Chronic Lyme Compact Treatment - BCA-clinic
Chronic Lyme Compact Treatment - BCA-clinic
Chronic Lyme Compact Treatment - BCA-clinic
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- Privatpraxis -<br />
Dr. med. C. Nicolaus, praktischer Arzt, &<br />
Dr. med. A. Schwarzbach, Laborarzt,<br />
ärztliche Partnerschaft<br />
für zecken-übertragene Erkrankungen<br />
im Gebäude des Borreliose Centrum Augsburg<br />
Patient Information about <strong>Lyme</strong> Disease Therapy:<br />
<strong>Chronic</strong> <strong>Lyme</strong> <strong>Compact</strong> <strong>Treatment</strong><br />
(5 days per Week, Mon-Fri)<br />
www.aerzte-borreliose-augsburg.de<br />
The <strong>BCA</strong>-<strong>clinic</strong> Augsburg (<strong>BCA</strong>), a treatment facility for tick-borne diseases and coinfections,<br />
was established to offer chronically ill <strong>Lyme</strong> disease patients not just an<br />
antibiotic treatment, but also (or only) a wide range of accompanying therapies (holistic<br />
therapy approach).<br />
All services of the <strong>Lyme</strong> <strong>Compact</strong> <strong>Treatment</strong> are offered on a private medical basis<br />
according to the medical fee schedule for doctors (in Germany: GOÄ).<br />
<strong>Chronic</strong> progressions of <strong>Lyme</strong> Disease can be successfully treated in many cases; only in<br />
very few cases an improvement of ailments and symptoms cannot be achieved. A<br />
comprehensive treatment program and selected “accompanying therapies” can<br />
enhance the effectiveness of the medication (usually antibiotics), strengthen the immune<br />
system and effectively fight Borrelia bacteria and co-infections. The physical and mental<br />
strength can also be improved.<br />
Therapy options:<br />
To be chosen by the doctors and discussed with each patient individually!<br />
Basis: <strong>Treatment</strong> with Antibiotics<br />
(Long-term treatments, e.g. “Augsburg <strong>Treatment</strong> Scheme”, either as mono- or combination-therapy<br />
according to the ILADS guidelines and recommendations of the German Borreliosis Society)<br />
+ pain therapy<br />
(e.g. with pain killers, co-analgetics, and electro therapies)<br />
+ “accompanying therapies“, such as:<br />
• Milieu corrections (to strengthen organs and metabolism - incl. deacidification +<br />
detox)<br />
• Dietary Supplements and possibly Natural Remedies<br />
• Change of Diet (alkaline and anti-inflammatory)<br />
• Oxygen + Electro Therapies<br />
Illness/Ailments:<br />
Borrelia /<br />
Co-agents<br />
(Infection)<br />
Acute / chronic<br />
inflammation<br />
processes<br />
+ acidification<br />
(severely) weakened<br />
immune system<br />
+ autoimmune<br />
reactions<br />
All medical treatments and services in the <strong>BCA</strong> are offered and provided by the Medical Partnership Dr. Nicolaus<br />
& Dr. Schwarzbach only.<br />
The main focus of every therapy is a highly dosed treatment with antibiotics over several<br />
weeks under the surveillance of the attending doctor (usually an infusion mono- or<br />
combination therapy).<br />
4b Privatpraxis Dr. med. C. Nicolaus, praktischer Arzt, & Dr. med. A. Schwarzbach, Laborarzt, ärztliche Partnerschaft für zecken-übertragene<br />
Erkrankungen · Partnerschaftsregister AG Augsburg PR 83 · im Borreliose Centrum Augsburg, Morellstraße 33, 86159 Augsburg ·<br />
Tel. (0821) 455 471 -71 · Fax (0821) 455 471-70 · service@aerzte-borreliose-augsburg.de · www.aerzte-borreliose-augsburg.de
Note: The choice of antibiotics can vary if co-infections exist.<br />
Another very important factor of the therapy is treating chronic inflammations. This is<br />
usually done parallel to the <strong>Lyme</strong> treatment.<br />
The following effects should be reached with an holistic therapy approach through<br />
supporting “accompanying therapies”, offered in the <strong>Lyme</strong> <strong>Compact</strong> <strong>Treatment</strong>:<br />
(1) Better compatibility and effectiveness of antibiotics<br />
(2) Strengthening of the immune system (holistic)<br />
(3) Pain relief (even for chronic pain)<br />
(4) Milieu changes to create an unfavourable conditions for further<br />
Borrelia reproduction<br />
(5) Lessening of the production of inflammation supporting<br />
cytokines and regulating the Th1/Th2 System<br />
(6) Support of organ functioning (incl. liver and kidneys) and<br />
detoxification<br />
(7) Improvement of body physics<br />
There are two options to receive accompanying therapies in the <strong>BCA</strong>-<strong>clinic</strong>:<br />
• Weekly program <strong>Lyme</strong> <strong>Compact</strong> <strong>Treatment</strong> – one or several weeks (please see<br />
below)<br />
