http://thefeministbreeder.typepad.com/the_feminist_breeder/2009/05/a-cesarean-consent-form-for-the-ob-to-sign.html

I am so pissed off at the lack of patient choice and the asinine mentality of doctors here. I am very, very frustrated. So, I thought I would vent some of that frustration by doing something semi-constructive. To that end, I wrote my own consent form. After all, if the doctor wants me to sign theirs, they should sign mine first.

Here 'tis.

I, the undersigned physician, have, in violation of the Consumer Bill of Rights and Responsibilities, the Emergency Medical Treatment and Active Labor Act, the Patient Self Determination Act, the ethical guidelines of the American Medical Association and the American College of Obstetricians and Gynecologists, Constitutional Law (the right to privacy and self determination protected by the 1st and 14th amendments), international tort law, and case law (of particular interest "In re A.C.", 1987, "In re Fetus Brown, 689 N.E.2d 397, 400 (Ill. App. Ct. 1997)", and "In re Baby Boy Doe, 632 N.E.2d 326 (Ill. App. Ct. 1994)") and the Patient Rights as determined by this institution, deprived my client,________________, of her right to self determination and her right to bodily integrity by ignoring her repeated refusal for delivery by repeat cesarean section. I acknowledge that by refusing to honor my client's denial of consent, I have not only violated the above laws, but I also affirm that I have used unwarranted and unethical pressure including emotional threats to my client's and her unborn child's life and safety, in my attempts to obtain such consent. I further affirm that I have stressed the risks of vaginal birth after cesarean, but neglected to inform my patient of the risks of delivery by repeat cesarean section. I further affirm that I understand, that should I resort to physical force, including but not limited to physical or chemical restraints to compel my client's cooperation, I will be guilty of criminal battery, which is defined as "any form of non-consensual touching or treatment that occurs in a medical setting".

In compensation for the above violations of my client's rights, I hereby guarantee the following:

a healthy baby, born in perfect condition, with no physical, mental or developmental defecits whatsoever, whether arising from surgery or any other cause

no complications for the infant, including but not limited to: persistent pulmonary hypertension, transient tachypnea of the newborn, respiratory distress syndrome, iatrogenic prematurity, lacerations, or hematoma

a speedy, uncomplicated post-operative recovery for my client. Specifically, I guarantee that my client shall not experience nerve damage, organ damage, hemorrhage (whether sufficient to require transfusion or not), disability or disfigurement, intraoperative or postoperative infection of the wound or surrounding skin and tissues, post partum depression and post partum post traumatic stress disorder (PTSD), and other conditions not listed here.

Signed,




Note: this was written by a nurse!

http://www.mountainroseherbs.com/ I'm thinking of doing my herbology course through http://www.schoolofnaturalhealing.com. There's a correspondence option there, which, as anyone with small children knows, is essential for time management. Now, all i need is for God to rain the money down on me and i can get started!

Some people's overwhelming need to be liked is the very thing that makes them hard to like. In fact, for many people, the need to be liked is actually a significant barrier to personal and professional growth.

Not everyone is going to like you, and that's OK.

While it's normal to want to be needed, liked, loved and important to others, it's also crucial to get clear about who you are and what you stand for, and to live a life consistent with those values.

When it comes to this issue, you might want to ask yourself:

Do I speak the truth (while still exercising care, wisdom and understanding) even if it's not popular to do so?

Do I live a life which is consistent with my core values?

Do I operate with integrity?

Do I believe that my motives are good?

Is it my goal to be a positive influence in the lives of others?

Am I happy to disagree with people I like?

Do I (really) like me?

If you answered no more often than yes, you may want to make a few changes. If you really want to be liked, then stop trying to be liked and start being you."

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

I found this article linked in my daily Mercola newsletter.  Haha!  It reminded me of several people i know, including myself, but I have to say that i'm doing much better on this subject now that i'm "old." 

After many years of being afraid of "rocking the boat" i've come to a place where i have peace.  Seriously, it's not about whether i like myself of not, it's a matter of priority and practicality. 

I'm scum and i know it and that's what keeps me close to Jesus, but at the same time, that which draws me close to him also keeps me wanting to focus on faith, virtue, and truth, all being priority. 

There is an endless supply of things to argue about in life from issues of politics, the sanctity of life, and the meaning of the universe to who looks "hottest" in a bikini, which is better McDonald's or Burger King, or who spit on who first in the back seat of the car.  One really has to get a grip on what is really worth fighting for or, as i like to put it, pick your battles wisely.  That's practicality.

So, really, does it matter if i am liked or not?  Will the world suddenly stop turning if i am not liked?  Will i end needless suffering if i am?  HA!  Nice thought, eh?  The only thing that i take into this consideration is that i am setting the example for my faith and standard, by which i will ultimately be judged by my creator anyway. 

So, forgive me in advance if i take a turn and make a mistake that offends, know that i am not on this earth to please others, but am doing my best to live my life the way that i know will please my creator and, since i am scum, i am likely to make mistakes.  If i attract by my show of the love and care for others (as my creator has for me), or by my attention to truth and freedom, then know that it comes as only a serendipitous kind of thing.  I don't look for it, didn't ask for it, it just happens.  It's like finding a $20 bill in the pocket of your favorite jeans.  You don't know how it got there, you aren't going to question it, you just appreciate it!

