This document provides information about deep brain stimulation (DBS) therapy for conditions like Parkinson's disease and essential tremor. It discusses how DBS works, when it may be an option, benefits like improved motor symptoms and reduced medication needs, potential risks of surgery and stimulation, coverage by insurance, and the treatment process. Key points covered include that DBS involves implanting electrodes in the brain connected to a pacemaker-like device to block abnormal neural signals, most side effects are temporary from surgery, and it may provide 5 additional hours per day without symptoms for Parkinson's patients.
Medtronic Deep Brain Stimulation is an adjustable, reversible treatment option for movement disorders caused by Parkinson's disease and essential tremor, and it may help to manage dystonia symptoms
New Strategies to Improve Outcomes and Quality of Life After a Concussion Cognitive FX
Dr. Mark Allen, Ph.D., and Dr. Alina Fong Ph.D. presented during the Pink 4 conference in Rome, Italy in September 2017. Exploring new strategies, such as EPIC Treatment, to treat concussions and lasting concussion symptoms by understanding and addressing the core problem, the impairments in the brain.
For more information please visit: www.cognitivefxusa.com or contact us at info@cognitivefxusa.com or 385-375-8590.
Neurofeedback therapy, also known as EEG biofeedback that employs real-time visual displays of human brain activity through the use of electrodes attached to the scalp.
Dr. Michele Burklund focused this presentation on brain health with a focus on complementary care for brain cancer patients. Her latest speech was at UCLA. She discusses how to find a qualified naturopathic doctor, what clinical-grade nutraceuticals are, as well as nutrition and treatments to enhance therapy.
Medtronic Deep Brain Stimulation is an adjustable, reversible treatment option for movement disorders caused by Parkinson's disease and essential tremor, and it may help to manage dystonia symptoms
New Strategies to Improve Outcomes and Quality of Life After a Concussion Cognitive FX
Dr. Mark Allen, Ph.D., and Dr. Alina Fong Ph.D. presented during the Pink 4 conference in Rome, Italy in September 2017. Exploring new strategies, such as EPIC Treatment, to treat concussions and lasting concussion symptoms by understanding and addressing the core problem, the impairments in the brain.
For more information please visit: www.cognitivefxusa.com or contact us at info@cognitivefxusa.com or 385-375-8590.
Neurofeedback therapy, also known as EEG biofeedback that employs real-time visual displays of human brain activity through the use of electrodes attached to the scalp.
Dr. Michele Burklund focused this presentation on brain health with a focus on complementary care for brain cancer patients. Her latest speech was at UCLA. She discusses how to find a qualified naturopathic doctor, what clinical-grade nutraceuticals are, as well as nutrition and treatments to enhance therapy.
Regulation of depression by a new type of brain stimulation in addicted patie...Mrsunny4
Depression is also known as clinical depression and major depressive disorder (MDD). This severe medical illness affects 15 million American adults every year or about 5-8% of the adult population of the US. Women are nearly twice as likely as men to develop major depression.
In this webinar we take a look at how cannabis can play a role in the treatment, and perhaps prevention, of dementia. We discuss issues that patients and family members should be aware of, including dosing, how to treat a non-verbal patient, and much more. And as always, you are invited to share your questions and personal stories!
Biofeedback for migraines,chiropractor pelham drwillmck.comdrwillmck
Allergic reactions can become quite difficult to handle if not treated at the right time. People can be allergic to various things – foods, chemicals, medicines, pollen, insects, pets etc. At McKenna Family Chiropractic, you can get complete relief from allergies via their laser allergy relief program, Bioallergenix. For more details about this program, click on http://www.drwillmck.com/ and gather required information.
Effect and maintenance of "EEG-biofeedback rTMS" on mood and working memory ...Amin Asadollahpour Kargar
This is a proposal presented in the 1st IBRO/APRC Iranian Associate School of Cognitive Neuroscience “Functional Human Brain Mapping”, Tehran, Iran, May 22-28, 2015
aimed:
1. To evaluate the effect of EEG-biofeedback rTMS on Mood in major depressed patients compare to EEG biofeedback and rTMS
2. To evaluate the maintenance of EEG-biofeedback rTMS on working memory in major depressed patients compare to EEG biofeedback and rTMS
We live in an era of medication, but what else can we do to improve mental health? Are we excessively prescribing, can we approach medicine in a more holistic way?
