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In this issue<br />

SDMS News Wave December 2008 1<br />

SDMS News Wave is published to inform<br />

SDMS members <strong>of</strong> meetings, events <strong>and</strong><br />

policies as well as trends <strong>and</strong> issues in<br />

the sonography pr<strong>of</strong>ession. Comments,<br />

questions or concerns about the articles<br />

appearing in SDMS News Wave, should be<br />

directed to newswave@sdms.org.<br />

Sonography’s <strong>Future</strong> <strong>and</strong> <strong>Past</strong><br />

Don Baker sees new applications for sonography while Joan Baker looks back .<br />

By Beth W. Orenstein<br />

In the television series Star Trek, Mr. Spock<br />

used a h<strong>and</strong>held device called a tricorder to<br />

scan people <strong>and</strong> assess what was amiss with<br />

them. Don Baker sees the day when the Star<br />

Trek invention is reality <strong>and</strong> that reality involves<br />

sonography.<br />

“Eventually, doctors will have h<strong>and</strong>held devices<br />

that they will put near their patients <strong>and</strong> be able<br />

to say, ‘Here’s what’s wrong,’” said Don Baker,<br />

an electrical engineer whose discoveries in 1967,<br />

while working at the University <strong>of</strong> Washington<br />

in Seattle, helped lead to the creation <strong>of</strong> today’s<br />

diagnostic ultrasound equipment. “It may seem<br />

like science fiction, like Mr. Spock’s tricorder to<br />

those who are familiar with Star Trek, but that’s<br />

where sonography is headed,” he said in an<br />

interview about the future <strong>of</strong> sonography at the<br />

SDMS annual conference in Foxwoods Resort<br />

<strong>and</strong> Casino in Connecticut in October.<br />

It may take another 20 to 30 years for ultrasound<br />

equipment to be that small <strong>and</strong> that quick with<br />

definitive results, Don said. But some companies<br />

already have manufactured equipment that is not<br />

much bigger than the palm <strong>of</strong> the sonographer’s<br />

h<strong>and</strong> – Sonosite Corp. <strong>of</strong> Bothell, Washington, is<br />

but one example. Don Baker expects many more<br />

will follow suit as will the increased capabilities <strong>of</strong><br />

the miniaturized sonographic equipment. “That’s<br />

really where the future <strong>of</strong> this field is headed,” he<br />

said.<br />

Don Baker spoke about the future <strong>of</strong> sonography<br />

after his British born <strong>and</strong> educated wife, Joan<br />

Baker, MSR, RDMS, RDCS, FSDMS, delivered<br />

cover story: Sonography’s <strong>Future</strong> <strong>and</strong> <strong>Past</strong> • 4 Tips for Going Green <strong>and</strong> Living a Healthier Life • 5 <strong>Medical</strong><br />

Ultrasound Bids Farewell To One Of Its Pioneers • SDMS Educational Foundation News • 6 Upcoming SDMS<br />

Webinars • 7 SDMS Fellow Spotlight • 8 SDMS Answers Your Calls • 9 Coming Soon - 2009 Coding Tools • 10<br />

SDMS Election 2009 - Call for Nominations • Make Your Way to Music City! • 11 SDMS Welcomes New Members<br />

<strong>Society</strong> <strong>of</strong> <strong>Diagnostic</strong> <strong>Medical</strong> Sonography www.sdms.org


Don Baker at the 2008<br />

SDMS Annual Conference<br />

<strong>and</strong> treatment begun, saving lives.<br />

the Stephen McLaughlin<br />

Memorial Lecture on<br />

sonography’s past.<br />

The advantage to having<br />

h<strong>and</strong>held devices is<br />

that the clinician can<br />

then take the ultrasound<br />

equipment directly to the<br />

patient wherever he or<br />

she is – whether that’s<br />

on the battlefield, in<br />

outer space, the scene<br />

<strong>of</strong> the accident or in the<br />

emergency room, Don<br />

Baker said. A diagnosis<br />

can be made immediately<br />

Those advantages are what will encourage engineers<br />

<strong>and</strong> other researchers to continue to pursue the<br />

development <strong>of</strong> smaller ultrasound devices with greater<br />

capabilities, Don said. “You’re already seeing more <strong>and</strong><br />

more h<strong>and</strong>held, small devices. That’s a process that is<br />

going on continually <strong>and</strong> it’s dependent on the evolution<br />

<strong>of</strong> large scale integrated electronic circuits.”<br />

The central question, he said, will be rather “how much<br />

function can you put into a small piece <strong>of</strong> silicon?” The<br />

answer may be unimaginable today, but not for long, he<br />

said.<br />

“They are putting more <strong>and</strong> more transistors into a<br />

smaller <strong>and</strong> smaller volume,” Don said. “But there still<br />

is future growth there <strong>and</strong> I believe you’re going to see<br />

smaller <strong>and</strong> more powerful ultrasound instruments. The<br />

big ultrasound machines weighing 300 to 400 pounds<br />

that need to be wheeled on carts into the exam room will<br />

disappear. Those days will be over.”<br />

Don Baker also can foresee the development <strong>of</strong><br />

ultrasound equipment that is used to deliver therapeutic<br />

drugs directly into the body where they may be needed.<br />

“This would be selective introduction <strong>of</strong> localized drugs,<br />

where they are activated by sound,” he said. Don said he<br />

is aware <strong>of</strong> at least one project in the Seattle area, where<br />

researchers are attempting to use sound waves to send<br />

drugs directly to the disease tissue <strong>and</strong> then activate<br />

them to fight it <strong>of</strong>f.<br />

This specialty physics field, sonoluminescence or light<br />

from sound, dates to the 1930s, but researchers are just<br />

now discovering how drugs can be activated by this light.<br />

Delivering personalized drugs with ultrasound still may<br />

be 10 years away, “but it is coming. I have no doubt,”<br />

Don said.<br />

“Albert Einstein said good science is indistinguishable<br />

from magic,” Don said. “Sonoluminescence is one <strong>of</strong><br />

those effects that appear like magic, but has a real<br />

physical basis.”<br />

SDMS News Wave December 2008 2<br />

Don Baker also sees the day when sonography alone<br />

may be used to differentiate between benign <strong>and</strong><br />

malignant tumors. “At the moment, we can look at a<br />

sonogram <strong>and</strong> say, ‘Here’s an area where there’s a<br />

mass.’ We can see the outline <strong>of</strong> it, <strong>and</strong> we might get<br />

some growth information from what we see or to get<br />

impressions from its perimeter <strong>and</strong> shape <strong>and</strong> location.<br />

