com. I had an EMG a very long time ago, 15+ years ago. It does this by measuring the electrical activity in the muscle at rest, with a slight contraction, and with a forceful contraction. Zynex Medical improves quality of life for those experiencing pain by offering industry-leading alternative pain management devices. Electromyography (EMG) is a medical test performed to evaluate and record the electrical activity (electromyogram) produced by skeletal muscles using an instrument called electromyograph. In one study , researchers used the NCV test to examine damage to the ulnar nerve. 4. These three ladies are the ones that I had the most interaction with and they are all very knowledgeable, friendly, and professional. If you have any questions, contact a member of your care team directly. New York City doctors. Electromyography (EMG). Visit Cape Fear Physical Medicine and Rehab to learn more. We offer extended hours at selected locations opening from Mondays-Fridays 7:30am-7pm and Saturdays upon request. Dr. A first attempt at having a blood oxygen test was so painful that they never did complete the test after multiple sticks. , Seattle, WA 98195 | 206-598-4828 . E. This helps diagnose nerve damage or disease. • Continuous pain in the arms, feet, hands, and legs. Aaron Haug, MD. Locations. Zillow has 5 photos of this $-- 3 beds, 2 baths, 1,668 Square Feet single family home located at 2416 W 76th St, Inglewood, CA 90305 built in 1929. Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of the muscle. Learn about the electromyography (EMG) diagnostic test used by physicians at Brigham and Women's Hospital to detect. Plan to arrive 15 minutes before your scheduled appointment for the check-in process. Philadelphia, PA: Elsevier; 2022 :chap 36. Monday Open 24 Hours. Lee Health's neuroscience program provides specialized care of neurological disorders such as traumatic brain injury, stroke, or migraine. Duration of an EMG test. It involves placing small sensors called surface. The tests the EMG doctor may use are nerve conduction studies (NCS) and. During the test, your healthcare provider will put small needles (also called electrodes) through your skin into a muscle. Encompass Medical Group has seven locations throughout the greater Kansas City area. How the Test is Performed. A Patient's Guide to Electromyograms. An EMG test can also benefit those experiencing muscle weakness or paralysis. This is a kind of test that deals with the muscles and the nerves and the connection between them. Needle electromyographic (EMG) codes 95860-95872, and 95885-95887 have the designation of 6A for the technical portion of the test. Learn what to expect from your EMG. [. Emg technique can diminish the discomfort in some areas. Overview. An EMG may help diagnose muscle weakness, muscular dystrophy, and other neuromuscular conditions. And there are two parts to the test. Locations. Our highly trained neurodiagnostic technician and board certified physician will be performing the study. WHEN PREPARING FOR YOUR EMG OR NCS PLEASE REMEMBER THE FOLLOWING. We use the latest technology for neurological assessment, including EEG, EMG, an epilepsy monitoring unit and single-fiber EMG, a sensitive test that is not widely available. Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by the skeletal muscles in your body. 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. An EMG/NCV test is a two-part diagnostic procedure used to evaluate the health and functionality of nerves and muscles in the body. 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. The velocity test is done to see how fast electrical signals move through a nerve. The pinkie finger was tested to see if it's a carpal tunnel thing (thumb and first two fingers) or a cubital tunnel thing (pinke and next to last finger). An EMG evaluates nerve and muscle function in the arms or legs (that may reflect what is. Mary Medical Center has been here to offer excellent healthcare to help keep you happy, healthy, and whole — since 1923. Let's talk drug testing! Thank you for your interest. His office is not accepting new patients. Pain was listed as the only symptom for 63 EMG referrals; in this group 26 (41. The EMG test is done by a neurologist if the patient has certain symptoms which suggest that they may have a muscle or nerve disorder. Average Cost of EMG Test. EMG, however, can give additional diagnostic or prognostic information. Have a bleeding disorder. EMG testing is a diagnostic procedure to assess the health of muscles and the nerve cells that control them. Electrodiagnostic testing, consisting of nerve conduction studies and needle electrode examination, serves as an extension of a neurologic