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Opening Address of 5th Biennial International Symposium
on the Bi-Digital O-Ring Test
Hideo Yamamura M.D., Ph.D., F.R.C.A., F.I.C.A.E.
Chairman of 5th Biennial International Symposium on the Bi-Digital O-Ring
Test; Prof. Emeritus, Former Dean, Former Chairman, Dept. of Anesthesiology,
School of Medicine, Tokyo University; Editorial Board Member, Acupuncture
& Electro-Therapeutics Research, The International Journal
I would like to welcome all of you to the 5th Biennial International Symposium on the
Bi-Digital O-Ring Test.
BDORT is an useful method for detecting various diseases such as cancer, presence of
microbial infections, accumulations of heavy metals in the tissue.
However, there are many studies to be done to improve the probability for detecting diseases.
At the 4th Biennial International Symposium on the BDORT, Dr. Shimotsuura reported that of
327 patients who were found to have colon cancer positive responses, only 6 patients were
actual cancer of the colon by patho-histological: examination and 157 patients were polyp due
to adenoma.
Therefore, the probability for detecting the cancer by O-ring Test is not so high, only 2% and
even if polyp due to adenoma is considered as pre-cancer state, the detecting rate of cancer
and pre-cancer is 52%. So, the sensitivity of BDORT as a detector of cancer is not better than
the cancer markers used for detecting the cancer of different organs.
Though the BDORT is useful for screening the cancer and pre-cancer state, the test is facing a
challenge because what is being found by BDORT may not reflect the actual pathological
changes of the tissue.
We have to find more specific and high probability method for detecting cancer or
pathological tissue changes. These researches must be done by using the method of
evidence-based data analysis. At present if the patient is diagnosed as a cancer or pre-cancer
state by BDORT, he has to take the examination of Western Medicine including endoscopy,
ultrasound diagnostics, CT Scan, MRI and blood chemistry. The best method to make the
exact diagnosis is the combination of BDORT and Western Medicine
In this Symposium we can discuss all aspects of BDORT and learn the recent advances of the
Test from Dr. Omura. I hope that this symposium will help the BDORT to make an important
contribution to the modern medicine.
My Experience of BDORT as a Patient
Hideo Yamamura M.D., Ph.D., F.R.C.A., F.I.C.A.E.
Chairman of 5th Biennial International Symposium on the Bi-Digital O-Ring
Test; Prof. Emeritus, Former Dean, Former Chairman, Dept. of Anesthesiology,
School of Medicine, Tokyo University; Editorial Board Member, Acupuncture
& Electro-Therapeutics Research, The International Journal
I would like to introduce my personal experience of BDORT as a patient.
On January this year. I was admitted to the Tokyo University Hospital due to the acute C-type
Hepatitis. During my stay in the hospital, I was suffering from abdominal pain. I have
received endoscopic examination using optic fiber of my stomach and colon, and ultrasopund
diagnosis, CT Scan and MRI of my liver and pancreas. I was informed that besides hepatitis,
there is microcystic adenoma in the pancreatic body. Then I have examined by MRCP (MR
cholangiaopancreatography) to find whether pancreatic duct is dilated or not. If there is
dilatation, cancer is suspected, but there was no dilatation of pancreatic duct. I was told that
my microcyctic adenoma is benign.
On April 22, I have been examined with BDORT by Dr. Omura and there were markedly
increased Integrin ƒ¿5ƒÀ1 positive area at 4 different areas of abdomen and all of them were
found to be adenocartcinoma of pancreas positive. Among them, the strongest positive
response area for adenocarcinoma of pancreas was found in my epigastric area where there
were a marked increase in Integrin ƒ¿5ƒÀ1 ; a marked increase in Oncogene C-fos Ab2, a
marked increase in Hg; a marked decrease in Ach, a marked increase in Telomere. From this
results Dr. Omura informed me that there is high probability of adenocarcinoma in the body
of pancreas and other 3 small positive areas (one is at Liver and one is at descending colon
and other one is at low center of the chest, and all these area corresponded to the same area
where recurrent mild pain existed) is probably early metastasis of pancreatic cancer which
may not be picked up by standard imaging method but as preventive measure he advised to
take the mixture of EPA and DHA and Cilantro as these are safe natural substances and to use
stimulation of pancreas representing area of the hand as well as True Zusanli (True St 36)
acupoint stimulation with a small press needle on bandaid. He also suggested to measure 3
relatively sensitive cancer markers for pancreatic cancer by blood examination and repeat CT
& ultrasound imaging.
