Guest guest Posted March 13, 2012 Report Share Posted March 13, 2012 Pennsylvania pain laws state that all Pain Management Doctors have to do this. But this Doctor is saying you missed an appointment (and he could have gotten more money_ and that is on thee pain contract and when I told my doctor I had go to the ER, he says you call me from the hospital bed and let me know whats going on so I did and he would do telephone office visits as sd review meds, adjusted what we needed, and he overnighted them. He traveled the world and he would carry a satellite phone he could talk to us. I am still so sorry he passed away last year, it was a huge loss to the pain advocate community and he would call it bunk, when it was bunk , I told him the same as the Cancer Centers of America which are renown for alternative programs,treating the whole self, and since they are a cancer facility they would manage his meds and there is a Brain Center at this one and has some of the things he was looking for in one place. To discuss your treatment options please call anytime. • About Us • Become a Patient • Cancers • Hospitals • Doctors • Treatments • Survivors • Our Treatment Results Cancer Treatments • How We Diagnose You • How We Treat You • Chemotherapy • Radiation Therapy • Surgical Oncology • Gastroenterology • Hormone Therapy • Immunotherapy • Interventional Pulmonology • Interventional Radiology • Neurosurgery • Orthopedic Oncology • Stem Cell Transplantation • How We Support You • CareEdgeSM Diagnosis & Treatment Plan • Integrative Cancer Treatment • Patient Empowered Care® Home / Cancer Treatments / How We Treat You / Radiation Therapy / BrainLAB Stereotactic Radiosurgery (SRS) BrainLAB Stereotactic Radiosurgery (SRS) Learn More About BrainLAB SRS: Chat with Us | Email Us We use BrainLAB Stereotactic Radiosurgery (SRS) to treat cancers of the brain as well as non-cranial lesions that require a high degree of precision, such as those in the lungs and liver. Despite its name, stereotactic radiosurgery is not surgery. It is a nonsurgical, highly precise form of radiation therapy, so named because it carries the advantages of surgery without being invasive. Before treatment begins, the patient undergoes a CT simulation to determine the exact location and size of the treatment area. During the simulation, our radiation team performs a CT scan and creates the patient’s custom head mask. A week later, treatment begins. Using the Trilogy™ system, a single dose of precisely targeted radiation is directed at the cancerous lesion(s). The treatment is typically delivered in one session and takes approximately 30 minutes. Using BrainLAB SRS, our doctors are able to reach tumors deep inside the body without the risks of surgery. In addition, this technology helps to reduce radiation exposure to healthy tissue, which is especially important for areas like the brain and lungs. Advantages of BrainLAB SRS • SRS does not require an incision, and it carries very little risk of infection. • With stereotactic radiosurgery, we can better focus the radiation on a tumor so nearby healthy tissue is protected. • SRS may be considered an alternative for patients who are not candidates for surgery. • The total radiation treatment course is delivered in one to five days rather than the typical two to eight weeks. Radiation Therapy • 3D Conformal Radiation • Accelerated Partial Breast Irradiation (APBI) • BrainLAB SRS • Calypso® 4D Localization System™ • Contura™ • Cyberknife (see Stereotactic Radiosurgery) • Deep Tissue Hyperthermia • External Beam Radiation Therapy (EBRT) • Gamma Knife (see Stereotactic Radiosurgery) • High-Dose Rate (HDR) Brachytherapy • Hyperthermia (also see Local Hyperthermia, Deep Tissue Hyperthermia) • Intensity Modulated Radiation Therapy (IMRT) • Image Guided Radiation Therapy (IGRT) • Intraoperative Radiation Therapy (IORT) • LightSpeed RT • Local Hyperthermia • MammoSite® RTS • Radioactive Protectants • Rapid Arc™ • Respiratory Gating • Radioiodine Ablation (see Systemic Radiation Therapy) • Stereotactic Radiosurgery (SRS) • Stereotactic Body Radiation Therapy (SBRT) • Systemic Radiation Therapy • TheraSphere® • TomoTherapy® HI-ART • Total Body Irradiation (TBI) • Total Marrow Irradiatiionxxxxx c , I know I have sent this to you several times but I hoped you could go see what this facility they could do for you as they have all the options for treatment in one hospital Clinic setting and your medication will be provided