Posts tagged ‘allergy’

Doctor Waiver for safe Vaccinations!

So many of us have questioned what vaccinations contain and how they are affecting our children.  Especially with so many disorders on the rise such as autism which many studies have linked to vaccinations.   Well, what if thee were a waiver you could bring with you to your Doctor when you brought your child in for their checkup which essentially requires your Doc to legally say that they are aware of the contents of the vaccination and it’s possible harmful effects?  Spread the word!

 Thanks to Dr. Rapp and her blog for sharing this awesome waiver as well as for designing it !  Here is a preview below with an impressive list of possible ingredients you could find in your childs vaccination.  To print a copy to bring to your physician please visit: 


I (Physician’s name, degree) _______________ , _____ am a physician licensed to practice medicine in the State/Province of _________ . My State/Provincial license number is ___________ , and my DEA number is ____________ . My medical specialty is _______________ .

I have a thorough understanding of the risks and benefits of all the medications that I prescribe for or administer to my patients. In the case of (Patient’s name) ______________ , age _____ , whom I have examined, I find that certain risk factors exist that justify the recommended vaccinations. The following is a list of said risk factors and the vaccinations that will protect against them:
Risk Factor __________________________
Vaccination __________________________
Risk Factor __________________________
Vaccination __________________________
Risk Factor __________________________
Vaccination __________________________

I am aware that vaccines may contain many of the following chemicals, excipients, preservatives and fillers:

* aluminum hydroxide
* aluminum phosphate
* ammonium sulfate
* amphotericin B
* animal tissues: pig blood, horse blood, rabbit brain
* arginine hydrochloride
* dog kidney, monkey kidney
* dibasic potassium phosphate
* chick embryo, chicken egg, duck egg
* calf (bovine) serum
* betapropiolactone
* fetal bovine serum
* formaldehyde
* formalin
* gelatin
* gentamicin sulfate
* glycerol
* human diploid cells (originating from human aborted fetal tissue)
* hydrocortisone
* hydrolyzed gelatin
* mercury thimerosol (thimerosal, Merthiolate(r))
* monosodium glutamate (MSG)
* monobasic potassium phosphate
* neomycin
* neomycin sulfate
* nonylphenol ethoxylate
* octylphenol ethoxylate
* octoxynol 10
* phenol red indicator
* phenoxyethanol (antifreeze)
* potassium chloride
* potassium diphosphate
* potassium monophosphate
* polymyxin B
* polysorbate 20
* polysorbate 80
* porcine (pig) pancreatic hydrolysate of casein
* residual MRC5 proteins
* sodium deoxycholate
* sorbitol
* thimerosal
* tri(n)butylphosphate,
* VERO cells, a continuous line of monkey kidney cells, and
* washed sheep red blood

and, hereby, warrant that these ingredients are safe for injection into the body of my patient. I have researched reports to the contrary, such as reports that mercury thimerosal causes severe neurological and immunological damage, and find that they are not credible.

I am aware that some vaccines have been found to have been contaminated with Simian Virus 40 (SV 40) and that SV 40 is causally linked by some researchers to non-Hodgkin’s lymphoma and mesotheliomas in humans as well as in experimental animals. I hereby warrant that the vaccines I employ in my practice do not contain SV 40 or any other live viruses. (Alternately, I hereby warrant that said SV-40 virus or other viruses pose no substantive risk to my patient.)

I hereby warrant that the vaccines I am recommending for the care of (Patient’s name) _______________ do not contain any tissue from aborted human babies (also known as “fetuses”).

In order to protect my patient’s well being, I have taken the following steps to guarantee that the vaccines I will use will contain no damaging contaminants.

STEPS TAKEN: __________________________

I have personally investigated the reports made to the VAERS (Vaccine Adverse Event Reporting System) and state that it is my professional opinion that the vaccines I am recommending are safe for administration to a child under the age of 5 years.

The bases for my opinion are itemized on Exhibit A, attached hereto, — “Physician’s Bases for Professional Opinion of Vaccine Safety.” (Please itemize each recommended vaccine separately along with the bases for arriving at the conclusion that the vaccine is safe for administration to a child under the age of 5 years.)

The professional journal articles I have relied upon in the issuance of this Physician’s Warranty of Vaccine Safety are itemized on Exhibit B, attached hereto, — “Scientific Articles in Support of Physician’s Warranty of Vaccine Safety.”

The professional journal articles that I have read which contain opinions adverse to my opinion are itemized on Exhibit C, attached hereto, — “Scientific Articles Contrary to Physician’s Opinion of Vaccine Safety.”

The reasons for my determining that the articles in Exhibit C were invalid are delineated in Attachment D, attached hereto, — “Physician’s Reasons for Determining the Invalidity of Adverse Scientific Opinions.”

Hepatitis B

I understand that 60 percent of patients who are vaccinated for Hepatitis B will lose detectable antibodies to Hepatitis B within 12 years. I understand that in 1996 only 54 cases of Hepatitis B were reported to the CDC in the 0-1 year age group. I understand that in the VAERS, there were 1,080 total reports of adverse reactions from Hepatitis B vaccine in 1996 in the 0-1 year age group, with 47 deaths reported.

