Doctor Appointments
What to expect from your first appointment
During your first appointment, we will carefully review your child’s medical history (based on the questionnaire you complete beforehand), your most urgent needs, do a physical exam and then together make a individualized plan. From the history, I will be looking for clues about environmental toxins, such as mold, chemicals or toxic metals that you or your child may have been exposed to. Blood or urine testing might then be ordered. Next, we will write down the plan, one item at a time and what the goal of that intervention is (for example a particular vitamin might be expected to help speech). Typically, items such as a new supplement or medication will be added one at a time 2 to 4 weeks apart. If something is helpful, it should be continued until we can speak again. We feel strongly that it is important that you keep careful records, begin one intervention at a time and let us know immediately if your child has a side effect (such as worsening behavior). Typically if there is a side effect, either stop the most recent thing added or cut back the dose. (Of course, they could have a new behavior unrelated to an intervention.) We will give a list of several items to add between visits, which are typically 2 to 4 months apart, depending on your needs and your child’s response to treatment.
Follow up appointments
Using the follow up form you complete prior to the appointment, we will review your child’s response to treatment so far, and your current goals or needs. We will review any testing done between visits (although we also give results and recommendations as soon as they are available to us). Then we will make and record a plan together as above. We will always be considering what nutrient or other treatment your child needs and what needs to be removed (for example a food or toxic exposure).
Diagnostic Evaluations for Autism
Because of the large number of children with developmental delays, finding someone who can do a full diagnostic evaluation can be difficult. Dr. Hulseman has been trained by staff at Riley Hospital for Children to do formal evaluations for autism for children less than 42 months of age. If the results of this evaluation are not clear, you might be referred for a second evaluation. As with other services, this would not be billed to insurance.
Low Pressure Hyperbaric Oxygen Therapy (HBOT)
Hyperbaric oxygen therapy (HBOT) is a treatment where oxygen is administered under increased atmospheric pressure. In our office we use 1.3 atmospheres (ATM) of pressure for 60 minutes. Oxygen from a concentrator is used. It may take 60 or more treatments to get optimal results. It may help in people with autism, because this therapy lowers oxidative stress, may work as an antiviral and antibacterial therapy, and may repair damaged brain and other tissue by increasing new blood vessel growth. A placebo-control study completed in April 2007, showed positive results in autism, especially with language, focus and socialization. This, as well as some other benefits, are what we clinically see. It is generally a very safe treatment. We use soft sided chambers from OxyHealth. These chambers are FDA approved for home use. It is not possible for the pressure to go above 1.3 ATM with these devices.
We offer in office 1 hour treatments or 30 day rentals. If you choose a 30 day home rental, we strongly suggest a 1 hour trial in the office (included in the price) before taking the equipment home.
HBOT has other applications as well. These include, but are not limited to, wound healing, head injury, stroke, cancer, long-COVID, chronic infections, and autoimmune disease. (see research articles under resources tab) Active patients have priority for renting these devices, but others may do so, if approved by Dr. Hulseman. If you are interested, for your safety and to assess the appropriateness of the therapy for you, please contact us for a one time consultation prior to rental. You may rent multiple times after that first consultation. If you are specifically referred by another provider who is knowledgeable in HBOT, that consultation will be waived. We do require something in writing (e-mail is acceptable) from your provider.
A deposit is required to take the rental equipment out of our office. The remainder of the balance is due on its return. If the equipment is unusually dirty, a surcharge will be applied. If the equipment is damaged, the renter is responsible for the cost of repair.
IV Services
At the direction of your All Aboard provider various IV therapies are available. Usually patients receive their IV therapy weekly for as long as benefit is seen. IV therapy includes, but is not limited to, glutathione, high dose vitamin C and nutrition therapy. These are generally only provided for established patients. On occasion we will provide IV therapy for out-of-area providers, if we have both clear orders and clear communication with those providers.
The cost of IV infusions includes equipment, supplies and nurse time. We will provide paperwork for insurance reimbursement, but payment is due at the time of the infusion.
Low Dose Allergy Therapy (LDA)
Low dose allergy therapy is a non-FDA approved, standard dose allergy therapy. It is a very safe and helpful therapy for both conventional allergies and sensitivities. It can work for typical seasonal allergies, as well as food allergies. It can sometimes be helpful for chemical sensitivities as well. It is provided ONLY for established patients.