/cast [target=focus,nomodifier:alt] Lesser Healing Wave
/stopmacro [nomodifier:alt]
/cast [nomodifier:alt] Fire Elemental Totem;Earth Elemental Totem
/focus [target=Greater Fire Elemental,help,nodead]; [target=Greater Fire Elemental,help,nodead]

This is generally what I'm shooting for...server down again so this is from memory...but my results are pretty much just the shammy casting lesser healing wave repeatedly...not getting to the summons part even..
the idea is to summon fire or with alt pressed earth elemental...focus it for boss fights n what have you..n heal elemental on rest of presses...