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vAlign=top colSpan=6 height=290> <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR> <TD> <IMG src="http://www.donself.com/images/Autonomic-Testing.jpg"> <br> <br> <p class=MsoNormal align=center style='text-align:center'><span style='mso-spacerun:yes'>ýÿ</span><b><span style='font-size:18.0pt;color:#00007E'>WHAT IS THE ANSAR AND WHY HAS DON BEEN RECOMMENDING IT FOR MORE THAN 12 YEARS? </span></b><span style='font-size:18.0pt;color:#00007E'><o:p></o:p></span></p> <p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:14.0pt;mso-bidi-font-size:17.0pt;color:#7E0000'>(other than the $85,000 to $143,000 average increase in annual net income to primary care physicians, and increase of more than $160,000 per year to cardiologists?) </span></b><span style='font-size:14.0pt;mso-bidi-font-size:17.0pt;color:#7E0000'><o:p></o:p></span></p> <p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:17.0pt;color:#7E0000'><span style='mso-spacerun:yes'>ýÿ</span></span></b><span style='font-size:17.0pt;color:#7E0000'><o:p></o:p></span></p> <p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:17.0pt;color:#7E0000'>IT SAVES LIVES. </span></b><span style='font-size:17.0pt;color:#7E0000'><o:p></o:p></span></p> <p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:17.0pt;color:#7E0000'>IT IMPROVES LIVES. <o:p></o:p></span></b></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default style='text-align:justify'>But ýÿ you may or may not need it, depending on your patients, your insurance mix, your specialty and whether you are willing to learn about ways to improve medical outcomes.<span style='mso-spacerun:yes'>ýÿ </span>Weýÿre very serious about wanting to learn, <span style='mso-spacerun:yes'>ýÿ</span>as occasionally, we run into doctors who are NOT willing to admit what they do not know about the autonomic system and how it interacts with the endocrine system and the effects they have on the patient which chronic conditions.<span style='mso-spacerun:yes'>ýÿýÿ </span>For those that are wanting to learn how this technology that has been accepted by the AAN, ADA, AHA, AAFP, Juvenile Diabetes Association, National Heart, Lung and Blood Institute, and the National Diabetes, Digestive and Kidney Diseases, this may help you help your patients.</p> <p class=MsoNormal style='text-align:justify'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> Check out this <span class=SpellE>Powerpoint</span> Presentation that explains WHY Medicare, the NIH, the AAN, ADA, AHA and others recommend this as standard of care:</p> <H2> <a href="http://www.donself.com/Ansar/Ansar.pps"> http://www.donself.com/Ansar/Ansar.pps </a> <o:p></o:p></span></b></p> </H2> <p class=Default><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'>The Ansar is a device that uses a blood pressure cuff, 3 lead EKG, computer and an <span class=GramE>algorithm <span style='mso-spacerun:yes'>ýÿ</span>software</span> developed by Harvard and MIT to perform heart rate variability in association with respiration variability to detect Autonomic Nervous System dysfunctions and imbalances.<span style='mso-spacerun:yes'>ýÿ </span>Just ONE of the benefits is that this test is able to tell the doctor whether a patient with CHF has too many beta-blockers or not enough on board.<span style='mso-spacerun:yes'>ýÿ </span><span style='mso-spacerun:yes'>ýÿýÿ</span>Keeping in mind that the American College of Cardiology says that 30% of patients with CHF have TOO-MANY beta blockers on board, this test becomes invaluable.<span style='mso-spacerun:yes'>ýÿ </span>The test is effective with diabetes, hypertension, syncope, CHF, Orthostatic Hypotension, Sleep Apnea, and a lot more.<o:p></o:p></span></p> <p class=Default><o:p>&nbsp;</o:p></p> <IMG src="http://www.donself.com/images/ANSAR-DX.jpg" height=550 width=700> <br> <br> <p class=MsoNormal style='text-align:justify'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'>If you see CHF patients, you have some of them that are fatigued, malaise, having sleep difficulty and have probably lost all interest in sexual relations with their spouse.<span style='mso-spacerun:yes'>ýÿ </span>They probably stopped going to church, to visit friends, to visit family, shopping, etcýÿ and if youýÿre NOT checking the dosage of the beta blockers (regardless if youýÿre the family doctor, Internist or cardiologist), are you REALLY giving them the best care?<span style='mso-spacerun:yes'>ýÿýÿ </span>Are you giving them the care you would want your mother or father to get?