The Alzheimer’s Research & Prevention Foundation: Kirtan Kriya medita...SharpBrains
Dr. Dharma Singh Khalsa, presenting research and practice around self-guided Kirtan Kriya meditation.
This session took place at the 2013 SharpBrains Virtual Summit: http://sharpbrains.com/summit-2013/agenda/
A presentation I gave on Nov 18, 2021 for Mind Medicine's International Summit focused on how psychedelics are being used clinically and in research setting to treat eating disorders such as anorexia nervosa, bulimia, and binge eating disorder.
Biofeedback is a therapeutic technique that teaches you how to control physical responses such as breathing, muscle tension, hand temperature, heart rate, blood pressure and brain activity that are not normally controlled voluntarily. This control is achieved by learning how to focus on and modify signals from your body. Biofeedback may be used to help people change the way their bodies respond to a variety of conditions, includingchronic pain, stress and anxiety, to name a few.
Changing Rules: Run More Tests and Find More IssuesSOASTA
2nd in the "Rewriting the Rules of Perfomance Testing" series. Neil Gunther, leader in advance capacity planning and performance testing joins Dan Bartow to discuss why and how testing early, often, and with accurate data to transform is the only approach to optimal performance readiness.
Regulation of depression by a new type of brain stimulation in addicted patie...Mrsunny4
Depression is also known as clinical depression and major depressive disorder (MDD). This severe medical illness affects 15 million American adults every year or about 5-8% of the adult population of the US. Women are nearly twice as likely as men to develop major depression.
In this webinar we take a look at how cannabis can play a role in the treatment, and perhaps prevention, of dementia. We discuss issues that patients and family members should be aware of, including dosing, how to treat a non-verbal patient, and much more. And as always, you are invited to share your questions and personal stories!
Biofeedback for migraines,chiropractor pelham drwillmck.comdrwillmck
Allergic reactions can become quite difficult to handle if not treated at the right time. People can be allergic to various things – foods, chemicals, medicines, pollen, insects, pets etc. At McKenna Family Chiropractic, you can get complete relief from allergies via their laser allergy relief program, Bioallergenix. For more details about this program, click on http://www.drwillmck.com/ and gather required information.
Effect and maintenance of "EEG-biofeedback rTMS" on mood and working memory ...Amin Asadollahpour Kargar
This is a proposal presented in the 1st IBRO/APRC Iranian Associate School of Cognitive Neuroscience “Functional Human Brain Mapping”, Tehran, Iran, May 22-28, 2015
aimed:
1. To evaluate the effect of EEG-biofeedback rTMS on Mood in major depressed patients compare to EEG biofeedback and rTMS
2. To evaluate the maintenance of EEG-biofeedback rTMS on working memory in major depressed patients compare to EEG biofeedback and rTMS
We live in an era of medication, but what else can we do to improve mental health? Are we excessively prescribing, can we approach medicine in a more holistic way?
The Alzheimer’s Research & Prevention Foundation: Kirtan Kriya medita...SharpBrains
Dr. Dharma Singh Khalsa, presenting research and practice around self-guided Kirtan Kriya meditation.
This session took place at the 2013 SharpBrains Virtual Summit: http://sharpbrains.com/summit-2013/agenda/
A presentation I gave on Nov 18, 2021 for Mind Medicine's International Summit focused on how psychedelics are being used clinically and in research setting to treat eating disorders such as anorexia nervosa, bulimia, and binge eating disorder.
Biofeedback is a therapeutic technique that teaches you how to control physical responses such as breathing, muscle tension, hand temperature, heart rate, blood pressure and brain activity that are not normally controlled voluntarily. This control is achieved by learning how to focus on and modify signals from your body. Biofeedback may be used to help people change the way their bodies respond to a variety of conditions, includingchronic pain, stress and anxiety, to name a few.
