~Q.O. Friday~
A Bi-Weekly HynesSight Newsletter
Volume 1, No. 1 - October 22, 2004
Featured MT:
Connie Vance, owner of HynesSight
Current Account:
UCLA
Favorite Specialty:
Psych and Neurology
What Connie LOVES about Spheris:
Being at home with my kids, my supervisor Cynthia Hynes, the challenge of a job well done, my coworker's. I love HynesSight, which
would have never been created if it were not for Spheris and Cynthia Hynes.
What Connie would like to see CHANGE in Spheris:
I would like to see a pay plan that incorporates both quality and production, not one or the other. I would like to see a continuing
education program instituted with Spheris contributing to cost of college classes.
Connie's MT History:
I started out with transcription in 1990. I was laid off from my factory position so I went to Baker College for data processing. Around
the time I graduated with an associate degree in Business and data processing, an on-call position for the summer opened up at the
local hospital in medical records. I figured I might as well check it out. I told the director of medical transcription that I had no idea
what a medical transcriptionist did. He showed me around and I just loved the idea of working there. He hired me on the spot. It was
the hardest job I had ever had; the most challenging and the most difficult to learn, and I absolutely loved it. I went full time within a
year and I knew I had found my niche. I stayed there for 10 years. Along the way I also did a little work on the side for Michigan State
University for the muscular dystrophy clinic. In 2000 I decided I wanted to work at home. Work was sparse in my little town. I started
doing searches on the internet and came across some of these national transcription companies. I had a few interviews but decided
to go with EDIX at the time. I have been here ever since, nearly 5 years, through ups and downs. I believe Spheris is going in a
positive direction and I look forward to my future with this company and especially enjoy the camaraderie with all of you at HynesSight!
Some personal information about Connie:
I grew up on a farm with 10 sisters and brothers including 2 sets of twins. My twin sister lives in Missouri, a 9 hour drive, and believe
me it was and is hard being separated. I married out of college and we had two beautiful boys, Justin and Alex, who are now 13 and
16. I was divorced 8 years ago and we share custody 50/50. We love animals and my house is always a small zoo. At the moment
we have a lab mix named Dark Angel, two Himalayan cats named De La Crem Puff
and Blueberry Latte, and also a cockatiel named Yanni. I love to
read and do puzzles in my free time. We also do a lot of camping in the summer.
Connie's personal MT Goals:
My short term MT goal is to get a handle on the macros. Believe it or not, that is my downfall. I have a hard time remembering the
macros I make. My long term goals are up in the air. I would love to continue my college education, possibly in management,
possibly in more creative areas such as computer programming or web design, but I just cant see myself leaving transcription behind
because it is what I love to do.
Tips from Connie:
The biggest thing to remember is focus, concentration, and something I am working on...macros! The other thing that I can't stress
enough is a good network system. I believe we have that with HynesSight and it gets better all the time. Thank you all for contributing
and sharing. Love ya all!
Hot Off the Press: What's New?
Looking for a brand new medication? Try the Drake & Drake site. You can find updates by name or month the drug was released.
www.spwb.saunders.net/default.html
Some new-released meds from this site include:
DepoDur extended-release injection, Rx narcotic analgesic
guaifenesin - now comes in 200 mg oral dose, and there is Guaifenesin NR oral liquid
isosorbide mononitrate - now comes in 10 mg oral dose
Raniclor - chewable tablets (cefaclor)
(SSNRIs) - selective serotonin and norephnephrine reuptake inhibitors
Truvada - NRTI antiviral combo for HIV
Zegerid - PPI for GERD and GI disorders
Specialty Tips:
Featured Specialty:
Cardiology
Some GREAT cardiology web sites:
Everything to learn about the heart: http://www.nyerrn.com/h/heart.htm
COOL SITE: http://info.med.yale.edu/intmed/cardio/
Sample Reports: http://www.mtdesk.com/heart.shtml
ECG Library: http://www.ecglibrary.com/ecghome.html
NetPharmacology - Cardiovascular Drug List: http://heartdisease.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Flysine.
