#reviews and book appointment for Epilepsy or Seizure Disorder

[dmettalclinique]

Best Neurologist in Gurgaon | Book Appointment 8448554489

When it comes to neurological care, finding the best neurologist in Gurgaon is crucial for effective treatment and management of complex conditions. At D' Mettle Clinique, our top neuro physician in Gurgaon offers trusted care and expertise, providing patients with personalized solutions for optimal health.

As the best neurologist in Gurgaon, our expert has extensive experience in diagnosing and treating a wide range of neurological disorders, including:

●   Stroke and cerebrovascular diseases

●   Epilepsy and seizures

●   Movement disorders (Parkinson's, dystonia, etc.)

●   Headaches and migraines

●   Multiple sclerosis and demyelinating diseases

●   Neuropathies and nerve damage

●   Brain tumors and cancer

Our top neuro physician in Gurgaon utilizes the latest technology and techniques to ensure accurate diagnoses and effective treatment plans. With a focus on empathy and compassion. We prioritize patient comfort and trust throughout their journey.

Why Choose D' Mettle Clinique

●   Expertise: Our neurologist is renowned as the best in Gurgaon, with years of experience and training.

●   Personalized care: We take time to understand each patient's unique needs. We are committed to providing honest and expert consultation to our patients and their families.

●   Compassionate approach: Empathy and support are at the core of our care. We provide the highest quality medical care to our patients in a friendly and accessible neighborhood setting.

Our Top Neuro Physician in Gurgaon has the following perks:

●   Qualification and Experience: Our D' Mettle clinique has the best neurologist in Gurgaon with advanced degrees and extensive experience in treating various neurological conditions.

●   Specialization: Our team of neurologists has expertise in the specific area of concern, such as stroke, epilepsy, or movement disorders.

●   Hospital Affiliation: Our top neuro physicians in Gurgaon are often associated with reputable hospitals, ensuring access to new technology and multidisciplinary care.

●   Patient Reviews: One can do the research to gauge the neurologist's bedside manner, communication skills, and treatment outcomes.

Our top neuro physicians in Gurgaon have earned recognition for their:

●   Exceptional diagnostic skills, utilizing advanced techniques and technology.

●   Personalized treatment approaches, addressing unique patient needs.

●   Commitment to staying updated with the latest research and advancements in neurology.

●   Compassionate and empathetic bedside manner, ensuring patient comfort and trust.

Don't settle for anything less than the best. Choose D' Mettle Clinique for trusted care from the top neuro physician in Gurgaon. Our commitment is not limited to providing the best possible individualized medical care, but also promotes primary and secondary prevention of various disorders. Our health care providers ensure that your experience as our patient is stress free and hassle-free.

Visit for more info:

 Top Neurologist in Gurgaon 

 Best Neurologist in Gurgaon

 Best Neurology Doctor in Gurgaon

 Best Neuro Physician in Gurgaon

[childneurologycenter]

Best Child Neurology Center in India Pediatric and Neurologist Expert - Gurgaon

Hey are looking for the Best Child Neurologist in India then your search end with Dr. RK Jain Dr. RK Jain is highly qualified and absolutely skilful in his area of interest. Dr. Rakesh Jain is a UK-trained and experienced Paediatric, Child Neurologist initiating various courses on Paediatric Epilepsy and Paediatric EEG in India. His work and experience in the field of Paediatric Neurology could be acknowledged by various publications in national & international journals. View fees, reviews, and book appointments for Epilepsy or Seizure Disorder, Cerebral Palsy, ADHD - Specialist in Gurgaon from.

[best-child-neurology]

The Speciality Of Child Neurologists In Medical Science

A physician treating children with nervous system disorders is a child neurologist or pediatric neurologist. Neurological issues might begin in the brain, spine, nerves, or muscles. Paediatric neurologists specialize in treating children and adolescents while addressing most nervous system disorders.  

The best child neurologists in Delhi may decide to concentrate on particular disorders that are extremely complex or call for intensive therapy because the field is so broad. They are qualified to deal with the particular requirements of a child, including conditions that only affect kids. 

What conditions do child neurologists treat?    

A pediatric neurologist treats any ailment affecting a child's nervous system or brain. Some diseases could be hereditary or congenital. The best child neurologists in Delhi often evaluate a child's medical history in the context of growth and development. They also inform the child's parents about the health of the brain and nervous system and disease prevention. 

Pediatric neurologists also diagnose acute and chronic brain and nervous system disorders, including headaches, learning difficulties, and other ailments. Instead of practicing general child neurology, some doctors opt to specialize in a particular field. The areas of expertise for pediatric neurologists may include malformations, complex metabolic problems, muscle and nerve diseases, and autism. 

What are the symptoms that indicate you should visit a pediatric neurologist?   

 According to the best child neurologists in Delhi, if your child exhibits any of the following signs or ailments, think about seeking treatment from a pediatric neurologist: 

Frequent loss of memory 

Lack of feeling, numbness, or tingling in the body 

Moving-related issues 

Tremors 

Delays in development 

Problems walking 

severe, regular, or persistent headaches 

Unsteady balance 

unconsciousness for no apparent reason 

Jerks or tics that occur accidentally 

Seizures 

coordination issues or other issues involving motor function 

If your kid has a neurological problem, they will need to see a pediatric neurologist for treatment or monitoring. 

Which tests are related to Child neurology treatment?   

The symptoms of your kid, their medical history, and a physical examination are generally used by child neurologists to determine a diagnosis. But according to the best child neurologists in Delhi, further tests are required. 

EEG: During an EEG test, your brain's electrical activity is examined for any issues. Using this test, you may check for seizures and ensure that your child's brain produces the appropriate kinds of electrical activity for their age. 

EMG: To detect symptoms like pain, numbness, tingling, or weakening in the muscles or nerves, this test measures and records electrical activity in the muscles and nerves. 

Imaging tests: To take images of the brain and spine, imaging tests like the MRI or CT scan are employed. These can detect brain tumor symptoms, stroke, infection, multiple sclerosis, genetic disorders, and more. 

Lumbar puncture: A tiny needle is inserted into the lower back during this examination to collect a sample of the spinal fluid that envelops your brain and spinal cord. Inflammation or infection symptoms are found using this. 

