Editor In Chief
Rebekah Rankin
RebekahFabulous@yahoo.com
Rrankin@Spheris.com
Q.O. Friday
Happy St. Patrick's Day
Featured MT - Yvonne Captain
The biggest news for
me this month is that
my daughter turns 4 on
the 26th. This is
wonderful news
because she was born
9 weeks early
weighing in at 2 lbs 3
ounces. Now, she is a
perfectly happy,
healthy, smart little girl
who is 4 going on 24.  
~Robyn grantham
Featured MT - Yvonne Captain

PERSONAL QUESTIONS:
1. What account do you currently work on? Sharp
2. Have you had an account you despise/love? Explain: I've been on
the same account since I started working here almost three years ago
and I love it.
3. What is your favorite Specialty to type, also your strengths,
weaknesses, etc.? I love doing op reports, especially general surgery and
GI.  I don't really like oncology.
4. What do you LOVE about Spheris? Being able to work from home.
5. What would you like to see CHANGE in Spheris? It would be nice if
we didn't have to rigidly stick to a work schedule, if they could be a bit
more flexible as long as we're getting our lines and hours in.
6. How did you become an MT? I was an English major in college
looking for a job, saw an ad for the university's MT program, and 18
months later I was an MT.  I've been an MT now for eight years (two of
those years as an editor).
7. Give me some personal information about yourself, for example,
hobbies, children, grandchildren, family, social life, where you live, etc.
I grew up in the San Francisco area and still live in the region.  My
favorite hobby is shopping (clothes, shoes, make-up, etc.).  My family and I
like to ride horses, have picnics at the lake, watch movies, and just spend
time together.
8. What are your personal MT Goals? I would like to transcribe at
least 1600 lines a day, everyday, without getting bored or tired by the end
of the week.
9. Share some Tips - anything you wish to share with the group, like
macro tips, grammar tips, work-station tips, etc. I set hourly goals of
typing at least 200 lines an hour.  It is much less daunting to break it
down that way instead of thinking about a large goal of 1600 lines a day.  I
try to work two-hour blocks and then take a break, otherwise I would keep
getting up throughout the day to wander about the house doing chores or
looking for something more interesting to do.  After a two-hour block, I get
up for about 15 minutes, stretch, go outside, then back for another
two-hour block.
10. Share a "secret" with the group or an interesting fact no one
would know about you.  I love dancing. I studied ballet for 17 years,
"retired" after college, and have moved on to Salsa, Brazilian, and Raks
Sharki (bellydancing).

ACCOUNT QUESTIONS:
What is your main account?  Sharp Acute Care.  Secondary account?
Sharp ER.
1.  Do you feel you can obtain your minimum line count easily? Yes,
especially after being on the same account for almost three years.
2.  Is there a high number of ESL's (doctors with English as a
Second Language/foreign doctors? Yes.
3.  Do you have a good help loop which you participate in and which
you find to be helpful? Yes, people on both the acute care and ER help
loops
are extremely helpful and very quick to respond to any cry for help.
4.  When learning this account, would you say the training period
was easy, average, or difficult? Average.
5.  Did you believe the amount of time it took to feel comfortable
with this account was short, medium, or long?  Short.
6.  Do you have OT opportunities? Yes, lots of OT available now,
since mid January, although I had hardly any work available to do for the
two months prior to that.
7.  Do you run out of work often? During the holidays, yes, but
things have picked up with lots of OT available now (see above).
8.  Are the sound files of good quality? Yes.
9.  Are the account specs easy or difficult to learn? Easy.
10. What do you like best about the account? Lots of variety with
work types, specialties.
11.  What is most challenging about this account? ESL dictators and
those who mumble!
12.  If you could improve one thing on this account, what would it
be? Make them stop mumbling! Please!
13. What skills do you feel would be of importance to do well on
this account? Doing well with ESL dictators and having experience with
different specialties.
14. If you had a choice to do it over again, would you still apply
for this account? Yes!

