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Updated information about the FMCSA proposed medical ruling for CDL requirements.

According to Trasport Topics, the Federal Motor Carrier Safety Administration last week issued a final rule requiring all interstate truck drivers to prove they have passed medical examinations and proposed a separate rule setting up a national registry of qualified examiners.

The rule would require proof of an exam to obtain and keep commercial driver license.

This  new rule, long sought by safety advocates, also will require states to merge commerical driver license records and truk drivers’ medical examination certificates into a singe electronic record that law enforcement officials could check at any time.

Current federal regulations require that commercial drivers pass medical exams every two years, but in most states, drivers are required only to prove evidence of their medical certifications to their employers or when asked by roadside inspectors or law enforcement officers.

Under the new rule, drivers will be required to keep their state licensing agencies informed each time they pass their mandated medical exams, which is every two years for drivers who don’t have special medical conditions. Some drivers with medical problems are required to pass medical exams as often as every three months!

The new driver medical requirements are intended to help prevent medically unqualified drivers from operating on the nation’s highways by providing state licensing agencies with a means of identifying interstate CDL holders who are unable to obtain a medical certificate.

FMCSA also said this rule would deter drivers from submitting falsified medical certificates because enforcement personnel would have electronic access to information about the medical certificate and the identity of the medical examiner.

After the new rule is implemented, drivers will no longer be required to carry a medical certification care in thier wallets.

*Did you know… During 2007, FMCSA and its state partners conducted more than 3.4 million roadside inspections, citing drivers with more than 145,000 violations for failing to have medical examination  certificated in their possession and issued 6,105 violations for physically unqualified drivers.

It is said that the propsed medical examiners rule would help prevent “doctor shopping” and fraud.

 If losing weight were simple, Spandx would be just another screen name in a S&M chat room. But dieting is complicated: There are even ways to screw it up without even realizing it. For instance, who would ever think that working out in the a.m. or cranking the AC might be the reason you’re not slimming down?  Luckily, once you’ve ID’d these flubs, fixing them is nowhere near as hard as pulling on a pair of control-top hose.

Roadblock No. 1:   You work out at 6 a.m.

And what’s wrong with that? Morning workouts are great- if you go to bed at 10 p.m.  In a recent study in the American Journal of Epidemiology, women who slept seven or more hours a night were less likely to put on weight then women who didn’t. Those who slept only six hours a night were 12 percent more likely to gain substantial weight -33 pounds on average over the course of 16 years! (Women who slept a measly 5 hours had a 32 percent chance of gaining 30 or more pounds). Other studies have linked lack of sleep to a higher BMI and have found that it negatively affects levels of the appetite-regulating hormones ghrelin and leptin.

Detour:  Don’t sacrifice your snooze time- not even for an extra long run. And quality matters more than quantity, so taking a siesta later won’t help. In a 20-minute power nap you don’t get the deep-sleep stages. You need to go throught the cycles of sleep over a few hours to get the restorative rest that allows your body to work properly. Bottom line: You’re better off sleeping through your workout every other day than stumbling to a sunrise Pilates class on too few Z’s.

Watch video here!

  With all the time and money now being spent on achieving a better night’s sleep, “Forbes” says sleep is now the new sex. Laura Berman, the director of the Berman Center for Woman’s Sexual health joined “Situation” to discuss ‘Forbes’ new study, as well as this disturbing new trend:

Tucker Carlson, host of ‘Situation’:  This is depressing as hell. Is this real?

Laura Berman:  In many ways it is real. We are sleep deprived as a nation. And we are trying to fit too mych into 24-hour day-sleeping pills and sleeping aid and sleeping mattresses, ‘Forbes’ is right, are on overdrive and being sold like crazy. But I think the main reason people are sleepless is primarily because of stress and depression more than anything else.

Carlson: Not because they’re having too much sex?

Berman: No. They’re not having enough sex! And ironically, the amazing part is that sex can actually really help you with sleep. And what ends up happening is that you try to pack too much in. you get into bed. You’re stressed. You’re uptight. And then you start getting stressed about not being able to fall asleep, and that keeps you even more sleepless.

Instead, you should try having sex. It will help you sleep, because it releases endorphins and you feel better about yourself. Or try to relax; give each other a massage. Or you can do two for one. In fact, I was just seeing that KY out with a two in one massage/touch product, where it doubles as a massage lotion, as well as a lubricant. So you can get two for one!

Carlson: At KY, they think of everything…  😉

Berman: Yes…

Carlson: Can you imagine a scenario in which sleep porn becomes popular?

Berman: There you go. You can wear those glasses or, you know, blindfold that has a video image running. And that will be the new kind of sex. We like multitasking, so you can get two done at once.

Carlson: Is there really a sleep crisis? I mean, it seems like one of those perennial stories, like LSD is coming back. “TIME” magazine does a cover on that every decade or so. Is there really a sleep crisis, though? Are people really sleeping less?

