12
The New Year brings lots of wonderful educational opportunities for all CMAA mem- bers. As we start “Cruising to Success with CMAA” in 2010, reach out to some of the members you have not seen for a while. Give them a call, encourage them to get involved and share our plans for the upcoming Annual Meeting 2010 scheduled for February 19-21, 2010. The upcoming educational topics this year include: Anesthesiology Protocols BASIC CATEGORY How does an Anesthesiologist prepare for surgery? Coding and Documentation Practices ADMINISTRATIVE Does documentation really affect reimbursement? CATEGORY How can we educate our provider? The Chiropractor BASIC CATEGORY Ergonomic devices – which one really works? What can we do to avoid stress and injury? Pain Management BASIC CATEGORY Who determines how much is too much pain? POLST: Physician Orders for BASIC CATEGORY Life-Sustaining Treatment How do you know what type of life-sustaining treatment your loved one wants or doesn’t want? CALIFORNIA MEDICAL ASSISTANT Published Bi-Monthly by the California Medical Assistants Association, Inc. for Medical Office Professionals CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010 1 C M A A U N I T Y I S S T R E N G T H K N O W L E D G E I S P O W E R JANUARY/FEBRUARY 2010 ________________________ CALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC. P.O. Box 11715 Santa Rosa, CA 95406 Toll Free 1.888.464.2622 Fax 208.730.3763 www.cmaa-ca.org Email address: [email protected] WELCOME IN THE NEW YEAR By “Cruising to Success with CMAA”! WELCOME IN THE NEW YEAR By “Cruising to Success with CMAA”! Take a walk on Hollywood’s Walk of Fame. A 2-½ mile stroll from Gower Street to La Brea Boulevard and on Vine Street between Sunset Boulevard and Yucca Street is the Walk of Fame commemorating notables from film, television, radio, theater and music industries. Check the website below for locations of your favorite star! www.seeing-stars.com/Immortalized/WalkOfFameStars.shtml A fun place to dine and star watch is the Farmers Market at 3rd and Fairfax. There are hundreds of shops and restaurants to choose from, and you never know, you just might see a star or two! Check out their website at www.farmersmarketla.com Griffith Park has many attractions to keep a family busy all day. At 4,210 acres, the park hosts the Los Angeles Zoo, Griffith Observatory, Museum of the American West, and Things to Do in Los Angeles continued on page 6 WHAT’S INSIDE WELCOME IN THE NEW YEAR By “Cruising to Success with CMAA”! ...1 THINGS TO DO IN LOS ANGELES ....1 PRESIDENT’S MESSAGE ..............2 2010 ANNUAL MEETING: Registration Form .....................3 Hotel Registration Form ..............4 NOMINATIONS REPORT & FORM ....4-5 PRESIDENT-ELECT’S MESSAGE: Top Secret - Where has the year gone? ..............................6 SHARE YOUR E-MAIL ADDRESS WITH TRIWEST ..........................6 CONTINUING EDUCATION: Cystic Fibrosis..........................7 Self-Assessment Test ................10 Article Order Form ...................11 CERTIFYING BOARD UPDATE: Newly Certified California Medical Assistants ....................9 Automatic Electronic Payments ....12 Happy New Year!

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Page 1: CALIFORNIA MEDICAL ASSISTANT - cmaa-ca.org · CALIFORNIA MEDICAL ASSISTANT Published Bi-Monthly by the California Medical Assistants Association, Inc. for Medical Office Professionals

The New Year brings lots of wonderful educational opportunities for all CMAA mem-bers. As we start “Cruising to Success with CMAA” in 2010, reach out to someof the members you have not seen for a while. Give them a call, encourage them toget involved and share our plans for the upcoming Annual Meeting 2010 scheduled forFebruary 19-21, 2010. The upcoming educational topics this year include:

� Anesthesiology Protocols BASIC CATEGORY

How does an Anesthesiologist prepare for surgery?

� Coding and Documentation Practices ADMINISTRATIVE

Does documentation really affect reimbursement? CATEGORY

How can we educate our provider?

� The Chiropractor BASIC CATEGORY

Ergonomic devices – which one really works?What can we do to avoid stress and injury?

� Pain Management BASIC CATEGORY

Who determines how much is too much pain?

� POLST: Physician Orders for BASIC CATEGORY

Life-Sustaining TreatmentHow do you know what type of life-sustainingtreatment your loved one wants or doesn’t want?

CALIFORNIA MEDICAL ASSISTANTPublished Bi-Monthly by the California Medical Assistants Association, Inc. for Medical Office Professionals

CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010 1

CM

AA

UNITY IS STRENG

TH

KNOWLEDGE

ISPO

WER

l

JANUARY/FEBRUARY2010

________________________CALIFORNIA

MEDICAL ASSISTANTSASSOCIATION, INC.