General health and screening tests: Complete blood count, blood culture, spinal fluid analysis, urinalysis, chest X-ray, blood glucose test, electrolyte test, liver function test, kidney function test, blood pressure test, blood oxygen level test, and arterial blood gas testing are among the tests that are included in this. 

Evoked Potentials: This helps track the brain's electrical activity in response to sensory input and identify problems with vision, numbness, and tingling. 

Some Specialized fields of Pediatric neurology  

To comprehend how the needs of the organs change, neurology needs many specialists. Your youngster will be examined by a pediatric neurologist utilizing several different methods. Beyond what is required for the child neurology program, extra training and testing are required for board certification. Some of the specializations of the best child neurologists in Delhi are described below. 

Neurodevelopmental disabilities: This field of study focuses on identifying and managing childhood neurological disorders such as cerebral palsy treatments in gurgaon and mental retardation that have a long-term effect on the nervous system. 

Clinical neurophysiology: This area of expertise uses advanced diagnostic procedures, such as electroencephalography to identify and treat persons with nervous system diseases. 

Neuromuscular medicine: Muscular dystrophy and diabetic neuropathic pain are just two examples of the illnesses of the nerve, muscle, or neuromuscular junction that are the focus of this subject. 

Vascular neurology: This study focuses on identifying and managing brain or nervous system injuries resulting from illnesses, including paediatric stroke and spinal cord injuries. 

Epilepsy Treatment in Gurgaon: This specialized study focuses on identifying and managing individuals with chronic seizures and seizure disorders. 

Hospice and palliative medicine: Concerning people who have serious and terminal illnesses, this specialty focuses on preventing and reducing suffering. 

Pain and sleep medicine: This approach focuses on treating patients with acute or chronic pain brought on by several illnesses and sleep problems. 

According to the above study, we discussed paediatric neurologist functions and specializations. The best way to reduce your child's risk of permanent brain damage, disability, and other complications is to see the best child neurologist in Delhi NCR. If your child suffers from a neurological disorder, you should consult Dr. Rakesh Jain, a senior Consultant Paediatric Neurologist at Fortis Memorial Research Institute, Gurgaon. 

[best-child-neurologist-in-delhi]

An abnormality in brain activity that results in seizures or episodes of strange behaviour, sensations, and occasionally loss of awareness is called epilepsy. Electrical storms cause seizures in the brain that are brought on by nerve cells firing electrical impulses at rates up to four times higher than usual. For most epilepsy sufferers, treatment with drugs or occasionally surgery can reduce episodes. However, people with epilepsy frequently go through changes in their quality of life. For instance, epilepsy treatment in Gurgaon offers some of the best epilepsy care.

[floridaindependentblog]

The law legalizing medical marijuana use in Florida was enacted in 2016 and came into effect in January 2017. The amendment allows patients with various debilitating medical conditions to buy medical weed. Although this amendment has been in existence, it only became effective recently when dispensaries started opening in abundance across the state.

Since Marijuana use still remains illegal nationally, the laws governing medical marijuana use and the process for obtaining it varies from state to state. In every state, having a medical marijuana card is a basic part of the process. This is important especially in a state where the recreational use of cannabis is illegal. The card allows the holder to possess a stipulated quantity of cannabis for medical purposes. In Florida, the process of obtaining this card is simple and straightforward.

Qualifying ailments for MMJ in Florida

You might want to know the qualifying ailments that allows you to use marijuana legally in Florida. Generally, you are likely to get approval for a medical marijuana card if you have a debilitating medical condition as deemed fit for your physician. Some of the possible qualifying conditions include:

Epilepsy

Cancer

HIV/AIDS

Glaucoma

Seizures

Chronic muscles spasms

Crohn’s diseases

Multiple sclerosis

Parkinson’s diseases

Post Traumatic Stress Disorder etc.

Patients suffering from any terminal condition that has been diagnosed by a physician apart from the state-approved physician issuing the certification are qualified to get a card. Chronic non-malignant pain due to any of the qualifying medical conditions is also enough ground to apply for an MMJ card in Florida.

Steps to getting an MMJ card in Florida

1. Book an appointment with your physician and obtain your medical record:

This is first before any other thing. You need to get your medical records from your physician. This is important to ascertain your state of health before your card is issued. For patients younger than the age of consent (18 years) or those that are terminally ill, the opinion of a second physician must be sought and this should be reflected in the medical records that will be submitted by the patient.

2. Set up an appointment with a marijuana doctor for a consultation:

The next stage will be to book an appointment with a registered medical marijuana consultant and sending in your medical history. Consultation would be an average of 15 minutes and it is carried out to evaluate your ailment and determine if you are qualified for medical marijuana treatment.

Your physician will have to enter your name and other information into the Compassionate Care Registry and this is also called the Florida Marijuana User Registry. This registry is run by the Ministry of Health so safety is assured. This step is a major requirement before your MMJ card is issued in Florida. You will also need to submit proof that you are a resident in Florida to have your application approved.

3. Get approval for your application:

Once your information has been entered in the Compassionate Care Registry, your completed application will be submitted to the Office of Medical Marijuana Use at the Florida Department of Health. This approval process usually takes time, it is the longest of all the steps in the process. It could take up to three weeks or more for your application to be reviewed before it gets approved.

Cost of getting your card

Carefully following the steps highlighted above will get you a marijuana card. Getting a marijuana card in Florida is not free. The things you need to pay for during your application includes:

The cost of meeting with the state-approved marijuana consultant. This varies depending on the doctor you are seeing.

The application itself costs 75 dollars, this is a fixed fee.

Note that the cost of getting your medical marijuana card is not covered by insurance. Medical cannabis cards in Florida have a 1 year validity period after which they must be renewed. You are expected to send in an application for renewal at least 45 days before the card expires.

Although it is possible to go through the process of obtaining your medical marijuana card on your own, a more convenient alternative is by using Veriheal to get your medical marijuana card in Florida. Veriheal as a healthcare technology company is one of the reliable online platforms that simplify the process of obtaining an MMJ card in Florida.

By applying on the Veriheal platform, you are connected to state-certified marijuana physicians in Florida. Veriheal also offers an online consultation service. This is not only more convenient but also cheaper.

