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I would agree with getting a sleep apnea study,

Posted By: sm on 2007-04-28
In Reply to: meds for - migraine sufferer

but have you also tried cutting out the caffeine to get rid of the headaches? I have migraines that are related to caffeine withdraw. So, whenever I have caffeine, my body will crave more of the drug and have withdraw, thus a migraine. I used to have horrible migraines daily and then I met this wonderful neurologist who had me cut most of the caffeine out of my diet and it has worked wonderfully! Also, when I do get a bad migraine, I simply take Tylenol or aspirin with a Coke and it always makes the migraine go away. If you look at the ingredients in OTC migraine medications, they all have caffeine in them too, which for me helped confirm that my migraines were caffine-withdraw induced and not actually caused by the caffeine. Anyway, I only have about 2-3 migraines a year now, which is a HUGE improvement!


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sleep apnea
My sister had the test for sleep apnea.  She had to go to a sleep lab at a local hospital and spend the night there.  They hooked her up with EKG monitors and other monitors which she didnt know the names of but she said basically she had to sleep and they watched and monitored her breathing, heart rate, etc., while she slept. 
sleep apnea
Sleep apnea will also cause morning headaches, and feeling like you want the cry in the morning because you are so tired.
Sleep apnea
Excellent suggestion on the sleep apnea!  Husband was sick for a long time, first with high blood pressure, then memory problems, depression, headaches.  He got medications for all of the above symptoms, but it wasn't until I insisted and had a mini tantrum at the doctor's office that he got tested for sleep apnea, which is what was causing all of the other problems.   Now he takes no blood pressure meds and does not have trouble sleeping, but he cannot really remember anything that happened during the period of time when he was suffering from sleep apnea and was overmedicated with the wrong medications.
re: sleep apnea & cat waking you up

I find it so fascinating how our pets are so intuned to anything out of synch with their owners & it sounds like that is just what your kitty is doing, waking you to breath.


Just read an article to where they are now able to train dogs to detect when people (who have very hard to control diabetes) blood sugar gets to low! A mom who has a son with seizures AND juvenile diabetes noticed how their seizure trained lab would get nuts at times when her son was sleeping, but not go into the standard trained mode of keeping paws on both sides of the head.  He would frantically lick the kids mouth but mom noticed her kid did not wake with this and ...found him almost in diabetic shock. She talked to her doc and the training school and they realized they can train dogs now just by the scent of their socks (normal then when blood sugar is low).


The article was in my local news, a man whose wife was a doc, yet his diabetes was so uncontrollable that paramedics were frequent visitors, got one of these dogs and since then, they've not had to call the medics because the dog warns him in plenty of time to check his sugar.  Said one time, he was on a ladder cleaning gutters, the doc inside starting getting nuts and doc realized in time what was going on.  Just amazing


They


How about a doctor with sleep apnea sm
who falls asleep during his dictation?
I think I have sleep apnea...dread the testing. Anyone have this?
I was told that I gasp and choke during sleep several years ago. My cat wakes me up by putting her paw on my lips at night. During the last two weeks, I wake up every 1-1/2 to 2 hours for no reason (I finally had to put the animals out of my room to sleep through the night).

I think this is sleep apnea. I am 47. The CPAP machine may be what I will need. However, I cannot sleep in certain situations (like with someone watching me!). How will I ever get tested?

Can anyone here give me an idea of what the test is like? Can I take it at home? Thanks in advance!
Do you snore? Could be that you have sleep apnea. My DH does. He felt like he was getting a

good night's sleep, but would find himself feeling tired in the morning and falling asleep a lot during the day.  I mentioned that he snored and seemed to move around a lot in his sleep and seemed restless at night.  The doctor sent him for a sleep study and he had sleep apnea.  Basically, he wasn't getting enough oxygen and working really hard to breath in his sleep which made him feel tired in the morning.  He was put on a CPAP machine for a while, but then we found that his seasonal allergies and chronic sinusitis was causing his snoring and he had sinus surgery to help him breath better and that did the trick.


Or another reason for feeling fatigued even after getting good rest could be that you are depressed.  Are you depressed or stressed?  Or it very well could be a vitamin deficiency of some sort or some other physiologic problem that they haven't even discovered yet.  The possibilties are endless...


Your best bet is to go to the doctor and have some lab work done and start ruling stuff out.


