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| Osteopathy
and Influenza
by Walter Llewellyn McKone D.O.
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Introduction
It seems with increasing embarrassment that the osteopathic profession,
in US and UK, have to endure a legacy of their past. With regular occurrence
the osteopathic successes of the past slowly begin to surface. Unfortunately
it is due to a lack of ‘modern scientific’ explanation that
the osteopathic profession denies any knowledge of these successes simply
dismissing achievements by the very physicians upon whose shoulders
modern osteopaths stand. One such embarrassment is the treatment of
influenza.
While researching for other publications over the past 15 years I came
across papers and articles on the treatment of influenza. Not just one
or two papers and articles but running into treble figures all in osteopathic
journals. If there were so many papers why had nobody mentioned this
in osteopathic training and during continuing professional development?
What I have discovered is fascinating. It was not that modern osteopaths
didn’t know the treatment of influenza but they actively denied
any knowledge of influenza treatment, until recently.
In this short essay/compilation I will try to explain how the osteopaths
managed, treated and saved the lives of thousands especially during
the 1917-18 pandemic in which an estimated 70 million died world wide.
I will refer to old and new documents giving references of source material
that will allow you to follow up any further investigations.
The first recoded cases were French soldiers in the trenches during
WW1. There is no evidence that even though it was called Spanish flu
that it originated from Spain, in Spain they call it French flu. In
Britain the earliest cases were in Glasgow and in the following months
over 200,000 people died throughout Britain.
What the Journals Say
Ward (1937) gave an interesting introduction to influenza when he wrote:
“Influenza is regarded as the last and greatest uncontrolled pestilence
and continues to challenge the best efforts of the osteopathic school
of practice to marshal its scientific resources to combat it.
“It is interesting to note that the word influenza was first used
by the Italians in 1743 to denote some influence, as it was thought
then that this disease, heretofore known as “epidemic catarrh”,
was caused by an influence of unknown origin, probably the stars, while
to the French influenza was known as la grippe from the word agipper
to attack.”
It may have grabbed your attention that the first paragraph talks of
influenza and osteopathic practice. It definitely grabbed my attention
while researching for other publications. I have now turned towards
the issue of osteopathy and influenza to try and clear once and for
all the major role of osteopaths in the 1917-18 pandemic of influenza
for the public and for the modern osteopath.
Ward continued…
“The influenza pandemic gives us two strings
to our bow. Never in the history of the civilized world has there been
such evidence of incompetence in the medical profession as in its abject
failure to meet the present situation. Not only is the medical profession
aware of this, but the lay public has received a jolt in its confidence
in medicine which will last many years. Six million deaths in three
months is the price paid by the world for the incompetence of loudly
lauded modern medicine. Half a million American lives is the price paid
by this country, more than our total causalities in the war.”
In an editorial of The Journal of the American Osteopathic Association
(JAOA), January 1919, R. Kendrick Smith, D.O., Boston wrote:
“Osteopathy’s opportunity is today at
its zenith. The necessity for osteopathy was never so apparent. And
yet the danger to osteopathy looms more menacing than ever before. One
of the greatest dangers is in the possibility that the osteopathic profession
will not rise quickly enough to meet this great opportunity. Delay spells
ruin for osteopathy.”
Unfortunately the osteopathic profession didn’t “rise quickly
enough to meet this great opportunity” and osteopathy was ruined
both historically and as a system of medical reformation.
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The above reflects the feeling among osteopathic physicians during and
after the epidemic towards the medical profession due to the arrogance
of its approach and the reluctance to join forces with the osteopathic
profession. Why it that the only epidemic the medical profession scares
us with is the one they have little power over, the deadly bird flu? As
you will read the medical profession will once again fail to join forces
with the osteopaths and again there will be a disaster. Television programmes,
newspaper and magazine articles are flooded with the fear of a bird influenza
epidemic. Yes, it may be on the way but I have a feeling that the medical
profession is trying to set a stage of disaster so that the real disaster
won’t seem as bad as their predictions. Anyway this essay and compilation
is about the potential of osteopathy and the failure of the osteopaths
not the failure of medicine.
Papers published in the JAOA after the epidemic were under the title “Experience
with the Epidemic.” It is around these personal experiences that
the greatest contribution to the reality of clinical practice comes to
light. You may be unaware that osteopaths in the United States have complete
rights to prescribe drugs and perform surgery as doctors do in the United
Kingdom. Osteopaths in the US are physicians and surgeons who as part
of their initial training were taught to use their hands. Here are a few
extracts sent to The Journal by physicians. “Regarding
the “flu” I wish to give my experience with it during the
past epidemic…Handled thirty-seven cases of well defined “flu”
having omitted all cases not well defined. “Their
ages ran from 3 years to 60 years. The highest fever in any case that
I attended from beginning was 103 degrees; the average duration of fever
two and two-third days; average duration of treatment four and one-half
days. Had no cases of pneumonia. One case threatened with it, but did
not develop, and was free from symptoms in twenty-four hours.
