Previous  1  2

Canadian law further establishes that �A judge should not serve if the organization he is involved with is engaged in proceedings before the judge�, referring to judges being involved with educational organizations and activities.

Valente v. The Queen, 1985 CanLII 25 (S.C.C.)
"The concepts of "independence" and "impartiality" found in s. 11(d) of the Charter, although obviously related, are separate and distinct values or requirements. Impartiality refers to a state of mind or attitude of the tribunal in relation to the issues and the parties in a particular case. "Independence" reflects or embodies the traditional constitutional value of judicial independence and connotes not only a state of mind but also a status or relationship to others‑‑particularly to the executive branch of government‑‑that rests on objective conditions or guarantees. Judicial independence involves both individual and institutional relationships: the individual independence of a judge as reflected in such matters as security of tenure and the institutional independence of the court as reflected in its institutional or administrative relationships to the executive and legislative branches of government."

The head of the Court of Queen's Bench of Alberta in Calgary, Associate Chief Justice Wittmann being employed, above and beyond his position as a federal judge and the Associate Chief Justice of Alberta, as Chairman of the University of Alberta Alberta Law Reform Institute, as the evidence in the above link proves and proves he is paid a salary for, that the evidence further proves is funded by the University of Alberta, the Alberta Government and the Alberta Law Foundation, see link http://www.albertalawfoundation.org/AboutUs/board.html
that the evidence proves is chaired by a partner of the lawfirm Macleod Dixon, see link http://www.macleoddixon.com/stephen_raby.htmand further involves the Alberta Government,is not only a violation of The Federal Judges Act but further violates the Charter and Canadian law as the case above proves because judges are required to be independent including independent of institutions, including the government and the University of Alberta and the law firm Macleod Dixon etc...And then when you consider the Defendant in the Kelly Marie Richard case is employed at the University of Alberta and a lawyer from the lawfirm Macleod Dixon is the Counsel for the Defendants and the litigation for the defence is being managed by the corporation CGI that is involved in a major partnership with the Alberta Government as the evidence proves, it is clear that a very serious violation of the Plaintiffs rights and Canadian law, etc...is occurring in the Kelly Marie Richard case.

   

I am pleading to all Canadians, anyone that has read this article and about our case, to please join the Committee for the Defence of Kelly Marie Richard to help my sons and I as what has and continues to be done to my sons and I is truly horrific and a very serious miscarriage of justice, as the evidence proves.

Approximately 100 people have joined the committee to date to support our efforts for a public inquiry and full open and public investigation of our case and everything that has occurred relating to it and my sons and I desperately need as much support as we can get to survive what has and is being done to us, with no exaggeration, so I am asking you to please consider adding your name to the committee to help my sons and I, fellow Canadians and human beings.

If anyone requires more information or would like to see evidence proving anything we have reported please contact me and I will provide it to you as I have to Mr. Robin Mathews and many others who have all concluded the evidence we have fully supports what my sons and I have reported about our case and what has and is being so wrongfully done to us.

If those responsible for what has and continues to be so heinously done to my sons and I are allowed to continue, without being exposed and held accountable,many others, including children just like my sons, will be seriously hurt, harassed and mistreated, and it may one day be you or someone you love, as the evidence supports the corruption involved in our case is rapidly spreading across Canada and has already infected our federal government, very much including the corporation known as CGI, http://www.cgi.com/web/en/industries/governments.htm that is very significantly involved in the corruption in our case,which the evidence supports is in truth an American corporation (American Management Systems, http://en.wikipedia.org/wiki/American_M ... nt_Systems ,as the evidence supports there is no way this very wealthy and successful company founded by 5 ex U.S. Defence department officials that had extensive major U.S. Government contracts would have sold to a Canadian company,and the evidence does not support that CGI could afford to buy this major U.S company, and the U.S. doesn't allow foreign ownership and don't allow foreign companies to have U.S government contracts like CGI has,and ALLOT of them. The evidence supports that the U.S. corporation AMS, who are very significantly connected to the current U.S. government and to Bush Sr. & Jr., bought out CGI to use as a front to allow them to obtain very extensive Canadian government and other foreign government contracts, which the evidence proves they have agressively pursued and now have, without raising suspicions like a major American company would). CGI, who's head office in the U.S. is less than 30 minutes from the White House, in the last few years have been literally taking over in Canada, including extensive government contracts in all levels of government across Canada,and within our law enforcement and justice system,and national security programs, including CSIS,and including "managing" Canadians private and personal records and information, which the undeniable evidence we have proves CGI are doctoring and falsifying to serve their private and financial interests and those of their business partners, including more than 17 major Canadian and 25 major U.S. insurance companies, so please consider lending your support to this important cause that seriously affects all Canadians and our future and the future of our country.

