- 7. Mai 2023
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Inova Neurodiagnostic and Sleep Assessment Center - Inova Alexandria Hospital. Inspire may be an option if you have moderate to severe sleep apnea and can't tolerate using a CPAP machine. Inspire Therapy is not for everyone, and patients will have to meet several characteristics: There is no rating available for this provider for one of two reasons: he or she does not see patients, or has not received the minimum number of patient survey responses. Doctors on the medical staff practice independently and are not employees or agents of Steward Health Care hospitals. About 20% of them we find that their obstruction just is not amenable to treatment with it. Your child may benefit from a sleep study if they: At Inspira, we understand that getting a good nights sleep is about more than just restits about staying well and living a longer, healthier life. And so, for years, we have been searching for other treatments and there are many other surgeries that we offer patients which have really kind of variable effectiveness. Product Name: Inspire Upper Airway Stimulation (UAS)PMA Applicant: Inspire Medical Systems, Inc.Address: 5500 Wayzata Blvd. Third Party materials included herein protected under copyright law. UR Medicine has developed a highly successful team, consisting of Dr. Sveta Karelsky (Otolaryngology), Tarek Siala, PA-C (Otolaryngology) and Dr. Carolina Marcus (UR Sleep Medicine), who provide complete evaluation and treatment starting from initial consultation to surgical implantation of the device and ongoing care. Whether it's snoring or sleep apnea, we offer the latest diagnostic and therapeutic approaches to help you sleep better. So, its not just for anyone. Find the best for you: Dr. Michael Rogers, MD. 90% of people with sleep apnea dont even know they have it. Northwestern Medicine Sleep Health Centers provide day and night sleep studies for diagnosis and treatment of sleep disorders, including sleep apnea, periodic limb movement disorder, nocturnal behaviors (sleep walking, talking and eating in sleep, acting out dreams) disorders and narcolepsy. According to the Centers for Disease Control and Prevention (CDC), children and adolescents who do not get enough sleep have a higher risk for a number of health issues, including obesity, diabetes and behavior problems. The Inspire sleep apnea device was first approved by the FDA in 2014. Dr. Sam Sawaya, MD. Surgery takes place at UR Medicines Highland Hospital, which combines the advantages of a university medical center with those of a smaller facility. Studies have proven that Inspire reduces sleep apnea symptoms.. Bazaco has been practicing medicine for over 53 years and is highly rated in 18 conditions, according to our data. Carney Hospital specialists successfully completed the hospitals first surgical implant of this FDA-approved device on April 25. By submitting your information, you agree to the. Now what about insurance coverage? Emailing us via this page is not an encrypted means of communication with our practice. So, its not approved for everyone with sleep apnea. Our servers have detected that you are accessing this site from a restricted area. Inspire is the most effective alternative to CPAP., Having an effective alternative sleep apnea treatment is important in our field of sleep medicine., Inspire offers a way to stimulate the bodys own physiology to provide a more natural way to keep the airway open during sleep., Ryan Nord, MD - VCU Health, Department of Otolaryngology, Suzanne Stevens, MD - The University of Kansas Health System, Department of Neurology, Bruce Corser, MD - Sleep Management Institute, Asim Roy, MD - Ohio Sleep Medicine Institute, Gerard J. Meskill, MD - Comprehensive Sleep Medicine Associates, Inspire Medical Systems, Inc. 2023. Suite 1600, Golden Valley, MN 55416 USApproval Date: March 20, 2023Approval Letter: Approval Order. Host: Who would notice sleep disorders or sleep apnea? Drug induced sleep endoscopy (DISE) is a brief outpatient procedure that reproduces sleep apnea to determine what type of airway collapse you experience at night. Inspire is available for veterans at select VA and military hospitals across the US, Visit the Find a Doctor page or chat with an Inspire Advisor to see if there is an VA or military hospital near you that offers Inspire, If there is not a center near you, you can possibly utilize a program called the Community Care Program. Call us at(585) 758-5700to make an appointment. They subsequently meet with Dr. Karelsky to plan optimal treatment together. Additionally, you cant be too overweight, you have to have a body mass index of under 33 which is a challenge for some of our patients. But there is a not insignificant percentage of patients who for any number of reasons do not tolerate their CPAP well. Always consult a medical provider for diagnosis and treatment. The oxygen levels in your