P.O. Box 11715Santa Rosa, CA 95406

Toll Free 1.888.464.2622Fax 208.730.3763

www.cmaa-ca.orgEmail address: [email protected]

WELCOME IN THE NEW YEARBy “Cruising to Success with CMAA”!

WELCOME IN THE NEW YEARBy “Cruising to Success with CMAA”!

Take a walk on Hollywood’s Walk ofFame. A 2-½ mile stroll from GowerStreet to La Brea Boulevard and on VineStreet between Sunset Boulevard andYucca Street is the Walk of Fame commemorating notables from film, television,radio, theater and music industries. Check the website below for locations of yourfavorite star! www.seeing-stars.com/Immortalized/WalkOfFameStars.shtml

A fun place to dine and star watch is the Farmers Marketat 3rd and Fairfax. There are hundreds of shops andrestaurants to choose from, and you never know, you justmight see a star or two! Check out their website atwww.farmersmarketla.com

Griffith Park has many attractions to keep a family busy allday. At 4,210 acres, the park hosts the Los Angeles Zoo,Griffith Observatory, Museum of the American West, and

Things to Do in Los Angeles

continued on page 6

WHAT’S INSIDE� WELCOME IN THE NEW YEAR

By “Cruising to Success with CMAA”!...1

� THINGS TO DO IN LOS ANGELES....1

� PRESIDENT’S MESSAGE..............2

� 2010 ANNUAL MEETING:Registration Form .....................3Hotel Registration Form ..............4

� NOMINATIONS REPORT & FORM....4-5

� PRESIDENT-ELECT’S MESSAGE:Top Secret - Where has theyear gone?..............................6

� SHARE YOUR E-MAIL ADDRESSWITH TRIWEST..........................6

� CONTINUING EDUCATION:Cystic Fibrosis..........................7Self-Assessment Test................10Article Order Form ...................11

� CERTIFYING BOARD UPDATE:Newly Certified CaliforniaMedical Assistants ....................9

� Automatic Electronic Payments....12

HappyNew Year!

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2 CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010

MISS ION STATEMENT

CALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC.

The purpose of the California Medical Assistants Association, Incorporated,is to promote the professional and educational growth of medical assistants.

CM

AA

UNITY IS STRENG

TH

KNOWLEDGE

ISPO

WER

l

2010 ANNUAL MEETING REGISTRATION FORMS INCLUDED IN THIS ISSUE.REGISTRATION DEADLINE IS FEBRUARY 5, 2010.

2010 ANNUAL MEETING

“Cruising to Successwith CMAA!”February 19-21, 2010

Clarion Hotel - Anaheim Resort

Hosted byRiverside/San Bernardino Region

UPCOMING MEET ING

Dear Team CMAA Angels:

Thank you all for a productive season. You have all been thewind beneath my wings. I really cannot say to you what thispast year has meant to me both personally and professionally.The spirit that this team has shown gives me great hope thatwe will survive this tough economic times as long as we stayunited.

One of the things I am proud of is having access to the CMAA newsletter on theweb site. Thank you to Lisa Milosevich and her committee for doing a fantastic jobon the newsletter and implementing this new feature.

The Riverside Region is hard at work planning a great line up of speakers for theAnnual Conference at the Clarion Hotel Anaheim Resort in February. I am lookingforward to spending some quality networking time with everyone.

I want to wish you all a healthy and happy new year and will see you inAnaheim as we begin “Cruising to Success with CMAA” with

President Theresa Henderson.

Thank you for allowing me to manage the best teamI know, the CMAA Angels.

With gratitude,

Vickey Martinez, CCMA-CPresident

California Medical Assistants Association, Inc.

PRESIDENT’S MESSAGEPRESIDENT’S MESSAGECalifornia Medical AssistantE D I T O R

LISA MILOSEVICH, CCMA-AC, CPC, CEMCSacramento Region4336 Calcutta Way

Sacramento, CA 95842

[email protected]

P U B L I C AT I O N C O M M I T T E E

KRIS COOK, CCMA-A, CPC, CEMCSacramento Region

HARRIETT TOSE, CCMA-ASacramento Region

KRISTINE ONSTINE, CCMA-ARedwood Region

KATE LOGAN, CCMA-ACSacramento Region

Certifying Board Administrator

C O O R D I N AT O R

JANICE SAMS, CCMA-CRedwood Region

C M A A P R E S I D E N T

VICKEY MARTINEZ, CCMA-A3181 Tangerine WayRiverside, CA 92506

Home: (951) 787-8025

Email: [email protected]

For Advertising contact:

CALIFORNIA MEDICAL ASSISTANTSASSOCIATION, INC.

at

CMAA, INC.P.O. Box 11715

Santa Rosa, CA 95406

Toll Free: 1.888.464.2622

Fax: 208.730.3763

Email Address: [email protected]

Material contained herein may NOTbe used without the permission of the

California Medical Assistants Association, Inc.

ALL ITEMS FOR PUBLICATIONSHOULD BE SENT

DIRECTLY TO THE EDITOR.

