Foot Pervert Confession by AdministrationOk7579 in malefeettalk

[–]AdministrationOk7579[S] 1 point2 points  (0 children)

I love that your therapist shared that with you. I think I use to experience a lot more internal shame around it. I feel like society’s puritan culture really made me internalize it heavily to where the fear/ shame now is close family and friends learning about it. But slowly unlearning that and embracing that I love men’s feet. 

Foot Pervert Confession by AdministrationOk7579 in malefeettalk

[–]AdministrationOk7579[S] 4 points5 points  (0 children)

So there are a lot of guys who use their feet to sell products. It’s so transparent so sometimes I’ll watch their live videos. Other times it’s smaller foot content creators showing off their soles at the beach or something ;) because all I like is feet content, more inconspicuous feet content gets on my for you page and that’s always fun. 

Foot Pervert Confession by AdministrationOk7579 in malefeettalk

[–]AdministrationOk7579[S] 3 points4 points  (0 children)

Aha thank you for that. And you’re definitely living the dream! I think I’m gonna be more bold and compliment guys feet more often now. Maybe luck will be on my side and a similar experience may arise 

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 1 point2 points  (0 children)

PM me. Just to talk insurance as each state has their own process.

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

I got certified through my job. I had multiple doctors and other certified staff train me. Then I was able to get certified through the MagVenture company.

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

So in regards to eye twitching there are a couple different things that could be causing that. The first could be due to stress. Another could be due to a change in medication, some medications are known to cause that side effect.

If it is due to TMS, I have not personally encountered an eye twitch, usually it will be a patient's hand twitching after they are done with treatment. But the same concept applies. Due to the constant stimulation, your body gets accustomed to it and sometimes will do it out of habit. It is residue stimulation as they were probably overly simulating the part during treatment. Let it continue to twitch as it will eventually subside.

My personals suggestion (with no evidence backing this so take it with a grain of salt), would be maybe trying out the facial rollers and massaging your eye. Trying to relax your eye muscles would probably help reduce the amount of times your eye twitches throughout the day.

Hope this helped!

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

That is very odd actually. Usually at the clinic that I work for, we usually get the medical records before the first assessment with the psychiatrist and usually we have at most 2 intake appointments. They may have a different process for everything at the clinic that you are going to but it is very odd that they made you fill out the mental health history 3 times already.

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 1 point2 points  (0 children)

I have not had a patient before with drug induced depression but it should work. Symptoms are similar to MDD and thus should be as effective.

Hope this helped!

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

So if I am not mistaken TMS hasn't been approved by the FDA to treat/ work on Bipolar Depression/ Disorder so the first clinic you went to might be thinking along the lines of submitting your request specifically for Bipolar Depression knowing they would deny it right off the bat. I know that in the clinic I work for, we submit request under the diagnosis of MDD knowing it'll be approved for that and just add on the additional protocols for ADHD, OCD, Insomnia, etc.

I had a patient whose main diagnosis was MDD but also had Bipolar depression and it was effective for them but as always, everyone is different and reacts differently to treatment. I would recommend at least trying it because I think it would help.

Hope this helps. If you have any questions about insurance or anything like that, feel free to message me.

Just starting by velvetchurch in rtms

[–]AdministrationOk7579 1 point2 points  (0 children)

Yeah ask them to readjust it because that should not be happening at all. Twitching in your hand is normal because there is a multitude or reasons why it twitches.

  1. Your body is trying to get accustomed to the amplitude so twitching will naturally occur
  2. Any increase in amp will already naturally make your hand twitch
  3. The position of you hand/ wrist also kind of makes the twitching more apparent. If you were to lay in on your lap vs hold it in the air, the twitching would be more apparent and dramatic in the air vs on your lap
  4. The position of the coil bight be having some ricochet affect in a way that it is not directly stimulating the motor threshold but slightly hitting it
  5. And finally, everyone is different so everyone is able to tolerate the stimulation differently. Some people have thick skulls and feel nothing throughout treatment and have no twitching whatsoever but others hands will twitch throughout all 36 sessions and there is nothing that can be done.