<span style='mso-spacerun:yes'>ýÿ </span>If not ýÿ then, in our opinion, you should be looking at the ANS on your patient.<o:p></o:p></span></p> <p class=Default style='text-align:justify'><o:p>&nbsp;</o:p></p> <p class=Default style='text-align:justify'>Now ýÿ we said at the top, that this may or may not be right for you.<span style='mso-spacerun:yes'>ýÿýÿýÿ </span>If you have a practice that is 80% <span class=SpellE>capitated</span>, then this isnýÿt right for you because youýÿre most likely not going to take 25 minutes of your nurseýÿs time to do a test on a patient ýÿ knowing that you will not get one penny more than the cap rate of $15 or whatever you get, per month on that patient.<span style='mso-spacerun:yes'>ýÿýÿ </span>Only 1 in 200 doctors will do that, and especially in todayýÿs recession.</p> <p class=Default><o:p>&nbsp;</o:p></p> <span style='font-size:12.0pt;font-family:"Tahoma","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA'><br clear=all style='page-break-before:always'> </span> <p class=Default style='text-align:justify'>Now, we do have a client very near Philadelphia, that has 50% capitation, and after examining his patient base, number of patients with the top 5 chronic diagnosis that ANSAR helps the most, he is using it on his patients and he tells us that not only has he increased his monthly income by more than $25,000 per month, he has saved at least 4 lives with it that he probably would have lost had he not been doing ANSARs.<span style='mso-spacerun:yes'>ýÿ </span>Yes ýÿ some doctors call this ýÿanecdotalýÿ until the subject of the anecdote is their own family member whose life was saved or their lifestyle improved and then they actually believe it can actually help people.<span style='mso-spacerun:yes'>ýÿ </span>(Yep ýÿ Iýÿve been doing <span class=SpellE>Ansars</span> for going on 9 years and been working with physicians for 25).</p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default>We have several physicians that have told us (and given us letters to share) that they have had the patientýÿs cardiologist tell them they were surprised that a primary care physician captured emergent problems on asymptomatic patients and saved their lives.</p> <p class=Default><o:p>&nbsp;</o:p></p> <IMG src="http://www.donself.com/images/anx30.jpg" height=450 width=450> <br> <br> <p class=Default>So ýÿ why are most of the doctors weýÿre selling ANSARS to in the Family Practice, Internal Medicine or Geriatric specialties?<span style='mso-spacerun:yes'>ýÿýÿ </span>These specialties are the ones seeing 18 to 30 patients a day with the top 5 chronic diagnosis.<span style='mso-spacerun:yes'>ýÿ </span>These doctors are seeing patients with diabetes, hypertension, CHF, sleep difficulties and pain.<span style='mso-spacerun:yes'>ýÿýÿ </span>They know that 22% of asymptomatic diabetics are experiencing silent ischemia (even though the patient doesnýÿt know it) and they want to detect ANS dysfunctions BEFORE it leads to Diabetic Autonomic Neuropathy or Cardiac Autonomic Neuropathy.<span style='mso-spacerun:yes'>ýÿýÿ </span>If youýÿre a patient ýÿ donýÿt YOU want your physician to capture something before it gets to where they can only ýÿmonitorýÿ it?<span style='mso-spacerun:yes'>ýÿýÿýÿ </span>If you capture ANS dysfunction early enough ýÿ you can make a difference in the patientýÿs life and their prognosis.<span style='mso-spacerun:yes'>ýÿ </span>If you wait until you have neuropathy ýÿ then the nerves are dead and they donýÿt come back ýÿ so which one makes more sense?</p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default>Yes, sometimes we sell them to Cardiologists who really want to make a difference with their patients and who really care whether their CHF patients are over beta blocked or not.<span style='mso-spacerun:yes'>ýÿýÿ </span>These doctors are monitoring for and titrating for Paradoxical Parasympathetic Syndrome and they are saving lives.</p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default>What other test do physicians have in their office that will tell whether the patient has any sympathetic or parasympathetic protection?</p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=MsoNormal><span style='color:black'>We are educating the physician willing to learn and willing to admit that maybe something can help their patients with ANSARs.<o:p></o:p></span></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default style='text-align:justify'>Do all of our clients need an ANSAR?<span style='mso-spacerun:yes'>ýÿýÿ </span>No ýÿ but in 9 years we havenýÿt put an ANSAR into a Family Practice clinic where the physician did not appreciate what it was doing for their patients.