Changing Rules: Run More Tests and Find More IssuesSOASTA
2nd in the "Rewriting the Rules of Perfomance Testing" series. Neil Gunther, leader in advance capacity planning and performance testing joins Dan Bartow to discuss why and how testing early, often, and with accurate data to transform is the only approach to optimal performance readiness.
Actionable Metrics at Production Scale - LSPE Meetup June 27, 2012SOASTA
Presentation to Large Scale Production Engineering meetup at Yahoo campus on June 27, 2012. Dan Bartow, VP Product Management at SOASTA discussed critical performance metrics.
Automated Testing and Continuous Integration for Mobile Apps: Jenkins & Cloud...SOASTA
Build, Test, Deploy Mobile Apps with a fully automated Continuous Intergration solution..in the Cloud...for free...
Kohsuke Kawaguchi, Jenkins creator, and Mark Prichard of CloudBees join SOASTA for a demos and discussion of CI for mobile in the cloud. From Nov. 15, 2012 webinar. (a repeat of Sept 27, 2012 webinar)
STPCon fall 2012: The Testing Renaissance Has ArrivedSOASTA
This session shares how you can catapult your career with cloud-based test automation and mobile testing techniques that are as exciting to learn and use as they are impactful to your end results and personal success!
1) Become a cloud testing expert
2) Build and articulate a distributed mobile testing strategy
3) Champion a new approach to realistic, repeatable web and mobile performance testing
4) Establish yourself as an agile testing expert with Continuous Testing
5) Defend “Test” in a world heading toward “DevOps”
Cloud Computing is a proven advantage for testers and mobile app testing is a veritable testing green field for those willing to charge ahead.
Learn the new “arts” - embrace this new world – and become a Renaissance Tester!
Medtronic Deep Brain Stimulation is an adjustable, reversible treatment option for movement disorders caused by Parkinson's disease and essential tremor, and it may help to manage dystonia symptoms, parkinsons disease risk factors, parkinsons disease medicine India. Parkinson treatment in Mumbai, Parkinson treatment in Hyderabad,
1. Be on the Journey to Wellness after Concussion with These Tips
2. How Concussion is Treated
3. Choosing the Right Clinic for Concussion Treatment in Toronto
4. FAQs about Concussion Treatment in Toronto
5. All You Need To Know About Concussion Treatment in Toronto
6. Types of Concussion – Get the Best Concussion Treatment in Toronto
7. 2 Speech Issues in your Child that Require the Help of a Speech Therapist in Toronto
8. Speech Disorders: How Speech Therapist in Toronto Can Help?
9. Things to Consider Before Choosing A Speech Therapist in Toronto for Your Child
10.How to Tell If Your Child Needs a Speech Therapist in Toronto and What They Can Do for Your Kid
11.Common Reasons for Speech Impairment – See the Best Speech Therapist in Toronto!
12.Orofacial Myofunctional Disorders: Here’s What You Need to Know
Find out more at: https://therapyspot.ca/autism-esdm-ibi/
Deep Brain Stimulation procedure for parkinson's control | DBS for Parkinsons...MedWorld India
Indian doctors with training in brain conditions (neurologists), brain surgeons (neurosurgeons), doctors with training in mental conditions (psychiatrists), pain specialists, specialized programming nurses and other specialists use an integrated team approach to treating people who have deep brain stimulation. Indian specialists have successfully used deep brain stimulation to treat hundreds of people who have essential tremor, Parkinson's disease and dystonia. Recently, doctors have used DBS to treat people who have cluster headaches, Tourette syndrome, epilepsy and chronic pain that hasn't responded to other treatment.