pharm.utah.edu%2Fnetpharm%2Fnetpharm_00%2Fdruglist%2Fdl_ang.htm
Some more: Here are some sites from Stedman's Cardiovascular & Pulmonary words: http://www.acc.org, http://www.
cardiologyonline.com, http://www.cardiologytoday.com, http://www.cardiosource.com, http://www.health.uscd.edu/labref/
QUICK TIPS:
Fetal PR interval and P-R interval. (Documented Stedman’s C&P words, Fourth Edition)
Remember - NEVER INTERCARDIAC - ALWAYS INTRACARDIAC
Manubrium: The upper part of the breastbone
www.cogsci.princeton.edu/cgi-bin/webwn
Cardiology macro tips:
Macros tips from Rebekah:
Expand your arteries !! No exercise... :)
Use you abbreviation for artery and you can build backward or forward ~ almost every artery!!
Make sure you add right and left too
ar - artery for me, so:
coar - coronary artery
adar - anterior descending artery
adcar - anterior descending coronary artery
rccar - right common carotid artery
lccar - left common carotid artery
LIMAx - left internal mammary artery -
RITAx , RCCAx, R-MCAx, RPAx, etc.
ac - acromioclavicular
acp - atypical chest pain
acs - acute coronary syndrome
adth - adenosine thallium
aicdx - automatic implantable cardiovascular defibrillator
anpe - angina pectoris
aoin - aortic insufficiency
aost - aortic stenosis
aova - aortic valve
aovar - aortic valve replacement
atfl - atrial flutter
avrx - aortic valve replacement
avsx - aortic valvular stenosis
capu - carotid pulse
cardiom - cardiomyopathy
cardiop - cardiopulmonary
cardiov - cardiovascular
castx - carotid stenosis
casx - carotid artery stenosis
caup - carotid upstroke
caus - carotid ultrasound
ccux - coronary care unit
I use ede as - endarterectomy
so .. cede - carotid endarterectomy
chfe - CHF exacerbation
chfex - congestive heart failure exacerbation
cpa - cardiopulmonary arrest
cvl - central venous line
cvp - central venous pressure
ddim- D-dimer
rvr - rapid ventricular response
tias - transient ischemic attacks
tiax - transient ischemic attack
trre - tricuspid regurgitation
aore - aortic regurgitation
mire - mitral regurgitation
Macro tips from Jan:
lv - left ventricle
lvar - left ventricular
lvarvf - left ventricular and right ventricular function
lvarvsf - left ventricular and right ventricular systolic function
lvcs - left ventricular chamber size
lvd - left ventricular dysfunction
lvedp - left ventricular end diastolic pressure
lvedd - left ventricular end diastolic diameter
lvef - left ventricular ejection fraction
lvf - left ventricular function
lvsd - left ventricular systolic dysfunction
lvsf - left ventricular systolic function
(the same ones, substituting r for right ventricle)
cad - coronary artery disease
nsr - normal sinus rhythm
rrr - regular rate and rhythm
hrrr - HEART: Regular rate and rhythm.