March 2005 New
Products FDA

Cilostazol Tablets

Dantrolene Sodium
Capsules

Torsemide Tablets

Buprenorphine
Hydrochloride Injection

Miconazole 3

Quinapril Tablets

Ranitidine Injection

Clarinex-D 24 Hour

Fenofibrate Tablets

Griseofulvin Oral
Suspension

Famotidine Tablets

Topiramate Capsules
AAROM- active assistive
range of motion
Abd- abduction
ACJ- acromioclavicular joint
ACL- anterior cruciate
ligament
Add- adduction
ADL- activities of daily living
AFO- ankle foot orthosis
AKA- above knee amputation
Amb- ambulation
AROM- active range of motion
B- bilateral
BID- twice a day
BKA- below knee amputation
CGA- contact guard assist
CKC- closed kinetic chain
CP- cold pack
CPM- continuous passive
motion
CTx- cervical traction
DJD- degenerative disc
disease
DF- dorsiflexion
E Stim- electrical stimulation
ER- external rotation
Ex- exercise
Ev- eversion
Flex- flexion
FIM score- functional
independence level
FWB- full weight bearing
Fx- fracture
GHJ- glenohumeral joint
HEP- home exercise program
H/o- history of
HOB- head of bed
HP- hot packs
HVGS- high voltage galvantic
stimulation
Hx- history
I- independent
Inv- inversion
IR- internal rotation
ITB- iliotibial band
KAFO- knee ankle foot
orthosis
LAQ- long arc quad
LBQC- large base quad cane
LCL- lateral collateral ligament
LE- lower extremity
LTG- long term goals
MCL- medial collateral
ligament
MFR- myofascial release
Mm- muscle
MMT- manual muscle test
Mobs- mobilization
NWB- non weight bearing
NDT- neuro developmental
technique
OKC- open kinetic chain
PCL- posterior cruciate
ligament
PF- plantar flexion
PFS- patellofemoral syndrome
PNF- proprioceptive
neuromuscular facilitation
PMHx- past medical history
Pro- pronation
PROM- passive range of
motion
PT- physical therapist
PTA- physical therapy
assistant
PWB- partial weight bearing
Q- every
QC- quad cane
QD- every day
QID- four times a day
RICE-
rest,ice,compression,elevatio
n ROM- range of motion
Rot- rotation
Rx- treatment
SAC- short arc quad
SB- side bending
SBA- stand by assist
SBQC- small base quad cane
SC- straight cane
SLR- straight leg raise
STM- soft tissue mobilization
Sup- supination
TENS- transcutaneous
electrical stimulation
THA- total hip arthroplasty
Ther Ex- therapeutic exercise
TID- three times a day
TKA- total knee arthroplasty
TLSO- thoracic lumbar sacral
orthosis
TTWB- toe touch weight
bearing
UE- upper extremity
US- ultra sound
W/c- wheel chair
WFL- within functional limit
WNL- within normal limits
Featured Specialty - Physical Therapy

Physical therapy helps people restore and maintain optimal physical
function. Physical therapists use examination and treatment to help people
improve their ability to move and function as best they can to enable them to
perform their necessary daily activities.

Physical therapists provide services to assist people in preventing injury and
illness, or worsening an existing injury. Therapists work with people of all
ages who require assistance due to illness, injury, or developmental delay.

Typical outpatient physical therapy services include aquatic therapy, hand
therapy, sports therapy, vestibular rehabilitation, women’s health related
therapy, and back and neck related therapy.  Heat, cold, massage,
ultrasound, electrical stimulation, whirlpool, TENS, phonophoresis, pelvic
traction, iontophoresis, contrast baths, cervical traction, and electro galvanic
stimulation are used.  Procedures such as active range of motion (AROM),
active assistive range of motion (AAROM), biomechanical ankle platform
system (BAPS), back exercises, bike, gait training, isometrics, isotonics,
mobilization, proprioceptive neuromuscular facilitation (PNF), posture
training, progressive resistive exercises, (PRE's), passive range of motion
(PROM), and stretching exercises are all part of physical therapy.
Muscles in Alphabetical Order:

A - E
abductor digiti minimi (in the hand), abductor digiti minimi (in the foot),
abductor hallucis, abductor ossis metatarsi quinti, abductor pollicis brevis,
abductor pollicis longus, adductor brevis, adductor hallucis, adductor
longus, adductor magnus, adductor pollicis, anconeus, anterior scalene,
articularis genus, biceps brachii, biceps femoris, brachialis, brachioradialis,
buccinator, coracobrachialis, corrugator supercilii, deltoid, depressor anguli
oris, depressor labii inferioris, digastric, dorsal interossei (in the hand),
dorsal interossei (in the foot), extensor carpi radialis brevis, extensor carpi
radialis longus, extensor carpi ulnaris, extensor digiti minimi, extensor
digitorum, extensor digitorum brevis, extensor digitorum longus, extensor
hallucis brevis, extensor hallucis longus, extensor indicis, extensor pollicis
brevis, extensor pollicis longus,