“The results that I have got have left a
very strong impression with the people that osteopathy is the treatment
for the “flu”. One person told me that the M.D. (medical doctor)
told them if they get the “flu” to call the osteopath. No
doubt many have had more cases than I and if they gave good or better
results, osteopathy has gained many friends.” Geo.
Moffett, D.O., Elizabeth, Ill. (JAOA, Feb. 1919) “Had
four cases of advanced influenzal pneumonia that had been under the care
of medical doctors before I took them on; two of these died.
“I feel that the recent epidemic has been
the means of bringing osteopathy into prominence, in my community, much
more than anything else that has ever happened, as I have been called
into many homes to treat “flu” patients where I had never
been called before. “In closing
let me say that I am the only osteopath in the largest county in Iowa.”
L. V. Andrews, D.O., Algona, Iowa. (JAOA, Feb. 1919)
“During the past six months we have treated 140
cases of “flu.” Nothing ever happened in our sixteen years
practice that has given us so much confidence in osteopathy in acute cases.
It has given us an experience in well defined infections. We have always
thought that the whole body had wonderful recuperative powers if properly
influenced by osteopathic manipulation.” E. H. Cosner,
D.O., Dayton, O. (JAOA, Feb. 1919) “I
had 186 well-defined “flu” cases. Only one death (apoplexy).
In my community only three deaths from “flu” and all treated
by M.D.s and the community is continually crying for more osteopathic
treatment. It has made an impression on the community that will never
be forgotten. “We need more than
anything a public lecture on osteopathy two times per year at the county
seat. The people are hungry to know the best way to keep well and if I
was able to do this osteopathy would forever bloom in this community.
Osteopathy is the principle topic in the gatherings for the last two months.”
J. L. Fetzer, D. O., Dalton, Mo. (JAOA, March, 1919)
“In my practice we have treated over 150 cases
which showed definite symptoms of influenza, and our death rate so far
is zero.” L. M. Bush, D. O., Jersey City, N. J. (JAOA,
March, 1919) “One hundred per cent
efficiency is the only term that correctly describes osteopathy as the
rational and reliable therapy for universal use in cases of Spanish or
any other type of influenza. “To
date I have had eighty-seven cases of this particular disease without
a single death; no pneumonia or other complication of any kind whatsoever.
There is not an M. D. in this vicinity with such a record and the “dear
public” is finding out something of the value of osteopathy as compared
with ancient medical methods in the care of really acute and dangerous
diseases.” James A. Cozart, D. O., Canonsburg, PA.
(JAOA, March 1919) “in summing up
will say that osteopathy has made a wonderful impression on the community.
Three of us here, Dr. Yoder and Dr. Olmstead, also reported great success.
We note that the patients that have died have been those who were drugged,
allowed to eat at will (that’s poison) or disobeyed instructions.
Have had five cases of “flu” during pregnancy and all got
well.” W. L. Burnard, D. O., York, Neb. (JAOA, April,
1919) “I had 150 well defined cases
of “flu.” Gave two treatments per day for three days….
It made a great impression upon the public and has brought me more patients
than I have been able to handle.” W. B. Linville,
D. O. Middletown, O. (JAOA, April, 1919)
The Journal from 1919 continues to publish the experiences of osteopathic
physicians in the United States up to the present day. “The
2-year influenza outbreak that occurred between 1918 and 1919 was a worldwide
epidemic. Original estimates placed related fatalities at 21 million,
1% of the world's population at that time. Several recent estimates place
the number of fatalities at 30 million. “In
the United States, more than 28% of the population succumbed to the disease
overall. In US military hospitals, the mortality rate averaged 36%, while
the mortality rate in US medical hospitals fell between 30% and 40%, with
the exception of a rate of 68% in medical hospitals in New York City.
