Stuff to print for your Doctor
Certificate of Medical
Necessity, a form to print out and fill
out:
http://cms.hhs.gov/forms/cms484.pdf
Physician
Reference/Persuasion
(this information may be printed out for
your doctor to read if he/she is unfamiliar with
this treatment)
*****these references are
included to show that o2 treatment has been shown
to be effective by Medical
Doctors/Neurologists---may be edited as
necessary*****
*****from an IXQUICK
metasearch*****20March2003*****
http://www.numarkpharmacists.com/pages/invoker.plx?page_id=page_hn_2960001
Oxygen Therapy
Oxygen
therapy includes a wide range of therapies that
utilise oxygen in various forms to promote
healing and destroy pathogens in the body.
Therapies are grouped according to the type of
chemical processes involved and an equally wide
array of techniques for administration exists.
Oxygen therapy is based on the fact that all
human cells, tissues, and organs need oxygen to
function, and it is believed that a lack of
oxygen on the cellular level can contribute to
cancer and other maladies.
Most oxygen
therapies, such as hyperbaric oxygen therapy, in
which the patient is placed in a chamber with
highly concentrated oxygen, or ozone therapy, in
which a mixture containing ozone is injected into
the patient, must be administered under clinical
supervision. The possible indications that may be
treated by such therapies are growing, although
most uses of this therapy remain
unproven.
For more information, contact:
The American College of Hyperbaric
Medicine
Ocean Medical Center
4001 Ocean
Drive,
Suite 105
Lauderdale-by-the-Sea,
Florida 33308
(954) 771-4000
*****from an IXQUICK
metasearch*****20March2003*****
OxyFile #145
Hyperbaric oxygen
therapy in cluster headache.
F Di Sabato;
BM Fusco; P Pelaia; M Giacovazzo
Pain
1993 Feb, 52(2):243-5.
(UI: 93205438)
Abstract: Preliminary reports have shown that
hyperbaric oxygen (HBO) interrupts cluster
headache (CH) attacks. In the present study, 6 of
7 patients with episodic cluster headache who
were treated with hyperbaric oxygen experienced
an interruption of the attack. In 3 of 6
responders the florid period of the cluster
headache was interrupted. The other 3 patients
remained without pain attacks for a period
lasting from 3 to 6 days. In 6 different
patients, a placebo treatment had no effect. The
present findings clearly indicate that hyperbaric
oxygen has not only a symptomatic effect on a
single attack of cluster headache, but it also
could prevent the occurrence of subsequent
attacks
*****from an IXQUICK
metasearch*****20March2003*****
*****good
one...check for too much info…probably needs
edited down in size*****
http://www.postgradmed.com/issues/2001/01_01/dalessio.htm
Relief of cluster headache and
cranial neuralgias
Promising prophylactic and
symptomatic treatments
Donald J.
Dalessio, MD
VOL 109 / NO 1 / JANUARY 2001 /
POSTGRADUATE MEDICINE
CME learning
objectives
* To learn to diagnose and
differentiate cluster headache from the major
cranial neuralgias
* To be able to develop
treatment strategies for these diagnoses
* To
become aware of new approaches to advanced
medical and surgical management of difficult
cases
The author discloses no financial
interests in this article.
This is the third
of four articles on headache.
Preview:
Cluster headaches and trigeminal and
glossopharyngeal neuralgias produce intermittent,
debilitating pain. The episodic nature of the
symptoms of these conditions remains enigmatic,
but a number of effective treatments have been
developed that offer hope to patients. In this
article, Dr Dalessio discusses the presentation,
course, and treatment indications for each of
these disorders.
Dalessio DJ. Relief of
cluster headache and cranial neuralgias:
promising prophylactic and symptomatic
treatments. Postgrad Med
2001;109(1):69-78
The intense pain that
characterizes cluster headaches and trigeminal
and glosso-pharyngeal neuralgias usually can be
relieved--or prevented--through use of oxygen,
drug therapy, or surgery. However, treatment
relies on the physician's recognition of these
disorders, each of which has a unique
presentation and course.
Cluster
headaches
Short-term
treatment
Oxygen inhalation is
effective and relatively safe for the symptomatic
treatment of cluster headache (2). I generally
prescribe it as first-line treatment. The
mechanism of action is unknown but probably
involves a marked reduction in cerebral blood
flow that results in concomitant pain reduction.
Patients should be told to begin therapy at the
onset of an attack by administering 100% oxygen
through a face mask at a rate of 7 to 8 L/min for
10 to 15 minutes. A nasal cannula should not be
used because nasal congestion may impede
inhalation. Patients should assume a sitting
position, either upright or leaning forward, and
should avoid hyperventilation, which may limit
oxygen saturation.
References
2.
Kudrow L. Response of cluster headache attacks to
oxygen inhalation. Headache 1981;21(1):1-4
For
a helpful guide to electronic and print resources
on headache for physicians and patients, see the
Resource Guide in this issue.
Dr Dalessio
is senior consultant, division of neurology,
Scripps Clinic, La Jolla, California.
Correspondence: Donald J. Dalessio, MD,
Senior Consultant, Division of Neurology,
Scripps Clinic,
10666 N Torrey Pines Rd,
MS313,
La Jolla, CA 92037.
*****Reprinted from the message board*****
Re: The
price of oxygen (please help)
« Reply
#2 on: Nov 29th, 2002, 9:33am
hey
Mel.....good to see you're looking into o2
treatment....it's hard to answer your question,
because use is variable. Most people need
10-12-15 liters per minute to be effective and
the oxygen concentrators can't go over 8LPM...and
that's at about 95% o2....the tanks deliver 100%
and come in all sizes from "M" at 6 cu.ft. which
is the kind you can carry around ...through
-"C" @ 8.7 cu.ft.--
-"R" @ 20
cu.ft.--
-"D" @ 18 cu.ft.--
-"E" @ 22.5
cu.ft.-- (the type most people have and is 30"
tall x 4" Diam. --weighs about 10 lbs. (this one
is good for about 4 headaches @ 10-12LPM x 12-15
minutes)
-"Q" @ 83 cu.ft.--
-"DEY" @ 124
cu.ft.--
-"S" @ 154 cu.ft.--which is the
largest you can reasonably manage at home--4'
tall x 7" Diam./ weighs about 75-90 lbs.and
requires a wheeled "dolly" ---MY personal choice
because I only need to refill once every 20-25
(one week for me) headaches---@ 10-12LPM for
12-15 minutes.
YMMV (your mileage may
vary)
There are larger tanks, but probably
ex$pensive and you would need to contact your
Medical Supplier.
There are 2 types of
regulators (that I know of): the small ones for
the "E" (et al.) tanks that have an (almost)
idiot proof connection--only one way to
connect--and one capacity gauge--and the larger,
threaded connector type with 2 gauges--one for
capacity and the other for flowrate. As far as
co$t: YMMV........I got a used, certified 2 gauge
regulator for $75---new is about $125. The small
"E" types are probably $70 new.