~Q.O. Friday~
A Bi-Weekly Hynes'Sight Newsletter
Volume 1, No. 2 - November 5, 2004
Featured MT: Darlene Fletcher
Darlene's Account: St. Vincent of Arkansas. I love St Vincent of Arkansas, have been on it since 1999
when I started with Edix; have tried several others which I am sure are okay, however I am spoiled
and don't like change, so I stick to St Vincent of Arkansas. Also have a very special feeling for this
hospital as that is where my 2nd son was born when we lived in Little Rock, Ar.
I really like doing Psychiatric, makes me know that my problems are few. I am good at most specialties,
but I have a lot of trouble with Hispanic accents and go into a mental block when I get one I am not
use to.
Darlene Loves Spheris Because: They are very understanding of my situation personally and working
at home is soooooo greatttt!!!!!
Darlene Wishes For: More flexibility in our hours, because my life is one big jumble of going here and
there and helping take care of everyone.
Her MT History: In 1963 I got my first job working for the U.S. Government at Tinker AFB in Oklahoma
City. I was a "Clerk Steno". My high school shorthand and typing teacher had gotten the examinations
for civil service jobs for her entire graduating class. I will love her forever. I worked until my husband
was out of college and we moved to Dallas Texas where I worked for the Navy and then the Army Corp
of Engineers. Then in 1970 the Army had a RIF (reduction in force) and they had to place me
somewhere else and the only thing open was at the VA Hospital in Little Rock in the Radiology Dept.,
typing x-ray reports. I was thrown in and had to sink or swim. I loved it and had two great ladies to
teach me. Then when my fourth child was born I went to work in Conway, Arkansas at the Hospital
there and typed x-ray reports plus cut my eye teeth on hospital transcription. From there, anytime I
wanted a job, I always looked for transcription. In 1979, we moved back to Oklahoma to be near our
parents. I worked again at the VA Hospital in Oklahoma City, in 1989 had my own Transcription Service
and was the first one to have the VA Hos OKC contract for doing all of their transcription. Then later
went to work at Tinker AFB Hospital until 1996 when I retired civil service after 26 yrs of civil service. I
still wanted to work so since then have been doing part time work, have worked for Norman Hos in
Norman, Ok and Medquist, and got tired of them, then in 1999 came to Edix and have been here since.
Whew!! I have worked a lot of places.
MT Personal Information: I was born and raised in El Reno, Oklahoma in 1942 (okay go ahead and
count, I am almost 62 yrs old) During all my work years I was married (in 1960) to my first husband, had
six children, 3 boys, 3 girls, my youngest is now 23 and my oldest is 43) and then after 34 yrs of
marriage, my husband walked out of my life. All My Children are now married and out on their own and
I have 21 grandchildren, with 22 on the way, and that will probably be the end of the grandchildren
(but its enough). My oldest grandchild just turned 18 and will be going to college, my youngest is 1yo,
and #22 is due in June of 2005. My favorite things to do are play the piano, read, go walking and of
course play with my grandchildren every chance I get. I married a second time but we won't talk about
that. I am now very SINGLE AND LOVING IT. I live with my mother who has rheumatoid arthritis, has had
to have a pacemaker and has Non-Hodgkin's Lymphoma which is now in remission. I am also legal
guardian of my brother who is in a nursing home in Alzheimer's. My hobby goal is to learn how to grow
myself a flower garden!! Still learning even at my age.
Personal MT Goals: It use to be speed (like how many lines can I type in an hour. As I get older, I find I
need to reset this goal and go for something easier. However, I must say, my fingers and hands are
the skinniest part of my body!! LOL
Tips From Darlene: I think the most important thing a transcriptionist can go for, is learning to "block
out" what is going on around you and really get involved in your work. I know that is not always
possible, but if a person can do it, you will see your quality and speed improve.
Have Fun Hynes'Sight-Seeing!
Hot Off the Press: What's New?