blood may go down, and carbon dioxide levels go up. If youve got questions around insurance coverage for Inspire, speak with an Inspire Advisor. This is Boston MedTalks with Boston Medical Center. He helps patients fulfill requirements for sleep surgeries performed by Dr. Sveta Karelsky. Call 515.875.9555 to schedule a consultation and find out if Inspire sleep therapy is right for you. Theres no wrong time to exercise, but there are different benefits for men and women, depending on when you decide to work out. Sleep apnea occurs when breathing is briefly and repeatedly interrupted during sleep, marked by breathing pauses that last at least 10 seconds. See reviews, times, & insurances accepted. I would say that probably the most common reason that patients come to see us is that their bed partners or other family members report that they are snoring and not only are they snoring, but it often sounds like they are choking or that their breathing is even stopping when they are asleep. Not have complete blockage or concentric collapse of the back, muscular part of the roof of the mouth, called the soft palate. Contact Your Insurance Provider. Boston, MA 02118 If you find that you are not sleeping well, that you're snoring or feeling tired, make an appointment with The University of Vermont Medical Center's comprehensive Sleep Program. That means they moved from the severe obstructive sleep apnea category to a lower level of severity. Call: 1-800-467-7472. Learn more about whatInspire Therapy is and whether it is right for you. Mild stimulation to a specific part of the hypoglossal nerve (the nerve controlling tongue movement) contracts the tongue muscles to bring the tongue forward, which opens the airway during sleep. Approximately 18 million Americans 1 out of every 15 adults have Obstructive Sleep Apnea, or OSA. Charles "Chock" Chapple with his Inspire Sleep Apnea device. Your tongue may also relax too much, affecting how much air you breathe in. Neurologists. With a team of skilled, licensed sleep technicians and specialists practicing in South Jersey, theres no need to travel outside your community to receive exceptional care. Based on your history with Obstructive Sleep Apnea, these are the Inspire-trained doctors in your area. You can contact As a resident, he was inducted into Alpha Omega Alpha and received the Jeffrey H. Spiegel Award for Accomplishment in Plastic Surgery, a testament of his skills as a student and surgeon. Find Providers by Specialty Find Providers by Procedure. So, thats the necessary hurdle to get over and most patients, about 80% of patients after that sleep endoscopy do remain candidates for the device. The small sensor in the chest wall monitors the patient's breathing and sends mild stimulation to the hypoglossal nerve to prevent the tongue from blocking the airway. Five-year STAR trial outcomes show patients using Inspire experience significant reductions in sleep apnea events and significant improvements in quality-of-life measures. There are many unhealthy assumptions about sleep. Patients are pregnant or plan to become pregnant. So, the first step in evaluating patients once they meet the other criteria is that we do something called a diagnostic sleep endoscopy where we actually take you to the operating room and put you to sleep but keep you breathing on your own and we look down your throat with a camera and look at whats going on in your airway when you are sleeping thats causing the sleep apnea. We use cookies and other tools to enhance your experience on our website and to analyze our web traffic. You dont need to hook up to a noisy, uncomfortable CPAP machine to get the sleep your body needs. George Bazaco is a Sleep Medicine specialist and an Intensive Care Medicine expert in Leesburg, Virginia. 2023 University of Rochester Medical CenterRochester, NY, Clinical and Translational Sciences Institute, Monroe County Community Health Improvement Plan. Then we typically will proceed to a physical examination; looking at the nose and the throat, weighing patients obviously and looking at their body mass index. The IPG detects the patients breathing pattern and maintains an open airway by stimulating the nerves using small electrical impulses. Inspire therapy is not for people who are significantly overweight, Copyright 2023 The MetroHealth System | 2500 MetroHealth Drive | Cleveland, OH 44109 |. Learn more. It is a state-of-the-art alternative therapy for obstructive sleep apnea patients who cannot use CPAP machine therapy, said Dr. Schlewet. For nearly two decades, Charles "Chock" Chapple suffered from sleep and breathing problems, which ultimately caused him to "run out of gas" by 5 or 6 every night. Thanks so much for listening. Before trying Inspire, you will need an obstructive sleep apnea diagnosis. But certainly, is your family members have it, its something that I would have an increased concern that you could have it as well. 5.00 (2 