F - L
flexor carpi radialis, flexor carpi ulnaris, flexor digiti minimi brevis (in the
hand), flexor digiti minimi brevis (in the foot), flexor digitorum brevis, flexor
digitorum longus, flexor digitorum profundus, flexor digitorum superficialis,
flexor hallucis brevis, flexor hallucis longus, flexor pollicis brevis, flexor
pollicis longus, frontalis, gastrocnemius, geniohyoid, gluteus maximus,
gluteus medius, gluteus minimus, gracilis, iliocostalis cervicis, iliocostalis
lumborum, iliocostalis thoracis, illiacus, inferior gemellus, inferior oblique,
inferior rectus, infraspinatus, interspinalis, intertransversi, lateral pterygoid,
lateral rectus, latissimus dorsi, levator anguli oris, levator labii superioris,
levator labii superioris alaeque nasi, levator palpebrae superioris, levator
scapulae, long rotators, longissimus capitis, longissimus cervicis,
longissimus thoracis, longus capitis, longus colli, lumbricals (in the hand),
lumbricals (in the foot),

M - R
masseter, medial pterygoid, medial rectus, middle scalene, multifidus,
mylohyoid, obliquus capitis inferior, obliquus capitis superior, obturator
externus, obturator internus, occipitalis, omohyoid, opponens digiti minimi,
opponens pollicis, orbicularis oculi, orbicularis oris, palmar interossei,
palmaris brevis, palmaris longus, pectineus, pectoralis major, pectoralis
minor, peroneus brevis, peroneus longus, peroneus tertius, piriformis,
plantar interossei, plantaris, platysma, popliteus, posterior scalene, pronator
quadratus, pronator teres, psoas major, quadratus femoris, quadratus
plantae, rectus capitis anterior, rectus capitis lateralis, rectus capitis
posterior major, rectus capitis posterior minor, rectus femoris, rhomboid
major, rhomboid minor, risorius,

