To: Formosa Antonia at MDH <antonia.formosa@gov.mt>
MALTA DEPARTMENT OF HEALTH ???
Sent: Thu, 17 December, 2009 23:38:
My name is Mr Ivens,
As a matter of courtesy try to spell it right.
Now please identify yourself, Ms Antonia Formosa, and on whose authority or instruction your reply was composed?----[see below] What does DPPM signify? Do you expect a member of the public to know it stands for "Directorate of Pharmaceutical Policy and Monitoring"? Doesn't that suggest a huge arrogance on your part? Failing to identify your authority and position,that is understood by a lay person?
It is as well that this is established,as I intend to ensure this gets maximum publicity,if this drug is not introduced for the benefit of those suffering from heart disease in Malta.
Your reply suggests that you are content to permit all deaths from heart attacks to continue in Malta, when almost all, if not all these deaths are unnecessary.
You speak of "research carried out".
Please refer me to the research of which you speak?
It strikes me if research has indeed been carried out,then there could be charges of negligence there as well.
I assume you have a Freedom of Information Act on the Statute Book in Malta?
The "clear evidence" not seeming to exist, according to you, ignores the evidence I have presented to you.
Please correct me if what I have presented to you was not lucid.
That it is used by 5000+ Doctors in Germany, without side effects, and with a 98.5% satisfaction rate.
That it has abolished death from heart attacks amongst miners down the mines in Germany, since the relief it gives from any angina-type warning is immediate.
That Dr Kern of Stuttgart treated 15,000 patients over 21 years, and didn't lose a single one to a heart attack.
That Dr Kern also established through carrying out many postmortems, that death by heart attack is not caused by narrowed arteries or clots, but by the build-up of an acidic content, which Strodival eliminates. His findings have never been successfully challenged,which of course is to the chagrin of all those dependent on incomes and prestige from carrying out bypass surgery,which Strodival makes largely unnecessary.
Think of the savings to the MDH.Or are you thinking of the earnings of the Heart Surgeons?
Perhaps this is why you have had no requests for the introduction of Strodival?
May I suggest therefore that you alert all Maltese Doctors to the use and success of Strodival in Germany over the past 63 years,since Dr Kern started using it? Isn't that common sense?
Just tell them to Google Dr Kern Stuttgart. [also for the benefit of those who may read this on Twitter.]
If Dr Kern was mistaken, how was it that none of his heart patients died, whereas all other Doctor's lose many of their patients to heart attacks?
Excuse me? What did you say? No clear evidence for its use seems to exist? Do you think I am making this up?
I should have added these paragraphs in my email to you yesterday, which were included in my email of 14th November, upon which you based your response, I presume?
"Currently, there are approximately 5000 M.D.s in Germany using and prescribing oral g-strophanthin. The booklet Eine Dokumentation ambulanz-kardiologischer Therapie Ergebnisse nach Anwendung oralen g-strophanthin represents the results of a survey wherein 3645 medical doctors made statements on use of this remedy in their practices from 1976 to 1983. Of these, 3552 gave exclusively positive testimony with no reservations. No one gave a negative response.
To save you getting your calculator out, that's 97.44% very satisfied Doctors.
This is a very inexpensive drug for which you claim there is no demand or Official request in Malta?
" One of the most necessary things in the contemporary medicine is to call attention to a topic that seems to be unbelievable at first sight: Ouabain (in german: g-Strophanthin), an extraction of an african plant called "strophanthus gratus", which since 1991 is discovered as an endogenous substance - a new hormone-, prevents angina pectoris and myocardial infarction by nearly 100 percent without side effects. [My accentuation.]
[You understand the word "endogenous"? It means it already occurs naturally in the body. There must be a good reason therefore for its presence. This means it isn't really a drug anyway, and therefore should be available without prescription, as has been suggested by many Doctors in Germany.]
"There is an overabundance of studies and documented experiences, so that its effects are quite obvious, even if the great clinical double-blind study is missing."
How was it you put it?[we will ignore your sentence construction]
"nor does, from research carried out, any clear evidence and guidelines for its use seem to exist that warrants such an introduction."
No clear evidence? Guidelines for its use not existing?What research has really been done? It appears the answer is NONE!!
"The regular, clinical use of oral g-strophanthin (a cardiac glycoside derived from the West African plant strophanthus gratus):
* Prevents lethal myocardial tissue acidosis, and thereby
* Substantially reduces the incidence of myocardial infarction and completely prevents infarction deaths".[my underlining just to make sure you are getting the message]-- Dr Kern of Stuttgart treated 15,000 patients in 21 years, and never lost ONE to a heart attack.
Is that "clear evidence"? Or Gobbledygook?
Is that written in plain English?
