Q.O. Friday

Featured MT - Sandra Seay-Coffey
Personal Questions:
1. What account do you currently work on? My primary account is
Montgomery Regional Hospital which I have been blessed to work on since
I started with Spheris in 1998. My secondary account is William Backus
Hospital, and my part-time tertiary account is Danville Regional Medical
Center.
2. Have you had an account you despise/love? Explain: Well, of course, I
love my primary because I've become quite familiar with it over the past 7
years and even though I found learning William Backus tough, I've now
been on that account for several years and now just love it. When I first
started with the company, I had never transcribed foreign dictators and
had a California account that I struggled with so much, but my
then-supervisor was correct in encouraging me to stay on it because it
gave me a lot of experience with Asian-accented dictators, something I
really needed.
3. What is your favorite Specialty to type, also your strengths,
weaknesses, etc.? Having worked in clinical settings in neurology
practices, gastroenterology practices, ENT and plastic surgery practices, I
find these specialties interesting to do because I have the clinical
background. Oncology still mystifies me at times though. When I started
with the company, there were may work types that I was unfamiliar with
such as cardiac tests and such, but because I challenged myself to do any
work type my accounts produced, what were previously weaknesses have
now become strengths!
4. What do you LOVE about Spheris? Well, I'm one of the "ol' dogs" with
the company and I've seen a lot of changes since 1998. I really like the
production-based incentives that the company has instituted. I've also
been quite impressed with the QA feedback that is available to us now.
This was not available when I started with the company and I can certainly
see how it would have made things easier for me in the beginning. I also
remember when we didn't have internet access for research and I
remember when we were all on dial-up connections to download and
transmit sound files. The improvements in these areas have been
remarkable.
5. What would you like to see CHANGE in Spheris? I don't know how this
logistically could be done, but I would like to see at-home MTs have the
ability to get to know one another better. The Spheris Today web site has
helped a lot. Isolation can be a big problem. Wouldn't it be great to have a
Spheris convention? Say, some place really warm and tropical?
6. How did you become an MT?   A lot of little girls would play school when
they were little. Well, I played doctor's office. My mother was in the
medical field and I suppose I followed in her footsteps. I've been doing this
for over 30 years now and did not go to school for this. I learned on the job
and moved from specialty to specialty. My jobs were never exclusively
medical transcription; however, it was the duty that I enjoyed the most.
7. Give me some personal information about yourself, for example,
hobbies, children, grandchildren, family, social life, where you live, etc.
I live in Blowing Rock, North Carolina, in the mountains near the Blue Ridge
Parkway, and have for the past 20-plus years. I was raised in
the Piedmont region of North Carolina so I am a true G.R.I.T (girl raised in
the South). I'm married and have 1 grown son, Joshua. I have a grandson,
Ethan Edmund, and another grandson due to arrive in late May of this year!
Being a Granny is probably my favorite hat I wear right now, and having
Ethan, who's 2, spend the night is worth more than a month's worth of
workouts at a gym! My hobby/obsession is genealogy and I've traced
some of the branches of my family back as far as the 1600s. I find it a very
interesting hobby because it has taught me other things like geography
and history that I didn't expect to learn.
8. What are your personal MT Goals?   Well, at 48 years old, I'm into
"maintenance" now. Staying healthy enough to continue to be an MT is a
top priority. Retirement is hopefully still a long way off, and I hope to still be
sitting here transcribing until they pry my keyboard out of my cold dead
hands!! I've seen a lot of changes since I started out transcribing on an
IBM Selectric typewriter and with the technology that's growing by leaps
and bounds, it will be very interesting to see the innovations that I'll be
adapting to in the future!
9. Share some Tips - anything you wish to share with the group, like macro
tips, grammar tips, work-station tips, etc.   Well, I taught the macro
classes for several years and did the Centra training module on macros
so, I can't say enough about the importance of macros in our
production-based environment. I didnt' even know what a macro was
when I started with the company! As far as work-station ideas, I cannot
stress the importance of ergonomics. It's not just a trendy fad;
it's a science. Repetitive motion injury and the sedentary style of our
work makes this of utmost importance. SmartGloves are an MT's best
friend. I just redesigned my work-station from scratch and did a lot of
research before purchasing my desk, chair, and the placement of all of my
equipment. My friends and family also know not to go within 10 feet of my
work-station and not to touch anything! The other tip I would like to share
is to get up and move during your work shift. Many newer MTs are under
the impression that taking a break is a waste of time, that they have to
keep themselves chained to their work-station. If you do this, you will
become very old and ill before your time! I find that a 5-minute break is not
only healthy, but I'm more productive in the long run.
10. Share a "secret" with the group or an interesting fact no one
would know about you.   I have a secret crush on the lead actor on that
new Fox TV show "House." It's the only TV show that I make sure I get to
watch each week. I've never been a big fan of medical shows on TV, but
this one has me hooked!!!

