~Q.O. Friday~
A Bi-Weekly Hynes' Sight Newsletter
Volume 1, No. 4 - December 3, 2004
By: Rebekah Rankin RebekahFabulous@yahoo.com Rrankin@Spheris.com and all the members of the
HynesSight yahoo family!
**Remember to utilize www.hynessight.com for your One-Stop Internet Spot!
Featured MT: Angela Hardin
Current Account: Sharp Clinic
Favorite Specialty: I have not had a lot of experience with a lot of accounts, but I would have to say that
Sharp ER Chula Vista is not one of my favorites.
I love neurology even though I do not get very many of those kinds of reports. I am not sure what
strengths I have as of yet since I am still learning a lot of new things. I do have a problem with foreign
doctors, but don't we all to a point.
What Angela LOVES about Spheris: I love that I can stay home and not have to venture out into the snow
or heat. I love the knowing that I have a job that I can take with me if I move and I do not have to look for
another one and deal with interviews or dressing up everyday. I love that if my children get sick that I am
here at home and do not have to miss work because of it. All of the people that I have met through
Spheris have been wonderful and helpful during a time that has been difficult for me. This is my first year
as an MT. I had never done anything like this before and everyone has been there to help out.
CHANGE anything about Spheris? There are a lot of things that I would like changed, but I do not see that
happening anytime soon. One would be a little more flexiblity with our schedules. Another would be the
pay plan. I would like to see the QA incentive back. We got paid more with that, I think anyway. More
holidays offered would be nice.
MT History: My mother has done this since she got pregnant with me. After I got pregnant with my second
child I wanted to be at home, but still work. My mother told me to take a course for medical transcription. I
decided to choose Careerstep after looking at many others and now here I am working as an MT and
loving every minute of it. (okay, maybe not every minute.)
Some personal information: I have 2 children, a son 12 and a daughter 2 1/2. I love to fish, golf, read, takes
baths, sing, listen to music, and go for love drives in my car. I am married to a wonderful man. This is my
second marriage. I am an MT so I do not have much of a social life. I live in Iowa and that also does not
help with the social life. During the summers it is really hot and humid and the winters are bitterly cold.
Iowa has its good points though. I am originally from Flagstaff Arizona. I miss the mountains.
Personal MT Goals: I would like to learn all aspects of being an MT. I would like to eventually start my own
MT business, but that is a long ways off.
Angela shares some tips: I do not have many macro tips, because I use everybody else’s. I make sure that
my workstation is clean and neat at all times. No need for a mess to have to clean up and worry about. I get
up frequently to walk around and get the blood flowing into the legs. I find that if I am just running down
and cannot concentrate is a good time for a break. Walk away do something for 5-10 minutes and get back
to it.
Fun Fact about Angela: I am a closet comedian. I would love to get on stage one day, but I have stage
fright. Another thing about me is that my mother-in-law and I love to sit on the floor and listen to old 70's
records.
*To see a picture of Angela - Check out the Hynes' Sight Yahoo group, created by Connie Vance, at http:
//health.groups.yahoo.com/group/HynesSight/. All Spheris employees are welcome and encouraged, (by
me, at least!!) to join this group!
SHARP (Clinic) Questionnaire:
ANSWERS FROM ANGELA
1. Do you feel you can obtain your minimum line count easily? Not on Sharp Clinic. I was on Sharp ER and
switch recently to Sharp Clinic. I am not making my line count now. The reports are really short and it takes
a lot to get the count high. I wish there were longer reports to do.
2. Is there a high number of ESL's (doctors with English as a Second Language/foreign doctors? At Sharp
Chula Vista, I feel, there are few foreign doctors, but also doctors who are suppose to speak English, but
what comes out nobody knows.
3. Do you have a good help loop which you participate in and which
you find to be helpful? I have worked on some other accounts and I feel that Sharp has the best help loop
there is. It is wonderful. We all seem to get along real well and actually enjoy helping others. Again, Sharp
has the best help loop.
