Types of Strokes
- Ischemic stroke occurs when a blood vessel to the brain is obstructed by a clot. This prevents oxygen and nutrients from reaching the part of the brain that’s affected. This is the most common type of stroke, occurring in 87% of patients.
- Hemorrhagic stroke occurs when weakened blood vessels within the brain rupture, and then bleed into the surrounding tissues. This bleeding causes compression of some of the surrounding tissues which causes brain damage. The most common type of hemorrhagic stroke is an aneurism (a blood vessel that bursts) caused by uncontrolled high blood pressure. Another type of hemorrhagic stroke is AVM, or arteriovenous malfunctions. AVM is a congenital defect which occurs when there are structural problems in some of the blood vessels. AVM also creates a higher risk for aneurism because of congenital weakness in the blood vessels themselves.
- TIA or Transient Ischemic stroke is also referred to as a “mini stroke.” It is caused by a temporary clot in the brain and symptoms of this type of stroke are very mild. However, these should be taken very seriously because they are a big warning that a full-blown stroke will occur next and put a person at much higher risk.
- A Cryptogenic stroke is from an unknown cause but can also be quite debilitating.
- A Brain Stem stroke occurs in the stem of the brain instead of the brain itself. Symptoms in some cases can be milder depending on the degree of stroke, but these types of strokes along with the others, can also be fatal.
Depending on where in the brain the stroke occurs, after-effects can affect all different types of functions of the body. If the stroke occurs on the left side of the brain, the right side of the body is usually affected; if it occurs on the right side of the brain, the left side of the body is affected.
The degree to which the brain is damaged determines the extent of the after-effects, rehabilitation needs, and amount of permanent disability.
Because the brain controls every function in the human body, many different areas can be affected, sometimes permanently. However, the after-effects of stroke can also be helped immensely by different types of rehabilitation and therapy. The length of time for recovery can take weeks to months to years, depending on the severity of the stroke.
Here at the Brain Treatment Center Dallas, Dr. Miller and his staff offer MeRT, a treatment protocol that may be used for symptomatic changes after stroke. MeRT stands for Magnetic E (for EEG and EKG) Resonance Treatment.
While the neuromodulation equipment used in the MeRT process has been cleared by the FDA in the treatment of depression which has been resistant to medications, it may also be used off label for other disorders in the practice of medicine. These include and other brain disorders.
TMS (Transcranial Magnetic Stimulation) modulates the brain’s electrical activity by using magnetic fields which pass through the scalp from an electromagnetic coil. However, it is important to note that TMS is a generalized approach to neuromodulation because it is only able to target a single location in the brain with a single frequency.
MeRT is a unique and improved version of TMS as it is a much more individualized approach to brain modulation. It is tailored to the patient’s needs based on frequency, location, and power used.
We perform a quantitative EEG before modulation treatment starts in order to determine exactly the frequency of your brain.
MeRT is a cutting edge treatment protocol which combines technologies of Transcranial Magnetic Stimulation (TMS, an FDA cleared therapy), Quantitative Electroencephalogram (qEEG), and Electrocardiogram (ECG/EKG) to analyze and formulate treatments that are tailored for each individual’s unique brain pattern.
Most TMS treatments are used to deliver stimulation to one area of the brain at a fixed frequency for all patients, however MeRTSM is more evolved. Our MeRTSM is highly individualized as to frequency and location based on an initial thorough testing and evaluation. This customized, scientific approach is unique to each patient.
The patient’s initial testings are analyzed very carefully as to the brain’s pattern of function and activity. Through this detailed analysis we are able to determine the correct neural synchronization. This information is then used to devise a highly personalized protocol for each patient, with the purpose of encouraging improved brain communication. Our patients have reported significant clinical improvements after going through treatment.*
Treatment for after-effects of stroke usually lasts 4-6 weeks with possible follow up at varying intervals. This treatment can also be done alongside other stroke therapies, or after rehabilitation therapies are completed. Appointments are 30-45 minutes in length, Monday through Friday. Generally patients report that they feel improvements even in the first few weeks.*
Brain Treatment Center Dallas
Contact our New Patient Coordinator for more Information
When many patients come to see us, they have lost hope as they don’t see any light at the end of the tunnel. It’s rewarding as a practitioner to be able to help so many people realize a much better “normal” and a greatly improved quality of life.