Almost every major issue discussed on this website is in some way affected and connected to the corruption involved in our case, including the concerns about the SPP, http://www.spp.gov/ , supporting that a full public investigation into our case would be in the best interests of all Canadians.

Sincerely, Kelly Marie Richard
I can be reached by email at [email protected]

"Injustice anywhere is a threat to justice everywhere."
Martin Luther King Jr.

"The world is a dangerous place to live; not because of the people who are evil, but because of the people who don't do anything about it."- Albert Einstein -

   

This link , http://www.macleoddixon.com/news/215.htm , proves the head lawyer in our case, Alan Rudakoff, who has been all along assisted by a team of lawyers, including as it turns out our lawyer of more than 3 years Stephen B. Nelson since the evidence proves our lawyer was actually working for him, is outrageously considered one of the top insurance lawyers in Canada and the world yet the incontravertable evidence we have relating to our case shockingly clearly proves he is nothing but a pathetic liar and not even a good one at that, who has blatantly and outrageously lied throughout the litigation process for our case, making up the most ridiculous completely unsubstantiated nonsense and clearly violated the rules and the law and our rights all along, which he has only been able to get away with because of the corruption in the Court of Queen's Bench of Alberta in Calgary that involves a significant improper unlawful relationship between his client CGI and his law firm, and judges of the Court of Queen's Bench of Alberta in Calgary, very much including the head of the Court of Queen's Bench of Alberta in Calgary, Associate Chief Justice N.C. Wittmann, as the undeniable evidence proves. Very seriously if you saw the evidence, which you are welcome to do, you would be amazed that this man is allowed to continue being a lawyer let alone considered one of the top lawyers in Canada, which should seriously concern all Canadians that this is the state of our justice system.

   

Professional dental article about seriously improper and harmful jaw pushing procedure used on us by orthodontist that intentionally seriously injured us as part of unethical research he did for University of Alberta, which can be found with diagrams at http://www.ncbi.nlm.nih.gov/pubmed/9610294

916-786-4TMJ Advanced Dental Concepts 916-786-4865

The Functional Orthodontist - May/June/July 1997

Yesterday's Dentistry - Today's Chronic Pain

How three seconds of outdated technique turned a healthy dentist into a chronic pain patient.

This is a story of how a healthy 43-year-old general dentist became a "chronic pain patient in distress." I am writing this article to illustrate how simple it is to take a pain-free individual, cause a permanent joint injury, and create a chronic pain patient. My experience is very typical of what happens to our patients when they get traumatic TM Joint injuries. There is a classic pattern of trauma, pain, muscle reaction, and progressive physical and emotional deterioration. The precipitating factor can be micro- or macro- trauma; it can be acute or chronic. We are all familiar with stories of TM Joint damage during oral surgery, auto accidents, retrusive occlusions and retractive orthodontics. I had simple restorative needs that general dentists handle every day in our practices. Yet it was the misapplied use of an outdated technique, not massive or prolonged trauma, that caused the injury and precipitated the degenerative changes.