Once your application is approved, you can begin buying marijuana from any dispensary in the state. Veriheal also assists with this as well as you get a referral to some of the best dispensaries based on your location where you can obtain cannabis legally.

The post Getting a Medical Marijuana Card in Florida in 2020 appeared first on Florida Independent.

[joseemaresusa]

What Is Required For A DOT Exam?

The DOT Physical Exam

The fee for the DOT physical exam with med card issued upon successful completion is – $60.00

Cash or credit card payments are accepted.

There is ample parking across the street from our office for large vehicles and tractor-trailers. 

What to bring with you:

Valid driver’s license

Medication list

Glasses, contact lenses, hearing aids

Federal Vision or Diabetes Waiver

Skills Performance Evaluation Certificate

Medical records from your treating provider

If you have conditions such as cardiac disease, diabetes, sleep disorders, neurologic disease

If you take prescribed medication for pain, anxiety, depression, seizures, sleep disorders, muscle psychiatric disorders, or ADD/ADHD, spasms, or smoking cessation

Appointments are generally scheduled within 24 hours and same-day exams can be provided.

FMCSA National Registry—Certified Medical Examiners Beginning in 2014, the Federal Motor Carrier Safety Administration (FMCSA) requires all medical examiners to be trained and certified in FMCSA physical qualification standards.

In compliance with this requirement, all Commercial Motor Vehicle (CMV) drivers must be examined by Medical Examiners who have completed the training/testing and are listed on the FMCSA National Registry of Certified Medical Examiners website.

All drivers regulated by DOT/Commercial Motor Vehicle (CMV) standards are required to have a valid medical certificate signed by a Certified Medical Examiner (CMA).

Tebby Chiropractic and Sports Medicine Clinic is listed on the FMCSA National Registry and all of our Medical Examiners have completed the required training and testing.

For additional information, please refer to the FMCSA website.

Disclaimer In compliance with FMCSA guidelines, some health conditions require supportive medical documentation. In these cases, a limited certification may be issued. If a driver is given a limited card in order to obtain this documentation, the information must meet the FMCSA standards and be received by Tebby Chiropractic and Sports Medicine Clinic in the requested time frame. An additional fee will apply based on time spent to review the documentation and issue a new card. If a driver has a medical condition requiring more frequent monitoring or the driver is temporarily disqualified and eligible for a repeat exam, full exam fees apply. Please contact us for specific pricing.

Your DOT exam will include the following components:

Past or recent illnesses or injuries.

Review of current medications, including controlled substances.

Review of any current or past medical conditions such as heart disorders, high blood pressure, diabetes, etc.

Physical exam.

Blood pressure & pulse.

Vision acuity test.

Hearing test.

Urine dip screen (urinalysis, NOT A DRUG SCREEN).  

If needed, additional tests for cardiac, pulmonary and/or respiratory conditions.

The basic requirements for passing a DOT physical exam under the new standards are:

At least 20/40 correctable vision in each eye as well as both combined. Glasses or contacts are allowed.

Needs to be able to distinguish colors found on traffic signals.

Forced whisper test to detect adequate hearing.

Controlled blood pressure under 140/90. Prescription medication may be used to control blood pressure.

Cannot have diabetes that requires insulin injections (unless part of the waiver program).

Maximum blood sugar level allowed is 200.

No use of a schedule I drug (controlled substance), amphetamine, narcotic or habit forming drug.

For any exemptions for vision, diabetes, etc. , please bring the exemption to your physical exam.

Before you arrive at our office for your DOT exam, please do the following:

Arrive about 20 minutes early to complete necessary paperwork.

Bring your driver’s license and pocket certificate

Bring your glasses, contacts or anything you routinely use for vision.

Bring a list of all of the prescription medication that you take including over the counter medications.

Bring a list of doctors that you see and their phone numbers.

Take any required medications prior to your visit, including blood pressure meds.

Drink plenty of water. You’ll be required to give a urine sample to screen for kidney problems.

If you have any of the conditions below, bring the requested items.

Diabetes – Bring a list of medications and the name of your prescribing doctor. Bring copies of your blood sugar results or hemoglobin A1C results from the past 3 months.

High blood pressure – Bring a list of medications and the name of your prescribing doctor.

Heart condition – If you’ve had a heart attack or cardiovascular disease, bring a copy of your last stress test or release from your cardiologist.

Sleep apnea – Bring a copy of your latest sleep study results along with a print out of your CPAP useage for the preceeding month.

Passing or Failing your DOT exam:

The most common reasons for failing a DOT physical are high blood pressure and uncontrolled sugar in your urine.  Both conditions can commonly be controlled and managed.

Another reason for failing a DOT exam would be having any condition that would cause a loss of the ability to operate a commercial vehicle safely, including the loss or impairment of limbs, poor vision, insulin controlled diabetes, high blood pressure, heart disease, epilepsy, mental disorders or use of certain drugs.

DOT medical cards are typically issued for 2 years.  However, your medical examiner may issue a card for one year or less, if you have a medical condition that requires monitoring, such as hypertension or the use of a CPAP machine.

If you fail your medical exam, your medical examiner may issue you a 3 month medical card and have you return for further follow-up, to be sure that your medical issue is now controlled.

Drug testing is not a typical part of the DOT exam but may be required by your employer.

Waiver VS Exemption

A waiver is temporary regulatory relief from one or more of the FMCSRs given to a person subject to the regulations, or a person who intends to engage in an activity that would be subject to the regulations. A waiver provides the person with relief from the regulation for up to three months. 49 CFR 391.64 provides waivers to CMV drivers who were in the initial vision and insulin programs in the early 1990’s.

An exemption is a temporary regulatory relief from one of more of the FMCSRs given to a person or class of persons subject to the regulations, or who intend to engage in an activity that would make them subject to the regulation. An exemption provides the person or class of persons with relief from the regulations for up to two years, but may be renewed.

Applying For A Medical Exemption

The Federal Diabetes and Vision Exemption Programs have specific requirements, as well as requests for hearing and seizure exemptions.  These requests may include medical exams, employment history, driving experience and motor vehicle records which must be submitted with the application. The Agency will make a final decision within 180 days of receipt of the complete application.  

