HEARTBEAT OF SVC
NEWSLETTER OF THE SUSQUEHANNA VALLEY CHAPTER – AAMT
Volume 2, Issue 5
2005 OFFICERS TABLE OF CONTENTS
PRESIDENT President’s Message, by Margie Flatley, CMT…..………………… 1
Margie Flatley, CMT Membership Update.……….....………………………..……………. 2
717-258-3120 Upcoming AAMT Events & Meetings……………………………..… 2
firstname.lastname@example.org SVC Meeting – 09/24/2005..… …………………………………….. 3
Greater Pittsburgh Chapter Symposium………………………….…3
VICE-PRESIDENT Maryland Association for Medical Transcription Symposium……. 4
Shonna L. Bradley Bender,CMT Taking the New Format CMT Exam........................... ……………. 4
717-873-5476 On Becoming a Fellow of AAMT……….. …………………………. 5
email@example.com Medicine in the News………………………………………………... 7
Sites of Interest……………………………………………………….. 7
SECRETARY “Two Errors Human” – Approved for CEC (MT Tools)……………. 8
Sandy Kovacs, CMT, FAAMT Help Wanted Ad – Spheris………………………………………….. 8
717-337-2260 Medical Terminology Defined…?.................................................. 9
firstname.lastname@example.org “Two Errors Human” – Quiz Answers…………………………….. 10
Spotlight On ……………………………..……………………………11
TREASURER Ophthalmology Terms & Sample Reports…………………………13
Mary Sanders, CMT SVC-AAMT Membership Application ………………………………17
2005 COMMITTEE CHAIRS
MEMBERSHIP By Margie Flatley, CMT
Barbara Weckel, CMT, FAAMT
WECK555@comcast.net Hello there, everyone. The Annual Convention and Exposition in Hawaii
is almost here! I am so excited about going.
POLICIES & PROCEDURES
Shonna L. Bradley Bender,CMT
Our next chapter meeting is coming up soon also: Saturday, September
HOSPITALITY 24th at Lancaster General Hospital. Sharon Allred has put together a
Margie Flatley, CMT fabulous program for us. Make sure to come, and bring a friend.
BYLAWS We also had a chapter board meeting on August 20. We accomplished a
Shonna L. Bradley Bender,CMT lot and set dates for next year’s meetings. We decided to go ahead and
have a meeting during the summer. Our last meeting was in March, and
CONTINUING EDUCATION that was too long to go without seeing everybody. Please make note of
Sandy Kovacs, CMT, FAAMT
the dates of the meetings and put them on your calendar!
Shonna L. Bradley Bender,CMT Next newsletter, I will have details of Hawaii for you! Hope you are
having a good summer.
Trina Sprecher, CMT 2006 SVC-AAMT Meetings
UPCOMING EVENTS January 21
SVC-AAMT Business & May 20
Educational Meeting –
September 24 – Lancaster, PA
For a complete list of upcoming September 9
events for MTs, see page 2. November 11
By Barbara Weckel, CMT, FAAMT, SVC-AAMT Membership Committee Chair
We are and have been accepting component-only membership for Susquehanna Valley Chapter since this spring.
Our fees for memberships are:
AAMT practitioner member: $25
Component-only member: $35
Not a member of AAMT or SVC but attending meeting/CEC: $10
If you are not a member of SVC and would like to be, please complete the application form at the end of this newsletter
and come to our September 24th meeting.
SVC membership is one of the best bargains ever. You receive this wonderful newsletter, you attend SVC meetings free,
and you will get to know the best MTs ever! Membership is an investment - money well spent. Besides our great
continuing education speakers, we have terrific membership meeting awards, such as the eMpTy bucket. When a name
is drawn for an SVC member and that person is in attendance, he/she wins $5.00. At every meeting we also have an
attendance award (different category at each meeting). We have a "perfect attendance" award for 2005 meetings. SVC
membership is so important, and we try to make sure we recognize this in as many creative ways as possible.
We do need help in membership recruiting. If you would like to be on the membership committee please contact Barb
Weckel or any other board member. Please bring a guest to the September meeting or forward the September
information to an MT who has never attended an SVC meeting. Hope to see you September 24th in Lancaster.
UPCOMING AAMT EVENTS AND MEETINGS
September 24, 2005 – SVC-AAMT Business & Educational Meeting, Lancaster General Hospital, Lancaster, PA. Details
in this newsletter.
September 28, 2005 – ADVANCE Job Fair & CE Event - M&T Stadium, Baltimore, MD. Preapproved by AAMT for 4.5
CECs. Details at http://health-care-job-fairs.advanceweb.com/AttendeeMain.aspx?EventID=80&MT=1
October 1, 2005 – LVC-AAMT Fall Symposium. For more information, contact Theresa M. Gonzalez, CMT, FAAMT,
President, at email@example.com
October 8, 2005 – Maryland Association for Medical Transcription Annual Symposium, Harbor Hospital, Baltimore, MD.
Details in this newsletter.
October 14, 2005 – ADVANCE Job Fair & CE Event – Atlantic City Convention Center, Atlantic City, NJ. Preapproved by
AAMT for 4.5 CECs. Details at http://health-care-job-fairs.advanceweb.com/AttendeeMain.aspx?EventID=81&MT=1
October 22, 2005 – Greater Pittsburgh Chapter Fall Symposium, UPMC Montefiore Hospital. Details in this newsletter.
For more information, contact Flossie D. Jack, CMT, President, at firstname.lastname@example.org
November 12, 2005 – SVC-AAMT Business & Educational Meeting. Details to follow.
April 28-29, 2006 – PAMT Annual Meeting and Educational Conference, Wyndham Garden Hotel, Harrisburg, PA
August 2-5, 2006 – AAMT Annual Convention and Expo, Boston, MA Details at www.aamt.org (Beginning in the
November issue of our newsletter, we will publish a registry of MTs planning to attend ACE 2006 in Boston. Please let us
know if you are planning to attend, how you are getting there, and if you are in need of a roommate or travel companion.)