4. When learning this account, would you say the training period was easy, average, or difficult? I felt it
was average. I of course have been on Sharp since I started with Spheris one year ago. It seemed to go
rough at the start, but then after a few weeks it was smooth sailing.
5. Did you believe the amount of time it took to feel comfortable with this account was short, medium, or
long? I would say short.
6. Do you have OT opportunities? We do get OT every now and again. Sometimes I wonder what is
available for OT. There are clinics, ER, acute care, etc. on this account. It is not always specified what is OT
for this account. I wish it would be.
7. Do you run out of work often? On occasion we seem to run out of work in one area or another, but the
supervisors will place you pretty quickly in another area of Sharp if available. If not, the supervisors to
allow you to flex your time, which I find is nice.
8. Are the sound files of good quality? The sound files are, in my opinion, great quality.
9. Are the account specs easy or difficult to learn? They are pretty easy. It is remembering the verbatim
doctors that I have a problem with, but other than that I think it is a pretty easy account.
10. What do you like best about the account? I like the help loop on the account and the supervisors. We
have the best supervisors! They are easy going and understanding and always seem to be there when you
need help. I think everything about the account is great.
11. What is most challenging about this account? There are different Sharp areas, such as hospitals and
clinics. There are 3 hospitals, Memorial, Grossmont, and Chula Vista which have ER and acute care (I
believe), then there are the clinics. There are several of those. Each have there own account specifics,
but they all are about the same except for some minor changes. It is difficult to keep all of those straight.
There are some verbatim doctors with the acute care, and one I know of with ER. I have not ran across any
with clinic yet, but this is also hard to remember. I find that I still look at my account specifics frequently to
just keep it all straight.
12. If you could improve one thing on this account, what would it be? The levels. For instance: ER is a
level 4; however, I feel that Sharp Chula Vista should be at a higher level, because of the dictators. There
are some very difficult dictators. Other than that, I do not feel much needs to be changed.
13. What skills do you feel would be of importance to do well on this account?
Macros is one, of course. I am still trying to figure out all the skills that would be important for any
account. This account I feel is pretty easy. (at least what I have done of it, which is mainly ER and Clinic).
14. If you had a choice to do it over again, would you still apply for this account?Yes. I am regretting
moving from ER to Clinic as I type this out right now. My line count is down and I cannot seem to get it up. I
think I would like to stay with Sharp for awhile, but I would like to move up to Acute Care someday.
Have fun Hynes' Sight-Seeing!
Featured Specialty: Neurology
Some GREAT Neurology web sites:
Here is a good neuro website I like, it takes you through a complete neurologic exam and there is even a
little video portion you can watch. (From Ada S.)
http://www.neuroexam.com/2.html
This is a site that has a cranial nerve chart, which lists the CNs by number, name, function, and location
with a picture!! Also, a great pneumonic: On Old Olympus Towering Top A Famous Vocal German Viewed
Some Hops. The bold letters stand for: olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial,
vestibulocochlear, glossopharyngeal, vagus, spinal accessory, hypoglossal. Check this site ~ you can
even print out a CN bookmark!! :)~ (From me)
http://rad.usuhs.mil/rad/anatomy/neuro/cranial_nerves.html
From Connie:
Register as a guest for free content. Get free selected access to JAMA or the Archives Journals @ http:
//archneur.ama-assn.org/
The Brain matters. http://www.thebrainmatters.org/index.cfm?key=1.1.1 Features the experiences of
people living with brain diseases, as well as provides links to top resources.
LIST OF NERVES SYSTEM TERMS: http://www.whonamedit.com/syndlist.cfm/16
The Dilemma of Embryonic Stem Cell Research: http://www.e-stem-cell.com/
Michael J. Fox website: http://www.michaeljfox.org/
Neurology Tips:
Neurology progress note:
This is doctor instruction on how to do a full neurology PN (SOAP).