Physician's Responsibility Form


I ………………(Physicians name)…………………. do hereby state I have advised the parent(s) of ............(Childs name)……........that

 in my professional opinion the child should be given ………(Vaccine's name)………….include manufacturer name, serial

 …………, batch……….….I have this day ...…(mm/dd/yy) ……………. administered this medication.
                     
I have advised the parents of the investigated the risks and benefits of the following vaccines and diseases. I am aware that there are documented cases of people contracting diseases for which they are clinically fully immunized and that the manufacturers of the vaccines do not guarantee 100% efficacy. I am also aware that VAERS (Vaccine Adverse Events Reporting System) documented cases of over 54,000 adverse reactions from vaccines in a 20-month period. The National Vaccine Injury Fund, created in 1986 to compensate those damaged by vaccines has paid out over one billion dollars in compensation to date.

POLIO: I understand and acknowledge the risk of the child developing paralytic disease and meningitis associated with poliomyelitis. I understand that even under epidemic conditions, natural polio produces no symptoms in over 90% of those exposed to it.(1) I understand that there have been no cases of wild polio in the US in the last 20 years and that those cases which have been documented have been caused by the vaccine.(2)
I understand the following side effects for the vaccine are possible:
Killed virus polio: temperature of *102° in up to 38%, sleepiness, fussiness, crying, decreased appetite, vomiting, Guillain-Barré Syndrome and allergic reaction in those allergic to neomycin, polymyxin B and streptomycin. Precautions include those who have had a previous negative reaction, pregnant women, and possibly those with HIV/AIDS or otherwise compromised immune systems.

Live virus polio: Reactions include contraction of polio by those who have received the virus and by those who have come into contact with body fluids and wastes of the immunized person. Paralytic symptoms may follow contraction of polio. Live virus is reportedly shed for up to 8 weeks after the inoculation. Guillain-Barré Syndrome has also been noted. Not recommended for use in households where someone has a compromised immune system, for pregnant women, or where a previous reaction has been reported.(3)
Killed virus Ipol® is grown on monkey kidney cells, contains formaldehyde, and triple antibiotics. Poliovax® is grown ..s from an aborted baby, contains formaldehyde, cow serum and triple antibiotic solution.(4) The monkey kidney cells used in the original killed polio vaccine contains SIV-40 and has been found in tumor cells of children whose parent's were vaccinated against polio using the contaminated virus.(5) The live vaccine is grown on monkey kidney cells, antibiotics and calf serum.

HEMOPHILUS INFLUENZAE B: I understand and acknowledge the risk of the child developing meningitis (although this vaccine will not protect the child from meningitis from all other forms such as pneumococcus, and meningococcus, viruses, and fungi), pneumonia, and infections of the blood, joints, bone, and soft tissue associated with Hemophilus Influenzae B. I understand that this disease is most likely in children up to 15 months of age and is fatal in 3-6% of children who contract it. Incidence of this disease today is low and the vaccine has not proven to be highly effective in 41% of cases, according to some studies.(6) Treatment is available. The vaccine is often combined with the DPT which has the highest reaction rate of any vaccine available today. Reactions include: contracting HIB, localized pain, erythema and induration, fever >100.6°, irritability, lethargy, anorexia, rhinorrhea, diarrhea, vomiting, cough, when administered alone. Reactions occurred in up to 30% of patients. When administered in conjunction with the DPT, reactions include local tenderness erythema and induration, fever >100.8°, irritability, drowsiness, anorexia, diarrhea, vomiting, persistent crying, seizures, urticaria, hives, renal failure, Guillain-Barré Syndrome and death. Reactions occurred in up to 77.9% of patients.(7) The vaccine contains yeast, thimerosal (mercury derivative), and diphtheria toxoid when given alone.(8)

PERTUSSIS: I understand and acknowledge the risk of the child developing whooping cough, pneumonia, convulsions, inflammation of the brain, and death associated with pertussis. I understand the disease is rarely fatal, with a 99.8% recovery rate. It is most serious and life-threatening in children under 6 months old, but there are adequate methods of treatment available.(9) The vaccine is most often given in conjunction with diphtheria and tetanus as the DPT or as the DaPT. Pertussis vaccine may cause: fevers >106, pain swelling, diarrhea, projectile vomiting, excessive sleepiness, high--pitched screaming, inconsolable crying bouts, seizures, convulsions, collapse, shock, breathing problems, brain damage and SIDS. One in 600 suffer a severe reaction in one study (10) and 1 in 875 suffered shock-collapse and convulsions.(11) Those in the 2nd study were only tracked for the first 48 hours following immunization. A more recent study indicates that 1 in 100 react with convulsions, collapse, or high-pitched screaming and 1 in 3 of those cases sustained permanent brain damage.(12) In a study of 103 children who died of SIDS, 70% died within 3 weeks of the DPT vaccine and 37% of those died within the first week.(13) The DaPT is recommended as a safer option for vaccination. Side effects of the DaPT were only tracked for 72 hours and included: tenderness, erythema, induration, fever >102.2°, drowsiness, fretfulness, vomiting, upper respiratory infection, diarrhea, rash, febrile seizures, persistent or unusual crying, lethargy, hypronic-hyporesponsive episode, urticaria, anaphylactic shock, convulsions, encephalopathy, mono- and polyneuropathies and death.(14) Not recommended for children under 15 months or for those who have not had 3 injections of the DPT. Either form of the vaccine contains thimerosal (mercury derivative), formaldehyde, and aluminum phosphate.(15)

DIPHTHERIA: I understand and acknowledge of the risk of the child developing paralysis, heart failure, or respiratory failure associated with diphtheria. I also understand and acknowledge that there have only been 5 cases reported annually since 1980.(16) I am also aware that diphtheria is rarely fatal and treated with antibiotics and bed rest. (17) The Diphtheria component is most often given within the DPT or DaPT and includes the same side effects and reactions as those listed for pertussis.

