emg test bakersfield. Our expert team provides comprehensive care for patients to determine neurological diseases, injuries and issues interfering with critical neurological functions. emg test bakersfield

 
 Our expert team provides comprehensive care for patients to determine neurological diseases, injuries and issues interfering with critical neurological functionsemg test bakersfield m

V for Dr. Schedule an EMG test. In case of any such scenario, we offer free repeat of test within 24. For scheduling of EMG/NCV/WORKER’S COMP/PERSONAL INJURY for all locations: Call Central Phone: (310) 652-6060 Fax: (310) 652-6607My Doctor ordered an EMG test. Precision Medical Group Youtube Channel. Electromyography (EMG) measures muscle response or electrical activity in reaction to a nerve’s stimulation of the muscle. The electrodiagnostic study should include peripheral nerve conduction studies (NCS) and needle electromyography (EMG) to both exclude treatable disease and gather evidence toward a diagnosis of amyotrophic. 1. Any test must give “normal” values. We are a dedicated bunch that understands your needs and guarantee our. 9730 WILSHIRE BLVD, STE. It can help determine whether the cause of. Lou Gehrig’s Disease (amyotrophic lateral. In the acute stage of a vasculitic nerve lesion, the nerve remains excitable Electromyography (EMG) signals can be used for clinical/biomedical applications, Evolvable Hardware Chip (EHW) development, and modern human computer interaction. One is called the nerve conduction study. EEG technologists work in collaboration with physicians, researchers and other healthcare professionals and. scasouthjersey. Alternative Names: EMG; Myogram; Electromyogram. This is a kind of test that deals with the muscles and the nerves and the connection between them. Overview. This is an electro diagnostic test that can study your nerves and muscles. Toll Free No: 1800-120-3877. Context. How It Feels. Showing 23 to 44 of 70 EMG/NCS. ) for twenty-four (24) hours before the test. Call (855) 364-6281 to set up your testing appointment today. Difficulty contracting your muscles and using the affected arm or leg. D6 . (EMG) and Nerve Conduction Velocity (NCV) Testing Electromyography (ee-LECK-tro-my-AH-graf-ee), or EMG, is a test that is used to check the health of the muscles and nerves inside your body. He has a special interest in the delivery of EMG/NCS and EEG studies, which are available in the office on a full-time basis. I strongly recommend HODS approved Physical Therapists for the performance of the testing and treatments for my patients. EMG. Your physical examination is likely to be very different when it comes to peripheral neuropathy and MS. An EEG records the electrical waves of the brain. 9730 WILSHIRE BLVD, STE. Axonal Neuropathy: drop in amplitude . Diagnosis. The EMG test your doctor has recommended studies if your muscles and nerves are working right. Preview. Need help deciding? Explore feedback from real patients, what awards they've won, and much more to help you choose. Ragoonanan works at Practice in Bakersfield, CA with other offices. Vernon Ave. Neurology • Male • Age 51. MeSH. Patient Intake Form; Consent Form; Formularios de. (661) 432-7851. While the BIS is a widely recognized tool for monitoring the depth of anesthesia,. Dr. The EMG doctor examines you to decide what tests to do. Electromyography (EMG) signals are becoming increasingly important in many applications, including clinical/biomedical, prosthesis or rehabilitation devices, human machine interactions, and more. It depends on how many nerves and muscles your doctor tests. George’s University, and completed his Neurology Residency and Fellowship in Clinical Neurophysiology at the Medical University of South Carolina in Charleston. Call Us at 888-584-7888. 56 miles. Nerve Conduction Studies (NCS) are used to detect damage or injury to the peripheral nervous system. EMG test is used to identify and treat problems related to the muscle and nerve system. With nerve conduction studies, you will be able to feel the electrical pulses. It is best NOT to eat a large meal before the test. , is committed to providing the highest standard of compassionate care to our patients, utilizing the latest technology, equipment, and training. 86-0. BAKERSFIELD 3015 CALLOWAY DR, STE. Electromyography (EMG) and Nerve Conduction Velocity (NCV) Testing with several locations in Southern California to offer geographical availability to our patients. If you are a Gillette patient with urgent questions or concerns, please contact Telehealth Nursing at 651-229-3890 . Deltoro graduated from the David Geffen School of Medicine At Ucla in 1978. Fax: (239) 343-9192. EMG stands for Electromyography, a diagnostic test used to assess the functionality of muscles and nerves in the human body. P St. It can distinguish myopathic from neurogenic muscle wasting and weakness. 