Sleep Study
Get this: I had an appointment with the doctor this coming Wednesday to discuss a sleep study. Last Wednesday 2/1/06, his office calls me wanting to know if I was coming in because I was late for my appointment, and I reminded her that it was not that Wednesday but this coming Wednesday and she remembers and admits she got it wrong. This morning same girl calls to remind me of my Tuesday appointment!!!! Went through the same thing again and then she says, "Oh, yes. It is Wednesday. Can you come in Thursday? He's going to get called to the emergency department!!!" Uhhhhh did I miss something or is she clairvoyant on emergencies? This is why I do not go to the doctor unless it is absolutely necessary. I guess he has a golf game lined up.
Get a Sleep Study
It could be sleep apnea or narcolepsy. Yes, you can be healthy as a horse and still have sleep apnea or narcolepsy!
Sleep study transcription...

I have been approached by a sleep study doc to do the transcription for them.  I have not done these before and I'm not sure what to charge.  Does anyone have any advice for what to charge them or any sample reports?


 


Thanks so much


Here is a sleep study website
http://www.sleepnet.com/definition.html
I ran into this system when I had a sleep study
Last winter outside of Orlando Florida. I waited to be set up for the initial sleep consultation, and the technician who takes vitals went into the template and asked me questions and filled it in. I told her what I did for a living. She smiled and said so does she, now... except it took under 3 minutes to do my whole history and physical etc. with better accuracy because she had drop down menus for just about every possible suggestion I had etc. She gets paid hourly as a tech and did not get a raise when this system came in. But she does it for the job security. I asked the doc and he said it is not only cost effective, but safer not to send work outside of the office or even out of the exam room because of HIPPA reasons. I can understand this. Knowing all of this, for some reason, I did not feel in the least intimidated or put out. I say the serenity prayer. If and when these systems are the norm rather than an oddity, another door will open for we transcriptionists which is better than what we have now. We have to believe as things evolve better for the medical record-keeping, indeed so will the jobs evolve better for us, even into a new career. To not believe that would be fatalistic. Somewhere in fate, IMHO we have to be willing to accept the times moving with or without us, and what our part will be in a positive way, rather than think it will be a negative thing.
Typing for a sleep study laboratory...sm
I make $5.00 a page, $5.50 a page for letters and $6.00 a page for stat dictations.  BTW, this is whether there are two lines on the page or a full page.
Cardiology and sleep study transcription questions

I am looking for other Transcriptionist that have cardiology and sleep study backgrounds. I am a newer MT, I am starting a cardiology and sleep study transcription account next week and have never transcribed for this specialty.


I wanted to know if there are specific word books or websites that you find helpful and are there specific things that you could tell me about the specialty that may help me?


 


I would appreciate any feedback


Thanks,


Angie


If I work when the kids sleep, when will I sleep?

I understand what you are saying about the kids will always bug me no matter what.  I just thought that if I had a job where I didn't have to hear dictation and type word for word that maybe it might be easier to block out the kids.  There are no babysitters to watch the kids around here, besides that is why I work at in home in the first place.  The kids are 2 and 5 so hopefully it will get easier.


Thanks


New study on MS and
Vitamin D, you can Google it.  Are you in the great lakes area?  Very common in that area.  I don't have it but many of my relatives do including my 20-year-old neice - she's doing very well with treatment.  Good luck
swallow study - sm
swallow study to check for safety in swallowing, to check for aspiration, swallowing problems, and what type of diet to give pte, puree, nectar thick, etc.
What is recommended to study for CMT?
xx
That study used very old data.
EHR has come a long way since 2004.
CMT study workshops or

I am looking for some reputable websites for info regarding the CMT exam that also include study material. Any info would be greatly appreciated :)


Honestly, probably the best way to study for it
is to work, work, work.

Good luck!
S/L Perfifth study per neurology?

I can't seem to find anything.  Any suggestions?


 


Thanks!


vellum - in swallow study???
is this correct
Sorry, you guys need to study up. "Affect" would never, ever go here. SM

Just FYI, to say "affect" would mean that the bleeding would change the procedure -- which makes not a lick of sense.


"Effect" would be the right thing, meaning that if this woman were to continue bleeding, she'd have to have a hysterectomy.


I didn't really like the wording of it anyway, but I thought I'd throw my two cents in because there seem to be people here still confused on the issue.


Employment after home study
Does anyone know who will hire a Transcriptionist who has studied at home? Also, will they hire you if you have not been employed as a transcriptionist outside your home? (I have a little hospital experience but years ago).
I found the study guide (sm)

was good with examples on the test and covered all areas.  However, the dictation CD probably has caused many a heart attack.  None of the dictations were as bad as that thing!


I don't really know how you can study too much for the beast besides brushing up on the ol' BOS.  The first part was a stinker, though.


Thanks, by the way!