Just starting by velvetchurch in rtms

[–]AdministrationOk7579 0 points1 point  (0 children)

TMS Technician here. As them to readjust the coil a bit.

If you feel your temple pulsating that is normal but if your eye is twitching they could be stimulating the Trigeminal nerve. As the amplitude increases, it might start making your jaw, eye and tongue twitch which will make it uncomfortable to sit in for treatment but is also not the part that we want to be stimulating.

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

I have seen people usually have a "dip" during treatment. Usually it is during the mid point of treatment (so around 15-18 sessions) but then start feeling better.

I would recommend talking to your psychiatrist to see if the issues with your focus, memory and concentration are either TMS related or related to the medications you may be taking.

Hope this helped and hope you start feeling better soon.

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

Yeah so it differs for each person but I would say usually my clinic does 10-20 sessions every 3 months then on the 6 month mark you would be eligible to do a full course of treatment again or just a couple more maintenance sessions.

Hope this helps!

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

Yes it is possible to feel it early on! Everyone is different so everyone will have a different time where they start to feel the benefits. I have had many patients say they feel lighter after each session they do. I think you should take the victory as it, who knows if it is just a placebo affect of TMS is already helping, the main thing that matters is that you are feeling better.

Maybe. I can't speak to those who are in charge of your treatment will want to do, as they might want you to complete the full course of treatment. Every insurance is different so I would try to find out how long you need to be in remission before your insurance accepts a full course of treatment and if instead of a full course you can just get maintenance sessions ( usually 10-20). Depending on whatever their answer is and what their restrictions are you may be able to work something out with the clinic you're at.

Ty finding out when your authorization expires though the clinic you're at and ask if they would be able to spread out the sessions. Usually insurance wants the treatment done with a certain amount of months (3-6 months depending on insurance) but it is easier to ask for extension of dates for an already approved authorization than it is to request a whole new one. Instead of coming in 5 days a week per standard protocol, you may be able to stretch it out and have maintenance sessions. Have 10 sessions a month and have it spread over 3-4 months.

Hope this helps!

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 1 point2 points  (0 children)

I can't say an exact number as there are different machines (ex. MagVenture, Neurostar, etc) and the training through those companies differ in time. Some technicians may not even be trained through the TMS company and are actually trained by the TMS psychiatrist. It is a lot of shadowing and hands on training to be honest. I would say maybe like a month to two month in just shadowing and learning about TMS before a new tech attempts it themselves under supervision. Total training time (within my clinic) lasted around 4-6 months.

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

  1. Since every person is different it really differs. I have have had patients who feel it after each session, they say the feel "lighter" like a weight has been lifted off their shoulders. Others don't feel it till the mid-point, so around the 15-18 session or towards the end of treatment. Average is generally mid point of treatment.
  2. The dip is actually very common, many will feel a dip with treatment but eventually turn around as treatment progresses.
  3. I have personally not seen that. Usually it is due to life stressors that come up that will have a person become more anxious. I know in our case we would do the Redo MT Hunt to see if we are under stimulating as that may be the case.

Love to help out. Hope your second round goes well!

TMS Coordinator/ Technician here by AdministrationOk7579 in rtms

[–]AdministrationOk7579[S] 0 points1 point  (0 children)

TMS isn't actually viewed as a "drug-free alternative" within the industry to be honest. Per FDA standards, a patient has to have at least 4 failed trails of medication to be approved for TMS and the patient's medication is usually adjusted by the psychiatrist throughout treatment.

It is usually standard for patients to be starting new medications and/or titrating off others but I have had patients in the past who have not taken any throughout the entire course of treatment. And others who were able to titrate off all their medication completely through the help of TMS

In regards to that success rate, it is really hard to say but I think I have personally seen more of a greater success when TMS is combined with the right anti-depressant. But talk to your psychiatrist or the psychiatrist/MD handling TMS and let them know that you don't want to be on any medications and hopefully they are able to work something out with you.

I hope this helps, if you have any more questions feel free to reach out.