Patient Name:Patient DOB:

Date of Study:Lab:

lissa bertschMarch 17, 1972June 10, 2017Cincinnati, Ohio

• • •Pain Lump Cancer

•Mammogram Count: 1-5Last Anatomical Study: 2/1/00Study Results: fineDiagnosed with Cancer: NoDate of Diagnosis: -Cancer Type: -Treatment: noneHormone Therapy: noneBreast Disorders: breast reduction in 1987Surgical History: 4x-tubestonsils/adenoids4x larposcopybreast reduction 1987parathyroid 2009gallbladder-2001c section 2004pt hysterectomy 20061 ovary removal 2007Concerns: in my left breast there has been pain and soreness however I have severe fibromyalgia, fibroid cysts in mybreasts and Im having severe neck and left shoulder to shoulder blade pain with muscle tightening and severe pulling andpain. My muscle is all bunched together with Charlie horse constant pain. I also get quite a few boils and cysts. I have sincethe age of 18. I also had a breast reduction in 1987Breast Symptoms: HysterectomyMiscellaneous Symptoms: Head allergies, Headaches, Thyroid, Sinus problems, Neck pain, Head Concerns: my discs inmy neck, my pain and inflammation in my left shoulder, left shoulder blade, my bunched muscle on top of my shoulder, Acidreflux, Abs History: all surgeries previous page, Abs Concern: on Thursday may 11, I will be receiving 6 epidural injections forneck and shoulder pain dr will try TRIGGER POINT injections if my knots are down, Left shoulder, Left elbow, Left arm,Upper History: surgeries on prior page ,, Upper Concerns: pain travels down left arm , shoulder, elbow, cannot put pressureon arm, cant hold a lot of weight, there is numbness and tingling from time to time, Lower Concerns: noneExam Notes: Piercings don't come out.Goes for chiro and massage.Drinks ACV everyday.Fibromyalgia since 13 years old.

Right Breast Left Breast

Vascular Patterns Asymmetrical: unilateral area of vascular patterns,A questionable pattern of vascularity is seen. Thiscreates a need for future monitoring asrecommended

Asymmetrical: unilateral area of vascular patterns,A questionable pattern of vascularity is seen. Thiscreates a need for future monitoring asrecommended

Focal Hyperthermia 0300 - 4.19ºC, Small area of focal hyperthermiaseen

No significant area of focal hyperthermia noted

Global Global hyperthermia is seen (>0.3C) - .82ºC Global hyperthermia is seen (>0.3C)

Nipple/Areola Delta t temperature measurements above normallimits (>1.0C) - 1.24ºC

Delta t temperature measurements above normallimits (>1.0C) - ºC

Contour A normal contour is seen in inverse grayscaleimaging

A normal contour is seen in inverse grayscaleimaging

Fibrocystic Assessment Previous Score: NACurrent Score: 4No Change

Comparative Study None

General Impressions The right breast shows a higher thermal activity demonstrated by a global delta t of 0.82ºc which issignificantly higher than the threshold, also some areas of focal hyperthermia with deltas as high as4.19ºc are present including right nipple hyperthermia, along with questionable patterns of vascularity,creating the need for anatomical testing and thermal follow up in 6 months to establish a baseline.The moderate mottling patterns noted across the breasts, bilaterally, may indicate fibrocystic changes.Consultation with an integrative doctor is recommended in order to assess hormone levels, eliminatetoxins that may be producing these abnormal heat patterns, and improve overall lifestyle.

Recommendations Anatomical testing (mammogram, MRI, or ultrasound is recommended, Lifestlye changes

Follow-up 6 months

Patient SymptomsHead allergies, Headaches, Thyroid, Sinus problems, Neck pain, Head Concerns: my discs in my neck, my pain and inflammation in my left shoulder, leftshoulder blade, my bunched muscle on top of my shoulder, Acid reflux, Abs History: all surgeries previous page, Abs Concern: on Thursday may 11, I will bereceiving 6 epidural injections for neck and shoulder pain dr will try TRIGGER POINT injections if my knots are down, Left shoulder, Left elbow, Left arm,Upper History: surgeries on prior page ,, Upper Concerns: pain travels down left arm , shoulder, elbow, cannot put pressure on arm, cant hold a lot ofweight, there is numbness and tingling from time to time, Lower Concerns: none

Head/NeckSymptoms: Head Allergies, Headaches, Sinus Problems, Neck Pain, Concerns: my discs in my neck, my pain and inflammation in my left shoulder, leftshoulder blade, my bunched muscle on top of my shoulderThermal Impressions: Oral inflammation, Nasal hyperthermia, Cerebrovascular Screening Temp: 0.10, Cerebrovascular Screening: Normal, OralInflammatory Factor: 9, Anterior neck congestion, Lymphatic congestion disguising possible thyroid conditionComments: The cerebrovascular screening shows a supraorbital delta T within normal range.Severe nasal and oral inflammation and lymphatic congestion that extends to the submandibular and anterior cervical regions and may be disguising apossible thyroid condition, clinically correlate.Recommendations: Clinical correlation, Dental consultation

ChestNot Performed

AbdomenSymptoms: Acid Reflux, Surgical History: all surgeries previous page, Concerns: on Thursday may 11, I will be receiving 6 epidural injections for neck andshoulder pain dr will try TRIGGER POINT injections if my knots are downThermal Impressions: Hyperthermic URQ, Hyperthermic ULQComments: The bilateral upper abdominal quadrant hyperthermia may indicate liver, gallbladder, colon and/or stomach irritation, clinically correlate.Recommendations: Clinical correlation

Spine/PostureSymptoms: -Thermal Impressions: Interscapular hyperthermia, Thoracic hyperthermia, Lumbosacral hyperthermia, Postural deviationComments: There are areas of hyperthermia on the upper and lower back that may indicate an underlying spinal segmental dysfunction, clinical evaluationand chiropractic consultation are advised.Recommendations: Clinical correlation, Chiropractic evaluation

Lower ExtremityNot Performed

Upper ExtremityNot Performed

General ImpressionsNo remarks.

