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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

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