CMAA 03-04 14 - California Certifying Board for Medical ...€¦ · Pleasemakecheckspayableto: CMAA Additional inquiries or registration ... GARCIA,NORMA AC REDBLUFF GARCIA,SUSANA

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

CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2014 1

CM

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UNITY IS STRENG

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SEPTEMBER/OCTOBER2014

________________________CALIFORNIA

MEDICAL ASSISTANTSASSOCIATION, INC.

P.O. Box 5694Petaluma, CA 94954-5694Toll Free 1.888.464.2622

Fax 208.730.3763

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

WHAT’S INSIDE� PRESIDENT’S MESSAGE .....................1

� CERTIFYING BOARD UPDATE:Increased Testing andRecertification Fees Update...............2

� 2014 FALL CONFERENCE:Tentative Agenda Update....................3Hotel Information..................................4Registration Form .................................5

� TOP SECRET:The Parable of the Pebbles ................6

� CERTIFYING BOARD UPDATE:Newly Certified CaliforniaMedical Assistants.........................7-10

� CONTINUING EDUCATION:Marfan Syndrome (MFS)..............11-13Self-Assessment Test ........................14Article Order Form..............................15

� CERTIFYING BOARD PRESENTS:Tea-riffic Ideas For Instructors ........16

Have you made your reservationsfor the 2014 Fall Conference inAnaheim? What are you waiting

for? This is a great opportunity to fillyour piggy bank with CEU’s.

The 2014 Fall Conference will be acharacter building experience. Whereelse would you have the opportunity toearn CEU’s and play with Mickey andMinnie at the “Happiest place onEarth”?

I would like to send out kudos to KellyAdams and Kelsey Tucker for making adifference in the Sonoma Region bycollecting donations for the March ofDimes. It is members like these twoladies that give CMAA a good name andspread our mission.

Many times while visiting medical assist-ing schools and medical facilities,I am asked, “what are the benefitsof being a member of the CaliforniaMedical Assistants Association”? I alwaysbegin my answer with, “there are manyreasons to become a member of CMAA”.First and foremost I state that educationis a main factor in becoming a member.Certified medical assistants must keeptheir certification current or they mayhave to retest. Attending regional orstate meetings is a great way to earn

CEU’s toward recertification and theCalifornia Medical Assistant (this publi-cation), which is published every twomonths, contains an opportunity to earnanother CEU. As you might agree, edu-cation is only one of the reasons. I havebeen a member for many years andhave gained lasting friendships and havenetworked with some of the best med-ical assisting instructors in California. Infact, networking has gotten several ofmy students hired by members ofCMAA.

What reasons did you have to become amember of CMAA? Maybe anothermedical assistant introduced you toCMAA. Please share those memorieswith us. I will have a “sharing box” atFall Conference registration table thatyou can drop in a quick note and I willcompile them for our next publication.

Before we know it anew year will beupon us. So continueto “Bank yourSuccess on CMAA”and I hope to seeyou all at the 2014Fall Conference inAnaheim.

PRESIDENT’S MESSAGEPRESIDENT’S MESSAGE

Theresa Henderson, CCMA-ACCMAA State President

mailto:[email protected]

http://www.cmaa-ca.org/

California Medical Assistant

E D I T O R

VICKEY MARTINEZ, CCMA-CRiverside RegionP.O. Box 2931

Riverside, CA 92516

Email: [email protected]

P U B L I C AT I O N C OMM I T T E EC H A I R M A N

KATE LOGAN, CCMA-ACSacramento Region

Certifying Board Administrator

THERESA HENDERSON, CCMA-ACRiverside Region

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

THERESA HENDERSON, CCMA-AC

(951) 212-0722


For Advertising contact:

CALIFORNIA MEDICAL ASSISTANTSASSOCIATION, INC.

at

CMAA, INC.P.O. Box 5694

Petaluma, CA 94954-5694

Toll Free: 1.888.464.2622

Fax: 208.730.3763


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.

2 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2014

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.

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California Medical Assistant

— NEXT ISSUE —November/December 2014

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

Vickey Martinez, CCMA-CP.O. Box 2931

Riverside, CA 92516

Email Address: [email protected]

DEADLINE: October 1, 2014All materials must be submitted by the

deadline date to be included in the next issue!

2014 FALL CONFERENCE REGISTRATION, HOTEL INFORMATIONAND AGENDA INCLUDED IN THIS ISSUE.

Initial Certification

Basic and Clinical Specialty . . . . . . . . . . . . . . . $145Basic and Administrative Specialty . . . . . . . . . . $145Basic, Clinical and Administrative Specialties . . $185

Recertification by Examination

Basic and Clinical Specialty . . . . . . . . . . . . . . . $145Basic and Administrative Specialty . . . . . . . . . . $145Basic, Clinical and Administrative Specialties . . $185

After Initial Examination (Retakes)

Second Specialty (Admin or Clinical) . . . . . $90 eachRetake (Basic) . . . . . . . . . . . . . . . . . . . . . . . . $105Retake (Clinical or Admin). . . . . . . . . . . . . $90 each