<span style='mso-spacerun:yes'>ýÿýÿ </span>Not one.<span style='mso-spacerun:yes'>ýÿýÿýÿ </span>In 9 years, we have not put an ANSAR in an Internal Medicine practice where the doctor did not later tell us it helped save at least 1 life.<span style='mso-spacerun:yes'>ýÿýÿ </span>Not one.</p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=MsoNormal align=center style='text-align:center'><span class=GramE><b style='mso-bidi-font-weight:normal'><span style='font-size:14.0pt;mso-bidi-font-size: 12.0pt;color:#C00000'>Autonomic Nervous System Monitoring is recommended as a Standard of Care by the AAN, ADA, AHA, AAFP, Juvenile Diabetes Association, National Heart, Lung and Blood Institute, and the National Diabetes, Digestive and Kidney Diseases.</span></b></span><b style='mso-bidi-font-weight:normal'><span style='font-size:14.0pt;mso-bidi-font-size:12.0pt;color:#C00000'><o:p></o:p></span></b></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default>Are you not as familiar with the Autonomic Nervous System as you would like to be?<span style='mso-spacerun:yes'>ýÿ </span>Check out this <span class=SpellE>Powerpoint</span> Presentation that explains WHY Medicare, the NIH, the AAN, ADA, AHA and others recommend this as standard of care:</p> <H2> <a href="http://www.donself.com/Ansar/Ansar.pps"> http://www.donself.com/Ansar/Ansar.pps </a> <o:p></o:p></span></b></p> </H2> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default>At the end of it, you can click on a link for a pdf of the presentation as well, so you can show it to your colleagues, manager, physician, etcýÿ</p> <p class=Default><o:p>&nbsp;</o:p></p> <p> <CENTER>DON'S PAGE HAS BEEN VISITED BY A FEW PEOPLE WHO HAS COME BACK HERE ABOUT <BR><!-- Start of StatCounter Code --> <SCRIPT language=javascript type=text/javascript> var sc_project=447473; var sc_partition=2; </SCRIPT> <!-- Start of StatCounter Code --> <SCRIPT language=javascript type=text/javascript> var sc_project=447473; var sc_partition=2; </SCRIPT> <SCRIPT language=javascript src="http://www.statcounter.com/counter/counter.js" type=text/javascript></SCRIPT> <NOSCRIPT> <A href="http://www.statcounter.com/" target=_blank><IMG alt="hit counter" src="http://c3.statcounter.com/counter.php?sc_project=447473&amp;java=0" border=0></A> </NOSCRIPT><!-- End of StatCounter Code --> TIMES. <BR> <P> <p class=MsoNormal><span style='color:black'>So ýÿ letýÿs look at some specific diagnosis: <o:p></o:p></span></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=MsoNormal><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'>Why ANS monitoring in Diabetes?</span></b><b><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> </span></b><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:.5in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:.5in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>Diabetic patients </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family: "Times New Roman","serif";color:black'> and </span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> systems are both out of balance. Each patient is metabolically different; therefore, there is no one example that best explains a ýÿcommon situationýÿ for Diabetes. The one thing that is a constant is an imbalance.<span style='mso-spacerun:yes'>ýÿ </span>The more out of balance the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> and </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'> is, the faster the disease will progress and the less effective the medication is that youýÿre giving the patient. <span style='mso-spacerun:yes'>ýÿ</span>The physician, after identifying the severity of the autonomic imbalance with the ANX 3.0, would then customize a treatment plan to bring both branches into balance.<span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:1.0in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:.25in;text-indent:-.25in'><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif";color:black'>Why ANS monitoring in Hypertension? </span></b><span style='font-size:14.0pt; font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone is low and </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'> tone is high in Hypertensive patients. Once the physician reduces sympathetic-blockers they can lower </span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone and bring the two branches closer to balance. Another situation that arises is Autonomic Hypertension. In this case, </span><span style='font-size: 11.5pt;font-family:"Times New Roman","serif";color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone is high and the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'> tone is abnormally or exceptionally high, which indicates PPS. The physician would need to treat the</span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:blue'> Parasympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone and then they would be able to correctly treat the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone and restore balance. <o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=Default><span style='font-size:11.5pt;font-family:"Times New Roman","serif"'><span style='mso-spacerun:yes'>ýÿ </span></span></p> <b><span style='font-size:14.