Keep current with Susquehanna Valley Chapter by visiting us at our new web site:
SVC-AAMT EDUCATIONAL & BUSINESS MEETING
Saturday, September 24, 2005
Lancaster General Hospital
Our first meeting of the fall is right around the corner on September 24. Sharon Allred, Supervisor of Transcription at
Lancaster General Hospital, is our hostess. She has a fantastic educational program planned.
The tentative schedule is as follows:
8:00 to 8:45 a.m. Registration/networking/food
8:45 to 9:45 a.m. Dr. Scott Flood, Director of Wound Care Center/Hyperbaric Oxygen Therapy
Topic: Latest Advances in hyperbaric oxygenation and wound care.
9:45 to 10 a.m. Break
10 to 12 noon Stacey Youcis, director of LGH Orthopedic Center
Topic: Latest Advances in Orthopedic Surgery including a PowerPoint presentation and a tour of
the Orthopedic Center with an emphasis on OR technology and instrumentation.
12 noon Business meeting
The meetings will be held in the Stager Conference Center, Room #5 (where we met last year). The Stager Conference
Center is on the ground floor of the hospital and is easily accessed from the James Street Parking Garage by taking the
elevator to the ground floor. There will be signs posted. Get directions to the hospital at http://www.lancastergeneral.org/
Plan now to join us for this great education day and getting acquainted with other MTs. Any healthcare professional can
attend our meetings. Membership is not required to attend. If you have any questions, please contact Sandy Kovacs,
CMT, FAAMT, at 717-337-2260.
THE GREATER PITTSBURGH CHAPTER OF AAMT SYMPOSIUM
October 22, 2005
7th floor LHAS Auditorium
7:30 - 8:30 Registration, continental breakfast and greeting by President, Flossie Jack, CMT.
8:30 - 9:30 Juan Ochoa, M.D., Trauma Medicine. Topic not chosen yet.
9:30 - 10:30 Jules Youngner, M.D. – Salk Vaccine - Dr. Youngner worked along with Dr. Jonas Salk
on the Salk vaccine.
10:30 – 11:30 Omar Awais, M.D. - Gastric Bypass Surgery
11:30 – 12:30 Lunch, networking, and vendors
12:30 – 1:30 Sherrill Shepler, C.R.N.P. Stem Cell Research
1:30 - 2:30 Richard Bjerke, M.D. - Preoperative Risk Assessment
2:30 - 3:30 Carol Croft, CMT, FAAMT, 2005 PAMT President. The MT Team Challenge.
3:30 - 4:30 Business meeting
Note: Speakers and topics may change without notice.
For more information, contact Flossie Jack, CMT, GPC President, at email@example.com
MARYLAND ASSOCIATION FOR MEDICAL TRANSCRIPTION ANNUAL SYMPOSIUM
Saturday, October 8, 2005
3001 S. Hanover Street
Max & Rosalie Baum Medical Conference Center
8:00 - 8:30 a.m. Registration and Continental Breakfast
8:30 - 8:45 a.m. Welcome and Introductions
8:45 - 9:45 a.m. End of Life Decision Making, Peter Terry, M.D. (1 Medicolegal)
9:45 - 10:00 a.m. Break - Vendor Exhibits
10:00 - 11:00 a.m. Advances in Prostate Cancer Therapy, Michael Carducci, M.D. (1 Clinical Medicine)
11:00 - 12:00 TBA
12:00 - 1:00 Lunch
1:15 -- 3:15 Professional Values in Medical Transcription, Brenda Hurley, CMT, FAAMT (2 Medicolegal)
For more info, contact Chris Dill at firstname.lastname@example.org or Ginny Foster CMT, Treasurer, MDAMT, 8444 Loch Raven
Boulevard, Baltimore MD 21286.
TAKING THE NEW FORMAT CMT EXAM
By Trina Sprecher, CMT
Editor’s Note: SVC-AAMT is pleased to announce that Trina Sprecher, CMT, is our chapter’s new Cert Connector!
I have only been a medical transcriptionist for 3 years, and each day I enjoy the art of transcription more and more. When
I learned about the benefits of taking and hopefully passing the CMT exam, I knew that was something I needed to
There are so many valuable books and information available that are helpful while preparing to take the CMT exam. I
studied for the exam using many different sources, and I’ll try to list the items I used to help prepare for taking the exam.
The JAAMT magazines were very helpful and informative, and I especially benefitted from taking the Medicine Match-Up
and Word Warrior quizzes that are available in this publication. A large part of the exam is multiple choice, and so I found
studying from material written in multiple-choice format to be very helpful. I also read through my Chabner’s Language of
Medicine book and reviewed the numerous note cards I had made while I was a student at Andrews School. Another
valuable study aid for me was The Medical Transcription Workbook by Health Professions Institute. This book has so
much information in it concerning all aspects of transcription, and it is designed as a workbook so you can take the
quizzes and then check your answers. That was invaluable for me to see where my weaknesses were and what areas I
needed to concentrate on studying. AAMT is also offering an on-line CMT prep assessment which would be a wonderful
tool to assess your knowledge. This test covers over 20 body systems and has 25 questions for each system, along with
voice clips. There are also references to various web sites, Book of Style, and medical texts. This exam costs $100 for
AAMT members and $125 for nonmembers. This would definitely be worth looking into if you are considering preparing
for the CMT exam. You can access the information for this assessment at www.aamt.org and then clicking on
Certification. At that web site you can also order the Multiple-Choice Self-Assessment Workbook for $25 for members
and $35 for nonmembers. This was something I bought, and it was probably one of the most valuable things I studied
from. I would highly recommend the workbook not only to anyone thinking of taking the exam, but also as a refresher to
any MT who wants to brush up on their medical knowledge. Last but certainly not least, I read my AAMT Book of Style,
Second Edition, from cover to cover. I’m not kidding...I took that book to so many soccer practices, gymnastic meets,
football games, and doctor’s appointments. I don’t think I ever left the house without taking the Book of Style along with
me. I even had it with me while I stayed at the hospital when my daughter had her appendix removed! This is definitely
an important book to study!!