Brain Metastasis: Emerging Treatments ans Reasons to be Hopefulbkling
Join Dr. Nancy Lin, Director of the Metastatic Breast Cancer Program at Dana-Farber Cancer Institute, as she discusses diagnosis, symptom management, emerging treatments and reasons to be hopeful with Julia Maues, a metastatic breast cancer patient advocate. This one-hour webinar will allow time for questions from participants. In collaboration with Living Beyond Breast Cancer and Young Survival Coalition.
Brain care with dementia focus June 4, 2023.pptxNeurocare Pro
Our braincare overview of red light therapy and how it's being used to help i treatments of brain issues. for more visit https://neurocarepro.com/brain-care-learning/
There are various treatment methods for bipolar disorder, including; drug therapy, psychotherapy, mental health supplements and ect. http://mentalhealthlivingwithbipolar.blogspot.com/p/blog-page_27.html
Sedation in dentistry | Pediatric Sedation | Conscious SedationDr. Rajat Sachdeva
A phobic patient for their Dental treatment may suffer discomfort during the procedure.
Sedation to calm down the patient is quite necessary for proficient procedure.
Various sedation depending on phases of consciousness are mild, moderate, deep.All these sedation are non-assistant type or patient can breath by his or her own.
But under General anesthesia, patient bin completely unconscious and requires assistant in breathing.
However, to accomplish a procedure, patient should be calm and anxiety free.
Call us regarding Dental Treatment:-
Dr. Rajat Sachdeva
+919818894041,01142464041
drrajatsachdeva@gmail.com
Follow us here:-
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
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Learn more:-
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
MS refresher for nurses. Teaching session for Bedford CCGs Modern matrons on Multiple Sclerosis. Incidene, Prevalence, diagnoses, symptom management and treatment of MS.
May 2015
Peripheral Neuropathy: Will it ever go away? Problems, Causes, SolutionsFight Colorectal Cancer
Have you ever experienced peripheral neuropathy? Did it feel like a numbness or tingling in your hands or feet? Did it last several weeks, or several years? Join us, as Cindy S. Tofthagen, PhD, ARNP, AOCNP, University of South Florida College of Nursing Assistant Professor and Concentration Director of Oncology, will discuss this important topic and ways to manage it.
Although peripheral neuropathy is a known common side effect of some chemotherapy regimens, there are many different types of peripheral neuropathy, and many different causes. Cindy will explain exactly what it is that's happening, why it happens, and what causes it to happen. And then, most importantly, will provide tips on the best ways to manage it. You're not going to want to miss this!
DO NOT RESUSCITATE (DNR) FREQUENTLY ASKED QUESTIONS .docxelinoraudley582231
DO NOT RESUSCITATE (DNR):
FREQUENTLY ASKED QUESTIONS
WHAT DOES DNR MEAN?
DNR stands for “do not resuscitate.” A person who does not wish to have
cardiopulmonary resuscitation (CPR) performed may make this wish known through a
physician’s order called a DNR order. A DNR order addresses the various methods
used to revive people whose hearts have stopped functioning or who have stopped
breathing. Examples of these treatments include chest compressions, electric heart
shock, artificial breathing tubes and special drugs. These standardized DNR orders
allow patients to choose the extent of the treatment they wish to receive at the end of
life. A patient may choose to be DNR Comfort Care (DNRCC) or a DNR Comfort Care
– Arrest (DNRCC-Arrest).
DOES OHIO HAVE A LAW CONCERNING DNR ORDERS?
Yes. Ohio adopted a law concerning DNR orders in 1998.
HOW CAN I GET A DNR ORDER?
An individual may obtain a DNRCC by consulting with his or her physician regarding
end-of-life issues. The DNRCC allows this specific DNR order to be used in multiple
settings and practice areas including but not limited to nursing facilities, residential care
facilities, hospitals, outpatient areas, homes and public places. For a DNR order to be
useful in multiple settings, it must be recognizable by health care workers. The Ohio
Department of Health (ODH) has developed a standard form that is generally
recognized. Unlike a living will and health care power of attorney, a DNR order must be
written and signed by a physician or an advanced-practice nurse after consultation with
the patient.
DNR FREQUENTLY ASKED QUESTIONSPAGE 1 OF 4 PAGES
WHAT IS THE DNR PROTOCOL?
