adalah 1-425-454-0300. E-mailnya adalah: AMMark914@gmail.com . Anda bebas untuk berbicara tentang saya, latar belakang saya, dan etika saya. Selain itu, saya masih berkomunikasi dengan profesor anatomi saya dari sekolah kedokteran, Jack Julyan, PhD. Nya e-mail ini carol@julyan.org~~V . Dia mengenal saya dengan cukup baik dan dia adalah seorang guru besar.
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Terima kasih untuk membaca surat ini. Jika Anda memiliki minat, silahkan hubungi saya di: ecnal-c@hotmail.com , atau 360-864-4371. Alamat saya adalah PMB 227, 120 Negara Ave. NE, Olympia, Wa, 98501.
Hormat Sesungguhnya
Lance W. Christiansen, DO
Salam,
Lance Christiansen, DO.
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