Applying for an Exemption An individual may apply for an exemption from the diabetes, hearing, seizure and vision standard, section 391.41(b)(3) and 391.41(b)(11), 391.41(b)(8) or 391(b)(10) of the regulation, by utilizing these programs. If you do not currently meet the diabetes, hearing, seizure and/or vision standard and are unable to obtain a medical card, you may be an eligible candidate.

Please note that all exemption programs are for drivers who intend to operate commercial motor vehicles (CMVs) in interstate commerce. FMCSA does not have statutory authority to grant waivers/exemptions to drivers from states’ intrastate requirements. Therefore, the FMCSA waivers/exemptions do not permit regulatory relief for drivers who plan to limit their operations to intrastate commerce.

Diabetes Package

Diabetes Exemption Application

Quarterly Endocrinologist Evaluation Form for Already Exempted Drivers

Annual Diabetes Assessment Package for Already Exempted Drivers

 Tebby Chiropractic and Sports Medicine Clinic

Subscribe to our Youtube channel You Tube

Like us on Face Book Follow us on Twitter and Instagram

Stalk us on Google+ or Reddit

Find us here:

 The post What Is Required For A DOT Exam? appeared first on Tebby Chiropractic and Sports Medicine Clinic.

from https://tebbyclinic.com/what-is-required-for-a-dot-exam/

from Tebby Chiropractic and Sports Medicine Clinic - Blog http://tebbyclinicusa.weebly.com/blog/what-is-required-for-a-dot-exam

[tebbycliniccom]

What Is Required For A DOT Exam?

The DOT Physical Exam

The fee for the DOT physical exam with med card issued upon successful completion is – $60.00

Cash or credit card payments are accepted.

There is ample parking across the street from our office for large vehicles and tractor-trailers. 

What to bring with you:

Valid driver’s license

Medication list

Glasses, contact lenses, hearing aids

Federal Vision or Diabetes Waiver

Skills Performance Evaluation Certificate

Medical records from your treating provider

If you have conditions such as cardiac disease, diabetes, sleep disorders, neurologic disease

If you take prescribed medication for pain, anxiety, depression, seizures, sleep disorders, muscle psychiatric disorders, or ADD/ADHD, spasms, or smoking cessation

Appointments are generally scheduled within 24 hours and same-day exams can be provided.

FMCSA National Registry—Certified Medical Examiners Beginning in 2014, the Federal Motor Carrier Safety Administration (FMCSA) requires all medical examiners to be trained and certified in FMCSA physical qualification standards.

In compliance with this requirement, all Commercial Motor Vehicle (CMV) drivers must be examined by Medical Examiners who have completed the training/testing and are listed on the FMCSA National Registry of Certified Medical Examiners website.

All drivers regulated by DOT/Commercial Motor Vehicle (CMV) standards are required to have a valid medical certificate signed by a Certified Medical Examiner (CMA).

Tebby Chiropractic and Sports Medicine Clinic is listed on the FMCSA National Registry and all of our Medical Examiners have completed the required training and testing.

For additional information, please refer to the FMCSA website.

Disclaimer In compliance with FMCSA guidelines, some health conditions require supportive medical documentation. In these cases, a limited certification may be issued. If a driver is given a limited card in order to obtain this documentation, the information must meet the FMCSA standards and be received by Tebby Chiropractic and Sports Medicine Clinic in the requested time frame. An additional fee will apply based on time spent to review the documentation and issue a new card. If a driver has a medical condition requiring more frequent monitoring or the driver is temporarily disqualified and eligible for a repeat exam, full exam fees apply. Please contact us for specific pricing.

Your DOT exam will include the following components:

Past or recent illnesses or injuries.

Review of current medications, including controlled substances.

Review of any current or past medical conditions such as heart disorders, high blood pressure, diabetes, etc.

Physical exam.

Blood pressure & pulse.

Vision acuity test.

Hearing test.

Urine dip screen (urinalysis, NOT A DRUG SCREEN).  

If needed, additional tests for cardiac, pulmonary and/or respiratory conditions.

The basic requirements for passing a DOT physical exam under the new standards are:

At least 20/40 correctable vision in each eye as well as both combined. Glasses or contacts are allowed.

Needs to be able to distinguish colors found on traffic signals.

Forced whisper test to detect adequate hearing.

Controlled blood pressure under 140/90. Prescription medication may be used to control blood pressure.

Cannot have diabetes that requires insulin injections (unless part of the waiver program).

Maximum blood sugar level allowed is 200.

No use of a schedule I drug (controlled substance), amphetamine, narcotic or habit forming drug.

For any exemptions for vision, diabetes, etc. , please bring the exemption to your physical exam.

Before you arrive at our office for your DOT exam, please do the following:

Arrive about 20 minutes early to complete necessary paperwork.

Bring your driver’s license and pocket certificate

Bring your glasses, contacts or anything you routinely use for vision.

Bring a list of all of the prescription medication that you take including over the counter medications.

Bring a list of doctors that you see and their phone numbers.

Take any required medications prior to your visit, including blood pressure meds.

Drink plenty of water. You’ll be required to give a urine sample to screen for kidney problems.

If you have any of the conditions below, bring the requested items.

Diabetes – Bring a list of medications and the name of your prescribing doctor. Bring copies of your blood sugar results or hemoglobin A1C results from the past 3 months.

High blood pressure – Bring a list of medications and the name of your prescribing doctor.

Heart condition – If you’ve had a heart attack or cardiovascular disease, bring a copy of your last stress test or release from your cardiologist.

Sleep apnea – Bring a copy of your latest sleep study results along with a print out of your CPAP useage for the preceeding month.

Passing or Failing your DOT exam:

The most common reasons for failing a DOT physical are high blood pressure and uncontrolled sugar in your urine.  Both conditions can commonly be controlled and managed.

Another reason for failing a DOT exam would be having any condition that would cause a loss of the ability to operate a commercial vehicle safely, including the loss or impairment of limbs, poor vision, insulin controlled diabetes, high blood pressure, heart disease, epilepsy, mental disorders or use of certain drugs.

DOT medical cards are typically issued for 2 years.  However, your medical examiner may issue a card for one year or less, if you have a medical condition that requires monitoring, such as hypertension or the use of a CPAP machine.

If you fail your medical exam, your medical examiner may issue you a 3 month medical card and have you return for further follow-up, to be sure that your medical issue is now controlled.