Follow-up1 year

A Note to the Physician

Relevant comments are made to direct the physician in clinical management. This important tool should be used in addition to the physician's otherdiagnostic tools to create a complete clinical impression. The areas highlighted represent areas of concern that may need to be investigated by clinicalcorrelation and other testing. This may include physical, exam, palpation, radiology, metabolic testing, or other traditional methods of diagnosing.Thermographic imaging is a screening test that alerts of possible areas of pathology at the indicated levels. Normal variants are also common. Sometimespathological findings appear earlier than tradition tests. Close thermal follow-up is highly recommended over time.

*Thermographic Wellness, Inc is a PACT certified interpretation service that has contracted the above interpreters for this evaluation.Interpreted and reviewed by Thermographic Wellness, Inc based on the standards of the Professional Academy of Clinical Thermology.

DESCRIPTION OF THE CLINICAL THERMAL IMAGING STUDYThe patient above was examined by digital infrared thermal imaging using a high-resolution thermographic camera specific for clinical applications.Standardized thermography protocols were observed which are designed to optimize clinical correlation of thermal patterns.

Medical Thermography is a system using a highly technical and non-contact infrared camera to capture and record temperature variations on the skin, thelargest organ of the body. As such, the surface of the skin provides vital information that is directly influenced by complex metabolic and vascular activity,including micro-circulation, below the surface via the sympathetic nervous system. These patterns of activity vary in intensity and distribution over each bodyregion, represented by images with variation in colors. Detection of variations in skin temperature allows for recognition of asymmetric, abnormal orsuspicious thermal patterns over a specific area or region of interest. Changes of these patterns may be recognized by the interpreter as abnormalphysiology or function.

Thermal AnalysisThis report is based on study guidelines that are based on, but not limited to, side-to-side temperature intensity measurement and comparison, establishedthermological signs including pattern recognition and comparison of changes over time. This method of analysis allows objective clinical correlation by thepatient's physician and contributes to the decision-making process regarding therapy, additional testing and eventual diagnosis.

Breast ThermographyThermography is defined by the Food and Drug Administration (FDA Code of Federal Regulations Sec. 884.2980). Thermography is an adjunctive test anddoes not replace mammography or any other anatomical imaging test. A negative thermogram, mammogram or ultrasound does not preclude biopsy basedon clinical condition. The value of thermography as a screening tool is the non-invasive nature of the test and the unique ability to accurately measure skintemperature changes. Such monitoring affords detection of even subtle thermal changes that, although not independently diagnostic, may precedeanatomical findings by years and prompt early investigation and prevention. As there is no single known test capable of monitoring all complex anatomicaland biological influences of disease, monitoring with additional testing such as ultrasound, MRI, mammography or other testing as recommended by thepatient's personal physician is always advised.

Study OutcomeThis study provides adjunctive clinical information and recommendations based solely upon the images and patient information provided, to support thepatient's physician in medical or health evaluation. All findings in this report are considered by the interpreter to be related to the general health of thereported region. A "Thermographically Suspicious" finding in this report does not indicate that it is suspicious for any specific disease.

This report has been analyzed by the following interpreters according to PACT Standards and Protocols:Prepared by: Beth Borchers, DC

Preliminary Interpreter: Peter Lang, MD, FPACT

Senior Interpreter: Alexander Sepper, MD, PHD

Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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LissaBertsch_15 LissaBertsch_15Image Zone Min Delta T(Min) Max Delta T(Max) Avg Delta T(Avg)Left 1 29.25 ºC 1.40 29.95 ºC 1.15 29.51 ºC 1.24Left 2 27.85 ºC 28.80 ºC 28.27 ºCLeft 3 32.03 ºC 3.61 33.59 ºC 4.58 32.90 ºC 4.19Left 4 28.42 ºC 29.01 ºC 28.71 ºCLeft 5 31.17 ºC 1.83 32.15 ºC 1.63 31.72 ºC 1.81Left 6 29.34 ºC 30.52 ºC 29.91 ºCLeft 7 28.68 ºC 0.83 33.95 ºC 0.94 30.93 ºC 0.82Left 8 27.85 ºC 33.01 ºC 30.11 ºC

Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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LissaBertsch_20 LissaBertsch_19Image Zone Min Delta T(Min) Max Delta T(Max) Avg Delta T(Avg)Left 1 32.74 ºC 2.11 35.05 ºC 3.33 34.04 ºC 3.02

Right 2 30.63 ºC 31.72 ºC 31.02 ºC

LissaBertsch_20 LissaBertsch_19

Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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LissaBertsch_9 LissaBertsch_9Image Zone Min Delta T(Min) Max Delta T(Max) Avg Delta T(Avg)Left 1 33.08 ºC 0.07 34.26 ºC 0.16 33.66 ºC 0.10Left 2 33.01 ºC 34.10 ºC 33.56 ºC

Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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Address:,

Lissa Bertsch DOB: 03-17-1972

Technician Name: J. Groenewegen Doctor's Name: staff Referring Physician: staff

Study Date: 06-10-2017 Report Date: 06/12/2017 Other Study

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