ETeam Professionals and Services
The ETeam is a unique service in Canada offering specialized multidisciplinary assessment for clients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, Fibromyalgia and Environmental Sensitivity. The “E” in ETeam stands for environment as many believe that our modern chemical environment is a factor in the development of these disorders.
The ETeam mission is to objectively measure function and dysfunction in clients with these difficult to diagnose conditions. The ETeam assessment determines a profile of strengths and weaknesses, and provides therapeutic suggestions to assist clients achieve better health.
Mr. Robb Hadden, M.Ed., M.Sc. R.Psych. is a registered psychologist with extensive experience in psychometrics and other aspects of psychological evaluation. He uses well-established, standardized tests and procedures to provide a comprehensive cognitive assessment including working memory, attention and concentration, speed of mental processing, word finding, and other aspects of cognitive functions commonly affected in persons with ME/CFS, FM and ES.
Dr. Michelle DeLisle Ph.D., R.Psych. has over 10 years clinical experience working with patients who have chronic pain and experience in cognitive assessment.
Dr. Diana Monea, O.D. FAAO, is an optometrist with a special interest in assessing the effects of toxic exposure, ME/CFS and FM on vision. A complete eye-health assessment is followed by a visual consultation with digital documentation of the corneal map for dryness, retinal photos for signs of eye disease, refractive testing, visual field measurement to determine any visual loss, and a test for color vision changes.
Dr. Ellie Stein, MD, FRCP(C) is a psychiatrist with experience and interest in ME/CFS, ES and related disorders. She will undertake a detailed history of the areas that are affected by these disorders and a global review of symptoms to rule out other causes of the problems. The objective of her medical assessment is to confirm diagnosis, identify additional medical or psychiatric disorders, assess medication and supplement use, and provide information regarding lifestyle and management to optimize functioning and quality of life.
Dr. Anne Woolliams, Au.D. is an audiologist experienced in evaluating the function of the auditory-vestibular system which is one of the systems within the body most sensitive to toxins. These organs may show signs of significant destruction before any other signs of toxicity may be seen. She measures hearing thresholds—the softest sounds which can be heard, determines the functioning of the cells within the inner ear and how effectively sound is transmitted from the inner ear to the level of the brainstem. Dr. Wooliams has recently added treatment for tinnitus to her list of services. She is the only provider of this service in Western Canada.
Cory Fagan, MSc is a kinesiologist and owner of TCR Sport Laboratory in Calgary. Although Cory’s primary clientele are athletes he has a background and interest in chronic illness including cancer survivors and patients with ME/CFS and FM. Incremental Blood Lactate testing assists patients in determining their anaerobic threshold and exercise capacity. Cory provides recommendations for incremental training based on individual capacity. Cardiopulmonary Exercise testing is the gold standard to determine exercise capacity. It is possible to objectively measure whether someone has given a maximal effort. These results cannot be faked. Clients can attend for a traditional one day test or the specialized two day exercise test protocol. The two day protocol, if positive offers confirmation of post exertional malaise the core symptom of ME/CFS.
Myosymmetries: Dr. Stuart Donaldson was a recognized expert in QEEG and Brain Biofeedback. He published research on Electromyography (EMG) in Fibromyalgia and chronic pain. Chris Rozell is a provisional psychologist trained by Dr. Donaldson with a keen interest in interpretation of QEEGs and helping people function better. Myosymmetries offers:
Quantitative EEG (QEEG) Brain Map: QEEG is a form of assessment which measures the electrical activity of the brain in specific locations. The goal is to determine the type and level of activity at each location, and measure the degree of connectivity between locations. With this objective information, one can gain improved understanding of a person’s functioning, and can potentially explain symptoms that an individual experiences.
Psychophysiology Stress Testing: Using the Thought Technology system, we monitor an individual’s heart rate, breathing rate, sweat response, muscle responses, and temperature while they complete a number of exercises that are designed to be challenging. The level of each physiological response provides us with objective evidence that may relate to symptoms and can provide clear goals to make treatment more efficient/effective.
Who is the ETeam for?
The objective of the ETeam protocol is to reliably measure the medical, psychiatric, cognitive, sensory and exercise function in people with ME/CFS, FM and ES. Our protocols and test selections are designed specifically for this purpose. We do not accept referrals for unrelated disorders affecting cognition such as head injuries or neurological disorders.
