Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 > The FDA and CMS can be convinced with facts and > economics. The UHMS did that with the diabetic ulcers indication that > was added recently. Glen, Adding Diabetic Foot Wounds (DFW) to the CMS approved indications list was due primarily to the data research and presentation by Dr. Harch, MD, where much of the core data Harch provided was nearly 40 years old and now believed deliberately withheld from CMS by the UHMS. Dr. Harch was forced to resign from the UHMS and was President of the International Hyperbaric Medical Association (IHMA) when CMS made its decision to cover DFW. When Medicare was created hospitals were nonprofits. This is no longer the case and because all hospital-based hyperbaric clinics are managed by UHMS membership, the UHMS was not going to push for DFW since it would ultimately result in a drop in revenue for the hospital. Perpetual and continuous amputations and subsequent therapies and prosthetics are much more profitable for hospitals. From: http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?from2=viewdecisionmemo.asp & id=37\ & " On November 29, 2000, CMS accepted a formal request for a coverage determination on the use of HBO therapy in the treatment of hypoxic wounds that was submitted by the Undersea and Hyperbaric Medical Society (UHMS)... " " On April 1, 2002, CMS received a letter from the IHMA suggesting the following subpopulation of patients were most appropriate for HBO therapy: (1) infected diabetic foot wounds, or (2) diabetic foot wounds with minimal or no signs of cellulites that are occurring in an extremity with peripheral vascular disease and a hypoxic TcPO2 < 35-40 mmHg on room air. " And: " Hypoxic Wounds: The evidence is not adequate to conclude that hypoxic wounds are a distinct wound type for purposes of Medicare coverage, and, thus, Medicare has decided not to expand coverage. Diabetic Wounds of the Lower Extremities: The evidence is adequate to conclude that HBO therapy is clinically effective and, thus, reasonable and necessary in the treatment of certain patients with limb-threatening diabetic wounds of the lower extremity. " DFW is not on the FDA list because the FDA gets its list from the UHMS. As an example, please see the latest 510k granted by FDA, which, by the way is for a Hyperbaric America chamber marketed by UHMS hatchetman and ASME-PVHO member Tom Workman. See http://www.fda.gov/cdrh/pdf8/K081506.pdf It's unclear as to whether or not this chamber was submitted to ASME- PVHO for ASME-PVHO approval. You'll notice too that UHMS still does not recognize DFW on its indications list. See http://uhms.org/Default.aspx?tabid=270 Freels 2948 Windfield Circle Tucker, GA 30084-6714 770-491-6776 (phone) 404-725-4520 (cell) 815-366-7962 (fax) mailto:david@... fearlessparents/ http://www. .com http://www.davidfreels.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 - My point (and perhaps I worded it poorly) was two-fold - that CMS can and does add new indications, as evidenced by the diabetic foot, when evidence warrants. Second, getting an indication added requires solid evidence, such as that provided by a randomized, double blinded study. I am familiar with Dr. Harch's submission related to the diabetic foot indication. I also know that when CMS was considering this and had a meeting with industry experts to discuss this there were multiple persons there (yes, including Dr. Harch). The primary person who defended it was Dr. Harriet Hopf when CMS asked questions. I am not belittling Dr. Harch's efforts or suggesting he did not participate. My point is, more than one person was involved and no single person can claim credit for getting it through. With regards to data " now believed deliberately withheld from CMS by the UHMS. " Please, stick to the facts - that smacks of 9-11 conspiracy theorist. The people involved at UHMS wanted the new indication as much as the IHMA did and had no LOGICAL reason to withhold any information, whatsoever, that would have supported getting the indication through. Whether or not manufacturer's list it in the indications statement is irrelevant (At least one - ETC - lists no indications) - CMS (Medicare) lists it as a reimbursible indication. http://www.cms.hhs.gov/transmittals/downloads/R164CIM.pdf As to your incorrect statement - " It's unclear as to whether or not this chamber was submitted to ASME-PVHO for ASME-PVHO approval. " - you are flat wrong. (I will assume here that you are not very familiar with the manufacturer's side of things) - you will note in the second paragraph of the summery (the only part the FDA releases) that it clearly states the chamber is in compliance with the 2007 (most current) edition of PVHO-1. Included within the actual submission is evidence of compliance. I have written and been part of a submittable team for a 510k application for a hyperbaric chamber, so I am intimately familiar with what is required . Lets please stick to the facts and not made unfounded suggestions or conspiracy theory aspersions that is not something that is worthy of this list. Mr. Workman has assisted multiple manufacturers with questions on their equipment for FDA, ASME, and other submissions. I am familiar with the people who sell the Hyperbaric America monoplace and it is not Mr. Workman. When he has worked with a manufacturer, it has always been above board and with the honest intent of ensuring they meet the latest safety standards. If certain other manufacturers consulted him on how to make their chambers safer and actually followed his suggestions, the hyperbaric industry would be a much safer place and we would not have some of the discussions that occur on this list. The UHMS does recognize diabetic foot - look under ENHANCEMENT OF HEALING IN SELECTED PROBLEM WOUNDS (Item 6 on the list to which you link). It is part of a larger group of non-healing wounds. http://uhms.org/ResourceLibrary/Indications/ProblemWounds/tabid/276/Default.aspx " These include diabetic feet, compromised amputation sites, nonhealing traumatic wounds, and vascular insufficiency ulcers (ulcers with poor circulation). " Glen > > > The FDA and CMS can be convinced with facts and > > economics. The UHMS did that with the diabetic ulcers indication that > > was added recently. > > > Glen, > > Adding Diabetic Foot Wounds (DFW) to the CMS approved indications list > was due primarily to the data research and presentation by Dr. > Harch, MD, where much of the core data Harch provided was nearly 40 > years old and now believed deliberately withheld from CMS by the UHMS. > > Dr. Harch was forced to resign from the UHMS and was President of the > International Hyperbaric Medical Association (IHMA) when CMS made its > decision to cover DFW. > > When Medicare was created hospitals were nonprofits. This is no longer > the case and because all hospital-based hyperbaric clinics are managed > by UHMS membership, the UHMS was not going to push for DFW since it > would ultimately result in a drop in revenue for the hospital. > Perpetual and continuous amputations and subsequent therapies and > prosthetics are much more profitable for hospitals. > > From: http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?from2=viewdecisionmemo.asp & id=37\ & > > " On November 29, 2000, CMS accepted a formal request for a coverage > determination on the use of HBO therapy in the treatment of hypoxic > wounds that was submitted by the Undersea and Hyperbaric Medical > Society (UHMS)... " > > " On April 1, 2002, CMS received a letter from the IHMA suggesting the > following subpopulation of patients were most appropriate for HBO > therapy: (1) infected diabetic foot wounds, or (2) diabetic foot > wounds with minimal or no signs of cellulites that are occurring in an > extremity with peripheral vascular disease and a hypoxic TcPO2 < 35-40 > mmHg on room air. " > > And: > " Hypoxic Wounds: The evidence is not adequate to conclude that hypoxic > wounds are a distinct wound type for purposes of Medicare coverage, > and, thus, Medicare has decided not to expand coverage. > > Diabetic Wounds of the Lower Extremities: The evidence is adequate to > conclude that HBO therapy is clinically effective and, thus, > reasonable and necessary in the treatment of certain patients with > limb-threatening diabetic wounds of the lower extremity. " > > DFW is not on the FDA list because the FDA gets its list from the > UHMS. As an example, please see the latest 510k granted by FDA, which, > by the way is for a Hyperbaric America chamber marketed by UHMS > hatchetman and ASME-PVHO member Tom Workman. > > See http://www.fda.gov/cdrh/pdf8/K081506.pdf > > It's unclear as to whether or not this chamber was submitted to ASME- > PVHO for ASME-PVHO approval. > > You'll notice too that UHMS still does not recognize DFW on its > indications list. See http://uhms.org/Default.aspx?tabid=270 > > > > > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 404-725-4520 (cell) > 815-366-7962 (fax) > > mailto:david@... > > fearlessparents/ > > http://www. .com > > http://www.davidfreels.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 Glen, Thanks for your response. Are you a UHMS member? Re: Harch: After the 2004 Congressional hearings, I was included in a group that walked down the street for a meeting with CMS officials at the Hubert Humphrey building arranged by Bill Duncan to discuss some Medicare issues. Also in the group was Harch, Mrs. Duncan, Ken Stoller, Steve Reimers, and maybe one or two others. This was some 6-12 months after CMS first approved DFW. Three CMS officials were also in attendance, and when they were introduced to Harch, I thought they were going to bow down, worship him, and sacrifice their first-born to him. They were clearly in awe and thanked him profusely for " pushing so resolutely " for DFW. They also stated DFW was the first CMS " program change " they could take before Congress and clearly demonstrate provable cost savings. In that meeting, they also stated the savings to date had been right at $1 billion. Now, I'm sure for political purposes you may believe the official record may lean more toward UHMS participation and/or endorsement of DFW, but by your own admission, they've buried it in their own indications list, i.e., the list still reads 13, not 14--as does the FDA list--which gets its list from the UHMS sans fine print--thus the absence of DFW from the FDA list. As to why UHMS will not endorse DFW and has suppressed its application for 40 years, please see my previous post on this issue. A case in point. Here in Georgia at a town called Warm Springs, there exists a state-administered facility called The Roosevelt Warm Springs Institute for Rehabilitation (RWS), which was turned over to the state by the Roosevelt family subsequent to the death of US President lin D Roosevelt in April, 1945, also in Warm Springs. I have been in personal communication with RWS for seven years requesting they incorporate HBOT as part of their regimen as their primary patient load are DFW. Now some five years after Medicare reimburses HBOT for DFW, RWS still refuses to incorporate HBOT. Their second highest patient demographic? Stroke. In recent verbal communication, I was told by RWS personnel that RWS was told by UHMS that HBOT for DFW was a waste of time. Re: Workman: He's an asshole and will probably burn in hell throughout eternity for his personal efforts to stifle utilization of HBOT for brain-injury as evidenced by his testimony in the Texas Medicaid case for Katlyn , his collaboration with Murray Goldstein of United Cerebral Palsy to create a flawed HBOT-for-CP study, his collaboration with another asshole named Mark Helfand in the publication of the 2003 AHRQ report, his intervention and sabotage into the California legislative initiative spearheaded by father and frequent contributor Ed Nemeth. I'm sure there are still more. Keep in mind he's not an MD, he's just a CHT. And, by the way, there's no requirement that says you've got to be a CHT to operate a hyperbaric chamber--which means Wilbur Tom (WT) Workman has no credentials to be making decisions on what HBOT should and should not be used for, particularly since there's more evidence supporting the use of HBOT for brain-injury than all the combined evidence in existence for all the other UHMS-approved indications. In fact, there only exists objective evidence for four of the 13 UHMS indications. In 1999, the UHMS Ethics Committee admitted there was no standard method of approving new indications, which means what is now approved was approved arbitrarily. As for whether or not Workman has a financial interest in Hyperbaric America, the FDA letter at http://www.fda.gov/cdrh/pdf8/K081506.pdf lists his name, then Hyperbaric America. It does not suggest in the slightest that he's acting as a consultant or disinterested 3rd party, which you imply. In fact, it clearly states just the opposite, " We have reviewed your Section 510(K) premarket notification of intent to market the device... " My comment regarding ASME-PVHO and Hyperbaric America is simply this: These chambers were not subjected to ASME-PVHO testing but were just rubber-stamped through the FDA approval process because their construction is similar to previous ASME-PVHO approved chambers. Repeating the same section in the FDA note to Wilbur T. Workman: " We have reviewed your Section 510(K) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices... " Freels 2948 Windfield Circle Tucker, GA 30084-6714 770-491-6776 (phone) 404-725-4520 (cell) 815-366-7962 (fax) mailto:david@... fearlessparents/ http://www. .com http://www.davidfreels.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 Why would Workman be against HBOT for brain injury when he is manufacturing a hyperbaric chamber? Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 He isn't, Workman has been in the field almost as long as I have and we both had children who had full recoveries because of HBOT! As far as I know he is not manufacturing a chamber. www.hbot4u.com [ ] Re: Diabetic foot ulcers. > Why would Workman be against HBOT for brain injury when he is > manufacturing a hyperbaric chamber? > > Diane > > > > > ------------------------------------ > > " 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...