jeff carmen’s passive infrared hemoencephalography system
TRANSCRIPT
JEFF CARMEN’S PASSIVE INFRARED
HEMOENCEPHALOGRAPHY SYSTEM
HEG DISPLAY AND CONTROL UNIT
THRESHOLD SET AT 92.00, MOVIE HAS PAUSED
THRESHOLD SET AT 92.00, MOVIE IS PLAYING
HOW MANY SESSIONS DOES IT TAKE FOR
MIGRAINES?
• 4 TO 6 SESSIONS TO HAVE AN IMPACT (TYPICAL)
• ANOTHER 10 OR 20 OR 30 OR MORE TO FINE TUNE THE PROCESS
• SESSIONS ARE PROGRESSIVELY SPREAD APART BASED ON SYMPTOMS
CASE SERIES
pIR HEG HEADACHE TREATMENT SUMMARY
FOR THE LAST 100 (relatively “clean”)
MIGRAINES TREATED IN MY OFFICE
MALE (N=36)
• AVERAGE AGE: 37.76• RANGE OF AGES: 8.21 TO 67.31• DROPOUT BEFORE 6TH SESSION: 8
(22%)• IMPROVED IN 6 SESSIONS: 23 (64%)• IMPROVED EVENTUALLY: 28 (78%)• IF CONTINUED FOR AT LEAST 6
SESSIONS, IMPROVEMENT: 100%
FEMALE (N=64)
• AVERAGE AGE: 34.74• RANGE OF AGES: 11 TO 58.49• DROPOUT BEFORE 6TH SESSION: 16
(25%)• IMPROVED IN 6 SESSIONS: 38 (59%)• IMPROVED EVENTUALLY: 44 (69%)• IF CONTINUED FOR AT LEAST 6
SESSIONS, IMPROVEMENT: 92%
COMBINED MALE/FEMALE COMPLETING 6 OR MORE
SESSIONS (76)
• CONTINUED FOR AT LEAST 6 SESSIONS: 76
• IF CONTINUED FOR AT LEAST 6 SESSIONS, IMPROVED BY 6TH SESSION: 61 OF 76 (80%)
• IF CONTINUED FOR AT LEAST 6 IF CONTINUED FOR AT LEAST 6 SESSIONS, IMPROVEMENT: 72 OF 76 SESSIONS, IMPROVEMENT: 72 OF 76 (95%)(95%)
HEADACHE IMAGES IN INFRARED
• HEAT OUTPUT COLOR CODE: • BLACK IS COLD• WHITE IS HOT• RANGE: ABOUT 10 DEGREES (F)• JUST NOTICABLE DIFFERENCE .1 DEGREE
(F)
11YO, MALE
• PRE TREATMENT:• PAIN INTENSITY: 8 to 10• DURATION: 1 month migraine (status)• # SESSIONS: 7• POST TREATMENT:• NO HEADACHES, 2 MONTH
FOLLOW-UP (IMPROVEMENT AFTER FIRST SESSION)
11YO, MALE 12/13/01
11YO, MALE 8/26/02
11YO, FEMALE
• PRE TREATMENT:• PAIN INTENSITY: 6 to 10• DURATION: 2 month, baseline 6, surge
to 10, daily afternoon migraine • # SESSIONS: 5• POST TREATMENT:• NO HEADACHES, 2 MONTH
FOLLOW-UP
11YO, FEMALE 5/16/02
11YO, FEMALE 7/15/02
15YO, MALE
• PRE TREATMENT:• PAIN INTENSITY: 3 to 10• FREQUENCY: daily, mostly mornings, 3
months• DURATION: 4 hours per migraine • # SESSIONS: 9• POST TREATMENT:• Not finished but stable, 10 per month, pain 0
to 5
15YO, MALE, 6/11/02 11:30am
15YO, MALE, 8/19/02, 8:10am
15YO, MALE, 7/26/02, 6:56am
15YO, MALE, 7/26/02, 7:58am
15YO, MALE, 8/12/02 8:26am, mild migraine
DISCUSSION OF CASE SERIES
• IMPROVEMENT IN MIGRAINE CORRELATES WITH INCREASED FRONTAL ACTIVITY
• MY BEST GUESS IS THAT THE MECHANISM HAS SOMETHING TO DO WITH INHIBITION AND TIGHTENING OF NEGATIVE FEEDBACK LOOPS
END OF “100 MIGRAINES”