Recertification by CME/CEU

CMAA Member Non-member

CCMA-A or C $75 $120CCMA-AC/CCMA $90 $150

Certifying Board Update

As of January 1, 2015, the California Certifying Board forMedical Assistants will be increasing testing and recertificationfees. The new price increases are as follows:


http://www.cmaa-ca.org/





FALL CONFERENCE 2014Anaheim Plaza Hotel

1700S. Harbor Blvd., Anaheim, CA 92802

September 11 – 13, 2014

~ TENTATIVE AGENDA ~THURSDAY, September 11, 2014

5:00 pm Executive Committee Meeting

7:00 pm Instructor Forum hosted by CCBMA

FRIDAY, September 12, 2014

8:00 am Registration

8:30 – 9:00 am Breakfast

9:15 – 11:15 am Speaker: Jim Winn Med, ATC, PTATopic: Concussion – Management Protocol

11:30 am – 12:30 pm Speaker: R. Harris, D. Eggl, C. Nelson, T. LeeTopic: Ovarian Cancer – Symptoms and Risk Factors

12:30 – 1:30 pm Lunch

1:30 – 2:30 pm Speaker: Matthew Zahn, MD Medical DirectorTopic: Today’s Hot Topics in Public Health

2:30 – 3:15 pm Budget & Finance Reference Committee

Afternoon Education Sessions

3:15 – 4:15 pm Speaker: Bruce M. Prenner, MDTopic: Anaphylaxis

SATURDAY, September 13, 2014

8:00 am Registration Opens

8:00 – 8:30 am Breakfast

8:30 – 9:30 am Speaker: Sharine Wittkopp and Jeffrey VuTopic: Cultural Competence and Healthcare Disparitiesin the LBGT Population

9:30 – 10:30 am Speaker: TBA11:00 am – 12:00 pm Speaker: Randall Tolosa, CPC

Topic: ICD-10 Part 1

12:30 – 1:30 pm Lunch

1:30 – 2:30 pm Speaker: Randall Tolosa, CPCTopic: ICD-10 Part 2

3:15 – 4:15 pm Speaker: Lieutenant Tim SalasTopic: Mandated Reporting

C A L I F O R N I A M E D I C A L A S S I S TA N T S A S S O C I AT I O N , I N C .

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UPDATE


CMAA Fall ConferenceSpecial Room Rate: $89.00

(parking included)+ applicable taxes

Spacious rooms with one king bed or two queen beds.

Mention CMAAto book at the

discounted rate.

The conference rate

will be honored before and

after the conference dates

to allow you to

enjoy the attractions

in the area.

Reserve

your room early

by calling

714.772.5900


Important information on reverse side - please copy this form, complete and mail.

Name: ___________________________________________

Credentials: ______________________________________

Address: _________________________________________

Telephone:___________________________________

Email: _______________________________________

Region:______________________________________

C A L I F O R N I A M E D I C A L A S S I S TA N T S A S S O C I AT I O N , I N C .

2014 FALL CONFERENCE

OFFICIAL REGISTRATION FORMAnaheim Plaza Hotel

1700 S. Harbor Boulevard, Anaheim, CA 92802September 11 - 13, 2014

Please notify us of any food allergiesor ADA accommodations.

FREE PARKING for all conferenceattendees and hotel guests.

REGISTRATION DEADLINE: 08/20/14

No refunds after September 1, 2014

Mail to: CMAA Inc.PO BOX 5694PETALUMA, CA 94954

Please make checks payable to: CMAA

Additional inquiries or registrationBy Visa or Master Card:

Call Headquarters at 1-888-464-2622

Registration for Platinum Members(Membership includes meeting registration)

Please register for meals only$30 per day

Please circle your lunch selections:

Friday: Cobb Salad or Hoagie Sandwich

Saturday: Oriental Salad or Croissant Sandwich

Registration for Platinum Members(Membership includes meeting registration)

Please register for meals only$30 per day




MEETING REGISTRATION FEES:

_____ Option #1 (Best Value)Full Conference RegistrationIncludes all Education, Business, full breakfast

and lunch both days.

Members & Students . . . . . . . . . . . . . . . . . . $95.00

Non-members . . . . . . . . . . . . . . . . . . . . . . . $125.00




_____ Option #2Friday Registration

Includes all Education, Business, full breakfastand lunch on Friday.


Non-members . . . . . . . . . . . . . . . . . . . . . . . . $70.00


Cobb Salad or Hoagie Sandwich

_____ Option #3Saturday Registration

Includes all Education, Business, full breakfastand lunch on Saturday.


Non-members . . . . . . . . . . . . . . . . . . . . . . . . $70.00


Oriental Salad or Croissant Sandwich

TOTAL AMOUNT ENCLOSED $_______________


PRESIDENT-ELECT’S MESSAGEPRESIDENT-ELECT’S MESSAGE

The Parable of the PebblesItwas a beautiful day and the young manwas walking along the path admiring thewonderful scenery. He was on his way to therich city that lay beyond the three valleys.Many people in his village had talked aboutthis city but none of those who had venturedto it had ever returned to confirm the storiesof its greatness.

The first valley was a picture to beholdand the grass was so green compared to his oldvillage, which was now a day’s walk away.The valley had a small stream running throughit and there were many flowers along itsbanks. They were small and pretty flowers,bright pinks and reds, with a fantastic scent.

