How We Learn About Your Brain: Consults, Testing, Tracking

CONSULTATIONS

Consultative Integrative Neurology and Integrative Pediatric Neurology — Review of your (or your child’s) history, testing and strategies to date plus in-office testing, with recommendations, follow-up and referralsas needed.

Coaching Calls — We will review your data and things that have changed, and can also refer to carefully chosen health and lifestyle coaches.

Laboratory testing for nutritional, metabolic, environmental and other issues can also be ordered.

IN-OFFICE TESTING
  • Brain Tests

qEEG (quantitative EEG) — This test involves recording your brainwaves and then finding patterns in them with the help of software.  EEG means “electroencephalography” — measurement (“graphy”) using electrodes on your head to measure your brain (cephalo) and quantitative (“q”)analysis to reveal patterns not visible to the unaided eye.  A qEEG differs from a clinical neurological EEG in various ways, particularly 1) it can reveal seizures if they are there, but it is not optimal for uncovering them), and b) it gives more information than a clinical neurological EEG about brain function and patterns of dysfunction most of which are not related to seizures.

A qEEG takes a total of about 45-60 minutes of your time.  You wear a cap with electrodes that detect brain signals through your scalp.  It can be done at the start of treatment and at intervals as treatment proceeds, in order to see what has changed. It is a test of function – how you are doing – not a way of identifying a specific diagnosis.

Brain Gauge — This test, a product of Cortical Metrics, involves responding to buzzing in your fingers from two buttons on a mouse-like device.  From this, it can calculate how you are doing in at least 8 different kinds of brain function.  Then we can graph and track how this changes over time.  Here is the science.

  • Stress and Autonomic Nervous System Tests

Stress measures —  We measure Heart Rate Variability (HRV)–which measures how well your body is able to rest and repair (parasympathetic function).

Regulatory Thermometry  This highly informative test from AlfaThermo (check out the video of how it works!) measures changes in temperature on the surface of your body in response to a bit of cool air stress. It tells you how your body reacts and where its strong and weak points are.

AT-HOME TESTING AND TRACKING

Track your Apps and Wearable Devices – We use Heads Up Health to integrate information from your devices and apps so we can partner in tracking change and progress more frequently and in more detail.

Some favorites that integrate with Heads Up Health:

        • EliteHRV –  A platform for tracking your HRV over time that is compatible with their CorSense finger device and a variety of other devices
        • Oura Ring – A ring that tracks your sleep, deep sleep, heart rate, and activity and uploads to an app
        • Biostrap EVO – A device that measures sleep, heart rate and activity with wrist, chest or other versions
        • Cronometer – An app where you can track your food and all your nutrients and supplements
        • KetoMojo – A finger-prick “two-fer” that measures both your blood sugar AND your blood ketones, and uploads to an app

The Brain Gauge can also be rented or purchased to be used at home on up to 5 people.

The Sleep Image device is a wearable at-home professional device that is the only such device FDA cleared to measure sleep quality.  It is optimally worn three nights in a row, and detailed graphical reports are generated.

With the Heads Up Health app, you can pick measures from each of these apps, or from other tests, and see them all on one dashboard.  You can also graph groups of them to see how they change over time in relation to each other.  The app also allows you to upload your medical records and access labs directly from major labs like Quest and LabCorp.

 

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About Me

Dr. Martha Herbert is a pediatric neurologist, neuroscientist, systems thinker and writer.

Contact

Phone: 857-366-9399Fax: 857-263-5810777 Concord Avenue, Suite 301, Cambridge, MAGet Directions