ratings) 2055 W Hospital Dr Ste 205 Tucson, AZ 85704. Dr. Christina Haaland, MD. By taking a holistic approach to testing and screening, our specialists can develop a personalized treatment plan to meet every patients unique needs. Inspira Health Network. Open Closes at 5PM. A disorder that occurs when the signal for your lungs to inhale isnt properly transmitted to your brain, causing interruptions to your breathing during sleep. Contact the device manufacturer to assess the possibility of interaction. Your sleep apnea has to fall within a certain range so when you have a sleep study performed, you are given a score and that score has to fall within a certain range for you to be a candidate for the device. There are 1422 doctors who treat Sleep Apnea in Plano. Host: So, if you have diagnosed it Dr. Cohen, we have all heard about CPAP; but today we are talking about Inspire Therapy or upper airway stimulation. This content is not available in your current region. 5.00 Rated 5.00 out of 5 stars, with (1 rating) 6001 Kyle Pkwy Kyle, TX 78640. Learn more about our local and nationally renowned physicians. Dr. Cohen: Thats a great question and it can really be both. Please notify office upon scheduling if you require an interpreter. Boston Medical Center Otolaryngologist Michael Cohen, MD, in partnership with the Sleep Disorders Center is pleased to announce that Inspire Therapy, an FDA-approved therapy for obstructive sleep apnea, is now available to BMC patients. Central Sleep Apnea A rare condition not caused from a blockage of air, but rather a failure by the part of your brain that controls breathing. The .gov means its official.Federal government websites often end in .gov or .mil. Our dedicated team of professionals provide a personalized treatment plan to support your medical and personal goals. An upper airway stimulation approach to sleep apnea works inside the patients body. The specialists work collaboratively to determine patient eligibility, develop personalized care plans, and provide pre- and post-implant care to ensure a successful outcome for each patient. News 8: Inspire Device designed to stop sleep apnea and improve your sleep, WXXI: Interview with Dr. Karelsky on Second Opinion with Joan Lunden, 13 ABC: Highland Hospital offers "Inspire" device to help sleep apnea patients. These doctors are experts in treating sleep disorders and practice in leading hospitals. Before trying Inspire, you will need an obstructive sleep apnea diagnosis. She is part of a comprehensive Ear, Nose and Throat (ENT) department, with colleagues specializing in each of these areas collaborating to offer comprehensive treatment. A patient has another implantable device that could possibly have an unintended interaction with the Inspire system. Signs that you may be suffering from sleep . And this is a device that you actually turn on at night with a remote control and when it is on, it senses when you are taking a breath in and thats the sensing lead that knows that you are taking a breath in triggers the device to send a signal to the nerve that controls the tongue and it causes the tongue to move slightly forward in the mouth, opening up whats called the retro lingual or the space behind the tongue and allowing air to pass more freely. And then you would sleep once you have slept through the night and you are awake, you simply turn the device off and go about your day and its not doing anything through then and then in the next night, you turn it on again. There are 149 doctors who treat Sleep Apnea in Kyle. All rights reserved. Medicare is covering Inspire for those who qualify. A confirmation will be sent to your phone number: . Sleep is an essential part of our physical and mental well-being. The surgery is usually better tolerated compared to any other sleep surgery as there is much less pain. 2100 Dorchester Avenue And there are certain elements of your anatomy that have to be amenable to treatment with the device. There is a physical condition that would keep upper airway stimulation from working well, such as a complete blockage of the upper airway. All Rights Reserved. Melanie Cole (Host): Approximately 18 million Americans, thats one out of every 15 adults have obstructive sleep apnea. Inspire therapy is extremely powerful in improving or even curing patients from OSA. A CPAP might be it. Dr. Karelsky is an Associate Professor of Otolaryngology Head and Neck Surgery at the University of Rochester, specializing in surgical treatment of obstructive sleep apnea (OSA). As the hours go by, you try anything and everything in search of that one thing that will make all the difference and deliver a good nights sleep. It is controlled by a small remote control consisting of three parts: a small generator, a breathing sensor lead, and a stimulation lead, which all work together to monitor your sleeping and deliver a mild stimulation to crucial airway muscles and help keep them open while