California Medical Assistant

— NEXT ISSUE —MARCH/APRIL 2010

To submit items to be published in thisnewsletter, please mail or email:

Vickey Martinez, CCMA-A3181 Tangerine WayRiverside, CA 92506

Email Address: [email protected]

DEADLINE: February 1, 2010All materials must be submitted by the

deadline date to be included in the next issue!

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CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010 3

C a l i f o r n i a M e d i c a l A s s i s t a n t s A s s o c i a t i o n , I n c .

PLEASE TYPE OR PRINT

Name: _____________________________________________

Credentials:_________________________________________

Address: ___________________________________________

___________________________________________________

Region:_____________________________________________

Telephone:__________________________________________

E-mail Address: _____________________________________

**Check if first timer _________

CHECK ONE:

_______ State Past President

_______ State Officer

_______ State Committee Chairman

_______ Regional Representative

_______ Member

_______ Student

_______ Guest

CHECK MEAL CHOICES:

Friday

______ Breakfast . . . . . . . . . . . . . . . . . . . . . . . . . . $12.00

______ Lunch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $26.00CA Deli Buffet

Saturday

______ Breakfast . . . . . . . . . . . . . . . . . . . . . . . . . . $12.00

______ Lunch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $26.00South of the Border

______ Dinner . . . . . . . . . . . . . . . . . . . . . . . . . . . . $41.00

(indicate choice of entree)

_____ Breast of Chicken

_____ Fillet of Salmon

_____ New York Strip Loin

_____ Vegetarian (chef’s choice)

Sunday

______ Breakfast . . . . . . . . . . . . . . . . . . . . . . . . . . $21.00All American Buffet

_______________________________MEETING REGISTRATION FEES:

______ Members & Students . . . . . . . . . . . . . . . . . $50.00

______ Non-member . . . . . . . . . . . . . . . . . . . . . . . . $75.00

______ Late fee (after 2/05/10) . . . . . . . . . . . . . . . $75.00

______ -$25.00 Discount taken for all members,students and non-members that are registeredfor all the above meal functions.

______ Single Day Registration . . . . . . . . . . . . . . . . . . . . $25.00This option is available for Members andStudents only able to attend for one day.**If single day registration is selected,please indicate which day you will be attendinghere:________________________________________

TOTAL AMOUNT ENCLOSED = $_________

REGISTRATION DEADLINE: 02/05/10

No refunds after February 12, 2010

Mail to: CMAA, Inc.PO BOX 11715SANTA ROSA, CA 95406

Please make checks payable to: CMAA

Additional inquiries or registration by credit card:Call Headquarters at 1-888-464-2622.

PLEASE PHOTOCOPY REGISTRATION FORMS – IMPORTANT INFORMATION ON REVERSE SIDE!

2010 ANNUAL MEETING

“Cruising to Success with CMAA!”OFFICIAL REGISTRATION FORM

Clarion Hotel Anaheim ResortFebruary 19-21, 2010

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4 CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010

Clarion Hotel Anaheim Resort HOTEL REGISTRATION FORMCALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC.

CMAA ANNUAL MEETING 2010**GROUP RESERVATION DEADLINE: FEBRUARY 5, 2010**

The discounted group rate after this date is not guaranteed and based on availability.

Reservation Option:• Mail or fax this completed form to (714) 750-2357

Clarion Hotel Anaheim Resort - Sales Department616 Convention Way, Anaheim, CA 92802

• Use group code California Medical Assistants Association• Call the hotel directly at (800) 231-6215 use group code above.

Accomodations Pricing:

$99.00 Single/Double Occupancy(plus room tax)

$109.00 Standard King or Suite

Last Name ________________________________________ First Name______________________________________

Address __________________________________________________________________________________________

City ______________________________________________ State ________________ Zip Code__________________

Telephone _________________________________________ E-mail _________________________________________

Arrival Date________________________________________ Departure Date __________________________________

Credit Card (check one): �� MasterCard �� Visa �� American Express

Card #____________________________________________ Exp. Date_______________________________________

Signature _________________________________________________________________________________________

Room Type (check one): �� Standard Double �� Standard King �� Suite Double Beds

Special Requests/ADA needs/smoking preference: ________________________________________________________

_________________________________________________________________________________________________

Credit card is for guarantee only and will be charged. Cancellations must be made prior to the 72 hours timearrival date or the first night will be charged to the credit card.

NOMINATIONS REPORTHere are the present nominations:

Randy Geddings - Secretary Treasurer

Megan Van Rees - Secretary Treasurer

Kimara Moore - Membership Chairman

Rebeca Gomez - Marketing

We still need President Elect, Vice President,Education Chairman, and NominationsChairman.

Qualifications for President Elect, andVice President:

1. Must have served at least one (1) full termas President or Regional Representative of a component Region.

2. Must have served as an officer of this corporation for at least one (1) full term of office or

3. Must have served as a member of the Executive Committee of this corporation for at least two (2) full terms.

Qualification for Secretary Treasurer:1. Must have served as an officer or committee

chairman of a component region.