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 >Why would Workman be against HBOT for brain injury when he is >manufacturing a hyperbaric chamber? > >Diane Diane, The typical and usual reimbursement rate for a single, 1-hour hyperbaric treatment in a hospital-based (UHMS) clinic is a minimum of $1200 to $1500 and has been found to be as high as $5500 for just $5 worth of oxygen. Over 80% of the patients are Medicare patients. To be a Medicare provider, the clinic must first be " certified " as meeting the requirements to be a Medicare provider. Medicare has only recognized the UHMS as the entity that can certify hospital-based clinics. However, to participate in the certification process, the hospital-based clinics must first join the UHMS--and thus comply with UHMS policy--which includes a promise to not treat off-label. If a hospital-based clinic does treat off-label, they are subject to immediate dismissal from the UHMS, which in turn would remove them as a Medicare provider. Plus, anytime a physician is kicked out of a professional medical society, they are at risk of losing their license to practice medicine. Wilbur T. Workman is the guy at the UHMS who enforces UHMS membership compliance with UHMS policy, i.e., he makes sure hospital-based clinics don't treat off-label. In contrast to hospital-based clinics, the free-standing clinics generally charge just 10% of what the hospital-based clinics charge. Plus, by and large, the free-standing clinics are not UHMS members. A review of all the treatment protocols of the UHMS-approved indications--with the exception of diabetic foot wounds--reveals that every UHMS indication can resolve in just 10 treatments. Or less. However, brain-injury generally requires a minimum of 100 treatments-- if not 400 or 500 treatments--or even more. Grace Kenitz has probably had at least 1000 treatments. No insurance company is going to pay $1500/treatment for hundreds of hyperbaric treatments. Neither will Medicare or Medicaid. Therefore, if brain-injury were approved it would force a reduction in the UHMS's reimbursement rate. Plus, if HBOT for brain-injury were approved, brain-injured people by the thousands would be lined up at the door and around the block for HBOT. This would force UHMS members to work a whole lot harder for a lot less money. Thus, the UHMS will never approve HBOT for brain-injury. Freels 2948 Windfield Circle Tucker, GA 30084-6714 770-491-6776 (phone) 404-725-4520 (cell) 815-366-7962 (fax) mailto:david@... fearlessparents/ http://www. .com http://www.davidfreels.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 What happened to his children? Re: [ ] Re: Diabetic foot ulcers. > >He isn't, Workman has been in the field almost as long as I have and we both >had children who had full recoveries because of HBOT! As far as I know he is >not manufacturing a chamber. > >www.hbot4u.com > [ ] Re: Diabetic foot ulcers. > > >> Why would Workman be against HBOT for brain injury when he is >> manufacturing a hyperbaric chamber? >> >> Diane >> >> >> >> >> ------------------------------------ >> >> " 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...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 Sorry my mistake, Tom workman is straight HBOT, Just get it through you head, Hospitals have a contract with Medicare, and med-ical because they have this contract they are not allowed to treat anything off the list of approved indications for THOSE types of insurance!, hospital based!, Now frankly most of the people treated in HOSPITAL based HBOT need to be in the hospital! they have highly infectious wounds and are in fragile conditions! with multiple health problems! Free standing centers were formed by Dr and Dr N 20 years ago, when I started in the field, these brave heroes started treating brain injury with REAL HBOT and OXYGEN! NOT BAGS! SO there are two types of treating centers!, So what? We lowered the cost of REAL HBOT in 1989 so people could afford it. NOW we could have gone into hospital based HBOT and made allot more money, but we all had children or loved ones that benefited from HBOT! So we SAVED our money and bought our own chambers, Not some vinyl off gassing bag that did not use oxygen only pressure. These Bags came out in the early 80's as a way to keep a diver safe until he could be transported to a REAL chamber. the original hyperlite bags were only to be used to hold the bubble or bends still until they were transported, usually in an area where there was very little other way to help bent divers. I know this because there is a film about it, Called Demons of the deep, I was very involved with the great divers who risked their life to help these divers!, Some day I hope to have it put on a DVD. Red lobster and other American companies would go out side the American waters to hire divers who had no experience what so ever and they were bent. but because there were no laws to protect them, these group of men dove into the water with these Hyper lites on their back to save them!. I supported the efforts with money and donated a hard chamber to the doctors caring for them in South America. I will never eat at a RED Lobster Rest. again. YOU, Diane KNOW NOTHING! Zip You have never ever sacrificed for anyone but yourself. You are selling these worthless chambers on ebay. and giving out DANGEROUS information. You Lie and say your Techs install these vinyl bags in hospitals! You don't even know when there could be an emergency and further you refuse to even put the real truth to the people you sell them to. You Claim you train the people but you are an accident waiting to happen. You've never taken a course nor have fully read the book, and even if you did you so obviously do not understand the method nor reason for what is happening. You are an accident waiting to happen. I frankly think your cheap bags are not certified for anything, if so give us the proof! IF you had a doctor chamberside, with a wound or a ventilated patient it would cost more to run a hospital based center. BUT you are in it purely for the money. ANY of the very honest clinic owners that I know have saved and sacrificed everything to buy the best and get the legal compressors. and the right piping to uphold the law. So do I respect you? YOU who run at the month about something you don't have a clue about? no, no respect what so ever. FOR it is people like you who will ruin the field. That is why I am going to distance myself from all people who promote a bag. These bags have many failures of window, rapid decompression, failed compressors made of plastic! You come and work with me for a week, I will show you real life situations of children getting better, eyes that now can see. and FOR free I will train you to be what you always wanted to be. But you will work just like I do, day and night praying over children and giving them same care and love you would your own. SO CALL ME, Train with me for two weeks. You will come away a different person. My offer stands. I was the only one that was able to get medi-cal to pay for HBOT for a child who drown, freels knows this. Get your child another type of insurance and pay for it. or get a second job like my husband and I did to have our children treated. Nothing is for free, you need to work for it. Tom fox is not making Bag chambers, Neither is Tom workman. But both of these men could slaughter you both with knowledge and the safe understanding of REAL HBOT. Neither of you have the guts to take me up on the offer! Now another FACT!, Medicare nor medi-cal are paying hardly anything for hospital based HBOT. So Diane, you are not far from me, come on out and train with me! I will show you real HBOT, Real Compressors and safe progressive HBOT that works. Hey bring your TECH as well. Sure like to meet this fellow that installs bags in hospitals!! and TRAINS people to run them, bring him down please, or give us his name! Call me, 909-889-7626 bring one of your coolers, bags and compressors I want to see it. In FACT I will ask my patients, " DO you want to get in this bag, or this chamber? Lets see what their response is, shall we? I work every day, so e-mail me, call me and drive on it. Have you ever been in a REAL chamber? Now's your chance. put your money where your mouth is/ BY the WAY, you never did give me the name and number of your corp office, why dont you do that now? You are going to make a few bucks and walk away, you dont even have insurance do you? I know you will never come out, because you would see the difference in the type of care I give people, the type of treatment that works. By the way, I dont charge much more for a treatment with real oxygen, real chambers then your people do FACE it no insurance of any kind is going to pay for a vinyl bag! Come on, NO hospital or upstanding center is going to use bags!, Please it is just a way for Cheap doctors to pay a little bit and turn around and charge a high price for a " treatment " Gosh it is so laughable! Listen to the truth, if I were bent, I would have Tom workman treat me, if I had a wound I would have kindwall help me, But I know this, if Tom workman had a daughter with a brain injury, I think he would come to me. Oh yes do not write me and even try to use some sort of intelligent language or have one of your friends who is in dept for 12K over one of your chambers. Just have the guts to come yourself. I will be at the office at 9 to 9 come work besides me. and CHT. I am going to start a new website with lists the hazards of bag chambers side by side with hard chambers, OK? As to Freels message below, that is complete bull, Loma just wrote a book about brain injury I was there and the author signed his book. " Dear , Thanks for all the help you have done for the children. " Medical has major cut backs, there is not enough money to treat in hospital based centers. Hospital based HBOT center must be reviewed by the state, Medicare, , and a host of other state run certifications to be qualified to bill Medicare and Medi-cal. No doctors are kicked out of the UHMS unless they practiced unsafe medical procedures. I know one doctor who still has his license even though he altered a chamber, blew the door out, hurt the people and filed BK the next day, and hide his chambers!, He also was in hot water for using undocumented workers to do physical therapy on patients! 1995 San Diego news paper. , I think you are selling soft chambers! Do not forge or include me in you insanity ever again.!! Re: [ ] Re: Diabetic foot ulcers. > >Why would Workman be against HBOT for brain injury when he is > >manufacturing a hyperbaric chamber? > > > >Diane > > > Diane, > > The typical and usual reimbursement rate for a single, 1-hour > hyperbaric treatment in a hospital-based (UHMS) clinic is a minimum of > $1200 to $1500 and has been found to be as high as $5500 for just $5 > worth of oxygen. Over 80% of the patients are Medicare patients. > > To be a Medicare provider, the clinic must first be " certified " as > meeting the requirements to be a Medicare provider. Medicare has only > recognized the UHMS as the entity that can certify hospital-based > clinics. However, to participate in the certification process, the > hospital-based clinics must first join the UHMS--and thus comply with > UHMS policy--which includes a promise to not treat off-label. If a > hospital-based clinic does treat off-label, they are subject to > immediate dismissal from the UHMS, which in turn would remove them as > a Medicare provider. Plus, anytime a physician is kicked out of a > professional medical society, they are at risk of losing their license > to practice medicine. > > Wilbur T. Workman is the guy at the UHMS who enforces UHMS membership > compliance with UHMS policy, i.e., he makes sure hospital-based > clinics don't treat off-label. > > In contrast to hospital-based clinics, the free-standing clinics > generally charge just 10% of what the hospital-based clinics charge. > Plus, by and large, the free-standing clinics are not UHMS members. > > A review of all the treatment protocols of the UHMS-approved > indications--with the exception of diabetic foot wounds--reveals that > every UHMS indication can resolve in just 10 treatments. > > Or less. > > However, brain-injury generally requires a minimum of 100 treatments-- > if not 400 or 500 treatments--or even more. Grace Kenitz has probably > had at least 1000 treatments. > > No insurance company is going to pay $1500/treatment for hundreds of > hyperbaric treatments. Neither will Medicare or Medicaid. Therefore, > if brain-injury were approved it would force a reduction in the UHMS's > reimbursement rate. Plus, if HBOT for brain-injury were approved, > brain-injured people by the thousands would be lined up at the door > and around the block for HBOT. > > This would force UHMS members to work a whole lot harder for a lot > less money. > > Thus, the UHMS will never approve HBOT for brain-injury. > > > > > > > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 404-725-4520 (cell) > 815-366-7962 (fax) > > mailto:david@... > > fearlessparents/ > > http://www. .com > > http://www.davidfreels.com > > > > > ------------------------------------ > > " 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...