What we’re looking at today is size, shape <strong>and</strong> location<br />

<strong>of</strong> the mass, but we’re not at the point <strong>of</strong> saying whether<br />

it is benign or malignant from the imaging alone. That<br />

cannot be determined at this point. At the moment, we<br />

have to resort to another diagnostic method, most <strong>of</strong>ten<br />

biopsy <strong>of</strong> the tissue, so that it can be examined under<br />

a microscope by a pathologist in the laboratory. Biopsy<br />

is the method that most people would use today to<br />

differentiate normal from abnormal.”<br />

However, Don said, the day is not too far <strong>of</strong>f where<br />

physicians working with sonographers will be able to<br />

“Albert Einstein said good<br />

science is indistinguishable<br />

from magic. Sonoluminescence<br />

is one <strong>of</strong> those effects that<br />

appear like magic, but has a<br />

real physical basis.”<br />

look at the screen <strong>and</strong> determine from the way the<br />

tissue scatters sound whether it is malignant or not.<br />

“If you have a layered structure versus a very diffused<br />

structure, you really get into the underlying physics <strong>of</strong><br />

the way sound interacts with the tissue <strong>and</strong> analyzing<br />

the signals that would come back from that would be<br />

very revealing,” he said. Some research <strong>of</strong> this type is<br />

under way at academic medical centers, Don said. “It’s<br />

not in clinical medicine yet, but once it is understood <strong>and</strong><br />

it’s reproducible, then it will gradually find its way into<br />

potential clinical applications <strong>and</strong> find its way into the<br />

display capabilities <strong>of</strong> the ultrasound instruments. That’s<br />

another area for future growth.”<br />

Still another idea that Don Baker sees coming to fruition<br />

in the near future is ultrasound equipment that can<br />

provide the physician with a third opinion. The ultrasound<br />

equipment <strong>of</strong> the future, he believes, will be capable <strong>of</strong><br />

analyzing such disease features as flow patterns <strong>and</strong><br />

structural patterns <strong>of</strong> tissue <strong>and</strong> from that data make a<br />

diagnosis. It is similar to computer aided detection (CAD)<br />

used in MRI or X-ray, Don said. “In my view, medical<br />

diagnosis is a process <strong>of</strong> differential pattern recognition,<br />

what the instrument is capable <strong>of</strong> doing is comparing<br />

the pattern <strong>of</strong> a normal person to the disease process<br />

that can be detected from that individual. Our <strong>and</strong> the


instrument’s ability to diagnose is dependent on our<br />

ability to differentiate between so-called normal <strong>and</strong> the<br />

detected pattern that is the disease process.”<br />

Don Baker <strong>and</strong> his colleagues at the University <strong>of</strong><br />

Washington did research in this area when they<br />

were developing Doppler. “We studied carotid artery<br />

stenosis <strong>and</strong> vascular disease by evaluating the blood<br />

flow patterns in the carotid arteries in the neck. Our<br />

diagnosis was made by listening to the signal rather<br />

than looking at the image. The mind is a great analyzer<br />

<strong>of</strong> detecting between normal <strong>and</strong> abnormal sounds.<br />

We never really pursued this avenue a lot because<br />

medicine is preoccupied with imaging. All instruments<br />

end up displaying something on a screen. But what I’m<br />

saying is that within the ultrasonic data from the subject<br />

there are a lot <strong>of</strong> other things that contain diagnostic<br />

information that may not be shown as a 2D or 3D image.<br />

That’s undeveloped. I’m expecting that the sonographic<br />

equipment will be developed so that sonographers<br />

will be able to use a transducer <strong>and</strong> tell you what’s<br />

happening without looking at a picture on a screen or<br />

even seeing the patient.”<br />

Which <strong>of</strong> these areas are developed further <strong>and</strong> which<br />

come to fruition first will depend largely on financing,<br />

Don said. From the st<strong>and</strong>point <strong>of</strong> medical technology<br />

<strong>and</strong> engineering, “we are capable <strong>of</strong> many things,” he<br />

said. “On the other h<strong>and</strong>, a lot <strong>of</strong> times, what gets done<br />

is due to not just medical need but also as the result <strong>of</strong><br />

social <strong>and</strong> economic considerations.” As an engineer,<br />

Don said, people would <strong>of</strong>ten tell him “I’d like to do this.”<br />

And, his reply would be: “How badly do you want to do<br />

it? How much are you willing to pay? How long are you<br />

willing to wait until it gets done? It’s the old story <strong>of</strong>, if<br />

you can conceive <strong>of</strong> it, you very likely can do it, but what<br />

gets done <strong>and</strong> at what pace depends on economics.”<br />

Joan Baker, MSR, RDMS,<br />

RDCS, FSDMS<br />

Joan Baker:<br />

Sonography has roots<br />

in ancient Greece <strong>and</strong><br />

need for looking inside<br />

His wife, Joan Baker’s,<br />

McLaughlin Memorial<br />

Lecture was titled,<br />

“Getting Back to Our<br />

Historical Roots:<br />

Evolution <strong>of</strong> the<br />

Sonography Pr<strong>of</strong>ession.”<br />

The lecture, the third<br />

annual, honored Stephen<br />

McLaughlin, BS, RT,<br />

RDMS, who served as<br />

president <strong>of</strong> SDMS from<br />

2000-2002 <strong>and</strong> who died in January 2005 after a 19month<br />

battle with brain cancer.<br />

In her 60-minute lecture, Joan Baker took ultrasound<br />

from its roots in ancient times to its current applications<br />

SDMS News Wave December 2008 3<br />

as a diagnostic <strong>and</strong> therapeutic tool. One <strong>of</strong> the<br />

very first instruments using sound was invented by<br />

Pythagoras, the Greek mathematician who is probably<br />

more famous for his theorem about right-angled<br />

triangles, she said. Pythagoras invented the Sonometer<br />

to study musical sounds.<br />

However, she said, it was French physicist Pierre Curie’s<br />

discovery <strong>of</strong> piezoelectricity in 1877 that is considered<br />

to be beginning <strong>of</strong> ultrasound. Curie’s discovery was<br />

followed 35 years later by French pr<strong>of</strong>essor <strong>and</strong> physicist<br />