Drug testing is not a typical part of the DOT exam but may be required by your employer.

Waiver VS Exemption

A waiver is temporary regulatory relief from one or more of the FMCSRs given to a person subject to the regulations, or a person who intends to engage in an activity that would be subject to the regulations. A waiver provides the person with relief from the regulation for up to three months. 49 CFR 391.64 provides waivers to CMV drivers who were in the initial vision and insulin programs in the early 1990’s.

An exemption is a temporary regulatory relief from one of more of the FMCSRs given to a person or class of persons subject to the regulations, or who intend to engage in an activity that would make them subject to the regulation. An exemption provides the person or class of persons with relief from the regulations for up to two years, but may be renewed.

Applying For A Medical Exemption

The Federal Diabetes and Vision Exemption Programs have specific requirements, as well as requests for hearing and seizure exemptions.  These requests may include medical exams, employment history, driving experience and motor vehicle records which must be submitted with the application. The Agency will make a final decision within 180 days of receipt of the complete application.  

Applying for an Exemption An individual may apply for an exemption from the diabetes, hearing, seizure and vision standard, section 391.41(b)(3) and 391.41(b)(11), 391.41(b)(8) or 391(b)(10) of the regulation, by utilizing these programs. If you do not currently meet the diabetes, hearing, seizure and/or vision standard and are unable to obtain a medical card, you may be an eligible candidate.

Please note that all exemption programs are for drivers who intend to operate commercial motor vehicles (CMVs) in interstate commerce. FMCSA does not have statutory authority to grant waivers/exemptions to drivers from states’ intrastate requirements. Therefore, the FMCSA waivers/exemptions do not permit regulatory relief for drivers who plan to limit their operations to intrastate commerce.

Diabetes Package

Diabetes Exemption Application

Quarterly Endocrinologist Evaluation Form for Already Exempted Drivers

Annual Diabetes Assessment Package for Already Exempted Drivers

  Tebby Chiropractic and Sports Medicine Clinic

Subscribe to our Youtube channel You Tube

Like us on Face Book Follow us on Twitter and Instagram

Stalk us on Google+ or Reddit

Find us here:

  The post What Is Required For A DOT Exam? appeared first on Tebby Chiropractic and Sports Medicine Clinic.

source https://tebbyclinic.com/what-is-required-for-a-dot-exam/

[gloriatsmithfl]

What Is Required For A DOT Exam?

The DOT Physical Exam

The fee for the DOT physical exam with med card issued upon successful completion is – $60.00

Cash or credit card payments are accepted.

There is ample parking across the street from our office for large vehicles and tractor-trailers. 

What to bring with you:

Valid driver’s license

Medication list

Glasses, contact lenses, hearing aids

Federal Vision or Diabetes Waiver

Skills Performance Evaluation Certificate

Medical records from your treating provider

If you have conditions such as cardiac disease, diabetes, sleep disorders, neurologic disease

If you take prescribed medication for pain, anxiety, depression, seizures, sleep disorders, muscle psychiatric disorders, or ADD/ADHD, spasms, or smoking cessation

Appointments are generally scheduled within 24 hours and same-day exams can be provided.

FMCSA National Registry—Certified Medical Examiners Beginning in 2014, the Federal Motor Carrier Safety Administration (FMCSA) requires all medical examiners to be trained and certified in FMCSA physical qualification standards.

In compliance with this requirement, all Commercial Motor Vehicle (CMV) drivers must be examined by Medical Examiners who have completed the training/testing and are listed on the FMCSA National Registry of Certified Medical Examiners website.

All drivers regulated by DOT/Commercial Motor Vehicle (CMV) standards are required to have a valid medical certificate signed by a Certified Medical Examiner (CMA).

Tebby Chiropractic and Sports Medicine Clinic is listed on the FMCSA National Registry and all of our Medical Examiners have completed the required training and testing.

For additional information, please refer to the FMCSA website.

Disclaimer In compliance with FMCSA guidelines, some health conditions require supportive medical documentation. In these cases, a limited certification may be issued. If a driver is given a limited card in order to obtain this documentation, the information must meet the FMCSA standards and be received by Tebby Chiropractic and Sports Medicine Clinic in the requested time frame. An additional fee will apply based on time spent to review the documentation and issue a new card. If a driver has a medical condition requiring more frequent monitoring or the driver is temporarily disqualified and eligible for a repeat exam, full exam fees apply. Please contact us for specific pricing.

Your DOT exam will include the following components:

Past or recent illnesses or injuries.

Review of current medications, including controlled substances.

Review of any current or past medical conditions such as heart disorders, high blood pressure, diabetes, etc.

Physical exam.

Blood pressure & pulse.

Vision acuity test.

Hearing test.

Urine dip screen (urinalysis, NOT A DRUG SCREEN).  

If needed, additional tests for cardiac, pulmonary and/or respiratory conditions.

The basic requirements for passing a DOT physical exam under the new standards are:

At least 20/40 correctable vision in each eye as well as both combined. Glasses or contacts are allowed.

Needs to be able to distinguish colors found on traffic signals.

Forced whisper test to detect adequate hearing.

Controlled blood pressure under 140/90. Prescription medication may be used to control blood pressure.

Cannot have diabetes that requires insulin injections (unless part of the waiver program).

Maximum blood sugar level allowed is 200.

No use of a schedule I drug (controlled substance), amphetamine, narcotic or habit forming drug.

For any exemptions for vision, diabetes, etc. , please bring the exemption to your physical exam.

Before you arrive at our office for your DOT exam, please do the following:

Arrive about 20 minutes early to complete necessary paperwork.

Bring your driver’s license and pocket certificate

Bring your glasses, contacts or anything you routinely use for vision.

Bring a list of all of the prescription medication that you take including over the counter medications.

Bring a list of doctors that you see and their phone numbers.

Take any required medications prior to your visit, including blood pressure meds.

Drink plenty of water. You’ll be required to give a urine sample to screen for kidney problems.

If you have any of the conditions below, bring the requested items.

Diabetes – Bring a list of medications and the name of your prescribing doctor. Bring copies of your blood sugar results or hemoglobin A1C results from the past 3 months.

High blood pressure – Bring a list of medications and the name of your prescribing doctor.