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• Individual therapies: dietary supplements, acupuncture, wide range of oxygen and<br />
electro therapies, photon therapy, infrared therapy, milieu / diet consultation, exercise<br />
programs and naturopathic therapies.<br />
Please note:<br />
• Patients, who do not wish to undertake an antibiotic treatment, have the option to<br />
choose an alternative therapy plan (e.g. photon therapy in combination with<br />
naturopathic treatment and other accompanying therapies) after a consultation with<br />
the attending doctor. This is also offered at the <strong>BCA</strong>-<strong>clinic</strong>.<br />
• If you do not have the time for a long-term treatment at the <strong>BCA</strong>-<strong>clinic</strong>, we can<br />
introduce you to the therapy and give instructions to your local doctor to continue the<br />
treatment at home.<br />
Weekly program over 5 working days (Mon.-Fri. in the <strong>BCA</strong>)<br />
Recommendation: 1-3 weeks (+ continuing at home) or longer<br />
_________________________________________________________________________<br />
_<br />
Therapy concept (day medical <strong>clinic</strong>):<br />
Highly dosed<br />
antibiotic treatment<br />
(mono- or combination<br />
therapy, infusion or oral<br />
therapy)<br />
eliminating Borrelia and<br />
possible co-infections<br />
+<br />
Supporting<br />
“accompanying<br />
therapies”<br />
- Improving the effect<br />
of the antibiotics<br />
- Better tolerability<br />
- Eliminates chronic<br />
inflammation<br />
+ Pain therapy<br />
- Pain killers<br />
- Acupuncture<br />
- High tone therapy<br />
This <strong>Compact</strong> <strong>Treatment</strong> increases your chance of healing and has many advantages:
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• Reduce the stress of your everyday life and surroundings. A recovery requires plenty<br />
of time for yourself!<br />
• “Monitoring“ by the attending doctors: if necessary modification of the therapy or<br />
immediate actions in case of “Herxheimer reactions” (possible worsening of<br />
symptoms in the beginning of therapy)<br />
• Specific pain treatment (not only pharmaceuticals)<br />
• Exchange of experience with other <strong>Lyme</strong> disease patients and therapists<br />
From our experience we have seen that it can often be very helpful for patients to “switch<br />
off” and “find trust” in a quiet atmosphere and become familiar with and accept the therapy<br />
and recommended lifestyle changes and self-help measures.<br />
Range of services of the Medical Partnership (www.aerzte-borreliose-augsburg.de)<br />
1. Specific infusion treatment (highly dosed antibiotics)<br />
2. Pain therapy attendance<br />
3. “Supporting therapies and supervision of treatment program by specialised <strong>Lyme</strong><br />
doctors<br />
4. Monitoring and review of results (before/after)<br />
Therapy Range offered by the Medical Partnership Dr. Nicolaus & Dr. Schwarzbach<br />
1. For better tolerance and effectiveness of antibiotics:<br />
- Dietary supplement (Micro nutrients therapy,<br />
probiotics, etc.)<br />
- Natural Remedies (for immune modulation,<br />
- stop inflammation, detox)<br />
- Electro therapies (finding and eliminating<br />
“hidden” Borrelia from cell tissue and<br />
achieve pain relief)<br />
- Oxygen therapy<br />
2. Pain therapy with medicine and other<br />
remedies/treatments<br />
3. Milieu therapy with change of diet:<br />
strengthens organs, deacidification & detox,<br />
alkaline, healthy and balanced nutrition<br />
4. Improvement of the body physique through<br />
individual exercise programs with experienced<br />
therapists<br />
5. Gain confidence and lose your fears: finding<br />
your mental balance again, detect and<br />
recognise depression and causes of stress,<br />
exchange experience with other patients<br />
<strong>BCA</strong> Immunpaket
6. Additional therapy offers of the complementary medicine: TCM (traditional Chinese<br />
medicine, primarily acupuncture, herbology and dietetics), homoeopathy,<br />
naturopathy<br />
7. Guidelines for “self-help“ (lifestyle)<br />
8. Deacidification and Detox Programs (especially after an antibiotic treatment)<br />
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Please note:<br />
• The aim of the holistic approach to therapy is to help our patients to become symptom-<br />
and pain-free as soon as possible and to (re)integrate our patients into their private<br />
and professional life.<br />
• All therapies are supervised by doctors of the Medical Partnership.<br />
• The holistic therapy approach does not only decrease the side effects of the antibiotic<br />
treatment but also activates the defense mechanism of the body and strengthens the<br />