Paul Langevin who developed sonographic imaging,<br />

Joan Baker said. Langevin was one <strong>of</strong> Curie’s first<br />

students.<br />

X-rays were discovered by William Conrad Roentgen in<br />

1895. The discovery was one <strong>of</strong> many in the 19th <strong>and</strong><br />

20th centuries as scientists were looking to develop<br />

probes <strong>and</strong> scopes that would allow them to look inside<br />

the human body, Joan said.<br />

But it was an historic event – the sinking <strong>of</strong> the Titanic on<br />

its maiden voyage in 1912 – that led to the development<br />

<strong>of</strong> ultrasound. The sinking <strong>of</strong> the Titanic made people<br />

want to know how to detect submerged objects, she<br />

said.<br />

“Constantin Chilowsky came up with the idea for an<br />

ultrasonic detection system that he brought to the<br />

attention <strong>of</strong> the French government. The French<br />

government turned this over to Paul Langevin,” she<br />

said. “The French government called upon Langevin<br />

to develop a device capable <strong>of</strong> detecting submerged<br />

enemy submarines. The device he developed used the<br />

piezoelectric effect that he had learned as a student <strong>of</strong><br />

the Curies.”<br />

While the device that Langevin developed in 1917 was<br />

not ready in time to help in the war effort, it formed<br />

the basis <strong>of</strong> sonar (SOund NAvigation And Ranging)<br />

detection, which was developed during World War II,<br />

Joan Baker said.<br />

Sonography as a medical diagnostic modality is<br />

relatively new <strong>and</strong> its first medical applications were<br />

therapeutic, she said.<br />

In the 1920s <strong>and</strong> ’30s, ultrasound was used for physical<br />

therapy, primarily for members <strong>of</strong> soccer teams in<br />

Europe. In the 1940s, Baker said, ultrasound was seen<br />

as a “cure-all” remedy. It was used for everything from<br />

arthritic pains to gastric ulcers to eczema.<br />

The first physician to use sonography in medical<br />

diagnosis is believed to be Karl Dussik, a neurologist/<br />

psychiatrist at the University <strong>of</strong> Vienna, Joan said. In<br />

the 1940s, Dussik <strong>and</strong> his physicist brother, Freiderich,<br />

tried to locate brain tumors <strong>and</strong> cerebral ventricles<br />

by measuring the transmission <strong>of</strong> the ultrasound<br />

beam through the skull. They called their procedure<br />

hyperphonography, Joan said.


In the late 1940s, ultrasound also was used to detect<br />

gall stones. In the 1950s, ultrasound was used on<br />

the heart in Sweden. Inge Edler, a cardiologist, <strong>and</strong><br />

Hellmuth Hertz, a physicist, are considered the “fathers”<br />

<strong>of</strong> echocardiography, Joan Baker said. They met over<br />

lunch in 1953 <strong>and</strong> began a collaboration from which<br />

millions have benefited, she said.<br />

In 1956, in the United States, Robert Rushmer,<br />

a pediatrician turned cardiovascular physiologist/<br />

bioengineer, brought two young engineers, Dean<br />

Franklin <strong>and</strong> Joan’s husb<strong>and</strong>, Don, together to design<br />

instruments that could be used to characterize the<br />

cardiovascular system in un-anesthetized dogs. “This<br />

led to the development <strong>of</strong> continuous wave Doppler as a<br />

h<strong>and</strong>held device,” Joan said.<br />

The late ’60s <strong>and</strong> early ’70s are <strong>of</strong>ten referred to as the<br />

“sonic boom,” as 2D echo was introduced by Klaus Bom<br />

<strong>and</strong> Don Baker <strong>and</strong> Dennis Watkins developed pulsed<br />

Doppler, Joan said. Don was head <strong>of</strong> the engineering<br />

team that later developed color Doppler <strong>and</strong> duplex<br />

scanning, she noted.<br />

The early 1980s saw the development <strong>of</strong> real time<br />

ultrasound. With this development, “ultrasound became<br />

more believable because those not used to using it<br />

could recognize what they were looking at,” she said.<br />

Joan <strong>and</strong> others formed the American <strong>Society</strong> <strong>of</strong><br />

Ultrasound Technical Specialists (ASUTS) in 1970.<br />

The New Year is here <strong>and</strong> we know what everyone<br />

is thinking.<br />

What will this year’s New Year resolution be? How<br />

can I live a healthier life? What can I do better this<br />

year?<br />

Here are ten tips to help get you started. For more<br />

information about the Go Green tips below, visit<br />

http://www.ewg.org/solutions.<br />

1. Use cast iron pans instead <strong>of</strong> nonstick.<br />

2. To avoid chemicals leaching into food, go easy<br />

on processed, canned or fast foods <strong>and</strong> never<br />

microwave plastic.<br />

3. Buy organic, or eat vegetables <strong>and</strong> fruit from<br />

the “Cleanest 12” list.<br />

4. Pregnant women should use iodized salt to<br />

combat chemical interference from the thyroid.<br />

SDMS News Wave December 2008 4<br />

The ASUTS was the forerunner <strong>of</strong> the SDMS, originally<br />

the <strong>Society</strong> <strong>of</strong> <strong>Diagnostic</strong> <strong>Medical</strong> Sonographers.<br />

It eventually became the <strong>Society</strong> <strong>of</strong> <strong>Diagnostic</strong><br />

<strong>Medical</strong> Sonography to incorporate all involved in the<br />

organization, Joan said.<br />

Another key moment in the history <strong>of</strong> sonography was in<br />

1973 when the United States Office <strong>of</strong> Education created<br />

the occupation <strong>of</strong> sonographer. Joan, representing the<br />

ASUTS, was among those leaders <strong>of</strong> the pr<strong>of</strong>ession<br />

fighting hard for the recognition <strong>of</strong> the occupation. “This<br />

was a high stress experience <strong>and</strong> I always say it put 10<br />

years on my life,” she said.<br />

The next battle was to define the educational<br />

requirements for a sonographer, Joan said. “In 1974,<br />

a committee was formed to write the Document <strong>of</strong><br />

Essentials,” Baker said. “It took five years to get an<br />

agreement.” The Joint Review Commission on Education<br />

in <strong>Diagnostic</strong> <strong>Medical</strong> Sonography (JRCDMS) was<br />

founded in 1979.<br />

Joan is currently a partner in Sound Ergonomics in<br />

Kenmore, Washington, where she continues to work<br />

toward reducing worked-related musculoskeletal injuries.<br />

Sonographers are prone to work related musculoskeletal<br />

injuries, <strong>and</strong> it has been an area <strong>of</strong> great interest to Joan<br />