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 The fact that you are unable to spell and write grammatically hurts your credibility. However, if you are a brain injury survivor, then I sympathize with your inability to express yourself coherently in writing. Most computers come with spell and grammar checking as an option. You should consider using these in the future. Diane > > Sorry my mistake, Tom workman is straight HBOT, Just get it through you > head, Hospitals have a contract with Medicare, and med-ical because they > have this contract they are not allowed to treat anything off the list of > approved indications for THOSE types of insurance!, hospital based!, Now > frankly most of the people treated in HOSPITAL based HBOT need to be in the > hospital! they have highly infectious wounds and are in fragile conditions! > with multiple health problems! > > Free standing centers were formed by Dr and Dr N 20 years ago, when I > started in the field, these brave heroes started treating brain injury with > REAL HBOT and OXYGEN! NOT BAGS! > SO there are two types of treating centers!, So what? We lowered the cost of > REAL HBOT in 1989 so people could afford it. NOW we could have gone into > hospital based HBOT and made allot more money, but we all had children or > loved ones that benefited from HBOT! So we SAVED our money and bought our > own chambers, Not some vinyl off gassing bag that did not use oxygen only > pressure. > These Bags came out in the early 80's as a way to keep a diver safe until he > could be transported to a REAL chamber. the original hyperlite bags were > only to be used to hold the bubble or bends still until they were > transported, usually in an area where there was very little other way to > help bent divers. I know this because there is a film about it, Called > Demons of the deep, I was very involved with the great divers who risked > their life to help these divers!, Some day I hope to have it put on a DVD. > Red lobster and other American companies would go out side the American > waters to hire divers who had no experience what so ever and they were bent. > but because there were no laws to protect them, these group of men dove into > the water with these Hyper lites on their back to save them!. I supported > the efforts with money and donated a hard chamber to the doctors caring for > them in South America. I will never eat at a RED Lobster Rest. again. > > YOU, Diane KNOW NOTHING! Zip You have never ever sacrificed for anyone but > yourself. You are selling these worthless chambers on ebay. and giving out > DANGEROUS information. > You Lie and say your Techs install these vinyl bags in hospitals! You don't > even know when there could be an emergency and further you refuse to even > put the real truth to the people you sell them to. You Claim you train the > people but you are an accident waiting to happen. You've never taken a > course nor have fully read the book, and even if you did you so obviously do > not understand the method nor reason for what is happening. You are an > accident waiting to happen. I frankly think your cheap bags are not > certified for anything, if so give us the proof! > > IF you had a doctor chamberside, with a wound or a ventilated patient it > would cost more to run a hospital based center. BUT you are in it purely for > the money. > ANY of the very honest clinic owners that I know have saved and sacrificed > everything to buy the best and get the legal compressors. and the right > piping to uphold the law. > So do I respect you? YOU who run at the month about something you don't have > a clue about? no, no respect what so ever. FOR it is people like you who > will ruin the field. That is why I am going to distance myself from all > people who promote a bag. These bags have many failures of window, rapid > decompression, failed compressors made of plastic! > > You come and work with me for a week, I will show you real life situations > of children getting better, eyes that now can see. and FOR free I will train > you to be what you always wanted to be. But you will work just like I do, > day and night praying over children and giving them same care and love you > would your own. > SO CALL ME, Train with me for two weeks. You will come away a different > person. My offer stands. > I was the only one that was able to get medi-cal to pay for HBOT for a child > who drown, freels knows this. Get your child another type of insurance > and pay for it. or get a second job like my husband and I did to have our > children treated. Nothing is for free, you need to work for it. > Tom fox is not making Bag chambers, Neither is Tom workman. But both of > these men could slaughter you both with knowledge and the safe understanding > of REAL HBOT. > Neither of you have the guts to take me up on the offer! Now another FACT!, > Medicare nor medi-cal are paying hardly anything for hospital based HBOT. > > So Diane, you are not far from me, come on out and train with me! I will > show you real HBOT, Real Compressors and safe progressive HBOT that works. > Hey bring your TECH as well. Sure like to meet this fellow that installs > bags in hospitals!! and TRAINS people to run them, bring him down please, or > give us his name! > Call me, 909-889-7626 bring one of your coolers, bags and compressors I > want to see it. In FACT I will ask my patients, " DO you want to get in this > bag, or this chamber? Lets see what their response is, shall we? I work > every day, so e-mail me, call me and drive on it. Have you ever been in a > REAL chamber? Now's your chance. put your money where your mouth is/ > BY the WAY, you never did give me the name and number of your corp office, > why dont you do that now? You are going to make a few bucks and walk away, > you dont even have insurance do you? > I know you will never come out, because you would see the difference in the > type of care I give people, the type of treatment that works. By the way, I > dont charge much more for a treatment with real oxygen, real chambers then > your people do > FACE it no insurance of any kind is going to pay for a vinyl bag! Come on, > NO hospital or upstanding center is going to use bags!, Please it is just a > way for Cheap doctors to pay a little bit and turn around and charge a high > price for a " treatment " Gosh it is so laughable! > Listen to the truth, if I were bent, I would have Tom workman treat me, if I > had a wound I would have kindwall help me, But I know this, if Tom workman > had a daughter with a brain injury, I think he would come to me. Oh yes do > not write me and even try to use some sort of intelligent language or have > one of your friends who is in dept for 12K over one of your chambers. Just > have the guts to come yourself. I will be at the office at 9 to 9 come work > besides me. > > and CHT. > I am going to start a new website with lists the hazards of bag chambers > side by side with hard chambers, OK? > > > As to Freels message below, that is complete bull, Loma just > wrote a book about brain injury I was there and the author signed his book. > " Dear , Thanks for all the help you have done for the children. " > Medical has major cut backs, there is not enough money to treat in hospital > based centers. Hospital based HBOT center must be reviewed by the state, > Medicare, , and a host of other state run certifications to be > qualified to bill Medicare and Medi-cal. No doctors are kicked out of the > UHMS unless they practiced unsafe medical procedures. I know one doctor who > still has his license even though he altered a chamber, blew the door out, > hurt the people and filed BK the next day, and hide his chambers!, He also > was in hot water for using undocumented workers to do physical therapy on > patients! 1995 San Diego news paper. , I think you are selling soft > chambers! Do not forge or include me in you insanity ever again.!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 It is spell check and is fine, you just can not understand what I mean. and it is an excuse not to come and really learn. I have seen your website, Please don't go there. You just don't know how to read it correctly and you have cut it all up just another excuse from the bag lady!! first you could not even answer the simple questions about safety, now you have more excuses for not learning the field. I am done with you. [ ] Re: Diabetic foot ulcers. > The fact that you are unable to spell and write grammatically hurts > your credibility. However, if you are a brain injury survivor, then > I sympathize with your inability to express yourself coherently in > writing. Most computers come with spell and grammar checking as an > option. You should consider using these in the future. > > Diane > > >> >> Sorry my mistake, Tom workman is straight HBOT, Just get it through > you >> head, Hospitals have a contract with Medicare, and med-ical because > they >> have this contract they are not allowed to treat anything off the > list of >> approved indications for THOSE types of insurance!, hospital > based!, Now >> frankly most of the people treated in HOSPITAL based HBOT need to > be in the >> hospital! they have highly infectious wounds and are in fragile > conditions! >> with multiple health problems! >> >> Free standing centers were formed by Dr and Dr N 20 years > ago, when I >> started in the field, these brave heroes started treating brain > injury with >> REAL HBOT and OXYGEN! NOT BAGS! >> SO there are two types of treating centers!, So what? We lowered > the cost of >> REAL HBOT in 1989 so people could afford it. NOW we could have gone > into >> hospital based HBOT and made allot more money, but we all had > children or >> loved ones that benefited from HBOT! So we SAVED our money and > bought our >> own chambers, Not some vinyl off gassing bag that did not use > oxygen only >> pressure. >> These Bags came out in the early 80's as a way to keep a diver safe > until he >> could be transported to a REAL chamber. the original hyperlite bags > were >> only to be used to hold the bubble or bends still until they were >> transported, usually in an area where there was very little other > way to >> help bent divers. I know this because there is a film about it, > Called >> Demons of the deep, I was very involved with the great divers who > risked >> their life to help these divers!, Some day I hope to have it put on > a DVD. >> Red lobster and other American companies would go out side the > American >> waters to hire divers who had no experience what so ever and they > were bent. >> but because there were no laws to protect them, these group of men > dove into >> the water with these Hyper lites on their back to save them!. I > supported >> the efforts with money and donated a hard chamber to the doctors > caring for >> them in South America. I will never eat at a RED Lobster Rest. > again. >> >> YOU, Diane KNOW NOTHING! Zip You have never ever sacrificed for > anyone but >> yourself. You are selling these worthless chambers on ebay. and > giving out >> DANGEROUS information. >> You Lie and say your Techs install these vinyl bags in hospitals! > You don't >> even know when there could be an emergency and further you refuse > to even >> put the real truth to the people you sell them to. You Claim you > train the >> people but you are an accident waiting to happen. You've never > taken a >> course nor have fully read the book, and even if you did you so > obviously do >> not understand the method nor reason for what is happening. You > are an >> accident waiting to happen. I frankly think your cheap bags are not >> certified for anything, if so give us the proof! >> >> IF you had a doctor chamberside, with a wound or a ventilated > patient it >> would cost more to run a hospital based center. BUT you are in it > purely for >> the money. >> ANY of the very honest clinic owners that I know have saved and > sacrificed >> everything to buy the best and get the legal compressors. and the > right >> piping to uphold the law. >> So do I respect you? YOU who run at the month about something you > don't have >> a clue about? no, no respect what so ever. FOR it is people like > you who >> will ruin the field. That is why I am going to distance myself from > all >> people who promote a bag. These bags have many failures of window, > rapid >> decompression, failed compressors made of plastic! >> >> You come and work with me for a week, I will show you real life > situations >> of children getting better, eyes that now can see. and FOR free I > will train >> you to be what you always wanted to be. But you will work just like > I do, >> day and night praying over children and giving them same care and > love you >> would your own. >> SO CALL ME, Train with me for two weeks. You will come away a > different >> person. My offer stands. >> I was the only one that was able to get medi-cal to pay for HBOT > for a child >> who drown, freels knows this. Get your child another type of > insurance >> and pay for it. or get a second job like my husband and I did to > have our >> children treated. Nothing is for free, you need to work for it. >> Tom fox is not making Bag chambers, Neither is Tom workman. But > both of >> these men could slaughter you both with knowledge and the safe > understanding >> of REAL HBOT. >> Neither of you have the guts to take me up on the offer! Now > another FACT!, >> Medicare nor medi-cal are paying hardly anything for hospital based > HBOT. >> >> So Diane, you are not far from me, come on out and train with me! I > will >> show you real HBOT, Real Compressors and safe progressive HBOT > that works. >> Hey bring your TECH as well. Sure like to meet this fellow that > installs >> bags in hospitals!! and TRAINS people to run them, bring him down > please, or >> give us his name! >> Call me, 909-889-7626 bring one of your coolers, bags and > compressors I >> want to see it. In FACT I will ask my patients, " DO you want to get > in this >> bag, or this chamber? Lets see what their response is, shall we? I > work >> every day, so e-mail me, call me and drive on it. Have you ever > been in a >> REAL chamber? Now's your chance. put your money where your mouth is/ >> BY the WAY, you never did give me the name and number of your corp > office, >> why dont you do that now? You are going to make a few bucks and > walk away, >> you dont even have insurance do you? >> I know you will never come out, because you would see the > difference in the >> type of care I give people, the type of treatment that works. By > the way, I >> dont charge much more for a treatment with real oxygen, real > chambers then >> your people do >> FACE it no insurance of any kind is going to pay for a vinyl bag! > Come on, >> NO hospital or upstanding center is going to use bags!, Please it > is just a >> way for Cheap doctors to pay a little bit and turn around and > charge a high >> price for a " treatment " Gosh it is so laughable! >> Listen to the truth, if I were bent, I would have Tom workman treat > me, if I >> had a wound I would have kindwall help me, But I know this, if Tom > workman >> had a daughter with a brain injury, I think he would come to me. > Oh yes do >> not write me and even try to use some sort of intelligent language > or have >> one of your friends who is in dept for 12K over one of your > chambers. Just >> have the guts to come yourself. I will be at the office at 9 to 9 > come work >> besides me. >> >> and CHT. >> I am going to start a new website with lists the hazards of bag > chambers >> side by side with hard chambers, OK? >> >> >> As to Freels message below, that is complete bull, Loma > just >> wrote a book about brain injury I was there and the author signed > his book. >> " Dear , Thanks for all the help you have done for the > children. " >> Medical has major cut backs, there is not enough money to treat in > hospital >> based centers. Hospital based HBOT center must be reviewed by the > state, >> Medicare, , and a host of other state run certifications to be >> qualified to bill Medicare and Medi-cal. No doctors are kicked out > of the >> UHMS unless they practiced unsafe medical procedures. I know one > doctor who >> still has his license even though he altered a chamber, blew the > door out, >> hurt the people and filed BK the next day, and hide his chambers!, > He also >> was in hot water for using undocumented workers to do physical > therapy on >> patients! 