S: Just like all your other notes - a description in patient's own words of how they are feeling. Ask
specifically if patient has noticed any new neurological deficits especially in a CVA patient.
0: Vital Signs, Heart, Lungs, Abdomen, Musculoskeletal - (include any new findings)
Neurology exam: INCLUDES
Mental Status: Alert and Oriented? Serial 7s, etc.
Cranial Nerves II-XII, include hearing and visual acuity.
Motor: Tone and strength, fasciculations, spasticity, rigidity (check for cogwheeling with Parkinson's
disease)
Sensory: Light touch/pin prick, vibration, proprioception, stereognosis, DTRs, Babinski (plantar reflex)
Cerebellar: Finger-to-nose, heel-to-shin, Romberg, and gait.
Remember to check for any evolving deficits (e.g. a visual field cut) daily.
Labs: CSF tap, MRA/MRI/CT, angiogram
A/P: Neuro status - changed/unchanged? New deficits? More diagnostic tests indicated? Medication
changes?
Some Abbreviations:
(ANA) - American Neurological Association
(BATRAC) = bilateral arm training with rhythmic auditory cueing
CISS = Constructive Interference in Steady State
CSF = Cerebrospinal Fluid
CT = Computed Tomography
dAV = Dura AV-fistulae
DSA = Digital Subtraction Angiography
MIP = Maximum Intensity Projection
MRI = Magnetic Resonance Imaging
NSA = National Stroke Association
N. V = Nervus Trigeminus
SSD = Surface Shaded Display
VRT = Volume Rendering Technique
EEG: Electroencephalogram: Technique for studying the electrical current within the brain. Electrodes are
attached to the scalp. Wires attach these electrodes to a machine which records the electrical impulses.
The results are either printed out or displayed on a computer screen. Electroencephalogram is
abbreviated EEG.
Different patterns of electrical impulses can denote various problems in the brain including different
forms of epilepsy. Most EEGs see only a moment in time within the brain, and can catch only gross
abnormalities in function. An overnight EEG is designed to check the electrical activity in the brain of a
sleep-deprived patient, increasing the chance that seizure activity will be revealed. Also available are 24-
or 48-hour EEGs, which measure electrical activity over one or two days, usually using mobile EEG units.
Some REALLY great TIPS from Donna McGough:
Terms:
botulinum toxin
brachioradialis (not brachial radialis)
Babinski
Brudzinski's sign
cervical dystonia
chemodenervation or chemical denervation
clonus
EEG – electroencephalogram, records electric activity in the brain by means of electrodes attached to the
scalp with paste.
epicritic sensation -OR- sensibility
EMG - electromyogram, electrical study of skeletal muscles; usually accompanied by NCT, nerve
conduction tests, which measures the activity of the nerves.
ENG – electronystagmography, records patient’s eye movements, used to diagnosis dizziness.
EP testing – Evoked potential testing, records the brain’s electrical response to visual, auditory or
sensory stimulation with electrodes pasted to the scalp.
finger-nose test ((is this what this means?)) LoL
Glasgow Coma Scale (GCS)...sometimes dictated in the General section of H&P, Vital Signs and in AXIS
diagnoses.
GOAT (Galveston Orientation and Amnesia Test)
Hallpike maneuver (also Dix-Hallpike maneuver)
levator
LOC (loss of consciousness)
median nerve (not medium)
muscle wasting (not waisting)
Myobloc
neuromodulator
neurotoxin
peroneal nerve (not perineal)
precipitating injury
retrocollis
retro-rotational
segmental dystonia
Semmes-Weinstein monofilament test
sensory extinction (not extension)
sensory tests used often in H&P: pinprick, light touch, and proprioception
torticollis
Zung depression/anxiety scale
Seizures:
absence seizure (sometimes pronounced ab-sonce')
atonic seizure,
clonic seizure
complex partial seizure
convulsive seizure
cryptogenic epilepsy
focal seizure
generalized onset seizure
grand mal seizure
idiopathic seizure
jacksonian seizure
myoclonic epilepsy
nonconvulsive seizure
partial seizure
petit mal seizure
pseudoseizure
psychomotor seizure
status epilepticus
temporal lobe seizure
tonic seizure
tonic-clonic seizure
TIPS TIPS TIPS:
Here's something I think is interesting and informative though. I've seen it spelled incorrectly even in
some handouts from Spheris. It is always all caps.
