wobbly wrote:bed tilting is not gonna work--that much i can say --it might help or after this problem is fixed to maintain the results/ i have seen some of the dopplers this is real blockage and some what appears 2 me 2 be somewhat heredity related[ rumours ]from big shots. but this is a simple problem 2 correct and why not but drug companies will not be backing this which will slow down the process/ STAY STRONG ALL
I'll make sure to discuss IBT with the docs, Andrew.
You can find attached translated abstract that has been submitted for a vascular congress in Poland. Since no copyright apply - you can post it at the MS forum.
I am coordinating this preliminary study. The assessment of deep cerebral veins was usually difficult, therefore only results of extracranial veins are presented. Consequently, there are substantial differences between our and Zamboni's results. Still, the main message is the same - all patients were demonstrated pathologies of veins in the neck.
The next step will be phlebography followed by stenting or open surgery, and the department is preparing documents for ethical committee to conduct such treatments.
Flow disturbances in internal jugular and vertebral veins in patients with multiple sclerosis.
J. Kostecki et al.; Department of General and Vascular Surgery, Tychy, Poland
Background. Recent discovery suggests that multiple sclerosis can be actually triggered by pathologic flow in the veins draining the central nervous system. Still, for the time being, data confirming this concept comes from one center (Ferrara, Italy). This study has been done to confirm the findings of Italian researchers.
Patients and method. There were assessed 6 patients with confirmed diagnosis of multiple sclerosis and 3 patients suspected to suffer from this disease (yet unproven diagnosis). All patients were performed color Doppler examination of their internal jugular veins and vertebral veins in the neck. Examinations were done in lying and sitting patients. There were assessed: diameter of internal jugular veins, position-dependent change of diameter of these veins, presence of stenoses in internal jugular veins and vertebral veins, and presence of pathological refluxes in these veins.
Results. All patients (100%) were found at least one abnormality and 5 patients (56%) were found at least two abnormalities. There were found: occlusion of one of internal jugular veins - 2 patients (22%), stenosis of one of internal jugular veins - 4 patients (44%), stenosis of both internal jugular veins - 2 patients (22%), reflux in internal jugular veins - 2 patients (22%), stenosis of vertebral veins - 3 patients (33%), reflux in vertebral veins - 1 patient (11%).
Conclusions. Our preliminary results confirm finding from Ferrara. Pathologies of internal jugular and vertebral veins are typical in multiple sclerosis patients and individuals suspected for this disease. No universal anatomical pattern exists – on the contrary, a whole spectrum of stenoses, occlusions and refluxes can be found. It should be suspected that causal relationship exists between pathologic flow in the veins draining the central nervous system and multiple sclerosis.
English translation of abstract submitted for 6. Congress of the Polish Phlebological Society, 28-30th May 2009, Warsaw, Poland
On March 18, 2005, the Centers for Medicare and Medicaid Services (CMS) will determine whether to cover carotid stenting. 1 Under the terms of a proposal that CMS issued on December 17, 2004, 2 carotid stenting would be covered for symptomatic patients with stenosis of 70% or more who are high-risk candidates for carotid endarterectomy. Only stenting systems with embolic protection devices could be used in procedures eligible for reimbursement. Reimbursement rates will vary based on the usual CMS adjustments, but the national average might be roughly $1,100 for physicians and $5,200 to $8,200 for facilities. 3
In order to obtain reimbursement, providers will have to demonstrate competence in performing the procedure, evaluating patients, and providing follow-up care. The mechanisms that would be used to determine competence for physicians and facilities have not been specified, so medical specialty societies are expected to propose guidelines and/or plans for the necessary programs
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