1995 San Diego news paper. , I think you are selling > soft >> chambers! Do not forge or include me in you insanity ever again.!! > > > > ------------------------------------ > > " 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...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 It is fine and you know it, Just another excuse Diane Re: [ ] Re: Diabetic foot ulcers. > > >> >Why would Workman be against HBOT for brain injury when he is >> >manufacturing a hyperbaric chamber? >> > >> >Diane >> >> >> Diane, >> >> The typical and usual reimbursement rate for a single, 1-hour >> hyperbaric treatment in a hospital-based (UHMS) clinic is a minimum of >> $1200 to $1500 and has been found to be as high as $5500 for just $5 >> worth of oxygen. Over 80% of the patients are Medicare patients. >> >> To be a Medicare provider, the clinic must first be " certified " as >> meeting the requirements to be a Medicare provider. Medicare has only >> recognized the UHMS as the entity that can certify hospital-based >> clinics. However, to participate in the certification process, the >> hospital-based clinics must first join the UHMS--and thus comply with >> UHMS policy--which includes a promise to not treat off-label. If a >> hospital-based clinic does treat off-label, they are subject to >> immediate dismissal from the UHMS, which in turn would remove them as >> a Medicare provider. Plus, anytime a physician is kicked out of a >> professional medical society, they are at risk of losing their license >> to practice medicine. >> >> Wilbur T. Workman is the guy at the UHMS who enforces UHMS membership >> compliance with UHMS policy, i.e., he makes sure hospital-based >> clinics don't treat off-label. >> >> In contrast to hospital-based clinics, the free-standing clinics >> generally charge just 10% of what the hospital-based clinics charge. >> Plus, by and large, the free-standing clinics are not UHMS members. >> >> A review of all the treatment protocols of the UHMS-approved >> indications--with the exception of diabetic foot wounds--reveals that >> every UHMS indication can resolve in just 10 treatments. >> >> Or less. >> >> However, brain-injury generally requires a minimum of 100 treatments-- >> if not 400 or 500 treatments--or even more. Grace Kenitz has probably >> had at least 1000 treatments. >> >> No insurance company is going to pay $1500/treatment for hundreds of >> hyperbaric treatments. Neither will Medicare or Medicaid. Therefore, >> if brain-injury were approved it would force a reduction in the UHMS's >> reimbursement rate. Plus, if HBOT for brain-injury were approved, >> brain-injured people by the thousands would be lined up at the door >> and around the block for HBOT. >> >> This would force UHMS members to work a whole lot harder for a lot >> less money. >> >> Thus, the UHMS will never approve HBOT for brain-injury. >> >> >> >> >> >> >> >> Freels >> 2948 Windfield Circle >> Tucker, GA 30084-6714 >> 770-491-6776 (phone) >> 404-725-4520 (cell) >> 815-366-7962 (fax) >> >> mailto:david@... >> >> fearlessparents/ >> >> http://www. .com >> >> http://www.davidfreels.com >> >> >> >> >> ------------------------------------ >> >> " 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...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 , You obviously do not know what you are talking about. First, the portables are 100 percent legal. They are safe, and they work, and they were first approved for altitude sickness. Your post shows just how badly you are trying to stop the growth of portables, or how stupid you are. Maybe it is both. Insurance does reimburse for the so called approved conditions regardless of which type of chamber is used. Tom Fox doesn't know a damn thing, and this has been proven. Ask him sometime about a hotel room full of doctors and see what he says. I am glad you think you know everything. I used to think you at least were half decent, but after this attack on Diane (and no, I don't use her chambers) it shows me you are an idiot. Sent from my Verizon Wireless BlackBerry [ ] Re: Diabetic foot ulcers. The fact that you are unable to spell and write grammatically hurts your credibility. However, if you are a brain injury survivor, then I sympathize with your inability to express yourself coherently in writing. Most computers come with spell and grammar checking as an option. You should consider using these in the future. Diane > > Sorry my mistake, Tom workman is straight HBOT, Just get it through you > head, Hospitals have a contract with Medicare, and med-ical because they > have this contract they are not allowed to treat anything off the list of > approved indications for THOSE types of insurance!, hospital based!, Now > frankly most of the people treated in HOSPITAL based HBOT need to be in the > hospital! they have highly infectious wounds and are in fragile conditions! > with multiple health problems! > > Free standing centers were formed by Dr and Dr N 20 years ago, when I > started in the field, these brave heroes started treating brain injury with > REAL HBOT and OXYGEN! NOT BAGS! > SO there are two types of treating centers!, So what? We lowered the cost of > REAL HBOT in 1989 so people could afford it. NOW we could have gone into > hospital based HBOT and made allot more money, but we all had children or > loved ones that benefited from HBOT! So we SAVED our money and bought our > own chambers, Not some vinyl off gassing bag that did not use oxygen only > pressure. > These Bags came out in the early 80's as a way to keep a diver safe until he > could be transported to a REAL chamber. the original hyperlite bags were > only to be used to hold the bubble or bends still until they were > transported, usually in an area where there was very little other way to > help bent divers. I know this because there is a film about it, Called > Demons of the deep, I was very involved with the great divers who risked > their life to help these divers!, Some day I hope to have it put on a DVD. > Red lobster and other American companies would go out side the American > waters to hire divers who had no experience what so ever and they were bent. > but because there were no laws to protect them, these group of men dove into > the water with these Hyper lites on their back to save them!. I supported > the efforts with money and donated a hard chamber to the doctors caring for > them in South America. I will never eat at a RED Lobster Rest. again. > > YOU, Diane KNOW NOTHING! Zip You have never ever sacrificed for anyone but > yourself. You are selling these worthless chambers on ebay. and giving out > DANGEROUS information. > You Lie and say your Techs install these vinyl bags in hospitals! You don't > even know when there could be an emergency and further you refuse to even > put the real truth to the people you sell them to. You Claim you train the > people but you are an accident waiting to happen. You've never taken a > course nor have fully read the book, and even if you did you so obviously do > not understand the method nor reason for what is happening. You are an > accident waiting to happen. I frankly think your cheap bags are not > certified for anything, if so give us the proof! > > IF you had a doctor chamberside, with a wound or a ventilated patient it > would cost more to run a hospital based center. BUT you are in it purely for > the money. > ANY of the very honest clinic owners that I know have saved and sacrificed > everything to buy the best and get the legal compressors. and the right > piping to uphold the law. > So do I respect you? YOU who run at the month about something you don't have > a clue about? no, no respect what so ever. FOR it is people like you who > will ruin the field. That is why I am going to distance myself from all > people who promote a bag. These bags have many failures of window, rapid > decompression, failed compressors made of plastic! > > You come and work with me for a week, I will show you real life situations > of children getting better, eyes that now can see. and FOR free I will train > you to be what you always wanted to be. But you will work just like I do, > day and night praying over children and giving them same care and love you > would your own. > SO CALL ME, Train with me for two weeks. You will come away a different > person. My offer stands. > I was the only one that was able to get medi-cal to pay for HBOT for a child > who drown, freels knows this. Get your child another type of insurance > and pay for it. or get a second job like my husband and I did to have our > children treated. Nothing is for free, you need to work for it. > Tom fox is not making Bag chambers, Neither is Tom workman. But both of > these men could slaughter you both with knowledge and the safe understanding > of REAL HBOT. > Neither of you have the guts to take me up on the offer! Now another FACT!, > Medicare nor medi-cal are paying hardly anything for hospital based HBOT. > > So Diane, you are not far from me, come on out and train with me! I will > show you real HBOT, Real Compressors and safe progressive HBOT that works. > Hey bring your TECH as well. Sure like to meet this fellow that installs > bags in hospitals!! and TRAINS people to run them, bring him down please, or > give us his name! > Call me, 909-889-7626 bring one of your coolers, bags and compressors I > want to see it. In FACT I will ask my patients, " DO you want to get in this > bag, or this chamber? Lets see what their response is, shall we? I work > every day, so e-mail me, call me and drive on it. Have you ever been in a > REAL chamber? Now's your chance. put your money where your mouth is/ > BY the WAY, you never did give me the name and number of your corp office, > why dont you do that now? You are going to make a few bucks and walk away, > you dont even have insurance do you? > I know you will never come out, because you would see the difference in the > type of care I give people, the type of treatment that works. By the way, I > dont charge much more for a treatment with real oxygen, real chambers then > your people do > FACE it no insurance of any kind is going to pay for a vinyl bag! Come on, > NO hospital or upstanding center is going to use bags!, Please it is just a > way for Cheap doctors to pay a little bit and turn around and charge a high > price for a " treatment " Gosh it is so laughable! > Listen to the truth, if I were bent, I would have Tom workman treat me, if I > had a wound I would have kindwall help me, But I know this, if Tom workman > had a daughter with a brain injury, I think he would come to me. Oh yes do > not write me and even try to use some sort of intelligent language or have > one of your friends who is in dept for 12K over one of your chambers. Just > have the guts to come yourself. I will be at the office at 9 to 9 come work > besides me. > > and CHT. > I am going to start a new website with lists the hazards of bag chambers > side by side with hard chambers, OK? > > > As to Freels message below, that is complete bull, Loma just > wrote a book about brain injury I was there and the author signed his book. > " Dear , Thanks for all the help you have done for the children. " > Medical has major cut backs, there is not enough money to treat in hospital > based centers. Hospital based HBOT center must be reviewed by the state, > Medicare, , and a host of other state run certifications to be > qualified to bill Medicare and Medi-cal. No doctors are kicked out of the > UHMS unless they practiced unsafe medical procedures. I know one doctor who > still has his license even though he altered a chamber, blew the door out, > hurt the people and filed BK the next day, and hide his chambers!, He also > was in hot water for using undocumented workers to do physical therapy on > patients! 1995 San Diego news paper. , I think you are selling soft > chambers! Do not forge or include me in you insanity ever again.!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 Whoa. Please refrain from referring to list participants as either stupid or idiot--unless they are UHMS members. If you believe they are of below average intelligence, you can best persuade your readers by proving them incorrect. Just calling them names undermines your own credibility. I occasionally make mistakes. All humans do. may occasionally make a mistake, but she's not stupid. DF [ ] Re: Diabetic foot ulcers. > > >The fact that you are unable to spell and write grammatically hurts >your credibility. However, if you are a brain injury survivor, then >I sympathize with your inability to express yourself coherently in >writing. Most computers come with spell and grammar checking as an >option. You should consider using these in the future. > >Diane > > >> >> Sorry my mistake, Tom workman is straight HBOT, Just get it through >you >> head, Hospitals have a contract with Medicare, and med-ical because >they >> have this contract they are not allowed to treat anything off the >list of >> approved indications for THOSE types of insurance!, hospital >based!, Now >> frankly most of the people treated in HOSPITAL based HBOT need to >be in the >> hospital! they have highly infectious wounds and are in fragile >conditions! >> with multiple health problems! >> >> Free standing centers were formed by Dr and Dr N 20 years >ago, when I >> started in the field, these brave heroes started treating brain >injury with >> REAL HBOT and OXYGEN! NOT BAGS! >> SO there are two types of treating centers!, So what? We lowered >the cost of >> REAL HBOT in 1989 so people could afford it. NOW we could have gone >into >> hospital based HBOT and made allot more money, but we all had >children or >> loved ones that benefited from HBOT! So we SAVED our money and >bought our >> own chambers, Not some vinyl off gassing bag that did not use >oxygen only >> pressure. >> These Bags came out in the early 80's as a way to keep a diver safe >until he >> could be transported to a REAL chamber. the original hyperlite bags >were >> only to be used to hold the bubble or bends still until they were >> transported, usually in an area where there was very little other >way to >> help bent divers. I know this because there is a film about it, >Called >> Demons of the deep, I was very involved with the great divers who >risked >> their life to help these divers!, Some day I hope to have it put on >a DVD. >> Red lobster and other American companies would go out side the >American >> waters to hire divers who had no experience what so