The results of the blood cancer marker examination such as CA19-9, Elastase 1 and SLX
were within normal and only DUPAN-2 was high positive value. I have consulted with the Dr.
of Tokyo University Hospital on this matter. He again examined my pancreas by ultrasound
diagnostics but there was no abnormality. Then he told me that though your DUPAN-2 is high
value your microcystic adenoma is thought to be benign you do not need so worry about.
Probably some amount of mucus is secreted by the adenoma. But you had better check your
pancreas every 6 months by CT Scan and MRI.
Now I am at a loss of which diagnosis should I follow BDORT or Western Medicine. I took
the EPA and DHA and Cilantro for two months but now I am stopping the drugs. Because I
did not find any effect of this treatment. I still have abdominal pain but this seems to be
originated from the colon not the pancreas. The value of DUPAN-2 was decreased from 3870
U/ml to 1400 U/ml after stopping the drug although it is still very high compared with normal
value of < 150 U/ml. If it is true, I have to take the drugs though still high Dr. Omura blamed
me for stopping the taking the drugs and persuade me to continue the drugs and stimulation of
True Zusanli acupoint at the same time. He said by continuing this method the development of
cancer can be suppressed. If it is true, I have to take the drugs to the end of my life. However
if the adenoma is benign it is not necessary to take drugs. This is my situation at present
time and I am in a dilemma as to whether to follow the results of BDORT or follow the
Western Medicine.
Non-Invasive 6-Minute Screening of Pre-Alzheimer's Disease By Estimating
Amount of Acetylcholine, ƒÀ-Amyloid (1-42), Al , Hg & Pb of the Brain, and
the
Safe & Effective Treatment of Pre-Alzheimer's Disease Using the �gSelective
Drug Uptake Enhancement Method�h
Yoshiaki Omura, M.D., Sc.D., F.A.C.A., F.I.C.A.E., F.A.A.I.M., F.R.S.M.
Director of Medical Research, Heart Disease Research Foundation;
President, Int'1 College of Acupuncture & Electrotherapeutics;
Adjunct Prof., Dept. of Community & Preventive Medicine, New York Medical College;
Prof., Dept. of Non-Orthodox Medicine, Ukrainian National Kiev Medical University
(Correspondence:800 Riverside Dr (8-I), New York, NY10032, USA. Tel: (212) 781-6262;
Fax: (21 2) 923-2279)
ABSTRACT
In pre-Alzheimer and Alzheimer's disease it is well known that among characteristic abnormal
findings in the brain, the following factors are included: 1) Marked decrease in Acetylcholine,
2)Excessive deposit of Al, 3) Excessive deposit of ƒÀ-Amyloid (l-42). Using the Bi-Digital
O-Ring Test Resonance Phenomena between 2 identical substances it has been possible to
non-invasively study abnormal changes in Neurotransmitters such as Acetylcholine, Serotonin,
Dopamine as well as ƒÀ-Amyloids, Al, Hg, and Pb since 1990. According to our clinical study
in the majority of normal individuals Acetylcholine in most parts of the brain including the
Hippocampus area is at least 1,500 ƒÊg but most individuals develop recognizable symptoms
when Acetylcholine is reduced to less than 500 ƒÊg. But in pre-Alzheimer�fs patients amount of
Acetylcholine often goes down below 300 ƒÊg. In all the pre-Alzheimer�fs patients wherever
Acetylcholine reduces in the brain, corresponding deficiencies show up as a recognizable
symptoms, characterized by the dysfunction of the anatomically specific location in the brain.