Study your options though before committing...
I fill in when needed, vacation, sickness, etc, for friend at a local small town phys's office. Typist has been in hosp. and out off and on over the last 2 months. cpl confused Drs. wife so I said $10/hour, thought it was only temporary. I'm usually only there 2-4 hours, usually if it is 2 days of stuff. They work weird hours, 9 sometimes 11p.m. I work 10-6 so I tried to get in when I could in morning or go in evenings. Too aggravating, they are constantly interrupting me. I hooked their system up for C-phone access. Half time they forget to plug it up! But, anyway I have continued to do it by the hour. I will be changing to 10 cpl if this continues. Working at home by the hour I am cheating myself. I type it faster because I am more comfortable so end up shorting myself $10-15 each time. Some would say, drag it out but I can't do that I feel like I'm stealing, yet they are stealing my time.

You could join a study group through sm
AHDI, but there is no radiology-specific CMT credential.  In fact, I took the test within the past year and there are hardly any rad-specific questions on it.
My dad had a carotid ultrasound study done today --
and the technicians couldn't find his right vertebral artery.  From my limited knowledge this could mean it's occluded and it sounds like something to be concerned about.  He's worried but he doesn't want his doctor to think he's crazy for calling and asking about it right away.  The technicians told him the doctor would contact him in 2-3 days.  I don't think he should wait.  Any other opinions out there?
No, that's baloney. Study-up on meaning of 'cult'.
x
Graveyard shift study results
I just had to put this here.  This study came out about 2 days ago, and I did not find that anyone posted it here so I am going to comment on it.  If this is redundant please excuse the double post.  The other day on the news at 6 they reported that studies show that there is a new risk for developing cancer which could lead to an early grave... working the graveyard shift (punny).  Anyway, they said that because it goes against our biological clock, we produce less of a certain brain chemical when we sleep at night and this chemical helps our body fend of carcinogens (I forgot the chemical).  Do you know the American Cancer Society is seriously considering putting third shift workers on the list as being high risk for cancer?  Can you imagine?  What is this, a way for the insurance companies to have an excuse to deny us night owls insurance or to make the rates higher? I think it is hilarious because I personally never do anything risky.  I work at home as an MT after all, I do not lead a risky life in the least. Now, because I work nights so I can be a mom during the day and do everything supermom should do I am going to have cancer... what next?
Stedman's sells a study guide. NM
x
Recent study done... excerpt..see link ...

I read this just last night, as I too have been researching and gleaning information regarding the future of MT and pondering making any career changes.


http://govhealthit.com/Articles/2009/01/07/Spending-on-health-IT-would-generate-212105-jobs.aspx


EXCERPT:


The analysis found that a $10 billion health IT stimulus program would create or retain 43,410 jobs directly, most of them in areas such as software and hardware sales and system installation. Another 115,670 jobs would be created or retained indirectly, in areas such as sales of trucks and food to those holding the new jobs.

And the availability of new and improved networks and information would create 53,025 jobs, the foundation reported.

Stephen Ezell, a senior analyst at ITIF, said in answer to a reporter’s question that the analysis did not take into account the potential loss of jobs in areas such as medical records management and transcription of physicians’ notes.


 


frank went to hawaii to evaluate and study the accomodations.
Frank didn't think this Hawaii vacation would serve the purpose he had in mind so the CEOs are putting their heads together and doing a study and are sure that the new Hawaii vacation they come up with will please all involved but in the meantime please continue transcribing as they value all of our efforts and will get back to us on the Hawaii vacation in a year or so once the CEO and managers form committees to study the vacation and fair way of chosing a winnner while studying the effects of a vacation on work habits of the lowly MT.
Depends. Did you just study or have you actually transcribed lots of tapes as sm

part of your training?  If you can't put down on your resume that your home study included multiple tapes in many specialties, etc. you are going to be hard pressed to find a good job. 


On the other hand, you might be able to type some orthopedics or pt notes (and then at least have some experience to put on your resume.)  Orthopedic doctors have TONS of dictation.  Besides their clinic notes, etc, most of them do IME (independent medical evaluations) which are fairly easy to do.  You'll need some good ortho books to get you started, but most will let you start without the experience if you can demonstrate you know the terminology.  Good luck.  Get some experience and the doors will start opening REALLY fast for you.  Sometimes, taking a low paying job is okay in the beginning just to get the experience.  If you can possibly get in a PCP's office to help out with clinic notes (even offering to to backlog/vacation stuff, you will get good experience and your resume will look great for the future stuff that comes up.  Good Luck to You.  Hang in there and learn everything you can.


MT home study distance learning programs
This post is to those of you who received their MT training via a home study/online program.  Was it easy to get a job after graduation?  Which home study course (company) did you use?  Would you recommend them/it?  Thanks for your input.
A study a year or two back was assessing if hormone changes were
Specifically, does LOSS of estrogen cause memory loss in women. Multi-year study, BIG study, lots of subjects.