TETANUS: I understand and acknowledge the of the risk of the child developing fatal neuromuscular disease related to tetanus. I understand that the incidence of tetanus is low, and there is an antitoxin, should parents decline the immunization. I understand that contracting tetanus does not provide life-long immunity, and neither does the vaccine. I understand that to prevent more severe reactions from the vaccine, the tetanus component has been so significantly "diluted" that it is clinically ineffective.(18) I understand that the death rate for properly treated cases of tetanus may be as high as 20%.(19) Side effects of the tetanus vaccine alone include: high fever, pain, recurrent abscess formation, inner ear nerve damage, demyelinating neuropathy, anaphylactic shock and loss of consciousness.(20) Tetanus given in the DPT or DaPT shot include the same side effects and reactions as those listed for pertussis.

RUBEOLA (MEASLES): I understand and acknowledge the risk of the child developing pneumonia, encephalitis (inflammation of the brain), degenerative disease of the nervous system with convulsions (subacute sclerosing panencephalitis) related to rubeola. I understand the death rate for measles is .03 in 100,000.(21) I understand that since 1984, over 55% of documented, confirmed cases of measles have been in fully immunized persons.(22) I understand that the greatest risk of the measles vaccine may be to push the incidence of this disease into the late teens and adulthood where it is more likely to be fatal or cause more adverse and long-term effects.(23) The measles vaccine is a live vaccine, and carries the risk that it will cause the patient to contract measles. Other adverse reactions include: stinging or burning at the injection site, anaphylaxis, fever up to one month following injection, rash, cough, rhinitis, erythema multiforme, lymphadenopathy, urticaria, diarrhea, febrile convulsions, seizures, thrombocytopenia, purpura, vasculitis, optic neuritis, retrobulbar neuritis, papillitis, retinitis, encephalitis and encephalopathy, ocular palsies, Guillain-Barré Syndrome, ataxia, and subacute sclerosing panencephalitis.(24) Measles vaccine is most often given as a part of the MMR which includes the following side effects: burning or stinging at injection site, malaise, sore throat, cough, rhinitis, headache, dizziness, fever, rash, nausea, vomiting, diarrhea, erythema, induration, tenderness, lymphadenopathy, parotitius, orchitis, nerve deafness, thrombocytopenia, purpura, allergic reactions, urticaria, polyneuritis, arthralgia, arthritis, anaphylaxis, vasculitis, otitis media, conjunctivitis, febrile convulsions, seizures, syncope, erythema multiforme, optic neuritis, retrobulbar neuritis, papillitis, retinitis, encephalitis and encephalopathy, ocular palsies, Guillain-Barré Syndrome, ataxia, subacute sclerosing panencephalitis,(25) and a recent study from Europe indicates that there may be a link between the MMR (measles/mumps/rubella) vaccine and autism and irritable bowel syndrome.(26)
Measles vaccine contains chick embryo cells, neomycin, sorbitol and hydrolyzed gelatin. MMR contains all live vaccines, chick embryo, cells from aborted babies, neomycin, sorbitol and hydrolyzed gelatin.(27)

MUMPS: I understand and acknowledge of the risk of the child developing inflammation of the testicles, joints, kidneys, and/or thyroid, and hearing impairment related to mumps. I understand that mumps is rarely harmful in childhood, and that most of the above risks occur when mumps is contracted in adolescence or adulthood.(28) I understand that there is a Mumps vaccine which poses the following risks: contraction of mumps from the live vaccine, burning or stinging at the injection site, anaphylaxis, cough, rhinitis, fever, diarrhea, vasculitis, parotitis, orchitis, purpura, urticaria, erythema multiforme, optic neuritis, retrobulbar neuritis, syncope, encephalitis, febrile seizures, and nerve deafness.(29) Mumps is usually given in the MMR and may cause those side effects and adverse reactions as noted in the measles section above. Mumps vaccine is live and should not be given to pregnant women. It is cultured in chick embryos and contains sorbitol and hydrolyzed gelatin.(30)