The DNR protocol lists the specific actions paramedics, emergency medical technicians,
physicians or nurses will take when attending to a DNR patient. The protocol also
specifies actions that will not be implemented. The standard DNR protocol is to be used
for a patient whose physician or advanced-practice nurse has written a DNR order.
THE DNR PROTOCOL – WHEN IS IT ACTIVATED?
Under the DNR protocol, a patient must choose between DNRCC and DNRCC – Arrest
status, which in turn, determines when the DNR protocol is activated:
1) DNR Comfort Care (DNRCC) – a person receives any care that eases
pain and suffering, but no resuscitative measures to save or sustain life.
This protocol is activated immediately when a valid DNR order is issued
or when a living will requesting no CPR becomes effective.
2) DNR Comfort Care – Arrest (DNRCC-Arrest) – a person receives
standard medical care until the time he or she experiences a cardiac or
respiratory arrest. Standard medical care may include cardiac monitoring
or intubation prior to the occurrence of cardiac or respiratory arrest. This
protocol is activated when the patient has a cardiac or respiratory arrest.
“Cardiac arrest” means absence of a palpable pulse. “Respirator.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
2. You've taken an important first step
against your disease.
Now it's time to know more.
• What is Medtronic DBS Therapy
(deep brain stimulation)?
• How does DBS Therapy work?
• When is it time to take action?
• What are the benefits and risks?
• What can I expect from the surgical
procedure and therapy adjustments?
• Is DBS Therapy covered by
insurance?
3. : Relief Without
More Medication
• A small pacemaker-like device sends
electronic signals to an area in the brain
that controls movement.
• These signals block some of the brain
messages that cause annoying and disabling
motor symptoms.
• DBS Therapy may give you greater control
over your body movements. Many people find
this therapy helps them get back to enjoying
some of the things in life they thought they
had lost forever.
4. How DBS Works
Note: The FDA has approved Medtronic DBS Therapy to treat symptoms of Essential Tremor with stimulation
to just one side of the brain.
5. Take Action When
Can Be
Most Effective
• The right time for DBS Therapy for
Parkinson’s disease is when your
medications are not as effective as they
used to be, but before your symptoms
stop responding to medications.
• This time period is called the "window
of opportunity.”
• You and your doctor can best determine
your individual window
of opportunity.
“At night I had to
button my shirt buttons
and tie my tie in
preparation for the
morning, because my
meds didn’t kick in
before I needed to
be dressed.”
− Perry C.
7. Treats Tremors and More
DBS Therapy has been approved by the FDA to treat
movement symptoms of Parkinson’s:
• Shaking
• Stiffness
• Difficulty moving
8. Maintains Improvement of Troubling
Motor Symptoms in Parkinson’s Disease
for the Long Term
1. Krack P, Batir A, Van Blercom, et al. Five-year follow-up of bilateral stimulation of the subthalamic nucleus in
advanced Parkinson's disease. NEJM. 2003;349;1925-1934.
9. 5 More Hours Symptom-Free*
When added to medication, Medtronic DBS Therapy:
• provides 5 more hours of symptom-free* time per day
without unpredictable movements (dyskinesia).1
• will not add to your current medication routine because it
does not contain medication.
• may enable your doctor to reduce your medication doses,
which may result in fewer drug-induced side effects.
*In this presentation, symptom-free refers to on-time without troublesome dyskinesia.
1Medtronic
DBS Therapy Clinical Summary, 2009.
10. What Would You Do With 5 Extra
Symptom-Free* Hours Every Day?
For many people with Parkinson’s disease, DBS Therapy helped
them return to favorite hobbies, work, and day-to-day activities.
*In this presentation, symptom-free refers to on-time without troublesome dyskinesia.
