Guest guest Posted May 14, 2010 Report Share Posted May 14, 2010 Hi and others, I have been in Destin, FL for the past month, receiving the second 40 treatments for my mild TBI, of April, 2004. To my astonishment, a well-established cognitive test used by the military which I was given at the start of treatment, and again, at the end, showed statistically significant improvement from either " below average to clearly below average, " in three out of five areas of cognitive deficit. I believe it is amazing that this evidence is showing up on testing immediately after treatment. I anticipate that I will continue to see gains in the areas where I have cognitive deficits--we know that nerve tissue takes time to heal. I present this in case it may be of help to others with similar medical problems: These are the ANAM results on two dates from test scores taken 6 years after my TBI, April 21, 2004, using the ANAM4 TBI Performance Report. The first was done April 20, 2010, before my latest HBOT treatment in Destin, Florida, and again, May14, 2010, after 39 dives had been completed. It is interesting to compare the summaries of the report from April 20th, at the start of this HBOT session, to May 14, on the last day of the session, after 39 dives had been completed: PERFORMANCE AT A AVG ORBELOW AVGCLEARLY GLANCEABOVE BELOW AVG sleepiness scaleFATIGUE X1 / X2 mood scaleMOODX 1/ X2 simple reaction timeREACTION TIME X2X1 code substitution-LearningLEARNING X2X1 Procedural reaction timePROCESSING SPEEDX1/ X2 mathematical processingWORKING MEMORY X1/ X2 matching to sampleSPATIAL MEMORY X2 X1 code substitution--delayedDELAYED MEMORYX1/ X2 simple reaction timeREACTION TIMEX1/ X2 I have combined the two tables, with X1 being April 20th, and X2, May 14th. I highlighted in blue the cognitive areas which showed significant improvement: reaction time and learning, which were " below average, " normalized, and spacial memory which was initially " clearly below average, " also normalized. There was no statistical improvement in the areas of working memory or delayed memory. I think it is worth noting that these cognitive improvements occurred, with hyperbaric oxygen treatment, six years from the date of the initial injury! Best regards, , MD mild TBI survivor ________________________________ From: Freels <dfreels@...> medicaid Sent: Fri, May 14, 2010 7:10:58 PM Subject: Re: [ ] Utilizing the First Amendment. >Father to Trinity (DS Age 10) Ron, Does " (DS Age 10) " mean Downs Syndrome? If so, has Trinity had HBOT? If so, what was the response? Freels hbo-list: HBOT and SPECT scan >Date: Sun, 13 Feb 2000 14:22:55 -0600 >BestServHost: lists.best.com >MIME-Version: 1.0 >Sender: hbo-list-errors@... >Reply-hbo-list@... >hbo-list@... > >Dear List: >Is it true that Spect scan can not be reliable when >it comes to HBOT. A doctor in St.Louis Mo told >me that the scan changes from day to day. The >seizures make it change and he said that the changes >we saw and Dr. Uszler reported on were really not >improvements just I guess mistakes. If you take another >scan the next day it would be different. What is the >truth about this. This doctor was used by Georgia STate >to determine if a child would get the treatements paid for. >Of course he denied that it helped in anyway. He said the >spects did not prove that a real change occured. Can anyone >explain? This doctor was a Neurologist.Rhonda > >hbo-list@... is a public discussion forum for the field of >Hyperbaric Oxygen Therapy. For more information about this list, >please see http://www.hyperbaric.com/list.htm . > >This post was made by a lady named Rhonda, who lives in southern Illinois. She has a cp daughter (I think). > >Our son Jimmy first underwent HBOT in May, 1999 through July, 1999. He underwent SPECT-scan imaging before HBOT and after his 21st treatment. The second scan showed an increased cerebral blood flow of 25.4%. > >A few weeks later, in August, 1999, one of my neighbors who lives on my street contacted a pediatric neurologist who used to live in Atlanta and was then living in St Louis and on staff at Washington U. My neighbor used to attend church with this guy. After witnessing Jimmy’s daily improvements from HBOT throughout his initial 40-treatment regimen, she asked her friend if a cerebral palsy child could improve via HBOT. In a phone conversation, he said it was impossible, and in a follow-up, 2-page letter, he said it was " scientifically silly. " > >Next, the hbo-list post from Rhonda showed up. She's a Jehovah's Witness, which means she can't be a witness, i.e., testify against another person in a legal action. > >You see, I suspected the doctor Rhonda was referencing could have been the same friend of my neighbor's. The same guy who had already rendered a decision about Jimmy’s likelihood of improvement from HBOT even before he'd seen the evidence, which were Jimmy’s before/after SPECT