Featured Account - Montgomery Regional

Account Questions: By Sandra Seay-Coffey
1. Do you feel you can obtain your minimum line count easily? You
bet!
2. Is there a high number of ESL's (doctors with English as a
Second Language/foreign doctors)? A moderate amount, and a higher
amount on my secondary.
3. Do you have a good help loop which you participate in and which
you find to be helpful? Our help loops are not very active right now, but
that may be because we've all become pretty familiar with everyone. If
there's a question I can answer or a sample I can share that I have, I'm
glad to share.
4. When learning this account, would you say the training period
was easy, average, or difficult? ESLs, like I said, were new to me so, that
was kind of difficult for me. However, I must say that my supervisor at the
time was very patient with me.
5. Did you believe the amount of time it took to feel comfortable
with this account was short, medium, or long? I feel like it was short. I
had an experienced MT on the team at the time who had actually worked
on site at the facility and she was so much help.
6. Do you have OT opportunities? Yes, but don't we all right now?
7. Do you run out of work often? No.
8. Are the sound files of good quality? Great quality.
9. Are the account specs easy or difficult to learn? Easy
10. What do you like best about the account? The fact that it has
so many different work types and there is a great variety of work.
11. What is most challenging about this account? Well, I'm pretty
familiar by now, but there's one particular physician who chews ice while
he's dictating and I would love to kill him/her.
12. If you could improve one thing on this account, what would it
be? Not a thing.
13. What skills do you feel would be of importance to do well on
this account? A lot of acute care experience, especially cardiology and
surgical experience.
14. If you had a choice to do it over again, would you still apply
for this account? You bet.
15. Do you like your supervisor? My supervisor is great. She's
been so easy to work with and the fact that she's been an MT really goes a
long way.

From the
HynesSight Group Calendar
February
Venetia and Steph
Happy Birthday!

Health Digest Drug Site

February 2005 New
Products - Prescribing
Reference.com

CLOLAR
Acute lymphoblastic
leukemia (ALL) in patients
1-21 years of age after
relapses from, and/or
refractoriness to, at least
two prior regimens.
Last Updated: 02/14/2005

ENABLEX
Overactive bladder with
symptoms of urge urinary
incontinence, urgency and
frequency.
Last Updated: 02/14/2005

PALLADONE
Persistent, moderate to
severe pain in patients
needing continuous,
around-the-clock
analgesia with a high
potency opioid for an
extended period of time
(generally weeks to
months or more). For use
in opioid-tolerant patients
only. Not for as-needed
use. See literature.
Last Updated: 02/14/2005

PRIALT
Management of severe
chronic pain in patients for
whom intrathecal therapy
is warranted and who are
intolerant of or refractory
to other treatment (eg,
systemic analgesics,
adjunctive therapies,
intrathecal morphine).
Last Updated: 02/14/2005

ZYLET
Ocular inflammation
associated with infection
or risk thereof.
Last Updated: 02/14/2005

Sports Injuries:
RICE: Immediate treatment
for almost all acute athletic
injuries is RICE (Rest, Ice,
Compression, Elevation).
Rest is instituted
immediately to minimize
hemorrhage, injury, and
swelling. Ice limits
inflammation and reduces
pain. Compression and
elevation limit edema.
Diarrhea:
BRATT diet (Bananas,
Rice, Applesauce, Toast
and Tea).
OB/GYN Slang:
SROM test (spontaneous
rupture of membranes).
Alcohol Withdrawal:
CIWA : Clinical Institute
Withdrawal Assessment
(Sounds like "see-wa")