Metals, particularly Al and Hg, is often increased significantly anywhere between 350mg to
550mg with or without significant increase in Pb deposit, when excessive metal deposit exist
Acetylcholine is almost always reduced. When ƒÀ-Amyloid (1-42) increases beyond 3 or 4 ng
with decreased Acetylcholine often the patient shows various degrees of short term memory
deficiency. When ƒÀ-Amyloid (1-42) increases over 8 ng the patient often shows a
recognizable deficit of short term memory. Based on these findings the author established
criteria to screen pre-Alzheimer disease quickly and non-invasively by measuring the amount
of Acetylcholine, ƒÀ-Amyloid (1-42), Al and Hg. As Reference Control Substances the author
has been using slides of 500 ƒÊg Acetylcholine, 3ng ƒÀ-Amyloid (1-42), 350mg Al and 350mg
Hg for initial screening. Those who have a significantly reduced Acetylcholine can often be
reversed by giving 100 mg of Cilantro tablet with the ''Selective Drug Uptake Enhancement
Method�h (originally discovered by the author in 1990) deliver medication selectively to the
brain by stimulating organ representation area of the entire brain on first segment of the
middle finger of both hands, continuously stimulating at least 20 or 30 minutes to deliver
Cilantro selectively to the brain. When the first segment (which represents the entire brain and
face)of the middle finger of both hands is stimulated continuously and effectively more than
20-30 minutes, the amount of the Al , Hg, or Pb reduces to about 10% or even lower of the
original excessive amount, which was anywhere between 350mg to 550mg. However,
Selective Drug Uptake Enhancement Method becomes effective only when the ipsolateral
side of the accurate organ representation area corresponding to the pathological area is
stimulated effectively, can the drug can be selectively delivered to the pathological area to be
treated. When this happens Acetylcholine often increases anywhere from about 20% to 100%,
but ƒÀ-Amyloid (l-42) usually did not decrease significantly by removing excessive metal
deposit.. Even when Acetylcholine increases over 500 ƒÊg and goes up close to l500 ƒÊg, if
ƒÀ-Amyloid (1-42) remains high usually very little improvement of short term memory can be
observed. In these patients often multiple bacterial and viral subclinical infection co-exist.
Among the most commonly seen causes of the infection include Cytomegalo virus, Human
Herpes Virus Type 6, Chlamydia Trachomatis, Mycobacterium Tuberculosis, and
Pseudomonis Aeruginosa and ƒ¿- Streptococcus. While we are treating these infections in the
brain, after removal of excessive metal deposit is essential before treating infections
effectively, as an excessive deposit of metal often inhibits effectiveness of anti-bacterial and
anti-viral agents. While studying the effect of the treatment of these multiple subclinical
mixed infections of the brain in 2001, the author discovered that when strong Chlamydia
Trachomatis infection in the brain is significantly reduced, ƒÀ-Amyloid (1-42) also markedly
reduced, which resulted in significant improvement in short term memory deficiency provided
that Acetylcholine has also been sufficiently increased after removing excessive metals. It is
also interesting to note that those people with increased ƒÀ-Amyloid (l-42) in the brain often
develop so-called brownish age spots around the side of the face. The author found in this
darkened pigmented area, both ƒÀ-Amyloid (1-42) and Chlamydia Trachomatis are markedly
increased as in the brain. In conclusion, our study indicates that the major cause of increased
insoluble ƒÀ-Amyloid (1-42) peptide in pre-Alzheimer's patient is due to extensive Chlamydia
Trachomatis infection of the brain, particularly in Hippocampus area. Therefore once
pre-Alzheimer's disease is detected by this method, increased ƒÀ-Amyloid (1-42) peptide can
be reduced significantly by treating Chlamydia Trachomatis with Doxycycline along with
EPA & DHA as an effective anti-viral agent, as most of the patients have simultaneous viral
infections. In order for the treatment to be effective, you first have to remove the excessive
metal deposit using the Selective Drug Uptake Enhancement Method with Ci1antro, and then
treat with EPA & DHA and Trimox if there is additional viral and bacterial infection this
treatment often increases Acetylcholine and then follow up the treatment of Chlamydia
Trachomatis by Doxycycline and other compatible medications since Doxycycline is the
effective Antibiotics against Chlamydia Trachomatis, but it is compatible with EPA & DHA
and Trimox, while other Antibiotics such as Erythromycine or Azithromycine is not
compatible with EPA & DHA and Trimox.
‚V�jShimotsuura, Y., Saito, Y., Nakano, M., Muteki, T.: �gSimple and quick gastric cancer
screening method using the �gBi-Digital O-Ring Test�h and its critical evaluation by
standard X-ray, gastroscopic and pathological microscopic examination.�h Acup.
Electro-Ther. Res. Int. J., 12, 193-199, 1987.
‚W�jOmura, Y.: �gSimple Non-invasive Early Detection and localization of Specific Cancer
Tissues of Internal Organs and Differentiation of Cancer Tissue from Surrounding Areas
Infected by Cancer-Related Viruses, as well as Evaluation of Their Micro-Circulatorty
Condition & Drug Uptake Using the Bi-Digital O-Ring Test.�h Acup. Electro-Ther. Res.
Int. J., 15, 217-233, 1990.