scans. > >(The tipping point for Harch to testify for Jimmy in 2000 was when I faxed him Rhonda's post. What that doctor told her was a lie. He lied to her, which also meant he lied to Georgia Medicaid about Jimmy. It ticked off Harch, and he decided to testify. That St Louis doctor was essentially calling Harch a liar, and because Harch is a man of great principal, he wanted to set the record straight.) > >What the St Louis MD didn't know was that my neighbor already saw with her own eyes the improvements Jimmy made. She was asking her friend the pediatric neurologist because her husband experienced complications in a 1993 surgery to remove a tumor on his brain stem that sent him into coma. When he emerged four months later he was 70% incapacitated. My neighbor really wanted to know if HBOT would help her husband. When her friend the pediatric neurologist told her it was impossible for HBOT to help, that's when she decided to take her husband to Dr. Perlmutter in Naples, FL. He got 80 treatments, and his gains were documented with before/after SPECT scans. He emerged about 20% incapacitated instead of 70% incapacitated. This was seven/eight years after the initial injury, an improvement the pediatric neurologist said was not only impossible but " scientifically silly. " > >(My neighbor's improvements were so dramatic, he became over confident. In mid-2000, he lost his balance and hit his head, which induced a stroke. He already had a couple of shunts in his head from the 1993 surgery. In hospital, his wife requested an Rx for HBOT. Because of his success from the previous HBOT--as documented by his before/after SPECT-scan imaging--Kaiser agreed to pay for 80 more tx of HBOT. He made almost a total recovery, to where he was with Perlmutter and still holds the record for quickest recovery at Emory Rehab.) > >At our first ALJ hearing in 2000, the Georgia Medical Care Foundation (GMCF) employee who coordinated the review of our request mentioned Rhonda's doctor's name on the stand. It was the same friend of our neighbor's: Edwin Trevathan. That's when I pulled out Trevathan's follow-up letter to my neighbor and attempted to enter it into evidence. Though it wasn't admitted, if you read the transcript, you can see the case coordinator is horrified: Trevathan should have recused himself from the case since he'd already made a decision about the very same child in August, 1999 some three months before Georgia Medicaid asked his opinion for the same child in November, 1999. > >Since he knew this was for the very same child, i.e., Jimmy Freels, this action alone is highly unethical and could subject Trevathan to some sort of sanction or even revocation of his license to practice medicine. > >We lost the first ALJ decision in December, 2000. We spent several months preparing an appeal. The one hole was Trevathan's statement that SPECT-scan imaging was unreliable. I emailed every expert I could find, asking when and under what circumstance is SPECT unreliable. I emailed Maxfield and Neubauer, Harch and Philip . I reviewed everything I could find on Medline that hinted at unreliability. I read every text on SPECT scans at the Emory Medical Library. > >(I did find several papers by Denays of Belgium where he used SPECT to assess, predict, and diagnose cerebral palsy. My question was, if you can use SPECT-scan imaging to assess, predict, and diagnose CP, then why can't you also use SPECT to demonstrate improvement in CP from HBOT.) > >In June, 2001, I emailed Trevathan as a last resort, asking him to document his claim to Rhonda and Georgia Medicaid that SPECT-scan imaging is unreliable. He wouldn't even acknowledge the question. We exchanged three or four emails, and he told me to not contact him again until a controlled study was published that proved HBOT efficacy in pediatric brain-injury--at which time, he said, he would admit his error. > >In March, 2009, Dan Rossignol et al published " Hyperbaric treatment for children with autism: a multicenter, randomized, double-blind, controlled trial " found at http://www.biomedcentral.com/content/pdf/1471-2431-9-21.pdf . His treatment group? 1.3 ATA air, the same protocol Collet claimed was a placebo. The Rossignol paper not only proves HBOT efficacy in autism, it also proves HBOT beneficial for CP children, whether 100% O2 at 1.75 ATA or 1.3 ATA Air. Because of Rossignol, both groups of the Collet study are now proven treatment groups. > >So I emailed the link to download the Rossignol paper to Trevathan, only he's no longer in St Louis. He's not at Washington U anymore. He's back in Atlanta. He's now the National Director of Birth Defects and Developmental Disabilities at the United States Center for Disease Control and Prevention. See http://www.cdc.gov/about/leadership/leaders/trevathan.htm > >He's in a position to pick up the phone and call the President of the United States and say, 'Mr