11. Benefits of Adding
Medications Alone Medtronic DBS Therapy + Medications
0 hours of additional Average 5.1 hours additional
symptom-free* time1 symptom-free* time
Unpredictable More predictable
Uncontrollable movements (dyskinesias) Medication reduction may lead to fewer
and nonmotor side effects drug-induced side effects1
Intermittent drug doses result in peaks Delivery of DBS Therapy is constant,
and valleys of symptom relief resulting in more continuous symptom relief
Drug delivery may be slowed by No absorption required for DBS Therapy
digestive tract absorption
Some drug may be blocked by the DBS Therapy is delivered directly to a target
blood-brain barrier in the brain
1Medtronic
DBS Therapy Clinical Summary, 2009.
Note: Mean results; DBS is adjunctive to medications.
*In this presentation, symptom-free refers to on-time without troublesome dyskinesia.
12. You may benefit from Medtronic DBS
Therapy for Essential Tremor if:
• you experience uncontrollable shaking (tremor) in your hand
or arm.
• your medications are ineffective in controlling your tremor, or
you experience troubling side effects from the medications
(sleepiness, dizziness, or thinking problems).
• you experience difficulty with daily activities, such as eating,
drinking, or writing.
13. DBS Treats Tremor
Effectively
• Improvement in activities of
daily living
• Reduction in tremor
• Improvement in disability
(as reported by individuals
receiving DBS Therapy for
Essential Tremor)
Medtronic DBS Therapy
Clinical Summary, 2009.
“DBS Therapy has
allowed me to work
in a healthcare setting,
to have my own family,
and to not be reliant
on other people.”
− Kristen E.
14. Established Therapy for
More Than 25 Years
DBS Therapy may be new to you, but
it’s been helping people across the
world for more than 25 years.
More than 100,000 individuals have
received Medtronic DBS Therapy for
Parkinson’s disease, essential tremor,
or dystonia.*
*Humanitarian Device: The effectiveness
of this device for the treatment of
dystonia has not been demonstrated.
“I can drink
a glass of water
without spilling.”
– Iris C.
15. Keeps Your Future Options open
• DBS Therapy will not reduce your future therapy options.
The device can be removed (unlike other surgical options).
• You can continue medications. Down the road, you can take
advantage of new treatments, or even a cure.
16. What are the Safety Considerations
Associated with
?
The majority of serious side effects with Medtronic DBS Therapy are procedure-related
and temporary.1
•When surgical complications do occur, they are generally short-lived and most often resolved.
•Possible surgical risks may include serious complications such as coma, bleeding inside the brain,
seizures, and infection. Some of these may be fatal.
•Possible device complications include parts wearing through the skin, problems with the lead or
lead-extension connector moving, or an interruption in therapy because of mechanical or electrical
problems. Any of these situations may require additional surgery or cause your symptoms to return.
•Side effects related to stimulation may include worsening of some motor symptoms or speech or
language impairments. Typically, these side effects are not permanent and can be resolved by
adjusting stimulation parameters. Depression, suicidal thoughts, and suicide have been reported.
Occurrence of falls has also been observed.
•Medtronic DBS systems are designed so that an MRI head scan is possible under specific conditions
of use.
•For complete safety information about Medtronic DBS Therapy, talk to your doctor, call Medtronic
toll-free at 1-800-328-0810, or visit www.refusetosurrender.com.
1Medtronic
DBS Therapy Clinical Summary, 2009.
17. Davis Phinney’s Victory
• Davis’ passion and energy
fueled his cycling success.
− World champion cyclist
− Olympic medal winner
• Years later, Davis refused to
surrender to his PD diagnosis.
− Davis fought his early-onset
PD with determination and
DBS Therapy.
“The gift (of DBS
Therapy) is just the
absolute joy you get
out of being able to
do the simplest
things in life again.”
− Davis Phinney
18. Celebrating Daily Victories
This is the experience of one individual who is receiving Medtronic DBS Therapy for Parkinson's disease. Medtronic invited this individual to
tell his story, and his treatment results are specific to him. Not everyone who receives Medtronic DBS Therapy will experience the same
results. Some people may experience significant symptom relief from DBS Therapy, and others may experience minimal relief. Talk to your
doctor to see if Medtronic DBS Therapy is right for you.