ER Slang

ambo - transporting
ambulance
Ambu - Ambu bag
bagging - ventilation of
patient
banana bag - IV fluids given
to drunk people-(it is yellow)
banger/gang banger - ER
patient involved in gang
activities
BIBA - brought in by ambulace
blue bloater/pink puffer -
description of COPD patients
catcher's mask - device to
stop bleeding varices in throat
champagne tap - clear tap -
no blood
code call - urgent medical
emergency
code brown - incontinent
patient
code green - ambulatory,
wounded
code yellow - urgent trauma
code red - critical patient
code black - deceased
patient
Demerol sponge - high
tolerance/desire for narcotics
in chronic pain patients
DFO - "done fell out" -
dialectical expression of
syncope
FOF - found on floor
FOS - full of stool
Four H's - hypoxemia,
hypoglycemia, hypovolemia,
and high bladder
FTD - fixing to die
frequent flyer - overuses ER
GGFI - grandpa's got a fever -
battery of tests for elderly
w/fever
GI cocktail - donnatal,
viscous lidocaine, and Mylanta
HOD - heroin overdose
JIC tube - just in case needs
more lab later on
jump start - cardiac
defibrillation
LWBS - "left without being
seen"
lytes - electrolytes
mud pies - mnemonic for
anion gap acidosis
perfed appy - ruptured
appendix
pothole sign - method to
gauge sufferes from acute
appendicitis
rally pack - sodium chloride,
folic acid, thiamine, and
multivitamins
rule of 9's - for assessing
percentage of body surface
area in burns
shoot and boot - medicate
and discharge
sundowner/sundown
syndrome - senile patients -
nocturnal worsening of mental
status
thump - vigorous thrust to
chest to stimulate heart
tripe A - abdominal aortic
aneurysm
tweak score - scale for
assessing alcoholism
walking wounded - injured,
but not critical
wheezer - asthmatic

The ER Process

1. Ambulance or life flight helicopter notifies ER by radio that they are
bringing a patient to the hospital. The paramedics give a short history
about the patient (age, problem, what happened) and information about
the patient's current condition (vital signs -- blood pressure, pulse,
respirations, temperature) and what has been done so far (CPR, oxygen,
etc.). The hospital gives the paramedics further directions on what else to
do to stabilize the patient (give them medications, start IV fluids).

2. The trauma team is called ("activated") if the patient sounds like they
are injured seriously enough to meet certain criteria determined by the
hospital. The trauma team usually includes trauma surgeons, radiologist
and radiologist technician, lab technicians to draw blood and someone
from the blood bank to bring up blood, anesthesiology, etc. These people
all help to assess and treat the patient. This large group of doctors and
technicians converge on the ER, put on gowns and gloves and masks, and
are ready when the ambulance arrives. When it does, some of the ER
doctors and nurses go out to meet it and help the paramedics rush the
patient on the gurney into the ER.

3. Primary Assessment (the ABCDE's of trauma resuscitation) -- this
happens in seconds to minutes. The paramedics may have done some of
this before the patient arrived at the ER, and many of these things happen
simultaneously.

Airway -- if the patient is having trouble breathing, the mouth and trachea
must be checked to see if anything is blocking it (tongue, foreign object,
secretions) and needs to be removed or suctioned. If that doesn't work,
the patient may have to be intubated (a plastic tube stuck down the nose
or mouth into the windpipe to keep the airway open). If the patient has
severe injury to the airway (mouth, throat), the patient may need an
emergency cricothyrotomy or tracheostomy (a hole is cut in the trachea
just below the Adam's apple with a knife or other sharp object and a tube
inserted so the patient can breathe). Even if the patient seems to be able
to breathe OK on their own, they are often given oxygen by a mask or
nasal cannula (that tube that goes past your nose and wraps around your
face to behind your ears). Oh, also very important is that during this whole
assessment, if there is any possibility or doubt that the patient might have
a neck injury! , the patient's neck must be immobilized (head taped
securely to a stiff board +/- a foam neck brace). Usually the paramedics
have already done this. The trauma board is very hard and uncomfortable,
and the patient is buckled/strapped to it firmly so they can't move.

Breathing -- if the patient's airway is clear and he/she still can't breathe
on their own, the patient is "bagged" (a mask is put over the patient's
nose and mouth and someone squeezes a rubber bag to breathe for the
patient). The patient may have to be intubated and hooked up to a
ventilator. At this time the doctors look for any immediately life
threatening injury, such as a pneumothorax or hemothorax or cardiac
tamponade (see Trauma page for description) and treat the injury.