you sleep. Is there a genetic component to this? The Inspire system is typically implanted during an outpatient procedure, and is placed under the skin of the neck and chest through three small incisions. The latest innovation in sleep apnea treatment gives you a good nights rest with the click of a button. Our sleep specialists treat patients around South Jersey from state-of-the-art facilities. Neurologists focus on this and other ways your brain and nerves contribute to sleep apnea. All Rights Reserved. When you're ready for bed, simply click the remote to turn Inspire on. Where are you having obstruction? For more information about these cookies and the data collected, please refer to our, Laboratory and Biorepository Research Services Core. All of our local sleep specialists are board certified in sleep medicine and bring expertise and depth of knowledge to the sleep lab, ensuring you get the comprehensive services you needwhether its conducted in the lab or at home. Dorchester, MA 02124. In addition, we are devoted to training future generations of health professionals in our wide range of residency and fellowship programs. The Iowa Clinic. Submission of this form is subject to Healthgrades, Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion). If you are experiencing a medical emergency, do not contact us either via phone or email but instead call 911. No longer sleep-deprived, patient hopes his story will inspire others. Dr. Karelsky focuses on providing a personalized, targeted treatment approach to patients with OSA who do not benefit from treatment with positive airway pressure devices (CPAP or BiPAP). Dr. Carolina Marcus turns on the Inspire implant and helps patients find the right settings for a great night of sleep. It can . Heres what you need to know. Find Top Sleep Apnea Doctors by State. Inspire works inside the body, eliminating the need for hoses and masks. But certainly, we know that there is higher risk of stroke, higher risk of heart disease, things like that have been very clearly shown in patients with untreated sleep apnea. Inspire is an upper airway stimulation device that is implanted surgically and controlled by the patient with a remote. A disorder that occurs when there is a blockage in your airway that causes your breathing to become interrupted repeatedly during sleep. Find the best for you: Dr. Frederick Dixon, MD. How is the assessment and evaluation done? A neurological disorder that causes uncomfortable sensations in the legs, accompanied by a strong urge to move them. The doctor can program stimulation settings using the external physician programmer. Call 515.875.9555 to schedule a consultation and find outif Inspire sleep therapy is right for you. I think you also asked about the economic cost and again, those can be hard to quantify but we all sort of have experienced days of lost productivity at work when we are tired and imagine having that all the time and you can sort of just easily envision the economic costs that comes from having a huge number of people in the population who just arent getting a good nights sleep every night. Simply turn Inspire on before bed and off in the morning when you wake up. This technology is a game-changer for those who have poor quality sleep due to sleep apnea, said Dr. Velasquez. 4320 Seminary Rd Alexandria VA 22304. Other types of apnea (central and mixed) besides obstructive sleep apnea make up more than 25% of the total AHI score. Inspira Health provides exceptional sleep care to patients across South Jersey. Inspire is an alternative to CPAP that works inside your body while you sleep. Youll no longer feel so tired or irritable. The Inspire system is controlled by a small handheld sleep remote. Boston Medical Center Otolaryngologist Michael Cohen, MD, in partnership with the Sleep Disorders Center is pleased to announce that Inspire Therapy, an FDA-approved therapy for obstructive sleep apnea, is now available to BMC patients. While you sleep, Inspire opens your airway, allowing you to breathe normally and sleep peacefully. Leesburg, VA. 2.2 mi. An upper airway stimulation approach to sleep apnea works inside the patient's body. Dr. Cohen: So, CPAP for a long time has been our gold standard treatment and still is our gold standard treatment for sleep apnea. Listen in as Dr. Cohen discusses symptoms of OSA, and this new groundbreaking therapy to help. You would simply turn the therapy on at night before going to sleep, and then turn it off in the morning when you awake. Dr. Karelsky frequently gives lectures about the surgical treatment of obstructive sleep apnea and has been featured on several television segments about the Inspire device. Can a CPAP Machine Really Improve Your Sleep Apnea. While the initial approval in 2014 was for people at least 22 years old who met the eligibility requirements, the FDA expanded the age range in 2020 to ages 18 and up. The first step to better sleep is