More on Vaccines and the CMS

Today I met parents who were looking for a new pediatrician. The one they had previously selected had promised to be vaccine friendly. When the time came, they got the talk and some nudging towards starting. They did not like the pressure and felt like they got the bait (yes, we can go slow on the vaccines) and switch (when the time came, eyeball rolling). As they told me about their baby, I became concerned. The baby was one and a half weeks overdue. Labor was slow, difficult and lasted 3 days, yes, 3 days. At 3 weeks of life, she stopped breathing and got purple around the lips. The dad had to do CPR. They went to the hospital and were told they see this “all the time.” They suggested, that she really did not really need the CPR, that she would have “come out of it.” They wanted to know if I could affirm their concerns and would support their decision to not vaccinate. I absolutely agreed. This child’s life started off with some degree of difficulty. If mom could breastfeed out to 6 months, this is the last child I would want to vaccinate, if at all! Parents, I want to shout out to you to trust your instincts. Do not let anyone force you to do something that feels wrong. I need to explain to you how they, the doctors of the CMS (read my prior post on the CMS) think. They, regular pediatricians, believe that she should be vaccinated according to the newest latest schedule; maybe especially because she had some early issues. They need “protection” of those vaccines. However contrarian my perspective, I think my logic is more sound. Her neonatal head was clamped down through a 3 day process. She needs time for that head to decompress and the brain and nervous system need a chance to develop. Ninety-five percent of the blood pumped into the brain drains out of the veins in the back of the skull. With that difficult delivery, those drainage vessels are kinked. Any products circulating in the blood can easily be deposited in the brain. So parents, here are some signs to be concerned.
Babies born by difficult delivery should be carefully examined to make sure that the soft spot is soft and pulsating. Hard tight, small and poofed out spots are reflective of pressures that are not allowing the skull plates to expand. Look for veins on the scalp that bulge or faint purple spider veins around the eyelids (read my prior post “Doctor, what is that blue mark on my baby’s face?”). Difficult labors that are too long (more than 16hours) or too painful, is a harbinger of problems to come. Usually, poor progress is a result of past traumas to the maternal pelvis which leave the deep pelvic muscles in chronic spasm. In delivery, they cannot relax and phase with the symphony of events that are important to vaginally pass the baby. When the baby comes out, there is a weak cry, there is poor latching, poor nursing. The baby grows to be fussy, arches a lot, has frequent spit ups that eventually become “reflux.” The baby stiffens up and is too alert. Yes, parents, you need to go with your gut. Take heart and keep searching for answers.

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4 Comments on “More on Vaccines and the CMS”

  1. Karena Says:

    I am a parent who started with vaccines and stopped. Now I am pregnant and will be giving birth via C-section in January. I personally had a vaccine reaction when receiving multiple college booster shots should I be able to obtain a medical exemption for my children? I would love to speak to you more in detail about these concerns.
    Thank you for the work you do.

    • letrinh Says:

      family history is important in any medical evaluation of a child for any medical issue/concern. yes, for any office, any concern, we would need documentation, documentation, documentation. call and make appointment.

  2. MeMe Says:

    Thank you for your great blog posts. I have a similar question, I have one older daughter that suffered two seizures after 18mo vaccinations so I stopped vaccinating her and did not vaccinate my second child. My second child will be starting 7th grade next year and the new CA law concerns me. Hypothetically, in a case like mine, would you grant my second daughter a medical exception based on the history of my first? Does CA or the federal government put pressure on doctors not to grant medical exemption and require you to submit medical records to justify the medical exemption? Are you required to file paperwork with the government providing my child’s name as a child that has not been vaccinated?

    • letrinh Says:

      family history counts in any field of medicine as relevant (think heart disease, breast cancer, many more). medical exemptions are up to the discretion of the doctor in consultation with the family (requiring history intake, current illnesses, and physical exam findings). No, we are not required by law to file directly to the governments. if there is finding for an exemption, we would send the exemption form to the parents so they can submit it in the application packet for school admission. Because doctors do not want to be targeted for running afoul of a law, most doctors would document, document, document which would require the consultation. Consultations do not necessarily guarantee an exemption – there would have to be findings and valid concerns. I think this is a very reasoned, protective of the patient and family and legally compliant approach.

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