A PRELUDE TO INJURY

My story begins in 1972 with tooth #3 broken, an open contact on the subsequent restoration and an ensuing periodontal problem. Endodontics, root amputation, cast core and crown procedures were performed in 1978. Understanding that this tooth would not last forever, I went on with my life and my career. In April 1993, while eating a tortilla chip at a local Mexican restaurant, I felt and heard the DB root of #3 "crack". The tooth was doomed. Since I needed a bridge, I decided to have the rest of my mouth restored to perfection, including replacement of old amalgam restorations with esthetic dentistry, just as I recommend for my patents on a daily basis. I developed the following treatment plan: #3 extraction and provisional bridge, pending healing of the extraction site and guided tissue regeneration to repair a bony defect on the distal of #4; #12, #18, #31 concept inlays to replace old amalgams; #14, #15 crowns to replace large 20+ year old MOD amalgams; #19 endodontic retreatment, core build-up, and a new crown; and #30 small occlusal amalgam along margin of gold inlay.

I had a history of weekly headaches and a discrepancy between centric occlusion and centric relation. There was a occlusal prematurity and a 1mm slide on the M incline of the palatal cusp on #12. I also had an early reciprocal click in the left TM Joint. While I was attending the L.D> Pankey Institute in 1987-88, this had been casually diagnosed as an early TMJ condition and an equilibration was recommended to eliminate the "occlusal-muscle" problems.

The periodontist and endodontist I regularly refer to agreed with the treatment plan in their specialty areas. Since I wanted the best care possible, I chose to have a well known local prosthodontist do the restorative work. He and his partners have a good reputation in Sacramento and on his promotional video tape claimed knowledge in the area of bite and TMJ problems. The treatment started uneventfully. During two appointments, , teeth #2, 4, 5, 14, 15, and 19 were prepared for full coverage crowns.

The traumatic injury occurred when the prosthodontist tried to "seat" the jaw while attempting to "equilibrate" my teeth. First all the temporary restorations were removed leaving only the upper left bicuspids as the posterior occlusal stops. While my head was tipped back, he grabbed my chin with his thumb and index finger and proceeded to force the mandible up and back with medium force and a jiggling motion, the classic "Chin Point Pressure Technique". There was immediate pain in both TM Joints. I stopped him and asked what he was doing. He stated, "I am putting you into centric relation." I said that you don't do that to a jaw and told him to forget it. Too late - the suspensory ligaments had been torn in both joints. That night I had severe painful spasms of the masticatory muscles. The acute muscular pain settled down over the next few days, but head and neck pain persisted in a chronic state.

[top]

AUTOPSY OF AN ANTIQUITY

The "Chin Point Pressure Technique" of "seating condyles" is a remnant of the 1960's definition of centric relation as the RUM (rear-most, upper-most, medial-most) position of the condyles. This definition was discarded long ago as the functional anatomy of the joint became better understood. The biomechanics of the "Chin Point Pressure technique" make it evident that this type of manipulation of the mandible is contraindicated. The temporomandibular joint has a biconcave disk held tightly against the posterior wall of the eminence by the suspensory ligaments and the musculature, with the forces directed anteriorly and superiorly through the condyle-disc assembly. (Figure 1)



The thicker posterior band of the disc acts a wedge to help keep thew condyle off the highly vascular, highly enervated retro-discal tissues. Chin Point Pressure causes a posteriorly directed force on the chin which translates into a posterior and superior force on the condyle. (Figure 2)



This movement forces the condyle over and off the thick posterior band of the articular disc. In a patient with a flattened disc due to posterior condylar positioning, the amount of force needed to dislocate the joint is lessened. The direction of movement of the condylar head is initially up and back, then downward, for the concave shape of the glenoid fossa dictates the movement of the condyle. Damage to the suspensory ligaments is not necessarily the result of the forces applied directly to the joint. The jiggling, forceful pressure on the chin sets off a myotactic reflex of the muscles. The superior belly of the lateral pterygoid muscle contracts forcefully pulling the disc and condylar head anteromedially tight toward the eminence. (Figure 3)