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA'><br clear=all style='mso-special-character:line-break; page-break-before:always'> </span></b> <p class=MsoNormal style='mso-pagination:widow-orphan;mso-layout-grid-align: auto;text-autospace:ideograph-numeric ideograph-other'><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif";color:black'><o:p>&nbsp;</o:p></span></b></p> <p class=MsoNormal><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'>Why ANS monitoring in Orthostatic Hypotension? </span></b><span style='font-size:14.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:.5in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>During the postural change the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family: "Times New Roman","serif";color:black'> tone abnormally increases and/or the</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:red'> Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'> tone abnormally decreases in patients with Orthostatic Hypotension. Physician must correct abnormality to resolve Orthostatic Hypotension. <span style='mso-spacerun:yes'>ýÿýÿ</span>The 3<sup>rd</sup> PQRI (Physician Quality Reporting Initiative) calls for physicians to perform Orthostatic Blood Pressures, yet (in our experience), less than 5% of the primary care physicians do this.<span style='mso-spacerun:yes'>ýÿ </span>This means that it is OBVIOUS that most physicians are NOT capturing, monitoring or treating the Orthostatic Hypotension or Orthostatic Intolerance Syndromes.<span style='mso-spacerun:yes'>ýÿýÿýÿýÿ </span>This is NOT good medicine when you consider </span><b><span style='font-size:11.0pt;font-family:"Arial-BoldMT","sans-serif"; mso-bidi-font-family:Arial-BoldMT;color:#780001'>the fact that Orthostatic Intolerance Syndromes are the Most Common Cause of Syncope </span></b><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>(American College of Cardiology <span class=GramE>-<span style='mso-spacerun:yes'>ýÿ </span>2007</span>)<o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'>Why ANS monitoring in Cardiovascular Autonomic Neuropathy? </span></b><span style='font-size:14.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:.5in;text-align:justify'><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>Both the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:blue'>Parasympathetic </span><span style='font-size:11.5pt;font-family: "Times New Roman","serif";color:black'>and </span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone are low in patients with Cardiovascular Autonomic Neuropathy. The physician would manage drugs to increase relative </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone to preserve longevity and quality of life. If the relative </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone is low but still much higher than </span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:blue'>Parasympathetic </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>tone, the patient is in risk of sudden death.<span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=MsoNormal><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'>Why ANS monitoring in Syncope? </span></b><span style='font-size: 14.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:.5in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'>Peak </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:red'>Sympathetic </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'>response to postural change approximately the same or higher than peak response to <span class=SpellE>valsava</span> is associated with syncope in young people. Too much response </span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> response <span class=SpellE>through out</span> the test is associated with syncope with older people. Physician would then customize therapy. <o:p></o:p></span></p> <p class=MsoNormal style='margin-left:.75in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'><span style='mso-spacerun:yes'>ýÿ</span>Why ANS monitoring in Sleep Apnea? </span></b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:.5in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'>It is known that with sleep apnea the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:red'>Sympathetics</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'> are exceedingly high and the </span><span class=SpellE><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:blue'>Parasympathetics</span></span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:blue'> </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>are low normal to low.