Some new and some not-so-new medications:
What is Zestra? Zestra is a scientific breakthrough in Women’s Sexual Health – one that women and
sexual medicine experts around the world are praising for its natural design, ease of use and
effectiveness. This unique arousal oil, is easily applied to the clitoris, labia, and vaginal opening
during foreplay. Once applied it’s bioactive botanical ingredients begin to work on the sexual
pleasure pathways that are specific to women. Zestra is effective, discreet and easy-to-use. It helps to
increase female sexual pleasure in normal women, those with arousal difficulties, and in women
suffering sexual side effects from antidepressant medications. To purchase Zestra call toll-free 877-4-
Zestra (877-493-7872).
FemTone™ Vaginal Weights: Femtone™ Vaginal Weights are easy-to-use training aids specifically
developed to help women identify and exercise specific muscle groups in the pelvic floor. They are
sold as a set of five sterile, vaginal cones of varying weights.
Hepsera for hepatitis B - http://www.gilead.com/wt/sec/adefovir
Uroxatral for BPH - http://www.uroxatral.com/
Vytorin - Lower LDL (bad) cholesterol, Lower total cholesterol, Lower triglycerides (fatty substances in
your blood), Raise HDL (good) cholesterol
Ketek - Antibiotic, bacterial infections (URIs)
Santura - Treatment of overactive bladder
This website lets you look at news releases of equipment and drugs: http://www.fda.gov.
opacom/hpnews.html
This is new to me! We'll see if it catches on!! Perineology is the result of the fusion between
urogynecology and coloproctology. This "three-axis approach" is now becoming widely accepted.
http://www.perineology.com/home.html
Don't forget to check the Drake & Drake for new updates!! Note: If the drug is not new, just the
dosage, then the dosage will be highlighted. The new info is in red/brown. http://spwb.saunders.
net/update10.html
I would HIGHLY recommend this drug book, if you do not already use it!!!
Featured Specialty: OB/GYN
Some OB/GYN & Just Plain Ole Fun Sites, Tips, and Terms:
WEIRD WORD: Labor dystocia (the word comes from the Greek dys meaning difficult, painful,
disordered, abnormal and tokos meaning birth), both terms indicate a slowed or stopped labor with no
clear-cut indication as to why it occurred.
C-SECTION: Check out this site - medlineplus has a dictionary, drug info, health topics, etc..... but here
is some visuals to go with the C-section! http://www.nlm.nih.gov/medlineplus/ency/article/002911.htm
ADEK: vitamin A, D and K nickname: ADEK
BIRTH CONTROL: (All Taken From Steadman's OB-GYN & Pediatric Words, 4th Edition)
Birth Control: Evra, Lunelle, NuvaRing, Ortho Evra, Yasmin
Birth Control Implants (Progestin): levonorgestrel, Mirena, Norplant Implant, Plan B
Birth Control Pills: Alesse, Cyclessa, Kariva, Levlite, Lo/Ovral, Low-Ogestrel, Min-Ovrakl, MonoNessa,
PREVEN, Synphasic, Trivora, Zovia
Birth Control (Progestin only): Aygestin, Camila, Micronor, Mirena, Nora-BE, Nor-QD,
Spermicide: Advantage 24, Conceptrol, Emko, Encare, Glynol II, Shur-Seal, VCF
??Did you know?? There is a Pelosi hysterotomy and a Pelosi vaginal hysterectomy
This is a Excellent website, a Hynes'Sight fav!! :) Thanks, Stacy Hall, StacyLinne@msn.com
http://www.obgyn.net/women/women/htm
*Pelves is the pleural for pelvis
By Jan Lyon: Jl@spheris.com
My favorite site for OB/GYN words, and many other specialties is: http://members.tripod.
com/~keallaigh/mt.html It has tons of info, like this:
The Crown-rump length (CRL). This measurement can be made between 7 to 13 weeks and gives very
accurate estimation of the gestational age. Dating with the CRL can be within 3-4 days of the last
menstrual period. b) The Biparietal diameter (BPD) The diameter between the 2 sides of the head. This
is measured after 13 weeks. It increases from about 2.4 cm at 13 weeks to about 9.5 cm at term.
