Nitek THYROFLEX Instruction Manual

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THYROFLEX 4G INSTRUCTION MANUAL

Table of Content

Section 1: Hardware Included .................................................................... Page 1

Section 2: Computer Set-up ........................................................................ Page 1

Section 3: Testing ......................................................................................... Page 7

Section 4: Patient Record ............................................................................ Page 9

Section 5: Patient Preparation .................................................................. Page 11

Section 6: Performing Reflex Test ............................................................ Page 13

Section 7: Marker Placement .................................................................... Page 14

Section 8: Result Interpretation ................................................................ Page18

Section 9: Retesting Patient....................................................................... Page 19

Section 10: View Patient Test History ...................................................... Page 20

Section 11: Printing, Saving, and PDF ..................................................... Page 21

Section 12: Technical Support ................................................................... Page 26

Contacts: ..................................................................................................... Page 28

Hashimoto's ................................................................................................ Page 29

BioThroid .................................................................................................... Page 30

Iodine/Iodide ............................................................................................... Page 34

Thyroid Notes ............................................................................................. Page 36

Dr. Bayliss ................................................................................................... Page 40

Nitek Pharmacy .......................................................................................... Page 41

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Page 1: Table Of Contents
THYROFLEX 4G INSTRUCTION MANUAL Table of Content Section 1: Hardware Included ..............Page 1 Section 2: Computer Set-up ................ Page 1 Section 3: Testing ..................Page 7 Section 4: Patient Record ................Page 9 Section 5: Patient Preparation ..............Page 11 Section 6: Performing Reflex Test ............
Page 2: Section 1: Hardware Included
THYROFLEX INSTRUCTION MANUAL Section 1: Hardware Included 1. Debun-Linux XUbuntu Netbook with Thyroflex software preloaded. 2. USB reflex hammer system with USB link stick and hand sensor band. 3. Additional blue reflex hammer to assist in locating the reflex muscle.
Page 3 Manager” icon. Select the wireless Internet connection. It may be necessary to enter in your Internet service provider ID and password to establish password protected connections. DISCLAIMER: Nitek is not responsible for understanding your specific Internet type. Our computers are designed to connect to wireless Internet connections or CAT cable connections.
Page 4 5. The pull down menu, as shown below, will pick up what services are available or within range. Select your WiFi and register with your password to authenticate. (This is just a sample of WiFi connections) 6. If you briefly loose Internet connection during testing, you will still be able to complete your test and obtain results.
Page 5 Blue light Note: Each Thyroflex has matched ID #’s on the hammer link box and a PAC ID # on the top right hand corner of the rotating body patient input screen. These numbers are unique to your device. Every test can be seen in real time on the NiTek server.
Page 6 8. Press the black hand sensor button; you will get a light. The light should then turn blue. If hammer is not cocked after one minute of showing blue, it will show and then turn itself off. Press the black button to start Red light will appear briefly and then turn blue.
Page 7 Yellow light on sensor and yellow light on cocked hammer. Ready to Fire. 11. With the yellow light on hammer and sensor, you are now ready to “Fire.” (Might be a blind spot and you will see a blue light, adjust and make sure you see yellow lights before testing patient.) 12.
Page 8: Section 3: Testing
Launch Thyroflex software program using the “Nitek Software” icon. Entry Page for Testing The PAC I.D. number is the unique identifier for your Thyroflex and is synced to the Nitek server. 2. At the main menu, click on the drop down menu under “Physician” and select “Edit Physicians”...
Page 9 “Done”. 4. To add a new patient, click on the drop down menu under the “Patient” button, select “New Patient.” Select and/or add new client database. 5. Select the “Thyroflex Brachial Radialis” button to enter in patient information. TF.G4.2.28.14...
Page 10: Section 4: Patient Record