since the mid-’90s. Don Baker is retired.<br />

Beth W. Orenstein is a writer for SDMS.<br />

Tips for Going Green <strong>and</strong><br />

Living a Healthier Life<br />

5. Seal outdoor<br />

wooden structures.<br />

6. Leave your shoes<br />

at the door.<br />

7. Avoid perfume,<br />

cologne <strong>and</strong><br />

products with<br />

added fragrance.<br />

8. Buy products with<br />

natural fibers, like<br />

cotton <strong>and</strong> wool<br />

that are naturally fire resistant.<br />

9. Eat low-mercury fish like tilapia & pollock,<br />

rather than high-mercury choices like tuna &<br />

swordfish.<br />

10. Filter your water for drinking <strong>and</strong> cooking.


SDMS News Wave December 2008 5<br />

<strong>Medical</strong> Ultrasound Bids<br />

Farewell To One Of Its Pioneers<br />

The SDMS Educational Foundation would like to<br />

thank you for your generous support in 2008. Your<br />

donations through membership renewal, the Silent<br />

Auction, <strong>and</strong> the Foundation 50/50 totaled over<br />

$20,000! One <strong>of</strong> the programs funded by your<br />

donations is the Registry Grant Program, in which<br />

students may receive a grant as a reward for receiving<br />

their certification from the ARDMS or CCI.<br />

In 2008, the inaugural year for this grant program,<br />

$16,000 was distributed through this program!<br />

Your donations to the Foundation help the<br />

sonography community by providing educational<br />

opportunities to sonographers <strong>and</strong> students. When<br />

you make a donation, you help sonographers<br />

become better health care pr<strong>of</strong>essionals. Each<br />

year the Foundation receives many applications<br />

from sonographers <strong>and</strong> students, but unfortunately<br />

Martin Buchalter, 76, a pioneer in the field <strong>of</strong> <strong>Medical</strong><br />

Ultrasound, died Monday, November 17th at his home in<br />

New York City. Mr. Buchalter was the President <strong>and</strong> CEO<br />

<strong>of</strong> Parker Laboratories, Inc., a leading manufacturer <strong>of</strong><br />

ultrasound <strong>and</strong> electromedical contact media. He guided<br />

Parker to international prominence through a career<br />

dedicated to inventiveness <strong>and</strong> marketing savvy. Through<br />

his foresight, Aquasonic ® 100 Ultrasound Transmission Gel<br />

was developed <strong>and</strong> helped shape the medical ultrasound<br />

industry. A proud graduate <strong>of</strong> the University <strong>of</strong> Sciences in<br />

Philadelphia, PA, he also held an MSc from Long Isl<strong>and</strong><br />

University. He is survived by his wife <strong>of</strong> 45 years, Carol;<br />

three children; <strong>and</strong> six gr<strong>and</strong>children. Memorial donations<br />

to the Martin Buchalter Scholarship fund at University<br />

<strong>of</strong> Sciences, Philadelphia, PA 19104, or to Alzheimer’s<br />

research are welcomed.<br />

SDMS Educational<br />

Foundation News<br />

some <strong>of</strong> those applicants cannot be given the help<br />

they need. An increasing number <strong>of</strong> employers<br />

have cut continuing education assistance from their<br />

budgets <strong>and</strong> sonographers must come up with the<br />

means to attend seminars <strong>and</strong> other meetings for<br />

continuing education. Students are faced with the<br />

challenge <strong>of</strong> acquiring the knowledge necessary<br />

to become diagnostic medical sonographers, while<br />

worrying where they can get financial aid.<br />

The SDMS Educational Foundation would like<br />

to encourage you to support the community by<br />

donating generously. The Foundation is a public<br />

charity <strong>and</strong> your donations are tax deductible.<br />

For more information about the Foundation<br />

<strong>and</strong> its programs supporting sonographers <strong>and</strong><br />

sonography students, please visit:<br />

http://www.sdms.org/foundation/


The SDMS Webinar Series is a series <strong>of</strong> live or<br />

recorded CME presentations delivered via the Internet<br />

to SDMS members conveniently to their home or<br />

work computer. Using your computer <strong>and</strong> a phone,<br />

you have access to exciting information presented by<br />

world-class sonographers.<br />

The SDMS Webinar Series is available<br />

FREE to current SDMS members.<br />

If you are unable to participate in these live webinars,<br />

visit http://www.sdms.org/members/webinars.asp<br />

for information on viewing a recording <strong>of</strong> the webinar.<br />

Registration: The SDMS Webinar Series is FREE to<br />

current SDMS members <strong>and</strong> is not available to nonmembers<br />

(For information on joining SDMS, visit<br />

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All SDMS Webinars are tracked<br />

by SDMS CME Tracker.<br />

“ The event was just the right content <strong>and</strong> length<br />

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As soon as the event ended, I went to the CME<br />

test <strong>and</strong> received my certificate. I was extremely<br />

happy to see the test was available immediately<br />

while content was fresh in my mind.<br />

Easy way to obtain CME’s”<br />

– Cindy Herbert, SDMS Member<br />

SDMS News Wave December 2008 6<br />

Upcoming<br />

SDMS Webinars<br />

Participate in live presentations or watch the recordings<br />

at your convenience. Then take the test for instant CME<br />

credit, absolutely free for SDMS members.<br />

Cardiac Hemodynamics <strong>and</strong> Doppler Principles<br />

Date: Thursday, January 15, 2009<br />

Time: 8:00 pm (Eastern); 7:00 pm (Central);<br />

6:00 pm (Mountain); 5:00 pm (Pacific)<br />

CME Credits: 1.0 SDMS CME Credit (AE)<br />

FEATURED SPEAKER:<br />

Joy Guthrie, DHSc, RDMS, RDCS, RVT, ROUB<br />

Image Optimization in Vascular Ultrasound<br />

Date: Thursday, February 5, 2009<br />

Time: 8:00 pm (Eastern); 7:00 pm (Central);<br />

6:00 pm (Mountain); 5:00 pm (Pacific)<br />

CME Credits: 1.0 SDMS CME Credit (VT)<br />

FEATURED SPEAKER:<br />

Cindy Owen RT, RDMS, RVT, FSDMS<br />

The Role <strong>of</strong> the JRC-DMS in the Process <strong>of</strong><br />