THE BI-DIGITAL O-RING TEST IN REHABILITATION MEDICINE
Victor P. Lysenyuk, M.D., Sc.D., F.I.C.A.E., Cert. ORT-MD (1 Dan)
Prof. & Chairman, Dept. of Non-Orthodox Medicine, Head, Comission of Experts, Ministry of Public
Health Ukranian National University; Editorial Board Member, Acupuncture & Electro-Therapeutics
Research, The International Journal
(Correspondence: FAX: 380-44-432-3952, e-mail: lysenyuk@i.com.ua ,Ukraine)
Abstract
Intractable medical problems such as cardiovascular disease, cancer, chronic pain syndrome
etc. are common in modern "aging" society and lead to a disabled condition in most cases.
Disablement has been conceptualized by the World Health Organization in terms of
impairment (organ dysfunction), disability (difficulty with tasks), and handicap (social
disadvantage). Rehabilitation medicine is a restorative and learning system which seeks to
hasten and maximize recovery from certain pathologies. Its basic medical approach consists
in adequate stimulation of sanogenesis which includes four principal components: restitution,
regeneration, compensation, and immunity. Hence, the individual rehabilitation program can
be defined as a set of measures for hastening the restitution, activation of the reparative and
regenerative processes, revealing and intensification of the compensatory mechanisms,
correction of the natural resistance and immunity. For practical purpose, it is reasonable to
distinguish three therapeutic circles for stimulation of sanogenetic processes: physical
(acupuncture, electrotherapy and other modalities, therapeutic exercise, massage), chemical
(nutrition, phototherapy, probiotics, and efferent therapy), and information (psychotherapy,
chronotherapy, bioresonance therapy, and homeopathy).
Obligatory elements in organization of the individual rehabilitation program should be
assessment of rehabilitation potential according to current diagnosis, determination of
rehabilitation prognosis and monitoring progress under rehabilitation interventions. A
thorough baseline rehabilitation evaluation can be expanded with the Bi-Digital O-Ring Test
(Y.Omura, 1977-2002). By its combination with the conventional diagnostic tests more
detailed diagnosis may become possible. For example, it is confirmed that major cause of
intractable pain is due to Herpes Simplex Type I virus or Herpes Simplex Type II virus
infection with or without bacterial association. Most patients with chronic pain syndromes can
be relieved by a mixture of EPA (Eicosa Pentaenoic Acid) and DHA (Docosa Hexanoic
Acid) as an effective anti-viral agent which application has been proposed by Y.Omura from
1980s.
Depression is common for most cases when rehabilitation interventions are indicated. Its
diagnosis requires a high level of suspicion and thorough clinical examination. The choice of
treatment (medication, psychotherapy, or their combination) depends on the cause of
depression, the severity of symptoms, and responses to treatment. In this direction the
Bi-Digital O-Ring Test can be useful for screening and for monitoring responses to treatment.
Along with the administration of effective medication selected by the Bi-Digital O-Ring Test,
the Selective Drug Uptake Enhancement Method, by the above mentioned various stimulation
(acupuncture, acupressure, moxibustion, low frequency electrical stimulation,
magnetotherapy) of the brain representation areas, ensures that the medications will be
delivered to the necessary parts of the central nervous system.
The patient's progress should be monitored regularly during rehabilitation. Clinical
examination and standardized instruments (tests, scales, and indexes) give more precise and
objective description when they are verified with the application of the Bi-Digital O-Ring Test.
The information obtained in such a way is valuable in measuring progress, identifying the
need for changes to treatment regimens.
So in the temporary conditions, the Bi-Digital O-Ring Test is suitable for integration in
rehabilitation medicine as a multipurposive method which apparently will improve the
outcome of the individual rehabilitation program. The Bi-Digital O-Ring Test would be
implemented more easily if affordable O-Ring device (tester) and test-sets of microscope
slides (reference control substances) were available.
STUDY OF KINETIC DISTURBANCES OF THE FACIAL NERVE
THROUGH BI-DIGITAL O-RING TEST
Jojima, T., MD, F.I.C.A.E., Cert. ORT-MD (1 Dan)Acupuncture Specialist, Former
President of the Brazilian Medical Acupuncture Association, President of Bi-Digital
O-Ring Test Development Division of the Brazilian Medical Acupuncture Association.
Iwasa, S., MD, F.I.C.A.E., Cert. ORT-MD (1 Dan)Orthopedics Surgeon, Director of the
Brazilian Medical Acupuncture Association.