(continued on page 5)
TAKING THE NEW FORMAT CMT EXAM
By Trina Sprecher, CMT
(continued from page 4)
I realize this is quite an extensive list of books and reading materials, and I know the materials to help prepare for the
CMT exam are certainly not limited to these items I have mentioned. Please know that I truly believe that it is not so much
which book you choose to review and study from, but rather the fact that you spend some time studying, reading, and
preparing for the exam. The more information you put into your brain, the more information that will be available to you
when it comes time to take the exam!
You will find all the information you need regarding the CMT exam at the AAMT web site listed above, and I highly
recommend reviewing that. Briefly, when you decide to take the exam you must first apply through an application
available through the AAMT web site. Once this is complete, you will receive an Authorization to Test letter along with
instructions for registering with Prometric, which is where you will be taking the actual exam. At that point, you will contact
Prometric and schedule an exam date.
On the day of the exam, you will need to bring the confirmation number provided by Prometric and a currently valid
government-issued photo ID such as a driver’s license. No study material may be brought into the exam area, as well as
no personal items. A locker is provided for any personal items such as keys, cell phone, or purse. You are assigned a
computer which has the CMT exam already loaded and ready for you. There may be other people in the testing room
who are taking various other exams available through Prometrics. The day I took my exam there were 11 people in the
testing area, and I was the only person taking the CMT exam at that time. You will be given an opportunity to listen to a
tutorial on the computer which you will be using to take the exam. This explains all that you will need to know to properly
answer the questions. Once this tutorial is complete, you may begin the exam when you are comfortable. The exam is
timed and will begin when you look at the first exam question. You will want to plan on the exam lasting approximately 6
hours with a 10-minute break in the middle.
The first section of the exam was in multiple-choice format and covered such topics as medical language (prefixes,
suffixes, root words, plural forms, terminology, and spelling), anatomy and physiology, disease processes, English
language, and medicolegal issues. The second half of the exam covered transcription performance. Headphones are
provided, and you control the “snippets” with the mouse. There is no foot pedal. I found this very simple and easy to
learn, so don’t be worried about not having a foot pedal to use when taking the exam. In some cases you will transcribe
what is dictated, while at other times you might edit or proofread against the audio. You will hear a short portion of a
dictation while at the same time seeing the words on the computer screen. From that point, you just follow the directions
for each question. I thought this portion of the exam was very interesting! There was a clock on the computer screen
keeping track of how much time I had left, and I had plenty of time to go back through and check my answers for each
I was part of the beta group taking the new CMT exam, and I had to wait until the testing was complete for the beta phase
so I didn’t get my results until several months later. Anyone taking the CMT exam now will have the luxury of knowing
whether you passed as soon as you submit the final question. I think that would alleviate a LOT of anxiety waiting on
I hope this information is helpful to anyone considering taking the CMT exam. I’d like to encourage any MT who is
interested in advancing in their career or simply wanting the satisfaction of knowing that they earned the designation of
Certified Medical Transcriptionist to gather up those study materials and get ready to take the CMT exam! We as MTs
have to maintain such a high quality of work and a large fund of knowledge to be good at what we do. We are constantly
learning and adding to what we know as we research words of which we’re unsure or when that particularly difficult
dictator says something we have never heard of before. I think that medical transcriptionists deserve much credit for the
work that we do, and earning the CMT credential is something to help honor the difficult and challenging work we do each
day. Passing the CMT exam has been a very rewarding accomplishment for me, and I hope many of you will consider
taking the exam in the near future!
ON BECOMING A FELLOW
By Sandy Kovacs, CMT, FAAMT
You may be wondering what those initials after my name mean…..FAAMT. This designation is Fellow of the American
Association for Medical Transcription. To become a Fellow, an MT must be a practitioner member of AAMT and earn at
least 50 fellowship points in eight different categories in the 5 years preceding the application. This honor is earned by
MTs who have been involved in activities which demonstrate a balance between professional and community
contributions. (continued on page 6)
ON BECOMING A FELLOW
By Sandy Kovacs, CMT, FAAMT
(continued from page 5)
The categories include Association Membership, Professional Meeting Attendance, Leadership, Publications and
Presentations, Mentorship, Civic Activities, Awards, and Certification. There is a maximum amount of points allowed for
each category, so the MT Fellow must demonstrate participation in a minimum of 5 areas. There is a one-time $75
application fee, and Fellows retains their title as long as they are a practitioner member of AAMT.
Why did I want to be a Fellow? Because I am proud of my achievements in the profession I love, the profession which
has given me much more than money to pay the bills over the years. I have gained confidence in myself by volunteering
to be committee chairs and by being elected in various leadership positions at the local chapter and state association
levels. I have established a network of MTs around the country on whom I can call for opinions and ideas. I have been
fortunate to be able to give back to the profession by being involved with editing Stedman’s word books and by helping to
teach new MTs by being involved with M-TEC, an on-line medical transcription school. My career has advanced into
mentoring, training, editing, and recruiting for national medical transcription services. However, the friendships I have
made and sustained over the years has been the greatest benefit of association membership and becoming involved at
When I see an MT who is a FAAMT, I see someone who has spent time and effort on sharing their expertise with their
peers, someone who cares about our profession and is proud to share our philosophy, someone who is not afraid to step
out of the box and reach beyond their comfort zone to work with others on projects that will be beneficial to others.
I encourage you to review the application for fellowship at www.aamt.org under membership. Be proud of your
accomplishments…..become a Fellow of AAMT today!