19. Watch DBS in Action
Parkinson’s Disease
This is the experience of one individual who is receiving Medtronic DBS Therapy for Parkinson's disease. Not everyone who receives
Medtronic DBS Therapy will experience the same results. Some people may experience significant symptom relief from DBS Therapy, and
others may experience minimal relief. Talk to your doctor to see if Medtronic DBS Therapy is right for you.
20. Watch DBS in Action
Essential Tremor
This is the experience of one individual who is receiving Medtronic DBS Therapy for Essential Tremor. Not everyone who receives
Medtronic DBS Therapy will experience the same results. Some people may experience significant symptom relief from DBS Therapy, and
others may experience minimal relief. Talk to your doctor to see if Medtronic DBS Therapy is right for you.
21. A Well-Planned Surgical Procedure
Receiving Medtronic DBS Therapy typically involves the
following steps:
• Brain Imaging
• Brain Mapping
• DBS Lead Placement
• Neurostimulator Placement
• Therapy Activation
22. Programming Sessions
• Initial programming takes place 2 to 4 weeks after surgery
• Adjustments in the first 3 months
• Periodic programming adjustments to be performed
by your neurologist
Actual patient not pictured.
23. Insurance Coverage
• Medtronic DBS Therapy for Parkinson’s disease is covered by
many insurance companies and Medicare.
• Typically, your doctor who is doing the procedure will work with
your insurance company to request and obtain prior approval for
the procedure.
• Occasionally, an insurance company may deny a request for prior
approval of the procedure if it is unfamiliar with the treatment.
• If you receive a denial and wish to appeal, please work with
your doctor.
• You may also contact Medtronic Coverage and Authorization
Services at 1-800-292-2903 for help.
24. Speak Up and Be Active
In Your Treatment
• The earlier you discuss DBS Therapy
with a specialist, the better.
• For Parkinson’s disease, there is a
window of opportunity when the
therapy may be most effective.
– The optimal time to seek advice from a
specialist is 3 to 5 years after a Parkinson’s
diagnosis.
– As Parkinson’s disease progresses,
the positive impact of therapy will be
more limited.
– It’s especially important to
seek out a DBS specialist
“I used to paint
as soon as you notice
quite a bit, and then
I had to stop. After my
a change in the way
surgery, I painted
your body responds
each of my doctors
to oral medications.
a picture.”
− Wanda M.
25. Is
Right For You?
Learn more about Medtronic
DBS Therapy with the
Support LinkSM Program.
• Call Medtronic at 1-877-438-3574.
• Visit www.refusetosurrender.com.
“I couldn’t just
sit back. I was
going to fight that
disease by learning
everything I could
about my disease.””
− Kirk H.
26. Brief Summary Disclosure: Medtronic DBS Therapy for
Parkinson’s Disease, Tremor, and Dystonia
Medtronic DBS Therapy for Parkinson’s Disease, Tremor and Dystonia: Patients should always discuss the potential risks
and benefits with a physician.
Indications:
Medtronic DBS Therapy for Parkinson’s Disease: Bilateral stimulation of the internal globus pallidus (GPi) or the subthalamic
nucleus (STN) using Medtronic DBS Therapy for Parkinson’s Disease is indicated for adjunctive therapy in reducing some of the
symptoms of advanced, levodopa-responsive Parkinson’s disease that are not adequately controlled with medication.
Medtronic DBS Therapy for Tremor: Unilateral thalamic stimulation using Medtronic DBS Therapy for Tremor is indicated for the
suppression of tremor in the upper extremity. The system is intended for use in patients who are diagnosed with Essential Tremor or
Parkinsonian tremor not adequately controlled by medications and where the tremor constitutes a significant functional disability. The
safety or effectiveness of this therapy has not been established for bilateral stimulation.