This tip ROCKS! ~ FABER test: One of the phantoms of medicine; there is no Dr. Faber. This is an acronym
for flexion, abduction, external rotation of the hip. This is a test to differentiate hip disease from sciatica
as it allegedly causes minimal stress on the sciatic nerve. Synonym: Patrick's test.
Sloane-Fordney/Saunders, Manual of Medical Transcription, p. 400.
Definitions:
zoopsia: a hallucination in which person thinks he sees animals.
bruxism: involuntarily or unconsciously clenching or grinding the teeth, typically during sleep
**Extra thanks to Donna!
Hot Off the Press: What's New?
AGILECT(R) Provided Significant Symptom Benefit in Parkinson's Disease as Monotherapy and Adjunct
Therapy
Be sure to check for your December Drake&Drake medication updates: http://spwb.saunders.net/update11.
html
RSNA: Stimulants Normalize Dysfunctional Brain Circuitry in Attention Deficit/Hyperactivity Disorder (FROM
CONNIE)
ttp://www.docguide.com/news/content.nsf/EAC/8525697700573E1885256F5B0068E1EA?Open&type=DGNews
Neurology Macro Tips:
Macro tips from Ada:
alcx/altered level of consciousness
asmb|ambulate
ambg|ambulating
ambn|ambulation
ambs|ambulates
amby|ambulatory
ams|altered mental status
Macro tips from Rebekah:
cn - cranial nerves
cni cranial nerves intact
cngi - cranial nerves grossly intact
cn2 - cranial nerves II-XII
cn2i - cranial nerves II-XII are intact
cn2gi - cranial nerves II-XII are grossly intact
nfd - no focal deficits
nfmosd - no focal motor or sensory deficits
sii - sensation is intact
siib - sensation is intact bilaterally
Macro tips from Connie:
cranium - crm
cranial - crl
cranial arteritis - crlart
cranial computed tomography - cct
cranial dysmorphia - crldys
cranial nerve dissection - cnd
cranial nerve neoplasm - cnn
central - ctl
central apnea - ctla
central bradycardia - ctlb
central cord syndrome - ctlcs
central ganglioneuroma - ctlg
basal - bs
basilar - bsr
basilar artery - bsra
basilar artery migraine - bsram
basilar artery aneurysm - bsraa
Macro tips from Donna McGough:
dg...degrees
numbness...nnes
pain management...pmgt
seizure...sz
tenderness...tnes
Grammar/Punctuation/Style:
Grammar site:
http://www.uottawa.ca/academic/arts/writcent/hypergrammar/punct.html
Bi-weekly Dic-Pic:
http://onlinedictionary.datasegment.com/index.jsp
AAMT Tips (Excerpts taken from The AAMT BOS):
Hunt and Hess neurological classification: Classified prognosis of patients with hemorrhage. Use Arabic
numerals 1 through 4, grade 1-4
EEG - Abbreviation for electroencephalogram, electroencephalography, or electroencephalograph.
Symbols for electrodes: Capital letters refer to anatomic areas. Subscript lower cased letters refer to
electrode positions. The subscript ODD numbers are electrodes placed on left, EVEN are on the right, and
subscript z refers to midline (zero). Spheris allows no subscript, so just place the lower cased letters,
numbers, and z on-line adjacent to the capital letter - spell out terms.
Frequency - Express cycles per second c/s or cps or hertz (Hz).