If you have questions or would like to discuss our Treatment Protocols, we offer a Free Consultation by phone. Our New Patient Coordinator will take the time to listen and explain. She is able to answer most questions and discuss our protocols, scheduling, fees and other information. She is happy to assist you in any way she can.
Please call us to get more information about how our clinic and Dr. Miller may be able to help you with your health goals and to schedule an an initial screening to see if MeRT may be an option.
Unfortunately, we do not accept insurance, nor file it on your behalf. However, we can provide you with CPT codes and a billing breakdown that you may submit to your insurance for possible reimbursement for conditions that have been FDA-cleared such as Major Depressive Disorder and OCD. On occasion, individuals have been successful in receiving reimbursement for EEGs and clinical evaluations, and possibly other elements for treatment, depending on the individual’s coverage. It has been our experience that Medicare does not reimburse any of the treatment costs.
For conditions other than Major Depressive Disorder and OCD, because treatment is considered “off label,” insurance rarely reimburses any of the costs associated with treatment.
Starting as a New Patient
When you start as a new patient at the Brain Treatment Center Dallas, you will initially need two appointments, approximately two days apart. Both appointments will be about an hour in length. These appointments will be used to determine if Dr. Miller feels you can truly benefit from the MeRTSM [Magnetic e-Resonance Treatment] Program and, if so, to develop a tailored treatment plan based on your test results. Once you have done the testing and Consultation, you are not obliged to begin treatment. This is something that you will determine once you have seen your test results and consulted with Dr. Miller.
At the first appointment, we will go over your reasons for seeking help, your medical history, your health goals, and all of your symptoms. You will then begin initial testing, which will involve an EEG and an EKG. These are both completely painless and easy and are done right in our office. Your information and test results are then sent over to our scientific and clinical teams, who will carefully analyze the results and determine current state and functioning of the brain together with Dr. Miller.
We use a patented, scientific approach with the neurophysiological data gathered through testing to then develop a highly customized treatment plan that is aimed at encouraging healthy brain communication and function.
At your second appointment, you will meet with Dr. Miller for a Consultation. He will discuss your test results and whether or not he and our scientific team feel that results may be achieved for you through our treatment protocol. This appointment will also serve to answer any additional questions you may have. After that second appointment, Dr. Miller will lay out your individualized treatment plan and the protocols to be followed for best results. At that point you may discuss fees, length of treatment and schedules, and then decide whether to go forward and schedule your treatment.
Protocol Adjustments for COVID-19
The Brain Treatment Center Dallas is open for business. In accordance with government regulations and for the safety of our patients and staff, the following procedures have been implemented:
- We respectfully ask that if you are sick or experiencing any symptoms of illness that you postpone your visit until you have been symptom-free for at least 14-days.
- We are currently unable to see any international patients until you are able to show proof that you have been in the country for at least 14-days.
- Our office is maintaining strict social-distancing protocols and we are only seeing on person at a time so that there is no physical contact between patients throughout the day.
- We will sterilize the clinic between patient visits in order to keep your risk to a minimum.
- We ask that when you arrive for your appointment that you wait in your vehicle until your designated appointment time in order to avoid having patients sitting in the waiting room.
- All patients (with the exception of children who are unable) are required to wear masks when entering the clinic. Please note that recent research has shown that some types of masks may not be as effective at reducing disease transmission. Effective immediately, anyone entering our facilities wearing an unapproved mask such as a valve mask, filter mask, neck gaiter, or bandana, will be asked by our screeners to replace it with an approved mask provided by the facility. Those wearing an N95 model with a valve will be allowed to wear a covering mask (disposable or cloth) over the N95.
- Miller is offering virtual consultations via Spruce or Skype, both of which are HIPAA compliant, so that you can have your appointment from the comfort of your own home. These visits are done via telemedicine so Dr. Miller will be visible and in right in front of you, just as he would be if you were seeing him in person.
We value our patients, and want to make sure that you are still able to receive your treatment in a timely manner, however due to the concerns regarding the Corona Virus, or COVID-19, we ask that you please adhere to the temporary procedures that we have implemented for your safety and for our staff’s safety. Once we receive clearance from the CDC, we will return to business as usual.
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*The Results shown are based on active and strict observation of our regimens. Results may vary based on individual user and are not guaranteed.