Berman: They really are. And it is a real issue because it becomes a vicious cycle. As we’re stressed and depressed, we’re not sleeping. And, we’re trying to fit too much in and we’re too anxious and we’re too worried about everything we have to get done. We just don’t get enough sleep and tat only represses our immune system, but it makes us more stressed and depressed, and the cycle continues. We need to look at this as a society and Americans, because its not only, you know, the fact that we’re avoiding sex, but we’re really not taking care of our bodies and ourselves and make that time for sleep.

Carlson: If you were to give three tips- what are your quick sex tips for improving the intimacy in your life?

Berman: I actually just did a big study on intimacy and found that couples who kiss regularly and spontaneously not only have higher levels of intimacy, general intimacy, but also have decreased levels of stress and depression.

So, instead of taking those sleeping aids, and buying that $1,000 mattress, try kissing your partner more and cuddling them more.  

We also found that sexual satisfaction not only is a stress reliever but impacts intimacy. Taking a vacation together, going on a date night a week, taking care of yourself, exercising. All of that will do great things for your stress levels, to alleviate depression, to enhance your relationship, which really enhances your quality of life and your sense of well being, which will all contribute to your sleep. If you do have a sleep problem that is really significant, before you start popping those pills, go to a sleep lab, take a home test, see a behaviorist. Don’t get caught into the cycle of taking these pills in a way that’s going to make you dependent and just create the problem be a band aid for a much larger problem.

Carlson: Yes. I think that’s wise advice. And finally, in one word, your choice is dinner or a movie? Not dinner and a movie. Dinner or a movie, what do you choose?

Berman: Definitely dinner, because a movie, you’re not talking to each other. It’s un-personal.

[sex not only helps you sleep, but you get a little exercise, you connect with your partner, and you release stress. Doing it safely, and wisely, your more opt to wake-up with a smile on your face, and the anticipation for a good day ahead, and a good night at home….sweet dreams 😉 ]

 

 

 

 

 

…When I saw this, I thought what are we thinking! Really, snorting brain chemicals? They’re brain chemicals, they should be in our brains, not us snorting them up there! I hope that this never makes it to the market!…. What would you do? Would you snort a ‘brain chemical’ just to get some sleep or would you do the old fashion-ed tricks and get some rest?

 

 

In what sounds like a dream for millions of tired coffee drinkers, Darpa-funded scientists might have found a drug that will eliminate sleepiness.

 

  A nasal spray containing a naturally occurring brain hormone called orexin A, it reversed the effects of sleep deprivation in monkeys, allowing them to perform like well-rested monkeys on cognitive tests. The discovery’s first application will probably be in treatment of the severe sleep disorder narcolepsy.

 

  The treatment is “a totally new route for increasing arousal, and the new study shows it to be relatively benign,” states a profession of psychiatry at UCLA, “It reduces the sleepiness without causing edginess.”

 

  Orexin A is a promising candidate to become a “sleep replacement” drug. For decades, stimulants have been used to combat sleepiness, but they can be addictive and often have side effects, including raising blood pressure or causing mood swings. The military, for example, administers amphetamines to pilots flying long distances, and had funded research into new drugs like the stimulant modafinil and orexin A in an effort to help troops stay awake with fewest side effects.

 

  The monkeys were deprived of sleep for 30 -36 hours and then given either orexin A or a saline placebo before taking standard cognitive tests. The monkeys given orexin A in a nasal spray scored about the same as alert monkeys, while the saline-control group was severely impaired.

 

  The study, plublished in the edition of The Journal of Neuroscience, found orexin A not only restored monkey’s cognitive abilities but made their brains look “awake” in PET scans.

 

  Siegel said that orexin A is unique in that it only had an impact on sleepy monkeys, not alert ones, and that it is “specific in reversing the effects of sleepiness” without other impacts on the brain.

 

  Such a product could be widely desired by the more than 70 percent of Americans who the National Sleep Foundation estimates gets less than generally recommended eight hours of sleep per night.

 

   The research follows the discovery by Siegel that the absence of orexin A appears to cause narcolepsy. That finding pointed to a major role for the peptide’s absence in causing sleepiness. It stood to reason that it the deficit of orexin A makes people sleepy, adding it back into the brain would reduce the effects.

 

  “What we’ve been doing so far is increasing arousal without dealing with the underlying problem,” “If the underlying deficit is a loss of orexin, and it clearly is, then the best treatment would be orexin.”

 

  Dr. Michael Twery, at the National Center of Sleep Disorders Research, said that while research into drugs for sleepiness is “very interesting,” he cautioned that the long term consequences of not sleeping were not well-known.

 

  Both Twery and Siegel noted that it is unclear wheather or not treating the brain chemistry behind sleepiness would alleviate the other problems associated with sleep deprivation.

 

  “New research indicates that not getting enough sleep is associated with increased risk of cardiovascular disease and metabolic disorders.”

 

I guess these UK scientists should see that we Americans have this under control (snicker) with our self-medicating with caffeine. – ORGN. “we have to realize that we are already living in a society where we are already self-medicating with caffeine. Siegel said.