Different babies of the same weight can have different head size, therefore dating in the later part of
pregnancy is generally considered unreliable. c) The Femur length (FL) Measures the longest bone in
the body and reflects the longitudinal growth of the fetus. Its usefulness is similar to the BPD. It
increases from about 1.5 cm at 14 weeks to about 7.8 cm at term. d) The Abdominal circumference (AC)
The single most important measurement to make in late pregnancy. It reflects more of fetal size and
weight rather than age. Serial measurements are useful in monitoring growth of the fetus. http:
//radiology.creighton.edu/Ultraoffetalbiomet.html
Jan's Favorite Fun Sites:
fun-with-words.com
iwon.com
bored.com
computerladyonline.com
getorganizednow.com
COMMON OB/GYN INSTRUMENTS: Thanks Jan!
Adson forceps
Allis clamp
Babcock clamp
Balfour retractor
bandage scissors
bipolar electrocautery
bladder blade
Bookwalter retractor
curved hemostat
DeLee universal retractor (and suction device)
Heaney (clamp, retractor, curette)
Kelly clamp
Kocher clamp
Mayo scissors
Metzenbaum scissors
Ochsner forceps
pickups
towel clip
Veress needle
By Ada Stollsteimer: AStollsteimer@spheris.com
Here's my top 2 OB/GYN websites! (Ada also included obgyn.net as her top site)
This one is cool because whenever you click on a topic, it gives you a bunch of other links to check
out: http://www.lib.uiowa.edu/hardin/md/obgyn.html
This one is near and dear to my heart. It is designed to provide information and positive support to
young women and girls who have "unexpected" pregnancies. My youngest daughter got pregnant at
17 and I really admire her for having the courage to bring her son into this world and face all the
challenges of single parenthood with grace, love, and humor! We all welcomed my grandson over 2
years ago and he is a blessing to all of us: http://www.standupgirl.com/inside/index.html
FUN WEBSITES from Ada:
Good irreverent humor: http://theonion.com/
Good silly fun! http://www.emotioneric.com/
My awesome sister Lisa's website. You can read about my dog Bo here and see photos of my sweet
mom and other family. My sister has a gentle and amusing way of presenting things that you might
enjoy. She also has some pretty funny short blooper-type videos posted: http://leesie.com
My son Justin's website where he shows some of his computer skills. Just shamelessly bragging
here! http://huckinpuppies.com/
From Rebekah:
Watch a Surgery!! Totally Awesome ! http://www.lifespan.org/staywell/videosurgery.html
Fun Site From Lori: www.pogo.com
Macro Tips
Here are some Hynes'Sighter's Macro Ideas! Look over them, see what your missing!! These should
give you some ideas....Have fun MACRO-SIZING!
Macros by Jan:
LTCS low transverse cesarean section
PLTCS primary low transverse cesarean section
SVD spontaneous vaginal delivery
EFW estimated fetal weight
TAH/BSO total abdominal hysterectomy/bilateral salpingo-oophorectomy
HYST hysterectomy
DILCUR dilatation and curettage
BTL bilateral tubal ligation
SUTL suture ligated
DLP dorsal lithotomy position
NUTO normal uterus, tubes and ovaries
RFALT right fallopian tube
LFALT left fallopian tube
Macros by Lori:
Primary low transverse c-section: pltcs
Pap smear: psmear
last menstrual period: LMP
pelvic inflammatory disease: PID
Spontaneous abortion: sab
Macros by Ada:
agax/appropriate for gestational age alcx/anterior lip of the cervix
bwt/birth weight bse/breast self-exam
btlx/bilateral tubal ligation busx/Bartholin, urethral, and Skene's glands
crl/crown-rump length cul/cul-de-sac
cer/cerclage chla/chlamydia
cmt/cervical motion tenderness cpd/cephalopelvic disproportion
cs/cesarean section cx/cervix
cxl/cervical dac/dilatation and curettage
dysm/dysmenorrhea ecpr/ectopic pregnancy
edc/EDC, edcx/expected date of confinement ftp/failure to progress
fht/fetal heart tones rfht/reassuring fetal heart tones
nfht/nonreassuring fetal heart tones gp1/G1 P1 (also gp2, etc.)