You speak of no "Official request" having been made for this medicine, which saves literally 1000s of lives in Germany every year, as witnessed by the survey of more than 3000 Doctors!! Are all Maltese Doctors asleep? Do none of them attend international medical conferences?
I will ask you a simple question.
Would you consider a Doctor negligent who failed to treat a patient with a drug which has been shown to save almost all lives of patients suffering from heart disease, if it was available?
The Doctor would reply that he or she had not been made aware of Strodival, but had he/she been aware,of course he/she would have prescribed it.
Failing to give that response would lead them to charges of gross negligence and possibly being struck off the Register.
The refusal of your Department to carry out a proper objective assessment of Strodival,carries the same accusation.
"I don't see deadly myocardial infractions any more".
[That means, as I understand it, that this Doctor is saying NONE of his patients is now dying from a heart attack.If you have another interpretation, or think he/she and 1000s of other German Doctors are lying, please come out and say so.]
"Ouabain--the optimal solution for the problem of myocardial infarction".
[my underlining again to ensure you are concentrating]
[Excerpts from the book "Ouabain, the possible victory over the myocardial infarction"
By Rolf-Jurgen Petry.]
I think I am writing in plain English. You do understand plain English I take it?
If no Doctors in Malta are aware of the benefits of Strodival, then it seems unlikely any one of them will request its introduction !!
This is a chicken and egg situation which it appears you are happy to let continue, because none of the Medical Establishment in Malta is prepared to investigate whether I am telling the truth or not,or examine all this evidence.
I am now making an Official Request for the introduction of this drug in Malta, assuming you will now do your job and check out the success of its use in Germany to ascertain whether its absence will result in the continuation of 100s of unnecessary deaths in Malta every year.
If you tell me you refuse to do this we will see what is the next appropriate step to take.Pretty soon you may be sued for negligence by the next of kin of a heart attack victim, when they hear that you refused to make Strodival available in Malta.
If you tell me I am not qualified to make such a call on you, I will respond by asking whether you think a lay person reporting a house on fire should have kept his mouth shut because he is not qualified to put the fire out?
Or the Fire Brigade should ignore his report of the fire because he is not a fireman?
Your response suggests equal stupidity,as with the house fire analogy.
Both result in deaths due to incompetence and/or negligence.
You tell me.
Which is it?
Sincerely,
John Ivens.
In this correspondence the terms "Strodival", "Ouabain" and "G-Stropanthin", mean the same, and are interchangeable.
As a matter of courtesy try to spell it right.
Now please identify yourself, Ms Antonia Formosa, and on whose authority or instruction your reply was composed?----[see below] What does DPPM signify? Do you expect a member of the public to know it stands for "Directorate of Pharmaceutical Policy and Monitoring"? Doesn't that suggest a huge arrogance on your part? Failing to identify your authority and position,that is understood by a lay person?
It is as well that this is established,as I intend to ensure this gets maximum publicity,if this drug is not introduced for the benefit of those suffering from heart disease in Malta.
Your reply suggests that you are content to permit all deaths from heart attacks to continue in Malta, when almost all, if not all these deaths are unnecessary.
You speak of "research carried out".
Please refer me to the research of which you speak?
It strikes me if research has indeed been carried out,then there could be charges of negligence there as well.
I assume you have a Freedom of Information Act on the Statute Book in Malta?
The "clear evidence" not seeming to exist, according to you, ignores the evidence I have presented to you.
Please correct me if what I have presented to you was not lucid.
That it is used by 5000+ Doctors in Germany, without side effects, and with a 98.5% satisfaction rate.
That it has abolished death from heart attacks amongst miners down the mines in Germany, since the relief it gives from any angina-type warning is immediate.
That Dr Kern of Stuttgart treated 15,000 patients over 21 years, and didn't lose a single one to a heart attack.
That Dr Kern also established through carrying out many postmortems, that death by heart attack is not caused by narrowed arteries or clots, but by the build-up of an acidic content, which Strodival eliminates. His findings have never been successfully challenged,which of course is to the chagrin of all those dependent on incomes and prestige from carrying out bypass surgery,which Strodival makes largely unnecessary.
Think of the savings to the MDH.Or are you thinking of the earnings of the Heart Surgeons?
Perhaps this is why you have had no requests for the introduction of Strodival?
May I suggest therefore that you alert all Maltese Doctors to the use and success of Strodival in Germany over the past 63 years,since Dr Kern started using it? Isn't that common sense?
Just tell them to Google Dr Kern Stuttgart. [also for the benefit of those who may read this on Twitter.]
If Dr Kern was mistaken, how was it that none of his heart patients died, whereas all other Doctor's lose many of their patients to heart attacks?