for you and they may know of new clinical trials as they do IMMUNOLOGY PROGRAM to build the body up. I am in a real mood about doctors that so not do lab texra ob our blood chemistry, vitamin, and hormones, and most of us do have immune problems at times due to the medications or other siorders we have It you ho theer let us know The importance of knowing organ are healthy and teaching the patient the importance of anti inflammatory diets and being acidic so that yeast cannot grow in your Body. What a concept. The vitamin d does help and I ran out so Bob brought me more. Wizh you well and glad you are back Jenn Benn From the Cancer treatssessite. • Trilogy Cancer Learn More About Types of Brain Cancer: Chat with Us | Email Us Types of Primary Brain Tumors Primary brain tumors are tumors that form from cells within the brain. The tumors are categorized by the type of cell in which it first develops. There are over 120 different types of brain tumors (National Brain Tumor Society). The most common primary brain tumors are called gliomas, which originate in the glial (supportive) tissue. About one third of all primary brain tumors and other nervous system tumors form from glial cells. There are a number of different types of gliomas, including the following: • Astrocytomas develop from small, star-shaped cells called astrocytes, and may arise anywhere in the brain or spinal cord. Astrocytomas are the most common primary CNS tumor. In adults, astrocytomas most often occur in the cerebrum, which is the largest part of the brain. The cerebrum uses sensory information to tell us what’s going on around us and how our body should respond. The left hemisphere controls the muscles on the right side of the body, while the right hemisphere controls the muscles on the left. The cerebrum also controls speech, movement, and emotions, as well as reading, thinking and learning. • Grade I: Pilocytic astrocytoma • Grade II: Diffuse astrocytoma / Low-grade astrocytoma • Grade III: Anaplastic astrocytoma • Grade IV: Glioblastomas (also called glioblastoma multiforme, GBM, or grade IV astrocytoma). Anaplastic astrocytomas and glioblastomas are malignant astrocytomas that grow and spread aggressively, accounting for more than 50 percent of all astrocytomas. Glioblastomas occur most often in adults between the ages of 50 and 70. • Brain stem gliomas arise in the brain stem, which controls many vital functions, such as body temperature, blood pressure, breathing, hunger, and thirst. The brain stem also serves to transmit all the signals to the body from the brain. The brain stem is in the lowest part of the brain, and connects the brain and spinal cord. Tumors in this area can be difficult to treat. Most brain stem gliomas are high-grade astrocytomas. • Ependymomas usually occur in the lining of the ventricles, or spaces in the brain and around the spinal cord. Although ependymomas can develop at any age, these brain cancer tumors most commonly arise in children and adolescents. Ependymomas are also a common spinal cord tumor. • Oligodendrogliomas develop in the cells that produce myelin, the fatty covering that protects nerves in the brain and spinal cord. These tumors are very rare, and usually occur in the cerebrum. They are slow growing and generally do not spread into surrounding brain tissue. These brain tumors occur most often in middle-aged adults. They generally carry a more favorable prognosis as compared to astrocytomas. • Mixed gliomas have two types of tumor cells: oligodendrocytes and astrocytes. This type of brain tumor most often forms in the cerebrum. Other Brain Tumors There are other types of brain tumors that do not begin in glial tissue, including the following: • Meningiomas (also called meningeal tumors) grow from the meninges, which are the three thin membranes that surround the brain and spinal cord. These tumors are usually benign (non-cancerous). Because these tumors tend to grow very slowly, the brain may be able to adjust to their presence. Meningiomas frequently grow quite large before they cause symptoms. This type of brain cancer occurs most often in women ages 30 to 50. • Pituitary tumors develop from the pituitary gland. Most pituitary tumors are benign. They are divided by size into macroadenomas (greater than 1 cm in size) and microadenomas (less than 1 cm in size). Arising from the pituitary gland (master gland of the body), these tumors can over-produce a variety of hormones. This overproduction