examination for evaluating a variety of focal and generalized neuromuscular conditions. If you have a feeling of pain, numbness, tingling in your hands, feet or limbs, an EMG can help your provider identify the cause of the problem. The level of discomfort is generally mild. A doctor may order an EMG. Request Appointment. This test measures muscle activity. Electromyogram (EMG) testing is a minimally. His office accepts new patients and telehealth appointments. Electromyography (EMG) is a procedure used to diagnose muscle or nerve dysfunction. Login . . EMG results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission. The results from both sides of the body can be compared. MLS. The EMG doctor examines you to decide what tests to do. My Doctor ordered an EMG test. He graduated from George Washington University School of Medicine & Health Sciences in 1973. Online Scheduling. Pain was listed as the only symptom for 63 EMG referrals; in this group 26 (41. com, the national average cost of EMG test with nerve conduction study is $698. A part of the HealthONE network, we are an award-winning, nationally recognized destination hospital. Typically performed by a neurologist or a physiatrist, an EMG test measures the electrical activity of muscles and nerves in different body parts. They can identify problems related to muscle tissue, nerves or places where nerves and. A first attempt at having a blood oxygen test was so painful that. An NCV test can and usually is done at the same time as the EMG test. For example, it is used to diagnose muscle diseases such as myasthenia gravis, polymyositis. You will lie down or sit in a chair, depending on the area being tested. Be sure and wear loose clothing so that you can move and engage any muscles that are being tested. The test has two parts and usually takes between 45-60 minutes. Nerves that control your muscles are also called motor neurons (NUR-ons), and they work by transmitting electrical signals to your muscles that tell them when to contract, or squeeze. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. Thousands of new, high-quality pictures added every day. 8120 (TTY: 711) if you have any of the following: Internal nerve stimulator (such as a bladder or spinal cord stimulation device) Cardiac defibrillatorResults. EMG results. An EMG test measures the response a muscle has to stimulation from a nerve. Learn more in 10 Conditions Diagnosed With an. Inglewood, CA 90301. It depends on how many nerves and muscles your doctor tests. Dr. • Cramping, twitching, or spasms The EMG test is mostly done alongside Nerve Conduction Velocity (NCV) test. EMG (Electromyogram) and Nerve Conduction Studies We use an EMG (electromyogram) to measure the electrical activity of your muscles at rest and during contraction. It depends on how many nerves and muscles your doctor tests. In the nerve conduction studies (NCS), various nerves, usually in the arm or. She works in Sault Sainte Marie, MI and 1 other location and specializes in Emergency. Trusted Adult Neurology & Board Certified Neurologists serving the patients of Centerville, Beavercreek, Springfield, Kettering Health Preble - DCND, Eaton, Wilmington, Hillsboro, Vandalia, Huber Heights, Miamisburg, Hamilton and Dayton, OH. A tiny needle electrode translates your nerve signals into graphs, sounds and numbers that are then interpreted by a specialist. In healthy muscle tissue, no electrical activity should occur while at rest. Libertyville, IL 60048. These tests check how well the bladder and its muscles work. Traumatic brain injury (TBI) Using innovative techniques, our neurologists provide up-to-date diagnostic and treatments including. Electromyography (EMG) is a test that checks the health of the muscles and the nerves that control the muscles. menu trigger menu trigger Clermont (352) 404-6959 Orlando (407) 237-0069 Kissimmee (407) 237-0069 Patient PortalEach nerve conduction study evaluates a specific nerve pathway. EMG tests offer a unique and informative look at the health of the peripheral nervous system. Electrodiagnostic (EMG/SEP) Lab | Box 356115 1959 N. EMG results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission. You will notice that when you move your muscles, the noises that are made change when you are moving them slightly and when you areWhat is an EMG test used to diagnose? Electromyography (EMG) is a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons). Abdominal Aortic Aneurysm Screening. Ankamah. Neurologists use EMG tests to locate and determine diseases that affect your muscles and nerves, as well as determine how much damage has occurred. If you need help finding a doctor, call toll-free 833-234-2234. This