He sat and took some bread and cheesefrom his small knapsack and enjoyed his sim-ple lunch in these beautiful surroundings.While he ate he let his mind wonder aboutthe rich city. After lunch he continued hislong journey.

As night fell he reached the edge of thesecond valley but it was too dark for him toappreciate its beauty. He opened his knapsackand took out his blanket and settled downfor the night. He dreamed about the rich cityand how much better his life would be formoving there; it was a long and good dream.

As the sun rose the next morning thedawn chorus of birds in nearby hedges andtrees awoke him. The young man stretchedand put away his bedding and let his eyesdrink in the splendor of the second valley,which was far more fertile and colorful thanthe previous valley.

He walked to edge of the small river andsaw that there were fish in it so he set aboutcatching one for his breakfast. Having cookedand eaten the fish the young man walkedacross the river and continued his journey.

After a few miles he saw an old manasleep at the side of the path. He asked theman if he needed any help. The old man wasvery weak and his reply was short - “I ambeyond help but thank you. I will give yousome advice though – Collect as many stonesand pebbles as you can before you cross thenext river.” The young man was puzzled andasked “Why?” but could not get an answer,the old man had gone back into a deep sleep.

The young man continued walking.Why should he collect stones? As he

thought of possible reasons he noticed two orthree little pebbles in the path so he pickedthem up and put them in his pocket. This wasa long road and every now and then hepicked up a few more pebbles. His pocket wasbeginning to get heavy and he had no ideahow much further he would have to walk. Hedecided that one pocketful of stones would beenough as he would tire himself too much ifcarried more.

Hours later he reached the third valleythat was very lush and had a wide river run-ning through it. The river was not very deep,perhaps waist high, but the current lookedstrong. The young man braced himself andcrossed the river. He struggled against thecurrent and almost slipped on two occasionswhen he would surely have been washeddown river and perhaps drowned. He finallyclambered up the other bank.

He rested and then carried on with hisjourney. After an hour or so he put his handin his pocket and realized that he still had hispebbles. He pulled them from his pocket andcould not believe his eyes – they had allturned into jewels!

The young man wished he had filled all ofhis pockets and his knapsack with stones andpebbles, imagine how rich he would be now!It was pointless to go all the way back tocross the river again, he would waste toomuch time and he could even drown if hetried to cross the river again.

He carried on to the rich city only to findthat most people were poor, as they too hadfailed to heed the advice given by the oldman.

Listening and learning is like collectingpebbles; it may seem worthless at the time butwho knows when they will turn into preciousgems or golden nuggets.

— Author Unknown

This story reminds me of myself as I embarked on a new career as a MedicalAssistant. I felt that in time I could be running the back office and maybe eventu-ally become an Office Manager. That was my ‘city of riches’ dream. I am trulyone of the fortunate MA’s because my journey took me down a path that includ-ed CMAA. As a new member I had access to many mentors who encouragedme to get involved. As I look back at the pebbles I have chosen to carry over theyears I realize that I have filled my pockets with over 19 years of continuousservice on CMAA’s Executive Committee. As I feel I have arrived in my city ofriches, my needs are met and CMAA has afforded me so many more valuableriches. The shiniest gems are the friends and mentors from all over the state thatI have been able to count on in good times and trials. Precious stones of educa-tion helping me stay at the top of my field are always available through theCMA publication and our state and local meetings. The golden opportunitiesand the richest blessings have come from serving as an Officer with CMAA. Ithas been in those roles that I have drawn close to new friends and been trulytested as a person and have grown. Admittedly, more than once I asked myself,“What have you gotten yourself into?” But many more times I have called uponan experience that serving has provided me that I have been thankful for.

Are you ready to fill your pocket with an extra pebble or two? Pick up a smallone and volunteer to write an article for our publication or volunteer at our nextmeeting, or grab a larger pebble and choose to run for an office. I can tell youfrom experience; those pebbles and your experiences will become pricelesstreasures!

Shannon Tinsley, CCMA-ACPresident-Elect


• RECERT ++ ADDING 2ND SPECIALTY

C E R T I F Y I N G B O A R D U P D A T ECongratulations to the newly California Certified Medical Assistants

Certification Codes: A = Administrative C = Clinical AC = Administrative and Clinical