Qualifications for Education Chairman:

1. Must have served as a Regional Education Chairman or

2. Be an educator or

3. Must have served on the CMAA Education Committee.

Qualifications for Nominations Chairman:

1. Know the eligibility requirements for nomination as an officer or chairman

2. Be familiar with the CMAA Bylaws and parliamentary procedure.

For information regarding the duties of these offices please contact:

Nominations ChairmanAlma Salas, CCMA-AC, CPT 1

965 Driftwood Circle, Banning, CA 92220(951) 922-8467 Home(951) 826-4269 Work(760) 774-0651 CellE-mail [email protected]

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CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010 5

NOMINATIONS REPORTCALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC.

NNOOMMIINNAATTIIOONNSS FFOORRMM

Date:_______________________________

Name:______________________________

Region:_____________________________

We hereby nominate our region member, ______________________, for the position of

_______________________ on the 2010 Slate of Officers and Chairmen to the California

Medical Assistants Association, Inc.

We certify that he/she is a member in good standing, whose dues were paid on

____________ and whose qualifications are:

Employment/Position: ____________________________________________________________________________________________

Component Region: ____________________________________________________________________________________________

CMAA Position: ____________________________________________________________________________________________

Signed: _________________________________________(Region Representative)

Signed: _________________________________________(Region Secretary or other Rep)

I hereby certify my willingness to accept the nomination for:

_________________________________________________________________________

Signed:_________________________________________________________ (Candidate)

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6 CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010

Wow, can you believe 2009 has whirled past? It seemslike so much has happened this last year. As I sit here, I can think of all the negative, stress filled and tragic things that occurred not only to me and my family but to my friends and their families.

I began to also realize and to reflect on what I am sothankful for.

I am thankful that I have a family that is healthy and thriving, (no matter how crazy they make me). I am especially grateful for my grandchildren; they make mesmile and chuckle all the time.

I am grateful my job that gives me an opportunity toexpress my love for medical assisting. As I look around, I realize that many people don’t have jobs and are losingeverything.

I am thankful for my CMAA family and all that they do.Members of CMAA give so much of their time, efforts and money. CMAA is strong only because so many giveso much of themselves.

President-Elect’s Message

Where has the year gone?I am thankful for Lisa Milosevich and the GREAT job shehas done as our Publication Editor. I have only heard greatcomments about our newsletter.

I am very thankful for my friends. Kate thanks for givingme swift kicks in the butt when I needed them most.

Most of all I am thankful for Vickey Martinez. She is myfoundation made of rock. No matter what circumstancesshe herself has faced, she still lendsan ear and can build me up.

Each one of us has so much to bethankful for. We are all blessed inour own ways. Take time to reflecton this past year and all good thathas come from it.

Theresa Henderson, CCMA-AC, CMA (AAMA), CPT 1President-Elect

California Medical Assistants Association, Inc.

Travel Town Museum just to name a few. In the distance, you can see the famous Hollywood Sign on Mount Lee. For more information on Griffith Park check out this website:www.laparks.org/dos/parks/griffithPK/attractions

While walking along the Hollywood Walk of Fame don’t forgetto check out the footprints at Grauman’s Chinese Theaterat 6925 Hollywood Boulevard. There are over 200 hand,

footprints, and autographsin cement in the theatersforecourt. If your feet aretired, stop in and take in amovie. For more info checkout www.manntheatres.com

This is just a few of themany things you can do inthe Los Angeles area.

We look forward to seeingyou in February. Don’t missout on the fun! �

Things to Do in Los Angeles – continued from page 1 Share Your E-mail Address with TriWestTriWest Healthcare Alliance is developing a more effective meansof communicating with providers by collecting provider e-mailaddresses. The goal is to obtain provider e-mail addresses thatwill allow TriWest to communicate the right information to theright person at the right time.

For example, it will allow TriWest to inform you about:

• TRICARE program changes • New TriWest processes, policies and/or resources to help

you care for TRICARE beneficiaries • Educational opportunities or events in your community

TriWest will not sell or distribute your e-mail address to othercompanies – with the exception of your local network represen-tative. TriWest will not send spam e-mails as all communicationswill be TRICARE/TriWest-related information only, and TriWestwill not overload your e-mail account.

You can share your e-mail address(es) with TriWest by registeringfor the TRICARE eNews on our Web site, by contacting yourlocal representative, or by calling TriWest at 1-888-TRIWEST(888-874-9378).

TriWest Healthcare Alliance provides access to quality health care for 2.7 million members ofAmerica’s military family in the 21-state TRICARE West Region.

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CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010 7

CONTINUING EDUCATIONAa Bb Cc2

24

CF is one of the most common geneticdisorders, second only to Sickle CellAnemia as an inherited disorder in theUnited States. Each year approximately1,000 new cases of CF are diagnosed.CF appears more often in people ofnorthern or central European descent.CF occurs in an equal number of maleand female patients.