Some commonly used terms in EEG reports:
alert, drowsy, and sleeping states
alpha range
alpha rhythm
alpha waves
amplitude
artifact
background rhythm
beta rhythms
bisynchronous
central sleep spindles
cycles per second (c/s, cps)
delta brush
delta spikes
delta waves
frontal sharp transient
hyperventilation
lambda rhythm
lateralizing focus
mu rhythm or mu wave
occipital driving
paroxysmal, paroxysms
photic stimulation
rhythmic activity
sharp elements
sharp waves
sleep spindles
slow transients
slow waves
spike and dome complex
spike and wave pattern
Standard International lead placements
symmetrical activity
synchronous
theta activity
theta frequency
21-channel recording
vertex waves
voltage
wave bursts
Some grammar tips from: Common Errors in English Usage
CALLOUS/CALLUSED: Calling someone "callous" is a way of metaphorically suggesting a lack of feeling
similar to that caused by calluses on the skin; but if you are speaking literally of the tough build-up on a
person’s hand or feet, the word you need is "callused."
BREATH/BREATHE: When you need to breathe, you take a breath. "Breathe" is the verb, "breath" the noun.
CITE/SITE/SIGHT: You cite the author in an endnote; you visit a Web site or the site of the crime, and you
sight your beloved running toward you in slow motion on the beach (a sight for sore eyes!).
Tips Tips Tips:
Using Your Whole Mind To Remember:
http://www.mindtools.com/pages/article/newTIM_00.htm
Designing Mnemonics: Imagination, Association and Location are the three fundamental principles
underlying the use of mnemonics are imagination, association and location. Working together, you can
use these principles to generate powerful mnemonic systems.
Imagination: is what you use to create and strengthen the associations needed to create effective
mnemonics. Your imagination is what you use to create mnemonics that are potent for you. The more
strongly you imagine and visualize a situation, the more effectively it will stick in your mind for later recall.
The imagery you use in your mnemonics can be as violent, vivid, or sensual as you like, as long as it helps
you to remember.
Association: this is the method by which you link a thing to be remembered to a way of remembering it.
You can create associations by: placing things on top of each other, crashing things together,merging
images together, wrapping them around each other, rotating them around each other or having them
dancing together linking them using the same color, smell, shape, or feeling.
As an example: You might link the number 1 with a goldfish by visualizing a 1-shaped spear being used to
spear it.
Location: gives you two things: a coherent context into which you can place information so that it hangs
together, and a way of separating one mnemonic from another. By setting one mnemonic in a particular
town, I can separate it from a similar mnemonic set in a city. For example, by setting one in the town of
Horsham and another similar mnemonic with images of Manhattan, we can separate them with no danger
of confusion. You can build the flavors and atmosphere of these places into your mnemonics to
strengthen the feeling of location.
INTERNET EXPLORER TIP: (This was shared with me by my supervisor, Sharon Taylor)
Computer clean-up: When you are using internet explorer (IE) it will create temporary files for each site
you visit. To purge these files and prevent computer bog-down:
* Right click on IE icon and go to Properties
* Go to Temporary Internet Files section, click on Delete Cookies, and when the pop-up box opens click Ok.
* Next, go to Delete Files. When the pop-up window opens check in the box for delete all off-line content
and click OK.
* Finally, click on the Clear History button under History.
You should do this at least once a month, and more often if you use the internet frequently to look up
things.
PRODUCTION TIPS:
There was recently a survey of some top producers among some different accounts. Connie shared this
with me, and I thought I would share a couple of their tips with you! They are very awesome!!
This was a note from the supervisor: I recently held calls with my own team to discuss production and ask
some of my top producers to share their trade secrets. On polling the top producers present on the calls,
here is what I discovered as recurring themes:
Accounts: Worked on all of the accounts in our group, namely, Kaiser, UCLA, Scripps, Sharp, and Scott &
White.
Full/part time: All top producers that shared on the calls were full time. Full-time trainees seem to ramp up
to their production goals faster than part-time trainees. Full-time MTs seem to consistently have higher
production averages.
