Infusion: A Q&A with Chad Evans MD

Evans_Chad_webChad Evans MD is a Board Certified Neurologist who also heads Noran Neurological Clinic’s Infusion Department as the Director.  As a certified electrodiagnostician, he additionally performs EMGS for both his own patients and for other providers’ patients when ordered.  In this Question and Answer session, Dr. Evans answers some common questions about treating with infusion when symptoms or diagnosis calls for it.




Q. What is infusion therapy?

A. Infusion therapy refers to any medication or treatment that needs to be delivered via IV, or directly into the vein.


Q. Does it hurt?

A. There is a small amount of pain when the IV is inserted into the vein. Typically this is very minor and only hurts for a second or two.


Q. What types of conditions does the Noran Clinic Infusion Center treat?

A. There are numerous medical conditions that can be treated in the infusion center. Diseases such as MS, neuropathy, migraine headaches, seizures and other autoimmune disorders can all be treated with IV infusions.


Q. What is the diagnosis that we treat most frequently?

A. The most common reason for IV infusion is to treat severe migraine headache that has been unsuccessfully treated with medications by mouth.


Q. Are there some conditions that require routine infusions to manage?  Which are they?

A. Yes, chronic conditions such as MS and autoimmune diseases are often treated with routine infusions every three – four weeks.


Q. Are there cases in which a person would only need a one time infusion?

A. Yes, severe, intractable headache pain from migraine is often treated with a one-time infusion. Sometimes medications for seizures need to be increased rapidly with IV infusion.


Q. If a patient is receiving an infusion for a migraine or headache, how long does it typically take the infusion to start relieving symptoms?

A. For IV infusion to rescue migraine, there’s usually a mix of medications given. Some work immediately to make you sleepy and relax muscles that are tight and in spasm. Others can take three – four days for full effect.


Q. Is there any benefit to having infusion services administered through a neurology specialty clinic, like Noran, instead of at home or in a hospital?

A. The infusion center uses specialty trained RNs. They’re very experienced at starting IVs and also experienced in the side effects and common reactions of medicines used to treat neurologic disorders.


Q. Are infusion services typically covered by insurance?

A. Infusion services are almost always covered by insurance. If there’s any question, our billing office can assist with preauthorization. You should always confirm with your insurance plan that infusion services are covered.


Q. Will the Noran Clinic Infusion Center take a referral from my outside doctor?

A. Yes, your doctor may refer directly to our infusion center. Our nurses will work with establishing the proper protocol for giving your medication.


Thank you Dr. Evans for providing us with some great information!

To learn more about Dr. Chad Evans and how he works with his patients, visit his bio page.

If you have additional questions about infusion services and would like to schedule an appointment with a neurologist experienced in the management of your condition, please contact Noran Neurological Clinic at 612-879-1500.

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