RUBELLA (GERMAN MEASLES): I understand and acknowledge the risk of the child developing inflammation of the brain or joints, and of the risk of birth defects (including eye defects, heart defects, deafness, mental retardation, growth failure, jaundice, and disorders of blood clotting) in infants born to mothers who contract rubella during pregnancy, related to rubella. Therefore, I understand that the greatest risk to the child may be if she never contracts rubella as a child, but when she is pregnant and it damages her unborn child. If she contract rubella in childhood, she is immune for life, and prior to the vaccine 85% of the population was immune.(31) I understand that if she is not immune as an adult, she can choose to take the vaccine prior to becoming pregnant. I understand that many of those who contract rubella have been immunized (up to 80%). (32) Adverse reactions from the vaccine among teenage girls is 5-10% and 30% in adult women.(33) Adverse reactions include: contracting rubella from the live virus in the vaccine, burning or stinging at the site, lymphadenopathy, urticaria, rash, malaise, sore throat, fever, headache, dizziness, nausea, vomiting, diarrhea, polyneuritis, arthralgia, arthritis, local pain and inflammation, erythema multiforme, cough, rhinitis, vasculitis, anaphylaxis, syncope, optic neuritis, retrobulbar neuritis, papillitis, Guillain-Barré Syndrome, encephalitis, thrombocytopenia, purpura, and Chronic Fatigue Syndrome. (34) Rubella is most often administered in the MMR and may cause those side effects and adverse reactions listed under measles. Rubella is cultured on the tissue of an aborted child. This child was the 27th child aborted and tested by researchers due to exposure to rubella in a pregnant woman. It contains neomycin, sorbitol and hydrolyzed gelatin.(35)

HEPATITIS B: I understand and acknowledge the risk of the child developing Hepatitis B viral infection which can cause chronic inflammation of the liver leading to cirrhosis, liver cancer, and possibly death. I understand that the child's risk of developing Hepatitis B is low if I am not a carrier or infected, if the child does not engage in promiscuous sex or use drugs. I understand that there is antibiotic treatment for HepB and that most of those who contract it recover.(36) I understand that the HepB vaccine only contains strains of HepB and is not effective against HepA, C, D, E, F, or G. I understand that the HepB vaccine has the following side effect and adverse reactions: induration, erythema, swelling, fever, headache, dizziness, pain, prutitus, ecchymosis, sweating, malaise, chills, weakness, flushing, tingling, hypotension, flu-like symptoms, upper respiratory illness, nausea, anorexia, abdominal pain and cramping, vomiting, constipation, diarrhea, lymphadenopathy, pain or stiffness in muscles and joints, arthralgia, myalgia, back pain, rash, urticaria, petechiae, sleepiness, insomnia, irritability, agitation, anaphylaxis, angioedema, arthritis, tachycardia/palpitations, bronchospasm, abnormal liver function tests, dyspepsia, migraine, syncope, paresis neuropathy, hypothesis, paresthesis, Guillain-Barré Syndrome, Bell's Palsy, transverse myelitis, optic neuritis, multiple sclerosis, thrombocytopenia, eczema, purpura, herpes zoster, erythema modosum, alopecia, conjunctivitis, keratisis, visual disturbances, vertigo, tinnitus, earache, and dysuria.(37) The studies only followed patients for 4 days post-vaccination. The most commonly used HepB vaccine contains thimerosal, although a relatively new release does not contain thimerosal. The vaccine also contains: aluminum hydroxide, yeast protein, and phosphate buffers.(38)

VARICELLA (CHICKENPOX): I understand and acknowledge the risk of the child developing chicken pox which could potentially result in pneumonia, secondary skin or generalized infections, or, if caught during pregnancy, birth defects in the baby. I understand chicken pox is generally benign in children, but results in significant lost hours at work for parents. Chicken pox in adults often manifests as shingles, a chronic and painful condition. I also understand that contracting chicken pox later in life may increase my risk for herpes simplex. Side effects and adverse reactions for the chicken pox vaccine include: contracting chicken pox from the live vaccine (27%), pain and redness at site, swelling, erythema, rash, pruritus, hematoma, induration, stiffness, upper respiratory illness, cough, irritability/nervousness, fatigue, disturbed sleep, diarrhea, loss of appetite, vomiting, otitis, diaper rash/contact rash, nausea, eye complaints, chills, lymphadenopathy, myalgia, lower respiratory illness, headache, teething, malaise, abdominal pain, other rash, allergic reactions including rash and hives, stiff neck, heat rash/prickly heat, arthralgia, eczema/dry skin/dermatitis, constipation, itching, pneunonitis, febrile seizures, and cold/canker sore.(39) Varicella vaccine is cultured ..s from aborted babies, and guinea pig cell cultures. It contains live virus, monisodium glutamate (msg), sucrose, phosphate, processed gelatin, neomycin and fetal calf serum. (40)

HEPATITIS A (HAV):  I understand and acknowledge the risk of the child developing HAV which could potentially result in prolonged or relapsed hepatitis, but will not result in chronic hepatitis disease. (41) HAV usually causes mild "flu-like" illness, jaundice, severe stomach pains and diarrhea; and, in rare cases may result in death. Infection confers lifelong immunity. (42) I understand that the CDC admits that good personal hygiene (handwashing) and proper santitation can prevent HAV. (43) HAV infection is spread by contaminated water or food, infected food handlers, unsanitary conditions following natural disasters, ingestion of raw or undercooked shellfish, institutionalized individuals, children not yet toilet trained, blood transfusions or sharing needles with infected people. Transmission is most likely in developing countries where sanitation is poor and infection rate of children under 5 is 90%. Fatality rate is less than .6% overall, and 70% of those in patients over 49 years, many of whom have underlying liver disease. (44) Other at-risk populations include those living on American Indian reservations and in Alaskan Native villages, homosexually active men, IV drug users, people using clotting factor concentrates and international travelers. (45) Side effects and adverse reactions from the vaccine include: injection-site soreness, headache, fever, malaise, induration, redness, swelling, fatigue, anorexia, nausea, pruritis, rash, utricaria, pharyngitis, upper respiratory tract infections, abdominal pain, diarrhea, dysgeusia, vomiting, arthralgia, elevated cratine phosphokinase, myalgia, lymphadenopathy, hypertonic episodes, insomnia, photophobia, and vertigo. (46) Aborted fetal tissue is an ingredient in the Havrix® Hep A vaccine, as is formaldehyde, aluminum hydroxide and 2-phenozyethanol.(47) There is currently a combination Hep A and B vaccine, Twinrix®, being tested in the UK. (48) Twinrix is grown in human cell cultures, contains 2-phenoxyethanol,
neomycin sulfate, polysorbate, tromentamol and formaldehyde. (49)