determining eligibility. November 2, 2021. . Get Directions See Location Details. If your doctor determines you should see a sleep specialist, they may have referrals they recommend. If you believe you're experiencing any of these sleep disorders, call 1-800-JEFF-NOW (1-800-533-3669) to make an appointment with the sleep specialists at Jefferson Health. These can all certainly be symptoms of sleep apnea. If you don't receive the confirmation in the next minute, check the phone number or close this window and try again. But we are going to ask about things like snoring, witnessed chocking or pausing or things like that, day time sleepiness, morning headaches. An official website of the United States government, : Looks like you're ready to take the next step toward better sleep. BMC physicians are leaders in their fields with the most advanced medical technology at their fingertips and working alongside a highly skilled nursing and professional staff. Our team at the Sleep Research and Treatment Center treat everything from insomnia and sleep apnea to narcolepsy and restless leg . These patients must also: Inspire UAS was previously approved (P130008 and P130008/S039) in patients 18 years of age and older with moderate to severe obstructive sleep apnea (15AHI 65) who have been confirmed to fail or cannot tolerate PAP treatments including continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP), and who do not have a complete blockage of the upper airway. an Inspire trained doctor for a diagnosis, or your local primary care doctor. Sleep Apnea Risk Factors. Michael Cohen, MD is an Assistant Professor of Otolaryngology, Head & Neck Surgery at the Boston University School of Medicine and a consultant for GI Reviewers. Have been considered for all other alternative/additional treatments that are considered the standard of care for this condition. Through a small device implanted in your body, you can open up your airways using a remote. Inspire Medical Systems, Inc. 2023. Effective May 11, masking will be optional for patients, visitors and MetroHealth employees. Just like every patient, we are going to start with looking at elements of their history. There a numerous risk factors that may contribute to OSA, including: A family history of sleep apnea; Asthma Host: Wow. She is one of the most experienced Inspire surgeons in the country, having completed over 200 Inspire implant operations. Dr. Cohen: Sure, so, the patient satisfaction has really been excellent. Carney Hospital Dr. Karelsky works closely with the University of Rochester Sleep Medicine service, which also has extensive experience with Inspire, as well as other sleep doctors throughout the region. Dr. Karelsky is an Associate Professor of Otolaryngology Head and Neck Surgery at the University of Rochester, specializing in surgical treatment of obstructive sleep apnea (OSA). 3.90 (13 ratings) 3301 SW 34th Cir Ste 202 Ocala, FL 34474. This is a brief overview of information related to FDAs approval to market this product. 4.70 Rated 4.70 out of 5 stars, with (25 ratings) 13400 E Shea Blvd Scottsdale, AZ 85259. Find Doctors and Dentists Near You . For more information you can go to www.bmc.org, thats www.bmc.org. See more top Sleep Apnea doctors in Ocala. Boston Medical Center (BMC) is a 514-bed academic medical center located in Boston's historic South End, providing medical care for infants, children, teens and adults. It involvesa small implantable pacemaker-like device which stabilizes the throat while sleeping by providing gentle stimulation to throat muscles and allowing the airway to remain open during sleep. Inspire is a sleep apnea treatment. The safety and efficacy of the therapy was evaluated during the STAR clinical trial. Inspire is a hypoglossal nerve-stimulating implanted device. It also certainly contributes to and poor sleep also certainly contributes to mental health problems, depression and things like that. Not be a candidate for surgery to remove the adenoids and tonsils (adenotonsillectomy). Inspire UAS was previously approved (P130008 and P130008/S039) in patients 18 years of age and older with moderate to severe obstructive sleep apnea (15AHI 65) who have been confirmed to . The Inspire procedure gives my patients control of their sleep and allows them to feel refreshed and restored to live life to their highest potential., Inspire is a modern treatment for OSA that is changing lives for the better., Inspire provides effective treatment for moderate-to-severe OSA patients who havent been able to tolerate CPAP therapy. Let's find an Inspire trained doctor in your area. Find a Beaumont specialist near you. His top areas of expertise are Asthma, Asthma in Children, Lung Metastases, and Pneumonia. In some cases, sleep apnea can resolve if you return to a healthy weight, but it can recur if you regain the weight . Eye and Ear, we understand how burdensome and serious sleep disorders can be, so our