Tenure as MT: 5-30 years. Experience plays a vital role for most MTs. Tenure on current acct.: 5 months-8
years. Experienced producers often can switch accounts and not experience a lengthy drop in their
production. Specials Team members often work on many (as many as 20-30 at > a time) different accounts
and maintain excellent production.
Connection type: 4 cable, 2 DSL, 1 wireless internet, 2 dial up.
Office setting: Either separate room set up as office or if shared space, family members were either
asleep or absent from the house when MT was working. Distractions can cause reduced production and
increased errors.
Here is some tips from an MT whose primary account is Scripps Chula Vista ER (I will share different MT
tips throughout the different newsletters):
The first company I worked for used to have something that would show your time "savings" if you used
macros. I always averaged between 50-75% of savings, so I built up my macros. It is easier, I believe, to
use macros, for ERs and clinics where the same things are said over and over, but these can be used for
any type of chart. Here they are:
I try to be consistent with my macros, so I don't have to remember so much.
1. For instance, all of my dictators that I have PEs and ROSs and other things for, I use the first 3 letters of
their last name and the type of macro. Dr. Handy's PE is "hanpe," and it all pops out. I do this for all of
those dictators who have standards also. I just don't have time to go through the list (xscripps[etc].... yuck)
2. For all of my -itis, the first 2 letters of the type of -itis followed by "is," ie bursitis is "buis." I do this with -
ectomy, -osis, -scopy, megaly etc.
3. Also, I like to pop out popular phrases. It is easy to remember and cuts down on the proofreading. "tted"
- to the emergency department, "rted" - return to the emergency department, "cted" comes to the....,
"bted" brought to the.... All I have to remember is the first letter. All I have to change is the last letter to
"r" for emergency room (tter).
4. Popular physical exam phrases, ie "eomi" for extraocular movements are intact.
5. Acronyms, and then the popped out version, ie, "cad" is CAD, and "cad-" is coronary artery disease.
6. I also macro beginning phrases, "since that time," "at this point," "at that point." This way, I don't have
to proof nearly as much.
7. All of my headings, drugs, suture types, etc are in there. All of my drugs start with a "z", ie "zpen" is
penicillin.
8. All of my q.d., q.4-6h. I have popout versions of those too. "q4" is q.4h., "q4-" is every 4 hours.
9. All of my joints, fingers, toes, metacarpals and metatarsals are in there. "l4d" is left 4th digit. They all
follow this pattern, so I do not have to think about it.
10. Lastly, all of my words that I typically misspell I have in there, like "wiht" for with or "pussy" pops out
pus-like.
Everyone has a different system, and not all of mine are consistent. I find that the easiest way to
remember a macro is to just keep typing it. If you type something you know you have a macro for, erase it,
and make yourself use the macro. This way, it becomes ingrained.
MT FUN:
Fun Sites:
From Ada: Here is a fun website for you. It is a chance to test your sense of musical pitch. Someone
posted it on the American Idol message boards last season, and since, my husband and I are both
musicians, and we found it very intersting.
http://www.nidcd.nih.gov/tunetest/
From Connie: http://markc1.typepad.com/relentlesslyoptimistic/neurology_the_mind_and_the_brain/
Relentlessly Optimistic: Cynicism is idealism without hope. This isn't. Hot or not? Have you ever asked
someone if you are retty and they say yes but you wonder if they are telling you the truth? Get rated at Hot
or Not!
From Virginia Smith:
FYI: Gifts to make computers easier to use ...parents and grandparents, including computer training,
screen magnifiers and other accessories for the older generation (which includes some of us, ahem) --
saw their ad in a magazine, seems to be a mother-daughter team. I haven't ordered anything from them
yet, but I do recommend those gel-soft wrist rest and mouse pads: www.SSPDirect.com
From me:
You have to log into this site, but it is GREAT: I love it. We get the magazine ~ yes, I know she is in prison
!! LOL ... great holiday ideas! www.marthastewart.com
Jokes:
What is a double-blind study?