The abnormally thick mucus secretionsproduced in the lungs of CF patientsresults in inflammation. Inflammationtraps bacteria causing infections such aspneumonia. Structural changes mayoccur in the lungs leading to shortness ofbreath, hemoptysis (coughing up blood)bronchiectasis (lung scaring), pulmonaryhypertension, hypoxia, and heart failure.Thick sticky mucus in the sinus passagescan also be a problem resulting in chronicsinusitis or nasal polyps.

The thick mucus secretions produced in the pancreas cause blockages thatprevent the excretion of the digestiveenzymes resulting in painful inflamma-tion (pancreatitis). Lack of digestiveenzymes causes malabsorption, leadingto difficulty in gaining and maintainingweight. Difficulty in absorbing the fat-soluble vitamins A, D, E, and K leads to osteoporosis, and arthritis. CysticFibrosis Related Diabetes (CFRD) isanother common complication of dam-age caused to the islets of Langerhanscontained in the pancreas.

continued on page 8

Cystic FibrosisCystic Fibrosis (CF) is an inheritedrecessive gene disorder of the secretoryglands resulting in thick sticky mucus.This genetic disorder prevents the nor-mal movement of sodium chloride (salt)and water in and out of cells that pro-duce mucus. These mucus-producingcells found throughout the body inmany different organs including thelungs and pancreas, the sweat glands,and the reproductive organs.

In 1938, Dorothy Hansine Andersenfirst recognized CF as a disorder. Shedescribed the characteristic cystic fibro-sis of the pancreas and was the first tocorrelate it with lung and intestinal dis-ease. In 1952, Paul di Sant’Agnese dis-covered abnormalities in sweat elec-trolytes, and a sweat test was devel-oped. In 1988, the first mutation onthe 7th chromosome was found byFrances Collins, Lap-Chee Tsui andJohn Riordan. In 1989 Lap-Chee Tsuiled a team of researchers at the Hospi-tal for Sick Children in Toronto wherethey discovered the gene responsiblefor CF. Cystic fibrosis represents thefirst genetic disorder elucidated strictlyby the process of reverse genetics.

CF occurs when an individual inheritsthe cystic fibrosis transmembrane generegulator (CFTR) from both parents. CFcan result from more than a thousanddifferent mutations of the (CFTR). If theindividual inherits the gene from onlyone parent, then he/she will not haveCF but will be a carrier. Estimation isthat 1 in 29 Caucasian Americans havethe CF gene. More than 10 millionAmericans are unknowing symptomlesscarriers of the defective CF gene. Eachtime two carriers conceive, there is a25 percent chance that their child willhave CF, and a 50 percent chance thatthe child will be a carrier, leaving a 25percent chance that the child will be anon-carrier.

Infertility caused by CF affects bothmen and women, 97 percent of themen are infertile but not sterile and canhave children with assisted reproductivetechniques. Women may have difficul-ties due to the thickened cervical mucusor malnutrition.

CF testing, during pregnancy can bedone via amniocentesis or chorionic villus sampling (CVS). These tests canhave risk to the fetus and are usuallyonly done if the parents have risk factors. A blood test is available,Immunoreactive trypsiongen (IRT).Some states routinely test for CF beforedischarging an infant from the hospitalhowever due to false positives thisscreening can be controversial, onlyabout 10 percent are diagnosed shortlyafter birth. Most children are diagnosedby age 2 however; symptoms vary frompatient to patient and may not alwaysbe obvious in childhood.

Signs and Symptoms may include:

• a blocked intestine at birth (meconium plug)

• very salty skin

• diarrhea

• failure to thrive

• frequent lung infections

Other symptoms that may occur as thepatient develops:

• clubbing (rounding and flattening of fingers)

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8 CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010

• rectal prolapsed

• polyps in nose or sinus

• infertility

Tests to diagnose CF may include

• genetic testing

• sweat chloride test

• stool analysis

• lung function test

At this time, there is no prevention forCF, yet with treatment; many seriousproblems may be avoidable. Treatmentfor each individual with CF must be per-sonalized for that patient’s symptoms.Treatment centers known as multidisci-plinary centers, (more than 100) arelocated across the United States. Tolocate a center near you contact the CFFoundation.

Cystic Fibrosis Foundation web site:www.cff.org

Phone 1-800-344-4823

CF treatment will be ongoing through-out a patient’s life.

Treatment usually involves a combinationof medications and home treatments.Medications to treat respiratory symp-toms may include:

• Bronchodilators, to make breathing easier

• DNase, to thin mucus in the lungs

CONTINUING EDUCATIONAa Bb Cc2

24

Cystic Fibrosis – continued from page 7

• Mucolytics, to thin mucus in the lungs and intestines (can irritate the lungs)

• hypertonic saline, inhaled saltwater solution to thin mucus

• antibiotics intravenous, inhaled and oral, to treat infections

• anti-inflammatory drugs to reduce inflammation

Home treatments can include:

• postural drainage and chest percussion where the patient lies, sits or stands in a position to help free mucus from the lungs while someone pounds or claps the back and chest.