As the posterior-inferior force continues on the whole joint structure, the lateral and medial collateral ligaments can elongate or tear. Elongation of ligaments occurs with a sustained force, whereas tears occur with more rapid movements. Such tears can occur in the body of the ligaments or in their insertion into the bone. In my case, the lateral and medial collateral ligaments and the distal ligaments of both joints had portions of their insertions torn from the bony substrata of each condylar head. Radiographic evidence of this bony tearing was demonstrated radiographically via the "Coronal Trauma Tomographic Series" developed by Dr. Terrance O'Shaughnessy.

[top]

ADDING INSULT TO INJURY

In addition to the injury caused directly by the Chin Point Pressure Technique, secondary insults occurred. A lack of stable posterior support occurred because of excessive wear of the provisional restorations and the injudicious gringing of the centric stops of the only unprepared posterior teeth, #12 and #13.

FROM ACUTE TO CHRONIC PAIN

Following an acute injury, the body reflexively reacts to immobilize and protect the injured site. This immobilization occurs through the mechanism of muscle spasm. Increased muscle tonus throughout the body results in early postural changes. As the muscles spasm, the head rotates posteriorly on the neck, and the shoulders lift and tilt forward. The scapulae protract. Concomitantly, breathing becomes shallower, the diaphragm tightens, rises, and the ribs pull down and in. To maintain a semblance of balance, the pelvis tilts forward and the hips flex. The anterior cervical muscles weaken and the posterior cervical muscles spasm. This hyperactivity further accentuates the backbend in the cervical spine. Postural changes continue because the brain doesn't accept the rotation of the head backward. The semi-circular canals of the ear no longer aligned with the three planes of space and the eyes angle upward. The body then rotates the head forward to bring the eyes to horizontal and the semi-circular canals to a proper spacial alignment.

It is easy to envision these changes. Stand erect, tilt your head back slightly, then slump your head and shoulders forward. As this happens, your buttocks projects rearward and your lumbar spine loses its curvature. Your body must shift the weight from the balls of the feet to the heels to maintain balance. Early recognition of these postural changes and initiation of treatment is crucial in the early stage. If treatment is delayed, the body has adjusted in so many ways that the postural positioning becomes habitual. The acute pain patient has then become a chronic pain patient.

The chronic pain patient presents with a myriad of seemingly unrelated complaints. The pain tolerance of these patients is lessened, so stress on the patient increases the pain, and the repeated use of medications can block important diagnostic signs. Because of the widespread pain sites caused by muscle recruitment, the patient often appears with seemly new complaints or a "hopscotching" of focal points of discomfort and dysfunction. Dealing with these complaints is like trying to plug a leaking dam - no sooner is one complaint addressed than another appears. Compounding this diagnostic problem is the fact that the true source of the pain is often found on the contralateral side from the focus of the pain complaint. For example, a right-handed patient may paint the ceiling of a room and the next day complain of pain on the left side when the contralateral muscles are the site of the problem. It is important to inform and educate the patient of this likelihood early in the treatment, so that the patient understands that the treatment is focused on the source of the problem, and not simply on the source of the pain. We, as dentists, are not trained to treat those musculoskeletal problems. The proper venue of treatment is physical therapy.