specially-trained sleep doctors are here to help. 4.90 Rated 4.90 out of 5 stars, with (36 ratings) 6245 N 16th St Phoenix, AZ 85016. Whether youre a current employee or looking to refer a patient, we have the tools and resources you need to help you care for patients effectively and efficiently. These are all sort of elements of the evaluation, but really the diagnosis is made through something called a sleep study. The manufacturing company is actually compiling a large registry of patients who have had this device implanted and they have begun publishing the outcomes from that registry and the outcomes have been really very good and we now are we now have five-year outcomes for a pretty sizable number of people, so this isnt just a short-term thing. CALL 515.875.9555 TO SCHEDULE A CONSULTATION. And in the most recent publications from that registry, 91% of patients were either strongly satisfied or satisfied with their device and 90% of them preferred it to their CPAP. 5. A chronic disorder in which individuals suffer from overwhelming daytime drowsiness and sudden attacks of sleep. Host: So, then tell us what is sleep apnea and who is most at risk? So, we are going to look at things like and I will say here that whenever possible having your bed partner or someone in your family with you at these visits is immensely helpful. The Inspire UAS system includes the implantable pulse generator (IPG), stimulation lead, and sensing lead, as well as external components: the physician programmer and the patient remote. Copyright @ 2023. Could Your Walking Speed Be an Indicator of Dementia? Inspire Sleep Therapy might be right for you if: Inspire works inside your body with your natural breathing process to treat obstructive sleep apnea. Please bring your most recent sleep study results. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. We certainly havent identified a gene for sleep apnea or anything like that. There are 1023 doctors who treat Sleep Apnea in Albuquerque. When you stop breathing or have reduced airflow into your lungs during sleep, you don't sleep well and you can be very tired during the day. Have moderate to severe OSA (AHI range from 15-65 with <25% central/ mixed apneas), Be unable to use a Continuous positive airway pressure (CPAP) machine, Be free of complete concentric collapse at the palate, which will be determined by a. Inspire Therapy is another way that our patients can be treated to help deal with their severe snoring and sleep apnea. Search Doctors By State. There probably are genetic components just like everything else. COVID-19: Vaccinations, testing and general information. What this is, is that its an implanted device that is attached to the nerve that moves your tongue forward. She teaches other surgeons throughout the US to get the best possible results for patients with Inspire treatment. We are available Monday through Friday from 8:00am to 5:00pm. The health burden of sleep apnea really is probably not even fully known at this point. More Information. Several studies have reported on safety and efficacy of upper airway stimulation with high patient satisfaction scores: The device battery lasts approximately ten to eleven years, after which it can be replaced during a brief outpatient surgery. COVID-19: Vaccinations, testing and general information. 5.00 Rated 5.00 out of 5 stars, with (3 ratings) 7517 Campbell Rd Ste 616 Dallas, TX 75248. Dr. David Simper, MD. We are committed to providing the best experience possible for our patients and visitors. And Inspire Therapy is a device that was recently developed and was approved by the FDA initially in 2014 and this is a nerve stimulator. Inspire improves airflow and reduces obstructive sleep apnea . sleep apnea - Nationally recognized, Beaumont Health has nearly 5,000 doctors throughout the Metro Detroit area. When youre struggling to sleep, youll do whatever it takes to catch some Zs. Before sharing sensitive information, make sure you're on a federal government site. Inspire Therapy is another way that our patients can be treated to help deal with their severe snoring and sleep apnea. 4.80 Rated 4.80 out of 5 stars, with (24 ratings) 6701 Jefferson St NE Albuquerque, NM 87109. The Inspire Sleep Apnea Innovation is the only internal neurostimulation treatment for obstructive sleep apnea currently approved by the Food and Drug Administration. In a clinical study of 42 young people with Down syndrome and obstructive sleep apnea, Inspire UAS treatments gave the majority of patients a clinically meaningful reduction in the severity of their obstructive sleep apnea and improved their quality of life. REM related obstructive sleep apnea: REM related sleep apnea refers to OSA that occurs predominately during REM sleep. My guest today is Dr. Michael Cohen. Use of this website and any information contained herein is governed by the Healthgrades User Agreement.
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