nerve conductive study allows doctors to evaluate a muscle’s ability to respond to nerve signals. Nerve conduction tests may take from 15 minutes to 1 hour or more. . EMG Testing Clinic Location. Types of Electromyography Tests. To test the nerve, we have to apply an electrical signal to the nerve. Book this really important test at your local top quality labs through us at up to 50% discount. Get Directions. EMG can. Schedule Online. This test can be uncomfortable for some patients but Dr. Kenneth Nazari, MD is a neurology specialist in Inglewood, CA and has over 49 years of experience in the medical field. What is an EMG test used to diagnose? Conditions that EMG testing helps diagnose include: carpal tunnel syndrome; pinched nerve; radiculopathy; sciatica; neuropathies; muscle diseases; muscular dystrophy; ALS. How long the test takes. comElectromyography, or EMG, is a test that assesses the health of your muscles and the nerve cells - called motor neurons - that control them. Bone Density Test – DXA. A needle electrode will be inserted into a muscle during an EMG. This test is recommended when a patient is experiencing muscle. The doctor will also measure the electrical activity. We also have what is called a receiving electrode. These studies can help with diagnosis, prognosis and the location of muscle or nerve diseases. There may be a small amount of pain when the needle is put in. The tests make some people anxious. At City X-Ray & Scan Clinic, we ensure competitive rates and attractive discounts when you book an EMG test near me. During the test, one or more small needles (also called electrodes) are inserted through the skin into the muscle. EMG and nerve conduction studies are often done together to provide more in-depth information to the physician. Pacific St. The timing for ordering an EMG study One of the most common myths about EMG tests is that one must wait 2–3 weeks following a nerve injury before reliable information can be obtained. He is affiliated with medical facilities such as Cedars - Sinai Medical Center and Community Hospital Of Huntington Park. This test shows any change in that electrical activity. NCS &. Back to Top. An electromyogram (EMG) is a test that is used to record the electrical activity of muscles. This is a video of Dr. Your motor neurons transmit electrical signals that make muscles contract. An electromyography (EMG) test helps diagnose muscular and neurological conditions by recording electrical activity in affected areas of your body. Nerve conduction velocity between 50 to 60 meters per second is considered normal. He is affiliated with Centinela Hospital Medical Center. 499 E Hampden Ave Ste 360. Electrodiagnostics are electroencephalogram (EEG), electromyography (EMG), and nerve conduction velocities (NCV). 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). How long the test takes. Douglas Pavlak, MD performs a nerve conduction and needle EMG test. An EMG test involves inserting tiny needles into the muscles to record electrical activity. ResearchGate. During the EMG test the doctor will be able to hear and see how your muscles and nerves are working by the way electrical signals travel from the needle to the EMG machine. First, the muscle is tested at "rest". How Painful Is An EMG Test? Pain is commonly associated with EMG, because the procedure involves the use of needles and electric shock. In a career spanning more than thirty-five years, Dr Melinda Pascoe is a leader in Neurological and Neurophysiological consulting. An NCS helps diagnose nerve disease or nerve damage. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. Mary Medical. The Electromyography (EMG) is a diagnostic test used to evaluate the body’s nerve and muscle function and assesses a potential neurological disease. Neurologic Diagnostic Services. 77 reviews and 43 photos of Inglewood Test Only Smog Center "Quick, easy, convenient, & cheap. EMG and nerve conduction studies may also be called electrodiagnostic studies, EMG. 2401 Yonge Street, Suite LL01. Don’t worry, an EMG is easy to perform, and most people are surprised that the test isn’t as uncomfortable as they imagined it would be. Nicholas Mezitis MD. Learn more about services at Mayo. Chicago doctors. Electromyography (EMG) Testing & Nerve Conduction Studies (NCS) in Los Angeles - Inglewood, CA. The time . Read on to learn about conditions that doctors may diagnose with an EMG. The electrical activity seen on the monitor provides information about your muscle's ability to respond when the nerves to your muscles are stimulated. Referrals. Your doctor can use an EMG nerve test to determine the extent of. This information will help you get ready for your nerve