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House of Pain Video - Part 3 - 10 Step Treatment Plan
It's basically impossible for the muscles to contract 500 times per second versus 2. What may be happening is there is physiological change and the cellular membrane permeability is enhanced and there may be more chemical transfers in/out of cell and that process may be enhancing healing or retarding pain stimulus messages. If so interferential would be indicated since the rate, pps, is over 8,000 rather than 500.
Very positive is the proper way to move. Often improper movement, due to pain, is aggravating or exacerbating the pain, and in this video patient being shown how to move properly while estim is overcoming the new pain stimulus. By overcoming pain greater range of motion is restored and full function returns quicker which is one of the goals of the Arp protocols.
On increasing exercise level ( repetition) the higher current level is taken to almost uncomfortable level and exercise is begun. At a resting state the pain level is such that more current hurts, but with movement that normally increases pain, then the higher current load becomes less uncomfortable. That is because the pain stimulus signal is stronger and therefore more current is needed to override the stimulus. Pain is never felt anywhere in the body but the brain. Muscles do not feel pain, the brain tissue does and then signals our body on how to respond.
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The Lady with the Lamp:
Using Ultraviolet Light to Sterilize Line Sites
by Laura Bailey
My son, Tyler, has had a total of 26 central lines. Some of those lines were temporary and some were meant to last a long time, like the Port-A-Cath that he had last year. Tyler has been very traumatized by these line placements and especially by painful dressing changes. After watching him struggle for years, I finally came up with a better solution: ultraviolet light sterilization.
Unfortunately, Tyler has lost a lot of the permanent lines because of fungemia (fungus or yeast in the blood). Yeast is sticky and cannot be cleared from the line, so if there's yeast, the line must be pulled. There's really no getting around pulling it. Trust me, I've tried everything to save the lines, including extended use of antifungal medications. Some other of Tyler's lines became dislodged, some were pulled out by Tyler, some broke and some just quit working.
Having a line placed 26 separate times has left Tyler understandably traumatized. I can only imagine how he feels. I clearly remember crying hysterically when I was nine years old because I was taken for a blood draw, which is nothing compared to what it takes to place a central line. Maybe I was a little bit dramatic, but I really was scared! Each time we would take Tyler to the hospital, he knew where we were and knew what was to ensue. He would panic. I would panic. My heart would break into a million pieces as I would lower his pants for that shot of Ketamine that would rob my son of consciousness and turn him into a hallucinating, teeth grinding, moaning, blob of a kid.
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The electrical stimulation device, Infrex Plus, possesses specification characteristics that are not found in any conventional therapeutic neuromuscular electrical stimulator (interferential, microcurrent, galvanic, Russian stim, iontophoretic like). The Infrex Plus is the only unit that comes with a rechargeable battery system capable of 80 minutes of continuous treatment using only the rechargeable batteries as the power source. The patient can treat in situations such as travel on bus, air, car, public areas such as recreation fields, athletic fields, and elsewhere when the use of the supplied AC adaptor is not convenient. The Infrex Plus uses the latest technology to make the unit truly portable, however in the clinic, office or home the use of the AC adaptor is recommended.
The Infrex Plus uses modified direct current (DC) compounded with a high frequency double exponential biphasic waveform. This background wave is harmonious with the body
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Yes Absolutely Free.
One of our most reliable units ever.
- Dual channel with timer.
- Adjustable Rates -
- Constant Current.
- Pocket Size -
- Easy Operation with 9V battery.
Try our Digital 6000 tens unit to determine if Tens will help you with your pain.
Your Complete Satisfaction is Guaranteed. We do require a credit card on file to insure the tens machine is returned and a security deposit.
For insurance to pay for tens we must have a prescription from a licensed M.D. in the U.S. We require a security deposit or permission to charge a credit card if the unit is not returned.
Enter your name and email below for all the details. Or call us at 800-937-3993.
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Dealing With Health Insurance Company Denials For Pre-Approval and "Out of Network"
Often patients are denied treatments and medical equipment due to erroneous reasoning by the initial examiner. The patient is in an unfair position due to:
1. Patient may be in pain, suffering or sick at the time of the request,
2. Patient does not routinely file for insurance benefits,
3. Patient's area of expertise is outside the health care world and the patient depends upon the knowledge of those employed to serve in the patient's best interest, not the employers sole interest.
Here are a few of the guidelines to understand when dealing with insurance companies:
1. Pre-authorization versus Pre-determination
Often an insurance employee will routinely deny treatment or durable medical equipment using the phrase " the treatment, equipment was not pre-authorized therefore we deny payment".