Category I – Association Membership (maximum 10 total points allowed)
National Association 2 points per year per association
Local State/Regional or Chapter Association 1 point per year per association
Category II – Professional Meeting Attendance (maximum 10 points allowed)
AAMT Annual Convention & Expo 2 points per year
Component Association Meeting 1 point per year per meeting
Category III – Leadership (maximum 12 total points allowed)
Each AAMT elected position 5 points per year
Each State/Regional elected position 2 points per year
Each Chapter elected position 2 points per year
Each AAMT or Component appointed position 1 point per year
Category IV – Publications and Presentation (maximum 12 total points allowed)
Author or co-author of a published book 4 points per book
Contributor to a textbook or editorial review 2 points per publication
Published articles in JAAMT or newsletters 1 point per article
Formal presentations to peers 2 points each
Category V – Mentorship (maximum 6 total points allowed)
Mentor affiliated with an association or school 1 point per year per mentee
CMT Exam Proctor 1 point per exam
Category VI – Civic Activities (maximum 6 total point allowed)
Civic Activities 1 point for each activity per year
Category VII – Awards (maximum 6 total points allowed)
Each National and Component award 3 points per award
Each local chapter or university award 2 points per award
Other awards 1 point per award
Category VIII – Certification (maximum 15 total points allowed)
Certified Medical Transcriptionist 5 points per year
MEDICINE IN THE NEWS
By Shonna L. Bradley Bender, CMT
Philadelphia Doctors Testing Aneurysm Blocking Device. The FDA has approved testing of a
stent at the Hospital of the University of Pennsylvania. The device, manufactured by W. L. Gore and
Associates, Inc., of Flagstaff, Arizona, is made of a Teflon-like material and is the first FDA-approved
grafting system for treating aneurysms of the descending thoracic aorta. HUP is one of only seven
facilities nationwide training doctors in the use of the new device. (Associated Press, 08/19/2005)
24% of PA Adults Are Obese. Data from the Centers for Disease Control and Prevention shows that
nationally 22.7% of adults are considered obese. States with the highest percentage of obese adults are
Alabama, West Virginia, Mississippi, Louisiana, and Tennessee. The states with the lowest percentage of
obese adults are Massachusetts, Colorado, Rhode Island, Connecticut, Vermont, and Montana. (Associated Press,
FDA Restricting Access to Accutane. By December 31, 2005, the FDA will require Accutane users to enroll in a
national registry (iPLEDGE) that ensures they understand the acne drug’s risks. The March of Dimes is pleased with the
decision, claiming Accutane’s worst risk is Accutane-damaged pregnancies. If a woman becomes pregnant while taking
Accutane, the baby can suffer severe brain and heart defects, mental retardation and other abnormalities. Other side
effects of Accutane are depression and suicidal thoughts. (Associated Press, 08/13/2005)
Recent FDA Drug Approvals
Aptivus (tipranavir) was approved for the adjunctive treatment of HIV-1 infections. The drug is manufactured by
Boehringer Ingleheim. (Approved June 2005 - www.centerwatch.com)
Takeda’s drug Rozerem (ramelteon) was approved for treatment of sleep-onset insomnia. (Approved July 2005 –
SITES OF INTEREST
By Tabi Dougherty
Editor’s Note: “Sites of Interest” is a new feature that will appear in each issue of Heartbeat of
Welcome to sites of interest, a column to introduce new (and used) medical transcription reference
sites! I am always looking for sites, so send them my way at email@example.com.
1. Stedman’s main website – www.stedmans.com
2. A great website for HIPAA information with links to other sites – www.hipaa.org
3. Another HIPAA website - http://www.hhs.gov/ocr/hipaa/
4. For up-to-date medical news and information – www.medicalnewstoday.com
5. Search engine for medical information only – www.hon.ch/medhunt/
6. For elements of style – www.bartleby.com/141/index.html
7. The Merck Manual – www.merck.com
8. Great orthopedic site – www.wheelessonline.com
9. Reference for street drugs – www.whitehousedrugpolicy.gov/streetterms.asp
10. A comprehensive site of MT resources – www.mtdaily.com – some of which is free, but can also subscribe to this.
11. A neat site for buying MT-related products – www.mtbears.com
12. A different type of search engine – www.answers.com This brings up encyclopedic information and dictionaries
as well as web sites.
13. Drug site with a “fuzzy” search capability – www.rxlist.com
14. A hospital finding website - http://neuro-www.mgh.harvard.edu/hospitalweb.shtml
15. To find information regarding the senate in PA – www.pasen.gov
16. Another grammar website - http://www.ccc.commnet.edu
17. A doctor directory – www.ama-assn.org
18. Another doctor directory - http://www.doctordirectory.com/doctordirectory/default.aspx
19. Medline plus online dictionary - http://www.nlm.nih.gov/medlineplus/mplusdictionary.html
20. A medical transcription directory – www.medwordlist.com
TWO ERRORS HUMAN – AN EDITING QUIZ
1 CEC – MT Tools
By Ellen Drake, CMT, FAAMT
Editor’s Note: Susquehanna Valley Chapter is very grateful to Ellen Drake, CMT, FAAMT, for allowing us to reprint this
credit-worthy quiz in our newsletter. Ellen is the Director of Certification and Education for AAMT. This quiz has been
approved by AAMT for 1 CEC in MT Tools. Submit the completed quiz with your recertification paperwork at the end of
your 3-year cycle.
This is an editing quiz. There are 16 errors in the report below. The errors are all words (not grammar or punctuation).
Can you find the errors?
The patient was admitted because of fever, chills, cough and basically asymptomatic condition. He appeared
weak and malnourished, obviously do to an adequate diet. On x-ray of the pelvis, there did appear to be a fracture
of the hip. As the patient denied any injuries, it was felt that this could be pathologic. A diagnosis of a traumatic
fracture was made. On physical exam, the only pertinent findings, other than those mentioned above, were a
regular rhythm of atrial fibrillation with gallop heard.
The patient was taken to surgery, and repair of the hip fracture was done through a curvalinear incision. A small
2-ml mole near the incision sight was dessicated with cautery after a biopsy was taken. Sitology was benign.
The patients coarse was afebrile one, with temperatures over 100 degrees, in spite of inadequate antibiotic
regimen. Finally, the patient responded to treatment and was discharged ambulent and on irregular diet.
The answers to this quiz are on page 10.
MEDICAL TERMINOLOGY DEFINED…?
Editor’s Note: Thank you to Sharon Tallman, newsletter editor for Greater Memphis Chapter, for sharing this with us!