conduction study (NCS) and electromyography (EMG) tests at Memorial Sloan Kettering (MSK). While pain is a strong motivator for patients, many patients try to live with pain. If you have any questions, talk with your doctor or others on your health care team. He has a small parking lot but he definitely is honest and no bull with price gouging. Inglewood Zillow Home Value Price Index. The purpose of this paper is to illustrate the various. Each exercise was divided into arcs of motion and the electromyographic activity was quantified as a percentage of the maximal manual muscle test. ZIP Codes for ENGLEWOOD, Colorado. An EMG is a diagnostic test. Each exercise was divided into arcs of motion and the electromyographic activity was quantified as a percentage of the maximal manual muscle test. Specializes in Physical Medicine and Rehabilitation. Each muscle fiber that contracts will produce an action potential. This test helps determine whether there is a nerve injury or a muscle disease present, allowing the best course of treatment to be determined. NCV tests can measure the speed and strength of nerve signals. What is an EMG Test. Electroneuronography (ENoG) is another test of facial nerve function that can establish how badly nerves are disrupted as a way to determine potentially necessary surgeries in the. The health care provider inserts a very thin needle electrode through the skin into the muscle. , Centerville, OH 45459. On the other hand, a small development in 1745 led to nerve conduction studies. Electromyography is an electrodiagnostic test. It can help determine whether there is a muscle problem or problems in the nerves that control the muscle. , Inglewood, CA 90301 'Consultant, Biomechanics laboratory, Centinela Hospital Medical Center, Inglewood, CA more active during SLR than during quad sets. We make it easy for you to find the complete list of our practices, hospitals and other facilities across our system. Electromyography (EMG) is a test that checks how well your nerves and muscles work. The electromyography (EMG) test is used to evaluate nerve and muscle function. Electromyography (EMG) signals can be used for clinical/biomedical applications, Evolvable Hardware Chip (EHW) development, and modern human computer interaction. He is affiliated with medical facilities such as Cedars - Sinai Medical Center and Community Hospital Of Huntington Park. Priority STD Testing offers comprehensive testing for diseases including HIV, oral herpes (HSV1), genital herpes (HSV2), chlamydia, gonorrhea, syphilis, hepatitis B, hepatitis C and trichomoniasis. An electromyogram is a mildly invasive test where thin needles are inserted through your skin and into your muscles. An EMG uses. What is an EMG? An electromyogram (EMG) test measures how well your nerves and muscles work. 106 for details. The absolute best!!! Sending a special shout out to Ashley, Lizette, and Elaine. 3 (9 ratings) Dr. 3 (127 ratings) Leave a review. If you're a patient at MSK and you need to reach a provider after 5 p. Electromyography (EMG) is a procedure used to diagnose muscle or nerve dysfunction. Amyotrophic Lateral Sclerosis. EMG may be done to find the cause of symptoms, such as muscle weakness, deformity, stiffness, and shrinkage. 37 Years Experience. A healthy nerve conducts signals with greater speed and strength than a damaged nerve. explaining the test results to the patient. EMG activity of the trapezius. explaining the test results to the patient. Your doctor may order the test if you experience symptoms of nerve damage or muscle weakness. Typically performed by a neurologist or a physiatrist, an EMG test measures the electrical activity of muscles and nerves in different body parts. EMG test is often performed together with another test called nerve. The test may take from 45 minutes to 1. How It Feels. How It Feels. All In for Inglewood Mayoral Initiative. NCV is an abbreviation for Nerve Conduction Velocity, also known as a nerve conduction study. Neurologists of Cape Cod offers testing known as Electromyogram ( EMG) at their office on North Street in Hyannis. In acute inflammatory demyelinating polyneuropathy (Guillain-Barre´ syndrome (GBS)), if as is usually the case, the predominant cause of weakness is conduction block, EMG shows merely a reduced recruitment pattern of motor units of normal appearance. An EMG often is used with a nerve conduction study. You can still call 904-JOI-2000 to make new patient JOI Physician Appointments if that is your preference. Livonia, Michigan 48154. Bradley and Daroff's Neurology in Clinical Practice. Dr. Each exercise was divided into arcs of motion and the electromyographic activity was quantified as a percentage of the maximal manual muscle test. Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of your muscle. An EMG test is usually paired with a nerve conduction study (NCS), another common neurological test used to stimulate nerve cells and diagnose or rule out certain conditions. 1. Dr. EMG (electromyography) records the movement of our muscles. It is based on the simple fact that whenever a muscle contracts, a burst of electric activity is generated which propagates through adjacent tissue and bone and can be recorded from neighboring skin areas. How It Feels. An EMG performed in a hospital may cost more than one performed in a doctor’s office or. The electrical activity picked up by the electrodes is then displayed on a monitor in the form of waves. St. Office: 847-918-1442. For patients who would like to learn more about electromyography, or for physicians who would like to schedule a test for a patient, please contact the Brigham and Women’s Hospital Neuromuscular Service at (617) 732-8046. There are two parts to the test: a nerve conduction testing and an optional needle exam (see below). Athlete's Care Yonge & Eglinton. It is a diagnostic tool that can detect a variety of. This nerve conductive study allows doctors to evaluate a muscle’s ability to respond to nerve signals. In addition, there may. An electrode on the needle sends signals to a monitor, which records your muscle and nerve activity. com . This test may be used in the diagnosis of epilepsy and other brain disorders. It took maybe 45 minutes time. Special needles are placed through the skin into the muscle to record activity when the muscles move. A discussion of the test results with the patient by the EMG physician. 7%), which was also the most frequent diagnosis for referrals. This can offer a clue in diagnosing various nerve and muscle conditions. 9 mi Directions. An EMG may take 30 to 60 minutes. These studies test for Carpal Tunnel Syndrome, as well as neurological and spine-related problems including pinched nerves that cause neck and back pain. On the other hand, in never conduction studies, the patient might develop an infection in the test conducted areas. 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. , STE. Focal entrapment or compression neuropathies such as the carpal. 904-JOI-2000. This is called a nerve conduction study. The condition. You will be able to drive and return to work following the tests. There are few accepted “normative” values for EMG/NCS. Most test results are available within one to two days of testing. An EMG may take 30 to 60 minutes. 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. It depends on how many nerves and muscles your doctor tests. The test is used to help find nerve and muscle problems. Our main office is located in Redlands, California, with over 78 evaluation facilities in cities. The physician may examine you as well, depending on what your physician has requested. The EMG test helps to clarify if there is any ongoing nerve and muscle damage. Your doctor may order an EMG alongside a nerve. Do Not Sell or Share My Personal Information. An EMG is a nerve conduction study that evaluates a muscle’s response to the nerve that controls it. Review Date: 05/02/2022. Together, these tests determine if the electrical activity of your muscles and nerves is normal. Radiculopathy (pinched nerve in the neck. Electromyography (EMG) signals can be used for clinical/biomedical applications, Evolvable Hardware Chip (EHW) development, and modern human computer interaction. Nerve conduction tests may take from 15 minutes to 1 hour or more. Summary. An EMG may take 30 to 60 minutes. Muscle or nerve biopsies are rarely needed to diagnose certain muscle disorders. The NCS, or nerve conduction (NERV kon-duc-shun) study exam, tests the health of the nerves outside the. I strongly recommend HODS approved Physical Therapists for the performance of the testing and treatments for my patients. Keep in mind that only a very low-voltage electrical current is used. Put simply, EMG detects the presence, location, and extent of diseases that damage the nerves and muscles. For patients who would like to learn more about electromyography, or for physicians who would like to schedule a test for a patient, please contact the Brigham and Women’s Hospital Neuromuscular Service at (617) 732-8046. The lowest EMG test cost is ₹1800 only. The results will also be sent to your referring doctor. 200 Fayetteville, NC 28303. Most Neuromuscular junction disorders will not show abnormal spontaneous activity except for in botulism. An EMG is an electrical test of nerves and muscles. Phone. 