• deep breathing exercises, to strengthen the lung muscles

• aerobic exercise, improve lung function

• mechanical equipment, (pep) mask, high-frequency chest compression vest or flutter valve.

Treatment for Digestive issues mayinclude:

• digestive enzymes replacement therapy

• nutritional therapy to replace lost nutrients

• stool softeners to avoid blockages

Serious complications occur when respi-ratory or digestive systems becomedamaged. For the lungs, this can causebronchiectasis, collapsed lungs requiringa chest tube, or eventually a lung trans-plant. Although single lung transplanta-tion is possible in other diseases,patients with CF must have both lungsreplaced, as the remaining lung wouldcontain bacteria that could infect thetransplanted lung. Damage to the diges-tive system may require surgery torepair an intestine that has collapsedinside itself, removal of a bowel obstruc-tion, or rectal prolapse. Liver and pan-creatic transplants are also possibilitiesto extend life expectancy.

The average life expectancy for patientswith CF is about 40 years. However,with improved nutrition, inhaled antibi-otic, oral anti-inflammatory treatments,drug trials, and gene therapy, furtherimprovements in the quality of life andextended life expectancy of CF patientswill continue to improve.___________________________________

References:

The Medical Assistant, 10 ed., pp 885. Kinn

The Language of Medicine, 8th ed., pp 452-453. Davi-Ellen Chabner

Sutter Healthwise, www.sutterhealth.org. Debby Golonka, MPH

Wikipedia, www.wikipedia.org/wiki/Cystic fibrosis

Google health, www.google.come/health/ref/Cystic+fubrisus

Cystic Fibrosis Foundation, www.cff.org/About CF/

Postural drainage is a technique for looseningmucus in the airway so that it may becoughed out.

A breathing treatment for cystic fibrosis,using a mask nebulizer and theThAIRapy Vest. Read the Continuing Medical Education

Article on pages 7 - 8

Cystic Fibrosis

then complete the Self-Assessment Test on page 10 for CME credit.

Tapping is performed in certain areas with thepatient in different positions.

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CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010 9

* RECERT BY EXAM ** ADDING 2ND SPECIALTY

C E R T I F Y I N G B O A R D U P D A T E

Congratulations to the newly California Certified Medical AssistantsCertification Codes: A = Administrative C = Clinical AC = Administrative and Clinical

NAME SPECIALTY HOMETOWN NAME SPECIALTY HOMETOWN

ABON, LUIS HUMBERTO C FONTANAALEJO-PACHUQUENO, OMAR C WATSONVILLEBALLENTINE, GYPSIE AC TALMAGEBAUER, SARA AC VENTURABERNARD, CHANTELL AC RICHMONDBERNARDI, GAIL AC PLEASANTONBLACKMORE, MANDY C MODESTOBOWNE, INEZ AC REDWOOD VALLEYBRAND, STACY AC ALISO VIEJOCARANTO, JOCELYN C STOCKTONCARRANCO, SAMANTHA C SCOTTS VALLEYCARTER, KIMBERLY A FREMONTCASTRO LOPEZ, VERONICA C WINDSORCERVANTEZ, AMANDA AC BAKERSFIELDCHAVEZ, RA AC SANTA ROSACORRELL, CARRIE AC QUARTZ HILLCORTES VARGAS, KARINA C FREMONTDANG, THIEN TRANG** AC OAKLANDDAY, MATTHEW AC VIRGINIADELGADO, DANICA AC SUISUN CITYDENT, JESSICA C PARADISEDO, THUY AC EL DORADO HILLSDREXLER, CHRISTA A LAGUNA NIGUELDURAN, VERONICA AC PETALUMAELDRIDGE, CARLEE AC SACRAMENTOELZIG, CHRISTINA C ACAMPOFINGERS, CLARISSA C FLORIDAFLIEGER, NAOMI AC SACRAMENTOFORNERIS, PAMELA AC UKIAHFOWLES, JANET AC LA CRESCENTAGALVEZ, ERIKA C OAKLANDGIACCONE, KATHRYN AC JAMESTOWNGOMEZ, GAIL C SANTA CRUZGUERRERO, KIMBERLY C CLOVISGUZMAN, DULCE A STOCKTONHARRISON, JENNIFER AC SAN JOSEHERNANDEZ, MARTHA E C MODESTOHERNANDEZ-LUNA, MARIBEL C SANTA CRUZHERRERA, MARIELA C FREEDOMHOBBS, PAMELA A SUTTER CREEKHUERTA, BLANCA C BANNINGINGALLA, JHOANA C SANTA CLARAJENKINS, ANNA AC EL CAJONJIMENEZ, ROSA C WINTONKELLER, KATELAND AC LIVE OAKKIEVLAN, JERI C BOULDER CREEKKNAUBER, RYAN C WEST SACRAMENTOKOTO-LEW, TRACY** AC UNION CITYKOZLOWSKI, JOY A VACAVILLELA, MARILYN, AC POWAYLACOMBE, RACHAEL C SANTA CRUZLARKIN, KILEY A BOULDER CREEKLE, HANH A POMONA