In recognition of MT Week in May 2005, corporate employees of Spheris were asked to define several medical terms that
are familiar to medical transcriptionists. After reading this, aren’t you glad corporate employees don’t transcribe medical
Q: What is the medical term for abnormal contraction of the bronchi?
Corporate answers: Emphysema, Pneumonia, Bronchitis
Correct answer: Bronchospasms
Q: What is the medical term for headache?
Corporate answers: Children, Migraine, Concussion, Lobotomy
Correct answer: Cephalgia
Q: What is the medical term for a woman who has never been pregnant?
Corporate answers: Celibate, Antiboyotics, Sanscretin
Correct answer: Nulligravida
Q: What is the medical term for a substance that causes disease?
Corporate answers: Plagocyte, Mad Cows, Tobacco
Correct answer: Pathogen
Q: Where is the Circle of Willis?
Corporate answers: Inside the bone, In the kidney, Different Strokes
Correct answer: Brain
Q: What is the medical term for redness of the skin?
Corporate answers: Rug Burn, Eythrocyte, Jaundice
Correct answer: Erythema
Q: What is the medical term for excessive vomiting?
Corporate answers: Toomuchdrinkitis, Hyperpukis, Hemostasis
Correct answer: Hyperemesis
Q: What is the medical term for an insatiable craving for food?
Corporate answers: Anorexia, Cantputtheforkdownitis, Refrigeratoritis, Count Choculitis
Correct answer: Bulimia
Q: RSV is a common infection. It stands for what?
Corporate answers: Restroom Smell Ventilation, Retinonsaliclate Vacillation, Rosacea Syndrome Variety
Correct answer: Respiratory Syncytial Virus
Q: What is the medical term for excessive hairiness?
Corporate answers: Herpecia, Bigfootemia, Sweaterchestitis, Orchalosis
Correct answer: Hirsutism
Poll compiled by Jill Watkins, HR Administrative Assistant of Spheris. Poll used with permission from Spheris.
TWO ERRORS HUMAN – AN EDITING QUIZ
1 CEC – MT Tools
By Ellen Drake, CMT, FAAMT
(continued from page 8)
Here are the answers:
The patient was admitted because of fever, chills, cough, and basically symptomatic(1) condition. He appeared
weak and malnourished, obviously due(2) to inadequate(3) diet. On x-ray of the pelvis, there did appear to be a
fracture of the hip. As the patient denied any injuries, it was felt that this could be pathologic. A diagnosis of
atraumatic(4) fracture was made. On physical exam, the only pertinent findings, other than those mentioned
above, were irregular(5) rhythm of atrial fibrillation with gallop heard.
The patient was taken to surgery, and repair of the hip fracture was done through a curvilinear(6) incision. A
2-mm(7) mole near the incision site(8) was desiccated(9) with cautery after a biopsy was taken. Cytology(10) was
The patient's(11) course(12) was a febrile(13) one, with temperatures over 100 degrees in spite of an
adequate(14) antibiotic regimen. Finally, the patient responded to treatment and was discharged ambulant(15)
and on a regular(16) diet.
1. The dictator might have used the article "a" or simply said "uh" in front of symptomatic. Context is king!
2. I call this a "copy-type" error; transcribing by sound and not by meaning.
3. MT misheard "in" as "an."
4. Hearing okay but not thinking of context. A pathologic fracture is one that occurs without trauma (atraumatic).
5. MT misheard "ir" as "a." Context, context, context! Atrial fibrillation is irregular by definition.
6. This is a commonly misspelled word. Recommend MTs study lists of commonly misspelled English and medical
words, many of which are available on the Internet.
7. Typo, MT not thinking or doesn't know appropriate abbreviations for different metric units of measure.
8. MT not thinking or doesn't know homonyms. Again, recommend MTs study lists of common English and medical
homonyms and near-homonyms.
9. Another commonly misspelled word.
10. MT not thinking or doesn't know homonyms.
11. The possessive of patient is needed. Confusing patient's and patients and its and it's can be typos, but more
often they're not. If repeated, these are red flags identifying the uneducated.
12. Another homonym.
13. Typo, MT not thinking. The line that follows clearly indicates the patient was febrile, not afebrile. It's not
uncommon for students to attach articles to the words that follow or mishear prefixes as articles. Proofreading
after the fact without the audio should catch errors such as this.
14. MT misheard "an" as "in." The phrase "in spite of" is a clue to meaning.
15. Commonly misspelled word.
16. The reverse of #4, MT misheard "a" and "ir".
I think it's important for MTs (especially students and the inexperienced) to analyze their errors and try to figure out why
they make them. Some of these errors could be due to lack of knowledge or experience. Most of these errors, especially
if made by an experienced MT, are what I call errors due to a copytyping mentality. Copy typists copy errors because
they type what they see and are not taught to correct as they go. MTs who listen this way are doomed. The difference
between what we do and what speech recognition does is that we process the sounds coming into our ears, all the while
evaluating for sense and making judgment calls. Speech recognition simply interprets the sounds phonetically based on
patterns that have been fed into it earlier.
SVC CHALLENGES YOU! We are challenging YOU to write a credit-worthy article or quiz to be published in an
upcoming newsletter. You can use the guidelines in AAMT's CEC Requirements Table (under "CERTIFICATION") when
writing your article or quiz. (Please take a look at this chart - the requirements have been updated recently!) After you
write your article, you must submit it to AAMT for approval for credit before it is published. If you have any questions or
need assistance with having your article or quiz approved for CEC, our newsletter staff will be happy to help you. Writing
an article or CEC is not only beneficial to your colleagues, but you can use that information for both your CMT
recertification as well as points towards your FAAMT designation! We’ll be looking for your article!
Margie Flatley, CMT
Information compiled by Barbara Weckel, CMT, FAAMT
CURRENT POSITION AND YEARS IN THIS POSITION: I have just started a new job with
DataKey as a QA editor.
HOW DID YOU EVER HEAR OF MEDICAL TRANSCRIPTION: I answered an ad in the paper
when I was unemployed in 1992.