g1p1/gravida 1, para 1 (also g2p2, etc.) hpvx/human papilloma virus
hsgx/hysterosalpingogram lavh/laparoscopic assisted vaginal hysterectomy
ltcs/low transverse cesarean section mam/mammogram
mamy/mammography meno/menopause
pmeno/perimenopause mittel/Mittelschmerz
oc/oral contraceptives ocp(s)/oral contraceptive pill(s)
pcos/polycystic ovarian syndrome pedn/pediatrician
pest/permanent sterilization pid/PID, pidx/pelvic inflammatory disease
pih/PIH, pihx/pregnancy-induced hypertension pltcs/primary low transverse cesarean section
pmdd/premenstrual dysphoric disorder pree/preeclampsia
prm/premature rupture of membranes pu/s - pelvic ultrasound
pvits/prenatal vitamins pvv/posterior vaginal vault
sa/sexually active sbex/self-breast exam
sdh/she does have tahx/total abdominal hysterectomy
vag/vagina, vagl/vaginal, vava/vaginal vault vbac/VBAC
vd/VD, vdrl/VDRL, vdx/venereal disease
Grammar/Punctuation/Style:
My Dic-Pic for this issue is: Dictionary Barn - A Medical Dictionary! :) LOLOLOL
http://www.dictionarybarn.com/
*Did you know, in Outlook, to find all mail from a particular sender quickly:
Highlight a message from the sender in any folder.
Select Tools | Find | Messages from Sender....
Outlook will immediately show you all mail from the same sender.
*Did you know, in Google, to see a picture of anything, i.e., medical instruments, skin diseases,
diagrams, etc., Search under Google Images. http://www.google.com/imghp?hl=en&tab=wi&q= or just
click on "images" above your search box.
Here is the number score to our previous star score system for QA:
100 = 4-star
99 to 99.99 = 3-star
98 to 98.99 = 2-star
97.99 or less = 1-star
*Grammar site: This is cool cause you can test yourself, ask questions, or just browse! :) http://www.
grammarbook.com/grammar/cnt_gram.asp
AAMT Tip (Excerpt taken from The AAMT BOS):
Medical terms derived from Latin or Greek: General rules follow:
1. Words ending in en: Change ending to ina.
foramen foramina
2. Words ending in a: Add e.
conjunctiva conjunctivae
3. Words ending in us: Change ending to i.
embolus emboli
4. Words ending in on: Change ending to a.
ganglion ganglia
5. Words ending in is: Change ending to es.
diagnosis diagnoses
EXCEPTIONS: arthritis/arthritides, epididymis/epididymides
6. Words ending in um: Change ending to a.
diverticulum diverticula
Some grammar tips from:
Common Errors in English Usage.
Adverse/Averse
The word "adverse" turns up most frequently in the phrase "adverse circumstances," meaning
difficult circumstances, circumstances which act as an adversary; but people often confuse this word
with "averse," a much rarer word, meaning having a strong feeling against, or aversion toward.
