Time for a new pain-relieving algorithm?

 
 
 

Millions of Americans thankfully maintain reduced pain through on-going interventions.

Guideline and protocols frequently precisely define administration of interventions.

What happens to the people who do not respond as expected?

 
 
 

Did Silicon Valley thinking break the treatment-resistant pain barrier?

For practitioners seeking non-invasive ways to help their patients with pain that won’t quit despite following the guidelines.

Silicon Valley’s thinking is all about real-time observations, numbers, and feedback for control. The quest to maintain Moore’s Law brings you faster, cheaper computers. You may know about IBM’s quantum computing that will someday make AI for medicine mainstream. Can your patients wait that long?

This man waited 30 years for his cold hands to warm like his friends hands. PhotoMed’s algorithm prompted his hand thermostat to reset to “comfortable” during each of three visits.

Figure 1  - Thermal imaging shows a warming response over a 10-minute period to a single stimulation by PhotoMed’s therapy. The body, not the therapy, determines the timing and magnitude of the return toward normal function. Lighter gray is warmer.

Figure 1 - Thermal imaging shows a warming response over a 10-minute period to a single stimulation by PhotoMed’s therapy. The body, not the therapy, determines the timing and magnitude of the return toward normal function. Lighter gray is warmer.

The evidence accrues while his comfort persists without additional therapy. That’s called homeostasis. (We don’t have clue why PhotoMed’s therapy works. It just does.)

PhotoMed’s team of nerdy engineers developed the algorithm for pain specialists. To name a few; anesthesiologists, physiatrists, neurologists, and neuroscientists. But most important are the patients waiting with pain or “ouchless” impairments that won’t quit.

Each specialist has their own professional perspective. Guidelines and protocols aren’t flexible. It hurts to send a patient home underserved. Do you wish that you could improve the life of one more person and their family each day?

Does PhotoMed’s algorithm work for every type of pain or impairment? Of course not.

But helping one-in-three real-world people is a whole lot better than zero. That’s where PhotoMed’s algorithm shines. (Pardon the pun.)

 

How does the algorithm work?

Objective feedback, in seconds to minutes, lets the operator converge on relief for the individual patient. The logic is the same as for invasive interventions, but 1000x faster.

Here’s how the therapy works:

  • Observe improving function in minutes (feedback for the operator)

  • Quit if no response in two visit (SV engineers call this the “fail fast” model.)

  • Uses only 2 cents worth of electricity.

When the therapy doesn’t work, besides disappointment, there are no side effects.

 

What are the new tools?

PhotoMed’s team made the Instant Feedback System™ for you to document events that others may think impossible.

  • Thermal imaging for abnormal skin temperature regulation

  • A 4K - HDR camera for recording expanding wounds to restart healing

  • A USB camera port for documenting improving sensory and motor functions

  • PhotoMed’s Vari-Chrome® Pro.

Figure 2  -

Figure 2 -






After guidelines end, they need something else. The guidelines addressed the chronically acute targets to zap. What left to shoot?

That’s where photobiomodulation (PBM) therapy shines. (Pardon the pun.)

Instead of the customary one wavelength, the operator has 282 wavelengths to algorithmically select. Efficient flexibility is the secret to success. Find a wavelength that works. Your done when you observe improving function, like warming of cold hands.
















 
 

By:

·      Applying advanced technologies to accelerate old algorithms

·      Observing early physiological responses for feedback - Does it work?

·      Converging on the restoration of normal functions (homeostasis)

·      Observing continuing improved functions that persist after therapy ends.

For example, the operator views thermal imaging to observe warming in real time prompted by PhotoMed Technologies’ non-invasive therapy. This man’s hands resumed their normal skin-temperature response functions. Click the image to watch online video. (11 seconds)

 
 
 
 

Why welcome people whom others consider to be hopeless?

Operators of PhotoMed’s accelerated algorithm see things differently. They apply the therapy and observe physiological responses that mark the return of homeostasis.

A flinch, gasp, or spontaneous remark frequently confirms that the event was unexpected.

Not yet understood, why did the body remain so long in an impaired state?