ever and they >were bent. >> but because there were no laws to protect them, these group of men >dove into >> the water with these Hyper lites on their back to save them!. I >supported >> the efforts with money and donated a hard chamber to the doctors >caring for >> them in South America. I will never eat at a RED Lobster Rest. >again. >> >> YOU, Diane KNOW NOTHING! Zip You have never ever sacrificed for >anyone but >> yourself. You are selling these worthless chambers on ebay. and >giving out >> DANGEROUS information. >> You Lie and say your Techs install these vinyl bags in hospitals! >You don't >> even know when there could be an emergency and further you refuse >to even >> put the real truth to the people you sell them to. You Claim you >train the >> people but you are an accident waiting to happen. You've never >taken a >> course nor have fully read the book, and even if you did you so >obviously do >> not understand the method nor reason for what is happening. You >are an >> accident waiting to happen. I frankly think your cheap bags are not >> certified for anything, if so give us the proof! >> >> IF you had a doctor chamberside, with a wound or a ventilated >patient it >> would cost more to run a hospital based center. BUT you are in it >purely for >> the money. >> ANY of the very honest clinic owners that I know have saved and >sacrificed >> everything to buy the best and get the legal compressors. and the >right >> piping to uphold the law. >> So do I respect you? YOU who run at the month about something you >don't have >> a clue about? no, no respect what so ever. FOR it is people like >you who >> will ruin the field. That is why I am going to distance myself from >all >> people who promote a bag. These bags have many failures of window, >rapid >> decompression, failed compressors made of plastic! >> >> You come and work with me for a week, I will show you real life >situations >> of children getting better, eyes that now can see. and FOR free I >will train >> you to be what you always wanted to be. But you will work just like >I do, >> day and night praying over children and giving them same care and >love you >> would your own. >> SO CALL ME, Train with me for two weeks. You will come away a >different >> person. My offer stands. >> I was the only one that was able to get medi-cal to pay for HBOT >for a child >> who drown, freels knows this. Get your child another type of >insurance >> and pay for it. or get a second job like my husband and I did to >have our >> children treated. Nothing is for free, you need to work for it. >> Tom fox is not making Bag chambers, Neither is Tom workman. But >both of >> these men could slaughter you both with knowledge and the safe >understanding >> of REAL HBOT. >> Neither of you have the guts to take me up on the offer! Now >another FACT!, >> Medicare nor medi-cal are paying hardly anything for hospital based >HBOT. >> >> So Diane, you are not far from me, come on out and train with me! I >will >> show you real HBOT, Real Compressors and safe progressive HBOT >that works. >> Hey bring your TECH as well. Sure like to meet this fellow that >installs >> bags in hospitals!! and TRAINS people to run them, bring him down >please, or >> give us his name! >> Call me, 909-889-7626 bring one of your coolers, bags and >compressors I >> want to see it. In FACT I will ask my patients, " DO you want to get >in this >> bag, or this chamber? Lets see what their response is, shall we? I >work >> every day, so e-mail me, call me and drive on it. Have you ever >been in a >> REAL chamber? Now's your chance. put your money where your mouth is/ >> BY the WAY, you never did give me the name and number of your corp >office, >> why dont you do that now? You are going to make a few bucks and >walk away, >> you dont even have insurance do you? >> I know you will never come out, because you would see the >difference in the >> type of care I give people, the type of treatment that works. By >the way, I >> dont charge much more for a treatment with real oxygen, real >chambers then >> your people do >> FACE it no insurance of any kind is going to pay for a vinyl bag! >Come on, >> NO hospital or upstanding center is going to use bags!, Please it >is just a >> way for Cheap doctors to pay a little bit and turn around and >charge a high >> price for a " treatment " Gosh it is so laughable! >> Listen to the truth, if I were bent, I would have Tom workman treat >me, if I >> had a wound I would have kindwall help me, But I know this, if Tom >workman >> had a daughter with a brain injury, I think he would come to me. >Oh yes do >> not write me and even try to use some sort of intelligent language >or have >> one of your friends who is in dept for 12K over one of your >chambers. Just >> have the guts to come yourself. I will be at the office at 9 to 9 >come work >> besides me. >> >> and CHT. >> I am going to start a new website with lists the hazards of bag >chambers >> side by side with hard chambers, OK? >> >> >> As to Freels message below, that is complete bull, Loma >just >> wrote a book about brain injury I was there and the author signed >his book. >> " Dear , Thanks for all the help you have done for the >children. " >> Medical has major cut backs, there is not enough money to treat in >hospital >> based centers. Hospital based HBOT center must be reviewed by the >state, >> Medicare, , and a host of other state run certifications to be >> qualified to bill Medicare and Medi-cal. No doctors are kicked out >of the >> UHMS unless they practiced unsafe medical procedures. I know one >doctor who >> still has his license even though he altered a chamber, blew the >door out, >> hurt the people and filed BK the next day, and hide his chambers!, >He also >> was in hot water for using undocumented workers to do physical >therapy on >> patients! 1995 San Diego news paper. , I think you are selling >soft >> chambers! Do not forge or include me in you insanity ever again.!! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 I apologize . I felt sorry for Diane, as she is trying to learn and attacking her doesn't help. Sent from my Verizon Wireless BlackBerry [ ] Re: Diabetic foot ulcers. > > >The fact that you are unable to spell and write grammatically hurts >your credibility. However, if you are a brain injury survivor, then >I sympathize with your inability to express yourself coherently in >writing. Most computers come with spell and grammar checking as an >option. You should consider using these in the future. > >Diane > > >> >> Sorry my mistake, Tom workman is straight HBOT, Just get it through >you >> head, Hospitals have a contract with Medicare, and med-ical because >they >> have this contract they are not allowed to treat anything off the >list of >> approved indications for THOSE types of insurance!, hospital >based!, Now >> frankly most of the people treated in HOSPITAL based HBOT need to >be in the >> hospital! they have highly infectious wounds and are in fragile >conditions! >> with multiple health problems! >> >> Free standing centers were formed by Dr and Dr N 20 years >ago, when I >> started in the field, these brave heroes started treating brain >injury with >> REAL HBOT and OXYGEN! NOT BAGS! >> SO there are two types of treating centers!, So what? We lowered >the cost of >> REAL HBOT in 1989 so people could afford it. NOW we could have gone >into >> hospital based HBOT and made allot more money, but we all had >children or >> loved ones that benefited from HBOT! So we SAVED our money and >bought our >> own chambers, Not some vinyl off gassing bag that did not use >oxygen only >> pressure. >> These Bags came out in the early 80's as a way to keep a diver safe >until he >> could be transported to a REAL chamber. the original hyperlite bags >were >> only to be used to hold the bubble or bends still until they were >> transported, usually in an area where there was very little other >way to >> help bent divers. I know this because there is a film about it, >Called >> Demons of the deep, I was very involved with the great divers who >risked >> their life to help these divers!, Some day I hope to have it put on >a DVD. >> Red lobster and other American companies would go out side the >American >> waters to hire divers who had no experience what so ever and they >were bent. >> but because there were no laws to protect them, these group of men >dove into >> the water with these Hyper lites on their back to save them!. I >supported >> the efforts with money and donated a hard chamber to the doctors >caring for >> them in South America. I will never eat at a RED Lobster Rest. >again. >> >> YOU, Diane KNOW NOTHING! Zip You have never ever sacrificed for >anyone but >> yourself. You are selling these worthless chambers on ebay. and >giving out >> DANGEROUS information. >> You Lie and say your Techs install these vinyl bags in hospitals! >You don't >> even know when there could be an emergency and further you refuse >to even >> put the real truth to the people you sell them to. You Claim you >train the >> people but you are an accident waiting to happen. You've never >taken a >> course nor have fully read the book, and even if you did you so >obviously do >> not understand the method nor reason for what is happening. You >are an >> accident waiting to happen. I frankly think your cheap bags are not >> certified for anything, if so give us the proof! >> >> IF you had a doctor chamberside, with a wound or a ventilated >patient it >> would cost more to run a hospital based center. BUT you are in it >purely for >> the money. >> ANY of the very honest clinic owners that I know have saved and >sacrificed >> everything to buy the best and get the legal compressors. and the >right >> piping to uphold the law. >> So do I respect you? YOU who run at the month about something you >don't have >> a clue about? no, no respect what so ever. FOR it is people like >you who >> will ruin the field. That is why I am going to distance myself from >all >> people who promote a bag. These bags have many failures of window, >rapid >> decompression, failed compressors made of plastic! >> >> You come and work with me for a week, I will show you real life >situations >> of children getting better, eyes that now can see. and FOR free I >will train >> you to be what you always wanted to be. But you will work just like >I do, >> day and night praying over children and giving them same care and >love you >> would your own. >> SO CALL ME, Train with me for two weeks. You will come away a >different >> person. My offer stands. >> I was the only one that was able to get medi-cal to pay for HBOT >for a child >> who drown, freels knows this. Get your child another type of >insurance >> and pay for it. or get a second job like my husband and I did to >have our >> children treated. Nothing is for free, you need to work for it. >> Tom fox is not making Bag chambers, Neither is Tom workman. But >both of >> these men could slaughter you both with knowledge and the safe >understanding >> of REAL HBOT. >> Neither of you have the guts to take me up on the offer! Now >another FACT!, >> Medicare nor medi-cal are paying hardly anything for hospital based >HBOT. >> >> So Diane, you are not far from me, come on out and train with me! I >will >> show you real HBOT, Real Compressors and safe progressive HBOT >that works. >> Hey bring your TECH as well. Sure like to meet this fellow that >installs >> bags in hospitals!! and TRAINS people to run them, bring him down >please, or >> give us his name! >> Call me, 909-889-7626 bring one of your coolers, bags and >compressors I >> want to see it. In FACT I will ask my patients, " DO you want to get >in this >> bag, or this chamber? Lets see what their response is, shall we? I >work >> every day, so e-mail me, call me and drive on it. Have you ever >been in a >> REAL chamber? Now's your chance. put your money where your mouth is/ >> BY the WAY, you never did give me the name and number of your corp >office, >> why dont you do that now? You are going to make a few bucks and >walk away, >> you dont even have insurance do you? >> I know you will never come out, because you would see the >difference in the >> type of care I give people, the type of treatment that works. By >the way, I >> dont charge much more for a treatment with real oxygen, real >chambers then >> your people do >> FACE it no insurance of any kind is going to pay for a vinyl bag! >Come on, >> NO hospital or upstanding center is going to use bags!, Please it >is just a >> way for Cheap doctors to pay a little bit and turn around and >charge a high >> price for a " treatment " Gosh it is so laughable! >> Listen to the truth, if I were bent, I would have Tom workman treat >me, if I >> had a wound I would have kindwall help me, But I know this, if Tom >workman >> had a daughter with a brain injury, I think he would come to me. >Oh yes do >> not write me and even try to use some sort of intelligent language >or have >> one of your friends who is in dept for 12K over one of your >chambers. Just >> have the guts to come yourself. I will be at the office at 9 to 9 >come work >> besides me. >> >> and CHT. >> I am going to start a new website with lists the hazards of bag >chambers >> side by side with hard chambers, OK? >> >> >> As to Freels message below, that is complete bull, Loma >just >> wrote a book about brain injury I was there and the author signed >his book. >> " Dear , Thanks for all the help you have done for the >children. " >> Medical has major cut backs, there is not enough money to treat in >hospital >> based centers. Hospital based HBOT center must be reviewed by the >state, >> Medicare, , and a host of other state run certifications to be >> qualified to bill Medicare and Medi-cal. No doctors are kicked out >of the >> UHMS unless they practiced unsafe medical procedures. I know one >doctor who >> still has his license even though he altered a chamber, blew the >door out, >> hurt the people and filed BK the next day, and hide his chambers!, >He also >> was in hot water for using undocumented workers to do physical >therapy on >> patients! 1995 San Diego news paper. , I think you are selling >soft >> chambers! Do not forge or include me in you insanity ever again.!! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 To the best of my knowledge Tom Workman is not envolved in the manufacturing of any chambers.? I have found him to be someone that can turn to with any questions concerning the technical, saftey concerns as well as the bureacratic mumbo jumbo surounding hyperbaric chamber operation (all types of hyperbaric chambers). ? Wayne McHowell, RN, BSN, ONC, CHRNA [ ] Re: Diabetic foot ulcers. Why would Workman be against HBOT for brain injury when he is manufacturing a hyperbaric chamber? Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 First the diabetic foot ulcer wasn't added by the CMS, it was returned with restrictions to accepted indications after a period of time being off the reimbirsement list.? Second, although I am sure Dr. Harch's input was helpful, also figure the lobby group hired by the U.H.M.S., the and the evidence based studies studies sponsred by U.H.M.S.,??as well as the other physicians involved had a little to do with its reinstatemen. ? Wayne McHowell, RN, BSN, ONC, CHRNA [ ] Diabetic foot ulcers. & gt; The FDA and CMS can be convinced with facts and & gt; economics. The UHMS did that with the diabetic ulcers indication that & gt; was added recently. Glen, Adding Diabetic Foot Wounds (DFW) to the CMS approved indications list was due primarily to the data research and presentation by Dr. Harch, MD, where much of the core data Harch provided was nearly 40 years old and now believed deliberately withheld from CMS by the UHMS. Dr. Harch was forced to resign from the UHMS and was President of the International Hyperbaric Medical Association (IHMA) when CMS made its decision to cover DFW. When Medicare was created hospitals were nonprofits. This is no longer the case and because all hospital-based hyperbaric clinics are managed by UHMS membership, the UHMS was not going to push for DFW since it would ultimately result in a drop in revenue for the hospital. Perpetual and continuous amputations and subsequent therapies and prosthetics are much more profitable for hospitals. From: http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?from2=viewdecisionmemo.asp & id=37\ & " On November 29, 2000, CMS accepted a formal request for a coverage determination on the use of HBO therapy in the treatment of hypoxic wounds that was submitted by the Undersea and Hyperbaric Medical Society (UHMS)... " " On April 1, 2002, CMS received a letter from the IHMA suggesting the following subpopulation of patients were most appropriate for HBO therapy: (1) infected diabetic foot wounds, or (2) diabetic foot wounds with minimal or no signs of cellulites that are occurring in an extremity with peripheral vascular disease and a hypoxic TcPO2 & lt; 35-40 mmHg on room air. " And: " Hypoxic Wounds: The evidence is not adequate to conclude that hypoxic wounds are a distinct wound type for purposes of Medicare coverage, and, thus, Medicare has decided not to expand coverage. Diabetic Wounds of the Lower Extremities: The evidence is adequate to conclude that HBO therapy is clinically effective and, thus, reasonable and necessary in the treatment of certain patients with limb-threatening diabetic wounds of the lower extremity. " DFW is not on the FDA list because the FDA gets its list from the UHMS. As an example, please see the latest 510k granted by FDA, which, by the way is for a Hyperbaric America chamber marketed by UHMS hatchetman and ASME-PVHO member Tom Workman. See http://www.fda.gov/cdrh/pdf8/K081506.pdf It's unclear as to whether or not this chamber was submitted to ASME- PVHO for ASME-PVHO approval. You'll notice too that UHMS still does not recognize DFW on its indications list. See http://uhms.org/Default.aspx?tabid=270 Freels 2948 Windfield Circle Tucker, GA 30084-6714 770-491-6776 (phone) 404-725-4520 (cell) 815-366-7962 (fax) mailto:david@... fearlessparents/ http://www. .com http://www.davidfreels.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 I wonder if that which ones are considered bags. It must only be one company. Are they considered bags after they have been fixed to go to higher pressures. Im just wondering. I dunno can yall enlighten me on this. From: SUSAN RODRIGUEZ <hyperbaric1@...> Subject: Re: [ ] Re: Diabetic foot ulcers. medicaid Date: Friday, October 3, 2008, 2:17 AM Sorry my mistake, Tom workman is straight HBOT, Just get it through you head, Hospitals have a contract with Medicare, and med-ical because they have this contract they are not allowed to treat anything off the list of approved indications for THOSE types of insurance!, hospital based!, Now frankly most of the people treated in HOSPITAL based HBOT need to be in the hospital! they have highly infectious wounds and are in fragile conditions! with multiple health problems! Free standing centers were formed by Dr and Dr N 20 years ago, when I started in the field, these brave heroes started treating brain injury with REAL HBOT and OXYGEN! NOT BAGS! SO there are two types of treating centers!, So what? We lowered the cost of REAL HBOT in 1989 so people could afford it. NOW we could have gone into hospital based HBOT and made allot more money, but we all had children or loved ones that benefited from HBOT! So we SAVED our money and bought our own chambers, Not some vinyl off gassing bag that did not use oxygen only pressure. These Bags came out in the early 80's as a way to keep a diver safe until he could be transported to a REAL chamber. the original hyperlite bags were only to be used to hold the bubble or bends still until they were transported, usually in an area where there was very little other way to help bent divers. I know this because there is a film about it, Called Demons of the deep, I was very involved with the great divers who risked their life to help these divers!, Some day I hope to have it put on a DVD. Red lobster and other American companies would go out side the American waters to hire divers who had no experience what so ever and they were bent.. but because there were no laws to protect them, these group of men dove into the water with these Hyper lites on their back to save them!. I supported the efforts with money and donated a hard chamber to the doctors caring for them in South America. I will never eat at a RED Lobster Rest. again. YOU, Diane KNOW NOTHING! Zip You have never ever sacrificed for anyone but yourself. You are selling these worthless chambers on ebay. and giving out DANGEROUS information. You Lie and say your Techs install these vinyl bags in hospitals! You don't even know when there could be an emergency and further you refuse to even put the real truth to the people you sell them to. You Claim you train the people but you are an accident waiting to happen. You've never taken a course nor have fully read the book, and even if you did you so obviously do not understand the method nor reason for what is happening. You are an accident waiting to happen. I frankly think your cheap bags are not certified for anything, if so give us the proof! IF you had a doctor chamberside, with a wound or a ventilated patient it would cost more to run a hospital based center. BUT you are in it purely for the money. ANY of the very honest clinic owners that I know have saved and sacrificed everything to buy the best and get the legal compressors. and the right piping to uphold the law. So do I respect you? YOU who run at the month about something you don't have a clue about? no, no respect what so ever. FOR it is people like you who will ruin the field. That is why I am going to distance myself from all people who promote a bag. These bags have many failures of window, rapid decompression, failed compressors made of plastic! You come and work with me for a week, I will show you real life situations of children getting better, eyes that now can see. and FOR free I will train you to be what you always wanted to be. But you will work just like I do, day and night praying over children and giving them same care and love you would your own. SO CALL ME, Train with me for two weeks. You will come away a different person. My offer stands. I was the only one that was able to get medi-cal to pay for HBOT for a child who drown, freels knows this. Get your child another type of insurance and pay for it. or get a second job like my husband and I did to have our children treated. Nothing is for free, you need to work for it. Tom fox is not making Bag chambers, Neither is Tom workman. But both of these men could slaughter you both with knowledge and the safe understanding of REAL HBOT. Neither of you have the guts to take me up on the offer! Now another FACT!, Medicare nor medi-cal are paying hardly anything for hospital based HBOT. So Diane, you are not far from me, come on out and train with me! I will show you real HBOT, Real Compressors and safe progressive HBOT that works. Hey bring your TECH as well. Sure like to meet this fellow that installs bags in hospitals!! and TRAINS people to run them, bring him down please, or give us his name! Call me, 909-889-7626 bring one of your coolers, bags and compressors I want to see it. In FACT I will ask my patients, " DO you want to get in this bag, or this chamber? Lets see what their response is, shall we? I work every day, so e-mail me, call me and drive on it. Have you ever been in a REAL chamber? Now's your chance. put your money where your mouth is/ BY the WAY, you never did give me the name and number of your corp office, why dont you do that now? You are going to make a few bucks and walk away, you dont even have insurance do you? I know you will never come out, because you would see the difference in the type of care I give people, the type of treatment that works. By the way, I dont charge much more for a treatment with real oxygen, real chambers then your people do FACE it no insurance of any kind is going to pay for a vinyl bag! Come on, NO hospital or upstanding center is going to use bags!, Please it is just a way for Cheap doctors to pay a little bit and turn around and charge a high price for a " treatment " Gosh it is so laughable! Listen to the truth, if I were bent, I would have Tom workman treat me, if I had a wound I would have kindwall help me, But I know this, if Tom workman had a daughter with a brain injury, I think he would come to me. Oh yes do not write me and even try to use some sort of intelligent language or have one of your friends who is in dept for 12K over one of your chambers. Just have the guts to come yourself. I will be at the office at 9 to 9 come work besides me. and CHT. I am going to start a new website with lists the hazards of bag chambers side by side with hard chambers, OK? As to Freels message below, that is complete bull, Loma just wrote a book about brain injury I was there and the author signed his book. " Dear , Thanks for all the help you have done for the children. " Medical has major cut backs, there is not enough money to treat in hospital based centers. Hospital based HBOT center must be reviewed by the state, Medicare, , and a host of other state run certifications to be qualified to bill Medicare and Medi-cal. No doctors are kicked out of the UHMS unless they practiced unsafe medical procedures. I know one doctor who still has his license even though he altered a chamber, blew the door out, hurt the people and filed BK the next day, and hide his chambers!, He also was in hot water for using undocumented workers to do physical therapy on patients! 1995 San Diego news paper. , I think you are selling soft chambers! Do not forge or include me in you insanity ever again.!! Re: [ ] Re: Diabetic foot ulcers. > >Why would Workman be against HBOT for brain injury when he is > >manufacturing a hyperbaric chamber? > > > >Diane > > > Diane, > > The typical and usual reimbursement rate for a single, 1-hour > hyperbaric treatment in a hospital-based (UHMS) clinic is a minimum of > $1200 to $1500 and has been found to be as high as $5500 for just $5 > worth of oxygen. Over 80% of the patients are Medicare patients. > > To be a Medicare provider, the clinic must first be " certified " as > meeting the requirements to be a Medicare provider. Medicare has only > recognized the UHMS as the entity that can certify hospital-based > clinics. However, to participate in the certification process, the > hospital-based clinics must first join the UHMS--and thus comply with > UHMS policy--which includes a promise to not treat off-label. If a > hospital-based clinic does treat off-label, they are subject to > immediate dismissal from the UHMS, which in turn would remove them as > a Medicare provider. Plus, anytime a physician is kicked out of a > professional medical society, they are at risk of losing their license > to practice medicine. > > Wilbur T. Workman is the guy at the UHMS who enforces UHMS membership > compliance with UHMS policy, i.e., he makes sure hospital-based > clinics don't treat off-label. > > In contrast to hospital-based clinics, the free-standing clinics > generally charge just 10% of what the hospital-based clinics charge. > Plus, by and large, the free-standing clinics are not UHMS members. > > A review of all the treatment protocols of the UHMS-approved > indications- -with the exception of diabetic foot wounds--reveals that > every UHMS indication can resolve in just 10 treatments. > > Or less. > > However, brain-injury generally requires a minimum of 100 treatments-- > if not 400 or 500 treatments-- or even more. Grace Kenitz has probably > had at least 1000 treatments. > > No insurance company is going to pay $1500/treatment for hundreds of > hyperbaric treatments. Neither will Medicare or Medicaid. Therefore, > if brain-injury were approved it would force a reduction in the UHMS's > reimbursement rate. Plus, if HBOT for brain-injury were approved, > brain-injured people by the thousands would be lined up at the door > and around the block for HBOT. > > This would force UHMS members to work a whole lot harder for a lot > less money. > > Thus, the UHMS will never approve HBOT for brain-injury. > > > > > > > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 404-725-4520 (cell) > 815-366-7962 (fax) > > mailto:daviddavidfreels (DOT) com > > http://groups. / group/fearlesspa rents/ > > http://www.Medicaid forHBOT.com > > http://www.davidfre els.com > > > > > ------------ --------- --------- ------ > > " 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...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 , We can go on about this ad nauseum... You are posting some facts and adding suppositions that sound like facts. I an trying to provide members of this list with supportive, accurate, and beneficial information - not slam any particular member or manufacturer. To suggest I have a political purpose is, again, trying to spin things and distract people from the facts. 1. What should it matter if I am a member of the IHMA, ACHM, or UHMS or none, or all?? In fact, I approve of the existence of all three - each has a place in the industry of hyperbaric medicine. 