Pre-authorizations are NOT LEGALLY BINDING but can be intimidating when a patient first hears it. Now if the denial is based upon Pre-determination then that can be binding but it also is a binding commitment to "PAY A PARTICULAR AMOUNT OF MONEY FOR A PARTICULAR CODE OR PIECE OF EQUIPMENT". The issue for pre-determination is not coverage, but amount to pay for the coverage contracted for.
2. Words are not legally binding from the insurance carrier.
Basically if you do not have it in writing then it digresses to "he said, she said" and is not provable or binding. The best policy is to put all dealings in writing and/or summarize any conversations in writing and send by certified mail to the insurance company, certified mail, to the person you spoke with. If the person you speak with does not provide name or mailing address then note in the written correspondence being sent to the insurance carrier.
3. There are many laws to protect patients, with ERISA being the strongest, but there are also conflicts between whether state or federal law applies.
Federal law applies to self insured plans and State law applies to fully insured plans. If State law is applicable then you generally apply the law of the state in which the insurer has it's principal
place of business, where incorporated, and where the patient resides, or where the injury/accident occurred.
4. Regulatory laws initiated by specific legislative bodies require compliance.
Most states and the federal government have granted authority to regulatory bodies to set rules, rates, compensation to institutions such as Industrial Commissions, Worker's Compensation etc. and the rules of those bodies apply to patents and insurance companies alike.
The right to sell insurance in the particular state or federal regulatory body involves the granting of permission to do so which also includes certain contractual rights and obligations in dealing with patients.
5. Often a basic denial will be "Out of Network".
The insurance companies are obligated to provide patients with competent medical providers, not the best medical provider. If the company, hospital, clinic you want to use are accentuated that is a prima facie case of allowance if the services are not reasonably available within the network the insurance carrier chooses.
If the use of one insurance provider that is in network constitutes an unreasonable burden then the patient may request an exception due to X,Y,Z. If there is no provider in network that provides the same or reasonably same products/services then out of network providers must be approved.
If the patient has visited, or examined the proposed in network provider and does not feel the provider is qualified or competent then that argument should be used in requesting an alternate out of network provider.
6. Insurance law is based upon contract law.
If the patient, employer has met the contract requirements for coverage such as payment of premium then the insurance company is obligated to perform it's contractual obligations within a scope of reasonableness.
The contract is based upon law, not upon internal rulings within the insurance company by employees not versed in interpretation of contract law. Often routine templates are taught to the insurance examiner as template for denials of coverage but those templates are not legally enforceable.
MedFaxx maintains a full staff of knowledgeable employees to appeal adverse decisions to patient rights. MedFaxx employs ERISA laws when necessary for our patients.
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At MedFaxx we routinely handle appeals for our patients under ERISA, in most circumstances, and that is reason we ask for permission from our patients to protect their patient rights to find pain relief in a non invasive, non narcotic way with an Infrex trial. A routine denial occurs generally when asking for "pre authorization" or there will be a denial for "out of network". We have many appeal forms to easily protect your rights.
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Pre-modulation is the process of mixing the electrical currents inside the interferentail device before it is administered to the patient. This contrasts with the classic theory of allowing the currents to cross inside the patient.
The Infrex Plus is a pre-modulated device.
A comparison of true and premodulated interferential currents.
School of Physiotherapy, La Trobe University, Victoria, Australia.
OBJECTIVE: To compare true and premodulated interferential currents (IFCs) in terms of sensory, motor, and pain thresholds; maximum electrically induced torque (MEIT); and comfort.
DESIGN: Repeated-measures design.
SETTING: Laboratory setting.
PARTICIPANTS: University student and staff volunteers.
INTERVENTIONS: Participants were exposed to 4 different conditions, chosen to evaluate 2 fundamental differences between true and premodulated IFCs. The conditions were different combinations of (1) premodulated or constant-amplitude currents applied at the skin and (2) crossed or parallel current paths.
MAIN OUTCOME MEASURES: Sensory, motor, and pain thresholds; MEIT; and subjective reports of relative discomfort were recorded for each of the 4 conditions. Motor to sensory threshold ratios were subsequently calculated to assess depth efficiency of stimulation.
RESULTS: The major findings were that crossed currents (true IFC) had no advantage over parallel currents (premodulated IFC) in terms of motor to sensory threshold ratio, MEIT, or comfort, and that premodulated currents produced higher torque values and less discomfort than constant-amplitude currents (true IFC). These results contradict the claimed superiority of true IFC.
CONCLUSIONS: The findings indicate that premodulated IFC, delivered via 2 large electrodes, may be clinically more effective than the traditional true IFC arrangement in terms of depth efficiency, torque production, and patient comfort.
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MedFaxx is located at:
525 South White Street
Wake Forest, N.C. 27587
Fax: 919- 570-0354
Hours of Operation are:
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