Section 4: Patient Record 1. Use the “Tab” key to go through the fields, fill in the patient name, birthday, gender, height, and weight. 2. Click on the drop down arrow to select the “sex”. Note: Height and weight unit of measurement is preset for your region. Patient Information Screen 3.
Page 11 4. Enter in patient “Hyper” and “Hypo” Thyroid Symptom Survey Score from their symptoms survey sheet. “FBD” 5. Enter the following codes for fibrocystic breast disease and lumps in “UF” “OC” breast. Uterine fibroids should be or ovarian cysts and prostate is “P.”...
Page 12: Section 5: Patient Preparation
Section 5: Patient Preparation Patient arm position & band placement 1. Patient should be seated comfortably in the chair with back fully supported by the backrest and both foot planted firmly on the ground (chair pulled close to table). Do not cross legs. Note: Patient crossing their legs or feet during testing will affect their test result.
Page 13 4. The Thyroflex tests the reflex of the Brachioradialis muscle (which sits directly under the Extensor Digitorium muscle); therefore, consistency and accuracy of the test is dependent on finding and hitting this correct muscle. Dorsiflex Hand Locate muscle 2-3 fingers from elbow crease.
Page 14: Section 6: Performing Reflex Test
Section 6: Performing Reflex Test 1. Cock the hammer by pushing up on the plunger until you hear a click. Place hammer with plunger perpendicular over the mark on the arm and depressed hammer slightly into the arm until skin indents to hold the hammer firmly in place over the muscle.
Page 15: Section 7: Marker Placement
If you are connected to the Internet it will show “Server” in green. If you are not connected to the Internet it will show “No Server” in red. 1. The Thyroflex will automatically set the reflex markers for you on valid reflex result (see graph 1-3).
Page 16 Graph # 2 & # 3: Fire marker (Green) is misplaced and will need to be re- adjusted to the left and right as indicated. (Click on the file to activate – the fire button will brighten up.) 3. Manual adjustment to the markers needs to be made when the “Fire”...
Page 17 5. Clearing incorrect results: If you do not like the look of the test results (Bell Curves) in the above photo (note that the bars on the right side are not equal) hit the clear button to clear out tests you do not want. In the example above in graph #3, the Bell Curve did not quite come down to the bottom line.
Page 18 6. Look at the “Value Comparison” bars. All the red “Pre-fire” and all the green “Fire” bars should be relatively the same length. If bars are uneven, re-check the placement of the markers. 7. Click on “Results” to obtain result summary page as shown below. Result Summary Page 8.
Page 19: Section 8: Result Interpretation
Section 8: Result Interpretation ≤ 51 ms Hyperthyroidism Normal Range 52-136 ms Green (Optimal) 52-100 ms Yellow (Herbal Supplement) 101-119 ms Orange (Borderline) 120-136 ms ≥137 ms Red Hypothyroidism (Use prescription Meds) 1. Take note of the “Reflex” time. Normal range is 52-136 ms 2.
Page 20: Section 9: Retesting Patient
To retest a patient, select database from the “Physician” drop down menu, select patient name from the “Patient” drop down menu, and select “Thyroflex Brachial Radius” click new test and modify patient information, if necessary.
Page 21: Section 10: View Patient Test History
3. Patient previously on medication will likely have a weight and symptom change; therefore, remember to update patient “Weight”, “Medications”, and “Symptoms” information. 4. Then click “Run Test”. Section 10: Viewing Patient Test History TF.G4.2.28.14...
Page 22: Section 11: Printing, Saving, And Pdf
“Details” to view or print the patient report. Section 11: Printing and Saving Thyroflex Instructions Please note for printing: Your printer must be compatible with your machine. Please view this site to make sure your printer is compatible: http://linuxdeal.com/printers.php...
Page 23 3. “JasperViewer” will pop up. 4. Left click on the “Print” button once. 5. “Name” should be set already as “PDF.” 6. Click on the “Print” button. TF.G4.2.28.14...
Page 24 4. “Jasperview” will pop up. 5. Left click on the “Save” button once. 6. In the “Save In” area, if “Nitek” is not showing, use the scroll down arrow to find 7. Under “File Name” type your client’s name there.
Page 25 11. Another screen will open, left click on the “Save” button once. Your .pdf is now saved in your “Documents” folder. 12. Close out of the “JasperViewer” and the client’s report. 13. Next, hover your mouse over the upper left hand side of screen and click on the blue icon, Accessories, and then File Manager.
Page 26 The following steps are for moving the .pdf report to your memory stick. 1. In the “Documents” folder, left click your mouse on your .pdf and move the report to your memory stick, just drag it over to the left hand side of the screen to your memory stick.
Page 27: Section 12: Technical Support
If more than one screen is open it will show in the top bar. “i" equals the number of tests left. When your tests get too low, the Thyroflex will automatically download as long as you are online, the new tests, seemlessly and automatically load additional tests onto your computer.