Effect/Affect:
There are four distinct words here. When "affect" is accented on the final syllable (a-FFECT), it is a
verb meaning "have an influence on": "The million-dollar donation from the industrialist did not affect
my vote against the Clean Air Act." A much rarer meaning is indicated when the word is accented on
the first syllable (AFF-ect), meaning "emotion." In this case the word is used mostly by psychiatrists
and social scientists— people who normally know how to spell it. The real problem arises when
people confuse the first spelling with the second: "effect." This too can be two different words. The
more common one is a noun: "When I left the stove on, the effect was that the house filled with
smoke." When you affect a situation, you have an effect on it. The less common is a verb meaning "to
create": "I’m trying to effect a change in the way we purchase widgets." No wonder people are
confused. Note especially that the proper _expression is not "take affect" but "take effect"—become
effective. Hey, nobody ever said English was logical: just memorize it. :)
ORGANIZE: This is site that gives A BUNCH of information on managing time, memory improvement,
etc., etc.!! http://www.mindtools.com
!? Say What !?
Thanks to Trish for compiling all these Funnies!
The Doctor Said What ??
THESE ARE WHAT THE DOCS ACTUALLY DICTATED ...
Doc was alluding to a lack of intelligence???? - "He is a few credits short of an education."
"The patient's car spinned and was found confused and disoriented at the time of initial evaluation." -
With this one, it just sorta brings the picture of that poor car spinnin, and gettin' all confused ... I'm
just glad it made to the ER!
What he said: "She had some emesis and took some antisemitic medicine." - What he meant: She had
some emesis and took some antiemetic medicine.
MTs Transcribed What ??
Actually, some of these are not so "funny," more like varey-scarey (should be very scary, I know)!
T: Two abdominal hysterectomies.
D: Total abdominal hysterectomy.
T: submit an authorization for advanced sleep to do a sleep study including nocturnal pause on the
brain.
D: submit an authorization for advanced sleep to do a sleep study including nocturnal polysomnogram.
T: Fan and steel incision was made
D: Pfannenstiel
T: In that part of the descending colon, there were a few eyelids of inflammation seen.
D: eyelets would be correct here
T: leg knee emobilizer
D: leg knee immobilizer
T: She has negative to nose at bilateral wrists. She has a positive Fallen's on the left only
D: She has negative Tinel's at bilateral wrists. She has a positive Phalen's on the left only
T: Status post full stab assisted vaginal delivery for nonreassuring fetal heart tones.
D: Status post forceps assisted ......
T: HUMATOLOGICAL: Negative.
D: Hematological
T: Benjamin's eternal grandfather
D: Benjamin's paternal grandfather
((his one is scary! Editor said every word MT transcribed went through spell check!))
T: Bronchiect passes with microbacteria avium intra fibula infection, chronic.
D: Bronchiectasis with Mycobacterium avium intracellular infection, chronic.
T: Tyler drinks Enfamil Lethal 4 to 7 ounces per feeding.
D: Tyler drinks Enfamil LIPIL 4 to 7 ounces per feeding.
T: She grew out clubsielnimonia as well as Escherichia coli. ((Hey ... let's go clubbin'))
D: She grew out Klebsiella pneumoniae as well as Escherichia coli.
T: fast catheterization insertion sight
D: Vas-Cath insertion site
T: She had multiple prior surgeries to include a urine suspension and tubes removed.
D: She had multiple prior surgeries to include a uterine suspension and tubes removed.
T: 5. Failure to drive.
D: 5. Failure to thrive.
T: The patient has been afebrile with a Team X of 37.3.
D: T-max
T: placed high in the ethmoid on each side for hemostasis, and then community packs were placed
D: Kennedy packs
T: Axis III: Heart attention.
D: hypertension
T: mild various obvious instability
D: mild varus/valgus instability
T: So, that is how he was brought in and why he was not put on Cawa tropical by the admitting
physician.
D: So, that is how he was brought in and why he was not put on CIWA protocol by the admitting
physician.
((AND SOME OF THEM LEAVE YOU SPEECHLESS!))
T: The patient's nutritional history is positive for lactose intolerance. She has minimal dairy products.
Recently she has been using Add-the-Cow 500 mg p.o. b.i.d.
D: The patient's nutritional history is positive for lactose intolerance. > She has minimal dairy
products. Recently she has been using AdvaCAL 500 mg p.o. b.i.d.