81 miles. Patient Information. An EMG is a nerve conduction study that evaluates a muscle’s response to the nerve that controls it. For example, it is used to diagnose muscle diseases such as myasthenia gravis, polymyositis. It depends on how many nerves and muscles your doctor tests. United States. To test for the effect of speed on r-EMD, a two-way mixed-model analysis of variance (ANOVA) was performed, with individual as the random effect and speed as the fixed effect. You will lie on an examining table and a needle recording electrode will be placed into skeletal muscle. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. When possible, doctors may ask patients to contract muscles, rest muscles or change their position. This muscle attaches to the under-surface of your shoulder blade and inserts as muscular slips to your ribs. A needle electrode is inserted through the skin into the muscle. In ALS, there is a distinct pattern of electrical activity in the muscles and nerves. m. Make an Appointment Your doctor may recommend this nerve conduction study to help diagnose nerve and muscle diseases and seizures. Our expert team provides comprehensive care for patients to determine neurological diseases, injuries and issues interfering with critical neurological functions. EMGs can be used to detect abnormal electrical activity of muscle that can occur. The test requires cooperation on your part to be successful. The level of discomfort is generally mild. A few muscle diseases as well can be detected by this test. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. Nerve conduction studies and needle electromyography ( EMG) are tests performed to assess the health of nerves and muscles. The cost of the exam will likely range from $1000 to $1500 for the test alone. EMG – Electromyography If the nerve to a muscle is damaged, the muscle shows abnormal electrical activity. Electromyography (EMG) Testing & Nerve Conduction Studies (NCS) in Bakersfield, CA. Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of your muscle. Bakersfield; Beverly Hills;. An EMG converts those signals into graphs, sounds or. 1850 S. Precision Medical Group, California's leader in patient-centered electrodiagnostic testing. 1. Valencia Physical Therapy: (661) 290-5444. Fungsi pemeriksaan elektromiogram (EMG) adalah untuk membantu diagnosis berbagai gangguan otot dan sistem saraf. "My doctor said I should have an EMG. This is called a nerve conduction study. Added insight into this test demands understanding some basic facts about the “EMG” test and dispelling some of the myths. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. A nerve conduction study, or NCS, is a test your doctor may use to diagnose damaged and destroyed nerves and come up with a pain relief plan. Thoracic outlet syndrome (TOS) is a syndrome that can cause any combination of pain, weakness, numbness, tingling, sensation of coldness or, sometimes, a more general feeling of discomfort in portions of the upper body. Muscle pain or cramping. or Email: manager@comprehensiveneurologyli. Ph: 909-890-0977 Fx: 909-890-1354An EMG test is a detailed investigation of the health of your peripheral nervous system (basically, this means all of the nerves outside your brain and spinal cord). BEVERLY HILLS . It can detect abnormalities such as chronic denervation or fasciculations in clinically normal muscle. Other electrodes are applied to. 7300 Magnolia Avenue, Riverside, CA 92504. Electromyography (EMG) and Nerve Conduction Velocity (NCV) Testing with several locations in Southern California to offer geographical availability to our patients. 3410 Fruitvale Ave. How Your Doctor Properly Diagnoses Carpal Tunnel Nerve Pain. Types of Electromyography Tests. Before your test, tell you doctor if: You take blood-thinning medication. 24-0. (POMG) is Southern California’s premier provider of quality electrodiagnostic (EMG & NCV) services. Bakersfield Appointments (661) 328-5565; Patients; Referring Physicians; Workers' Compensation; My Choice. EMG/NCV of injured workers for agreed medical examiner. The locations are as follows: Kern County Fairgrounds – 1142 S. Learn what to expect from your EMG. The heat and humidity may be a little uncomfortable. Ph: 951-710-1030 Fx: 951-710-1040 INLAND ORTHOPEDIC GROUP 01/2003 - 07/2011. Our team is affiliated with most of the health systems in San Diego county. BAKERSFIELD, CA 93312 . EMG results. Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of your muscle. The length of the procedure hinges on the condition being tested and the results of the test. Find Top Electromyography (EMG) Doctors by State. This role is a contract position and is meant to compliment your current practice. The test can be done here at the Christiana Spine Center. The test is used to help detect neuromuscular abnormalities. Certain types of limb pain. Partial Nail Removal (Matrixectomy) This procedure is used to remove the problem portion of an ingrown toenail and to prevent the ingrown toenail from recurring. A nerve conduction study measures how fast and how well electrical signals travel down nerves. Robert Gazmarian, MD, was born and raised in Los Angeles and received his undergraduate degree in kinesiology at the University of California, Los Angeles. By measuring the changes in the electrical. EMG/NCS TESTING LOCATIONS Electromyography (EMG) and Nerve Conduction Velocity (NCV) Testing with several. As the nerve supplying a muscle becomes compressed, fibers to that muscle are lost and. It also diagnoses many other brain conditions. The VNG is a test of the inner ear and portions of the brain. The test detects muscle activity during rest as well as during contraction. EMG results are often necessary to help diagnose or rule out a number of conditions such as: Muscle disorders, such as muscular dystrophy or polymyositis. It depends on how many nerves and muscles your doctor tests. Neuromuscular blocking agents (NMBAs) are usually administered during anesthesia to facilitate endotracheal intubation and/or to improve surgical conditions. The test is used to help find nerve and muscle problems. This consultation filled in my knowledge gaps and made me more aware of my particular situation. BEVERLY HILLS, CA 90212 . Contact: Practice Coordinator: (661) 328-5565 Ext. Medical examination. , Ste. Electromyography (EMG) This is a test of your muscles and nerves. An EMG can also be used to evaluate the cause of weakness, paralysis, and muscle twitching. 47. How It Feels. The long thoracic nerve supplies motor function to the serratus anterior muscle. EMG, however, can give additional diagnostic or prognostic information. Whether you are testing in a motor repair shop, in an industrial plant, on a ship or up a wind turbine, Baker Instruments motor test equipment allows you to fully understand the condition of the motor, the power supply. The powder will change color as you sweat. Kiron Thomas's office locations. An EMG may help diagnose muscle weakness, muscular dystrophy, and other neuromuscular conditions. During the test, one or more small needles (also called electrodes) are inserted through the skin into the muscle. Seems medical providers make up any cost they like!EMG/NCS Testing Specialists. An EMG test involves inserting tiny needles into the muscles to record electrical activity. When EMG Nerve Conduction Studies Are Utilized; Locations. It commonly affects in one or both of the upper limbs (arms) and/or the hands, armpits, upper back, neck and pectoral area of. mumstead16. And the point of that is really to examine how well the muscles are working, how well the nerves are working, that go to those muscles. . Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of your muscle. Dr. Some common diagnostic tests used by neurologists are: Brain scan. Back to top. In one study , researchers used the NCV test to examine damage to the ulnar nerve. 7300 Magnolia Avenue, Riverside, CA 92504. Disorders of nerves outside the spinal cord. Lee Health's neuroscience program provides specialized care of neurological disorders such as traumatic brain injury, stroke, or migraine. Philadelphia, PA: Elsevier; 2022 :chap 36. Sometimes, surface electrodes are used. Matrixectomy is performed under local anesthetic, and requires only a few minutes to complete. Bakersfield; Beverly Hills;. NCS is usually done before EMG if both procedures are done in the same session. Phone: 661-324-7000. Learn about the electromyography (EMG) diagnostic test used by physicians at Brigham and Women's Hospital to detect. Affiliated Services; Locations; EMG/NCS Information. However, these don’t hurt nearly as much as sclerotherapy on the nose, which I have also had. Most tests are going to take less than 90 minutes to complete per extremities. To make an appointment at any of our locations, please contact the scheduling desk Monday-Friday, 8:00 AM – 4:30 PM at 855-EMG-NCV1 (855-364-6281). The EMG doctor examines you to decide what tests to do. These tests measure how well your nerves and muscles respond to signals from your brain. Learn more about Dr. 9730 WILSHIRE BLVD, STE. 110 . Electromyography (also known as needle EMG) involves the measuring of electrical activity within muscles by way of a needle electrode. Duration of an EMG test. An EMG test looks at the electrical impulses made by muscles. An Electroencephalogram (EEG) is a test that detects abnormalities in your brain waves. The nerve conduction study is the first part of the procedure. An EMG is a diagnostic test. A nerve conduction velocity test is an electrical test that detects nerve injury in conditions such as: peripheral neuropathy, mononeuritis multiplex, and; compression injuries such as carpal tunnel syndrome and compression neuropathy. Why Do I Need an EMG Test? You are being sent to the EMG lab because you have numbness, tingling, pain, or weakness. First, small, completely safe, electrical shocks are applied to the skin, one nerve at a time. In many cases, this test looks for evidence of nerve damage, diseases of the nerve and/or muscle, or disorders of the neuromuscular junction (where the nerve and muscle connect). The signs may include: A burning feeling. Nerve conduction tests may take from 15 minutes to 1 hour or more. Veedu has extensive experience in Headache. (EMG) Fluoroscopic Guided Steroid Injection for Knee Pain. He or she might test the sensation of the affected thigh, ask you to describe the pain, and ask you to trace the numb or painful area on your thigh. This portion of the test usually takes 10 to 15 minutes and involves a small, thin sterile acupuncture electrode that is inserted into the muscles and the electrical activity is measured and recorded when the. Mary's Neurological Specialists. With a wealth of sports medicine experience and a unique talent for nonsurgical treatment of orthopedic injuries, he joined Southern California Orthopedic Institute in 1988. There are two components to an EMG test: the nerve conduction study and needle EMG. Blood test results including anti-GAD (glutamic acid decarboxylase) 65 antibody level, amphiphysin. Westlake Physical Therapy: (805) 719-2661. To schedule an appointment, please call (818) 901-6600 or (661) 328-5565 for Bakersfield. Coupons available. Electroencephalography (EEG). 6933. 1. They often use this test alongside a nerve conduction study. FAQ: General Orthopedics. V for Dr. Home. He works in Bakersfield, CA and 2 other locations and specializes in Family Medicine. Electromyography (EMG) is the recording of electrical muscle activity (Mills, 2005). This powerful antioxidant is found in some foods and may help relieve nerve pain symptoms in some people. A nerve conduction study is similar to an EMG test, but slightly different. Physical Medicine & Rehabilitation, Psychiatry, Pain Medicine. 5 stars and over 200 reviews on Yelp. Birdi has extensive experience in Neurodegenerative Disorders and Headache. Neuromuscular block should be monitored for all patients who receive NMBAs during anesthesia, to guide dosing of NMBAs and reversal agents, and to assess the degree of. Lin has extensive experience in Headache. Technicians at Dignity Health perform EEGs in Central California to. The purpose of this paper is to illustrate. E, San Bernardino, CA 92408. 2001 17th St, Bakersfield, CA 93301. EMG test is often performed together with another test called nerve. The entire VNG test takes about 2 hours. Neurologists specialize in treating, diagnosing, and managing conditions affecting the nervous system. This test is able to assess nerve and muscle function to assist in the diagnosis of various nerve and muscle disorders, according to neurologist Michael Markowski, DO, FAAN, who works at the practice and is. A . In general, depending on clinical symptomatology, emphasis is focused on EMG to diagnose radiculopathy, plexopathy and myopathy, or on a peripheral nerve. An EMG nerve test can provide your doctor with specific information about the extent of nerve and/or muscle injury and can also. Rest: The first type of treatment for most ankle diagnoses is to simply rest the joint and allow the inflammation to subside. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Here, the actual muscle is tested instead of the speed of conductivity of the nerve. Login . His office accepts new patients and telehealth appointments. The test is done along the path of the nerves on an arm or a leg, depending on the condition being investigated. An EMG may help diagnose muscle weakness, muscular dystrophy, and other neuromuscular conditions. This helps diagnose nerve damage or disease. EMG test overview. The Electromyography (EMG) is a diagnostic test used to evaluate the body’s nerve and muscle function and assesses a potential neurological disease. 