Page 28 Make sure your Thyroflex is online, so the Nitek server can seamlessly sync your new test. To turn your Thyroflex off, go to “Nitek” on the top bar and click on shut down. Never click on “Log Out.” TF.G4.2.28.14...
Page 29: Contacts
Contact listing: Billing: Danielle Grunwald nitekmed@gmail.com Training/Support: Betty bjmcelligottnitekmedical@gmail.com Clinical Questions: Dr. Turner drturner@nitekmedical.com Pharma: Anushka anushka@nitekmedical.com Admin: Jason Jason@nitekmedical.com Consulting Doctor: Dr. Noemi Q drnoemiq@gmail.com We also have Youtube videos that are of the “Most Frequently Asked Questions.” Here is the link: http://www.youtube.com/user/NiTekMedicalInc TF.G4.2.28.14...
Page 30: Hashimoto's
Hashimoto's Thyroiditis Protocol  When the patient fills out the symptom survey, and the Hypo score is 12+, and the Hyper Score is 7+ and if the 7+ Hyper score includes Tachycardia and or Palpitations, we would suggest that there may be a immune problem ...
Page 31: Biothroid
BIO-THROID NP THYROID (THYROID TABLETS, USP) Bio-throid RX ONLY NP Thyroid (thyroid tablets, USP) for oral use is a natural preparation derived from porcine thyroid glands. They contain both tetraiodothyronine sodium (T4 levothyroxine) and triiodothyronine sodium (T3 liothyronine) providing 38 mcg levothyroxine (T4) and 9 mcg liothyronine (T3) per grain of thyroid (or per 65 mg of the labeled amount of thyroid).
Page 32 dosage should be reduced. Thyroid hormone therapy in patients with concomitant diabetes mellitus or diabetes insipidus or adrenal cortical insufficiency aggravates the intensity of their symptoms. Appropriate adjustments of the various therapeutic measures directed at these concomitant endocrine diseases are required. The therapy of myxedema coma requires simultaneous administration of glucocorticoids (See DOSAGE AND ADMINISTRATION).
Page 33 Pediatric Use — Pregnant mothers provide little or no thyroid hormone to the fetus. The incidence of benefit from the small amounts of hormone crossing the placental barrier. Routine determinations of serum T4 and/or TSH is strongly advised in neonates in view of the deleterious effects of thyroid deficiency on growth and development.
Page 34 BIO-THROID IS AVAILABLE IN: .5 Grain 1 Grain 1.5 Gain To order contact Nitek at: www. nitekmedical.com TF.G4.2.28.14...
Page 35: Iodine/Iodide
Iodine / Iodide In the beginning, we evolved from the oceans of the world, where readily available Iodine was an essential part of our composition. As we moved further inland we no longer had a ready supply of Iodine, and we had to obtain it from our food sources. Oceans are a worldwide repository of iodine –...
Page 36 The interpretation of the data given by the above is the responsibility of you as the practitioner and your practice protocols. Nitek Inc. is not responsible for any erroneous diagnosis or therapy by the practitioner or clinic.
Page 37: Thyroid Notes
Thyroflex Thyroid Notes Antibodies Test (TPOab & TGab) = If: (Hypo = 12+, Hyper = 7+, Includes-Tachycardia and or Palpitations) Reflex Time: ____________Ranges: <Hyper = 52 >Hypo = 136, (B/L 120 – 136) (optimal 52-100) RMR: ____________(Women=2,250 cal/day, Men=2,750 +/- 250 cal/day for over/underweight or aged)
Page 38 For reflex speeds between 100 & 136 the homeopathic drops & supplements worked. (they also worked beyond reflex times of 136, but we found we had to increase the doses substantially to the point where they became cost prohibitive) For Reflex times 136 plus we suggest that you consider natural desiccated thyroid (Bio Throid) with T1,T2, T3, T4 &...
Page 39 Shows that supplements work, but become to cost prohibitive Shows that too much Iodine crashes the Thyroid Shows exactly what is supposed to occur FT3 up The Bio identical hormone, meds performed the best FT3 & FT4 both increased Why we must address Diet, Sleep & Stress TF.G4.2.28.14...
Page 40 The interpretation of the data given by the above is the responsibility of you as the practitioner and your practice protocols. Nitek Inc. is not responsible for any erroneous diagnosis or therapy by the practitioner or clinic...
Page 41: Dr. Bayliss
Dr. Bayliss In 1971, Dr. R.I.S. Bayliss a famous Endocrinologist, in his speech at the Medical Society’s Transactions; after many decades of treating thyroid conditions he was asked again how he could tell when a patient had adequate thyroid replacement. “I am often asked how the correct dose of thyroxine is determined.
Page 42: Nitek Pharmacy
Nitek Pharmacy BIO-THROID (Natural Desiccated Thyroid in the following strengths: ½ Grain (30mg), 1 Grain (60mg) and 1½ Grain (90mg) BIO-DINE MEGA PURE (Iodine-Iodide in 6.25mg, 12.5mg, 50mg) BIO-ADREN (Adrenal blend with natural bio identical hormones) BIO-DHEA (10 and 25mg)
Page 43 :______Date:_________ PATIENT NAME I understand that the Thyroflex™ uses a reflex hammer that may leave a bruise, as such; I will not hold the Practitioner or Nitek Medical Inc. responsible for such any injury.__________Initial here Do you suffer from any of the following?