WIN Health Institute, LLC
The Breast Thermographic Examination
The examination is conducted with rigid scientific standards ensuring accuracy and repeatability. Our equipment is the state-of-the-art Thermarray/FLIR System. This system provides high resolution digital radiometric infrared imaging. The information is processed on a computer to provide color and/or black & white imaging for quantification and qualification.
What follows is an outline of the steps to be taken to have an effective scanning session. Because we use a specialized doctor to read the scans, we may have some additional scanning activities at times to assure that we get it right the first time.
Patient should arrive for appointment 20 minutes early to complete paperwork .
You, the patient, will be in a room that is private and will have a temperature of 68 degrees Fahrenheit. This infrared imaging process requires that you remove your clothing from the waist up, and the process also requires that you remove your shoes and socks or stockings. The attendant will give you a cotton gown for the equilibration period. This is a 15 minute time period for your body to adjust to the room temperature.
A stool will be provided for you to sit, on a carpeted floor. The reason for removing shoes and socks is that humans equilibrate to their surrounding temperature with their hands and feet. The most neutral temperature for a human being is 86 degrees F, noting at this temperature the least amount of stress or pain will be perceived. We are passively stressing the patient by placing them in a cool room which challenges the body. Maximum effect is established within 15-20 minutes. At the end of the equilibration period the examination will begin.
A room divider is in place between you and the technician to assure your privacy.
There are three basic positions for the breast examination.
- Oblique right
- Oblique left
Positioning for the other exams will be explained at the time of the exam.
After the first three pictures are taken, a cold water challenge will be performed. This means your hands will be submersed in cold tap water for one minute. You will then pat your hands dry with a paper towel. The same three pictures will be taken after a three minute reaction time is allowed.
A Little Bit About Thermography
Thermography produces a picture by detecting the heat radiating from the body. The use of heat differentiation to detect ailments has been documented in medical literature for centuries. The first recorded use of temperature variants associated with disease appeared in the oldest medical text known, the Edwin Smith papyrus. The papyrus has been dated at 1700 B.C.
As early as 400 B.C., physicians would place wet mud or clay over an area of the body. Where the mud or clay dried first was considered the diseased part. Hippocrates is quoted as saying “ …should one part of the body be colder or hotter than the other, disease is present in that part”.
In 1992 the International Chiropractic Association established the ICA College of Thermography. Although Thermography is FDA approved, in 1992 HCFA decided that it did not meet criteria for Medicare reimbursement. Thermography was therefore dropped from health insurance reimbursement and mammograms were introduced. This appeared to be a political maneuver rather than a scientific one, considering there were over 40,000 published articles and texts indicating the value of infrared imaging. HCFA reviewed only 77 references and no textbooks to make their decision. In 1995, the British Medical Journal the Lancet reported on problems with mammography and research that had been doctored or mis-represented. Papers indicating the dangers of mammography were published and major concerns began to develop that mammograms were not as accurate or as safe as had been thought.
Today, Thermography is again gaining the interest of patients and physicians. With advanced computer programs, improved infrared cameras, and a better more thorough understanding of the physiology, clinical Thermography is being re-introduced to the medical community and is rapidly gaining acceptance.
Patient Preparation Instructions for Thermography
Before the Examination – Dos & Don’ts
Please read the following instructions carefully. It is important that you follow the instructions carefully to insure valid test results. Do not hesitate to call our office if you have any questions. Thank you for your cooperation.
- Shower or bathe the night before your exam, not the day you are scheduled.
- Any shaving of the area to be imaged should be done the day before as well.
- To not take any medications that increase vaso-dilation (increase blood flow) the day of the exam, if you can. This includes beta-blockers, channel blockers, blood pressure medications and herbs and homeopathic remedies such as arnica. Also, to not take pain medications at least 6 hours prior to our test, including aspirin. Be sure to advise the staff if you have taken medications, including blood pressure, alpha-blocker, circulation, anti-coagulant medicines, and aspirin or pain medication. Be sure to check with your doctor if changes to your schedule must be made.
- Do not consume any food or hot/cold beverages at least 2 hours prior to appointment time. This includes gum and breath mints. Drinking water is OK.
- Do not sunbathe at least 3 days prior to your exam. Sunburn will interfere with results.
- Do not use deodorants, antiperspirants, lotions, or ointments on or near the area to be imaged after bathing the night before until after the exam.
- Do not undergo any kind of physical therapy or use TENS (electrical stimulation) for 6 hours prior to your exam. No acupuncture, chiropractic, ultrasound treatment or hot/cold pack for 24 hours prior to the exam.
- Wear loose fitting garments prior to the exam, and remove any jewelry, rings, watches, etc., in the area to be imaged.
- Do not smoke at least 2 hours prior to your test.
- If you need to bring a small child, please bring someone responsible to watch the child while your exam is being completed.
- When nursing, please nurse prior to 1 hour before the exam.
- Please try to schedule your exam on a day when you are NOT menstruating.
WIN Health Institute, LLC
Thermography Informed Consent
Note: Please read carefully and if in agreement with this consent form, sign and date the bottom. Please ask any questions if there is anything that you do not understand on this form.
Thermography is simply a procedure utilizing liquid crystal latex detectors or electronic thermal imaging cameras, or a combination of both, to visualize and obtain an image of the infrared radiation (heat) coming from the surface of the skin. The thermoagraphic procedure is performed as an aid to the diagnosis of abnormal temperature patterns, which may of may not indicate the presence of a disease process of pathology.
The thermographic procedure is not a standalone diagnostic tool, but an adjunct to be used with other clinical or diagnostic findings.
This office provides only the thermographic component.
I understand that the area being thermographed will be disrobed to allow for the surface temperature of the body to cool to an ambient temperature. I understand that this procedure does not use radiation and is not harmful to me.
The information provided will be available to my personal physician, HMO, PPO, or other health care provider for further diagnosis should an abnormality be detected.
I also understand that this procedure may or may not be covered by insurance and that the office fee is due and payable at the time of service, unless special provisions have been made with this office in advance. I may request a receipt to submit to my Health Insurance for payment on my own.
Having understood the above, concerning the purpose, outcome, risk factors, and benefits of the thermographic examination, as well as the utilization of the procedure, I consent to this examination.
Printed Name Date
WIN Health Institute, LLC
WIN Health Institute, LLC
Authorization to Release Information
I hereby authorize WIN Health Institute, LLC to release any information concerning my physical condition, which may be deemed appropriate and necessary to any insurance company and/or adjuster, attorney or social worker in order to have processed any claim for reimbursement of charges incurred by me as a result of professional services rendered by WIN Health Institute, LLC.