Two orthopaedists reading an electrocardiogram.
Things You Don't Want to Hear During Surgery:
Oops!
Has anyone seen my watch?
That was some party last night. I can't remember when I've been that drunk.
Damn! Page 47 of the manual is missing!
Well this book doesn't say that... What edition is your manual?
OK, now take a picture from this angle. This is truly a freak of nature.
Better save that. We'll need it for the autopsy.
Come back with that! Bad Dog!
Wait a minute, if this is his spleen, then what's that?
Hand me that...uh...that uh.....thingie
If I can just remember how they did this on ER last week.
Hey, has anyone ever survived 500ml of this stuff before?
Damn, there go the lights again...
Ya know, there's big money in kidneys. Hell, the guy's got two of 'em.
Everybody stand back! I lost my contact lens!
Could you stop that thing from beating; it's throwing my concentration off.
I wish I hadn't forgotten my glasses.
Well folks, this will be an experiment for all of us.
What do you mean he wasn't in for a sex change!
What do you mean, he's not insured?
This patient has already had some kids, am I correct?
Nurse, did this patient sign the organ donation card?
Don't worry. I think it is sharp enough.
What do you mean "You want a divorce"!
I don't know what it is, but hurry up and pack it in ice.
Let's hurry, I don't want to miss "Bay Watch"
That laughing gas stuff is pretty cool. Can I have some more of that?
Hey Charlie, unzip the bag on that one, he's still moving.
Did the doctor know he would look like that afterwards?
Of course I've performed this operation before, Nurse!
ANNOUNCEMENTS:
From Ada S.: My special news this month is that my husband is retiring after 44 years of teaching. His last
day is Nov. 30. I am very proud of him and happy for him!
*ADA- y'all have a FUN retirement partaaaay!!!
From Connie Vance: Brag time! Justin, my almost 17-year-old made it on the honor roll.. whoo hoo! The
school is paying for him take the A++ certification, which validates skills required to excel in the role of a
computer technician or support professional. He will be the first Junior in the school to actually take it.
They normally only allow the most computer saavy seniors to take it, but his teacher believes he has a
"gift". I am so proud of him!
*Connie - you are such a good MOMMA!!! GO YOU !
BIRTHDAYS:
Viva (Vi), November 30th
Laura Newell, November 30th
Angela Hardin - Today- December 3rd!
Nancy Huffman - December 11th.
CONTEST:
Okay, gals - here's the FUN.... A CONTEST! YAY !! Who loves competition, friendly competition?? My
absolute FAVORITE ~ y'all be glad you’re not competing against me ~ cause I ALWAYS win #1~go me ...
LOL!!! Who's sick of me yet ???
CONTEST #1
GOAL: I want Spheris MTs to be here - THAT IS - at Hynes' Sight ~ I want the group to GROW!!! So, the deal
is - invite Spheris employees, your team or your friends to join Hynes' Sight. The person with the most
referrals to HynesSight in December - 2004 will receive:
A Hynes'Sight SALUTE...lol & a gently-used Steadman's Medical Speller - Third Edition- missing only ONE
PAGE of the Ss. LOL .... PLUS, a couple of new year goodies from Rebekah !! Prizes will be sent in January.
**MAKE SURE YOU TELL YOUR FRIENDS TO PUT YOUR NAME AS THE REFERRAL!
CONTEST #2
GOAL: I want an FABULOUS New Year 2005 HynesSite Newsletter! This newsletter will feature the
PHYSICAL EXAM AND LAB. Send me your info for this newsletter - Send me PE macros & PE rare phrases.
Also, send LAB GOODIES - lab macros, lab collections, lab normals, lab abbreviations, etc... Whatever you
think. I will judge on CONTENT and ORIGINALITY and will award the OUTSTANDING NEWSLETTER HELPER
AWARD w/a BIG ole SMOOCH & a slightly-used Stedman’s Equipment Words, Third Edition (Missing NO
pages) !! LOL
ENTRIES RECEIVED BY 12/24/2004 will be accepted!! I WILL BE THE JUDGE - I will not discriminate against
sex, color, OR age! SWEAR!!