Call us to Start the Process
For most clients the first step is a phone call to Linda Rochow at the ETeam office. She will be your primary contact. Next, you will be scheduled to talk by phone with one of the ETeam psychologists to discuss whether your symptoms fit the profile of people we feel we can help. We will be most likely to find objective abnormalities if you have significant health, sensory, cognitive and exercise challenges. The psychologist will also discuss the protocol and the fees. You will than have a phone call with Dr. Stein to discuss the choice of tests that will best meet your needs. If you decide to proceed with an assessment, we will send you a patient registration form and a medical referral form. Please ask your MD to complete the medical referral form and FAX it back to us with the clinical issues and questions of concern. If your assessment is for medico-legal purposes, you must be referred by your lawyer and the fee schedule will reflect the increased work required.
After we receive your referral, you will be sent a patient package including several questionnaires, charts to observe your health for 2 weeks and instructions to write a brief medical history. Please complete and return this information at least 3 weeks prior to your assessment. Your medical history alerts us to possible conditions we may need to test for and may influence our recommendations for test selection.
The ETeam protocol includes approximately 12 - 15 hours of in person assessment time with the various team professionals. For most out of town patients the tests can be completed in one week. Linda Rochow will work with you to schedule your appointments at a convenient time and in keeping with your energy limitations. You will be sent a schedule of your appointment times and the contact information for each ETeam professional. If you have to change an appointment time please contact the ETeam office directly.
After you have completed the entire assessment, the team members will discuss their findings with each other and prepare a comprehensive report. Please allow up to two months for this process especially if your assessment is right before a holiday. You and your referral source (physician or lawyer) will receive individual reports from each ETeam professional, copies of test results and an executive summary of the main findings.
You will have a follow up call with your psychologist to discuss the findings and recommendations. You may book follow up appointments with any of the ETeam professionals except Dr. Stein as needed.
The objective of the ETeam protocol is to reliably measure the medical, psychiatric, cognitive, sensory and exercise function in people with ME/CFS, FM and ES. The written report you receive may validate what you already know about yourself but have been unable to quantify or describe in objective terms or may provide new information. The report will also include recommendations to manage and compensate for your symptoms. In some cases we may recommend further testing or treatment. That is of course up to you.
The medical component of the assessment (Dr. Stein) is covered by Canadian provincial health care plans. The psychological, visual, audiological and exercise assessments are not covered. Most insurance plans will pay a portion of these costs. If you need it, we will provide you with a list of test procedures to submit to your insurer so that you will know the ultimate cost to you. In most cases insurance will not cover the entire amount.
The fees differ for patients who are resident of Alberta, residents of a province other than Alberta and for medico-legal assessments. Please indicate your situation so that we can give you the correct fee information. Half of the total fee is payable at the time you sign the informed consent to undertake the ETeam protocol and half is payable when you receive the final report.
For medico-legal assessments, the informed consent is signed by your lawyer and the lawyer pays the ETeam directly. In all other cases you are responsible for the fee. It is your responsibility (not ours) to get any reimbursement that you may be eligible for through insurance, WCB or out of province health care plans. We will provide you will all documentation you require to obtain reimbursement.
All the ETeam professionals are located in central Calgary, Alberta. If you will travel from out of town to participate, we will book all of your appointments within one week. You will need to book at least a month ahead and have your paperwork back to the ETeam office three weeks before your scheduled appointments. Pre and post contact such as answering your questions about the protocol, informed consent and follow up can be done by phone and email.
We are very excited to offer you this much needed service.
ETeam Fee Schedule
The ETeam has three fee schedules, one for residents of Alberta, one for other Canadian residents and one for medico-legal assessment
Click here to download the ETeam fee schedule for Alberta residents with a valid Alberta health care card.
Click here to download the ETeam fee schedule for Out of Province Canadian residents with a valid provincial health care card.
Click here to download the ETeam fee schedule for Medico-Legal assessments of Canadian residents.
For more information contact the ETeam office:
Phone: (587) 392-5066, Fax: (403) 234-7980, or Email: firstname.lastname@example.org