 

  He also stated that modafinil, which is marketed as Provigil by cephalon and alertec in Canada, has become widely used by healthy individuals for managing sleepiness.

 

  “We have these other precedents, and it’s not clear that you can’t use orexin A temporarily to reduce sleep,” Siegel said. “On the other hand, you’d have to be a fool to advocate taking this and reducing sleep as much as possible.”

 

    Sleep advocates probably won’t have to worry about orexin A reaching drugstore shelves for many years. Any commercial treatment using the substance would need approval from the Food and Drug Admin, which can take more than a decade.

 

remember-bigger

While you sleep, your brain may strengthen the memories you made during the day. That’s according to a study preformed at the American Academy of Neurology.

The researchers, who included Jeffrey Ellenbogen, studied 48 healthy adults aged 18-30 . Ellenbogen’s team split participants into four groups. Participants in all four groups memorized word pairs. One group was tested on the word pairs at the end of the day. Another group took the same test the following morning, after sleep at home. Their test scores were similar.

The remaining two groups got an extra challenge. Right before the test, they saw another set of word pairs that was very similar to the one they had memorized. Those participants were tested on both sets of word pairs. The point was to see whether their memory was distracted by the new set of word pairs. The students who slept at home before the tests preformed best. They correctly identified about three quarters of the word pairs. In comparison, the students who took the test before going home for the evening correctly identified about one-third of the word pairs.

“This is the first study to show that sleep protects memories for interference,” “these results provide important insights into how the sleeping brain interacts with memories: It appears to strengthen them. Perhaps, then, sleep disorders might worsen memory problems seen in dementia.

Check out the link below and watch a short clip about how these tests where preformed and what the doc had to say!

http://www.cbsnews.com/stories/2007/04/24/health/webmd/main2721861.shtml

surgery.jpg

  The intention of surgery is to open the airway sufficiently to eliminate or to reduce obstructions to a clinically insignificant level. In order to do so, surgical therapy in adults often must reconstruct the soft tissues (such as the uvula and the palate) or the bony tissues (the jaw) of the throat.

If you have been diagnosed with OSA and are considering surgery, talk to a sleep specialist and/or experienced surgeon about the different procedures, and the chances they will be effective to you, with your anatomy and why, and most of all the risks involved with surgery. Untreated sleep apnea can be harmful to your health, and surgery cannot always address all the points of obstruction. Eliminating the snoring does not necessarily eliminate the apneas. Sometimes surgery does not cure sleep apnea but reduces the number of apneas so that more treatment options are available to you and/or more comfortable. Yet in some circumstances, surgery may actually worsen the apnea.Insurance typically covers surgery for sleep apnea but not all surgical procedures. However, insurance companies that initially refuse to pay for a surgery may be convinced otherwise upon an appeal that demonstrates the efficacy and appropriateness of the surgery in your case. Throat pain from the major surgeries varies but is generally significant, often for one to two weeks. Most surgical procedures for sleep apnea are conducted in a hospital under general anesthetic. (People with sleep apnea must be cautious about general anesthesia–no matter for what medical condition the surgery is–because of the effects anesthesia has on the airway.)The most common surgery for sleep apnea is the uvulopalatopharyngoplasty, or UPPP procedure, which is intended to enlarge the airway by removing or shortening the uvula and removing the tonsils and adenoids, if present, as well as part of the soft palate or roof of the mouth. (The uvula is the tissue that hangs from the middle of the back of the roof of the mouth; the word comes from the Latin “uva” meaning “grapes.”) According to the “Practice Parameters for the Treatment of Obstructive Sleep Apnea: Surgical Modifications of the Upper Airway,” issued in 1996 by the American Academy of Sleep Medicine, the overall efficacy is 40.7%. A more recent surgery using a laser (laser-assisted uvulopalatoplasty or LAUP, a modification of the UPPP where the surgeon cuts the uvula with a laser) is performed for snoring. There is not yet enough information to say whether LAUP is effective for OSA. 

There are other surgical procedures where a part of the tongue is removed, and two which try to enlarge the airway by moving the jaw forward. These surgeries do have very high success rates but are long and involved (lasting several hours) with a significant recovery period and potential complications that patients may reject. As a rule, success rates for these complicated surgeries are higher when preformed by an experienced surgeon. You may have to undergo more than one procedure to eliminate the apneas sufficiently. In review, when weighing surgery, consider whether the safety and efficacy of the procedure have met the medical journals and cases studied are similar to yours. Surgery helps many, but effectiveness varies from person to person. It is also highly recommended that with surgery you have follow up sleep studies often, to evaluate your current conditions. If unsure about proceeding, you should seek a second opinion. Only a doctor who has examined you and your airways/complications can advise you on finding the correct surgery best for your needs.

 **Physicians who perform surgery for sleep apneas are most commonly otolaryngologists (specializing in the ears, nose, and throat) and oral and maxillofacial surgeons. If you are seeking a referral to a surgeon or a second opinion, you may find one through your physician or through a sleep center, and keep in mind that your insurance policy may require you to get a referral for a specialist and/or to see a specific provider.**

 

 

 

 


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