GOOD LUCK GUYS & GALS!
SPHERIS ANNIVERSARIES:
Tammy Blow had her 3-year anniversary with Spheris on October 8. Congrats Tammy!!
?! Say What ?!:
Here are some mistakes made by us MTs complied by my mom, Trish Smith! We shall learn from these
mistakes!!! :) I know I'm EXTRA careful to keep my focus, as it is SO easy to make some of these mistakes if
you're not listening...
T: She developed refractory deck of veins tendonitis, and had surgery on her right wrist,
D: She developed refractory deQuervain's tendinitis and had surgery on her right wrist.
T: An 18 gauge needle was used to in size the abscess.
D: An 18 gauge needle was used to incise the abscess.
T: Reflexes are diminished throughout, biceps trace, triceps absent at the knees, absent ankles, absent
downgoing toes.
D: Reflexes are diminished throughout, biceps trace, triceps absent, knees absent, ankles absent,
downgoing toes.
T: HEENT: Within normal limits. Question of hydronephrosis.
D: HEENT: Within normal limits. Question of halitosis.
T: Felt sweaty, and nervous, and she was unable to control the symptoms. She did use a type of bowel
feedback type calming, which relieved her symptoms to some degreem, but since having the nist recent
attack, has had some generalized symptoms of anxiety when driving on the freeway.
Now, I don't know about you-all, but I have never heard of "bowel feedback" helping anything, at least not
to any "degreem," but, of course, I don't always know the "nist" up to date techniques, either.
T: Patient was back in for a recheck on her food retention and ascites.
D: Patient was back in for a recheck on her fluid retention and ascites.
T: systemic lucotherapy mitosis
D: systemic lupus erythematosis
T: Hematuria likely related to urolithiasis. Not visualized on the carotid ultrasound.
D: Hematuria. Likely related to urolithiasis, although not visualized on the current ultrasound.
T: Team X 38.9
D: T-max 38.9
T: EKG shows ventricular paste rhythm.
D: EKG shows ventricular paced rhythm.
T: Has acute alcoholic beverage.
D: Has an occasional alcoholic beverage.
T: no eyeritis
D: no iritis
T: A 96-year-old female presents to clinic with her mother.
D: A 6-year-old female presents to clinic with her mother. CAN YOU EVEN IMAGINE???? THAT POOR OLD
WOMAN, STILL TAKIN THAT KID TO THE DOCTOR!
T: The cervix fundus, head, and necks are all normal.
D: The cervix, fundus and adnexa are all normal.
T: Cardiovascular: Heart is regular rate and rhythm with no murmurs. 2+ pulses in all four extremities with
breast capillary refill.
D: Cardiovascular: Heart is regular rate and rhythm with no murmurs. 2+ pulses in all four extremities with
brisk capillary refill.
Well, I'm speechless about this:
POSTOPERATIVE DIAGNOSIS:
1. Proliferative diabetic retinopathy left thigh.
2. Vitreous hemorrhage left thigh.
What a hoot, don't think I've ever tried this kind, might be good:
T: Informed patient this most likely represents some type of basil-bagel phenomenon. (Oy vay!)
Patient has been having problems with sick lick vaginal irritation. (should be cyclic)
Jamaican Perhaps ? T: Vaginal mucosa with normal reggae.
T: Xerox 30 mg p.o. q.h.s.
D: Serax 30 mg p.o. q.h.s.
NOTE:
**Don't forget to play Hynes'Sight Trivia @ http://www.funtrivia.com/private/main.cfm?tid=124
Hope everyone finds this info useful! I know this has been GREAT for my neurology knowledge! Y'all are
all GREAT and I love ya!!
THE END
p.s. **Remember-not all portions of this newsletter have been verified by myself, as it is a compilation of
the Hynes'Sight group and Spheris employees.
THE END