3rd Class Medical Sleep Apnea

Sleep Apnea Natural Ayurvedic Home Remedies

Natural Ayurvedic Home Remedies for Sleep Apnea. Chew 23 garlic cloves on an empty stomach followed by a glass of water. Do this every day. Add some gooseberry pieces into water and boil it for few minutes and then strain it. Have this liquid every night. Mix 1tsp each of honey and black pepper powder in a glass of warm water. Have this liquid before going to bed. Add 1tsp of turmeric powder to a cup of milk. Boil it for few minutes.

Drink it daily 30 minutes before going to sleep Mix 1tbsp of ginger paste and a mediumsize cinnamon stick to 1 cup of hot water. Boil it for a few minutes and strain it. Drink this liquid before going to bed. Eat a handful of dry roasted or soaked almonds. Eat some basil leaves every day. Mix 3tsp cinnamon powder and add 1tsp water and make a paste. Apply on the forehead and chest. Sleep Apnea – Natural Ayurvedic Home Remedies

Aviation Medical Examiner Guide Updates

*Music* *Airplane Sound Effect* Hi, I'm Judy Frasier. I'm one of the certification physicians at AMCD, and we're here to talk about some of the AME guide updates. This is in response to questions from the AMEs who are asking for an annual update. So this is the first, hopefully in a series, for

your information. Right now for AMEs, conditions are currently followed by. AMEs have conditions they can issue a regular certificate based on requirements in the AME guide. If they don't meet those they can go to an AASI or an SI, which are all timelimited and require special authorization. A partial list of current conditions AMEs can issue after taking a thorough history and determining if the

condition is stable is listed here. There is a new instructional category in the AME guide and these are conditions that an AME can issue if they're within specific parameters as designed on worksheets in the AME guide. These are the conditions that are currently allowed that have worksheets or instructional information that you, the AME, can issue in your office.

This should speed things up for you because you don't have to call AMCD or your Regional Flight Surgeon for authorization if conditions of the worksheet are met. So what has changedé In the old AME guide if you went to hypothyroidism for all classes you would be asked to submit all pertinent records, a current status, names of meds and thyroid function testing.

Then it would be worked at AMCD or the regional office, and your airman would be given a special authorization that was timelimited. What's new in the guide is there's this new category, and we're asking you the AMEs review the information. If it falls within worksheet parameters, you can issue. you can issue a regular certificate. If anything falls outside of the worksheet criteria, you'll

turn in the information as you did in the past, for a special issuance. So the conditions AMEs can issue are CACI, PreCACI, for example hypertension required an initial work up, lab, EKG, a current status and a history. Now by following the worksheet, that is no longer required and the AME can determine if the hypertension is stable.

Medical Coding Basics Cardiology Part 3

Boyd: You have three questions around this:Won't you want to code the afib as a history because of the current issuesé Alicia: No. He says he doesn't have it andthere isn't a code for a history of afib, so we can't do that. Boyd: Next question: On your first case examplethat had hyperlipidemia listed in the problem list, it was not talked about in the bodyof the report, but he did order a lipid profile in the plan; so would it be wrong to codethat tooé Alicia: In the problem list, again, you'renot going to use the problem list; you can't

code off of the problem list. He is takingmedication, but he really doesn't address it anywhere else in there. He doesn't putit in the assessment, he does call for a lipid panel, you are correct. Now, if I was doingrisk adjustment, absolutely I'd pull that because it does carry an RxHCC, but it doesn'tcarry a standard HCC. Again, could youé Maybe, but no. I don't think so because he didn'tput in the diagnoses. Boyd: Next question: How did you know whatto code as DX 1st, 2nd, and thirdé Alicia: That's a really good question andthat gets to be really fun sometimes. With something like this where you have hyperplasia,hypertension and palpitations, none of this

actually probably would trump the other. Meaning,is one worse than the other or noté Hyperplasia, maybe, but in that case either of these couldbe the first listed diagnosis. These are all outpatient charts, you're not being reimbursedbased on the diagnosis, and there are no rules here, guidelines to tell you that you needto code one in front of the other. So, that's not going to matter for that one. For theother one, same thing. But some coders and some s, if it doesn't matter, thenthey'll start at the top of the body and go down. I've seen them do that.But usually the most severe gets coded first, that's a rule of practice. But who's tosay that their sleep apnea in this one is

a more severe condition than their very highcholesterol, maybe or something. But with these, absolutely, it does not matter. Now,if they have diabetes and hypertension and cholesterol, I'd put the diabetes firstbecause the diabetes tends to affect the overall body; so I would probably code that first.But usually you go from top to bottom or just in the order that the physician wrote themand let the guidelines indicate otherwise.

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