LIMON, JENNIFER AC SALIDALOPEZ, MONICA AC NICELUNA, MIRIAN C CERESLUZAME, MARY AC EUREKAMAJAN, AMY C WATSONVILLEMANDELLA, JOSHUA C PLACENTIAMARINO, PRISCILLA AC CAMARILLOMARTIN, LAURA AC BAKERSFIELDMARTINEZ, VERONICA C SAN JOSEMARTINEZ, ALEJANDRO C WINDSORMATT, IRENA C PALO ALTOMEDINA, SILVIA AC BALDWIN PARKMEININGER, MATTHEW C PETALUMAMENDOZA, BABETTE C MILPITASMILLER, TRAVIS C GRANTS PASSMONTEZ, SUZANNE AC PLACERVILLEMOORELAND, DEBORAH C UKIAHMOSBY, LAUREN C TEMECULANAZIR, GHAZALA C FRESNONGUYEN, THANH AC SAN JOSENGUYEN, BINH AC SAN JOSENOKES, LORI C YUBA CITYO’RYAN, MICHELLENE AC SANTA ROSAOROSZ, PATRICIA C ELK GROVEPATEL, PRITI C SUNNYVALEPEDERSEN, ELIZABETH* AC SALINASPERKINS, ROBERT AC MAGALIAPOTTS, DANYELLE AC CLOVISRAMIREZ, ESTELA C BAKERSFIELDRIVERA, YESENIA C RIVERBANKRODRIGUEZ, PAMELA C WATSONVILLERUAN, GABRIELA C PALMDALERUIZ, MARICELA C WATSONVILLERUNGA, KELLY AC BISHOPRUSSELL, DELPHINE AC PETALUMASAMS, TAMRA AC UKIAHSEDILLO, EVELYN C MORENO VALLEYSINEGAL, CHARLENE C SANTA CLARASNOW, JENNIFER AC LAKE FORESTSOLATRE, MARILOU AC SAN JOSESPERLICH, KESHA* C SANTA CRUZTAGUDIN, MADELYN C FAIRFIELDTAPIA, GABRIELA C FREEDOMTHAI, NGOC OANH C SAN JOSETHOMAS, KIMBERLY C LEMON GROVEVANG, BAO AC FRESNOVILLAFUERTE, GRACIELA C WATSONVILLEWEBER, DENNIS AC YUBA CITYWEBER, MARIA* C KENTUCKYWEIGEL, KARI C STOCKTONWOFFORD, DENISE C GARDENAZAMORA, YANETH C SAN LEANDRO

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10 CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010

CONTINUING EDUCATION

Cystic Fibrosis – Self-Assessment Test

SELF-ASSESSMENT TEST

AVAILABLE FOR DOWNLOAD

SEPARATELY.

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CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010 11

Aa Bb Cc2

24

CONTINUING EDUCATION

CONTINUING EDUCATION CREDIT ARTICLESPlease indicate the articles you wish to order. One credit articles are $5 each or five articles for $20. Three credit articles are $15 each.

�� B-01 Patient Confidentiality-Everybody’s Job�� B-02 Patient Rights-Keep them in Focus�� B-03 Conflict Resolution-A Win/Win Approach�� B-04 Tuberculosis Awareness�� B-05 Charting�� B-06 Americans with Disabilities Act/ADA�� B-07 Age-Specific Care�� B-08 Service Excellence-A Time to Care�� B-09 Customer Service-Difficult Customer Alert�� B-10 Customer Service-The Royal Treatment�� B-11 Hand Hygiene�� B-12 Healthcare Service Excellence Glaucoma�� B-13 Legal Peril-8 Management Pitfalls to Avoid�� B-14 Dealing with Stress �� B-15 Hepatitis C: Facts not Fear�� B-16 Domestic Abuse: Recognizing & Reporting�� B-17 Alzheimers Disease�� B-18 Asthma �� B-19 Cataracts: Recent Innovations�� B-20 Chickenpox & Shingles�� B-21 Constipation�� B-22 Depression�� B-23 Diabetes

Mail this order form to: California Certifying Board for Medical Assistants, P.O. Box 462, Placerville, CA 95667-0462

Name _________________________________________________________________________ Credential ___________________________________

Address_____________________________________________________________________________________________________________________City State Zip

Telephone ____________________________________________________ Number of Articles Requested ___________________________________

My check (payable to CCBMA) for $____________is attached. Visa and MasterCard are now accepted. Call (866) 622-2262 with credit card information.