S - Z
sartorius, scalenus minimus, semimembranosus, semispinalis capitis,
semispinalis cervicis, semispinalis thoracis, semitendinosus, serratus
anterior, short rotators, soleus, spinalis capitis, spinalis cervicis, spinalis
thoracis, splenius capitis, splenius cervicis, sternocleidomastoid,
sternohyoid, sternothyroid, stylohyoid, subclavius, subscapularis, superior
gemellus, superior oblique, superior rectus, supinator, supraspinatus,
temporalis, tensor fascia lata, teres major, teres minor, thoracis, thyrohyoid,
tibialis anterior, tibialis posterior, trapezius, triceps brachii, vastus
intermedius, vastus lateralis, vastus medialis, zygomaticus major,
zygomaticus minor.
Joints        
acromioclavicular
arthroidial
atlantoaxial
atlantoepistrophic
atlanto-occipital
ball-and-socket
biaxial
bicondylar
bilocular
Budin's obstetrical
calcaneocuboid
capitular
carpal
carpometacarpal
cartilaginous
Charcot's
Chopart's
Clutton's
coccygeal
cochlear
coffin
composite
compound
condylar
costochondral
costotransverse
costovertebral
cotyloid
cricoarytenoid
Cruveilhier's
cubital
cuboideonavicular
cuneocuboid
cuneometatarsal
cuneonavicular
dentoalveolar
diarthroidal
digital
elbow
ellipsoidal
enarthrodial
facet
false
femoropatellar
fibrous
flail
ginglymoid
gliding
gompholic
glenohumeral      
hinge
humeroradial
humeroulnar
hysterical
immovable
incudomalleolar
incudostapedial
interarticular
intercarpal
interchondral
intercuneiform
intermetacarpal
intermetatarsal
interphalangeal
intersternebral
intertarsal
intraoccipital
Lisfranc's
lumbosacral
Luschka's
mandibular
manubriosternal
metacarpophalangeal
metatarsophalangeal
midtarsal                       
mortise
movable
multiaxial
neurocentral
neuropathic
peg-and-socket
petro-occipital
pisotriquetral
pivot
plane
polyaxial
occipitoatlanto  
radiocarpal
radiohumeral     
radioulnar
rotary
sacrococcygeal            
sacroiliac
saddle
schindyletic
screw
simple
socket
spheno-occipital
spheroid
spiral
sternal
sternoclavicular    
sternocostal
stifle
subtalar   
suture
synarthroidial
synchondrodial
syndesmodial
synovial
talocalcaneal
talocalcaneonavicular
talocrural        
talonavicular
tarsometatarsal
temporomandibular       
thigh
tibiofibular                     
trapeziometacarpal         
trochoid
uncovertebral
uniaxial
unilocular
wedge-and-groove
xiphisternal
zygapophyseal
Ligaments
acromioclavicular
alar
alveolodental
annular
anococcygeal
apical l. of dens
Arantius'
arcuate popliteal
arcuate pubic
arterial
auricular
axis l. of malleus
Bardinet's
Barkow's
Bellini's
Berry's
Bertin's
Bichat's
bifurcate
Bigelow's
Botallo's
Bourgery's
broad
Brodie's
Burns'
calcaneocuboid
calcaneofibular
calcaneonavicular
calcaneotibial
Caldani's
Campbell's
Camper's
capsular
cardinal
caroticoclinoid
carpometacarpal
caudal
ceratocricoid
cervical
check
chondroxiphoid
ciliary
Civinini's
Clado's
collateral
Colles'
conjugate
conoid
Cooper's
coracoacromial
coracoclavicular
coracohumeral
corniculopharyngeal
costoclavicular
costocolic
costotransverse
costoxiphoid
cotyloid
Cowper's
cricopharyngeal
cricosantorinian
cricothyroid
cricotracheal
crucial
cruciform
Cruveilhier's
cuboideonavicular
cuneocuboid
cuneonavicular
cystoduodenal
sacrococcygeal
deltoid
Denonvilliers'
dentate
denticulate
Denuce's
mesonephros
duodenorenal
l. of epididymis
epihyal
extracapsular
falciform
fallopian
Ferrein's
Flood's
fundiform
gastrocolic
gastrodiaphragmatic
gastrolienal
gastrophrenic
gastrosplenic
genital
genitoinguinal
Gerdy's
Gillette's suspensory
Gimbernat's
gingivodental
glenohumeral
glenoid
glossoepiglottic
Gunz
hammock
Helmholtz' axis
Hensing's
hepatocolic
hepatoduodenal
hepatoesophageal
hepatogastric
hepatorenal
Hesselbach's
Hey's
Holl's
Hueck's
Humphry's
Hunter;s
hyalocapsular
hyoepiglottic
hypsiloid
iliofemoral
iliolumbar
iliopectineal
iliotrochanteric
infundibulo-ovarian
infundibulopelvic
inguinal
intercapital
intercarpal
interclavicular
interclinoid
intercornual
intercostal
intercuneiform
interfoveolar
interspinous
intertransverse
intracapsular
ischiocapsular
ischiofemoral
Jarjavay's
jugal
Krause's
laciniate
lacunar
Lannelongue's
Lauth's
trangular
lienophrenic
lienorenal
Lisfranc's
Lockwood's
longitudinal
lumbocostal
Luschka's
Mackenrodt's
l. of malleus
Mauchart's
Meckel's
medial
meniscofemoral
nuchal
occipitoaxial
odontoid
orbicular
ovarian
palmar
pectinate
peridental
periodontal
Petit's
phrenicocolic
phrenicolienal
phrenicosplenic
pisohamate
pisometacarpal
pisounciform
pisouncinate
plantar
Poupart's
proper l. of ovary
pterygomandibular
pterygospinal
pterygospinous
pubocapsular
pubofemoral
puboprostatic
pubovesical
pulmonary
quadrate
reflected inguinal
Retzius'
rhomboid
ring
round
sacrodural
sacrospinous
sacrotuberous
serous
sheath
Simonart's
Soemmerring's
sphenomandibular
spinoglenoid
spiral l. of cochlea
splenorenal
spring
Stanley's
stellate
sternoclavicular
sternopericardial
stylomandibular
stylomaxillary
suspensory
sutural
synovial
talocalcaneal
talonavicular
tarsal
tarsometatarsal
temporomandibular
Teutleben's
Thompson's
thyroepiglottic
tibiocalcaneal
tibiofibular
tibionavicular
transverse
trapezoid
Treitz's
triangular
urachal
uterosacral
uterovesical
Valsalva's
venous
ventral
ventricular
vertebropelvic
vesicoumbilical
vesicouterine
vestibular
vocal
Weitbrecht's
Winslow's
Wrisberg's
yellow
Y-shaped
aglas'
Zinn's
Paralyzation/Paralysis
Some people derive the
noun “paralyzation” from
the verb “paralyze,” but
the proper term is
“paralysis.”