NAME SPECIALTY HOMETOWN NAME SPECIALTY HOMETOWN

continued on page 8

ACOSTA, TINA R. C MANTECA

ADAMS III, DAVID A. AC CLOVIS

AGUIAR, ARLENE ANN C TULARE

AGUINIGA, ELENA AC BALDWIN PARK

ALDRIDGE, SABRINA AC YUBA CITY

ALEXANDER, RAQUEL L. AC VENTURA

ALLEN, CHANTEEL AC CITRUS HEIGHTS

ALVARADO, JANINA C REDWOOD CITY

ALVAREZ, NICOLE ++ AC PALMDALE

AMJAD, IRAM • C LAGUNA NIGUEL

ANCHONDO, NORI YANELI AC CALISTOGA

ANDRADE, JILLIAN K. • C FREMONT

ARCALA, MUTYA BERNADETH CANTELA C IMPERIAL BEACH

ARIAS, MARGARITA • C BAKERSFIELD

ARMITAGE, DIANE • C HENDERSON NV

ARNOLD, DESIREE A. C VISALIA

ASIA, JERRICA C PALMDALE

BABAOKA, JULIANNE AC STOCKTON

BAILLY, MARGARET A. AC SAN JOSE

BALL, DEBORAH A. • AC BEN LOMOND

BARNETT, ROBERT CLIFF AC ALPINE

BARRAGAN, ALISSA M. AC VISALIA

BARRERAS, JANETTE AC LOS ANGELES

BENHART, KELLY DAWN AC PALMDALE

BONILLA, LYANA M. AC SAN JOSE

BORTON, ALICIA M.++ AC SAN LEANDRO

BOUZIANE, NASSIMA AC HAYWARD

BRANDT, IRENE R. AC VISALIA

BRINSON, MARY K. • AC ROSAMOND

CABRAL, ALEJANDRA A BELL GARDENS

CAHOON, JEAN LOUISE C CASTRO VALLEY

CALDERA, ESMERALDA C HIGHLAND

CAMPBELL, BRITTNEY M. C UKIAH

CARRILLO, ANA M. C PALMDALE

CARRITHERS, EDWIN F. C WINDSOR

CASH, SHERILYN JOAN • AC SAN BERNARDINO

CASILLAS, JANIN A. C SUNNYVALE

CASILLAS QUINTERO, MIRYAM A. A STOCKTON

CASTRO, ANA CECILIA A DALY CITY

CEJA, MARGIE • C SAN ANTONIO TX

CERVANTES, ANGELICA C CALEXICO

CERVANTES, DONNA ANN • AC FOLSOM

CHA, CHER THAO C OROVILLE

CHILLOUS, RACHELLE S. C UPLAND

CONTRERAZ, CHRISTINA ELAINE AC PALMDALE

CORDERO, TINA LOUISE C HIGHLAND

CORONA, CINDY PEREZ AC YUBA CITY

CORONA, MARIA Y. C SANTA ROSA

CORRALES, NELDA C OROSI

CRISLER, KAREN • AC BEN LOMOND

CUBILLOS, JAZBLEYDY L. • C PERRIS

CURRAN, SHERYL AC REDDING

DANDAN, REYNOLD C BERKELEY

DANTES, JERICO RYAN A. • C SAN JOSE

DAVI, CATHLEEN • A CHICO

DAWSON, SHAUNA AC ALAMEDA

DE VUSSER, JILL S. C TUSTIN

DEKALB, JUDY A. • C BEN LOMOND

DELA TORRE, STEPHANIE C WATSONVILLE

DIAZ, VICTORIA C SANTA ROSA

DIAZ ALBAREZ, ANGELICA AC PARAMOUNT

DOHERTY, CHRISTINA AC SANTA MARIA

DOMINGUEZ, JACQUELINE AC CITRUS HEIGHTS

DUNLAP, DIANA • C LAKEPORT

DUONG, PHUONG NGUYEN-NHA • AC SAN JOSE

DURAND-BIBBS, VIRGINIA M. • C SAN MATEO

ELY, PAULETTE P. • C TEMPLETON

ERAZO CALDERON, JOSSELYN LISSETH C LANCASTER

ESCUDERO-HERNANDEZ, EDNA LUCERO • AC CATHEDRAL CITY

ESQUIVEL, MARISA A. AC GROVER BEACH

ESTRADA, AURA ++ AC LOS ANGELES

FECANIN, PATRICIA A. • C CAMPBELL

FERNANDEZ, MARTHA PATRICIA AC BAKERSFIELD

FERNANDEZ, YESICA C WATSONVILLE

FIERRO, NICOLE STEPHANIE C LA HABRA

FISCHER-SMITH, MICHAEL C SACRAMENTO

FLORES, BLANCA AC VAN NUYS

FLORES, ESMERALDA C CLOVERDALE



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


continued on page 9

– continued from page 7 –


FOSTER, DEBORAH A. AC LOS ANGELES

FREEMAN, JEANNETTE M. AC GOLETA

FREGOSO, GABRIELA • AC CALEXICO

GADDAM, JESSICA MARIE AC MODESTO

GAITHER, KRISTINE L. AC REDDING

GALACE, KEVIN RAY C SAN JOSE

GARCIA, NORMA AC RED BLUFF

GARCIA, SUSANA C SAN YSIDRO

GARCIA, VERONICA A. C SONOMA

GARDNER, LORENA AC SACRAMENTO

GARFIELD SMELTZ, RENE' C FULLERTON

GIRTON, MICHELL M. AC YUBA CITY

GIZINSKA, DAGMARA "CARRIE" • AC CAMERON PARK