Upshot? There WAS memory loss happening. It was not due to hormones. Middle-aged women were SO busy and SO stressed and had SO many things on the brain and things to do and places to be and things to remember about spouse, kids, job, parents, extended family, that they were STRESSED TO THE POINT THEY COULD NOT REMEMBER IT ALL! Bah on the hormone theory. We just get full up to our eyeballs of all the things we have to do and something has to give.

Like, spelling the word school or something. No can do, school does not exist in this brain any more, it got kicked out so I can remember to pick up beer on the way home!
I don't know if the study guide has changed in the last 5 years, but when I bought it, it was so

not worth the money!  It was like a little pamphlet with maybe 20 sample questions.


That was back when the test was in two parts, so hopefully they offer some a bit more substantial as a study guide.


I got a discount by joining a study group...I think they still offer that. nm
;)
On my way to a Bible study. When I arrived, the other gals there had no idea what had happened. sm
I couldn't even find the words to explain - it was a little after 9. I was listening to, like the poster below, Bob and Sheri (on my way to Bible study - go figure) and Bob and Sheri were in a mood I had never, ever heard before. Very solmen. Describing word for what what they SAW. I didn't even know they were in NYC.

Anyways, I had to pull over as I started bawling. My younger son had taken an accompanied minor flight just a few days prior to that out of Dulles, so this hit quite close to home.

Anyways, we heard while in our Bible study (we decided to meet and pray for our country) about the other flights, but not flt. 93. We heard about that when our local newspaper (a giant) had people walking around McDonalds handing out FREE newspapers around 12 o'clock with pics and everything. The last time that newspaper did that was probably after JFK got shot. We were all scrambling for a paper which I still own to this day.

I remember my 9 year old son reading it in his room (I left it out like a dummie) and he cried like a baby for all those people on those flights who died. The WTC accident got to him the hardest. He still talks about it to this day. Tragic.

I don't know about you, but I do fear another attack like this again. It's hard not to.
virtual flashcards are fun...I used MemoryLifter to study medical prefixes, suffixes, etc.
You can download it for free.
Study found that electronic health records did not boost patient care. sm

Link to article on yahoo news stating that electronic health records fail to improve care, study says.


http://news.yahoo.com/s/nm/records_dc;_ylt=AsT2t1nasUEaoOxgIsyoMUOs0NUE


 


 


Thanks. Now I can sleep better.
:
Sad day, my mom had to put her little pom to sleep.

no sleep !
What's up with this insomnia?  Mine started year before last when my brother was very ill.  He passed away a few months later, and ever since, I have been depending on Ambien (which is NOT a good thing!).   A few weeks ago I went to Tylenol P.M. and it does help and does not give me any side effects, about 5 hours of good sleep.  Sometimes I think I transcribe in my sleep!   Don't know what's up but my daughter is encouraging Valerian; after reading these posts about it too, I am giving it a try! 
NO SLEEP
I used to use Ambien for years and it worked great, except that about 15 minutes after I took it I would begin hallucinating, calling people and telling them all sorts of things - some pretty good stories came out of my Ambien days. I would see things that weren't there and one time I saw 8 of my husband (wish there were 7 more of him - I would auction him off on ebay - He's a keeper - and then never work again for all the money I would make). I now take Wal-Som which is Walmart's sleep aid medication - it is not Benadryl, though, it is doxylamine succinate. It is about $4.00 for 24 pills (a lot cheaper than Ambien).

good luck - I can remember those days of racing thoughts - do you have an anxiety disorder? I did.
Job B. I could do in my sleep
x
why no sleep for that long?

Sleep Number Bed
We've had the Select Comfort Sleep Number Bed for several years now and it definitely is the most comfortable bed. We had a water bed for years and years and love it too.  The one down side to the Sleep Number bed after having a water bed is that when you crawl into it on a cold nite it is COLD. We don't have an electric blanket. The water bed was always like climbing into a nest! But I would HIGHLY recommend a Select Comfort bed. Paul Harvey and Rush Limbash both advertise them on their shows. After having the bed for a couple years our house took a lightning strike and it blew out the air pump. We called them and they send another pump at no charge. That was very nice.
meant to say there not their. Going to sleep now!!

nm


Yes, I wish I could get them to sleep at night, too.
I had one kid wide awake until after midnight, and another one woke up at 4:30 this morning with a bad dream.  This was after one of their friends pestered me every five seconds yesterday so I had to get up early this morning to finish my work.  It was, "Hey, watch me.  Hey, look at this.  Hey, look what I can do.  Hey, look what I built.  Hey, hey, hey."  Tap, tap, tap on the shoulder.  How 'bout, "Hey, go bug your own Mom because I'm working"?