of hormones typically causes symptoms, such as fatigue, menstrual irregularities, and weight gain or loss, among many others. Most pituitary tumors, however, do not produce hormones. These tumors, which are common among 30-50 year olds, can still create problems when they become large enough to push on the nearby optic nerves. • Craniopharyngiomas develop in the area of the brain near the pituitary gland (the main endocrine gland which produces hormones that control other glands and many body functions, especially growth) near the hypothalamus. These brain tumors are usually benign. However, they may sometimes be considered malignant because they may create pressure on, or damage, the hypothalamus and affect vital functions (such as body temperature, hunger and thirst). These tumors occur most often in children and adolescents, or adults over age 50. • Germ cell tumors arise from developing sex (egg or sperm) cells, also known as germ cells. The most common type of germ cell tumor in the brain is the germinoma. Aside from the brain, germinomas can form in the ovaries, testicles, chest, and abdomen. Most germ cell tumors occur in children. • Pineal region tumors occur in or around the pineal gland, a small organ located in the center of the brain. The pineal gland produces melatonin, a hormone that plays an important role in the sleep-wake cycle. These brain cancer tumors can be slow growing (pineocytoma) or fast growing (pineoblastoma). Since the pineal region is very difficult to reach, it requires a high level of surgical expertise to remove these tumors. • Medulloblastomas are fast-growing brain tumors that develop from the neurons of the cerebellum. The cerebellum is the lower back of the brain and controls movement, balance and posture. These tumors are usually found in children or young adults. • Primary CNS lymphomas develop in lymph tissue of the brain or spinal cord. This type of brain tumor is usually found in people whose immune systems are compromised. Next Topic: Risk Factors for Brain Cancer Chat Now.We're here 24/7. First Name Last Name Email Who are you seeking cancer care for? What type of insurance do you have? I have read and understand the disclaimer. • Hear from CTCA Patients • Learn how patients & staff work together • Take a tour of a CTCA hospital Add to Favorites Chat Live Now Additional Resources: • Cancer Survivors • Become a Patient • A-Z Cancer List • Cancer Treatment Site Map|Cancer Types|Cancer Glossary About CTCA|Cancer Information|Cancer Treatments|Cancer Hospitals Cancer Doctors|Cancer Survivors|Cancer Videos Copyright| I KNOW THE AMERICAN CANCER SOCIETY PROGRAM CAN HELP AS I WORKED AS A MEDICAL SITTER AND WITH HOSPICE AS A END OF LIFE VOLUNTEER. I have heard the cancer centers of America are great and I wonder what they would do fo you . Thinking of You Bennie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2012 Report Share Posted March 16, 2012 Bennie do you also live in Pa? Tami > Bennie wrote: > Pennsylvania pain laws state that all Pain Management Doctors have to do this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2012 Report Share Posted March 17, 2012 I got lost ... all pain doctors have to do what? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 > Tami wrote: > Bennie do you also live in Pa? Tami, No, I don't but got interested in this by being a member of the American Pain Foundation who lobbies for laws and different pain societies and my previous pain doctor who passed away was the founder of the National Foundation for Pain and was co founder along with Dr. Forest Tenent. He always had articles to read in his office and had a library and I became curious. Many Doctors have been prosecuted that were legitimate pain doctors and it was a witch hunt and many of these societies have provided legal support to get them off. Stopthedrugwar.org/chronicle-old/295/aapshassman.shtml DrugWarFacts.com are good reads but look at objectively. Another www.naag.org/finding-the-proper-balance-walking-the-tightrope-bet... Famous site and listed doctors www.naag.org/finding-the-proper-balance-walking-the-tightrope-bet... Http://deasucks.com/essays/docwar3.htm lists all the some doctors who have gone to prison. Every pain patient needs to read the Washington Pain Act that was enacted this year that limits the amount of opioids a patient can be prescribed (unless under pain management doctor) and the guidelines are ridiculous. This law was enacted because Washington