ai - aortic insufficiency
pef - pericardial effusion
mrx - mitral regurgitation
miam - mitral annular motion
trx - tricuspid regurgitation
vf - ventricular function
pulap - pulmonary artery pressure
lad - left anterior descending
lada - left anterior descending artery
lcir - left circumflex
lcira - left circumflex artery
lmca - left main coronary artery
cca - common carotid artery
db - diagonal branch
omb - obtuse marginal branch
fd - first diagonal
ptca - percutaneous transluminal coronary angioplasty
ngn - nitroglycerin
asp - aspirin
bb - beta blocker
acei - ACE inhibitor
aceix - angiotensin converting enzyme inhibitor
ccl - cardiac catheterization laboratory
ce - cardiac enzymes
Macro tips from Donna:
caca - cardiac catheterization
Macro tips from Lori:
rekg - resting EKG -
rsr - regular sinus rhythm
nsr - normal sinus rhythm
sem - systolic ejection murmur
sekg - serial EKG
12ekg - 12-lead EKG
s12 - S1 and S2
s34 - S3 and S3
Macro tips from Virginia:
candy - cardiac catheterization
Grammar/Punctuation/Style:
Grammar Slammer - A fun site to browse through or search:
http://englishplus.com/grammar/
AAMT Tip (Excerpt taken from The AAMT BOS):
lay
An action word meaning to place, to put, to deposit (something). It requires a direct object. Past tense and past participle laid,
present participle laying. Note: Lay is also the past tense of lie. (See lie below.)
He laid the book on the table.
lie
Refers to a state of reclining. It does not take a direct object. Past tense lay, past participle lain, present participle lying.
She lay down for a rest.
Here are the new Abbreviations added to some accounts.
Never To Use Abbreviation/Preferred Term
U (unit) = Type "unit"
IU (international unit) = Type "international unit"
Q.D., Q.O.D. = Type "daily" and "every other day"
Trailing Zero = (X.0 mg) Never type a zero by itself
Lack of Leading Zero (.X mg) after a decimal point (X mg) and always use a zero before a decimal point (0.X mg)
MS, MSO4, MgSO4 = Type "morphine sulfate" or "magnesium sulfate"
Ug (microgram) = Type "mcg"
T.I.W., t.i.w. = Type "3 times weekly" or "three times weekly"
A.S., A.D., A.U. = Type "left ear," "right ear," or "both ears"
O.S., O.D., O.U. = Type "left eye," "right eye," or "both eyes"
Some grammar tips from: Common Errors in English Usage.
BACKWARDS/BACKWARD:
As an adverb, either word will do: "put the shirt on backward" or "put the shirt on backwards." However, as an adjective, only
"backward" will do: "a backward glance." When in doubt, use "backward."
ASSURE/ENSURE/INSURE:
To "assure" a person of something is to make him or her confident of it. According to Associated Press style, to "ensure" that
something happens is to make certain that it does, and to "insure" is to issue an insurance policy. Other authorities, however,
consider "ensure" and "insure" interchangeable. To please conservatives, make the distinction. However, it is worth noting that in
older usage these spellings were not clearly distinguished.
European "life assurance" companies take the position that all policy-holders are mortal and someone will definitely collect, thus
assuring heirs of some income. American companies tend to go with "insurance" for coverage of life as well as of fire, theft, etc.
Owed to a Spellchecker
Eye halve a spelling chequer
It came with my pea sea
It plainly marques four my revue
Miss steaks eye kin knot sea.
Eye strike a key and type a word
And weight four it two say
Weather eye am wrong oar write
It shows me strait a weigh.
As soon as a mist ache is maid
It nose bee fore two long
And eye can put the error rite
Its rare lea ever wrong.
Eye have run this poem threw it
I am shore your pleased two no
Its letter perfect awl the weigh
My chequer tolled me sew.
-Sauce unknown
Search in Google
GROUPS: Searching in groups?? Looking for something that comes in categories?? Antibiotics, types of anything?? Google creates
lists for you ~ very handy!~ http://labs.google.com/sets
CALCULATOR: Use google for more ... Need a mathematical expression solved? Convert ounces to pounds? To use Google's built-
in calculator function, simply enter the calculation you'd like done into the search box and hit the Enter key or click on the Google
Search button. The calculator can solve math problems involving basic arithmetic, more complicated math, units of measure and
conversions, and physical constants.
DEFINE: To see a definition for a word or phrase, simply type the word "define," then a space, and then the word(s) you want defined.