PNEUMOCOCCAL: I understand and acknowledge the risk of the child developing pneumococcal disease which could result in meningitis, blood infection, pneumonia and/or ear infections. Iunderstand studies indicate that this vaccine may only decrease ear infections by 9%, and only result in a 20% reduction in chronic ear infections and ear tube insertion in that group.  I understand that the child has a 7.5:5,000 chance of developing this disease if he or she is under age 2 and a 1:5000 chance of developing it if over age 2. Risk factors for developing this disease are: immunoglobulin deficiency, nephrotic syndrome, Hodgkin's disease, congenital or acquired immunodeficiency, some upper respiratory infections, splenic dysfunctions, splenectomy or organ transplant. This vaccine (PCV) was originally marketed for immunocompromised children. (50) This vaccine is contraindicated to children with thrombocytopenia, coagualtion disorders, or sensitivity to diphtheria toxoid.(51) Possible side effects and complications from the vaccine include: erythema, induration, tenderness, interference of limb movement, inflamation, fever, irritability, drowsiness, restless sleep, decreased appetite, vomiting, diarrhea, fussiness, rash, hives, bronchitis, asthma, pneumonia, otitis media (ear infection), sepsis, seizure, anaphylaxis and death.(52) Recipients were followed for 3 days and almost 10% of the subjects made a visit to the emergency room in the follow-up period. There were 8 cases of SIDS in the 17,066 subjects involved in the trial.(53) Note: Children in the studies' control group received another experimental vaccine, so there have been no trial studies done with
children who received no vaccine.(54) Prevnar contains .125 mg of aluminum sulfate, protein polysaccharides from 7 strains of strep. pneumoniae bacteria, diphtheria toxin, casamino acids, yeast extract. Studies indicate that it may interfere with the safety and efficacy of other vaccines.(55)

I hereby do agree to take full responsibility should the child at any time suffer or develop any permanent condition deleterious or injurious to their health as a result of this treatment. I will pay any and all costs relating to the care and treatment of this child for the rest of his/her natural life.  If death should be a result of this treatment, than no less than a total of $1,000,000 I agree to pay to parents of the child. I further agree that if my earnings are insufficient to meet these costs I will sell my home, my business, and all material possessions to put the proceeds towards meeting these costs.


Signature of responsible doctor.........................................................................................