EDUCATION FOR MEDICAL TRANSCRIPTION: I went to training for WordPerfect while I
was unemployed. I had learned medical terminology when I worked as a health claims
examiner for Prudential Insurance Company in the 1980s.
TOTAL YEARS IN TRANSCRIPTION: 13-1/2 years.
CHANGES IN TRANSCRIPTION OVER THE YEARS (GOOD OR BAD): I like the technological changes that have
occurred. I had the good fortune to work with Dictaphone as a beta site for speech recognition. Technology has made
our job easier over the years.
FIRST JOB IN TRANSCRIPTION AND MEMORY OF IT: I worked evening shift at a Community Hospital doing all work
types. I worked every Saturday during the day and got to type the Friday night drunk fights in the ER.
FAVORITE SPECIALTIES: I like cardiology and psych the best.
LEAST FAVORITE SPECIALTIES: I find all aspects of medicine fascinating.
FUNNIEST THING YOU TRANSCRIBED: Speech recognition said the patient was a 12-year-old Amish girl with an injury
to her penis.
OTHER JOBS YOU HAD NOT RELATED TO MEDICAL TRANSCRIPTION: Department store sales, customer service
for department store, billing clerk for an insurance company, health insurance claims examiner, temporary data entry clerk
at night, human resources for a temp agency, data entry for the Commonwealth of Pennsylvania Department of
Education, fuel tax clerk for a trucking company, then promoted to the operations department and eventually became
safety director, then they went out of business and I qualified for retraining while I was unemployed.
CMT?? IF NOT, WHY NOT?: Yes!
AAMT INVOLVEMENT/LOCAL INVOLVEMENT: Practitioner member since 2000, founding president of Susquehanna
Valley Chapter of AAMT. Love to go to meetings and hear speakers and talk to people about transcription.
FAMILY - SPOUSE/CHILDREN/GRANDCHILDREN/PETS: Divorced twice. Can't seem to pick the right guy. Have a
boyfriend. We do not live together but have been "dating" for 13 years. Two boys, one from each marriage. Alex is 27
years old and an animator currently working on a movie based on a children's book, The Ant Bully. He lives in Irving,
Texas. John is 20 years old and in the Pennsylvania National Guard. He currently has a temporary full time job with the
Guard at Indiantown Gap. He will be flying to Hawaii with me, and Alex will be meeting us there. We will have a couple of
days to pal around before the convention activities begin. Then they can do stuff while I am in meetings. Have four cats -
Daisey 13, Clover 11, Midnight 11 and Holly 6. (continued on page 12)
Margie Flatley, CMT
(continued from page 11)
HOBBIES: Shopping, eating out.
COMMUNITY INVOLVEMENT: Active in my church. I was on the St. Patrick School Board for 3 years - Secretary for
one year. Helped raise funds for a playground in a nearby park over 10 years ago.
YOUR DREAM VACATION: Round the world cruise. If I can't do that, I would like to go to Austria where I was born and
to Ireland, the land of my ancestors.
WHAT YOU ARE LOOKING FORWARD TO IN RETIREMENT: Time to get rid of all my junk!
FONDEST MEMORY OF TRANSCRIPTION/AAMT/SVC/OTHER CHAPTERS: I worked for Carlisle Hospital for 10-1/2
years, becoming the supervisor after 5 years. I loved that job. When they eliminated it in 2002, I was devastated. It has
been a long grieving process for me but I think I am coming out of it. I love this profession because it stretches my brain.
I learn something new every day.
ANYTHING ELSE YOU CARE TO SHARE: I grew up as an Army Brat and lived in many, many places. My current
home is the 29th place that I have lived. Somehow I have managed to stay here for 14 years! Can't believe it!
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OPHTHALMOLOGY TERMS, LASIK TERMS, AND SAMPLE REPORTS
by Grace M. LaConte
Editor’s Note: Grace is a medical transcriptionist with Memorial Eye Institute in Harrisburg, Pennsylvania. We are pleased that
she is sharing some of the more obscure ophthalmology terminology and sample reports with us!
Age-Related Macular Degeneration: Destruction and loss of the photoreceptors in the macula region of the retina resulting
in decreased central vision and, in advanced cases, blindness.
B-scan: ultrasonic procedure used to check for abnormalities or locate foreign bodies within the eye.
Barraquer Cyro-Lathe: Instrument used in performing refractive surgery to correct extreme myopia or hyperopia.
Best Corrected Visual Acuity (BCVA): Measure of best acuity while wearing corrective lenses like glasses or contact
CrystaLens: An intraocular lens that is designed to change focus from distant to near objects. It is the first of its kind to
achieve FDA approval.
Diabetic Retinopathy: Also called non-proliferative or "background" retinopathy. Condition that damages tiny blood vessels
that supply the retina. In early stages, the retinal vessels weaken and develop bulges that may leak blood or fluid into the
Fluorescein Angiography: Test to examine blood vessels in the retina, choroid, and iris. A special dye is injected into a vein
in the arm and pictures are taken as the dye passes through blood vessels in the eye.
Macular Edema: The collection of fluid in and under the macular portion of the retina causing swelling.
Manifest Refraction: An examination of the eye to determine refractive error while the natural crystalline lens is able to
Nuclear Sclerosis: Commonly known as cataracts. Opacity or clouding of the natural crystalline lens that may prevent a clear
image from forming on the retina. Cataracts occur naturally and can be induced by trauma. The cataractous lens may require
surgical removal if visual loss becomes significant, with lost optical power replaced with an intraocular lens.
Ocular Hypertension: Elevated intraocular pressure.
Pachymetry: Procedure used to measure the thickness of the cornea.
Phacoemulsification: Surgical cataract procedure which uses an ultrasonic vibration to shatter and break up a cataractous
lens, making it easier to remove.
Phoropter: An optical instrument containing many lenses which is used to determine the required power of glasses or
Photocoagulation: The process of tissue destruction accomplished by visible light radiation.
Posterior Vitreous Detachment: Separation of the vitreous body from the retinal surface due to shrinkage from degenerative
or inflammatory conditions or trauma.