“The osteopathic medical profession had few
hospitals then, but the American School of Osteopathy, now the Kirksville
College of Osteopathic Medicine of A. T. Still University of Health Sciences,
in Kirksville, Mo, contacted all their alumni. This effort culminated
in 2445 osteopaths responding in treating 110,122 patients with influenza,
with a resulting mortality of 0.25%. One of the few osteopathic medical
hospitals, 400-bed Massachusetts Osteopathic Hospital, in Boston, also
reported a mortality of 0.25% for that period. “Why
the difference in outcome? Allopathic medical treatment for patients with
influenza consisted of cough syrup and aspirin, treating the fever as
a symptom, rather than recognizing fever as the body's response to an
infection. And as Andrew Taylor Still, MD, DO, stated in his autobiography,
"Fever is a natural and powerful remedy." “In
contrast, osteopathic medical treatment for patients with influenza consisted
of cough syrup, yes, but also gentle OMT (osteopathic manipulative treatment),
resulting in a dramatic difference in mortality. Thomas L. Northup, DO,
has reported that the same mode of therapy is effective in patients with
pneumonia.” Harold I. Magoun, Jr, D.O.,
More About the Use of OMT (Osteopathic Manipulative Treatment) During
Influenza Epidemics, JAOA, Oct. 2004. "A
pandemic virus will likely be unaffected by currently available flu vaccines
that are modified each year to match the strains of the virus that are
known to be in circulation among humans around the world," according
to Tommy G. Thompson, secretary of Health and Human Services. Each year,
currently available flu vaccines are modified to match virus strains that
are known to be in circulation among humans globally. Of concern is that
such strains will likely be ineffective against a pandemic virus. Of primary
concern, however, is the time required to produce a vaccine against a
new virus strain, possibly one that is created by genes of the A(H5NI)
strain of avian influenza combining with the genes of a human influenza
strain. “We have a precedent in
our own history—the success of osteopathic care of patients with
influenza during the pandemic of 1918. In a paper, the first admitted
and read before an "old school" medical convention, R. Kendrick
Smith, MD, DO, presented statistics showing the "osteopathic conquest
of disease in which medicine has failed. “Dr
Smith reported that mortality among a total of 110,120 patients with influenza
treated by the 2445 members who reported "authenticated detailed
case reports" to the American Osteopathic Association was 0.25%.
Mortality due to influenza in patients receiving traditional medical care,
however, was ultraconservatively estimated at 5% to 6%. Among patients
with pneumonia treated medicinally, mortality was estimated at 33%, and
even as high as between 68% and 78% in some large centers. The death rate
due to pneumonia among 6258 patients cared for by osteopathic physicians
was 10%.” Gilbert E. D'Alonzo, Jr, DO, AOA Editor
in Chief,
Influenza Epidemic or Pandemic? Time to Roll Up Sleeves, Vaccinate Patients,
and Hone Osteopathic Manipulative Skills. JAOA, Sept. 2004. |
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“However, the lessons learned within
the osteopathic medical profession as a result of the 1917-1918 pandemic
could prove useful once again if (or when) a new influenza pandemic occurs.
As AOA editor in chief, Gilbert E. D'Alonzo, Jr, DO, noted in his 2004
editorial, "Influenza epidemic or pandemic? Time to roll up sleeves,
vaccinate patients, and hone osteopathic manipulative skills," influenza
patients treated osteopathically during 1917-1918 had a 0.25% mortality
rate, as compared to the national average of 6% (and 10% for pneumonia
patients, compared with 33% to 75% for the national average).
“In 1918, C.P. McConnell, DO, reported that
the most effective treatment during the influenza pandemic was begun early
in the onset of symptoms (within the first 24 hours) and consisted of
carefully applied muscular relaxation and, most importantly, relaxation
of the deep and extensive contractions of the deep spinal musculature
and mobilization of the spine. These treatments would be repeated two
or three times early in the course of the infection, along with traditional
supportive measures such as hydration. During later influenza epidemics,
such as the 1928-1929 and the 1936-1937 outbreaks, various lymphatic pump
treatments and more attention to the cervical and upper thoracic regions
were added to this recommended treatment protocol. These treatments, individualized
to each patient's needs, were apparently the most commonly applied osteopathic
medical procedures during the epidemics.” Michael
M. Patterson, PhD,
The Coming Influenza Pandemic: Lessons From the Past for the Future. JAOA,
Nov. 2005 “The victims of the deadliest
flu pandemic in history were killed when their bodies unleashed an uncontrolled
immune reaction as a protective mechanism, say scientists. Patient’s
lungs rapidly became inflamed and filled with blood and other fluids which
eventually drowned them. “In the
latest experiment scientists used re-constructed virus to infect macaque
monkeys. They found that the over-reaction of the immune system destroyed
the monkey’s lungs within weeks. “Scientists
believe the 1918 virus had the same effect on humans. “There was
some surprise that it was that nasty. It was the robustness of the immune
system that helped victimise them, said Michael Katze, a microbiologist
at the University of Washington in Seattle, who took part in the research.
“That breaks the paradigm as always thinking of the host response
as protective.” It might explain
why the 1918 flu virus killed so many healthy adults in their 20s and
30s; conventional influenza preys mostly on babies, the elderly or sick.”
Alok Jha, Scientists reveal how world’s worst flu killed 50m.
The Guardian, Thursday January 18 2007, p.9.
It seems that the osteopathic profession is denying its past, present
and potential future. How can this be and why is it being ignored?
The original discoverer of a “system of natural immunity”
was Dr. Andrew Taylor Still, M. D., an American Civil War surgeon in the
second half of the 19th century in North America. Notice how his discovery
was a “system of natural immunity” not a treatment for back
pain, tennis elbow or any other muscle and joint problems. This system
of natural immunity was before Louis Pasteur and other medical scientists
that have gone on to fame. |
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