THE VICIOUS CYCLE

Besides the physical pain and the musculoskeletal dysfunctions, the chronic pain/TMJ patient faces another problem. The pain and dysfunction becomes such a stress on the coping mechanisms that the body burns up its energy reserves and the patient reaches physiological and often physiological exhaustion. A patient with good emotional support systems (family, friends, high self-esteem) can withstand these stresses longer than one without healthy emotional support. However, unrelenting pain can drive even the strongest patient into a self-feeding cycle of denial, bargaining, anger, and depression, and their off-shoots, fear and guilt. The emotionally healthy patient can work through these stages and reach a point of acceptance, yet he or she remains only a step away from the cycle of destructive emotions. Dr. Loren Pilling developed a chronic pain flow sheet to describe this mechanism. (Figure 4) Guilt occurs when a patient has negative or ambivalent feelings about the cause of the injury. Fear is the flip side of anger. On a visceral level, anger is fight and fear is flight. Fight or flight, it does not matter. The body fires up the adrenal glands and the resulting adrenaline rush is like pouring gasoline on a fire. The body rapidly burns up the energy reserves that the chronic pain patient uses to cope with every day life. This explains the withdrawal from activities that is routinely seen in chronic pain patients. The patient begins to jettison from his life those activities that he deems are not essential to his core survival and values. A casual observer may say, "How can this person be suffering? He has not missed any work." Or, "She gets up every morning and cares for her family." Yet the patient has withdrawn from hobbies, friends, community service everything but the activities that define him or her as a person. For example, a man who is sole support of his family is often on the job everyday to provide support because he defines himself and derives his self-worth by his role as income provider. A parent may have withdrawn from the family emotionally to husband the waning energies to provide for the family monetarily, but what parent doesn't sacrifice him/herself to better the lives of their children? Only when patients have worked through the cycle and come to acceptance can they begin to heal emotionally and physically. It is precisely this insidious slide into the black hole of physical pain, emotional depression and social withdrawal that make the effects of TM Joint injuries so disproportionately great in contrast to the visible physical damage. Just as the amount of soft-tissue damage to a patient in a rear-ender car accident has been shown repeatedly to have no direct relationship to the amount of damage to the car, the physical and emotional damage to a patient cannot be judged solely on outward appearances.

[top]

EPILOGUE

My original treatment called for a bridge, three crowns, three concept inlays and a small amalgam. I ended up with unanticipated root canals on teeth #2, #4, #5 and #18 due to mechanical exposures. I have had perio surgeries for crown lengthening of molars in all four quadrants. Tooth #30 was mistakenly prepped for a crown instead of an amalgam to fill a small carious lesion on the occlusal margin of an inlay. Tooth #18 has a crown instead of an occlusal inlay because of the need to return this super-erupted tooth to the plain of occlusion. I am facing a year of splint therapy and twice-weekly physical therapy. Phase II TMD treatment will probably involve over two years of orthodontics. This will make a total of over 5 years of active treatment on a case that should have been concluded in less then six months. The $4,500 treatment fee turned into almost $40,000 for remedial treatment. Four quadrants of periodontal surgery, four root canals, three unnecessary crowns, TMJ problems and chronic pain are my daily reminders that most routine dental care is not without risk. When a patient is injured by outdated or faulty technique, it is no defense to say, "All the other doctors do it his way." Any procedure that research and literature is out-moded or harmful is below the "Standard of Care" regardless of how many of our brethren use this technique. Our obligation as professionals is to keep our knowledge and techniques current. Our obligation to patients is to use the utmost care and skill at all times. Please remember: With each and every patient, our first rule as doctors is "Do No Harm."

AUTHOR'S NOTE:

Albert Schweizer said: "We must all die. But that I can save [a person] from days of pain, that is what I feel is my new or even great privilege. Pain is a greater lord over mankind than even death itself." Twelve months after first writing this article, I am essentially pain-free. I have worn a neuromuscular orthotic for over sixteen months and have undergone months of physical and neuromuscular therapy to rehabilitate my musculoskeletal system. I am now ready for orthodontic repositioning of my teeth to support the pain-free mandibular position. As the result of my experiences and my educational efforts to understand what happened to me, more and more of my practice is devoted to treating TMD and chronic pain. I have found that some of the most devoted practitioners in this field have experienced chronic pain. From them I have come to understand Schweizer's words: "Those who wear the mark of pain are never truly free, for they owe a debt to those who still suffer."