Programmatic Accreditation<br />

Date: Thursday, March 19, 2009<br />

Time: 8:00 pm (Eastern); 7:00 pm (Central);<br />

6:00 pm (Mountain); 5:00 pm (Pacific)<br />

CME Credits: 1.0 SDMS CME Credit (OT)<br />

FEATURED SPEAKER:<br />

Kathryn (Katie) Kuntz, MEd, RT(R), RDMS, RVT, FSDMS<br />

Renal Transplant<br />

Date: Thursday, March 26, 2009<br />

Time: 8:00 pm (Eastern); 7:00 pm (Central);<br />

6:00 pm (Mountain); 5:00 pm (Pacific)<br />

CME Credits: 1.0 SDMS CME Credit (AB)<br />

FEATURED SPEAKER:<br />

Salvatore LaRusso MEd, RDMS, RT(R)<br />

http://www.sdms.org/members/webinars.asp


SDMS Fellow<br />

Spotlight<br />

Andrea C. Skelly, PhD,<br />

MPH, FAIUM, FSDMS<br />

Year awarded fellow<br />

status: 1993<br />

Current position:<br />

Director, Evidence-<br />

Based Practice Division<br />

at Spectrum Research,<br />

Tacoma, Washington<br />

What inspired you to start your career in<br />

sonography?<br />

I was a student at Colorado State University in<br />

1978. One <strong>of</strong> my pr<strong>of</strong>essors, Chuck Miller, <strong>of</strong>fered<br />

a course to veterinary students <strong>and</strong> engineers<br />

on various aspects <strong>of</strong> ultrasound. I was the only<br />

undergraduate to sign up for it <strong>and</strong> he let me in.<br />

That stimulated my interest in ultrasound. There<br />

were only four baccalaureate-level programs in<br />

sonography <strong>and</strong> Seattle University was one <strong>of</strong><br />

them. I told my folks I was moving to Seattle <strong>and</strong><br />

started in the winter <strong>of</strong> 1979. I did my clinical<br />

internship at the University <strong>of</strong> Colorado Health<br />

Sciences in Denver returning to teach at Seattle<br />

U from 1981 to 2002. While teaching, I was asked<br />

by my dean to get an advanced degree. There<br />

was nothing relevant to ultrasound in terms <strong>of</strong><br />

advanced degrees so I earned a master’s in public<br />

health (epidemiology major) in 1996. Then my<br />

dean required me to earn a PhD, which I did - in<br />

epidemiology in 2006. I have been in my current<br />

position at Spectrum Research for 3½ years.<br />

SDMS News Wave December 2008 7<br />

This is a continuing series <strong>of</strong> interviews <strong>of</strong><br />

our distinguished SDMS Fellow members.<br />

How has your education/experience in<br />

sonography helped you in your current<br />

position?<br />

I have been able to use my science <strong>and</strong> clinical<br />

backgrounds <strong>and</strong> knowledge <strong>of</strong> pathophysiology<br />

in my research. Also, I am a former chair <strong>of</strong> the<br />

ARDMS <strong>and</strong> was on the boards <strong>of</strong> the AIUM, ASE<br />

<strong>and</strong> ICAEL during which time I was very active in<br />

promoting st<strong>and</strong>ards in the field <strong>of</strong> sonography.<br />

Those experiences provided me with tools to create<br />

credentialing criteria for other pr<strong>of</strong>essions for the<br />

state <strong>of</strong> Washington. They helped me know what<br />

types <strong>of</strong> information were needed <strong>and</strong> whom to<br />

talk to to get it. I’ve been able to use my science,<br />

ultrasound <strong>and</strong> clinical backgrounds in my current<br />

position, which is focused on evidence-based<br />

medicine <strong>and</strong> technology assessment.<br />

What advice would you give to students/future<br />

sonographers?<br />

Seek a science-based sonography degree. It<br />

gives you additional problem-solving skills <strong>and</strong><br />

abilities <strong>and</strong> additional routes for furthering your<br />

education <strong>and</strong> applying your knowledge within<br />

sonography as well as outside <strong>of</strong> it. Also, be active<br />

in your pr<strong>of</strong>ession <strong>and</strong> look for commonality across<br />

specialties. Many <strong>of</strong> my former students (Laurinda<br />

Andrist, Shannon Boswell, Terry Tye <strong>and</strong> others)<br />

are active in the pr<strong>of</strong>ession. I think that I can be<br />

proud that I contributed to the education <strong>of</strong> people<br />

like them (~400 students!) <strong>and</strong> hopefully to their<br />

interest in becoming active in their pr<strong>of</strong>ession to<br />

some degree.<br />

SDMS News Wave is archived online at:<br />

http://www.sdms.org/members/NewsWave.asp


SDMS News Wave December 2008 8<br />

SDMS Answers Your Calls<br />

SDMS shares its answers to our members’ most frequently asked questions!<br />

“What is the easiest way to update my<br />

personal information with SDMS?”<br />

It is important that your personal information is accurate<br />

in the SDMS database. For example, SDMS uses your<br />

information to transmit your SDMS CME credits to the<br />

American Registry for <strong>Diagnostic</strong> <strong>Medical</strong> Sonography<br />

(ARDMS) through the SDMS CME Tracker. If the data<br />

does not match the ARDMS database then the SDMS CME<br />

credits will not be transferred.<br />

The easiest <strong>and</strong> most efficient way to update your personal information with SDMS is through the<br />

SDMS website. You can update your address, phone number, email <strong>and</strong> registry numbers. There<br />

is also an area for additional information if needed.<br />

To review your personal information now, visit the SDMS website at:<br />

http://www.sdms.org/members/addresschangeform.asp<br />

TIP: Save the link above in your internet favorites for easy access at all times.<br />

SDMS makes every effort to provide superior customer service to its members. If you<br />

have a question that you would like featured in SDMS Answers Your Calls, please<br />

email membercall@sdms.org


SDMS News Wave December 2008 9<br />

SDMS Product Spotlight:<br />

Coming Soon - 2009 Coding Tools<br />

Ultrasound Practice Tool Kits<br />

Judy Rosenbloom, President, JR Associates<br />

Designed by a former accrediting agency examiner,<br />

these invaluable guides step-in when you need<br />

them most - during the critical analysis <strong>and</strong> decisionmaking<br />