Schirmer Test: Tiny strips of filter paper are placed in the patient's eyes just under the lids. After five minutes the distance the
tears have stained the paper is measured. The greater the distance, the higher the natural tear production.
OPHTHALMIC COMPANIES/OPHTHALMIC EQUIPMENT COMPANIES:
Advanced Medical Optics Ophthalmic Imaging Systems
Aesculap-Meditec (abbreviated “Meditec”) Summit
Bausch & Lomb Sunrise Technologies
Coherent Medical Group Vector Vision
Humphrey Instruments Visx
Laser Diagnostic Technologies WaveLight
LaserSight Welch Allyn
OPHTHALMIC EQUIPMENT & DRUG COMPANY: Allergan
OPHTHALMIC DEVICE COMPANY: KeraVision
NEW OPHTHALMIC DRUGS:
Glaucoma: In the field of glaucoma, the most recent approval (2004) is Istalol (Ista Pharmaceuticals), a new topical
formulation of the beta-blocker timolol. An emerging trend in glaucoma medications is combination agents. Some
combinations in phase III development include Pfizer's Xalcom (latanoprost and timolol), Alcon's Extravan (travoprost and
timolol), and Allergan's Combigan (brimonidine tartrate and timolol) and Lumigan (bimatoprost) with timolol.
Dry eye: The more recently approved agents for dry eye include over-the-counter ophthalmic solutions Soothe (Alimera) and
Systane (Alcon Laboratories).
(continued on page 14)
OPHTHALMOLOGY TERMS, LASIK TERMS, AND SAMPLE REPORTS
by Grace M. LaConte
(continued from page 13)
NEW OPHTHALMIC DRUGS: (continued)
AMD drugs: There are several therapies under investigation for the treatment of age-related macular degeneration (AMD),
most of which target the angiogenesis pathway that leads to the choroidal neovascularization (CNV) characteristic of wet
AMD. Pegaptanib sodium (Macugen, Pfizer/Eyetech), the first angiostatic treatment approved by the FDA (in December 2004),
is a VEGF blocker administered intravitreally every 6 weeks. Another VEGF blocker, ranibizumab (Lucentis, Genentech),
injected intravitreally 13 times per year, may gain approval this year. The novel angiostatic cortisene anecortave acetate
(Retaane, Alcon) may also gain approval this year.
Antibiotics: The most recent antibiotic approval, tobramycin/lotoprednol (Zylet, Bausch & Lomb), is a
corticosteroid/aminoglycoside combination therapy indicated for steroid-responsive inflammatory ocular conditions with
superficial bacterial infection or risk of infection.
Anti-inflammatory: The topical non-steroidal anti-inflammatory drug (NSAID), bromfenac (Xibrom, Ista Pharmaceuticals),
was approved in the first quarter of 2005 for the twice-daily treatment of postoperative inflammation after cataract surgery.
Cataract: A novel concept in cataract therapy is a drug intended for cataract prevention. OT-551 (Othera Pharmaceuticals) is
intended to counteract the detrimental effects of free radical-induced oxidative damage.
Source: Ophthalmic drugs: what's in the pipeline? Ophthalmology Times/Special Report, by Mark B. Abelson, M.D., Matthew
Chapin, Annie Plumer; http://mediwire.healingwell.com/main/Default.aspx?P=Content&ArticleID=157157
TERMS RELATING TO LASIK (LASER) SURGERY:
Argon Laser: Laser light produced from argon gas. The main wavelengths are 488.0 nm blue and 514.5-nm pea green light,
but nine separate wavelengths in the blue-green visible light spectrum are produced.
Buttonhole Flap: A complication of LASIK caused when the microkeratome breaks through the top of the cornea while
creating a flap of corneal tissue. Buttonhole flaps are most often caused by loss of suction of the ring that holds the
microkeratome to the eye. The usual response is to stop the surgery, replace the flap, protect the flap with a contact bandage
for a few days, then about three months later do the surgery again. The vast majority of people who have buttonhole flaps
have no long-term problems at all and are able to have LASIK after the flap has sufficiently healed.
Complete Ophthalmic Analysis System: An integration of WaveFront Sciences’ wavefront technology with Asclepion
excimer laser system. The manufacturers say COAS will enable improved visual acuity in persons with vision defects.
Complex Wavefront Retreatment: A secondary surgery using wavefront-guided ablation in an attempt to reduce higher
order aberrations induced by previous surgery. Complex Wavefront Retreatment is an off-label use of the excimer laser.
Contact Lens Assisted Pharmacologically Induced Kerato Steepening: A process of accommodating hyperopic
overcorrection following LASIK, PRK and RK, by molding the cornea with a tight fitting contact lens and nonsteroidal anti-
Enhancement: Secondary refractive surgery treatments made to refine or improve the original visual result. Outcome
predictability is reduced at higher corrections. Higher corrections and wider optical zones require deeper sculpting and
consequently undercorrection and overcorrection are more common. Enhancement treatment by contrast is usually a small
correction and usually has higher outcome predictability.
Epikeratome: A mechanical device similar to a microkeratome that uses a blunt separator rather than a sharp blade to
produce an epithelial sheet for Epi-LASIK. Rather than a more destructive alcohol mixture to loosen the epithelial cells used in
LASEK. The epithelial cells are moved over the treatment area after Excimer-Laser energy has been applied.
Epi-LASIK: Modified LASEK with the epithelial cells removed by a mechanical microkeratome using a blunt, rather than
sharp, blade. more
Femtosecond Laser: An infrared range laser that delivers pulses of energy within the cornea, causing a small controlled
explosion of gas that separates the layers of the cornea. The femtosecond laser for ophthalmology use on the eye is
manufactured by Intralase and is used to create a LASIK flap in a procedure commonly called IntraLASIK or "all laser LASIK".
Intralase: Manufacturer of a femtosecond laser for use in creating a LASIK flap and other precise corneal incisions. LASIK
with the Intralase laser created flap is called IntraLASIK. See IntraLASIK details.
IntraLASIK: LASIK with the corneal flap being created by a femtosecond laser rather than with a mechanical microkeratome.
See IntraLASIK details.
