In Remembrance
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Join Date: Jul 2008
Posts: 63
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In Remembrance
Join Date: Jul 2008
Posts: 63
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Sorry
You posted and asked for input.
*please note that I am parsing paragraphs irregularly to facilitate ease of reading to those with visual issues*
First I am a healthcare professional. I can no longer practice my craft as the MG has left me with many and varied disabilities. But the knowledge remains. *edit*.
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On to the actual content.
Any time you have an issue such as this, you should ALWAYS begin with your neurologist. He/she is the captain of the MG ship. He/she should be the one to forward you to a pulmonologist if necessary. *edit*
What is CO2 retention? Will the average person understand *edit* Will they understand that the poor quality of sleep and awaking with a headache are the symptoms that are related to CO2 retention? Will they understand that it is from the muscles tiring and failure to inhale deeply enough to blow of the CO2?
*edit* You are to inhale as deeply as possible then count while exhaling.
*edit*any respiratory distress should be evaluated immediately. *edit*MG patient can experience respiratory failure within minutes of presentation of first respiratory symptoms.
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Monitoring of CO2 levels during a sleep study is not the standard of care either. It has to be ordered specifically and the indicators clearly delineated. There are several reasons for this, but the two main issues are invasive procedures on the patient when not necessary and insurance will not pay for this unless/until there are quantifying factors.
Again, point of standard of care--a respiratory therapist does not use one single effort when performing these tests. The standard of care is the average of a minimum of three efforts.
*edit* the most common of tests which is the PFT. That is the gold standard for initial encounter. Most literature is more compartmentalized. The patient needs to understand the tests As they are ordered not a laundry list of tests that may or may not be ordered.
I think you can see what I mean from the citations. *edit* I am sorry as I am certain you didn't post it to have it dissected, but you did ask and I answered.
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Well guess that about covers it. You asked, I answered.
Last edited by Chemar; 12-22-2009 at 08:13 AM.
Reason: NeuroTalk Guideline Violations
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