Heart condition – If you’ve had a heart attack or cardiovascular disease, bring a copy of your last stress test or release from your cardiologist.

Sleep apnea – Bring a copy of your latest sleep study results along with a print out of your CPAP useage for the preceeding month.

Passing or Failing your DOT exam:

The most common reasons for failing a DOT physical are high blood pressure and uncontrolled sugar in your urine.  Both conditions can commonly be controlled and managed.

Another reason for failing a DOT exam would be having any condition that would cause a loss of the ability to operate a commercial vehicle safely, including the loss or impairment of limbs, poor vision, insulin controlled diabetes, high blood pressure, heart disease, epilepsy, mental disorders or use of certain drugs.

DOT medical cards are typically issued for 2 years.  However, your medical examiner may issue a card for one year or less, if you have a medical condition that requires monitoring, such as hypertension or the use of a CPAP machine.

If you fail your medical exam, your medical examiner may issue you a 3 month medical card and have you return for further follow-up, to be sure that your medical issue is now controlled.

Drug testing is not a typical part of the DOT exam but may be required by your employer.

Waiver VS Exemption

A waiver is temporary regulatory relief from one or more of the FMCSRs given to a person subject to the regulations, or a person who intends to engage in an activity that would be subject to the regulations. A waiver provides the person with relief from the regulation for up to three months. 49 CFR 391.64 provides waivers to CMV drivers who were in the initial vision and insulin programs in the early 1990’s.

An exemption is a temporary regulatory relief from one of more of the FMCSRs given to a person or class of persons subject to the regulations, or who intend to engage in an activity that would make them subject to the regulation. An exemption provides the person or class of persons with relief from the regulations for up to two years, but may be renewed.

Applying For A Medical Exemption

The Federal Diabetes and Vision Exemption Programs have specific requirements, as well as requests for hearing and seizure exemptions.  These requests may include medical exams, employment history, driving experience and motor vehicle records which must be submitted with the application. The Agency will make a final decision within 180 days of receipt of the complete application.  

Applying for an Exemption An individual may apply for an exemption from the diabetes, hearing, seizure and vision standard, section 391.41(b)(3) and 391.41(b)(11), 391.41(b)(8) or 391(b)(10) of the regulation, by utilizing these programs. If you do not currently meet the diabetes, hearing, seizure and/or vision standard and are unable to obtain a medical card, you may be an eligible candidate.

Please note that all exemption programs are for drivers who intend to operate commercial motor vehicles (CMVs) in interstate commerce. FMCSA does not have statutory authority to grant waivers/exemptions to drivers from states’ intrastate requirements. Therefore, the FMCSA waivers/exemptions do not permit regulatory relief for drivers who plan to limit their operations to intrastate commerce.

Diabetes Package

Diabetes Exemption Application

Quarterly Endocrinologist Evaluation Form for Already Exempted Drivers

Annual Diabetes Assessment Package for Already Exempted Drivers

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What Is Required For A DOT Exam?

The DOT Physical Exam

The fee for the DOT physical exam with med card issued upon successful completion is – $60.00

Cash or credit card payments are accepted.

There is ample parking across the street from our office for large vehicles and tractor-trailers. 

What to bring with you:

Valid driver’s license

Medication list

Glasses, contact lenses, hearing aids

Federal Vision or Diabetes Waiver

Skills Performance Evaluation Certificate

Medical records from your treating provider

If you have conditions such as cardiac disease, diabetes, sleep disorders, neurologic disease

If you take prescribed medication for pain, anxiety, depression, seizures, sleep disorders, muscle psychiatric disorders, or ADD/ADHD, spasms, or smoking cessation

Appointments are generally scheduled within 24 hours and same-day exams can be provided.

FMCSA National Registry—Certified Medical Examiners Beginning in 2014, the Federal Motor Carrier Safety Administration (FMCSA) requires all medical examiners to be trained and certified in FMCSA physical qualification standards.

In compliance with this requirement, all Commercial Motor Vehicle (CMV) drivers must be examined by Medical Examiners who have completed the training/testing and are listed on the FMCSA National Registry of Certified Medical Examiners website.

All drivers regulated by DOT/Commercial Motor Vehicle (CMV) standards are required to have a valid medical certificate signed by a Certified Medical Examiner (CMA).

Tebby Chiropractic and Sports Medicine Clinic is listed on the FMCSA National Registry and all of our Medical Examiners have completed the required training and testing.

For additional information, please refer to the FMCSA website.

Disclaimer In compliance with FMCSA guidelines, some health conditions require supportive medical documentation. In these cases, a limited certification may be issued. If a driver is given a limited card in order to obtain this documentation, the information must meet the FMCSA standards and be received by Tebby Chiropractic and Sports Medicine Clinic in the requested time frame. An additional fee will apply based on time spent to review the documentation and issue a new card. If a driver has a medical condition requiring more frequent monitoring or the driver is temporarily disqualified and eligible for a repeat exam, full exam fees apply. Please contact us for specific pricing.

Your DOT exam will include the following components:

Past or recent illnesses or injuries.

Review of current medications, including controlled substances.

Review of any current or past medical conditions such as heart disorders, high blood pressure, diabetes, etc.

Physical exam.

Blood pressure & pulse.

Vision acuity test.

Hearing test.

Urine dip screen (urinalysis, NOT A DRUG SCREEN).  

If needed, additional tests for cardiac, pulmonary and/or respiratory conditions.

The basic requirements for passing a DOT physical exam under the new standards are:

At least 20/40 correctable vision in each eye as well as both combined. Glasses or contacts are allowed.

Needs to be able to distinguish colors found on traffic signals.

Forced whisper test to detect adequate hearing.

Controlled blood pressure under 140/90. Prescription medication may be used to control blood pressure.

Cannot have diabetes that requires insulin injections (unless part of the waiver program).

Maximum blood sugar level allowed is 200.

No use of a schedule I drug (controlled substance), amphetamine, narcotic or habit forming drug.

For any exemptions for vision, diabetes, etc. , please bring the exemption to your physical exam.

Before you arrive at our office for your DOT exam, please do the following:

Arrive about 20 minutes early to complete necessary paperwork.

Bring your driver’s license and pocket certificate

Bring your glasses, contacts or anything you routinely use for vision.

