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  • ME Letter March 2012

ME Letter March 2012

April 7, 2012 / Charles W. Lapp, MD / News

This Month’s Contents

  • Ask The Doctor
  • Open Medicine Institute considers Ampligen, rituximab
  • Six Month Disability Follow-Ups Recommended
  • $50 Bonus for Referring to HHC!
  • CFS/ME/FM Treatment Website
  • A New Imaging Technique Reveals Brain Wiring
  • Having Trouble Getting or Affording Health Insurance?

Ask The Doctor

PWCs often want to ask general questions about CFS/ME or FM.  Now there is an easy way to do that – the “Ask The Doctor” blog on the drlapp.com website.  Just navigate to drlapp.com, then click on the “Ask The Doctor” button, and then POST your question!   It’s that easy.  Dr.Lapp or Dr. Black will then reply to your query. You can also sign up for an RSS feed on that page so that you will receive all new posting promptly.

Open Medicine Institute

In 2011 several CFS/ME/FM specialists joined together to form a cooperative institute.  The goal of the institute is to improve communication among members by meeting regularly and using shared Electronic Medical Records; and to perform CFS/ME/FM research as a group.  Group members include the Hunter-Hopkins Center, Dr. Dan Peterson, Dr. Lucinda Bateman, Dr. Richard Podell, and Dr. Andy Kogelnik. OMI already has a study contract with the Centers for Disease Control  (see https://drlapp.com/news/me-letter-december-2011 ), and the group is meeting this June in New York City to formulate plans for 2012.

A recent YouTube program that touched on some of our activities can be found at:   http://www.youtube.com/watch?v=pbvmLXiZJ9w

In this episode of ME/CFS Alert, Llewellyn King interviews Dr. Kogelnik. They briefly discuss the Institute, Ampligen, and an international, multi-center Rituximab trial being proposed by the
Institute and its collaborators.

Six Month Disability Follow-Ups Recommended

Attorney Lynn Bishop recently pointed out that one of the major mistakes made by persons on disability is to not maintain regular visits with their supporting physician.   Social Security and most private disability policies require continuing medical follow-up with your advocating physician, which is generally interpreted as meaning at least every 6 months.  Disabled persons who do not follow-up regularly risk immediate cancellation of their disability.   Recognizing that such medical appointments are difficult for PWCs, Hunter-Hopkins has always encouraged one annual visit and one or two telecom visits.  The annual visit includes a comprehensive  physical exam, interval history, and necessary lab studies; telecom visits are usually accomplished by telephone, but can also be accomplished on Skype.

$50 Referral Bonus!

As of this newsletter Hunter-Hopkins is instituting a new Referral Bonus Program.  Patients can earn $50 in credit toward their next HHC consultation when someone they refer has an initial office visit in Charlotte!  Many of our referrals come from you – the friends and clients of HHC – and this is one way that we can say “thanks for your confidence in us!”    So if you refer someone to us for an Initial Office Visit, be sure they “drop your name” at the registration desk!

CFS/ME/FM Treatment Website

Self Help Website for CFS FMMany PWCs are unable to find a specialist, nevertheless travel for management of CFS/ME/FM.  For that reason Dr. Lapp teamed with Dr. Bruce Campbell to produce a self-help website.  One year ago Lapp and Campbell launched www.TreatCFSFM.org to provide step-by-step evaluation and management of CFS/ME and FM.   The site has been immensely popular, logging about 8000 visits in the first full month of operation.   Dr. Campbell emailed me to report that about 70,000 individuals have visited the site in 2011

A New Imaging Technique Reveals Brain Wiring

New brain imaging technique announced.The NIH has just described a new brain imaging technique called DSI that displays the brain as a 3D structure composed of criss-crossing network connections.  Connections in the brain turn out to be more like flat multi-wire computer ribbon cables than random individual connections.

“Getting a high resolution wiring diagram of our brains is a landmark in human neuroanatomy,” said NIMH Director Thomas R. Insel, M.D. “This new technology may reveal individual differences in brain connections that could aid diagnosis and treatment of brain disorders.”

The new technique was described in the March 30 issue of Science, and a summary is available at www.nih.gov/news/health/mar2012/nimh-29.htm.  Be sure to watch the brief video – it’s amazing!

Having Trouble Getting or Affording Health Insurance?

The 2010 Patient Affordable Care Act established a new program to provide health insurance for those who have been denied insurance due to a condition such as CFS/ME or FM. The Pre-Existing Condition Insurance Plan (PCIP) makes health insurance available to people who have had a problem getting insurance due to a pre-existing condition. This is administered on a state-by-state basis, or by the Department of Health and Human Services.  For details on eligibility the application process, go to www.pcid.gov pcip.gov.

The DHHS has lowered insurance premiums in over 18 states through the PCIP, and many state-run high risk pools have been modified as well.  More information on your state’s high risk insurance plans can be found at  www.healthinsurance.org/risk_pools.

 

Special thanks to those who contributed to this newsletter:  Dr. Alison Bested, Nancy Henson, and Attorney Lynn Bishop.

Ampligen, CFS & FM Self Help, Disability, PCIP, Rituximab

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Dr. Hillman

Dr. Hillman

Dr. Hillman was born and reared in Utica, New York. He attended college at Clarkson University where he earned a bachelor’s degree in engineering, and then spent two years toward a master’s degree in biochemistry/oncology at the University of Buffalo’s Roswell Park Division, where he did research in leukemia. Dr. Hillman attended St. George’s University School of Medicine, and completed his clinical years at the Maimonides Medical Center in Brooklyn, New York, graduating in 1996. During the Summer of 1994 he also did research at the University of Buffalo Dental School using PCR technology on RNA subtyping of gram negative oral bacteria. Following medical school, Hillman went on to a Family Practice Residency at North Shore / Long Island Jewish Hospital in Bay Shore, NY.

After his residency, Dr. Hillman worked for the US Army at the West Point Military Academy (Keller Army Hospital family practice unit), worked in the Emergency Room and hospital admitting areas, and ran a private practice as well. From 2005-2006 he also worked at the Winn Army Hospital at Fort Stewart, GA, before setting up a private Family Practice in Huntersville, NC in 2007. In addition to his private practice Dr. Hillman also has an interest in helping clients with disabilities. He has worked for ProMed Urgent Care in Occupational Medicine and performed over 13,000 examinations for Social Security Disability.

Dr. Hillman has a family member with Chronic Fatigue Syndrome, so he has a long standing interest and empathy with the disorder! He is married and has two sons and a daughter. The family lives in Huntersville.

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We are dedicated to exceeding our patients’ expectations by providing individualized, compassionate, empathetic, and timely care. Our goal is to improve the quality of our patients’ lives by providing the highest quality of advanced evidence-based diagnosis and treatment available.

The patient is our first priority; conquering CFS/ME/FM is our ultimate goal.

The Banyan Tree

We chose the banyan tree to represent our practice because the resilient and long lived banyan offers its shade as a safe and sheltered place for weary travelers and the banyan’s distinctive habit of sprouting new supportive roots from its branches reminds our clients to find and accept support for themselves.

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