If Google has seen a definition for the word or phrase on the Web, it will retrieve that information and display it at the top of your search
results. * google tips = calculator, define,
LOCAL INFO: Google Local enables you to search the entire web for just those stores and businesses in a specific neighborhood.
Include a city or zip code in your search and Google displays relevant results from that region at the top of your search results.
Production Tips:
Organization:
10 Tips for Organizing Your Home Office
By Barbara Hemphill (Taken from the Internet)
1. Develop clear understandings and guidelines with others in the household to minimize misunderstandings about your home
office. Avoid "living" in your office -- make commitments to family time and keep them!
2. Choose a location for your office where you like to be. If you have a formal living area you use only a few times a year, but are
working at home every day in a place you don't like -- think again!
3. Choose furniture and lighting to suit your individual preferences. If possible, create an L-shape for your desk area with filing space
within reach. Consider ergonomic design to protect yourself from fatigue or even injury.
4. Set up your desk so you can process mail quickly. Most people need at least three containers within easy reach of their desk: In -
for mail you haven't yet looked at Out - for items that need to go someplace else File - for items that need to be filed outside the reach
of your desk
5. Put wastebasket or recycling containers wherever possible - for example, under your desk, near the filing cabinet, or next to the fax
machine. If you are concerned about confidentiality issues, purchase a paper shredder.
6. Create a system for filing paper and electronic information, so that you (or someone else, if necessary) can find any information you
need quickly and easily.
7. Divide your files into "Action" (for things you are currently working on) and "Reference" (for information you want to be able to refer to
easily).
8. If you are short on filing space, create "Archives" in a less accessible or off-site location for files you are legally required to keep, or
for files you rarely use. Keep a list of those files at your desk for easy reference.
9. Make good use of wall space for bookshelves or cabinets for resources such as books, notebooks, magazines, and office supplies.
10. Continually ask yourself "What's the worst possible thing that would happen if I didn't have this?" If you can live with your answer,
toss - or recycle it -- and work happily ever after!
** When organizing - color code everything! Fun and is easily differentiated!
Hot Key Tips / De-mousing:
*I've attached a Hot Keys list for those of you who do not have one... If you do not use this frequently, make this your FIRST objective!!
:) really...
Team Tips
In TWS - additional physicians - Alt K to get to work roll, type in a few letters of what you want (dict for dictating physician), down arrow
to pull it in, tab down to physician list, type in last name and first letter or two of first name, down arrow, alt Y if correct physician pops
up, if not alt N and repeat. (Thanks Connie)
To highlight text I use shift arrow key or shift end (number 1 on key pad). (Thanks Connie)
Saving samples: Cut and paste into emails, in the email, "clean it up" and make a sample out of it. Make folders especially for
samples, label by account, and keep your subject line the same, i.e., doctor last name, first name, report type (Doe, John - history and
physical). (Thanks Ada)
FUNNIES:
!? Say What !?
The doctor said what ??
A 2-year-old child had a 10 pound weight in her right toe and her aunt told her to dropped it, she did and the toe landed on her right
great toe. - Angela Hardin
MTs transcribed what ??
(Thanks to Editor, Trish)
T: ALLERGIES: PEPPERMINT SCHNAPPS.
D: ALLERGIES: TETANUS SHOTS.
T: HEENT: Head is normocephalic, atraumatic, extracted wounds are full.
D: HEENT: Head is normocephalic, atraumatic, extraocular movements are full.
T: No entrepreneur findings were identified.
D: No other intraperitoneal findings were identified.
T: A crabby pectoral fascia was dissected medially off of the
subscapularis.
D: The clavipectoral fascia was dissected medially off of the
subscapularis.
JOKE: A cardiologist died and was given an elaborate funeral. A huge heart covered in flowers stood behind the casket during the
service. Following the eulogy, the heart opened, and the casket rolled inside. The heart then closed, sealing the doctor in the
beautiful heart forever. At that point, one of the mourners burst into laughter. When all eyes stared at him, he said, "I'm sorry, I was
just thinking of my own funeral.... I'm a gynecologist." That's when the proctologist fainted.