I understand that 50 percent of patients who contract Hepatitis B develop no symptoms after exposure. I understand that 30 percent will develop only flu-like symptoms and will have lifetime immunity. I understand that 20 percent will develop the symptoms of the disease, but that 95 percent will fully recover and have lifetime immunity.

I understand that 5 percent of the patients who are exposed to Hepatitis B will become chronic carriers of the disease. I understand that 75 percent of the chronic carriers will live with an asymptomatic infection and that only 25 percent of the chronic carriers will develop chronic liver disease or liver cancer, 10-30 years after the acute infection. The following scientific studies have been performed to demonstrate the safety of the Hepatitis B vaccine in children under the age of 5 years.
____________________________________ _____________________________________

In addition to the recommended vaccinations as protections against the above cited risk factors, I have recommended other non-vaccine measures to protect the health of my patient and have enumerated said non-vaccine measures on Exhibit D, attached hereto, “Non-vaccine Measures to Protect Against Risk Factors.” I am issuing this Physician’s Warranty of Vaccine Safety in my professional capacity as the attending physician to (Patient’s name) ________________________________. Regardless of the legal entity under which I normally practice medicine, I am issuing this statement in both my business and individual capacities and hereby waive any statutory, Common Law, Constitutional, UCC, international treaty, and any other legal immunities from liability lawsuits in the instant case. I issue this document of my own free will after consultation with competent legal counsel whose name is _____________________________ , an attorney admitted to the Bar in the State of __________________ .
_________________________ (Name of Attending Physician)
______________________ L.S. (Signature of Attending Physician)
Signed on this _______ day of ______________ A.D. ________
Witness: _________________ Date: _____________________
Notary Public: _____________ Date: ______________________

Your Doctor and You


I would say I have a fairly good relationship with my doctor and the kids’ pediatrician. I know I have written before how frustrated I was and how my husband and I came up with the answers about the allergies ourselves, but I take into consideration that our doctors are human beings too. They see tons of people and sometimes it is possible for them to miss something which does not appear obvious. I also think that when you go to school and you learn things by the textbook, it can be difficult to take into consideration that while most diseases, conditions, etc. have specific symptoms that have been put into a book for doctors to be guided by, BUT, not EVERYONE has those exact symptoms. The best experience I have had, was we took Josh to see a pediatric endocrinologist since he had elevated T3 and T4 levels on blood work a few times. See, most thyroid conditions are determined by TSH (thyroid regulating hormone) being off either elevated or lowered. Josh’s TSH levels were right where they should be so, no thyroid condition was detected. I asked if it was possible, due to an overconsumption of foods he was allergic to(this is when we first found out about his allergies and it was right after Halloween, so you can imagine what he had consumed) could possibly cause his thyroid to react. She said, “Well, textbook, NO! But, in actuality, anything is possible!” AHA!!


This goes a little off the beaten track but seems to fit with my journey of discovery.  I had to take a Social Psychology class for my Nutrition program.  Have you ever felt that sometimes when you focus on something, everything in your universe begins to apply to the source of that focus?  It seems like somehow it got placed in your path so you would find it.  This class was one of the best I have ever taken and the professor, Dr. John Foldy, really intrigued his students.  He has done studies in how the mind (our thoughts) can actually influence objects, etc.  I don’t know how many of you out there have read any of Dan Brown’s books?!  In The Lost Symbol, Dan mentions a scientist working on a branch of study that will be groundbreaking and possibly change the world.  The scientist is in the image of Marilyn Schlitz, who happens to be the Director for the Institute of Noetic science.  Noetic Science focuses on consciousness.

I guess my point in all of this, is that since I decided to take an active stance in finding the solution rather than relying on my preconceived notions or what I was being told by my Doctors, I have continually had  information placed before me which fits into what I am trying to discover.  I have been drawn to others who are adequately prepared to give me the information I need to fill in the blanks.  Consider this, one of my best friends whom works in the medical field lost her job at a neurology practice due to downsizing.  She found another job almost immediately with an ophthalmologist office and then soon after received a call from an ENT and Allergy practice offering her more money and better benefits.  She opted to take that position.  Soon after she began there as a medical assistant who is responsible for scheduling appointments and I found references to Orthomolecular Medicine and the suggestion of brain allergies, etc.  After a second hospitalization for mental crises, we immediately got Josh an appointment with the practice she works for and discovered he does indeed have allergies which could be responsible for his symptoms.  By adopting this attitude I have started to focus on the solution rather than the problem. (My favorite author is Terry Goodkind, this is a reference to him)

Functional Medicine

In My Take on Nutrition-Based Therapy, I mention how it seems that Doctors would prefer to prescribe medication rather than find the source of the symptoms.  Well, after posting that I found information about Functional Medicine and Doctors who share my belief.  Holy Cow!  There is that entanglement thing again.  Another blogger posted about Dr. Mark Hyman who is a functional doctor working out of Massachusetts and then Peter Osborne, The Gluten Free Warrior, posted about Dr. Russell Jaffe this morning.  Essentially Dr. Jaffe is talking about how allergies affect our bodies and how conventional testing can miss certain allergies due to the immune system having a lag in responding to certain allergens.  Essentially it could take up to two weeks for your immune system to respond to certain allergens. 

His ideology: “We are and we become what we eat, drink, think and do.”