process that leads to your final sonography<br />

findings. What’s more, they meet compliance<br />

requirements for all accrediting agencies: ACR,<br />

AIUM, ICAEL, ICAVL, <strong>and</strong> JCAHO.<br />

• Save precious time by quickly creating your own<br />

customized testing policy <strong>and</strong> procedure manual.<br />

• Multiple choice format - no need for cumbersome<br />

templates.<br />

• Provides all the information you need - exam<br />

protocols, procedures, indications, equipment<br />

specification, diagnostic criteria <strong>and</strong> more.<br />

• Footnoted throughout with literary references.<br />

• Includes accrediting agency requirements.<br />

Echocardiography<br />

Ultrasound<br />

30 comprehensive protocols, policies<br />

<strong>and</strong> forms for transthoracic,<br />

TEE, <strong>and</strong> stress echo<br />

Item #: 7518<br />

CME credits: Not available<br />

Price: $855 SDMS Member $950 Non-member<br />

General Ultrasound<br />

26 comprehensive protocols, policies<br />

<strong>and</strong> forms for abdominal, OB/<br />

GYN, <strong>and</strong> small parts<br />

Item #: 7519<br />

CME credits: Not available<br />

Price: $585 SDMS Member $650 Non-member<br />

Vascular Ultrasound<br />

33 comprehensive protocols,<br />

policies <strong>and</strong> forms for cerebrovascular,<br />

arterial, penile <strong>and</strong> venous<br />

(mapping, graft, reflux, <strong>and</strong> DVT)<br />

Item #: 7517<br />

CME credits: Not available<br />

Price: $720 SDMS Member $800 Non-member<br />

Ultrasound Coder<br />

MedLearn<br />

Are you mystified by the coding <strong>and</strong><br />

billing requirements for diagnostic<br />

ultrasound procedures? Fear not,<br />

MedLearn’s Ultrasound Coder<br />

book will guide you through the intricacies! This<br />

timely resource distills the coding experience <strong>of</strong><br />

MedLearn’s national consulting practice, combined<br />

with Medicare coverage policies <strong>and</strong> billing<br />

guidelines.<br />

• Guidance related to biopsy, aspiration, needle<br />

localization <strong>and</strong> vascular-access procedures<br />

• Covers non-invasive peripheral vascular coding<br />

• Divided into diagnostic ultrasound, ultrasound<br />

guidance procedures, echocardiography (fetal <strong>and</strong><br />

non-fetal), non-invasive vascular diagnostic studies<br />

<strong>and</strong> intravascular ultrasound sections, each with a<br />

list <strong>of</strong> CPT codes <strong>and</strong> billing tips<br />

• Addresses recent code additions, including new<br />

codes for ultrasound <strong>and</strong> screening for aortic<br />

aneurysm<br />

Item #: 8565<br />

CME credits: Not available<br />

Price: $96.30 SDMS Member<br />

$107 Non-member<br />

Ordering is easy!<br />

Call toll free 1-800-229-9506<br />

Monday - Friday, 8 am - 5 pm (CDT)<br />

or Fax your order to 214-473-8563<br />

For our complete catalog, visit:<br />

http://www.sdms.org/pdf/catalog.pdf


DEADLINE:<br />

February 13, 2009<br />

SDMS members may<br />

submit their nominations<br />

for the elected positions<br />

listed, as well as nominate<br />

a SDMS member for<br />

Fellow status at:<br />

http://www.sdms.org/members/nominateform.asp<br />

SDMS Board <strong>of</strong> Directors:<br />

SDMS News Wave December 2008 10<br />

Call for Nominations for 2009 Elected Positions<br />

Join us next October at the Gaylord Opryl<strong>and</strong><br />

Resort in Nashville, TN October 15-18, for<br />

the 2009 SDMS Annual Conference! Relax at<br />

the Relache Spa after lectures or take a Delta<br />

Riverboat Tour through nine acres <strong>of</strong> indoor<br />

gardens—<strong>and</strong> that’s just at the resort! Get out<br />

<strong>and</strong> walk next door to the Gr<strong>and</strong> Ole Opry,<br />

take in a round <strong>of</strong> golf at Gaylord Springs or<br />

take a ride on the General Jackson showboat.<br />

Music City has never looked so good!<br />

• President Elect<br />

• Vice President<br />

• Secretary<br />

• Treasurer<br />

• At Large Director (3 positions open)<br />

SDMS Committee Positions:<br />

• Nominating Committee Member<br />

(3 positions open)<br />

• Finance Committee Member<br />

(2 positions open)<br />

Save the Date – You don’t want to miss THE sonographer event <strong>of</strong> the year!