2. I never said Harch was not involved in the CMS decision - I said it more than just him. 3. FDA does not set reimbursement - CMS does. It is specifically listed on the CMS website as a reimbursable indication. 4. You are correct that the FDA uses the UHMS list - So What.. They do not tell CMS what to reimburse. You do not have to include ANY indications on a 510k application. Look at the ETC 510k submission (http://www.fda.gov/cdrh/pdf2/K020974.pdf). 5. RE The Roosevelt Warm Springs Institute for Rehabilitation (RWS) - I agree, if they have a patient population that could benefit from HBO, they should consider sending patients to a facility with a chamber or (if the numbers are such that they qualify for reimbursement and they have a large enough potential patient population) they should consider getting a chamber that is capable of treating the the patient population that would benefit (I think we can both agree that for a Diabetic Foot, that is a chamber that can go to 2 ATA). 6. We agree that you hate Tom Workman and Tom Fox and would never post anything positive about either. I don't hate either, but I also don't hate you (truth be told, I have never met you and don't really know enough about you to like or dislike you).. I am only interested providing people with the facts and not bad mouthing anyone. Even if I did not like you or vehemently disagreed with, I would not spew forth hate towards you. I would acknowledge your right to your opinion (regardless of how I feel about it) and disagree with you in a professional and respectful manner - as I am doing here in this series of discussions. 7. I would be curious to know which four of the 13 (14) indications you feel have clear and objective evidence? I personally believe there are more, but I acknowledge that not everyone would agree with me. 8. I will agree with you that the UHMS is not perfect, but then neither are the IHMA or the ACHM. Unfortunately, politics is involved in any organization with more than 2 people. The IHMA has its own problems. Do I wish the UHMS would OVERTLY encourage research to add indications - Hell YES!! 9. The 510k for Hyperbaric America also does not suggest that he is not a consultant. I happen to know he worked as a consultant for the Russian company that got a 510k - his name was also on their letter. I know the people involved with Hyperbaric America. He does not work for them. The wording the FDA uses in the clearance letter is boilerplate - look at any 510k clearance... with the exception of a name change, they are all nearly identical - it is, in effect, a GOVERNMENT FORM. 10. As to PVHO - again, having written a 510k submission, I am familiar with what is required. A simple claim of similarity to another cleared and predicate device is not sufficient for demonstrating conformance to a design code. You must actually provide to them evidence of compliance with the relevant code. That is simple fact. Supposition, spin, and taking words out of context will not change that. You can believe me or you can refuse to believe me. This may be a case where we will agree to disagree. Glen > > Glen, > > Thanks for your response. > > Are you a UHMS member? > > Re: Harch: > > After the 2004 Congressional hearings, I was included in a group that > walked down the street for a meeting with CMS officials at the Hubert > Humphrey building arranged by Bill Duncan to discuss some Medicare > issues. Also in the group was Harch, Mrs. Duncan, Ken Stoller, Steve > Reimers, and maybe one or two others. > > This was some 6-12 months after CMS first approved DFW. Three CMS > officials were also in attendance, and when they were introduced to > Harch, I thought they were going to bow down, worship him, and > sacrifice their first-born to him. They were clearly in awe and > thanked him profusely for " pushing so resolutely " for DFW. They also > stated DFW was the first CMS " program change " they could take before > Congress and clearly demonstrate provable cost savings. In that > meeting, they also stated the savings to date had been right at $1 > billion. > > Now, I'm sure for political purposes you may believe the official > record may lean more toward UHMS participation and/or endorsement of > DFW, but by your own admission, they've buried it in their own > indications list, i.e., the list still reads 13, not 14--as does the > FDA list--which gets its list from the UHMS sans fine print--thus the > absence of DFW from the FDA list. > > As to why UHMS will not endorse DFW and has suppressed its application > for 40 years, please see my previous post on this issue. > > A case in point. Here in Georgia at a town called Warm Springs, there > exists a state-administered facility called The Roosevelt Warm Springs > Institute for Rehabilitation (RWS), which was turned over to the state > by the Roosevelt family subsequent to the death of US President > lin D Roosevelt in April, 1945, also in Warm Springs. > > I have been in personal communication with RWS for seven years > requesting they incorporate HBOT as part of their regimen as their > primary patient load are DFW. Now some five years after Medicare > reimburses HBOT for DFW, RWS still refuses to incorporate HBOT. Their > second highest patient demographic? Stroke. In recent verbal > communication, I was told by RWS personnel that RWS was told by UHMS > that HBOT for DFW was a waste of time. > > Re: Workman: > > He's an asshole and will probably burn in hell throughout eternity for > his personal efforts to stifle utilization of HBOT for brain-injury as > evidenced by his testimony in the Texas Medicaid case for Katlyn > , his collaboration with Murray Goldstein of United Cerebral > Palsy to create a flawed HBOT-for-CP study, his collaboration with > another asshole named Mark Helfand in the publication of the 2003 AHRQ > report, his intervention and sabotage into the California legislative > initiative spearheaded by father and frequent > contributor Ed Nemeth. I'm sure there are still more. > > Keep in mind he's not an MD, he's just a CHT. And, by the way, there's > no requirement that says you've got to be a CHT to operate a > hyperbaric chamber--which means Wilbur Tom (WT) Workman has no > credentials to be making decisions on what HBOT should and should not > be used for, particularly since there's more evidence supporting the > use of HBOT for brain-injury than all the combined evidence in > existence for all the other UHMS-approved indications. > > In fact, there only exists objective evidence for four of the 13 UHMS > indications. > > In 1999, the UHMS Ethics Committee admitted there was no standard > method of approving new indications, which means what is now approved > was approved arbitrarily. > > As for whether or not Workman has a financial interest in Hyperbaric > America, the FDA letter at http://www.fda.gov/cdrh/pdf8/K081506.pdf > lists his name, then Hyperbaric America. It does not suggest in the > slightest that he's acting as a consultant or disinterested 3rd party, > which you imply. In fact, it clearly states just the opposite, " We > have reviewed your Section 510(K) premarket notification of intent to > market the device... " > > My comment regarding ASME-PVHO and Hyperbaric America is simply this: > These chambers were not subjected to ASME-PVHO testing but were just > rubber-stamped through the FDA approval process because their > construction is similar to previous ASME-PVHO approved chambers. > Repeating the same section in the FDA note to Wilbur T. Workman: > > " We have reviewed your Section 510(K) premarket notification of intent > to market the device referenced above and have determined the device > is substantially equivalent (for the indications for use stated in the > enclosure) to legally marketed predicate devices... " > > > > > > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 404-725-4520 (cell) > 815-366-7962 (fax) > > mailto:david@... > > fearlessparents/ > > http://www. .com > > http://www.davidfreels.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 I have treated diabetic ulcers with great success with 1.3 ATA. I also know of others treating them at 1.5 with great success. Sent from my Verizon Wireless BlackBerry [ ] Re: Diabetic foot ulcers. , We can go on about this ad nauseum... You are posting some facts and adding suppositions that sound like facts. I an trying to provide members of this list with supportive, accurate, and beneficial information - not slam any particular member or manufacturer. To suggest I have a political purpose is, again, trying to spin things and distract people from the facts. 1. What should it matter if I am a member of the IHMA, ACHM, or UHMS or none, or all?? In fact, I approve of the existence of all three - each has a place in the industry of hyperbaric medicine. 2. I never said Harch was not involved in the CMS decision - I said it more than just him. 3. FDA does not set reimbursement - CMS does. It is specifically listed on the CMS website as a reimbursable indication. 4. You are correct that the FDA uses the UHMS list - So What.. They do not tell CMS what to reimburse. You do not have to include ANY indications on a 510k application. Look at the ETC 510k submission (http://www.fda.gov/cdrh/pdf2/K020974.pdf). 5. RE The Roosevelt Warm Springs Institute for Rehabilitation (RWS) - I agree, if they have a patient population that could benefit from HBO, they should consider sending patients to a facility with a chamber or (if the numbers are such that they qualify for reimbursement and they have a large enough potential patient population) they should consider getting a chamber that is capable of treating the the patient population that would benefit (I think we can both agree that for a Diabetic Foot, that is a chamber that can go to 2 ATA). 6. We agree that you hate Tom Workman and Tom Fox and would never post anything positive about either. I don't hate either, but I also don't hate you (truth be told, I have never met you and don't really know enough about you to like or dislike you).. I am only interested providing people with the facts and not bad mouthing anyone. Even if I did not like you or vehemently disagreed with, I would not spew forth hate towards you. I would acknowledge your right to your opinion (regardless of how I feel about it) and disagree with you in a professional and respectful manner - as I am doing here in this series of discussions. 7. I would be curious to know which four of the 13 (14) indications you feel have clear and objective evidence? I personally believe there are more, but I acknowledge that not everyone would agree with me. 8. I will agree with you that the UHMS is not perfect, but then neither are the IHMA or the ACHM. Unfortunately, politics is involved in any organization with more than 2 people. The IHMA has its own problems. Do I wish the UHMS would OVERTLY encourage research to add indications - Hell YES!! 9. The 510k for Hyperbaric America also does not suggest that he is not a consultant. I happen to know he worked as a consultant for the Russian company that got a 510k - his name was also on their letter. I know the people involved with Hyperbaric America. He does not work for them. The wording the FDA uses in the clearance letter is boilerplate - look at any 510k clearance... with the exception of a name change, they are all nearly identical - it is, in effect, a GOVERNMENT FORM. 10. As to PVHO - again, having written a 510k submission, I am familiar with what is required. A simple claim of similarity to another cleared and predicate device is not sufficient for demonstrating conformance to a design code. You must actually provide to them evidence of compliance with the relevant code. That is simple fact. Supposition, spin, and taking words out of context will not change that. You can believe me or you can refuse to believe me. This may be a case where we will agree to disagree. Glen > > Glen, > > Thanks for your response. > > Are you a UHMS member? > > Re: Harch: > > After the 2004 Congressional hearings, I was included in a group that > walked down the street for a meeting with CMS officials at the Hubert > Humphrey building arranged by Bill Duncan to discuss some Medicare > issues. Also in the group was Harch, Mrs. Duncan, Ken Stoller, Steve > Reimers, and maybe one or two others. > > This was some 6-12 months after CMS first approved DFW. Three CMS > officials were also in attendance, and when they were introduced to > Harch, I thought they were going to bow down, worship him, and > sacrifice their first-born to him. They were clearly in awe and > thanked him profusely for " pushing so resolutely " for DFW. They also > stated DFW was the first CMS " program change " they could take before > Congress and clearly demonstrate provable cost savings. In that > meeting, they also stated the savings to date had been right at $1 > billion. > > Now, I'm sure for political purposes you may believe the official > record may lean more toward UHMS participation and/or endorsement of > DFW, but by your own admission, they've buried it in their own > indications list, i.e., the list still reads 13, not 14--as does the > FDA list--which gets its list from the UHMS sans fine print--thus the > absence of DFW from the FDA list. > > As to why UHMS will not endorse DFW and has suppressed its application > for 40 years, please see my previous post on this issue. > > A case in point. Here in Georgia at a town called Warm Springs, there > exists a state-administered facility called The Roosevelt Warm Springs > Institute for Rehabilitation (RWS), which was turned over to the state > by the Roosevelt family subsequent to the death of US President > lin D Roosevelt in April, 1945, also in Warm Springs. > > I have been in personal communication with RWS for seven years > requesting they incorporate HBOT as part of their regimen as their > primary patient load are DFW. Now some five years after Medicare > reimburses HBOT for DFW, RWS still refuses to incorporate HBOT. Their > second highest patient demographic? Stroke. In recent verbal > communication, I was told by RWS personnel that RWS was told by UHMS > that HBOT for DFW was a waste of time. > > Re: Workman: > > He's an asshole and will probably burn in hell throughout eternity for > his personal efforts to stifle utilization of HBOT for brain-injury as > evidenced by his testimony in the Texas Medicaid case for Katlyn > , his collaboration with Murray Goldstein of United Cerebral > Palsy to create a flawed HBOT-for-CP study, his collaboration with > another asshole named Mark Helfand in the publication of the 2003 AHRQ > report, his intervention and sabotage into the California legislative > initiative spearheaded by father and frequent > contributor Ed Nemeth. I'm sure there are still more. > > Keep in mind he's not an MD, he's just a CHT. And, by the way, there's > no requirement that says you've got to be a CHT to operate a > hyperbaric chamber--which means Wilbur Tom (WT) Workman has no > credentials to be making decisions on what HBOT should and should not > be used for, particularly since there's more evidence supporting the > use of HBOT for brain-injury than all the combined evidence in > existence for all the other UHMS-approved indications. > > In fact, there only exists objective evidence for four of the 13 UHMS > indications. > > In 1999, the UHMS Ethics Committee admitted there was no standard > method of approving new indications, which means what is now approved > was approved arbitrarily. > > As for whether or not Workman has a financial interest in Hyperbaric > America, the FDA letter at http://www.fda.gov/cdrh/pdf8/K081506.pdf > lists his name, then Hyperbaric America. It does not suggest in the > slightest that he's acting as a consultant or disinterested 3rd party, > which you imply. In fact, it clearly states just the opposite, " We > have reviewed your Section 510(K) premarket notification of intent to > market the device... " > > My comment regarding ASME-PVHO and Hyperbaric America is simply this: > These chambers were not subjected to ASME-PVHO testing but were just > rubber-stamped through the FDA approval process because their > construction is similar to previous ASME-PVHO approved chambers. > Repeating the same section in the FDA note to Wilbur T. Workman: > > " We have reviewed your Section 510(K) premarket notification of intent > to market the device referenced above and have determined the device > is substantially equivalent (for the indications for use stated in the > enclosure) to legally marketed predicate devices... " > > > > > > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 404-725-4520 (cell) > 815-366-7962 (fax) > > mailto:david@... > > fearlessparents/ > > http://www. .com > > http://www.davidfreels.