GOFF, ANGELA DENISE AC CYPRESS

GOMEZ, RONALD G. C BAY POINT

GOMEZ JR., GILBERTO A CHULA VISTA

GONZALES, CAROLINA++ AC ARTOIS

GONZALEZ, ROCIO • C HAYWARD

GORDONOFF, BRANDI • AC SANTA ROSA

GREGGE, SHANITA ROSHAN A LOS ANGELES

GUADARRAMA, LETICIA C LANCASTER

GUARDADO, LAURA VERONICA C PALMDALE

GUARDADO, MAYRA ALEJANDRA AC PALMDALE

GUTIERREZ, SHANI J. • A HESPERIA

GUZMAN, DENICE • C WATSONVILLE

GUZMAN, ERICKA J. AC LANCASTER

GUZMAN, LISA M. C BLOOMINGTON

GUZMAN, ROSA AC PALMDALE

HANDLEY, MARCIA E. C PORTERVILLE

HARO, CINDY DENNISE A SAN DIEGO

HERNANDEZ, HIADINA LANDEROS C VISALIA

HERNANDEZ, JACQUELINE C BAKERSFIELD

HERNANDEZ, MIRANDA DEE AC LANCASTER

HERNANDEZ LOPEZ, KENNIA AMERICA AC SAN LUIS OBISPO

HILL, JAMIE AC SAN JOSE

HILL, MELISSA M. AC GRASS VALLEY

HOFFMAN, SARAH LISETTA C FORESTVILLE

HOGUE, MARY E. C SACRAMENTO

HOPKINS, ANGELA M. C SAN BERNARDINO

HOPSON, YAA D. C CASTRO VALLEY

HORNER, ERIC JAMES AC VISALIA

HORTON, LORA AC YUBA CITY

HURST, TERRI • AC SANTA ROSA

JACKSON, ASHLEY C SAN JOSE

JAMES, LESIA • C LANCASTER

JAMES, MARILYN KAY C LOOMIS

JANSEN VAN VUUREN, CHERISE C ROSEVILLE

JARAMILLO, MICHAEL C ELK GROVE

JOHNSON, SYLVIA L. • C OAKLAND

JOHNSTON, TISHA C McKINLEYVILLE

JONES, VANESSA MARIE AC YUBA CITY

JOSEPH, LISA MARIE ANN AC WILLITS

KING, KIRSTEN AC UKIAH

KING, SARAH C DELHI

KOTO-LEW, TRACY ANN • AC UNION CITY

LAGOMARSINO, ROXANNA K. AC ATASCADERO

LAM, LAN Y C MILPITAS

LANDA, MALINA AC REDWOOD VALLEY

LANDAVERDE, MARTA AC CORNING

LAPUC, KAROLINA W. C ROCKLIN

LARA, DIANA • C LAMONT

LEAL, JESENIA M. C LANCASTER

LEMOS, CRYSTAL V. A LANCASTER

LIU, LILY AC SAN RAMON

LOMELI-GUTIERREZ, KARLA B. A STOCKTON

LOPEZ, CHARMAINE S. C HESPERIA

LOPEZ, HERLINDA C EL CENTRO

LOPEZ, MARINA C CALEXICO

LUCAS, PATRICIA C HUNTINGTON BEACH

LUTSKOVA, LARISA A. C ROCKLIN

MAGALLON, CYNTHIA M. AC LOS ANGELES

MANJARREZ, ALMA C RIALTO

MANRIQUEZ, LESLIE • C SANTA ROSA

MARIENTHAL, LEIGH R. A MISSION VIEJO

MARSH, SUSAN LEE C STOCKTON

MARTINEZ, ADRIANA C BRAWLEY

MARTINEZ, ROSA C. C SANTA CRUZ

MARTINEZ-DIAZ, GUADALUPE C SANTA CRUZ





continued on page 10



MATLOCK, MINDY MARIE • AC SHASTA LAKE

MAYS-BARBOSA, AARON R. C SAN DIEGO

MAZORRA, JOANN S. • C REDDING

McCLEARY, GAIL FAITH • C McKINLEYVILLE

McCORD, BRITTANY NOELLE AC MENIFEE

McLAIN, TERESA T. A RANCHO SANTA MARGARITA

McLEOD, TANISHA C. C SAN MATEO

MENDOZA, CORRINA ANTOINETTE C HAYWARD

MENDOZA, CYNTHIA C WATSONVILLE

MERCADO, ERIKA AC LANCASTER

MERCADO, YULIANA AC BRAWLEY

MILLER, DEBRAH L. AC LODI

MILLS, ALEXANDRA V. AC APTOS

MONDAINE, JENNIFER L. AC COTTONWOOD

MONROY, GUADALUPE LILIANA C LOS ANGELES

MONROY, SUPARAT A VISALIA

MONTANO, CARMELINA AC FREEDOM

MORA, SARAH AC PALMDALE

MORAN, ELOISA AC LOS ANGELES

MORENO, MARGARET Y. AC PALMDALE

MUNOZ GARCIA, NANCY ++ AC COMPTON

NEUO, CHHATH C OAKLAND

NUNES, VERONICA AC CAMARILLO

NURIE, MARIA ALEJANDRA • C FREMONT

O'CAIRNS, TORY C ALISO VIEJO

ORTEGA, CINDY E. • A HUNTINGTON BEACH

OSORIO, ELVIA M. C NORTHRIDGE

OSTERMANN, ARIEL AC CAMERON PARK

PALACIO, GLORIA AC LAWNDALE

PARK, TAEYOUNG (SYLVIA) C SAN RAMON

PARKER, DESHANEE L. C CERES

PARRA, MARIANNA ISABEL C SANTA ROSA

PATRICK, ROBYN DEE C FORTUNA