Reference List

1. M. Burnet and D. White, The Natural History of Infectious Disease
(Cambridge, 1972), p. 16.
2. Strebel, et al, "Epidemology in the U.S. One Decade After the Last
Reported Case of Indigenous Wild Virus Associated Disease," Clinical
Infectious Diseases, (Center for Disease Control, February 1992), pp.
568-79.
3. Physician's Desk Reference (PDR), 50th Edition; Medical Economics, 1996,
p. 1388-1390.
4. Ibid, p. 885-886 and 891-892.
5. J. Butel, et al; "Molecular Evidence of Simian Virus 40 Infections in
Children", The Journal of Infectious Diseases ; September 1999;180:884-887.
6. PDR, 50th Edition, p. 872-875.
7. Ibid.
8. Ibid.
9. Richard Moskowitz, M.D., "Immunizations: The Other Side," Mothering,
(Spring1984),p. 34.
10. Immunization: Survey of Recent Research, (United States Department of
Health and Human Services, April 1983), p. 76.
11. "Nature and Rates of Adverse Reactions Associated with DPT and DT
Immunizations...," Pediatrics, Volume 68, No. 5 (November 1981).
12. Walene James, Immunization the Reality Behind the Myth, (South Hadley,
Massachusetts: Bergin & Garvey, 1988), p. 14.
13. W.C. Torch, "Diptheria-pertussis-tetanus (DPT) immunization: A
potential
cause of sudden infant death syndrome (SIDS)," (Amer. Academy of Neurology,
34th Annual Meeting, Apr 25 - May 1, 1982), Neurology 32(4), pt. 2.
14. PDR, p. 875-879 and 892-895.
15. Ibid.
16. Robert Mendelsohn, M.D., How to Raise A Healthy Child...In Spite of
your Doctor (Chicago: Contemporary Books, 1984), p.223.
17. Ibid. 244-246
18. Isaac Golden, Ph.D., Vaccination? A Review of Risks and Alternatives,
(Geelong, Victoria, Australia: Arum Healing Centre, 1991), p. 31
19. Richard Moskowitz, M.D., "Immunizations: The Other Side," Mothering,
(Spring1984),p. 34.
20. Isaac Golden, Ph.D., Vaccination? A Review of Risks and Alternatives;
p.
71
21. R. Mendoholson; How to Raise a Healthy Child; p. 217.
22. John Frank Jr., M.D., et al. "Measles Elimination - Final Impediments,"
20th Immunization Conference Proceedings, May 6-9, 1985, p. 21.
23. Infectious Diseases (January 1982), p. 21.
24. PDR, p. 1610-1611.
25. DR, p. 1687-1689.
26. Sara Solovitch, "Do vaccines spur autism in kids?", San Jose Mercury
News, 5/25/99.
27. PDR, p. 1687-89, 1610-1611.
28. Richard Moskowitz, M.D., "Immunizations: The Other Side," Mothering,
(Spring1984),p. 35.
29. PDR, 1708-1709.
30. Ibid.
31. R. Mendoholson; How to Raise a Healthy Child; p. 218.
32. Dr. Beverley Allan, Australian Nurses Journal, (May 1978).
33. Hannah Allen, Don't Get Stuck: The Case Against Vaccinations...,
(Oldsmar, FL: Natural Hygiene Press, 1985), p. 144.
34. DR, p. 1697-1699.
35. Ibid and Attenuation Of RA 27/3 Rubella Virus in WI-38 Human Diploid
Cells; Amer J Dis Child vol 118 Aug 1969 and Studies of Immunization With
Living Rubella Virus ; Arch J Dis Child vol 110 Oct 1965.
36. John Hanchette, "Safety of controversial hepatitis B vaccine at center
of debate" Gannett News Service, 5/18/99.
37. PDR, p. 1744-1747, 2482-2484.
38. Ibid.
39. PDR, p. 1762-1765.
40. Ibid.
41. CDC Viral Hepatitis A - Fact Sheet, 9/29/00;
www.cdc.gov/ncidod/diseases/hepatitis/a/fact.htm
42. CDC Hepatitis A Vaccine Vaccine Information Statement; 8/25/98 43. CDC
Hepatitis A Facts, 11/16/00
44. Mosby's GenRX®, 10th Ed., Hepatitis A Vaccine (003158) as posted on
MDConsult website
45. CDC Hepatitis A Vaccine Vaccine Information Statement; 8/25/98 and CDC
Hepatitis A Vaccine Vaccine Information Statement; 8/25/98
46. Mosby's GenRX@, Hepatitis A Vaccine
47. Ibid.
48. "Combined hepatitis A/B vaccine offers fast protection," Reuters
Health,
4/12/00
49. Vaccines and Their Ingredients, 6/24/99; www.909shot.com
50. Michael Horwin, MA; "Prevnar: A Critical Review of a New Childhood
Vaccine" 9/19/00.
51. Prevnar package insert, Wyeth Lederle, 2/17/00
52. Ibid.
53. Horwin; "Prevnar: A Critical Review"
54. Dr. Erdem Cantekin, Ph.D.; "Pneumocaoccal Vaccine and Otitis Media",
NVIC's 2nd Intl. Public Conference, 9/8/00.
55. Horwin; "Prevnar: A Critical Review"
 

ACCEPTANCE OF RESPONSIBILITY

I, the undersigned, having assumed decision making power independently, or having been appointed to such, by a government bureaucracy or corporation controlled by such, do require the following individual(s):

_______________________________________________________________________

to receive the following vaccination(s):

_______________________________________________________________________

contrary to laws of this state that provide religious and philosophical exemptions.

I further agree that the stated individual(s) are in excellent to perfect health prior to the administration of such immunization(s).

Consistent with this demand, is my personal acceptance of full responsibility for any and all damages resulting from such immunizations. As a result, I agree to provide compensation amounting to $1,000,000 to the family(s) of the persons you are requiring to receive the aforementioned vaccinations for each resulting vaccine related injury(s) and/or disease(s) as follows:

Death: http://www.909shot.com/Kids/richie.htm

Sudden infant death syndrome: http://www.909shot.com/Kids/nicky.htm

Shaken baby syndrome: http://www.vaclib.org/basic/sbsindex.htm

Cerebral bleeding: http://www.vaclib.org/basic/sbsrebut.htm

Cancer: http://www.sv40cancer.com/

Tumors: http://www.gulfwarvets.com/virus.htm

Asthma: http://vaccines.net/Asthma/allergie.htm

Auto-immune disease(s): http://healthresearchtoday.com/lupus/whatislupus.htm

Polio: http://www.909shot.com/Diseases/rotavirus.htm

Bowel blockage: http://www.909shot.com/rotaviru.htm

Autism: http://www.909shot.com/Diseases/Autism.htm

Brain damage: http://www.vaclib.org/news/2006/pentacel.htm

Mental retardation: http://www.vaclib.org/news/2006/pentacel.htm

Crippling arthritis: http://www.vaclib.org/intro/hepbinfo.htm

Paralysis: http://www.909shot.com/Kids/terry.htm

Mercury poisoning: http://www.gulfwarvets.com/kids.htm

Diabetes: http://vaccines.net/diabetes.htm

Blindness: http://www.vaclib.org/email/lymefda.htm

Loss of IQ: http://www.vaclib.org/email/autismviera.htm

Pain: http://www.909shot.com/Diseases/hepbcasereports.htm

Seizures: http://www.vaclib.org/email/seizures.htm

Chronic fatigue syndrome: http://healthresearchtoday.com/fibromyalgia/book_104.htm

*Note that virtually all of these conditions /diseases are incurable by modern medicine, but easily prevented by abstinance!