immune system.<br />
• The therapies are offered as individual treatments and some also as group sessions.<br />
Explanations of individual important accompanying therapies and the effectiveness of<br />
these therapies:<br />
Please note:<br />
• The general effects of these treatments are described on the first page.<br />
• Additional information on “dietary supplements“ and “self-help for patients“ is available in the<br />
patient information (leaflet) “Dietary Supplements – the ‘<strong>BCA</strong> Immune Package’ and other<br />
important ‘self-help’ measures during the <strong>Lyme</strong> disease therapy” (available at the reception).<br />
• Information about naturopathic treatments can also be found in a separate patient information<br />
leaflet available at the reception.<br />
Overview of <strong>Treatment</strong>s and Therapy Approaches<br />
� accompanying therapies in the <strong>BCA</strong><br />
Dietary supplement products<br />
� Better effects and tolerance of antibiotics<br />
� Strengthening the immune system<br />
� Lack of supplements<br />
� Immune-regulating and block of Cytokine<br />
Pain relief<br />
� Support with medical pain relief therapy<br />
� Acupuncture, Hightone, TENS and<br />
electro therapy<br />
Electro therapies, Oxygen, Light Therapy<br />
and Heat <strong>Treatment</strong>s<br />
� Photon and electro therapies (incl.<br />
magnet therapy, Hightone therapy)<br />
� Oxygen therapy<br />
� Day Light Therapy<br />
� Infrared- and Heat <strong>Treatment</strong>s<br />
Naturopathy<br />
� Diverse plants and herbs to modulate the<br />
immune system and block inflammations<br />
� Detoxification and support of organ<br />
functions<br />
� Diet/Nutrition Consultation<br />
Milieu advice, dietary advice and change<br />
� Deacidification, detox and strengthening<br />
of organs<br />
� Instruction for a healthy and wellbalanced<br />
nutrition (focus on an alkaline<br />
nutrition / individual session and range of<br />
courses)<br />
� Chinese dietetics + herbal<br />
therapy/natural remedies
Traditional Chinese Medicine<br />
� Acupuncture<br />
� Ear acupuncture<br />
� Tongue diagnostic<br />
� Pulse diagnostic<br />
� Dietetics<br />
Classical homeopathy<br />
� Homeopathic anamnesis<br />
� Various homeopathic remedies<br />
Oxygen Therapy<br />
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Exercise programs<br />
� Deficits and problems are determined<br />
based on a physical examination: pain,<br />
metabolism, blood circulation, flexibility,<br />
coordination, strength and power<br />
“Detox” (after an antibiotic treatment)<br />
� Photon therapy, magnetic field therapy<br />
� Phyto therapy<br />
� Liver packaging, foot bath<br />
� Infrared<br />
� Exercise therapy<br />
Oxygen therapy combined with exercise improves the effects and tolerance of antibiotics.<br />
Good results in case of circulatory disorders, such as acute hearing loss, tinnitus or balance<br />
disorders.<br />
• Results in an increase of oxygen in the tissue.<br />
• Additionally, strengthens the immune system when combined with vitamins.<br />
• Based on experience, the tolerance of antibiotics can be significantly increased in<br />
patients (less side effects).<br />
Effectiveness:<br />
Oxygen is an essential substance of our life. It is used to produce energy in our body cells.<br />
Only a few minutes without oxygen can lead to damages in the brain cells. A lack of oxygen<br />
in cells can result from illnesses, unhealthy diet, lack of exercise, stress, smoking and<br />
alcohol, but also old age. These deficits of oxygen can lead to fatigue, lack of memory,<br />
weakening of immune system, circulatory disorders, tinnitus, Angina pectoris, or other<br />
illnesses. By taking vitamins and minerals the oxygen uptake of cells and binding of free<br />
radicals can be improved.<br />
A nitrogen-free and minimum of 92% oxygen mix with a flow of 5 – 30 l/min is inhaled.<br />
Improves the blood circulation by increasing the cardiac output per minute, while doing easy<br />
physical exercise.<br />
Infrared therapy<br />
Method:<br />
Radiant heat: this energy is adapted so exactly to the body energy that the body absorbs<br />
93% of infrared radiant heat. With this method the body is effectively and deeply warmed<br />
without being stressed by excessive temperatures.<br />
In the infrared sauna about 80% of radiant heat is given directly to the body and only 20% to<br />
the air. Infrared rays warm up the skin and the heat spreads with blood circulation in the<br />
body.<br />
Infrared heat supports and maintains a healthy body and regular sessions can activate<br />
health-improving processes in the body. It can have a positive influence on the self-heeling<br />