 
 
 
Figure 2  - PhotoMed Technologies’ accelerated algorithm addresses treatment-resistant pain and symptomatically impaired functions. PhotoMed’s device, the  Vari-Chrome® Pro , non-invasively stimulates the body to resume its normal functions (homeostasis).

Figure 2 - PhotoMed Technologies’ accelerated algorithm addresses treatment-resistant pain and symptomatically impaired functions. PhotoMed’s device, the Vari-Chrome® Pro, non-invasively stimulates the body to resume its normal functions (homeostasis).

 
 
 

The bad news, PhotoMed’s algorithm doesn’t work in 2/3s of the treatment-resistant cases. However, beside disappointment, there are no side effects.

Just two visits are enough to determine that the therapy probably won’t work for that patient.

The good news, improvement in 1/3 of the cases is whole lot better than zero.

 

Why not look while the action happens?

Operators incessantly ask, did the treatment work?

PhotoMed Technologies’ team developed its Instant Feedback System for practitioners to prompt, observe, and collect details in Silicon Valley style.

Let computers, big data, and AI connect the dots among treatments, responses, and outcomes. Feedback arrives in 60 seconds after therapy begins.

Figure 3  - PhotoMed's Instant Feedback System™ documents events in real-time. Automation lets the practitioner focus on their patient while adjusting therapy to converge on the return of normal functions. Thermal imaging and a 4k HDR camera record physiological responses appropriate to some disorders; coldness and non-healing wounds. Video records changes in sensation, movement, or coordination.

Figure 3 - PhotoMed's Instant Feedback System™ documents events in real-time. Automation lets the practitioner focus on their patient while adjusting therapy to converge on the return of normal functions. Thermal imaging and a 4k HDR camera record physiological responses appropriate to some disorders; coldness and non-healing wounds. Video records changes in sensation, movement, or coordination.

Previously unpredicted physiological responses to stimulation by light from the Vari-Chrome® Pro and recorded by the Instant Feedback System™ puzzled anesthesiologist and neurologist advisors.

They asked, how could the therapy prompt so many seemingly different disorders to suddenly conclude?

We don’t have a clue. It just does.

 
 
 

Is it really the return to homeostasis? 

For patients, the return of function is all the evidence they need.

Evidence that homeostasis has resumed accrues while improved functions persist after therapy ends.

PhotoMed’s team still receives thank-you notes from people who experienced their releasing event more than a decade earlier.

Figure 4  – The operator uses PhotoMed Technologies   Vari-Chrome® Pro   or the   Instant Feedback System  ™ to prompt and record the releasing event between a chronically impaired state and homeostasis. The evidence for homeostasis accrues while improved functions persist after therapy ends.

Figure 4 – The operator uses PhotoMed Technologies Vari-Chrome® Pro or the Instant Feedback System™ to prompt and record the releasing event between a chronically impaired state and homeostasis. The evidence for homeostasis accrues while improved functions persist after therapy ends.

Does the resumption of homeostasis account for the unexpected responses?

·      Warming 10°C with continuing comfort

·      Returning sensation lost for years to diabetes

·      Moving comfortably through a previously painful range-of-motion

·      Restarting of non-healing wounds.

Could PhotoMed’s therapy be a yet not understood catalyst for the return of homeostasis after 20-30 years?

 

Why didn’t someone think of this before?

For 150 years, practitioners used visible light to benefit their patients. Today, red and IR dominate. They still argue over which color is best.

Overlooked, they were talking about different people with each color in considered in isolation.

Does the patient care which color prompted their relief or restored function?

 

PhotoMed’s team wondered, is it one, two, or a sequence of wavelengths needed by the body to resume homeostasis?

Silicon Valley’s quest for speed inspired PhotoMed’s therapy. Why not vary the wavelength during therapy?

Only the Vari-Chrome® Pro varies the wavelength during therapy.

Figure 5  - If your first try didn't work, would you like to try a different wavelength? The  Vari-Chrome® Pro  lets the operator efficiently select pre-programed settings or change the wavelength manually to find ones that work for the patient.

Figure 5 - If your first try didn't work, would you like to try a different wavelength? The Vari-Chrome® Pro lets the operator efficiently select pre-programed settings or change the wavelength manually to find ones that work for the patient.

 
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The Vari-Chrome® Pro and the Instant Feedback System™ are available for rent or sale.


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