Circulation -- any obvious external bleeding must be controlled with direct
pressure over the site. A nurse or other team member puts at least two
large IV's into the patient's arms (or whatever is available) and starts
normal saline running "wide open" (at the maximum rate). Someone
draws blood from the patient for lab tests and to determine blood type in
case they need blood. The patient gets hooked up to a monitor with all
kinds of wires -- EKG to monitor the heart, blood pressure and pulse,
ventilator if the patient is on one, pulse ox (a rubber or cloth thing
wrapped around the end of one finger that measures the oxygenation of
the blood), to name a few. Medications are given (usually via the IV) as
needed. Also a Foley catheter (a "Foley" -- a tube in the bladder to collect
urine) is usually placed to measure urine output accurately. If the patient
happens to be vomiting, a nasogastric tube ("NG tube") is often inserted
into the patient's nose and down into the stomach to suck out the
stomach contents and stop the vomiting. If the patient's circulation and/or
heart are very unstable, a "central line" may be put in (a small plastic tube
that you put into a person's neck vein (internal jugular or subclavian) or
the femoral vein in the groin). The central line goes all the way to the heart
and provides a way to inject fluid and medications directly into the
patient's circulation. At this point the doctors may send the patient to the
operating room if they need immediate surgical intervention (severe
chest or abdominal injury, internal bleeding).

Disability -- the patient's neurological status is quickly assessed (mental
alertness, sensory and motor function, etc.) and assigned a score on the
Glasgow Coma Scale ("GCS") out of 15 points (a normally alert person
has a score of 15, a dead person has a score of 3). The patient's pupils
are looked at to see if they dilate and constrict appropriately.

Expose -- the patient is undressed completely (if they haven't been
already), cutting off clothes if necessary, so a full body examination can
be done to see if any other injuries were missed.

Brief History -- from the patient if able, or from family/friends/ bystanders/
paramedics. Basically you want to know the person's age, what
happened, any other medical problems, are they taking any medications
or drugs, are they allergic to any medications, and when was their last
meal (in case they have to go to surgery).

4. Secondary Assessment -- once the patient is stabilized, a full physical
exam, x-rays, and other tests are done.

Physical exam -- I didn't think anyone would want to know a lot of detail,
but it involves looking for any obvious injuries (scratches, cuts, wounds,
bruising, funny-looking bones that might be broken), listening to the lungs
and heart and abdomen for abnormal sounds, and feeling (palpating) for
areas of tenderness (broken bones, internal organ injury, etc.).

X-rays -- for a patient with multiple trauma, three standard x-rays are the
chest x-ray, the "lateral c-spine" (x-ray of the patient's neck from the
side), and pelvis x-ray, plus x-rays of anything obviously broken or injured.
The main thing these tell you is where the fractures are and if the lungs
have collapsed, although you can see other things also. The lateral
c-spine is important because if it's okay and the patient's neck feels okay,
then they are considered "cleared" and the doctors can take them off
that really hard, uncomfortable back board and/or neck brace. Patients
really appreciate that!

5. Definitive Treatment
Once the patient is stable, it must be decided where the patient is to go
next -- to surgery, to get a CT scan, to the intensive care unit (ICU), or
wherever they need to go.

Common Errors in
English Word

Suture Macros From Rebekah
sut = suture
absut = absorbable suture
adjsut = adjustable suture
altsut = alternating suture
ancsut = anchoring suture
angsut = angled suture
bssut = black silk suture
bresut = braided Ethibond suture
brmsut = braided Mersilene suture
brnsut = braided nylon suture
brssut = braided silk suture
brsut = braided suture
brvsut = braided Vicryl suture
bursut = buried suture
cgsut = catgut suture
csut = chromic suture
chcgsut = chromic catgut suture
ctnsut = continuous suture
ctnrsut = continuous running suture
dasut = Dacron suture
dexsut = Dexon suture
dblsut = double suture
endosut = Endoloop suture
etesut = end-to-end suture
etssut = end-to-side suture
ethbsut = Ethibond suture
ethcsut = Ethicon suture
fassut = fascial suture
foesut = figure-of-8 suture
fssut = fine silk suture
fishsut = fishmouth suture
frosut = frontal suture
gtisut = gastrointestinal suture
gtsut = Gore-Tex suture
grasut = grasping suture
gsut = gut suture
homasut = horizontal mattress suture
hmssut = hemostatic suture
itnsut = internal suture
itrsut = interrupted suture
itdsut = intradermal suture
itfsut = intrafascicular suture
itlsut = intraluminal suture
kesssut = Kessler suture
ltsut = LAPRA-TY suture
lemsut = Lembert suture
lostsut = lock stitch suture
losut = loop suture
Marsut = Marlex suture
matsut = mattress suture
mesu = mesh suture
monocsut = Monocryl suture
monofsut = monofilament suture
nonasut = nonabsorable suture
nysut = nylon suture
oaosut = over-and-over suture
pdssut = PDS suture
popsut = popoff suture
retsut = retention suture
rusut = running suture
secsut = secondary suture
sisut = silk suture
simpsut = simple suture
simsut = Sims suture
sirusut = single running suture
stsut = stay suture
sglsut = surgical suture
tendsut = tendon suture
tenssut = tension suture
tatsut = through-and-through suture
tracsut = traction suture
trxsut = transfixion suture
trssut = transition suture
vassut = vascular suture
visut = Vicryl suture
wagsut = wedge-and-groove suture