Excuse me? What did you say? No clear evidence for its use seems to exist? Do you think I am making this up?
I should have added these paragraphs in my email to you yesterday, which were included in my email of 14th November, upon which you based your response, I presume?
"Currently, there are approximately 5000 M.D.s in Germany using and prescribing oral g-strophanthin. The booklet Eine Dokumentation ambulanz-kardiologischer Therapie Ergebnisse nach Anwendung oralen g-strophanthin represents the results of a survey wherein 3645 medical doctors made statements on use of this remedy in their practices from 1976 to 1983. Of these, 3552 gave exclusively positive testimony with no reservations. No one gave a negative response.
To save you getting your calculator out, that's 97.44% very satisfied Doctors.
This is a very inexpensive drug for which you claim there is no demand or Official request in Malta?
" One of the most necessary things in the contemporary medicine is to call attention to a topic that seems to be unbelievable at first sight: Ouabain (in german: g-Strophanthin), an extraction of an african plant called "strophanthus gratus", which since 1991 is discovered as an endogenous substance - a new hormone-, prevents angina pectoris and myocardial infarction by nearly 100 percent without side effects. [My accentuation.]
[You understand the word "endogenous"? It means it already occurs naturally in the body. There must be a good reason therefore for its presence. This means it isn't really a drug anyway, and therefore should be available without prescription, as has been suggested by many Doctors in Germany.]
"There is an overabundance of studies and documented experiences, so that its effects are quite obvious, even if the great clinical double-blind study is missing."
How was it you put it?[we will ignore your sentence construction]
"nor does, from research carried out, any clear evidence and guidelines for its use seem to exist that warrants such an introduction."
No clear evidence? Guidelines for its use not existing?What research has really been done? It appears the answer is NONE!!
"The regular, clinical use of oral g-strophanthin (a cardiac glycoside derived from the West African plant strophanthus gratus):
* Prevents lethal myocardial tissue acidosis, and thereby
* Substantially reduces the incidence of myocardial infarction and completely prevents infarction deaths".[my underlining just to make sure you are getting the message]-- Dr Kern of Stuttgart treated 15,000 patients in 21 years, and never lost ONE to a heart attack.
Is that "clear evidence"? Or Gobbledygook?
Is that written in plain English?
You speak of no "Official request" having been made for this medicine, which saves literally 1000s of lives in Germany every year, as witnessed by the survey of more than 3000 Doctors!! Are all Maltese Doctors asleep? Do none of them attend international medical conferences?
I will ask you a simple question.
Would you consider a Doctor negligent who failed to treat a patient with a drug which has been shown to save almost all lives of patients suffering from heart disease, if it was available?
The Doctor would reply that he or she had not been made aware of Strodival, but had he/she been aware,of course he/she would have prescribed it.
Failing to give that response would lead them to charges of gross negligence and possibly being struck off the Register.
The refusal of your Department to carry out a proper objective assessment of Strodival,carries the same accusation.
"I don't see deadly myocardial infractions any more".
[That means, as I understand it, that this Doctor is saying NONE of his patients is now dying from a heart attack.If you have another interpretation, or think he/she and 1000s of other German Doctors are lying, please come out and say so.]
"Ouabain--the optimal solution for the problem of myocardial infarction".
[my underlining again to ensure you are concentrating]
[Excerpts from the book "Ouabain, the possible victory over the myocardial infarction"
By Rolf-Jurgen Petry.]
I think I am writing in plain English. You do understand plain English I take it?
If no Doctors in Malta are aware of the benefits of Strodival, then it seems unlikely any one of them will request its introduction !!
This is a chicken and egg situation which it appears you are happy to let continue, because none of the Medical Establishment in Malta is prepared to investigate whether I am telling the truth or not,or examine all this evidence.
I am now making an Official Request for the introduction of this drug in Malta, assuming you will now do your job and check out the success of its use in Germany to ascertain whether its absence will result in the continuation of 100s of unnecessary deaths in Malta every year.
If you tell me you refuse to do this we will see what is the next appropriate step to take.Pretty soon you may be sued for negligence by the next of kin of a heart attack victim, when they hear that you refused to make Strodival available in Malta.
If you tell me I am not qualified to make such a call on you, I will respond by asking whether you think a lay person reporting a house on fire should have kept his mouth shut because he is not qualified to put the fire out?
Or the Fire Brigade should ignore his report of the fire because he is not a fireman?
Your response suggests equal stupidity,as with the house fire analogy.
Both result in deaths due to incompetence and/or negligence.
You tell me.
Which is it?
Sincerely,
John Ivens.
In this correspondence the terms "Strodival", "Ouabain" and "G-Stropanthin", mean the same, and are interchangeable.