<span style='mso-spacerun:yes'>ýÿ </span>So much so that the natural inversion that should take place in the evening fails.<span style='mso-spacerun:yes'>ýÿ </span>The high </span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:red'>Sympathetics </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>(due to the stresses of sleep apnea), prevent the inversion and thereby prevent proper sleep.<span style='mso-spacerun:yes'>ýÿ </span>CPAP helps to remove some of the stressors that are associated with sleep apnea and over time the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:red'>Sympathetics</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> decrease and the</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:blue'> <span class=SpellE>Parasympathetics</span> </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'>normalize.<span style='mso-spacerun:yes'>ýÿ </span>ANS monitoring can document this and, thus, document CPAP compliance. <o:p></o:p></span></p> <p class=MsoNormal><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'><o:p>&nbsp;</o:p></span></b></p> <p class=MsoNormal><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif"; color:black'>Why ANS monitoring in Pediatric and Geriatric Diseases? </span></b><span style='font-size:14.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:.5in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'>In Geriatric Diseases both the </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family: "Times New Roman","serif";color:black'> and </span><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:red'>Sympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone are depleted due to age in addition to the disease. Low normal balance (Slightly elevated parasympathetic tone) preserves quality of life and longevity.<span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:1.0in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-left:.5in'><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'>In Pediatrics diseases </span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:blue'>Parasympathetic</span><span style='font-size:11.5pt;font-family:"Times New Roman","serif";color:black'> tone is excessive. Physician would use a low dose, short term, anti-cholinergic. (String of disorders include: ADD, Depression, Anxiety, Bipolar Disorder, and Sleep Problems)<span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'>It is the standard of care by many associations, hospitals and groups.<span style='mso-spacerun:yes'>ýÿýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'>If a patient is tested and determined that a modification to the treatment or therapy (such as an increase in the Coreg, reduction in the Toprol, starting the patient on <span class=SpellE>Midodrine</span> or <span class=SpellE>ProAmitine</span>, increasing their water to treat the dehydration, etcýÿ) is called for, then the patient should be tested in 8 weeks as it takes about 6-7 weeks to make a noticeable change in the ANS.<span style='mso-spacerun:yes'>ýÿýÿýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'><span style='mso-spacerun:yes'>ýÿ</span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"'>The CMS website does not have a Medicare Limited Coverage Decision on any other state than California, so the diagnosis is not limited by Medicare in any state other than California. <o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"'><span style='mso-spacerun:yes'>ýÿ</span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"'>The average Medicare allowed is $152.00.<span style='mso-spacerun:yes'>ýÿ </span>Your locality may be a little higher or lower, depending on the Medicare allowed.