Summary: Bi-Digital O-Ring Test, a technique developed by Omura Y., has been used for
investigating diseases of unknown etiology and/or of difficult treatment. Many kinetic
disturbances of the facial nerve like facial spasm and blepharospasm do not have known
cause. Proposed treatments are palliatives or divergents among specialists on the
subject, mainly for the ones in which the causing factor is not identified. Material and
Method: Four (4) patients with facial nerve kinetic disturbances without defined etiology
were submitted to Bi-Digital O-Ring Test. Examined patients were aged above 50 y.o.,
both sexes, with evolution history varying between 3 to 7 years, in which subsidiary
exams did not reveal any relevant organic implications. Investigated topography
included cephalic segment, neck and torso. Common resonance (findings) among
patients were: presence of Heavy metals like Hg, Al, Pb; Herpes simplex virus Type I, II
and III; bacterias like Borrelia burgdorferii, Chlamydia trachomatis, Mycobacterium
tuberculosis; quantitative reduction of neurotransmitters like acetylcholine and
serotonine; quantitative increase of Substance P; significant change in the
electromagnetic field at the heart region and quantitative increase of L-Homocystein
and Troponin-T on the same area. By locating the dorsal Iu point of the heart with heart
histologic tissue slide at the left interscapular region of the dorso, we detected multiple
resonance points with the same slide going upwards on the dorso, by the left side of the
neck, left retroauricular region, the face and in some, until the left frontal region, on the
borderline of the scalp. We obtained a pathway in the form of a �gbead necklace�h.
There were increased resonance of P substance at those �gextra�h points of the heart. (In
young patients without this pathology, the same finding did not repeat). All findings
were on the left side of the patients.
Treatment: Treatment was conducted according to findings of Bi-Digital O-Ring Test:
EPA+DHA, cilantro, Antibiotics , homeopathic anti-inflammatory, local infiltrations at
points of higher resonance with P substance, that coincided with resonance points of the
heart tissue; Drug Uptake Enhancement Method employed and use of Qi Gong energy
stored paper.
Results: No symptoms in one patient 4 months after the last infiltration; 3 patients have
had good improvement .
Discussion: 1. The Bi-Digital O-Ring Test has suggested the role of sub-clinical viral and
bacterial infection, as well as heavy metal deposits at the facial nerve region, on
occurrence of kinetic disturbance of studied facial nerves and changes in the heart
meridian (distinct meridian) 2. The Bi-Digital O-Ring Test made possible to direct the
treatment, choose medication and find location of infiltration points.
Correspondence:Dr. Takashi Jijima, Sao Paulo, Brazil
TEL& FAX :+55-11-5081-5312 e-mail:sumie.iwasa@terra.com.br
THE IMPORTANCE OF BI-DIGITAL O-RING TEST IN THE
TREATMENT OF MULTIPLE HEPATIC ABSCESSES
. A CASE REPORT
IWASA, S., M.D., F.I.C.A.E., Cert. ORT-MD(1 Dan) . Orthopedics Surgeon, Director of
Brazilian Medical Acupuncture Association
LOPES, A. C. - Chairman of Internal Medicine at Federal University of Sao Paulo; Fellow
of the American College of Physicians
NEVES, L. B. . Medical Assistant of Department of Internal Medicine at Federal
University of Sao Paulo
INTRODUCTION: Bi-Digital O-Ring Test, technique developed by Omura,Y., has been
useful in the identification of infectious processes, mainly bacterian, as well as in the
characterization of the etiologic agent.
OBJECTIVES: to report a case of multiple hepatic abscesses, of which etiological agent
was suggested by BDORT, with excellent clinical evolution after various anti-microbials
without satisfactory results.