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 , Come one... What is billed and what is reimbursed are two different things. I agree that the numbers you posted are often billed (and higher if it is a critical care patient or additional medical support, such as IVs are included). What is reimbursed is something totally different Normally accepted time for a clinical treatment (i.., diabetic foot) is 2 hours (door close to door open), unless you were referring to the time at treatment pressure - which is typically 90 min (~15 min compression, 15 min decompression). Not 1 hour. Reimbursement is in 30-min segments. Thus, for the normal treatment, this is 4 segments. To simplify the math, treatments for Medicare patients are reimbursed at approximately $ 98 per half hour segment (actually just 97.77 last time I checked, but close enough for this). Thus, a treatment reimbursement from Medicare is $ 98 * 4 = $ 392. Nowhere near the 1,500 you state. To keep things simple, I am not including the adjustment for regional wage index or taking out the 20% deductible. Private insurance is much higher and can, occasionally, reach the levels you suggest. Further, only one state (Utah, I believe) requires a hyperbaric unit to be accredited to collect MEDICAID (not medicare or private insurance). Last I heard, only about 1/3 of all hospital based hyperbaric facilities were certified. If your argument is correct, how are the majority getting paid? And they are being paid, or the hospital would close the unit. Simple - certification is NOT mandatory for CMS reimbursement and private insurance payments. As for what free standing units charge - most of them do not have the overhead of a hospital and are able to charge a lower rate. Good for them, I say, if they can stay in business and charge a lower rate. Besides, even if they were accredited and treated off label and (lets just say hypothetically) the UHMS did nothing - CMS and private insurance would not pay for the treatment anyway - BECAUSE THEY ARE OFF LABEL. (I am not saying the treatment would not work, simply that insurance would not pay). If it were on-label, CMS and private insurance would pay for it. The UHMS does not set the reimbursement rate. CMS does. They look at what the charges were for the previous period and the costs and THEY say what the rate should be. Do industry organizations try to influence this - YES! What was (until somewhat recently HOTA) put a great effort into influencing and ensuring accuracy in this rate. IT was, at one time as high as ~ $162 per segment and as low as ~$75 per segment. Glen In medicaid , Freels <dfreels@...> wrote: > > >Why would Workman be against HBOT for brain injury when he is > >manufacturing a hyperbaric chamber? > > > >Diane > > > Diane, > > The typical and usual reimbursement rate for a single, 1-hour > hyperbaric treatment in a hospital-based (UHMS) clinic is a minimum of > $1200 to $1500 and has been found to be as high as $5500 for just $5 > worth of oxygen. Over 80% of the patients are Medicare patients. > > To be a Medicare provider, the clinic must first be " certified " as > meeting the requirements to be a Medicare provider. Medicare has only > recognized the UHMS as the entity that can certify hospital-based > clinics. However, to participate in the certification process, the > hospital-based clinics must first join the UHMS--and thus comply with > UHMS policy--which includes a promise to not treat off-label. If a > hospital-based clinic does treat off-label, they are subject to > immediate dismissal from the UHMS, which in turn would remove them as > a Medicare provider. Plus, anytime a physician is kicked out of a > professional medical society, they are at risk of losing their license > to practice medicine. > > Wilbur T. Workman is the guy at the UHMS who enforces UHMS membership > compliance with UHMS policy, i.e., he makes sure hospital-based > clinics don't treat off-label. > > In contrast to hospital-based clinics, the free-standing clinics > generally charge just 10% of what the hospital-based clinics charge. > Plus, by and large, the free-standing clinics are not UHMS members. > > A review of all the treatment protocols of the UHMS-approved > indications--with the exception of diabetic foot wounds--reveals that > every UHMS indication can resolve in just 10 treatments. > > Or less. > > However, brain-injury generally requires a minimum of 100 treatments-- > if not 400 or 500 treatments--or even more. Grace Kenitz has probably > had at least 1000 treatments. > > No insurance company is going to pay $1500/treatment for hundreds of > hyperbaric treatments. Neither will Medicare or Medicaid. Therefore, > if brain-injury were approved it would force a reduction in the UHMS's > reimbursement rate. Plus, if HBOT for brain-injury were approved, > brain-injured people by the thousands would be lined up at the door > and around the block for HBOT. > > This would force UHMS members to work a whole lot harder for a lot > less money. > > Thus, the UHMS will never approve HBOT for brain-injury. > > > > > > > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 404-725-4520 (cell) > 815-366-7962 (fax) > > mailto:david@... > > fearlessparents/ > > http://www. .com > > http://www.davidfreels.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 Brett, Have they been Wagner grade III ulcers that met the CMS criteria? Glen > > I have treated diabetic ulcers with great success with 1.3 ATA. I also know of others treating them at 1.5 with great success. > Sent from my Verizon Wireless BlackBerry > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2008 Report Share Posted October 3, 2008 Yes. Time in chamber is more important than pressure. Sent from my Verizon Wireless BlackBerry [ ] Re: Diabetic foot ulcers. Brett, Have they been Wagner grade III ulcers that met the CMS criteria? Glen > > I have treated diabetic ulcers with great success with 1.3 ATA. I also know of others treating them at 1.5 with great success. > Sent from my Verizon Wireless BlackBerry > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2008 Report Share Posted October 5, 2008 There are quite a few free standing clinics that have gone through certification that are not hospital based. There are still many hospitlal based programs that have not been certified and still receive insurance reimbursement so that part of the argument is not true. Of course one of the reasons free standing units charge less is that they are only open 9-5 M-F and not available after hours. They are also not capable of dealing with emergent or critical care patients, theat requires additional staff and specialty equipment. Check with the free standing unit before starting treatment and find oout if they have a code cart, first line medications, supplemental oxygen and if dealing with a medical emergency is waiting for EMS to show up? That is what the certification process evaluates in addition to the safety codes. Wayne D. MCHowell, RN, BSN, ONC, CHRNA In a message dated 10/3/08 1:29:00 AM, dfreels@... writes: > > >Why would Workman be against HBOT for brain injury when he is > >manufacturing a hyperbaric chamber? > > > >Diane > > Diane, > > The typical and usual reimbursement rate for a single, 1-hour > hyperbaric treatment in a hospital-based (UHMS) clinic is a minimum of > $1200 to $1500 and has been found to be as high as $5500 for just $5 > worth of oxygen. Over 80% of the patients are Medicare patients. > > To be a Medicare provider, the clinic must first be " certified " as > meeting the requirements to be a Medicare provider. Medicare has only > recognized the UHMS as the entity that can certify hospital-based > clinics. However, to participate in the certification process, the > hospital-based clinics must first join the UHMS--and thus comply with > UHMS policy--which includes a promise to not treat off-label. If a > hospital-based clinic does treat off-label, they are subject to > immediate dismissal from the UHMS, which in turn would remove them as > a Medicare provider. Plus, anytime a physician is kicked out of a > professional medical society, they are at risk of losing their license > to practice medicine. > > Wilbur T. Workman is the guy at the UHMS who enforces UHMS membership > compliance with UHMS policy, i.e., he makes sure hospital-based > clinics don't treat off-label. > > In contrast to hospital-based clinics, the free-standing clinics > generally charge just 10% of what the hospital-based clinics charge. > Plus, by and large, the free-standing clinics are not UHMS members. > > A review of all the treatment protocols of the UHMS-approved > indications- indications-<wbr>-with the exception of diabetic foot woun > every UHMS indication can resolve in just 10 treatments. > > Or less. > > However, brain-injury generally requires a minimum of 100 treatments-- > if not 400 or 500 treatments-- if not 400 or 500 treatments--<wbr>or ev > had at least 1000 treatments. > > No insurance company is going to pay $1500/treatment for hundreds of > hyperbaric treatments. Neither will Medicare or Medicaid. Therefore, > if brain-injury were approved it would force a reduction in the UHMS's > reimbursement rate. Plus, if HBOT for brain-injury were approved, > brain-injured people by the thousands would be lined up at the door > and around the block for HBOT. > > This would force UHMS members to work a whole lot harder for a lot > less money. > > Thus, the UHMS will never approve HBOT for brain-injury. > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770-491-6776 (phone) > 404-725-4520 (cell) > 815-366-7962 (fax) > > > ************** New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News & amp; more. Try it out! (http://local.mapquest.com/?ncid=emlcntnew00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2008 Report Share Posted October 5, 2008 That is pretty harsh condemnation for someone that is the best in his field. Tom Workman is one of the few people in the field that I would turn to with questions about any aspect of the field without question (Dick is also another who also is not an MD). As for qualifications, he spent his life being trainied in hyperbarics while an officer in the Air Force. Not everyone in the field has an MD after thier name, but can read the results of a LARGE, RANDOMIZED, DOUBLE BLINDED STUDY- not a collection of case studies. With iinsurance companies requiring best practice evidence bases studieds in all areas of medicine, hyperbarics has to follow suit. Wayne D. McHowell, RN, BSN, ONC, CHRNA In a message dated 10/2/08 5:20:10 PM, dfreels@... writes: > > Re: Workman: > > He's an asshole and will probably burn in hell throughout eternity for > his personal efforts to stifle utilization of HBOT for brain-injury as > evidenced by his testimony in the Texas Medicaid case for Katlyn > , his collaboration with Murray Goldstein of United Cerebral > Palsy to create a flawed HBOT-for-CP study, his collaboration with > another asshole named Mark Helfand in the publication of the 2003 AHRQ > report, his intervention and sabotage into the California legislative > initiative spearheaded by father and frequent > contributor Ed Nemeth. I'm sure there are still more. > > Keep in mind he's not an MD, he's just a CHT. And, by the way, there's > no requirement that says you've got to be a CHT to operate a > hyperbaric chamber--which means Wilbur Tom (WT) Workman has no > credentials to be making decisions on what HBOT should and should not > be used for, particularly since there's more evidence supporting the > use of HBOT for brain-injury than all the combined evidence in > existence for all the other UHMS-approved indications. > > ************** New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News & amp; more. Try it out! (http://local.mapquest.com/?ncid=emlcntnew00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2008 Report Share Posted October 5, 2008 >With >iinsurance companies requiring best practice evidence bases studieds in all areas >of medicine, hyperbarics has to follow suit. > Wayne, The scientific evidence has only been produced in 4 of the 13 UHMS indications, including decompression sickness. Source: UHMS Ethics Committee Report. Presented at the UHMS annual meeting in Boston, 1999. DF Freels http://www.davidfreels.com david@... Quote Link to comment Share on other sites More sharing options...
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