<span style='mso-spacerun:yes'>ýÿýÿ </span>Private and commercial insurances usually pay the doctor between $175 and $265, with the exception of those in the 5 states where the doctors have signed contracts for below Medicare rates (PA, OH, NY, NJ, MD and the Orlando area of Florida) <o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"'>Almost every single primary care practice we have sold an ANSAR to over the past 6 years <b><span style='color:#00007E'>tests between 3 and 4 patients a day ýÿ PER PROVIDER. </span></b><span style='color:black'><span style='mso-spacerun:yes'>ýÿýÿ</span>Some of our practices with mid levels and multiple physicians are testing between 10 and 12 patients a day.<span style='mso-spacerun:yes'>ýÿ </span>What does this do to your income? <span style='mso-spacerun:yes'>ýÿ</span><span style='mso-spacerun:yes'>ýÿýÿ</span><o:p></o:p></span></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><b><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'>WHICH CARRIERS PAY?</span></b><span style='font-size:11.5pt; font-family:"Times New Roman","serif";color:black'><span style='mso-spacerun:yes'>ýÿ </span>The ONLY carrier that I have seen any problems with payment in this country is the Alabama Blue Cross.<span style='mso-spacerun:yes'>ýÿ </span>I have never seen any denials from any other carrier and I started selling this over 10 years ago. <o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'>RECOMMENDATIONS:<span style='mso-spacerun:yes'>ýÿ </span>I have physicians around the country that recommend this to their colleagues.<span style='mso-spacerun:yes'>ýÿ </span>Some have been using it for more than 5 years and some have only been using it a month or less.<span style='mso-spacerun:yes'>ýÿ </span>It would be my pleasure to provide anyone with some phone numbers and names of physicians, if your physician is truly interested in talking to others. <o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'>We also have hundreds of EOBs from all kinds of carriers, from most parts of the country and weýÿll be glad to send those to you ýÿ including Medicare EOBs.<span style='mso-spacerun:yes'>ýÿ </span>Of course, the patientýÿs name and HIC number is removed from the EOB, but the rest of the information is there and in most cases, the name of the doctor as well.<span style='mso-spacerun:yes'>ýÿ </span>Our clients are happy to tell others about what it has done to save the lives of their patients as well as what it <span class=GramE>has</span> done to the financial health of their practice. <o:p></o:p></span></p> <p class=Default><o:p>&nbsp;</o:p></p> <p class=Default>More of value to you is that we will take an hour on the phone with you ýÿ at no charge ýÿ to help you determine if you even need an ANSAR.<span style='mso-spacerun:yes'>ýÿýÿýÿ </span>You may or you may not, and that is why we are willing to give you a one hour free phone analysis of your practice to see whether you should or should not be looking at ANY ancillary diagnostic services.</p> <p class=MsoNormal><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'><span style='mso-spacerun:yes'>ýÿ </span><o:p></o:p></span></p> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight: normal'><span style='font-size:26.0pt;mso-bidi-font-size:11.5pt;font-family: "Times New Roman","serif";color:#0F243E;mso-themecolor:text2;mso-themeshade: 128'>Don Self<o:p></o:p></span></b></p> <p class=MsoNormal align=center style='text-align:center'><a href="http://www.donself.com"><b style='mso-bidi-font-weight:normal'><span style='font-size:26.0pt;mso-bidi-font-size:11.5pt;font-family:"Times New Roman","serif"; color:#0F243E;mso-themecolor:text2;mso-themeshade:128'>www.donself.com</span></b></a><b style='mso-bidi-font-weight:normal'><span style='font-size:26.0pt;mso-bidi-font-size: 11.5pt;font-family:"Times New Roman","serif";color:#0F243E;mso-themecolor:text2; mso-themeshade:128'><o:p></o:p></span></b></p> <p class=MsoNormal align=center style='text-align:center'><a href="mailto:donself@donself.com"><b style='mso-bidi-font-weight:normal'><span style='font-size:26.0pt;mso-bidi-font-size:11.5pt;font-family:"Times New Roman","serif"; color:#0F243E;mso-themecolor:text2;mso-themeshade:128'>donself@donself.com</span></b></a><b style='mso-bidi-font-weight:normal'><span style='font-size:26.0pt;mso-bidi-font-size: 11.5pt;font-family:"Times New Roman","serif";color:#0F243E;mso-themecolor:text2; mso-themeshade:128'><o:p></o:p></span></b></p> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight: normal'><span style='font-size:26.0pt;mso-bidi-font-size:11.5pt;font-family: "Times New Roman","serif";color:#0F243E;mso-themecolor:text2;mso-themeshade: 128'>903 372-7529</span></b><span style='font-size:11.5pt;font-family:"Times New Roman","serif"; color:black'> <o:p></o:p></span></p> </div> </body> </html>