CASE REPORT: Female patient, 45 y.o., 15 days with continuos pain at right
hypochondrium, without irradiation, showing no improvement or deterioration. She
was submitted to clinical exam, without conclusion. She has been 7 days oscillating fever,
shiver, and pain condition deterioration. She referred being allergic to tetracycline and
similars. She has been used contraceptives, omeprazol, domperidone and analgesics. At
physical examination she presented thinned (bm: 22,2), regular general state, discolored
+/++++, icteric +/ ++++., liver at 6 cm from right coastal brim at the hemiclavicular line,
side split, painful at palpation, smooth surface; spleen able to be percussed, without signs
of ascites nor peritoneal irritation. Interned with multiple hepatic abcesses, being
necessary differential diagnosis with hepatic metastases. Subsidiary exams showed
leukocytosis with left granulocitosis, cholestatic hepatic enzymes and bilirubin, without
coagulation�fs disorders, markers tumor negatives. Computerized tomography of abdomen
showed liver with increased dimensions, regular contours, multiple hypoatenuating
nodules (35-40UH), without post-contrast enhancement, measuring up to 2.0cm diameter,
diffusely distributed by parenchyma. In ceco-apendicular topography, there was nodular,
thick liquid content, thick and irregular walls, measuring 4.0-3.0 cm diameter, discrete
fatty tissue infiltration and small satellite lymphnodes. Apendicectomy and drainage of
intracavitary abscesses was done. Metronizadol; ceftazidime and amicacine sulfate was
started. As there were no improvements, Bi-Digital O-Ring Test was applied, using
several (85) bacterial agent slides. There was positive resonance for Enterobacter
aerogenes bacterium. Therapeutic test with metronidazol, ciprofloxacine and amicacine
sulfate, tetracycline, cefadroxil imipenen, among others was done. Compatibility test of
anti-microbians was favorable to metronidazol, imipenen, cefadroxil and cilantro
association. Based on Bi-Digital O-Ring Test, the above antimicrobian scheme and the
Drug Uptake Enhancement Method was started, with excellent clinical, laboratory,
tomographic evolution, and complete cure of patient.
DISCUSSION: The patient had necrosis appendicitis with dissemination through superior
mesenteric vein; and the abscess of the liver was treated with imipenen, cefadroxil,
metronizadol as showed by Bi-Digital O-Ring Test. Fundamented on the principles of
Bi-Digital O-Ring Test and results obtained with patient, various research fields were
open for a number of clinical researches, that certainly will confirm its importance in
medical practice, establishing thus, an interface with conventional medicine.
CONCLUSION: Bi-Digital O-Ring Test suggested the etiologic agent, characterized
inhibitory antimicrobial medicine interaction and suggested therapeutics scheme,
confirmed by clinical evolution.
KEYWORDS: Bi-Digital O-Ring Test; liver; hepatic abscesses; antibiotics.
Correspondence:Dr. SumieIwasa, Sao Paulo, Brazil
TEL& FAX :+55-11-5081-5312 e-mail:sumie.iwasa@terra.com.br
Pre-Testing For the Proper Sedative Agents and Dosages to Prevent
Untoward Complications During Sedation
Dominic P. Lu D.D.S., F.I.C.A.E.
Professor of Oral Medicine University of Pennsylvania
and
Director of Medical and Dental Externship Education
Department of Dentistry,
Leheigh Valley Hospital/Penn State University College of Medicine
and
President, American Society for Advancement of Anesthesia in Dentistry
(Correspondence:+1-610-402-9684, e-mail: marianlu@hotmail.com, U.S.A.)
Abstract
About half of the population avoid any dental treatment because of dental phobia and fear.
This resulted in a large dental phobia and fear. This resulted in a large dental crippled
population. The shaking and trembling due to fear makes the patient unable to sit still for the
dental treatment to be rendered. To ease their fear, sedation or general anesthesia are used to
perform dentistry. Usually general anesthesia is done at the hospital and sometimes at an
outpatient clinic of the hospital, although some, occasionally, done in the office.
With limited monitoring device that was available in the first half of the century, the mortality
rate was a major concern, even in the last quarter of the last century with modern monitoring
devices for the patient�fs vital signs, the mortality rate in the dental chair still took place. Major
media networks in the U.S. such as NBC and CBS had broadcasted in their programs to
express major concern of death in the dental chair. In the U.S. the death due to sedation or
anesthesia is about 1 per 300,000 anesthetic�fs, the British surveys also showed that there is
not much difference in their ambulatory centers. Lately in the U.S. and the United kingdom
there is more legislation and debate to regulate anesthesia and sedation in the office. The
driving force for such an endeavor appears to be the office death. Despite the development of
pulse oximetry in the early 1980�fs which was a major advancement over cyanosis as an early
diagnostic acid for hypoxemia, there is still about 2 deaths in the U.S., a number comparable
to the British data.
Dating back to 1980�fs-95, in the Journal of Pediatarics, it showed that sixty pediatric patients,
in death or severe neurological impairment that 32 were dental cases. The other 28 cases were
divided among several medical specialties in hospital facilities and the office. The data was
collected when pulse oximetry was just beginning to become standard, and capnography was
unavailable. With full monitoring devices in place, it would otherwise prevent the office
deaths. The oximetry seems to be well established and capnography is becoming more
accepted for deep sedation and non-intubated general anesthesia. It gives immediate alert if
apena occurs, and is more life saving. Nevertheless, hospital stay is costly and the monitoring
equipments are expensive.