Parameter/Perimeter
A parameter is a
quantity or constant that
varies depending on the
instance being
examined. The
parameters of distance
between the axles of a
car and its turning
radius are related. The
perimeter of something
is its boundary.

Phenomenon/Phenome
na
There are several
words with Latin or
Greek roots whose
plural forms ending in A
are constantly mistaken
for singular ones. See,
for instance, criteria and
media and data. it’s
“this phenomenon,” but
“these phenomena.”

Preventive/Preventative
The two are
interchangeable as
both nouns and
adjective, though many
prefer “preventive” as
being shorter and
simpler. “Preventative”
used as an adjective
dates back to the 17th
century, as does
“preventive” as a noun.
DAYLIGHT Savings
reminder - Clocks
change April 3 at 2 a.m.!
Remember we spring
ahead to 3 a.m. until fall
when we fall behind 1
hour to end
Daylight Savings Time.
Some people suggest
changing the batteries in
smoke
detectors, too, when
changing time on all of our
clocks. Another
suggestion:
Change furnace filter.
Hot Water or Cold Water

A business executive
injured his leg skiing
one weekend. By the
time he got home Saturday,
the leg was very swollen
and he was having difficulty walking,
so he called his physician
at his home. The doctor told him to
soak it in hot water.

He tried soaking it in hot water but the
leg became more swollen and
painful. His maid saw him limping
and said, "I don't know, I'm only a
maid, but I always thought it was
better to use cold water, not hot, for
swelling."

He tried switching to cold water and
the swelling rapidly subsided. On
Sunday afternoon he called his Dr.
again to complain. "Say, what kind of
a doctor are you anyway? You told me
to soak my leg in hot water and it got
worse. My maid told me to use cold
water and it got better."

"Really?" answered the doctor, "I don't
understand it. My maid said to use hot
water."
Therapy
Equipment Word List
aerosol respiratory therapy
600 Asta air support
therapy
Burke Plus frameless air
support therapy
circulator boot therapy
Cool-Aid continuous
controlled cold therapy
Electri-Cool continuous
controlled cold therapy
electroconvulsive therapy
Enterra therapy
Epos Ultra orthopaedic
shock wave therapy
Facial-Flex therapy
First Option uterine
cryoblation therapy
frameless air support
therapy
GeriMend skin tear therapy
gold probe hemostasis
therapy
high-output extended
aerosol respiratory therapy
InFerno moist heat therapy
InSync cardiac
resynchronization therapy
integrated massage
therapy
interferential therapy
InterStim therapy
Kelsey unloading exercise
therapy
magnet therapy
Medtronic Activa
tremor-control therapy
Moxa heat therapy
nerve stimulation therapy
Pedi Asta frameless air
support therapy
Pneu-Scale frameless air
support therapy
Pro-Op frameless air
support therapy
Pro-Turn frameless air
support therapy
ReliefBand nerve
stimulation therapy
RT/SC 2000 frameless air
support therapy
SpineCATH IDET therapy
Synergy frameless air
support therapy
Synergy Pulse frameless
air support therapy
therapy ball
V.A.C. Therapy
VersaLight photodynamic
therapy
XKnife software for
stereotactic radiation
therapy

Treatment Modalities

Electrical Stimulation
Electrical stimulation is a
therapy that is not well
understood. By passing
an electrical current to an
affected area, nerve
conduction within the
region is altered, which
can in turn alter muscle
contractility. Patients
often experience
diminished pain after this
type of treatment.

Aquatic Therapy
Aquatic therapy is a terrific
way to regain mobility and
maintain strength
by doing exercises in a
swimming pool. This has
become very popular in
recent years because
many patients who have
difficulty exercising can
often do very well in the
water. The added
buoyancy helps support
the body and the water
provides gentile
resistance to increase
strength and endurance.

Biofeedback
Biofeedback is a useful
tool for strengthening a
weakened muscle or
muscle group. Essentially
the machine allow you to
monitor how well a
particular muscle is
functioning, so you can
better understand how to
help strengthen the
affected muscles.