ANNOUNCEMENTS:
*Happy October Birthday's To:
· Anita Hanks
· Elizabeth Turner
· Eileen Kicken-Dutney
Horoscope: Libra
October—Libra’s looking lucky this month—maybe there’s a pot of gold waiting for you at the end of the rainbow! And if not, you’re still
sure to make your usual good impression on those around you with your fabulous can-do attitude. Be sure to step carefully, though;
there’s nothing a Libra lady hates more than conflict, so be sure to clean up any messy misunderstandings ASAP. Then you’ll be able
to sit back and enjoy the ride…
*Congratulations to Grammy, Carol Vaughn, on the
birth of her new grand-baby girl, Lauren Elizabeth!!
*Congratulations to ME!!! I just bought a minivan today! :)
Secret Santa
These are the people who have shown an interest in participating with the Secret Santa. If your name is not on the list, "Why not" ??
:) Just kidding ... BUT,,,, I think it would be great if some of you guys come outta the woodwork and have Christmas FuN with us!! Just
email me you are interested! I will begin matching up names on Nov 1st ... More To Come !
Michelle L.
Kim P
Ada S.
Jan
Connie
Angela H.
Lori
Nancy H.
Diana
Rebekah
Trish
My Midlife Crisis (& the saga continues...)
Midlife Crisis ? Been there.
Stuck in a Rut? Done that.
Motorcycle Momma? You betcha!~
:) Okay, Gals. Let me introduce ..... (drum roll) ... Miss Tammy Blow!
In previous newsletters, Tammy did a Column about her midlife crisis. The story goes: When Tammy turned 40, she gave herself a
midlife crisis present - motorcycle driving lessons ... Here's an update.
My midlife crisis update: (byTammy Blow)
I've managed to put 2000 miles on my bike just since May. We rode in the March of Dimes Bikers
for Babies this past Sunday. Never seen so many motorcycles in one place in all my life. It was a 64-mile roundtrip ride around the St.
Louis area. We
had police escorts and they blocked the exits. Every overpass had a fire truck and firemen standing up there as if they were saluting
us. People
were lined up along the highway waving, taking pictures and videotaping, some even had signs thanking us. It was $25 a head to ride
in it and we
raised about $350,000 that day. That's a lot of bikers! A friend of my husband sent a website to my home computer that has pictures
from Bikers for Babies. I'll send that to you in the next couple days so you can get an idea of how many motorcycles there were. They
sent us out in groups of 200. We were in the first group to go out at 11:00, and at 4:30 or 5 the last group got back. They ended up
sending the groups on two different routes because there were so many and I guess they didn't want to have to keep the same exits
blocked for as long as it would have taken to get everyone through the same route. It was absolutely amazing. Felt like I was in a huge
parade. Felt good knowing my $25 went for charity.
I'm sending you this website with some pictures from the March of Dimes Bikers for Babies. Just that day the "bikers" raised
$350,000. It was $25 a head to ride in it and I'd never seen so many bikes at one time in all my life. Randy's bike would be the green
one with the eagle on it and mine is in the next row about one motorcycle back. There's a picture of me and Randy talking to Dave, big
guy in white shirt sitting on a bike, I think picture #58.
http://www.sportsimageexpress.com/bikers
By the way, we hit our milestone B-days this year but since I was still so new at riding we didn't make it to Sturgis. My husband said
there would be WAY to many bikes and craziness going on for me to go just yet and wanted me to wait until I got a lot more riding time
under my butt. Guess he didn't want to "throw me to the wolves" just yet. I've put 2000 miles on my bike this summer and didn't really
get to start riding until the end of May since my husband wasn't quite finished re-customizing his until then and I wasn't about to get
out on the real road by myself at that time.
I'll send more details of the midlife crisis soon.
The End!