Macros From Angela Hardin
MACROS FOR HEADINGS
CHI - CHIEF COMPLAINT
HPI - HISTORY OF PRESENT ILLNESS
PMH - PAST MEDICAL HISTORY
PSH - PAST SURGICAL HISTORY
MED - MEDICATIONS
AL - ALLERGIES
IMMU HY - IMMUNIZATION HISTORY
SH - SOCIAL HISTORY
FH - FAMILY HISTORY
MOA - MODE OF ARRIVAL
DD - DISCHARGE DIAGNOSIS
DDX - DIFFERENTIAL DIAGNOSIS
IMP - IMPRESSION
DISP - DISPOSITION
MDM - MEDICAL DECISION MAKING
EDCO - EMERGENCY DEPARTMENT COURSE
PE - PHYSICAL EXAMINATION
ROS - REVIEW OF SYSTEMS
DIX - DISCHARGE INSTRUCTIONS

MACROS WITHIN THE REPORT:
thia - This is a
cprl2 - Capillary refill less than 2 seconds
tdrs - tenderness
tdr - tender
ams - altered mental status
locx - loss of consciousness
alecx - altered level of consciousness
lecx - level of consciousness
dsc - discharged in stable condition
dh - discharged home.
dc - discontinue
dcx - discharge
dcd - discontinued
dcdx - discharged
aao - alert and oriented
aaao - awake, alert, and oriented
x3 - times three
x4 - times four
com - complaint
coms - complaints
pv - private vehicle
abp - abdominal pain
dzn - dizziness
dy - dizzy
hbp - high blood pressure
bp - blood pressure
nvd - nausea, vomiting, or diarrhea
nov - nausea or vomiting
nav - nausea and vomiting
foc - fever or chills
fac - fevers and chills
duf - dysuria, urinary frequency
lbp - lower back pain
ubp - upper back pain

I work on Sharp ER and most of our doctors
are pretty good dictators and say the same
thing all the time. I have complete macros
made for them so I only have to type a little
report. It helps to have the full macros of a
report from a certain doctor especially when
they jump around the report constantly. We
have Grossmont Hospital that uses a standard
ros and pe from on particular doctor and I
have a macro just for that Dr. Handley's
would be handpe and handros for the PE and
ROS. A lot of the doctors like to use Dr.
Kobernick's discharge instructions and I have
that as kobdc.

QUICK REVIEW OF
INJECTIONS TO TREAT
PAIN

Different pain treatment
modalities include:
cervical epidural steroid
injection, lumbar epidural
steroid injection, facet
joint injections to include
intraarticular block or
nerve block (like median
nerve block), and
triggerpoint injections.

Standard approaches
may include: caudal
block or caudal notch,
translumbar,
transforaminal, dorsal
approach, paramedian,
interlaminar,
translaminar.

Epidural steroid
injections are
sometimes done under C-
arm fluoroscopy control
(x-ray). Common dyes
used are Visipaque,
Omnipaque, and Isovue.
They may refer to spread
of dye or dye spread in a
fan-like manner.

Most of the time, they will
use a Tuohy needle.
Other terms used
include: spinous
processes, sciatic notch,
intrathecal, loss-of-
resistance technique or
loss-of-resistance to air
technique, interspace,
skin wheal, ligamentum
flavum, intervertebral,
sacral hiatus,
interspinous ligament,
intervertebral foramen,
pedicle.

Medications normally
used:

lidocaine (Xylocaine)

bupivacaine (Marcaine)

Depo-Medrol

Aristospan

Celestone Soluspan

cortisone

methylprednisolone
(Medrol)

sodium succinate

hydrocortisone

Decadron LA

triamcinolone

Kenalog

Solu-Medrol

Complications: Rarely, a
persistent CSF
(cerebrospinal fluid) leak
develops which may
require sealing with an
“epidural blood patch”.
Infection and bleeding
are rare events.