Bring a list of all of the prescription medication that you take including over the counter medications.

Bring a list of doctors that you see and their phone numbers.

Take any required medications prior to your visit, including blood pressure meds.

Drink plenty of water. You’ll be required to give a urine sample to screen for kidney problems.

If you have any of the conditions below, bring the requested items.

Diabetes – Bring a list of medications and the name of your prescribing doctor. Bring copies of your blood sugar results or hemoglobin A1C results from the past 3 months.

High blood pressure – Bring a list of medications and the name of your prescribing doctor.

Heart condition – If you’ve had a heart attack or cardiovascular disease, bring a copy of your last stress test or release from your cardiologist.

Sleep apnea – Bring a copy of your latest sleep study results along with a print out of your CPAP useage for the preceeding month.

Passing or Failing your DOT exam:

The most common reasons for failing a DOT physical are high blood pressure and uncontrolled sugar in your urine.  Both conditions can commonly be controlled and managed.

Another reason for failing a DOT exam would be having any condition that would cause a loss of the ability to operate a commercial vehicle safely, including the loss or impairment of limbs, poor vision, insulin controlled diabetes, high blood pressure, heart disease, epilepsy, mental disorders or use of certain drugs.

DOT medical cards are typically issued for 2 years.  However, your medical examiner may issue a card for one year or less, if you have a medical condition that requires monitoring, such as hypertension or the use of a CPAP machine.

If you fail your medical exam, your medical examiner may issue you a 3 month medical card and have you return for further follow-up, to be sure that your medical issue is now controlled.

Drug testing is not a typical part of the DOT exam but may be required by your employer.

Waiver VS Exemption

A waiver is temporary regulatory relief from one or more of the FMCSRs given to a person subject to the regulations, or a person who intends to engage in an activity that would be subject to the regulations. A waiver provides the person with relief from the regulation for up to three months. 49 CFR 391.64 provides waivers to CMV drivers who were in the initial vision and insulin programs in the early 1990’s.

An exemption is a temporary regulatory relief from one of more of the FMCSRs given to a person or class of persons subject to the regulations, or who intend to engage in an activity that would make them subject to the regulation. An exemption provides the person or class of persons with relief from the regulations for up to two years, but may be renewed.

Applying For A Medical Exemption

The Federal Diabetes and Vision Exemption Programs have specific requirements, as well as requests for hearing and seizure exemptions.  These requests may include medical exams, employment history, driving experience and motor vehicle records which must be submitted with the application. The Agency will make a final decision within 180 days of receipt of the complete application.  

Applying for an Exemption An individual may apply for an exemption from the diabetes, hearing, seizure and vision standard, section 391.41(b)(3) and 391.41(b)(11), 391.41(b)(8) or 391(b)(10) of the regulation, by utilizing these programs. If you do not currently meet the diabetes, hearing, seizure and/or vision standard and are unable to obtain a medical card, you may be an eligible candidate.

Please note that all exemption programs are for drivers who intend to operate commercial motor vehicles (CMVs) in interstate commerce. FMCSA does not have statutory authority to grant waivers/exemptions to drivers from states’ intrastate requirements. Therefore, the FMCSA waivers/exemptions do not permit regulatory relief for drivers who plan to limit their operations to intrastate commerce.

Diabetes Package

Diabetes Exemption Application

Quarterly Endocrinologist Evaluation Form for Already Exempted Drivers

Annual Diabetes Assessment Package for Already Exempted Drivers

  Tebby Chiropractic and Sports Medicine Clinic

Subscribe to our Youtube channel You Tube

Like us on Face Book Follow us on Twitter and Instagram

Stalk us on Google+ or Reddit

Find us here:

  The post What Is Required For A DOT Exam? appeared first on Tebby Chiropractic and Sports Medicine Clinic.

from Tebby Chiropractic and Sports Medicine Clinic https://tebbyclinic.com/what-is-required-for-a-dot-exam/

[lybrate00-blog]

Stress - Top 5 Ways to Manage It and ADHD - Know Its Symptoms In Children And Teenagers!

Stress happens when the solicitations set on you are too much and cause a weight on you, for example, work, school or associations beat your capacity or ability to change. All over pressure can be to some degree favorable as an assistance that gives the drive to a couple of individuals to finish their work on time and meet due dates and due date. Regardless, a striking measure of weight can make prosperity and success issues. They can incite issues in cardiovascular and central tactile frameworks and take a honest to goodness excited issue.

Untreated and consistent weight can accomplish real prosperity conditions including strain, snoozing disorder, muscle torment, hypertension and a feeble safe structure. Stress can fuel diverse diseases and messes, for example, heart contaminations, debilitation and heftiness by far most of the conditions. By discovering positive, sound and solid ways to deal with oversee stress as it happens, incalculable negative flourishing outcomes can be decreased. Here are five effective ways to deal with administer weight:

Appreciate a relief from the weight: It might have every one of the reserves of being hard to divert yourself from an imperative work schedule. In any case, when you give yourself consent to venture a long way from it, you let yourself have satisfactory imperativeness to accomplish something special, which can empower you to have another point of view or practice procedures to feel less pushed. It is fundamental not to disregard the weight factor. In any case, even twenty minutes to yourself is profitable.

Exercise: Exercise benefits your sentiments and psyche close by your body. We continue finding a few solutions concerning the whole deal inclinations of a conventional exercise design. In any case, even a ten or fifteen-minute walk, run, swim or yoga session in the midst of an offensive time can give a quick impact that can prop you up for two or three hours.

Laugh and attempt to stay happy: Our brains are interconnected with our slants and outward appearances. Right when individuals are centered around, its seems everywhere. So laughing can moderate a part of that weight and overhaul the circumstance.

Get social sponsorship: Try to call a friend or send an email to someone regarding your issues. When you present your burdens or presumptions to someone else, it helps calm the weight. In any case, it is vital that the individual whom you talk with is some person whom you trust and some individual who can understand and recognize you. If that your family is the stressor, for instance, it may not encourage your stress in which case, you may require a buddy.

Mull over: Meditation and appeal to can energize the cerebrum and body to extricate up and think properly. It can empower people to see new points of view, make self-affectability and vindication. While sharpening consideration, individuals can discharge feelings that may have been accomplishing physical distress. Much like an activity, investigate has shown that sharpening thought can end up being outstandingly valuable.