Ultrasound
Deep tissue heating
Used prior to stretching of
muscle or connective
tissue, and for relief of
pain and muscle spasm.

TENS
Transcutaneous
Electrical Nerve
Stimulation
Relatively low voltage
applied over painful areas
through small
self-adhesive electrodes.  
The electrical stimulation
"disguises" or "overrides"
the sensation of pain.  It is
a small, portable unit,
ideally worn throughout the
day or at intervals, to
control pain and reduce
dependence on drugs.
Usually prescribed for
relief from pain due to
almost everything from
muscle spasm to terminal
cancer.

Phonophoresis
Topical ointments, usually
cortisone cream and
xylocaine, propelled
through the skin with
ultrasound.  Usually
prescribed for small
inflammations such as  
shoulder or elbow bursitis
or tendonitis.

Iontophoresis
Topical ointments, usually
cortisone and xylocaine,
propelled through the skin
by electrical impulses.  
Usually prescribed for
small inflammations such
as shoulder or elbow
bursitis or tendonitis.
Funster Multiplayer Word Games
Compete and chat with others
online...
The Dialectizer takes text or other
web pages and instantly creates
parodies of them!
Have you been searching for just the
right cliché to use?   Try the Cliché  
finder!
St. Patrick's Day Jokes

When the Irish say that St. Patrick
chased
the snakes out of Ireland, what they
don't
tell you is that he was the only one
who
saw any snakes!

Paddy was shaving when he knocked
the
mirror off the shelf and it fell to the
floor
and it cracked across the middle.  
Paddy
gazed in horror. 'Bejabbers, I've cut my
throat,' he gasped.

"Ah, good morning, Mrs. Murphy, and
how
is everything?"  "Sure and I'm having a
great time of it between my husband
and the fire. If I keep my eye on the
one, the other is sure to go out."

Paddy and Mick were nailing up the
side of a wooden house.  Mick
noticed that Paddy was examining the
nails and throwing away every second
and third.  "What's wrong with the
nails?' he asked.  'Sure the heads are
at the wrong end.'
'You are stupid you idiot, can't you see
they are for the other side of the
house!
                  I saw your patient                       
                    today, who is still                       
                   under our car for                         
               physical therapy.

Over a gynecologist's office:
"Dr. Jones, at your cervix."

Door of a plastic surgeon's office:
"Hello. Can we pick your nose?"

At an optometrist's office:
"If you don't see what you're looking for,
you've come to the right place."

At a proctologist's door:
"To expedite your visit please back in."

In a veterinarian's waiting room:
"Be back in 5 minutes. Sit! Stay!"

On a maternity room door:
"Push. Push. Push."

In a podiatrist's office:
"Time wounds all heels."

SPELL CHECK FUNNIES
Wanted to make a macro of "Bernstein
catheter," misspelled "catheter" and being
lazy, I left it to Spellcheck to correct and
just hit "Enter":

Result: Bernstein cat hater.


BTW, "Novocain" was spelled with an e in
my spellcheck until I told it otherwise.
Linda Dittmar advised we can forward
such wrong entries in Spellcheck to Cindy
Stroh, the editors are collecting a list. But
any errors we find in our own versions we
have to correct ourselves.  
Thank you to the Hynesight
Group Moderators for all
their hard work.  You are all
the best!
Angela - Links
Rebekah - Journalist
Venetia - Calendar
Hi Team Spheris:

I understand going through the day to day toils
of life.  But, I recall a time in the not-too-distant
past that even with all my years of expertise, I had no job due to a
massive company lay off.  Everything my husband and I worked so hard
for was in danger of becoming a memory.

That is why I have such an attitude of gratitude among other lessons
life has taught me.  Yes, things bear importance but nothing outranks
the importance we as human beings bear for one another.  I applaud
your willingness to hang in there even when you feel like your life is
choking you.  Been there and done that.  I want you to know your
appreciation of any encouragement you have received is very
appreciated by me and anyone who has helped encourage you along
the way.

I know this is longer than usual, but I wish for you a ray of sun to burn
away the clouds that might be covering your life right now.  You matter,
you matter, you matter.  You help create the big picture, without you the
picture is incomplete.

So, having said all that, YOU HANG IN THERE BECAUSE YOU ROCK!  
Thanks for helping secure my opportunity to be what I am...... Without
you, there is no US.

Sharon "Scherrie" Winding, CMT
Volume 2, No. 4, March 11, 2005