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Vaccine	Manufacturer	Microbes	Antibiotics	Chemicals / Heavy Metals	Animal ByProducts
Acel-Immune DTaP diphtheria - tetanus - pertussis	Wyeth-Ayerst 800.934.5556	diphtheria and tetanus toxoids and acellular pertussis adsorbed		formaldehyde, aluminum hydroxide, aluminum phosphate, thimerosal, and polysorbate 80 (Tween-80)	gelatin
Act HIB Haemophilus influenza Type B	Connaught Laboratories 800.822.2463	Haemophilus influenza Type B, polyribosylribitol phosphate		ammonium sulfate, formalin, and sucrose
Attenuvax measles	Merck & Co., Inc. 800-672-6372	measles live virus	neomycin	sorbitol	hydrolized gelatin, chick embryo
Biavax rubella	Merck & Co., Inc. 800-672-6372	rubella live virus	neomycin	sorbitol	hydrolized gelatin, human diploid cells from aborted fetal tissue
BioThrax anthrax adsorbed	BioPort Corporation 517.327.1500	nonencapsulated strain of Bacillus anthracis		aluminum hydroxide, benzethonium chloride, and formaldehyde
DPT diphtheria - tetanus - pertussis	GlaxoSmithKline 800.366.8900 X 5231	diphtheria and tetanus toxoids and acellular pertussis adsorbed		formaldehyde, aluminum phosphate, ammonium sulfate, and thimerosal	washed sheep RBCs
Dryvax smallpox (not licensed d/t expiration)	Wyeth-Ayerst 800.934.5556	live vaccinia virus, with "some microbial contaminants," according to the Working Group on Civilian Biodefense	polymyxcin B sulfate, streptomycin sulfate, chlortetracycline hydrochloride, and neomycin sulfate	glycerin, and phenol -a compound obtained by distillation of coal tar	vesicle fluid from calf skins
Engerix-B recombinant hepatitis B	GlaxoSmithKline 800.366.8900 X 5231	genetic sequence of the hepatitis B virus that codes for the surface antigen (HbSAg), cloned into GMO yeast		aluminum hydroxide, and thimerosal
Fluvirin	Medeva Pharmaceuticals 888.MEDEVA 716.274.5300	influenza virus	neomycin, polymyxin	beta-propiolactone	chick embryonic fluid
FluShield	Wyeth-Ayerst 800.934.5556	trivalent influenza virus, types A&B	gentamicin sulphate	formadehyde, thimerosal, and polysorbate 80 (Tween-80)	chick embryonic fluid
Havrix hepatitis A	GlaxoSmithKline 800.366.8900 X 5231	hepatitis A virus		formalin, aluminum hydroxide, 2-phenoxyethanol, and polysorbate 20	residual MRC5 proteins -human diploid cells from aborted fetal tissue
HiB Titer Haemophilus influenza Type B	Wyeth-Ayerst 800.934.5556	Haemophilus influenza Type B, polyribosylribitol phosphate, yeast		ammonium sulfate, thimerosal, and chemically defined yeast-based medium
Imovax	Connaught Laboratories 800.822.2463	rabies virus adsorbed	neomycin sulfate	phenol red indicator	human albumin, human diploid cells from aborted fetal tissue
IPOL	Connaught Laboratories 800.822.2463	3 types of polio viruses	neomycin, streptomycin, and polymyxin B	formaldehyde, and 2-phenoxyethenol	continuous line of monkey kidney cells
JE-VAX Japanese encephalitis	Aventis Pasteur USA 800.VACCINE	Nakayama-NIH strain of Japanese encephalitis virus, inactivated		formaldehyde, polysorbate 80 (Tween-80), and thimerosal	mouse serum proteins, and gelatin
LYMErix lyme	GlaxoSmithKline 888-825-5249	recombinant protein (OspA) from the outer surface of the spirochete Borrelia burgdorferi	kanamycin	aluminum hydroxide, 2-phenoxyethenol, phosphate buffered saline
MMR measles - mumps - rubella	Merck & Co., Inc. 800.672.6372	measles, mumps, rubella live virus	neomycin	sorbitol	hydrolized gelatin, chick embryonic fluid, and human diploid cells from aborted fetal tissue
M-R-Vax measles - rubella	Merck & Co., Inc. 800.672.6372	measles, rubella live virus	neomycin	sorbitol	hydrolized gelatin, chick embryonic fluid, and human diploid cells from aborted fetal tissue
Menomune meningococcal	Connaught Laboratories 800.822.2463	freeze-dried polysaccharide antigens from Neisseria meningitidis bacteria		thimerosal	lactose
Meruvax I mumps	Merck & Co., Inc. 800.672.6372	mumps live virus	neomycin	sorbitol	hydrolized gelatin
NYVAC (new smallpox batch, not licensed)	Aventis Pasteur USA 800.VACCINE	highly attenuated vaccinia virus	polymyxcin B sulfate, streptomycin sulfate, chlortetracycline hydrochloride, and neomycin sulfate	glycerin, and phenol -a compound obtained by distillation of coal tar	vesicle fluid from calf skins
Orimune oral polio	Wyeth-Ayerst 800.934.5556	3 types of polio viruses, attenuated	neomycin, streptomycin	sorbitol	monkey kidney cells and calf serum