powers of the body, improve the resistance to the illnesses and can help to generate deep<br />
relaxation.
Effectiveness of the infrared sauna:<br />
• Positive, deep effect (widens blood vessels, stimulation of blood circulation,<br />
acceleration of blood circulation)<br />
• Can relieve various forms of pain, e.g. headaches, back pain, etc.<br />
• Helps tense and cramping muscles<br />
• Toxins are released through the skin and kidneys are relieved<br />
• Strengthening of the immune system<br />
• Detoxification and purification<br />
Nutrition consultations<br />
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Method:<br />
Milieu therapy: Instructions about healthy and balanced nutrition taking with a special focus<br />
on alkaline nutrition, as <strong>Lyme</strong> disease patients are generally overacidified.<br />
By changing the nutrition to more alkaline products, the body’s ph-level is ideally increased<br />
to values between 6.6 to 7.3. By this means, the organism will create an unfavorable<br />
environment (milieu) for the Borrelia bacteria.<br />
If necessary, individual appointments can be arranged with a physician. The costs are<br />
according to the GOÄ and are delivered by the medical partnership.<br />
Exercise Therapy<br />
Exercise therapy describes any program where motion of the body or its parts is done to<br />
relieve symptoms or to improve function. Exercises are individually selected for the patient<br />
and supervised by a therapist/trainer.<br />
Problems and dysfunctions (e.g. pain, metabolism and circulation, flexibility, coordination,<br />
energy and power) are identified during a consultation in the program <strong>Lyme</strong> <strong>Compact</strong><br />
<strong>Treatment</strong>.<br />
Exercise and motion programs are established individually for each patient. The therapy<br />
aims to help patients become independent and stay that way after an illness or injury. The<br />
physical condition plays an important role in giving quality to life. This is where exercise<br />
therapy helps.<br />
Effects:<br />
The therapy is supposed to bring back the normal physical functions step by step. It is<br />
sought to keep a good condition or even improve it.<br />
Therapeutic effects are reached by:<br />
- Improvement of Joint functions<br />
- Activating and strengthening weak muscles<br />
- Stretches shortened soft parts (muscles, tendons, joint capsules, skin, scars)<br />
- Regeneration of muscle balance<br />
- Learning motion cycles<br />
- Improves blood circulation<br />
- Good for cardiovascular system, breathing and metabolism<br />
- Strengthening of the immune system<br />
- Pain<br />
- Improves mental balance due to increased release of endorphins (“happiness<br />
hormones”)
Method:<br />
There are various methods for the exercise therapy which are usually applied to many<br />
different illnesses.<br />
Generally, exercise therapy can be used for the following:<br />
- Limitations to movements and instabilities of spinal cord and other joints<br />
- Dysfunctions in coordination and palsy<br />
- Circulatory and metabolism disorders<br />
- Dysfunctions of the organ system (e.g. cardiovascular diseases, respiratory<br />
diseases)<br />
The patient will also receive an introduction to exercises that can be easily done at home<br />
without a therapist.<br />
Range of Electrotherapies<br />
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Range of application:<br />
- Pain relief<br />
- Displacement of Borrelia bacteria from the host cells (intracellular Borrelia) and from<br />
the tissue, in order to increase the effectiveness of antibiotics and the immune<br />
system to fight against them<br />
- Improvement of muscle power<br />
Electrotherapy or electro medicine is the synonym for therapeutic applications of electric<br />
energy in medicine. The main principle of the treatment is that constant and alternating<br />
electric energy floats through the whole body or through parts of it. Appropriate voltage will<br />
be realized by connecting electrodes to the skin surface or electrodes in a water bath.<br />
Magnet Therapy<br />
Method<br />
The therapy using electromagnetic field is gaining increasing attention in the<br />
complementary, sports and scientific medicine. Physiological as well as therapeutic effects<br />
are scientifically proven. The pulsating magnetic field therapy of with the BEMER 3000 is<br />
very effective and shows convincing <strong>clinic</strong>al results. The magnetic field system developed<br />
by Prof. Dr. Wolf A. Kafka is seen as the most recognized and most developed world wide.<br />
Physiological Effects<br />