Laser Assisted In-Situ Keratomileusis: An advanced laser procedure combining ALK and PRK to reshape the central
cornea, thereby decreasing or eliminating myopia, hyperopia, and astigmatism. The refractive surgeon uses an automated
microkeratome to shave off a thin, hinged layer of the cornea. This flap is then lifted like a hinged door and the exposed
surface is reshaped using the excimer laser. After altering the corneal curvature, the flap is replaced and adheres without
Laser Assisted Epithelium Keratomileusis: Laser Assisted Sub-Epithelium Keratomileusis (LASEK) is the detachment of
the epithelium with the use of an alcohol solution that softens the epithelium and allows it to be rolled back into a flap. The flap
of epithelium is then be repositioned over the cornea following excimer ablations.
Macro Striae: Wrinkles in the LASIK flap.
(continued on page 15)
OPHTHALMOLOGY TERMS, LASIK TERMS, AND SAMPLE REPORTS
by Grace M. LaConte
(continued from page 14)
TERMS RELATING TO LASIK (LASER) SURGERY: (continued)
Microkeratome: A surgical device for creating a flap of corneal tissue used in LASIK and some transplant techniques. There
are two classes of microkeratomes: mechanical and laser. Both are affixed to the eye by use of a vacuum ring, flatten the
cornea with a clear applanation plate, then cut across the cornea under the plate.
The mechanical microkeratome uses a very sharp and thin metal blade. The femtosecond laser microkeratome uses amplified
light energy to cause tiny bubbles to form at a predetermined depth. Thousands of these bubbles next to each other create an
Penetrating Keratoplasty: Abbreviated as PK or PKP. A surgical procedure when a button-like full thickness segment of the
cornea is removed and replaced with a donor cornea from another person; a corneal transplant
Radial Keratotomy: Abbreviated as RK. A surgical procedure that permanently alters the shape of the cornea by placing
microscopically thin relaxing incisions in the peripheral cornea. The incisions cause the central portion of the cornea to flatten,
thereby reducing the power of the cornea.
YAG Laser: YAG is an abbreviation for neodymium yttrium-aluminum-garnet, the material used generate a short pulsed, high-
energy light beam in the infra red wavelength of 1064 nm. The YAG laser is a surgical instrument that can be precisely
focused by computer to cut, photovaporize, or fragment tissue.
Zyoptix: The brand name for wavefront guided custom ablation on the Bausch & Lomb Technolas excimer laser.
COMMON OPHTHALMIC DRUGS:
Acular Kenalog pilocarpine
Alphagan P levobunolol Plaquenil therapy
atropine drops Lidocaine 2% jelly Pred Forte drops
balanced salt solution Marcaine tetracaine
Betadine scrub and Betadine Miochol TobraDex drops
solution Muro drops Travatan
Betagan Mydriacyl Viscoat
Celestone Neo-Synephrine viscoelastic
Cyclogyl 1% Neptazane Visudyne
fluorescein dye Ocufen Xalatan
Garamycin Ocuflox Xylocaine
SAMPLE REPORT: VISUAL FIELD TEST
Right eye 11% false-negative errors with a foveal threshold of 21. There is depression primarily temporally but also
somewhat superiorly. This is in contrast to the left eye with 2% false-positive errors and a foveal threshold of 36 (foveal
threshold of 21 OD) and a field which is reported as statistically within normal limits.
Impression: Abnormal visual field OD with normal field OS.
SAMPLE REPORT: FLUORESCEIN ANGIOGRAPHY TEST
Normal OD; OS there is hemorrhage in the inferior macula and midperiphery.
Demonstrates hyperfluorescence on the optic nerve OS with blocked fluorescence from blood. Significant ischemia may
be present inferiorly OS. There may be some arteriolar narrowing OD.
1. Branch retinal vein occlusion OS with edema, questionable ischemia, and positive retinal hemorrhage.
2. Questionable neovascularization OS.
3. Hypertensive retinal vascular disease.
Follow-up in a few weeks will be planned.
SAMPLE REPORT: B-SCAN ULTRASONOGRAPHY
B-scan ultrasonography dynamically performed with the Quantel unit. Demonstrates traction retinal detachment involving
the posterior pole. Complex vitreoretinal membranes are evident with marked vitreous hemorrhage.
Traction retinal detachment and probable PVD [posterior vitreous detachment] OD.
Consideration for retinal reattachment surgery with a vitrectomy and lensectomy could ensue.
SAMPLE REPORT: TYPICAL CHART NOTE (RETINAL SPECIALIST)
PUPILS: Reactive without afferent defect.
OD: Supratemporal paracentral depression.
AMSLER GRID: Normal OU.
MOTILITY: Full and smooth.
EXTRAOCULAR MOVEMENTS: Full.
Demonstrates some dermatochalasis.
ANTERIOR SEGMENT EXAMINATION
Cornea shows some epitheliopathy and scar. Minimal edema is appreciated. No significant cell or flare is noted. On the
left the cornea is clear. Anterior chamber is deep and clear. Iris is normal. Nuclear and cortical lens changes are noted.
On the left PC IOL posterior capsular intraocular lens is noted with an intact capsule.
Demonstrates sharp disc margins with a cup-to-disc ratio of 0.2. AV arteriovenous ratio is 2:3. Drusen are present about
the fovea OD and I do not believe there is lipid, although there is some element of suspicion. There may be some cystoid
edema. I do not believe there is a serous detachment. On the left, minimal pigment change is appreciated. There is no
fluid, lipid, or hemorrhage and no substantial drusen.
1. Age-related maculopathy of a mild extent OU with questionable exudation OD.
2. Questionable cystoid macular edema OD.
3. Corneal epitheliopathy and scarring secondary to HZO [herpes zoster ophthalmicus].
4. Cataract OS.
We review the diagnoses outlined above. Photography and angiography are planned today and we will review these
findings with her next week. We might consider Argon laser photocoagulation, further PDT [photodynamic therapy] with
Visudyne, or Macugen therapy. An AREDS [Age-Related Eye Disease Study] formula may be considered.
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