SDMS News Wave December 2008 11<br />

SDMS Welcomes New Members<br />

November 2008<br />

Zeyad Abousy RDMS, RVT<br />

Natali Abramov<br />

Christine Acocella<br />

Syed Muhammad Kashif Ali RDMS<br />

Teresa Allen RDMS<br />

Am<strong>and</strong>a Allen BS, RDMS, RVT<br />

Merissa Amalfitano<br />

Virginia Anderson RDCS, RVT<br />

Theresa Andrews BS<br />

Cindy Angelsberg RDMS<br />

Carolyn Antes<br />

Ladan Araghi RDMS<br />

Lisa Armstrong RDMS<br />

Wendy Auclair RT(R), RDMS<br />

Michelle Augustyniak RDMS<br />

Abel Baca RT(R), RDMS<br />

Andrew Bachman BS, RVT<br />

Geraldine Ballard RDMS, RDCS<br />

Wendy Barnhardt RDMS, RDCS<br />

Rachel Barre RDMS<br />

Marlene Bauer RDMS, RDCS<br />

Robert Baylor RDMS<br />

Sherry Bearden RT(R)<br />

Marilee Bennett<br />

Paul Bergh<br />

Natalie Bernal<br />

Suzanne Bethke RDMS<br />

Jana Biondo RDMS<br />

Heather Bishop<br />

Luminita Blaga RDMS, RVT<br />

Dairomy Bolano<br />

Judith Bollenbacher RT(R), RDMS<br />

Vicki Bolz RDMS<br />

Shaun Bornemeier BS, RDMS, RDCS<br />

Anna Boynyakova BS, RDMS<br />

Dawn Bozarth<br />

Ashley Breaux BS, RDMS<br />

Susan Brewer RDCS<br />

LaTica Brewer-Beauchamp<br />

Kathleen Brohawn BS, RDMS<br />

Cheryl Brown RT(R), RDMS, RVT<br />

Tarnicka Brown RDMS<br />

Lisa Brown RDMS<br />

Martha Brown RDMS, RVT<br />

Karen Brown RT(R), RDCS, RCS,<br />

Lucille Bruner RDCS<br />

Bruce Brunner RDMS, RVT<br />

Jorge Bueno<br />

Linda Bunting RDMS, RVT<br />

Kelli Burmeister RDMS<br />

Robert Burroughs RDMS<br />

Brenda Bursch RT(R), RDMS<br />

Mark Calkins RDMS<br />

Kerri Carreiro RDMS<br />

Georgetta Cates RDMS<br />

Jill Chapman RDCS<br />

Kathryn Charette RDCS<br />

Stacy Chilcote<br />

Kathryn Churchill<br />

Sheila Ciarlarcillo<br />

Julie Claussen RT(R), RDMS<br />

Marjorie Clifford RDMS<br />

Gretta Clinger RDMS, RVS<br />

Jennifer Cobb RDMS<br />

Tara Cook RT(R), RDMS, RVT<br />

Karoyl Cooper RT(R), RDMS<br />

Eva Jade Cooper RDMS<br />

Cindy Cormany RT(R), RDMS<br />

Katrina Cornwell RT(R)(M)(CT), RDMS,<br />

RDCS, RVT<br />

Nicole Cotton<br />

Br<strong>and</strong>on Cross RDMS<br />

Emily Cupelli<br />

Tamara Cutler RDMS<br />

Pamela Dalo BS, RT(R)(M), RDCS<br />

Shannon Daugherty RDMS<br />

Ruth Davis RDMS<br />

Teri Davis RDMS, RVT<br />

Eric Dean<br />

Davelynn Defries RDMS, RVT<br />

Rita DeMartin-Cooper RDMS, RDCS<br />

Nathan DeRiso RDMS<br />

Leanne DeSisto<br />

Michele Devita RDMS<br />

Satinderjit Dhillon<br />

Jennifer Dibble<br />

Jean DiBello RCS<br />

Lynda Diffey BS, RT(R)(M), RDMS<br />

Joni Dillion RDCS<br />

Kimberly Dobson<br />

S<strong>and</strong>ra Doring RDCS, RVT<br />

Christine Dotson RT(R)(M), RDMS<br />

Debra Drew RT(R), RDMS<br />

Tracey Duck RDMS<br />

BriAnne Dunkerley RDMS<br />

Melissa Dunkle<br />

Henry Duterte<br />

Susan Dwyer RT(R), RDMS<br />

Sally Dwyer RT(R)(CT), RDMS<br />

Liza Dwyer MS<br />

Katie Edgcomb<br />

Barbara Elam RT(R), RDMS<br />

Fawzia El-Fakharany<br />

Linda Ellis RT(R), RDMS<br />

Monica Emerson RT(R), RDMS<br />

Cole Eric RVT<br />

Erica Ericsson RDMS<br />

Melissa Escudero BS, RDMS, RDCS<br />

S<strong>and</strong>ra Estes BS, RDMS<br />

Christine Eule RDMS<br />

Dawn Fahy RDMS<br />

Valentina Feldnov<br />

Douglass Fellman RDMS, RVT<br />

Jeanne Ferguson RDMS<br />

Alan Fidler RDCS<br />

Shirley Foley RDMS, RDCS, RVT<br />

Brian Fornea RDCS<br />

Karen Fossile BS, RDCS<br />

Molly Foster RDMS<br />

Shannon Fox RDMS<br />

Sha-La Francis BS<br />

Ronilda Francisco<br />

Kamie Frankenberger<br />

Marian Frech BS<br />

Meredith Fresquez BS, RDMS<br />

S<strong>and</strong>ra Fricke RDMS<br />

Lena Fynan BS, RDMS, RDCS, RVT<br />

Jessie Gaddis<br />

Joy Garbett RT(R)(VS), RDMS<br />

Amy Garcia RDMS<br />

Nestor Garcia RT(R), RVT<br />

Stephanie Gary<br />

Richard Genova<br />

Sue George RDCS<br />

S<strong>and</strong>ra German BS<br />

Ch<strong>and</strong>ra Gigatti<br />

Bonnie Ginn RDMS<br />

Rebecca Goodwin<br />

Joanne Goretski<br />

Ramona Gormly<br />

Cher Green RDMS<br />

Kim Greene Kim<br />

David Gregg RDCS<br />

Sheri Griffith RDMS, RVT<br />

Jeff Hackworth RDMS, RDCS, RVT<br />

Lee Ann Hale-Ortiz RT(R)(M), RDMS<br />

Sally Hall RDMS<br />

S<strong>and</strong>ra Halley RDMS<br />

Michael Hammer RVT<br />

Jodi Harkness RDMS<br />

Janet Harman RDMS, RDCS, RVT<br />

Stacy Hart RT(R)(M)(CT)<br />

Lenton Hayes BS, RT(R)<br />

Jesse Hayes<br />

Donna Hayhurst RDMS, RDCS, RVT<br />

Chantell Heisler RDMS<br />

Toni Henderson RDMS, RVT<br />

Daryoush Hendessi MD, RDMS<br />

Mary Herlong<br />

Carolyn Hibinger<br />

Denise Hilman RDMS<br />

Leaman Hodge RDMS<br />

Mark H<strong>of</strong>fart BS, RT(R), RDMS<br />

Erin H<strong>of</strong>fman RDMS<br />

Christie Holtzapfel BS, RDMS<br />

Intira Hume<br />

Tracy Isaak RDMS<br />

Teresa Jacobson BS, RDCS<br />

Karen Jimenez RT(R)(M), RDMS<br />

Carl Johnson<br />

Laurie Johnson<br />

Tamara Jones RT(R), RDMS, RDCS, RVT<br />

Michaela Jorgensen<br />

Lindsey Judge<br />

Khaled Kabir MBBS, DGO<br />

Karen Kasban RT(R), RDCS<br />

Lisa Marie Kelly RDMS<br />

Angela Kern RT(R), RDMS<br />

Katelyn Kidd<br />

Phillip Kinsey BS, RT(R), RDMS<br />

Helen Korb RDCS, RVT<br />

Jacqueline Kosek<br />

Marina Kouznetsovastevens RDMS


Alexa Kroeger<br />

Sharon Kruep RDMS<br />

Jennifer Kuper RDMS<br />

Anton Kuteyev RDCS, RCS, RVS<br />

Jody Kwast RDMS<br />

Rosa Lamper<br />