President, I think we've discovered something that might lead to a cure for not only autism but also cerebral palsy, but we're going to need a billion dollars to research the full potential.' > >After I emailed the link to Rossignol's paper, at 3 that afternoon two FBI agents were at my door accusing me of harassing, stalking, and making physical threats to Trevathan. I explained HBOT and my history with Trevathan. I told them about Trevathan's request for no more contact until there was a controlled study. > >They advised me to hire an attorney if I wanted to contact Trevathan again. " I have to hire a $500 an hour lawyer to send this guy an email? " > > " That's what we advise, sir. " > > " And where's the free speech in that? " > >I thought about it for about another 24 hours, then wrote him back, reminding him the Third Reich went out of business in 1945, and he really had no justification for sending the FBI to my house. > >Instead of the FBI, three days later a deputy from the Dekalb County Sheriff’s office served me with a restraining order. A few weeks later in magistrate court, where the judge had 30 wife beaters who genuinely did need restraining orders otherwise they might genuinely kill somebody, in preliminary meetings with my attorney and Trevathan's attorney the magistrate judge let it be known she was not going to " waste " any time reviewing emails from 2000 or talking about the Medicaid law for children or letters to neighbors or Medicaid ALJ hearings or decisions. Nor did she care that he was a public health official, and there's this document out there called the United States Constitution that includes a First Amendment right to free speech. > >All she cared about was the FBI told me not to contact him again, and I did. The reasons for the contact didn't matter. > >This meant (a) the judge believed I was guilty of stalking (, I couldn't present my side, © which meant I couldn't present evidence, (d) which also meant without evidence in the record, I would have no grounds for appeal when I lost. Plus (e) I would have to pay for Trevathan's attorney fees, which (f) totaled $22,000 at that time. > >So I settled. I took the restraining order. My attorney advised me to not even mention it or discuss it. > >My attorney is a different attorney than our attorney, though he did represent me pro bono. He's a retired metro Atlanta district attorney who's well-known as he's put away many of this area's most notorious criminals, particularly murderers. We attend the same Sunday School class, where he'd always made jokes about paying his annual law license renewal fees since he never went to court anymore. > >So I called him and asked if he'd be interested in putting that license to work. At first he said no. So I met with a couple of other attorneys. My friend called back and said he'd take it. He came over and asked me a ton of questions. I had the distinct impression that he didn't believe anything I told him. So I had him watch the Curt video at . Well, that elicited a raised eyebrow, but he never let me know what he was thinking. > >Next, he spent three or four days reviewing all the documents from 1999 through 2009. Finally, it was his conclusion that Trevathan is an inherently dishonest person, and I had not only discovered his dishonesty but additionally, with that dishonesty Trevathan had squarely placed himself in the crosshairs of eventual self-destruction that would most likely end his career. > >Further, my attorney believed the Georgia stalking law is unconstitutional. If I have a restraining order against me, the restraining party can contact the police with a claim of violation of the order, and I would be immediately arrested and jailed. It was then up to me to prove myself innocent before I could be released from jail. He believed Trevathan's goal was to put me in jail so I could not talk about what I knew. > >So I've been silent until the restraining order ended, which it did a few weeks ago. > >But here's the thing about Trevathan that I believe is truly evil. If you read the transcript from the 2000 hearing, he claimed the SPECT scans were not only unreliable, he also advised Georgia Medicaid to not cover HBOT because cerebral palsy is a motor disability and Jimmy’s " unreliable " SPECT scans didn't show improvement in the area of brain that controls motor function. Instead Jimmy’s second scan shows primary improvement in the temporal lobe--which just controls speech, language, and cognitive function. > >Whoa. Let's think about that one a minute. Most children suffering from spastic quadriplegia cerebral palsy also suffer from cognitive impairment (like 90%), and here's something that improves cognitive abilities, and this Nazi named Trevathan says, " No! " > >And now we also have a national epidemic where more than 1 in 100 children are suffering disfunction brought about by their nonfunctioning or poorly