The significant improvements of the blood circulation are scientifically proven, particularly<br />
micro-circulation (ca. 40%), increase of oxygen partial pressure in the blood, and improved<br />
blood flow, which decreases the risk of thromboses. The cells can then work better.<br />
The BEMER 3000 therapy also influences the protein biosynthesis. One example of this<br />
influence is for example the four-fold increase bone cells formation. This is also very<br />
effective for the healing of bone fractures and therapy of osteoporosis.<br />
A more effective healing of wounds is also accomplished due to the activation of “repair<br />
protein” (HSP70). There is also an increased cell protection against oxidants and free<br />
radicals.<br />
Indication<br />
The effects of the magnetic field are due to different control mechanisms, which activate the<br />
metabolism and protein formation necessary for regeneration. Many illnesses can be<br />
positively influenced with this. The fastest healing success were seen when used as
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supporting treatments for injuries (traumata), haematoma, swellings (oedema, mygelosis)<br />
and diseases of the bones and supporting apparatus.<br />
<strong>Chronic</strong> pain, neuralgia, migraine, headache, insomnia, chronic fatigue, inflammations,<br />
rheumatism, chronic back pain, osteoporosis, joint pain, arthrosis (hips, shoulders, etc….),<br />
arthritis, neck pain, skin diseases, circulatory disorders, cardiovascular disorders and other<br />
diseases and disorders can also be treated with the BEMER 3000.<br />
The system is also used for strengthening the immune system due to its scientifically proven<br />
positive effects on the immune response.<br />
Difference to Electro Magnetic Pollution<br />
Electromagnetic pollution is usually caused by electromagnetic fields, which develop from<br />
alternating currents and high frequencies. This includes mobile phones and broadcasting<br />
equipment, which work in high frequency microwave ranges. In contrast to this, the BEMER<br />
system works with a direct current in the audio-frequency range and very small energy<br />
densities. Often problems due to perturbation and other impacts occur within the cells if are<br />
energetically weak. The BEMER treatment does the contrary by increasing the energetic<br />
status of cells and therefore the power of resistance.<br />
The BEMER 3000 changes alternating currents to direct currents and reduces it to 12 volts.<br />
Usually even people who are electro-sensible can tolerate the system very well.<br />
Are there any Contraindications?<br />
The only relative contraindication can be donor’s organs. The body tends to reject organs<br />
from a donor and this is the reason why medicine is used to suppress the immune system.<br />
The BEMER 3000 strengthens the immune system which is not aimed in these cases.<br />
Cardia valves or cornea do not count into this and are no contraindications. Other so called<br />
contraindications in terms of regular magnetic field therapy equipment, such as electronic<br />
implants (cardiac pacemaker), metal implants or pregnancy are no problem with the BEMER<br />
3000 due to its very low flux density.<br />
Photon therapy<br />
Method<br />
In 1975, Professor Popp proved that there is light in our cells. He named them “bio-photons”<br />
and explained that photons are light quanta, which physically are the smallest elements of<br />
the light. Bio – because they are produced by living cells; the communication between our<br />
cells is performed by the help of these bio-photons. If our body or the cells are sick, the<br />
photon reproduction fails as well as the process of our regulation system – the immune<br />
system. The photon therapy transmits artificial light quanta into the body, so that the<br />
regulation systems of the organism – such as the nervous, hormone and immune system -<br />
are positively stimulated.<br />
The photon therapy is based on the equipment „Bionec 880“ and has four different<br />
frequency ranges in the infrared field. It has a positive influence on the energy balance,<br />
metabolism and cell regeneration.<br />
Effectiveness for the <strong>Lyme</strong> Disease Therapy<br />
Cells keep their metabolism balanced due to bio-photons. In case of <strong>Lyme</strong> disease, the<br />
Borrelia bacteria penetrate into the cells and as a consequence the photon balance<br />
decreases significantly. During the photon therapy the cell seems to be able to transport the<br />
Borrelia bacteria out of the cell and regulate the metabolism.<br />
After removing the Borrelia bacteria from the cells they are accessible for the immune<br />
system and the antibiotics, and so can be eliminated.