PAYNE, CELESTE C. • C MARYSVILLE

PEATFIELD, SUSAN JULIE AC MORGAN HILL

PEDERSEN, SALLY AC ARCADIA

PELAYO, LETICIA • C SALINAS

PENA-ESTRADA, ANTONIA C EL CENTRO

PEREZ, LORENA • C SAN JOSE

PICCIRILLO, REBECCA AC YUBA CITY

PINEDA, MAYRA B. AC PALMDALE

PIZA, IVAN C SAN JOSE

PONCE, PATRICIA • C SAN LORENZO

PURDY, MAYTUS T. AC LODI

RAEL, FABIOLA • C SANTA ROSA

RAMIREZ, DAISY C SAN MARCOS

RAMIREZ, REBECKA C RANCHO CUCAMONGA

RAMOS, ANNIE LYNN C. • C MOUNTAIN VIEW

RAUCHMAN, NATASHA AC MANTECA

RAUDA, CYNTHIA C GARDENA

REDUS, ERIN KATHLEEN AC SACRAMENTO

REGIS-RIOS, BRENDA M. C UKIAH

REMICK, TRACY AC CORNING

REMINGTON, STEPHANIE MARIE AC RANCHO MURIETA

RENDON, EDGAR T. C MOUNTAIN VIEW

REUANGBANH, POUN C SAN PABLO

REYES, ANDREA M. C RIVERSIDE

REYES, IRENE AC LANCASTER

REYES MARIN, JESSICA AC UPPER LAKE

REYES-GONZALEZ, ALEJANDRA AC BELLFLOWER

RICO, CINDY • C STOCKTON

RODENBORN, SHERRY L. • AC GUSTINE

RODRIGUEZ, BLANCA • AC WATSONVILLE

RODRIGUEZ, PATRICIA • C SAN JOSE

ROMERO, YESENIA C SANTA MARIA

ROMO, JESSICA AC CONCORD

RONQUILLO, APPLE ANN MANZANA C MOUNTAIN VIEW

ROTHWELL, CATHERINE AC VENTURA

RUECKERT, ASHLEY • C SANTA ROSA

RUGGERI, NICOLE • C FORESTVILLE

RUSHER, DENISE • C NEWARK

SALCEDO, STEPHANIE C INDIO

SAMPSON-DANG, ANH THI MINH C HUNTINGTON BEACH

SANCHEZ, ELIZABETH • C LIVE OAK

SANCHEZ, ERIKA C VACAVILLE

SANCHEZ, MYRA C WASCO

SANCHEZ, PAULA S. • AC PASO ROBLES

SANDERSON, DEBRA JO AC OAK HILLS







SANDOVAL, CAROLINA AC WOODLAND

SANTANA, KIMBERLY C OCEANSIDE

SANTO DOMINGO, JUNE ALLYSON G. C DALY CITY

SCOTT, MARVINA TAMAR AC LOS ANGELES

SEPULVEDA, RACHEL AC CHICO

SERRATO OCEGUEDA, ENRIQUE C VISALIA

SHEPARD, BRANDON DEON C SAN LUIS OBISPO

SHEPARD, RENEE D. C HIGHLAND

SHIFFER, GAYLE LEE C SOUTH SAN FRANCISCO

SINGH, GEETA AC SAN DIEGO

SLOAN, KRISTEN N. • AC LODI

SMITH, ALIDA L. AC CORNING

SMITH, BRITTANY KATLYN C MAGALIA

SMITH, JACKLYN ROSE AC SANTA ROSA

SOLATRE, MARILOU • AC SAN JOSE

STARK, ROBIN SUE AC STOCKTON

STEEN, DEBBIE L. C YUCAIPA

STEPHENS, ALISHA ANN AC EAST PALO ALTO

SUTTLE, PATRICE C SAN JOSE

SVAY, AYLSA CLAIRE C RIPON

SWESTOCK, NATALYA MARIE A SAN CLEMENTE

TAVERA, YVETTE CANTU • AC WATSONVILLE

TENORIO, DONNA AC GILROY

THOMAS, JENNIFER L. C HIGHLAND

THOMAS, MICHELE AC RED BLUFF

TIRADO, YADIRA D. C LANCASTER

TODD, LEVONNE L. C YUBA CITY

TORRES, CYNTHIA A FAIRFIELD

TORRES, DIANA CARRILLO • C SAN JOSE

TRABUE, SANDRA • AC McKINLEYVILLE

TRAN, HUONG T. AC MILPITAS

TRUONG, PHUONG UYEN C WESTMINSTER

ULLEVIG, SARAH MICHELLE AC SHINGLETOWN

ULRICH, LARA L. • C SANTA CRUZ

VALLADARES, ANA CRISTINA C LANCASTER

VALLERGA, CHRISTOPHER MICHAEL AC WOODLAND

VANDER MEER, MARY CHARLOTTE AC VISALIA

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VASQUEZ, MARTHA ELENA • C PERRIS

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WHEEL, NANCY L. C CORONA

WHITE, JASMINE VERNOYA-MARIE C STOCKTON

WHITE, KHALILAH R. C SAN BERNARDINO

WILL, BEVERLY CARYL C WATSONVILLE

WILLENS, RAHAYA C WILLITS

WILLIAMS, REGINA L. C SACRAMENTO

WILSON, JAMIE A LOS BANOS

WOLFE, FE MARPA • C SAN DIEGO

WOLTER, CAROL AC MODESTO

YAW, CATHERINE K. AC OXNARD

ZUCKERMAN, MARNIE AC CARMICHAEL

Congratulationsto each of these medical assistants.