Doctors' Chart Bloopers

Angela Hardin
*Neck was supple with no palpable prostate.

Virginia Smith
*The patient refused autopsy.
*The patient has no previous history of suicides.
*Patient has left white blood cells at another hospital.
*Patient's medical history has been remarkably insignificant with only a
40 pound weight gain in the past three days.
*She has no rigors or shaking chills, but her husband states she was very
hot in bed last night.
*Patient has chest pain if she lies on her left side for over a year.
*On the second day the knee was better and on the third day it
disappeared.
*The patient is tearful and crying constantly. She also appears to be
depressed.
*The patient has been depressed since she began seeing me in 1993.
*Discharge status: Alive, but without my permission.
*Healthy appearing decrepit 69-year old male, mentally alert, but forgetful.
*Patient had waffles for breakfast and anorexia for lunch.
*She is numb from her toes down.
*While in ER, she was examined, x-rated and sent home.
*The skin was moist and dry.
*Occasional, constant infrequent headaches.
*Patient was alert and unresponsive.
*Rectal examination revealed a normal size thyroid.
*She stated that she had been constipated for most of her life until she
got a divorce.
*I saw your patient today, who is still under our car for physical therapy.
*Both breasts are equal and reactive to light and accommodation.
*Examination of genitalia reveals that he is circus sized
*The lab test indicated abnormal lover function.
*Skin: somewhat pale. but present.
*The pelvic exam will be done later on the floor.
*Large brown stool ambulating in the hall.
*Patient has two teenage children, but no other abnormalities.

Is the duck dead?

A woman brought a very limp duck into a veterinarian's office. As she laid
her pet on the table, the vet pulled out his stethoscope and listened to the
bird's chest. After a moment or two, he shook his head sadly and said,
"I'm so sorry, Cuddles has passed away."

The distressed owner wailed, "Are you sure?" "Yes, I am sure. The duck
is dead," he replied. "How can you be so sure," she protested. "I mean,
you haven't done any testing on him or anything. He might just be in a
coma or something."

The vet rolled his eyes, left the room, and returned a few moments later
with a purebred black Labrador Retriever. As the duck's owner looked on
in amazement, the dog stood on his hind legs, put his front paws on the
examination table and sniffed the duck from top to bottom. He then looked
at the vet with sad eyes and shook his head.

The vet patted the dog and took it out, and returned a few moments later
with a beautiful Siamese cat. The cat jumped up on the table and also
sniffed delicately at the bird. The cat sat back on its haunches, shook its
head, meowed softly and strolled out of the room.

The vet looked at the woman and said, "I'm sorry, but as I said, this is
most definitely, 100% certifiably, a dead duck." Then the vet turned to his
computer terminal, hit a few keys and produced a bill, which he handed to
the woman.

The duck's owner, still in shock, took the bill. "$150!!!" she cried, "$150
just to tell me my duck is dead???"

The vet shrugged. "I'm sorry. If you'd taken my word for it, the bill would
have been $20, but with the Lab Report and the Cat Scan, it went up
considerably."

It's One of Those Days

When you have an "I Hate My
Job" day, try this:

On your way home from work,
stop at your pharmacy. Go to
the thermometer section.
Purchase a rectal thermometer
made by Johnson and
Johnson. Be very sure you get
this brand. When you get
home, lock your doors, draw
the curtains and disconnect
the phone so you will not be
disturbed. Change into very
comfortable clothing. Sit in
your favorite chair. Open the
package and remove the
thermometer. Now, carefully
place it on a surface so that it
will not become chipped or
broken. Now the fun part
begins - Take out the literature
and read it carefully. You will
notice in the small print this
statement, "Every rectal
thermometer made by Johnson
and Johnson is personally
tested" Now, close your eyes
and repeat out loud five times,
"I am so glad I do not work for
quality control at Johnson and
Johnson."

HAVE A NICE DAY AND
REMEMBER, THERE IS
ALWAYS SOMEONE ELSE
WITH A JOB THAT IS WORSE
THAN YOURS!

~ Diane Rosen

My niece Christine gave
birth to twins on 02/20!
Liam weighed in at 6# 8
oz and Claire at 6# 1
oz. Here is a photo of
the little angels. I
cannot wait to meet
them!!
~Ada Stollsteimer

If you want to join the
HynesSight Yahoo! Group,
go to
http://health.groups.yahoo.c
om/group/HynesSight/,
or email Connie Vance at:
vanceck@centurytel.net

Featured MT - Sandra Seay-Coffey