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Application<br />
The treatment with Bionic 880 is recommended twice a week. To avoid an overreaction a 2<br />
days break should be between treatments. In total 7 to 12 photon therapy treatments are<br />
recommended.<br />
Hightone therapy<br />
Method<br />
This is a therapy measure with electric muscle stimulation and it is also a further<br />
development of the classical electro therapy. It is used as a soft alternative to the classic<br />
pain relief therapy (medicines). The high frequency therapy works in frequency ranges of<br />
4,000 to 32,000 Hertz, whereas the electrotherapy low frequencies range from 0 to 200<br />
Hertz and is often used in the middle frequency range of 4,000 Hertz. However, the higher<br />
the frequency, the more energy can reach the patients body.<br />
While the traditional electro therapy stimulates nerves and muscles, the high tone therapy<br />
affects the cell metabolism directly. The defined aim of the treatment is to transfer as much<br />
energy as possible to the body to support the healing process, reduce pain and release<br />
energy blockades. The treatments results in an enlargement of the mitochondria, which<br />
increase in quantity and volume. The energy potential and metabolism in the cells due to<br />
the improved cooperation and communication between cells.<br />
Application<br />
Electrodes are attached to the patient, which transfer soft electronic impulses into the body.<br />
The duration of the treatment depends on the individual disease pattern and symptoms. On<br />
average ca. 10 treatments are required for a long-term therapy success – to begin with two<br />
to three treatments per week are recommended. In many cases patients become free of<br />
pain within the first couple of weeks after beginning of the treatment. After completion of the<br />
therapy most patients are more agile and mobile in their movements.<br />
Main indication are <strong>Lyme</strong> disease like ailments such as moving joint and muscle pain, back<br />
pain, degenerative joint illnesses (particularly knee arthrosis), diabetic poly-neuropathy,<br />
migraine, heachache, wound healing and oedema treatment.<br />
To reduce the ailments permanently, the therapy should be applied three times per week, 30<br />
minutes for each treatment. Otherwise ailments can return.<br />
Price List (non-commital)<br />
<strong>Chronic</strong> <strong>Lyme</strong> <strong>Compact</strong> <strong>Treatment</strong><br />
in the Borreliose Center Augsburg<br />
Below you can find an example of an optimal therapy, including all treatments that we offer.<br />
It is also possible to select individual therapies.<br />
Differences in costs will only appear in the final invoice, if there are any unexpected changes<br />
during the therapy, which could influence the therapy further.