2001 17th St, Bakersfield, CA 93301. However, if not, the expense of the EMG test will vary from $150 to $1,500. An EMG is also referred to as a myogram. Amyotrophic lateral sclerosis—ALS, or Lou Gehrig’s disease—is a progressive neuromuscular disease. This portion of the test usually takes 10 to 15 minutes and involves a small, thin sterile acupuncture electrode. 926. It records the electrical signals your muscles make when you move them. The American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) is America’s leading advocate for patients with muscle and nerve diseases. Vasculitic neuropathies usually produce pain, and nerve conduction studies and EMG are again used in combination to demonstrate acute, usually single, nerve lesions. The procedure typically involves inserting a fine needle into the target muscle to. The test’s second part is the EMG. When EMG Nerve Conduction Studies Are Utilized; Locations. Ph: 909-890-0977 Fx: 909-890-1354 An EMG test is a detailed investigation of the health of your peripheral nervous system (basically, this means all of the nerves outside your brain and spinal cord). BAKERSFIELD 3015 CALLOWAY DR, STE. He answered all of my questions and did not rush through the consult or. Learn more about services at Mayo. Mt. 6815 Noble Avenue. How It Feels. The onset point identification is based on the following rules: (1) x out of y samples must exceed the threshold and (2) activation state of the muscle after surpassing the threshold should last for a certain number of samples or duration of time [. 16 when compared to patients with no pain). Musculoskeletal pain (MSP), defined as local pain and tenderness in the soft tissues, spine, and joints, is a common symptom that brings patients to EMG laboratory for evaluation. A nerve conduction velocity test can take between 15 minutes and an hour. It depends on how many nerves and muscles your doctor tests. Alpha-lipoic acid. An Electromygraphy (EMG) and Nerve Conduction Study (NCS) has been ordered, and when it was described to you, your first thought was, “I am getting a needle torture test!” Well you can relax, we are not in the torture business! You are getting EMG test because you have numbness, tingling, pain, weakness, or muscle cramping. BAKERSFIELD 3015 CALLOWAY DR, STE. NCV tests can measure the speed and strength of nerve signals. Not only friends and relatives who have had a previous EMG experience, but also physicians can sometimes discourage patients from undergoing EMG, believing that the test is very painful and of little benefit (1). World Class Labs, Certified Professionals, Hygienic Conditions, Electronic Health Trackers, Quick & Smart Reports. SSEPs were obtained prior. EMG; Myogram; Electromyogram. Nerve conduction tests may take from 15 minutes to 1 hour or more. In an ever-changing, rapidly evolving health-care marketplace, stability is a rare commodity. Southern California Orthopedic Institute. This measures how well electricity moves through your. 16 reviews of Kern County Neurological Medical Group "Second visit here to see Dr Libib got EMG and Nerve conducting test all went well No issues the tech Sandy did a great job and Rr Libib did the EMG part all went as good as possibly great group of people here" Dr. How It Feels. has more than 35 office locations conveniently located throughout California. It is usually performed as an outpatient meaning you can go home the day of the test. The velocity test is done to see how fast electrical signals move through a nerve. Etcheverry, DPM, specializes in the medical and surgical treatment of the foot and ankle. In healthy muscle tissue, no electrical activity should occur while at rest. It usually has two parts. You will notice that when you move your muscles, the noises that are made change when you are moving them slightly and when you areits around $550 self pay or they will bill $1300 to you insurance. Knee Injections. Richard Alexan-Shirabad, MD is a neurology specialist in Bakersfield, CA and has over 24 years of experience in the medical field. This is an electro diagnostic test that can study your nerves and muscles. Bakersfield, CA 93301. Dr. Your doctor may order a 3T (Tesla) MRI If your doctor thinks it's possible. Bakersfield, CA 93308. Bakersfield; Beverly Hills;. Treatment involves a prolonged nonoperative course, and rarely, surgical. EMG activity of the frontalis muscle is measured by lead 4, which is the ground electrode as well. PHONE: 855-364-6281- FAX: 949-955-0220 – EMAIL: EMGNCV@POMG. The test is used to help find nerve and muscle problems. 