Maurine Langley<br />

Omotunde Lawal RDMS, RDCS<br />

Leah Lawrence<br />

Patricia Lawyer<br />

Monica Liptak<br />

Vanessa Little<br />

Honey Lombardo RT(R), RDMS<br />

Darleen Loperl-Hines<br />

Ellen Lott RT(R), RDMS<br />

Michelle Lovrich RDMS<br />

Damon Lungo BS, RCS<br />

Edith Mack-Wild RT(R)<br />

Sarah Madson BA<br />

Alireza Mahmoudzadeh RDMS, RDCS, RVT<br />

Sharon Malchow RDCS<br />

Traci Maley<br />

Yuliya Malyava<br />

Garry M<strong>and</strong>evill RT(R), RDMS, RDCS, RVS<br />

Martin Marsh BS, RT(R), RDMS<br />

Jennifer Martin RDMS<br />

Mona Maximous BS<br />

Janai McCallum<br />

Shelia McCulley RDMS, RDCS, RVT<br />

Rachael McGee<br />

Barbara McKinney RDCS<br />

Jeuwelle McLean RDMS<br />

Teresa Meadows RT(R), RDMS, RDCS, RVT<br />

Anthony Meadows RDMS, RDCS, RVT<br />

Jennifer Meredith<br />

Jason Middleton BS, RDCS<br />

Joyce Milligan RDMS<br />

Maria Modra RDMS<br />

Mani Montazemi RDMS<br />

Michele Montieth RDMS<br />

Patricia Moore RDMS, RVT<br />

James Morris RDMS, RVT<br />

Mindee Mulharan<br />

Kyoko Narazaki<br />

Victoria Nelli<br />

Therese Neuburg RT(R), RDMS<br />

Barbara Niemann RVT<br />

Pam Ninneman RDMS, RVT<br />

Linda Nolte RDMS<br />

Kyle Norris BS, RDCS<br />

Carolyn Olson RDMS<br />

Audrey Ostomo<br />

Myriam Owiecki RDCS<br />

Lauren Palaia RCS<br />

Cynthia Palmer RDCS<br />

Noelle Palmer<br />

Ellen Palmer RDMS<br />

Anthony Palmieri RCS<br />

Cheryl Parke RDMS<br />

Donald Parr RDCS<br />

Kizzie Patricio RT(R)(M)(CT), RDMS<br />

Oksana Pekarsky RDMS<br />

Betty Penney RDMS, RDCS<br />

Anthony Peralta<br />

Milagros Perez<br />

Deana Perry RT(R), RDMS<br />

John Peters RDCS<br />

Lakein Peterson<br />

Judy Pettus RT(R), RDMS<br />

Esther Phillips RT(R), RDMS<br />

Andrey Potemkin<br />

Michelle Potter CMA<br />

Danielle Queening BS, RDMS, RDCS,<br />

RVT<br />

Rebecca Raber RT(R)<br />

Hugo Ramirez RT(R)(CT), RDMS, RVT<br />

John Rengstorf RT(R), RDCS<br />

William Rentschler RN, RVT<br />

Melissa Rice RDMS<br />

Breanne Rist BS<br />

Lynda Roberts RDMS<br />

Margaret Rodriguez RDMS<br />

Monica Roel<br />

Michela Rusu<br />

Stefania Sacco<br />

Eddie Sanchez CPT, CVT<br />

S<strong>and</strong>ro Sanchez<br />

Am<strong>and</strong>a Santos<br />

Veronica Saraiva BS<br />

Kathy Schelb RT(R), RDMS, RDCS, RVT<br />

Jaclyn Schneider<br />

Lisa Schuler BS, RT(R), RDMS, RVT<br />

James Sciarrotta RDMS, RVT<br />

Sue Scott<br />

Adrienne Seals RDMS<br />

Ellen Seidel RDCS<br />

Melanie Severs RT(R), RDMS, RVT<br />

Ramia Shammas<br />

Julie Shipp RDMS, RDCS, RVT<br />

Nancy Shirley RDMS, RVT<br />

Jody Short RT(R), RDMS<br />

Dani Simmons<br />

Susan Simpkins<br />

Raminder Singh RDMS<br />

Heather Sladek RT(R), RDMS<br />

Christopher Smith RCS, RVS, RCIS<br />

Lindsay Snow RDCS<br />

Kelsey Speiser<br />

Jennifer Spenla BS, RVT<br />

Jennifer Spink<br />

Jay Sprayberry RDMS<br />

Mary Staffier RT(R), RDMS<br />

Bindu Stephen RT(R), RDMS<br />

Kathleen Suarez RDMS, RVT<br />

Kristi Sydow<br />

News Wave (ISSN 1541-7581) is published<br />

to inform SDMS members <strong>of</strong> meetings,<br />

events <strong>and</strong> policies as well as trends <strong>and</strong><br />

issues in the sonography pr<strong>of</strong>ession. Please<br />

send comments <strong>and</strong> suggestions to:<br />

Asma Syed RDMS<br />

Suzanne Tackett RDCS<br />

Carolyn Teakell RDCS, RVT<br />

Joaneth Terry RT(R)(M), RDMS, RVT<br />

Tommie Thomas RT(R), RDMS, RVT<br />

Joel Thomsen RDCS<br />

Kelly Thorson RDCS<br />

Kimberly Thurlow RDMS<br />

David Tiburzio RVT<br />

Jill Torres RT(R)(M), RDMS<br />

Mary Beth Toth RT(R)(M)(CT), RDMS,<br />

RDCS, RVT<br />

Patricia Trondsen<br />

Mary Tucci RDMS, RDCS<br />

All contents Copyright © 2008. All rights reserved by the <strong>Society</strong> <strong>of</strong> <strong>Diagnostic</strong> <strong>Medical</strong> Sonography, Plano, Texas.<br />

SDMS Headquarters<br />

2745 N Dallas Pkwy Ste 350<br />

Plano, TX 75093-8730<br />

Phone: (214) 473-8057<br />

FAX: (214) 473-8563<br />

SDMS News Wave December 2008 12<br />

Teresa Tuchscherer RT(R), RDMS<br />

April VanVelzen<br />

Shannon Vargas RDMS<br />

Julio Vazquez<br />

Mary Vescuso<br />

Henrique Vicente RDCS, RVT<br />

Catherine Vitiritto<br />

Sylvia Vue RT(R)<br />

Jason Walsh RCS, RCIS, CCT<br />

Michele Walters<br />

Sara Ward St<strong>of</strong>fel BS, RDMS<br />

Christine Warner RDCS<br />

Suzanne Watts RT(R), RDMS<br />

Susan Weatherup<br />

Adrieanna Weaver RDMS<br />

Bill Webb RDCS<br />

Tami Wegman RDMS<br />

Cecilia Weinman RDCS<br />

Joel Weiss RDMS, RVT<br />

Kathleen Welch<br />

Shila Wells<br />

Linda Wentler RDMS<br />

Marcus Werner RDMS<br />

Stephanie West RDMS<br />

Renee Whatley RDMS<br />

Mary Wheeler RVT<br />

Denise Wheeler RT(R)M), RDMS, RVT<br />

Christina Whitehurst RT(R), RDMS<br />

Karen Wiggins RDMS<br />

Jane Wilcox RDMS, RVT<br />

Isis Wilkinson RDMS, RDCS<br />

Rebecca Williams BS, RDMS<br />

Ann Wilson RN, RVT<br />

Tsehainesh Woldemichael<br />

Karen Wolfe-Kerker RDMS<br />

Karen Wolfe-Kerker RDCS<br />

Kerry Woll RCS, RVS<br />

Kellee Wood RDMS<br />

K Todd Woods RT(R), BS, RDMS, RVT<br />

Katie Wyse<br />

Stephanie Zacharek<br />

Mondonna Z<strong>and</strong><br />

Executive Director<br />

Donald F. Haydon, CAE<br />

Production Editor<br />

Chris Alcott

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