BIBLIOGRAPHY

Cailliet, Rene, Head and Face Pain Syndromes, Philadelphia: F.A. Davis Co., 1992

Cailliet, Rene, Soft Tissue Pain and Disability, Philadelphia: F.A. Davis Co., 1996

Levenson, Ruth and O'Shaughnessy, Terrence, "Basic Treatment Precepts Pursuant to a Whiplash Episode", The Functional Orthodontist, Vol. 11, No. 5, Sept./Oct. 1994, pp.16-20

Okeson, Jeffrey P., Management of Temporomandibular Disorders and Occlusion, 2nd ed., St. Louis: C.V. Mosby Co., 1989

O'Shaughnessy, Terrence, "Objective Documentation of Unresolved Tissue Injury: Craniomandibular/Temporomandibular/Cervical" in: Coy, HE, editor. Anthology of Craniomandibular Orthopedics, Vol. II, Collinsville: Buchanan, December 1992, pp. 171-205

O'Shaughnessy, Terrence, "Craniomandibular/Temporomandibular/Cervical Implications of a Forced Hyper-Extension/Hyper-Flexion Episode (i.e., Whiplash)", The Functional Orthodontist, Vol.11, No.2, March/April, 1994. pp.5-12

O'Shaughnessy, Terrence, "Latent Dysfunctions Resulting from Unresolved Trauma-Induced Head and Neck Injuries", The Functional Orthodontist, Vol.12, No.2, March/April, 1995, pp.22-28

O'Shaughnessy, Terrence, "Tomographic Proof of Trauma-Induced Injury to the TMJoint and Other Sites in the Body", The Functional Orthodontist, Vol.12, No.5, Nov/Dec. 1995, pp.20-28

Pilling, Loren, "Pain: The Psychological Effect on the Patient" in: Coy, RE, editor. Anthology of Craniomandibular Orthopedics, Vol. I, St. Louis: New Visions, 1991, pp.3-22

Pilling, Loren, "Chronic Pain: The Ultimate Stress" in: Coy, RE, editor. Anthology of Craniomandibular Orthopedics, Vol. I, St. Louis: New Visions, 1991, pp.27-30

Pilling, Loren, "Dealing With Grief" in: Coy, RE, editor. Anthology of Craniomandibular Orthopedics, Vol. I, St. Louis: New Visions, 1991, pp.25-45

Ramfjord, Sigurd P. and Ash, Major M., Occlusion, 2nd ed. Philadelphia: W.B. Saunders Co., 1971

Travell, Janet G., and Simons, David C., Myofascial Pain and Dysfunction -The Trigger Point Manual, Baltimore: Williams and Wilkins 1983

Witzig, John W., and Spahl, Terrance J., The Clinical Management of Basic Maxillofacial Orthopedic Appliances, Vol.3 - Temporomandibular Joint, St. Louis: Mosby-Year Book. Inc. 1991

[top]





[ Home ] [ Publication 1 ] [ Publication 2 ] [ Publication 3 ] [ Publication 4 ] [ Publication 5 ] [ Publication 6 ]


David B. Miller, D.D.S. 1269 Pleasant Grove Blvd. #100
Roseville, CA. 95747

[email protected]
Office
Fax
786-4TMJ (4865)
786-6575
Map + Directions


Please note: without the benefit of a dental examination, review of medical history and any necessary dental x-rays or other diagnostic aids, no attempt will be made to provide specific diagnosis or recommended courses of treatment. If a topic has not been included that you feel desires special mention, please contact us at [email protected] and every effort will be made to list the information on this web site. Thank you
Date this page was last edited: 06/30/01

   

I agree wholeheartedly with this artice. I would also like to recommend a website/blog that deal more with this issue of corruption within the Canadian government. The blog I'm recommending is called "Truth Speaks,Human Rights Abuse in Canada Exposed".The URL for this site is http://valerieguillaume.blogspot.com

   

Previous  1  2