Example of Costs in the 1 st Week<br />
Example of Costs in the 2 nd Week<br />
Example of Laboratory Costs in the 2 nd Week<br />
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Please find explanation of invoice codes (“Ziffern) on the next page.<br />
Price List according to the German Medical Fee Schedule (GOÄ)<br />
Number<br />
Code (as<br />
seen on<br />
invoice)<br />
Service Description Amount in<br />
Euros €<br />
(factor 3,5 unless<br />
otherwise stated<br />
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1 Consultation, also on the telephone < 10 min. 16,32<br />
2 Repeating prescription, also transmission of results<br />
additional via phone by <strong>BCA</strong>-Team<br />
4,02<br />
(factor 2,3)<br />
3 Consultation, also on the phone > 10 min. 30,60<br />
4 Prominence of medical results from other physicians<br />
(not <strong>BCA</strong>)<br />
44,88<br />
5 Examination according symptoms 16,32<br />
7 Complete examination 32,64<br />
8 Whole body status 53,04<br />
K1 Surcharge for children up to 4 years 16,09<br />
(factor 2,3)<br />
A30 First consultation > 60 min. 183,60<br />
A31 Second consultation 91,80<br />
34 Consecutive consultation 61,20<br />
60 Consultation (name of physician shown) 24,48<br />
70 Short medical note 8,16<br />
80 Medical letter by the physician 61,20<br />
76 Dietary Plan written 14,28<br />
A78 Therapy plan 36,72<br />
80 Written, expert opinion 61,20<br />
96 Copy Fee for written reports, etc. 0,17<br />
250 Taking blood 5,36<br />
(factor 2,3)<br />
252 Injection s.c./ i.c./ i.m. 8,16<br />
253 Injection i.v. 14,28<br />
269a Acupuncture > 20 min. 71,40<br />
272 Infusion > 30 Min. 36,72<br />
298 Smear test 8,16<br />
375 Immunisation / Vaccination 16,32<br />
377 Additional Immunisation / Vaccination 10,18<br />
410 Ultrasound of an organ 40,80<br />
417 Ultrasound of the thyroid 42,84<br />
420 Ultrasound, up to 3 other organs 16,32<br />
604 Measurements 32,64<br />
605 Lung Function 32,44<br />
(factor 2,3)<br />
605a Flow plethysmograph curve 18,77<br />
(factor 2,3)<br />
650 Electrocardiogram (ECG) / Emergency ECG 20,38<br />
(factor 2,3)<br />
651 Electrocardiogram 33,92<br />
(factor 2,3)<br />
652 Stress-electrocardiogram 90,78
Number<br />
Code (as<br />
seen on<br />
invoice)<br />
Service Description Amount in<br />
Euros €<br />
(factor 3,5 unless<br />
otherwise stated<br />
800 Neurological examination 39,78<br />
849 Verbal Intervention 46,92<br />
2009 Removal of foreign particles 20,41<br />
606A Oxygen Therapy 28,72<br />
(factor 1,3)<br />
Maske Mask for Oxygen Therapy (one-off fee) 5,50<br />
838A High Tone Therapy (WaDit-Horizontal Therapy) 73,73<br />
(factor 2,3)<br />
838B Magnetic Field Therapy (Bemer) or Magnetic Ring Coil 32,06<br />
(factor 1,0)<br />
566A Whole-Body-Infrared-<strong>Treatment</strong> 13,00<br />
(factor 0,476)<br />
530 Foot-Bath (Body-Detox-Foot-Bath-Therapy) (factor 1,8)<br />
+ 531 (factor 1,8) + 551 (factor 1,8) + 748 (factor 2,3)<br />
268B Photon Therapy (Bionic 880)<br />
4b Drs. Nicolaus & Schwarzbach „ärztliche Partnerschaft“ im<br />
Seite 12<br />
23,73<br />
46,92<br />
(factor 2,3)<br />
Nosode Nosodes for Photon Therapy (one-off fee) 20,00<br />
842A Exercise Therapy: Admission and Therapy Plan<br />
Development<br />
102,00<br />
(factor 3,5)<br />
846A Exercise Therapy in individual sessions (factor 2,3) +<br />
558A (factor 1,8)<br />
20,11<br />
(factor 3,5)<br />
20 Dietary Consultation (Group) 24,48<br />
(factor 3,5)<br />
<strong>BCA</strong>-<br />
Vital<br />
Infusion<br />
500 ml NaCl + Vitamins + Material Costs 30,67<br />
Material Costs<br />
Explanation of which invoicing figures are usually used in the consultations:<br />
First Consultation: A30, Examination (5, 6, 7, 8, 800), 250, material costs<br />
Second Consultation: A31 or 34, A78, 80<br />
7 th Week Consultation: A31, 80 (A78)<br />
Final Consultation: 34, 80<br />
Other Consultations: depending on complexity A31 or 34