At a glance

8:00 AM Registration

9:00 AM AMPHL Welcome and Introduction – Candice C. Barrere, D.V.M.

10:00 AM Exhibit room opens

9:30-10:30 AM Stethoscopes and Medical Professionals with Hearing Losses – Candice C. Barrere, D.V.M.

10:45-11:45 AM Body Sounds Visualization System – A. Vyshedskiy and R. Murphy

11:45 AM Exhibit room closed until 12:30 PM

12:00 PM LUNCH – Presentation room closed until 1:15 PM

1:30-2:00 PM Update On Kimberly Clark – Stacey Cordwell-Carroll, R.N., Ph.D. (c)

2:00-3:30 PM Assistive Technology and Telecommunication for Medical Professionals with Hearing Losses – Becky Morris and Samuel Atcherson, M.Ed.

3:30-4:00 PM EXTENDED BREAK – Exhibit and presentation rooms remain open 4:00-4:45 PM Hearing Loss Among the Drugs: The Coping Adventures of a

Pharmacist – Dan Sheridan, R.Ph.

5:00-6:00 PM AMPHL Business 6:00 PM Exhibit hall closes



9:00 AM AMPHL Welcome and Introduction- Candice C. Barrere, D.V.M., AMPHL President

9:30 AM Stethoscopes and Medical Professionals with Hearing Losses – Candice C. Barrere, D.V.M., Total Pet Care, Toledo, OH

Criteria for the selection of appropriate stethoscopes and accessories will be discussed from the viewpoints of an audiologist and an engineer. This will be followed by an overview of the current stethoscopes and accessories available. Stethoscope and accessory recommendations will be made for the different degrees of hearing loss and type of device (hearing aid, cochlear implant) used.

10:45 AM Body Sounds Visualization System—Pocket STG and Lung Sound Analysis – A. Vyshedskiy, Ph.D. and R. Murphy, Faulkner Hospital, Boston, MA

Background and Purpose: Body sounds assessment is a challenging task even for experienced physicians. It is especially challenging for physicians with partial or complete hearing loss. Accordingly we were interested in developing a convenient system that visualizes body sounds in real time. We call the system the Pocket Stethograph or Pocket STG.

Methods: The Pocket STG uses the output of an electronic stethoscope (Cardionics, Inc.) to visualize in real time the sounds that the physician is hearing and stores them on the Pocket PC (Compaq iPAQ). Then these lung, heart, and abdominal sounds can be replayed along with a waveform visualization. The lung sounds are analyzed in real time to provide crackle and wheeze counts.

Results Part I. Learning Lung Sounds Multimedia Presentation: The purpose of this presentation was to review the most important lung sounds, their mechanism of production, the locations where they are commonly heard and their clinical associations. Lung sounds were

recorded with the use of a 16 channel lung sound analyzer. The sounds were also visualized in their anatomical position on html
web pages readily accessible with Internet Explorer, running on a Windows or a Macintosh computer. The Learning Lung Sounds consist of 3 sections. The 1st section presents the most commonly encountered lung sounds. Their characteristics are first described. They then can be played back, synchronized with a cursor running over the time amplitude plots. The 2nd section presents the patterns of lung sounds from actual tracings of patients with lung diseases who have been recorded using the STG. By clicking on one of the 16 sites on the patient body map the student initiates sound play back and visualization. The 3d section presents patient cases. Each case includes 16 chest sounds, a crackle and wheeze analysis summary, a clinical summary, and patient X-rays. Every case is concluded with a quiz. The Learning Lung Sounds creates an environment of virtual patient auscultation. The Learning Lung Sounds is intended for everyone interested in clinical medicine, particularly students and residents in medicine, nursing and respiratory care as well as those in physician assistant, emergency care, and nurse practitioner programs. Learn more about Learning Lung Sounds at:

Results Part II. Pocket STG: As it was discussed in the Learning Lung Sounds presentation the waveform display reveals diagnostic information often not heard on auscultation. The Pocket STG visualizes body sounds and identifies abnormal lung sounds in real time. Captured body sounds can also be shared with other physicians for a second opinion. The Pocket STG is the result of over 20 years of research and clinical work by Dr. Raymond Murphy and others. You can read more about research leading to development of the Pocket STG at: physiology_overview.html. We were also interested in reducing the number of gadgets physicians have to carry with them. Accordingly software packages for Emergency Medicine, Cardiac Medicine, Drug Information, and Drug Interaction can be all preloaded on the Pocket STG computer. In addition, Pocket STG provides an optional cellular phone and wireless internet functionality.

12:00 PM LUNCH – Pre-purchased catered lunch will be held in Holiday Inn Holidome. Exhibit room will be closed from 11:45 to 12:30 PM

1:30 PM Update on Surgical Masks – Stacey Cordwell Carroll, R.N., Ph.D. (c), Advanced Health Care, Stoneham, MA

This presentation will highlight the issues surrounding the manufacture of a clear surgical mask, which enables the wearer’s lips to be visible. Such a mask is proposed to improve access to healthcare professionals with hearing losses, as well as to be beneficial to deaf patients and children (hearing or deaf). AMPHL has completed a petition containing approximately 1500 signatures and the results of this petition will be discussed. The current status and future direction of this advocacy project will be discussed with audience input.

2:00 PM Assistive Technology and Telecommunication for Medical Professionals with Hearing Losses – Samuel Atcherson, M.Ed., School of Audiology and Speech-Language Pathology, University of Memphis, Memphis, TN and Becky Morris, President of Effective Communication Solutions and Beyond Hearing Aids, Independence, KY

This presentation will have three parts: 1) general repeat of last year’s talk will be presented on the rationale for assistive technology; 2)assistive technology in telecommunication will be discussed; and 3) table display of most widely used assistive technology will be provided. We hope the conference attendees will walk away armed with the knowledge, use, and application of assistive technology.

3:30 PM BREAK – Those who pre-purchased lunch today may partake of snack display

4:00 PM Hearing Loss Among the Drugs: the Coping Adventures of a Pharmacist – Dan Sheridan, R.Ph., Marion General Hospital, Marion, OH

A hospital pharmacist presents 20 tips that have helped him to cope with hearing loss at work. Includes strategies for choosing an employer, solving everyday communications difficulties, and staying in touch while working on nursing units

5:00 PM AMPHL Business