BASIC CATEGORY

ADMINISTRATIVE CATEGORY

CLINICAL CATEGORY

�� B-24 Digestive Health-Inside Tract�� B-25 Elder Abuse�� B-26 Fibromyalgia-What is it?�� B-27 Fire Emergency�� B-28 Glaucoma – Early Detection�� B-29 Hepatitis A�� B-30 Lead Poisoning�� B-31 Lyme Disease�� B-32 Meningitis�� B-33 Menopause & Osteoporosis�� B-34 Middle Ear Infections�� B-35 Making A Difference for Our Patients�� B-36 Anatomy of a Migraine�� B-37 MRI – What’s New�� B-38 Chronic Pain Control�� B-39 Preventing Heart Disease�� B-40 Psoriasis�� B-41 Raynaud’s Phenomenon�� B-42 Risk Management for Medical Office Staff�� B-43 Sexually Transmitted Diseases�� B-44 Stress & Nutrition�� B-45 The Good Samaritan Law�� B-46 The Immune System

�� B-47 Good Communication�� B-48 The Respiratory System�� B-49 The Skeletal System�� B-50 Tuberculosis-Great White Plague�� B-51 The Urinary System�� B-52 Vision - A Special Sense�� B-53 AIDS - Why Mosquitos Cannot Transmit�� B-54 Winter Blues – Seasonal Affective Disorder�� B-55 The Endocrine System�� B-56 Managing Healthcare Stress�� B-57 Sexual Harassment: New Perspectives�� B-58 Ending Sexual Harassment�� B-59 Recognizing Harassment�� B-60 Mold Awareness�� B-61 Biological Threats-Identify & Respond�� B-62 Diversity - Food for Thought�� B-63 Drug Free Workplace�� B-64 Emergency Action Plan�� B-65 Fire Extinguishers�� B-66 Protecting Your Back�� B-67 Obstetrics�� B-68 SARS

�� A-01 Office Ergonomics-It’s Your Move�� A-02 Diagnosis Coding (3 credits) $15�� A-03 Patient Confidentiality/Privacy High Tech�� A-04 Telephone Courtesy/Royal Connection�� A-05 Medigap Insurance

�� A-06 Check Your Knowledge of Checking�� A-07 Correct Spelling�� A-08 Diagnosis Coding #2 (3 credits) $15�� A-09 Medical Records-Legal Documents�� A-10 Patient Access to Medical Records

�� C-01 Bloodborne Pathogens�� C-02 Drug Resistant Organisms�� C-03 Latex Allergy: Stop the Reaction�� C-04 Handwashing-It’s in Your Hands �� C-05 Infection Control- Chain Reaction �� C-06 Infection Control-Orientation�� C-07 PPE-For Your Protection

�� C-08 Needlestick Prevention �� C-09 Clinical Pharmacology�� C-10 Cardiac Arrhythmia�� C-11 Drug Administration: Factors�� C-12 Drug Classifications (3 credits) $15�� C-13 Evoked Potential Testing�� C-14 First Aid

�� C-15 Flawless Phlebotomy�� C-16 Fecal Occult Blood Testing�� C-17 Universal Precautions�� C-18 Understanding Urinalysis�� C-19 Material Safety Data Sheets/MSDS�� C-20 HIV/AIDS

�� A-11 Medical Office Management-Personnel Policies�� A-12 Legal & Effective Interviewing�� A-13 Legal & Effective Performance Appraisals�� A-14 Writing Business Letters

The Following may be used in either Administrative or Basic Categories:

�� AB-01 HIPAA-Privacy Compliance �� AB-02 HIPAA-Security Compliance �� AB-03 HIPAA-Compliance Scenarios

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AUTOMATIC ELECTRONIC PAYMENTS

HappyNewYear!

16 CALIFORNIA MEDICAL ASSISTANT — JANUARY/FEBRUARY 2010

California Medical Assistants Association, Inc.P.O. BOX 11715 • SANTA ROSA, CA 95406

PRSRT STDU.S. POSTAGE

PAIDPermit # 1264

Sacramento, CA

� DATED MATERIALS

HappyNewYear!

20102010

AUTOMATIC ELECTRONIC PAYMENTSMany people are automatically paying their bills electronically throughtheir bank checking accounts. Automatic electronic payments havemany benefits. It can save time and money, have less impact on theenvironment and you don’t have to depend on the mail to get your payment on time to your creditors.

Ask your bank how long it takes to make a transfer to your creditorswith auto payment. Most banks accomplish this overnight, but checkto make sure.

Find out how many business days your creditor requires to resolve acharge dispute and potentially block payments. This can range any-where from one to five business days.

Learn when a creditor mails a statement to you and the amount of business days you have to pay. If possible have your statements e-mailed to you for faster results.

Go back to your bank and set up payment dates that factor in howlong it takes the bank to transfer your payments, making the transferdate as close to the deadline as possible. �