Financial pressures that are placed on the health care industry is considerable. Therefore
sedation must be available and affordable. Bi-Digital O-Ring Test (BDORT) for sedation
purpose may be both cost effective and complication reducible.
Recently there is much discussion of the controversial practice of �goral sleep dentistry�h
(cocktail style sedation). The practice involves repeated large doses of oral sedatives over a
period of several hours involving several different drugs to induce deep sedation and amnesia.
Advertised to the public as �gsleep dentistry�h, it is being taught at weekend seminars across the
U.S. There are concerns about the safety of the technique. Using an oral agent to achieve
anxiolysis and relaxation is accepted to be safe, effective, and important to the administration
of routine dentistry to anxious patients. However, using oral agents alone to achieve deep
sedation is unreliable and a dangerous technique.
Oral agents are not readily titratable nor reversible and, not therefore indicated for deep
sedation. They are less safe than IV (intravenous) sedation or combination of oral and nitrous
oxide sedation due to titratability, besides, IV benzodiazepines and narcotics are reversible.
The most concerned untoward and adverse reaction in sendation are drug overdose and
allergic reaction (including anaphylactic shock). Allergic reaction, though rare, could have
deadly consequence if not corrected soon after it occurs. The allergy test for sendatives is
tedious and, even after the test, one might still not be sure if the patient is truly allergic. If one
wishes to verify cases in doubt, one can use a simple non-invasive method of BDORT as an
adjunct diagnostic aid. This test, developed in late 1970, has been used for various diagnostic
purposes as well as selecting proper medication and dosage. The two testing methods, direct
and indirect testing, are based on criteria determining the compatibility of patient and doctor
for the purposes of conducting the O-Ring Test. For compatible patients and doctors, the
direct method is applied, while the indirect method is used for incompatible doctors and
patients such as very young children, or the debilitated, or the handicapped. If the indirect test
is used, then a nurse or assistant can serve as an intermediary during the test. The test result
can reveal the sensitivity of the patient to the drug for the patient. Briefly, the direct method
involves the patient making a circle (O-ring) with the thumb and another finger of one hand,
and holding it tightly together. If the indirect method is being used, the intermediary should
form the O-ring. In the other hand would be a viral of the properly selected sedative drug. A
compatible clinician would then attempt to separate the patient�fs finger and thumb with both
fingers of his own hands.
The end of a thin brass rod should gently rest on the skin over the trachea area of the patient if
testing for potential allergies or anaphylactic reaction. The other hand of the intermediary
person or patient not forming the o-ring would hold the other end of the brass rod. If the
patient is allergic to the drug it will be easy for the clinician to separate the patient�fs fingers
indicating the patient is not allergic to the drug. The strength of the fingers forming the O-ring
can be quantified to evaluate the quality of the drug after satisfying certain testing criteria,
bassed on which a clinical impression is made.
A clinician can select the proper dosage with O-ring test by pointing brass rod or finger of the
tester to the frontal lobes of both right and left hemisphere of the patients brain. The dosage of
the sedation can be properly adjusted when the fingers of the O-ring remain closed. Same
method is applying to the kidney, liver or heart by pointing to the respective organ
individually. For practical purpose, if the drug is compatible with the patient, the recommend
manufacturer�fs dosage can be given and titrated whenever possible. When and if the second
dosage maybe needed later during the dental procedure, the O-ring test with finger or brass
rod pointing to myocardium is performed to determine the proper second dosage. For
medically compromised patient, O-ring test with the sedative drug pointing to the kidney,
liver or brain with finger or brass rod is/are performed to the determine the proper second
dose, depending on what medical condition involving that particular organ. Such a practice
can even help prevent complications with sleep dentistry that is gaining some popularity. The
O-Ring test could be used as a guide to determine the proper dosage, instead of blindly
guessing the dosage when patients already being rendered in semi-conscious state. It could
potentially reduce complication.
EFFECTIVE TREATMENT OF HEADACHES WHICH FAIL TO
IMPROVE
BY ALL PREVIOUS TREATMENT AND IMPROVE BY USING THE
BI-DIGITAL O-RING TEST AND OMURA�fS SELECTIVE DRUG
UPTAKE ENHANCEMENT METHOD
Edward P. Spiegel, D.D.S., F.I.C.A.E.