State has one of the highness opioids death. In other words, drug addicts were shooting up oxycontin (which does not have additives and they can melt it down and shot it up but the other opioids with tylenol can't ) The medical group that developed these guidelines, ex. pain-medication law in the state of Washington Earlier this year, legislators in the state of Washington passed a first of a kind bill that changes the way providers can prescribe opiates to chronic pain patients. This bill directs five boards and commissions to adopt rules concerning management of chronic, non cancer pain. Thus far, it appears the rules will govern how physicians and other prescribers maintain and update detailed screening, history and treatment plans for most pain patients. Additionally, a prescriber whose patient reaches a certain dosage level must consult a pain specialist. To learn more about the law, or to receive email notifications about pain management prescribing rules, go to: http://www.doh.wa.gov/hsqa/Professions/PainManagement/' This website discuses some states with laws to deal with intractable pain http://www.painpolicy.wisc.edu/public at/95apsip.htm. I was certified to have intractable pain which is very important in covering yourself in getting opioids. There are different kinds of pain and sometimes if you have intractable pain (24/7) and it will never go away, a doctor will put chronic, non cancer which puts you lower on the pain scale. Here is the introduction to the Washington State Guidelines developed by the Agency Directors Medical Group in 2007 and advertised and heralded at Doctors Meetings, Seminars, and articles everywhere. This has caused mass panic among doctors along with the more extensive tracking systems (I think I posted this before). http://www.agencymeddirectors.wa.gov/opioiddosing.asp Pennsylvania has adopted this plan in a article I had read and am trying to find but here is the Pennsylvania pain guidelines site:http://www.painpolicy.wisc.edu/domestic/states/PA/pambguid.htm These websites list the state by state pain acts and information and are the best: http://www.medscape.com/resource/pain/opioid-policies and www.fsmb.org/pdf/GRPOL_Pain_Management.pdf Now this is a lot of information but well worth saving and reading. That is why I mentioned to in PA to go to the Cancer Centers for America as since he had cancer he could get his neurologist there (they have a up to date brain program), he could have his Pain management there, and alternative therapies without the runaround he is getting. They have on line specialists that discuss the programs they offer and deal with cancer from a holistic approach and I called them once asking about treatment for a friend and the advanced treatment and treatment plans blew me away and I was impressed. Everyone has to make their own decision. So I have rattled on again but hope that helps. I just quit my pain management doctor of three years as she opened a laser hair removal in her office and was demanding me to go for the graston technique to break up scar tissue ( metal rods a chiropractor uses to roll over your scar tissue) when I already have a myofascial release program and rapport and she stated I needed to stay on the inflammatory diet but the endocrinologist stated I needed milk and dairy products for Vitamin D. I was trying to tell her the endocrinologist stated my Vitamin D level was serious and put me on fifty-thousand units indefinitely and I was having tremors from the deficiency and she was making me come in with my meds to count them i.e withdrawal. I called a female pain management doctor at my old physician group but this one was by herself and I wrote my history on a back of one of the forms and explained I am not doctor shopping but need lifetime care. She knew my endocrinologist and agreed we keep things the same until my vit d levels are up, my other pain management doctor was going to take me off all meds and stated the meds caused immune problem but I had immune problems before all the meds so that boat don't float (as my Mom said) Sorry Tami, didn't meant to write a book but I feel barely alive now with vitamin deficiencies but I am not give UP YET. Big Hugs to everyone and the barometer is changing and my joints are hurting we have had flash floods and raining here in Austin Tx so everyone be safe. Bennie Quote Link to comment Share on other sites More sharing options...
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