1850 S. 93 if NCS is abnormal, but the post-test probability will decline to 0. Electromyography (EMG) is a form of electrodiagnostic testing that is used to study nerve and muscle function. An EMG test can help diagnose conditions such as carpal tunnel syndrome, which can cause pain and numbness in the hands or feet. There are few accepted “normative” values for EMG/NCS. An EMG test looks at the electrical signals your muscles. La Preciosa Market located at 538 Finley Drive, Taft — 2 to 6:30 p. How Much Does an EMG/NCS - Electromyogram (one limb) Cost? Purchase an EMG/NCS - Electromyogram (one limb) today on MDsave. For example, reflexes are decreased or absent in peripheral neuropathy, whereas they are brisk with MS. The test is. Nerve conduction studies (NCS) and. Join our certified medical professionals as they administer nerve conduction and EMG tests. NCH healthcare system provides personalized care to over 40,000 patients a year with 2 hospitals, 700+ physicians, and a 700+ bed system in Naples, FLPronator Syndrome is a compressive neuropathy of the median nerve at the level of the elbow. Dr. Pain was listed as the only symptom for 63 EMG referrals; in this group 26 (41. Motor neurons, a type of nerve cell, are responsible for sending directives. Mary's Neurological Specialists. It is best NOT to eat a large meal before the test. An. He is affiliated with medical facilities such as Adventist Health. A few muscle diseases as well can be detected by this test. D. Nerve conduction tests may take from 15 minutes to 1 hour or more. The nerve conduction study is the first part of the procedure. Google Maps. The electrical activity seen on the monitor provides information about your muscle's ability to respond when the nerves to your muscles are stimulated. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. Electromyography (ee-LECK-tro-my-AH-graf-ee), or EMG, is a test that is used to check the health of the muscles and nerves inside your body. And there are two parts to the test. Electromyography (EMG) is a test that checks the health of the muscles and the nerves that control the muscles. Bakersfield, CA has 1382 Electromyography (EMG) doctors results with an average of 29 years of experience and a. Molnar also remains current with sports and orthopedic research. Electromyography, or EMG, involves testing the electrical activity of muscles. The electrical activity picked up by the electrodes is then displayed on a monitor in the form of waves. An EMG is also referred to as a myogram. I had an MRI done and I paid about $50. We have been providing diagnostic medical imaging to the Bakersfield medical community since 1968. If you're a patient at MSK and you need to reach a provider after 5 p. To make an appointment, call 631-675-9508. As a Bakersfield native, Dr. Check out the Latest Price Details. Concentra, one of the largest health care companies in the nation, is looking for a Physiatrist / Neurologist to come on site to our location as a 1099 independent contractor to perform EMGs and NCS. Parkinson’s disease. Abstract. CHULA VISTA. The test is used to assist detect neuromuscular abnormalities. . Electromyography (EMG) is a diagnostic test that measures how well the muscles respond to the electrical signals emitted to specialized nerve cells called motor nerves. Call: 1800-120-3877 for immediate bookings. Bakersfield Adult School 501 S. Symptoms include burning pain in the body, hyperalgesia (increased sensitivity to pain), and allodynia (a condition in which normal stimulus, like a soft touch, produces pain). The symptoms appeared after a major motor vehicle accident I was hit in the road back from a drunk driver. EMG. Function. An EMG measures the electrical activity of the muscles and nerves, particularly the way the nerves respond to muscle stimulation. Home; Our Providers. Adelante Stategies Rexland Acres Park located at 315 E. Electromyography is an electrodiagnostic test. However, noisy EMG signals are the major hurdles to be overcome in order to achieve improved performance in the above. Bakersfield, CA 93309 test for coronavirus (COVID-19)? CVS Health is conducting coronavirus testing. Review Date: 05/02/2022. Diseases affecting the connection between the nerve and the muscle, such as myasthenia gravis. The muscle is normally electrically silent outside the end-plate zone. Baker Instruments is a leading provider of test equipment for the electrical condition monitoring of motors, generators and coils. Reception Hours: Sunday through Thursday 11:00 – 14:30. The specially trained technician has many years of experience. m. It involves placing small sensors called surface. Free battery testing with every oil & filter change. EMG/NCS TESTING LOCATIONS . The second part is a needle electromyogram. Shapiro enjoys snowboarding, skiing, surfing, and golf.