Medtronic DBS Therapy for Dystonia: Unilateral or bilateral stimulation of the internal globus pallidus (GPi) or the subthalamic
nucleus (STN) using Medtronic DBS Therapy for Dystonia is indicated as an aid in the management of chronic, intractable (drug
refractory) primary dystonia, including generalized and segmental dystonia, hemidystonia, and cervical dystonia (torticollis), for
individuals 7 years of age and older.
Contraindications:
Contraindications include patients who will be exposed to MRI using a full body radio-frequency (RF) coil or a head transmit coil that
extends over the chest area, patients who are unable to properly operate the neurostimulator, or for Parkinson’s disease and Essential
Tremor, patients for whom test stimulation is unsuccessful. Also, diathermy (e.g., shortwave diathermy, microwave diathermy or
therapeutic ultrasound diathermy) is contraindicated because diathermy's energy can be transferred through the implanted system (or
any of the separate implanted components), which can cause neurostimulation system or tissue damage and can result in severe injury
or death. Transcranial Magnetic Stimulation (TMS) is contraindicated for patients with an implanted DBS System.
Warnings/Precautions/Adverse Events:
There is a potential risk of tissue damage using stimulation parameter settings of high amplitudes and wide pulse widths. Extreme care
should be used with lead implantation in patients with a heightened risk of intracranial hemorrhage. The lead-extension connector
should not be placed in the soft tissues of the neck due to an increased incidence of lead fracture. Theft detectors and security
screening devices may cause stimulation to switch ON or OFF, and may cause some patients to experience a momentary increase in
perceived stimulation. Although some MRI procedures can be performed safely with an implanted DBS System, clinicians should
carefully weigh the decision to use MRI in patients with an implanted DBS System. MRI can cause induced voltages in the
neurostimulator and/or lead possibly causing uncomfortable, jolting, or shocking levels of stimulation.
27. Brief Summary Disclosure: Medtronic DBS Therapy for
Parkinson’s Disease, Tremor, and Dystonia (continued)
The DBS System may be affected by or adversely affect medical equipment such as cardiac pacemakers or therapies, cardioverter/
defibrillators, external defibrillators, ultrasonic equipment, electrocautery, or radiation therapy. Safety and effectiveness has not been
established for patients with neurological disease other than Parkinson’s disease or Essential Tremor, previous surgical ablation
procedures, dementia, coagulopathies, or moderate to severe depression; or for patients who are pregnant, under 18 years, over 75
years of age (Parkinson’s Control Therapy) or over 80 years of age (Tremor Control Therapy). For patients with Dystonia, age of
implant is suggested to be that at which brain growth is approximately 90% complete or above. Depression, suicidal ideations and
suicide have been reported in patients receiving Medtronic DBS Therapy for Movement Disorders, although no direct cause and effect
relationship has been established.
Abrupt cessation of stimulation should be avoided as it may cause a return of disease symptoms, in some cases with an intensity
greater than was experienced prior to system implant (“rebound” effect). Adverse events related to the therapy, device, or procedure
can include: stimulation not effective, cognitive disorders, pain, dyskinesia, dystonia, speech disorders including dysarthria, infection,
paresthesia, intracranial hemorrhage, electromagnetic interference, cardiovascular events, visual disturbances, sensory disturbances,
device migration, paresis/asthenia, abnormal gait, incoordination, headaches, lead repositioning, thinking abnormal, device explant,
hemiplegia, lead fracture, seizures, respiratory events, and shocking or jolting stimulation. Patients using a rechargeable
neurostimulator for Parkinson’s Control Therapy or Tremor Control Therapy should check for skin irritation or redness near the
neurostimulator during or after recharging, and contact their physician if symptoms persist.
Humanitarian Device (Dystonia):
Authorized by Federal Law for the use as an aid in the management of chronic, intractable (drug refractory) primary dystonia, including
generalized and segmental dystonia, hemidystonia, and cervical dystonia (torticollis), for individuals 7 years of age and older. The
effectiveness of this device for this use has not been demonstrated.
Rev 1212
UC201106564a EN
USA Rx only
Editor's Notes
"The window of opportunity" is when DBS Therapy can do the most good to help control your symptoms.