Program Chairman, American Academy of Head, Neck and Facial Pain, USA
Twenty-five consecutive patients were seen in a dental office with a chief complaint of facial
pain, headaches, and jaw dysfunction. Each patient had been seen by their primary care
physician and at least one medical specialist. These specialists included neurologists;
psychiatrists; ear; nose and throat specialists; allergists; pulmonologists; rheumatologists; and
orthopedic specialists. Each patient had been under treatment for a minimum of 6 months
prior to being seen in a dental office. Their treatment consisted of over-the-counter
medications; prescription medications; surgical procedures; physical therapy; chiropractic
treatment; and osteopathic cranium manipulations. Each patient had some form of imaging of
the head and neck area including MRI�fs, CT scans, head and neck X-rays. The study consisted
of 18 females and 7 males. The age group was from 14 years of age to 72 years of age.
A routine dental examination, as well as a range of motion of jaw movement, was done on
each patient. Muscle palpations of the head and neck muscles were performed on each
individual. When indicated, an MRI was performed of the right and left temporomandibular
joint. The purpose of the MRI was to determine the position of the disc in relation to the
surrounding tissues. Of the 25 patients in the study, 21 had either a unilateral or bilateral disc
displacement.
All patients were fitted with a mandibular oral dental appliance and were instructed on
wearing the appliance on a full-time basis. Patients who did not respond to oral appliance
therapy within 7 days were given the option of continuing treatment with the oral appliance
and physical therapy or use of the Bi-Digital O-Ring examination and testing for bacterial or
viral involvement. All headache patients responded with significant elevations of viral
component HSV-I which was unilateral on each patient. Some patients presented with HSV-II
on the opposite side.
Patients were given EPA/DHA for the viral component and selective Drug Uptake
Enhancement for the side of the head involved. In some instances, Cilantro was also given
simultaneously because of heavy metal involvement. They were instructed in the Selective
drug Uptake Enhancement Method taught by Dr. Omura for that particular organ
representation.
All patients with unilateral or bilateral headaches had a 90 percent reduction of headache
symptoms within 72 hours.
CONCLUSION:
The use of the Bi-Digital O-Ring Test for diagnosis and the Selective Drug Uptake
Enhancement method taught by Dr. Omura is a cost effective, non-surgical, reliable treatment
for headaches and facial pain.
Correspondence to: Edward P. Spiegel, D.D.S.
3563 Aberdeen Avenue Erie, PA l6506 USA FAX: (1)(814)838-0748�GTEL�F�i1�j(814)833-1516
THE USE OF THE BI-DIGITAL O-RING TEST IN A DENTAL
PRACTICE FOR THE DIAGNOSIS, TREATMENT,
AND EVALUATION OF DENTAL MATERIALS
Edward P. Spiegel, D. D. S., F. I. C. A. E.
Program Chairman, American Academy of Head, Neck and Facial Pain, USA
Dental materials have frequently been associated with health problems in some patients. It has
been written by some dental practitioners that the dental materials used in some patients can
cause extreme health problems such as Multiple Sclerosis, Headaches and Facial Pain, Cancer,
Neuralgia, and other debilitating health problems.
In an effort to maintain a high level of biocompatibility between the patient and the dental
materials used, the materials used on 10 consecutively treated dental patients were checked
for biocompatibility using the Bi-Digital O-Ring Test. The materials tested included the local
anesthetic, topical anesthetic, the restorative material used, and any post-operative or
pre-operative medication for the particular patient.
Using the patient�fs panoramic X-ray or individual periapical X-rays, as well as the patient
themselves, the dental materials were tested for positive and negative influences on the patient
using the Bi-Digital O-Ring Test.
Utilizing this method, no patient experienced any post-operative sensitivity nor did they
experience any sensitivity to the local anesthetic being injected.
CONCLUSION:
If you eliminate the dental materials being used containing heavy metals, as well as other
chemicals, it may be in the patient�fs best interest to have the materials tested using the
Bi-Digital O-Ring Test. This is an effective, as well as economical, approach to dental
materials for patients.
It may also be the difference between the patient having no post-operative problems as
opposed to health problems which could be significantly contributed by the dental materials.
Correspondence to: Edward P. Spiegel, D.D.S.
3563 Aberdeen Avenue Erie, PA l6506 USA FAX: (1)(814)838-0748�


http://oringtest.hp.infoseek.co.jp/Abstract002(2002.7.20).pdf

 

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