12600 Creekside Ln, Suite 1A Fort Myers, FL 33919. EMG test is used to identify and treat problems related to the muscle and nerve system. The EMG is performed by a specialist or specially trained MD, the Electromyographer, who is usually a Neurologist. How long the test takes. An EMG may take 30 to 60 minutes. Dr. There may be some discomfort during the EMG/NCV tests, but it only lasts for a very short time. It is important that you feel well. An Electromyography (EMG) is an electrodiagnostic diagnostic procedure used to evaluate a patient’s muscles and nerves. Access your test results No more waiting for a phone call or letter – view your results and your doctor's comments within days Request prescription refills Send a refill request for any of your refillable medications Manage your appointments Schedule your next appointment, or view details of your past and upcoming appointmentsThis is a test that determines the health of muscles and the nerves that help control them. EMG and Ultrasound Imaging testing has been a very valuable tool for my practice and my patients. $40 bucks out the door. 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). If you need to make an appointment for a screening, please visit our online scheduler by clicking here. Zacharia Isaac, Jeffrey N. LOCATION INFORMATION. Added insight into this test demands understanding some basic facts about the “EMG” test and dispelling some of the myths. With nerve conduction studies, you will be able to feel the electrical pulses. Fax 310-677-3671. Electromyography (also known as needle EMG) involves the measuring of electrical activity within muscles by way of a needle electrode. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. EMG Full Form. Nerve Conduction Studies (NCS) are used to detect damage or injury to the peripheral nervous system. Visit the Englewood Health web site to log into MyChart, or to sign up. The worst part is when they stick it in your thumb, but it’s over within a few seconds, and really it isn’t something to stress over. The test can reveal problems related to your brain activity and help us diagnose seizures, epilepsy, head injuries, dizziness, headaches, brain tumors, and sleeping problems. Call Us at 888-584-7888. (239) 343-9290. An EMG, or Electromyogram, is a study conducted by a physician to find the cause of these sensations. Some types of electrical activity are normal, whereas some patterns of electrical activity suggest a disease of nerves or muscles. After the test, you may be sore and have a tingling feeling in your muscles a few hours. Use the MyChart patient portal to communicate with your doctor, request prescription refills, access your test results within days, and manage your appointments. The test may be performed in combination with a Nerve Conduction Study (NCS) test, which together, help to detect the presence, location, and extent of diseases that damage the nerves and muscles. NCS is most often done first. First we clean your skin with an alcohol wipe. Call 239-424-1499 to learn more. It depends on how sensitive a person is to pain, and in the case of an EMG test, the pain can come from two sources: an electric shock delivered by the doctor, and needle pricks, which can take the form of an embedded needle that the doctor maneuvers around while it’s beneath the skin. A standard EMG typically costs around $150 to $500, while a nerve conduction study (NCS) may cost an additional $200 to $300. Contact us at 937-439-6186 or visit us at 1975 Miamisburg Centerville Rd. The electrical activity of the muscle will be recorded while. EMG testing can be used for the diagnosis of a variety of disorders that damage muscle tissue, nerves, or the junctions between nerve and muscles. For patients without insurance, the cost of an EMG test can be between $150 and $500 per extremity. There are two parts to the test: a nerve conduction testing and an optional needle exam (see below). Other electrodes are applied to. m. (800) 680-5526. It depends on how many nerves and muscles your doctor tests. 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. The cost of the exam will likely range from $1000 to $1500 for the test alone. Mary Medical Center has been here to offer excellent healthcare to help keep you happy, healthy, and whole — since 1923. Tell the EMG doctor if you are taking aspirin, blood thinners (like Coumadin®), have a pacemaker, or have hemophilia. During an EMG test, you may feel a quick, sharp pain when the needle electrode is put into a muscle. Electromyography: This is more involved than NCS. The test is done along the path of the nerves on an arm or a leg, depending on the condition being investigated. Ankamah explaining and performing an EMG "nerve test" in the office. He only charged me $40.