From the California Certifying Board

for Medical Assistants


CONTINUING EDUCATION

Because Marfan syndrome can affect almost any part of thebody, it may cause a variety of complications including:

• Cardio vascular

• Eyes

• Skeletal

• Lungs

• Central nervous system

CARDIO VASCULAR

Since faulty connective tissue can weaken the aorta, the mostdangerous complications include the heart and blood vessels.Those complications include:

• Valve malformations – Heart valves may be malformedor overly elastic, causing the heart to have to workharder to compensate. This can possibly lead toheart failure.

• Aortic dissection – This occurs when a tear in theinnermost layers of the aorta’s wall allows blood tosqueeze in between the inner and outer layers of thewall, causing extreme pain in the chest or back. Thisdissection can cause a rupture which may be fatal.

• Aortic aneurysm – The pressure of blood leaving theheart can cause the aorta to bulge out. In a personwith Marfan syndrome, this is mostly likely to happenwhere the artery leaves the heart (aortic root).

Marfan syndrome (MFS) is named after Antoine Marfan. Hewas a French pediatrician who first described the condition in1896 after treating a 5 year old girl. Marfan syndromeaffects the body’s connective tissue. The gene linked to thedisease was identified by Francisco Ramirez in 1991 at theMount Sinai Medical Center in New York. This generic disor-der is caused by a defect in this gene which tells the bodyhow to make Fibrillin-1 (FBN1). The fibers hold the organs,cells and tissue together and help the body grow and developproperly. Marfan syndrome is prevalent in approximately 1in 20,000 people, but only 1 in 5,000 get the disease.

Marfan syndrome is an inherited disorder and there is noracial or geographic disproportion in incidence. Males andfemales are affected equally, and each parent with MFS hasa 50/50 chance of passing the genetic defect on to anychild. In about 25% of the people with MFS, the abnormalgene doesn’t come from either parent but from the develop-ment of a new mutation. The disease usually worsens withage. The signs and symptoms of MFS vary greatly, evenamong members of the same family. Some people onlyexperience mild affects, but others develop life-threateningcomplications.

People with MFS have abnormalities in multiple organs andtissues and some of the features of Marfan syndrome areas follows:

• Tall and slender body type

• Flexible joints

• Heart murmurs

• Crowded teeth

• Flat feet

• High arched palate

• Extreme near-sightedness

• Curved spine (scoliosis)

• Long arms and legs

• Mitral valve prolapse

• Chest sinks inward or protrudes outward

• Stretch marks on the skin, not related to pregnancyor obesity

continued on page 10

MARFAN SYNDROME (MFS)Antoine MarfanMedical Doctor

Antoine Bernard-Jean Marfan was a Frenchpediatrician. He was born in Castelnaudaryto Antoine Prosper Marfan and AdélaïdeThuries. He began his medical studies inToulouse, where he stayed for two yearsbefore moving to Paris.

Born: June 23, 1858, Castelnaudary, France

Died: 1942


such as scoliosis. The treatment for scoliosis is sometimes aseasy as a custom-made back brace. This is usually fitted onchildren while they are going through a growing stage andworn almost constantly until growth is complete. If the curvein the spine is too great, surgery may be necessary tostraighten the spine. Other spinal issues associated withMarfan syndrome include degenerative disk disease,spinal cysts, and a breakdown or failure of the autonomicnervous system.

LUNGS

Marfan syndrome can also cause the breastbone in the chestto either appear sunken into the chest or protruding from thechest. Surgery may be required for a sunken breast bone ifthe breathing is affected. A protruding breastbone usuallydoesn’t affect breathing or cause functional problems. Thiscan be corrected but is more of a cosmetic problem than afunctional one.

CENTRAL NERVOUS SYSTEM

Dural ectasia, the weakening of the connective tissue of thedural sac encasing the spinal cord, can reduce the quality oflife for an individual. It can be present for a long time withoutproducing any noticeable symptoms. Symptoms that canoccur are lower back pain, leg pain, abdominal pain, otherneurological symptoms in the lower extremities, orheadaches. Dural ectasia is usually not visible on an X-ray inthe early phases. However, dural ectasia that has progressedto the point of causing these symptoms would appear in anMRI image.

EXAMPLES

For a long time, it was believed that Abraham Lincoln hadMarfan syndrome. Geneticists no longer believe this to be thecase. Although he was tall and slender with a long bony faceand disproportionate limbs, doctors believe his hands weretoo strong and muscular for a person who has MFS.

Other famous people examples:

• King Tut’s father, Akhenaten, a pharaoh of the 18thdynasty of Egypt, suffered from this genetic disorder.Scientists suspect that King Tut also had this disease.