T: She still has early fatality after eating
D: satiety ... ?????????????
T: ...he was treated with some Lasix due to an imbalance in his eyes and nose
D: I's and O's
T: We will type and cross and transfuse two units of Paxil.
D: packed cells
((AND MY PERSONAL FAVORITE!!!))
D: THE PATIENT IS ALLERGIC TO SULFA.
T: THE PATIENT IS ALLERGIC TO SALSA.
JOKE: A gynecologist is sick of hassles of medical practice, and decides to retire. He has enough
money that he doesn't have to work, but he wants to stay busy. He is an avid motorcyclist so he
decides to become a motorcycle repairman. He enrolls in a motorcycle repair course.
At the end of the course he gets a letter from the teacher saying that he is the first student to ever
get a grade of 150% on the final exam. He calls the teacher for an explanation of why his grade was the
best ever.
The teacher says "You disassembled the motor quickly and efficiently -- that was 50%. You
reassembled it quickly and it started immediately -- that was another 50%. The final extra 50% was
because you were the first student ever to do all this while with your hands through the muffler.
ANNOUNCEMENTS/BIRTHDAYS!
Ada is turning 44 on November 26.
Catherine birthday is coming up November 20th and my DH and I are going on a Murder Mystery
Dinner Train that's refurbished to be from the 1940's!! Keep us updated!!
Lori's daughter made the A honor roll for mid-trimester! YAY!
Scorpio/November Horoscope: :)~
You will be affected by a high-finance arbitrage swap-trade involving sheep and corn this month,
which will prove either highly lucrative or hellishly noisy. Take care to eat up all your greens. A man in
a caftan will offer you some advice which may ultimately lead to you buying a red T-shirt. Beware the
sound: drip drip drip until dusk on the 19th.
SECRET SANTA: This is who I have on this list so far .... anyone else ?? One last CALL!
Michelle L., Kim P, Ada S., Jan L., Connie, Angela H. Lori, Nancy H., Diana, Rebekah, Trish, Nelda R,
Cheryl D.
FOR SALE
For Sale by Donna McGough: They are all in good shape other than some "coffee stains" on the
Dorland's Orthopedic Speller. My personal e-mail is: mcgough1976@earthlink.com for questions or to
send my your address to mail you the books you want (I'll include the postage receipt and you can mail
me a check.)
· $10.00 + postage Sheila B. Sloane Medical Abbreviations & Eponyms, 2nd edition, copyright 1997. 905
pages
· $5.00 + postage Dorland's Gastroenterology Speller, copyright 1993, 233 pages.
· $10.00 + postage Claudia Tessier, The Surgical Word Book, 2nd edition, 1237 pages, copyright 1971
· $5.00 + postage The Complete Guide to Herbal Medicines, Fetrow & Avila, copy right 2000, 618 pages
· $5.00 + postage Dorland's Orthopedic Speller, 307 pages, copyright 1993
· $10.00 + postage Sloane and Dusseau, A Word Book in Pathology & Laboratory medicine, 2nd edition,
862 pages, copyright 1995
For Sale by Rebekah Rankin & Trish Smith
· Vera Pyles Current Medical Terminology, 8th Edition, 2000: $5.00
· Mosby's Diagnostic and Laboratory Test Reference, 4th Edition: $5.00
· Dorland's Pocket Medical Dictionary, 4th Edition:
· 5.00Stedman's GI/GU - very warn - 2nd Edition, including nephrology: $7.00
· Stedman's OB/GYN and Genetics - fairly worn - 3rd Edition: $7.00
· Stedman's Orthopedic and Rehab Words, 3rd Edition - good condition - $10.00
· Stedman's Medical Speller - 3rd Edition - good condition: $15.00
· Stedman's Cardiology/Pulmonary Words, 2nd Edition - almost new: $15.00
· Stedman's Equipment Words, 3rd Edition - excellent condition - $15.00
THE END