Words By:

Ms. Samiksha Jain

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanc...

Psychologist, Bangalore

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ADHD - Know Its Symptoms In Children And Teenagers!

Thought deficiency/hyperactivity issue (ADHD) is among the most surely understood neurobehavioral issue appearing for treatment in children and young people. ADHD is every now and again interminable with obvious signs and crippling spreading over into adulthood. ADHD is routinely associated with co-happening issue including hazardous, perspective, anxiety, and substance misuse. The finding of ADHD is clinically settled by study of reactions and shortcoming. The regular supporting of the strife is maintained by innate, neuroimaging, neurochemistry and neuropsychological data. Thought of all parts of a man's life ought to be considered in the finding and treatment of ADHD.

Multimodal treatment joins informational, family, and individual help. Psychotherapy alone and in mix with prescription is helpful for ADHD and comorbid issues. Pharmacotherapy including stimulants, noradrenergic administrators, alpha agonists, and antidepressants accept a significant part in the whole deal organization of ADHD over the future.

The organization of ADHD joins thought of two essential zones: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I without a doubt encourage Psychotherapy. Particular educational organizing in perspective of the tyke's difficulties is critical in a larger piece of cases. Since learning issue co-occur in 33% of ADHD youth, ADHD individuals should be screened and reasonable individualized enlightening plans made. Informative changes should be considered in individuals with ADHD with challenges in direct or insightful execution. Extended structure, obvious timetable, learning enables, resource for room time, and checked homework are among ordinary informational thoughts in these individuals. Similar changes in the home condition should be endeavored to streamline the ability to complete homework. For youth, visit parental correspondence with the school about the adolescent's progress is essential.

Signs in youths and teenagers

The signs of ADHD in youths and teenagers are particularly described, and they're regularly recognizable before the age of six. They occur more than one situation, for instance, at home and at school. The standard signs of each lead issue are point by point underneath:

Negligence: having a constrained capacity to center and being adequately involved submitting neglectful blunders – for example, in schoolwork appearing to be occupied or losing things being not capable stick at assignments that are repetitive or monotonous appearing, all in all, to be not capable tune in to or do bearings continually hinting at change development or undertaking encountering issues dealing with errands

Hyperactivity and carelessness: being not capable sit still, especially in peaceful or quiet surroundings continually squirming being not capable spotlight on assignments excessive physical advancement extraordinary talking being not capable sit tight acting without derivation meddling with exchanges for all intents and purposes no sentiment of hazard

These reactions can cause significant issues in a child's life, for instance, underachievement at school, poor social collaboration with different youths and adults, and issues with instruct.

Related conditions in youths and young people

Notwithstanding the way that not by and large the circumstance, a couple of youths may moreover have signs of various issues or conditions near to ADHD, for instance,

strain issue – which influences your adolescent to pressure and be on edge an incredible piece of the time; it may similarly cause physical appearances, for instance, a speedy heartbeat, sweating and insecurity

oppositional rebellious disarray (ODD) – this is described by negative and hazardous lead, particularly towards master figures, for instance, watchmen and teachers

coordinate perplexity – this frequently incorporates a tendency towards exceedingly singular lead, for instance, taking, doing combating, vandalism and harming people or animals

demoralization

rest issues – feeling that its difficult to find the opportunity to rest amid the night, and having unusual snoozing plans

greatly contemplative range issue (ASD) – this impacts social collaboration, correspondence, interests and direct

epilepsy – a condition that impacts the cerebrum and causes reiterated fits or seizures

Tourette's issue – a condition of the tangible framework, depicted by a blend of programmed disturbances and advancements called tics

learning challenges – , for instance, dyslexia Symptoms in adults In adults, the signs of ADHD are all the more difficult to portray. This is, as it were, as a result of a nonattendance of research into adults with ADHD.

ADHD is a developmental issue; it's assumed that it can't make in adults without it first appearing in the midst of youth. Regardless, it's understood that signs of ADHD consistently continue from immaturity into a man's young years, and a short time later adulthood. Any additional issues or conditions experienced by youths with ADHD, for instance, trouble or dyslexia, may in like manner continue into adulthood. By the age of 25, a normal 15% of people resolved to have ADHD as children still have a full extent of reactions, 65% still have a couple of signs that impact their step by step lives. The indications in children and youths, which are recorded above, is every so often moreover associated with adults with possible ADHD. Regardless, a couple of experts say that the way by which absentmindedness, hyperactivity and hurriedness impact adults can be inside and out unique in relation to the way they impact kids. For example, hyperactivity has a tendency to lessen in adults, while carelessness tends to break down as the heaviness of adult life increases. Grown-up signs of ADHD moreover tend to be considerably more simple than youth reactions.

A couple of specialists have proposed the going with once-over of symptoms related with ADHD in adults:

remissness and nonappearance of careful attention

reliably starting new endeavors already finishing old ones

poor various leveled capacities

frailty to focus or sort out

perpetually losing or losing things

indiscretion

enthusiasm and strained quality

inconvenience remaining quiet and standing up of turn

announcing responses and as often as possible interrupting others

outlook swings, touchiness and a quick temper

feebleness to oversee weight

uncommon tension

putting it all on the line in works out, as often as possible with for all intents and purposes no regard for singular prosperity or the security of others – for example, driving dangerously

Additional issues in adults with ADHD As with ADHD in children and youths, ADHD in adults can happen adjacent a couple of related issues or conditions. A champion among the most surely understood conditions is despairing. Diverse conditions that adults may have adjacent ADHD include:

character issue – conditions in which an individual fluctuates through and through from a typical individual, in regards to how they think, see, feel or relate to others

bipolar unrest – a condition that impacts your tendencies, which can swing beginning with one unprecedented then onto the following

over the best critical issue (OCD) – a condition that causes obsessive contemplations and excited direct

The direct issues related with ADHD can in like manner cause issues, for instance, issues with associations, social correspondence, prescriptions and bad behavior. A couple of adults with ADHD believe that its slippery and stay in an occupation. If you see any of the above in your tyke or yourself , it justifies attempting and contributing some vitality and money to have your tyke and moreover yourself reviewed on a need preface as ADHD causes neural changes in the cerebrum.

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