functioning temporal lobes (called Autism), and because the CDC's National Director of Birth Defects and Developmental Disabilities said no to HBOT 11 years ago, declaring it " scientifically silly " , his ego will not allow him to admit error (even though he said he would to me in his email), and so here we all sit. > >Well, I've had a year to think about this, and I've got some ideas. > >While this event was difficult for me personally, in the end, this may be a good thing for the entire off-label HBOT community. While the medical traditionalists keep saying we have to have more studies, the history of HBOT does not have studies when new indications are added. They're added when evidence is accumulated that HBOT works for certain situations, such as Decompression Sickness--which, by the way, is an hypoxic-ischemic brain-injury--just like cerebral palsy and autism and stroke. So if the evidence exists that people suffering from hypoxic-ischemic brain-injury improve from HBOT, then historically, HBOT for these brain-injuries should be added. > >But what happens if there's a sneaking suspicion that the decision-makers in charge of making policy decisions have a prejudice, a bigotry against HBOT. What if there's an active discrimination against the use of HBOT for our most chronic conditions--despite the documentation of efficacy. > >Well, that situation now exists. The big cheese at the CDC has known for 11 years that there is an FDA-approved intervention that improves function in the frontal lobe of brain-injured children suffering from cognitive disorders. In fact, if and when a controlled study is published to move that knowledge from anecdotal to proven according to the standards of evidence-based medicine, and you make him aware of it, the record indicates he'll take legal action against you to shut you up so as to keep it swept under the rug. > >Well, here's the deal. Here's what I'm thinking. First and foremost, no matter what you do--do not--under any circumstance contact him directly and quiz him on it. If you do that, we lose our advantage. > >Instead, I'm thinking, we still have this thing called a United States Constitution. We still have a First Amendment right to free speech. And each one of us still has two United States Senators and a member of the United States House of Representatives. Plus, we also have a President of the United States who just twisted the arms of enough members of the House and enough members of the Senate to get a 1-vote majority in each house so as to reform the way that healthcare is administered in the United States. > >That means, there's an inherent commitment to doing business a different way. > >My idea is for each one of us to sit down and write a letter to our senators and representative and president and (a) document HBOT efficacy for brain-injury ( include an explanation of the Medicaid law for children and how it mandates HBOT coverage for brain-injury © as evidenced by coverage now in 20-something states, (d) next detail Trevathan's history of denying HBOT efficacy at the detriment of hundreds of thousands if not millions of children--not through honest difference of scientific opinion but instead through deceit and dishonesty. Therefore (e) a full review of policy governing access to and use of HBOT for brain-injury is in order, and (f) specifically somebody needs to be in charge who will fully explore and implement the use of HBOT for brain-injury--not only at the CDC but also at all other government agencies. > >At one time, I had the 2000 transcript and copy of the letter from Trevathan to my neighbor on the files page at medicaid/files/ . I just went through there and couldn't find them. In the next few days I'll put that back up there, along with Trevathan's 2009 complaint. I'll also include our email correspondence from 2000. All these will include a list of his dishonest statements and assertions. > >I would really like to coordinate this so that all our letters hit the desks of our senators and representatives at the same time. I think that would create more impact and generate more leverage. This group has over 2000 members. Let's take advantage of our size. > >Let's discuss this some more as a group. Maybe there's a way to refine the idea even more. > > > Freels >2948 Windfield Circle >Tucker, GA 30084-6714 >770-491-6776 (phone) >404-725-4520 (cell) >815-366-7962 (fax) > >http://www.davidfreels.com > >mailto:david@... > > > > >------------------------------------ > > " So I say to you: Ask and it will be given to you; seek and you will find; knock and the door will be opened to you. For everyone who asks receives; he who seeks finds; and to him who knocks, the door will be opened. " [Luke 11: 9-10] >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Quote Link to comment Share on other sites More sharing options...
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