Pneumovax Streptococcus pneumoniae	Merck & Co., Inc. 800.672.6372	capsular polysaccharides from polyvalent (23 types) pneumococcal bacteria		phenol
Prevnar Pneumococcal 7-valent conjugate vaccine	Wyeth Lederle 800.934.5556	saccharides from capsular Streptococcus pneumoniae antigens (7 serotypes) individually conjugated to diphtheria CRM 197 protein		aluminum phosphate, ammonium sulfate, soy protein, yeast
ProQuad measles, mumps, rubella and varicella	Merck & Co., Inc. 800.672.6372	live measles (Enders' attenuated Edmonston), mumps (Jeryl LynnTM), rubella (Wistar RA 27/3), and varicella (oka/Merck) strains of viruses	neomycin	monosodium L-glutamate (MSG), potassium chloride, potassium phosphate monobasic, potassium phosphate dibasic, sodium bicarbonate, sodium phosphate dibasic, sorbitol, and sucrose	human albumin, human diploid cells, residual components of MRC-5 cells including DNA and proteins, bovine serum, hydrolized gelatin, and chicken embryo
RabAvert rabies	Chiron Behring GmbH & Company 510.655.8729	fixed-virus strain Flury LEP	neomycin, chlortetracycline, and amphotericin B	potassium glutamate, and sucrose	human albumin, bovine gelatin and serum "from source countries known to be free of bovine spongioform encephalopathy," and chicken protein
Rabies Vaccine Adsorbed	GlaxoSmithKline 800.366.8900 X 5231	rabies virus adsorbed		beta-propiolactone, aluminum phosphate, thimerosal, and phenol red	rhesus monkey fetal lung cells
Recombivax recombinant hepatitis B	Merck & Co., Inc. 800.672.6372	genetic sequence of the hepatitis B virus that codes for the surface antigen (HbSAg), cloned into GMO yeast		aluminum hydroxide, and thimerosal
RotaShield oral tetravalent rotavirus (recalled)	Wyeth-Ayerst 800.934.5556	1 rhesus monkey rotavirus, 3 rhesus-human reassortant live viruses	neomycin sulfate, amphotericin B	potassium monophosphate, potassium diphosphate, sucrose, and monosodium glutamate (MSG)	rhesus monkey fetal diploid cells, and bovine fetal serum
smallpox (not licensed due to expiration) 40-yr old stuff "found" in Swiftwater, PA freezer	Aventis Pasteur USA 800.VACCINE	live vaccinia virus, with "some microbial contaminants," according to the Working Group on Civilian Biodefense	polymyxcin B sulfate, streptomycin sulfate, chlortetracycline hydrochloride, and neomycin sulfate	glycerin, and phenol -a compound obtained by distillation of coal tar	vesicle fluid from calf skins
smallpox (new, not licensed)	617.494.1339 in partnership with Baxter BioScience	highly attenuated vaccinia virus	polymyxcin B sulfate, streptomycin sulfate, chlortetracycline hydrochloride, and neomycin sulfate	glycerin, and phenol -a compound obtained by distillation of coal tar	vesicle fluid from calf skins
TheraCys BCG (intravesicle -not licensed in US for tuberculosis)	Aventis Pasteur USA USA 800.VACCINE	live attenuated strain of Mycobacterium bovis		monosodium glutamate (MSG), and polysorbate 80 (Tween-80)
Tripedia diphtheria - tetanus - pertussis	Aventis Pasteur USA 800.VACCINE	Corynebacterium diphtheriae and Clostridium tetani toxoids and acellular Bordetella pertussis adsorbed		aluminum potassium sulfate, formaldehyde, thimerosal, and polysorbate 80 (Tween-80)	gelatin, bovine extract US sourced
Typhim Vi typhoid	Aventis Pasteur USA SA 800.VACCINE	cell surface Vi polysaccharide from Salmonella typhi Ty2 strain		aspartame, phenol, and polydimethylsiloxane (silicone)
Varivax chickenpox	Merck & Co., Inc. 800.672.6372	varicella live virus	neomycin	phosphate, sucrose, and monosodium glutamate (MSG)	processed gelatin, fetal bovine serum, guinea pig embryo cells, albumin from human blood, and human diploid cells from aborted fetal tissue
YF-VAX yellow fever	Aventis Pasteur USA 800.VACCINE	17D strain of yellow fever virus		sorbitol	chick embryo, and gelatin

http://www.informedchoice.info/cocktail.html

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Dr. Carolyn Dean is a medical doctor, naturopath, and nutritionist. She is a recognized authority in conventional and alternative medicine and author of a dozen books on health and healing. Dr. Dean offers private telephone wellness consultations through her website.

Website: www.carolyndean.com

E-Mail: holeopharm@pol.net

Elissa Meininger is co-founder of Health Freedom Action Network, a grassroots political action group, as well as a health freedom political analyst who can be heard on the natural health radio show SuperHealth, broadcast twice weekly on Fox Sports Radio 1340 AM in Oklahoma City and on the internet.