Marfan Syndrome (MFS) – continued from page 11


Doctors often prescribe blood pressure medication, such asbeta blockers which cause the heart to beat more slowly andwith less force. These drugs will help prevent the aorta fromenlarging and, reduce the risk of rupture. If the aorta enlargesand reaches a dangerous size, usually around two inches, asurgical repair may be recommended. This would consist ofthe replacement of a portion of the aorta with a tube made ofsynthetic material. Sometimes a replacement of the aorticvalve is also indicated. Regular check-ups by a cardiologist willmonitor the condition of the heart valves and the aorta.

EYES

In Marfan syndrome patients, the eyes are greatly affected bythe following complications:

• Glaucoma or cataracts – People with MFS tend todevelop these problems at a younger age. The opticnerve can be damaged by increased pressure in the eye(glaucoma) and cataracts are a cloudiness of the lensof the eye. In 80% of the patients with MFS, there isa subluxation (dislocation) of the lens of the eye.

• Retinal problems – There is an increased risk of a tearor detachment in the retina.

Any patient with Marfan syndrome should be examined byan ophthalmologist. Sometimes surgical procedures may berequired for the more advanced cases of this disease. Apatient with a dislocated lens in the eye can be helped withglasses or contact lenses that refract around or through thelens. Often surgery is required to remove and replace theactual lens. If parts of the retina have torn or detached, thiscan also usually be surgically repaired and the success rateis high.

SKELETAL

In addition to seeing an ophthalmologist for the eyes and acardiologist for the heart and blood vessels, patients need tosee an orthopedic doctor who specializes in structural prob-lems of the skeleton and a doctor who specializes in geneticdisorders (geneticist).

Many patients with MFS grow to above average height.Many have long slender limbs, long fingers and toes. Footpain and lower back pain are also common side effects.There is an increased risk of abnormal curvature in the spine


• Mary Queen of Scots inherited the throne when shewas six day old and ruled Scotland in spite of havingMarfan syndrome.

• Robert Johnson was a famous blues guitarist and livedfrom 1911-1938. It is believed that his death at age 27was caused by heart complications from MFS.

• Vincent Schavelli lived from 1948-2005. He was afamous actor and one of the first famous people to beclosely associated with the National Marfan Association.

• Jonathan Larson (1960-1996) was an Americancomposer and playwright. He died of an aneurysmcaused by an aortic dissection. He posthumouslyreceived three Tony Awards and a Pulitzer Prize indrama for his rock opera “Rent”.

• Osama Bin Laden (1957-2011) was famous for all thewrong reasons. He was a billionaire warlord, growingto the height of 6”6” and weighing 160 pounds. Hisspinal cord problems left him having to walk with acane most of the time. His disease could not bepositively diagnosed, because he spent most of histime in hills and jungles as a fugitive.

• John Tavener was a very famous composer. Manymembers of his family suffered from MFS, includinghis brother and two daughters. He needed an aorticroot development in 1991.

• Bradford Cox, lead singer for the band “Deerhunter”,was diagnosed with MFS as a child. He has spoken inthe media about his disease and feels that his uniqueappearance compliments the weird kind of music hisband plays.

Competitive sports and other strenuous activities can causean increased risk of aortic dissection or rupture.

• Isiah Austin, a sophomore basketball player withBaylor University, was recently diagnosed with MFS,ending his professional basketball career. He wasrecently granted a ceremonial first-round pick in theNBA draft.

• Flo Hyman (1954-1986) was an American volleyballplayer and silver medalist in the Olympics. She diedduring a volleyball match in 1986 in Japan. The causeof death was an aortic dissection caused by anundiagnosed Marfan syndrome. This diagnosis wasnot made until after her death.

Marfan Syndrome (MFS) – continued from page 12


Read the Continuing MedicalEducation Article

Marfan Syndrome (MFS)located on pages 11 - 13,

then complete theSelf-Assessment Test

on page 14 for CME credit.

• Michael Phelps has been the subject of muchspeculation about whether or not he may have MFS.He states that because he was very flexible and haslong hands and feet (early MFS symptoms), he couldbe at risk for the disease. He was given an EKG atJohns Hopkins University and was told that the tissuesare strong, the aortic route clear and the heart in goodshape. Dr. Reed Pyeritz, chief of the medical divisionof genetics at the University of Pennsylvania, said thatPhelps features certainly fit the criteria of a Marfanpatient but could also fit anyone in the population.Michael Phelps will continue to get routine testing.

It used to be uncommon for anyone with MFS to live pastthe age of 40. While there is still no cure for Marfan syn-drome, life expectancy has increased and is now similar tothat of an average person.

The Marfan Foundation works tirelessly to advance researchthat saves lives and enhances the quality of life for peopleliving with MFS and related disorders. Their research hashelped reduce life-threatening problems and identified treat-ments that have eliminated some of the complications andsymptoms affecting their lives.

_____________________________________________________

REFERENCES:

• Primer on the Rheumatic Diseases, John H. Kippel

• Rheumatology, John H. Kippel and Paul Dieppe

• www.marfan.org

• www.marfansyndrome.com/Wikipedia

• www.marfanfamouspeople.com

http://listdose.com/10-famous-people-with-marfan-syndrome/

http://www.marfansyndrome.com/?f

http://www.marfan.org/



Marfan Syndrome (MFS) – Self-Assessment Test

SELF-ASSESSMENT TESTAVAILABLE FOR DOWNLOAD SEPARATELY.

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