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Medical Transcription

Medical transcription is one of the fastest-growing profession in the country today.

Medical transcription offers excellent opportunity to housewives, ex-servicemen, graduate fresh or experienced, especially the newly passed ones. It is also a high income career for the graduates. You can even sit at your home and earn money from home feasibly through medical transcription career, and one can organize his/her own work timings and avoid travel to the works for and thus earn more than the usual office goers.

Nature of job, doctors will dictates the patients’ information, which we will receive in wave format through voice mail or dictaphone which consists of medical datas, which we have to type.

Transcription process is conversion of voice to electronic text form. As this process deals medical data documentation, so this is called medical transcription. The person who deals with medical data process is called Medical Transcriptionist.

Any person can do home based medical transcription program, those who are interested to learn, who able to grasp accents’ of dictators’ voice, who able to understand English, who able to form sentences grammatically and finally, who wants to earn money shortly from home or office.

There are many institutions that providing free home based medical transcription training through internet with their own “terms and condition” and time limits, duration. To avail home based medical transcription training you should computer laptop or desktop with UPS, phone and internet connection for communications. They would design the program accordingly where one can learn medical transcription from home.

Home based Medical transcription Training program duration may be 2 to 4 months.

After successful completion of home medical transcription training from institute based on your quality and quantity, you will be offered a home based job medical transcription immediately, and you are supposed to sign an agreement and can start medical transcription job from home and can start earning from home. Companies will provide you files through internet which has to be transcribed.

Based on your quality and quantity, remuneration will be fixed with incentives per month and remuneration will be gradually increased as your experience increases. One can start earn initially low, but gradually can increase with incentives as experience increases.

Quality - the document should be without error and should not commit error beyond the limit. Files should be submitted with minimum 90% accuracy to company by the medical transcriptionist and to the client, 99.5% accuracy after QC/QA. Quantity - a transcriptionist should be able to transcribe minimum of 350 lines per day, initially after successful training.

Main advantage of taking home based medical transcription work, one can organize their own work timings. They can reduce your traveling time 2 to 4 hours, so that can spend more time in working to earn more.

Wednesday 24 October 2012

carotid endarterectomy with Dacron patch angioplasty



PREOPERATIVE DIAGNOSIS: 
Right carotid stenosis.

POSTOPERATIVE DIAGNOSIS: 
Right carotid stenosis.

OPERATION:
Right carotid endarterectomy with Dacron patch angioplasty.

SURGEON:  

ASSISTANTS:  

ANESTHESIA:  General block.

COMPLICATIONS:  None.

DRAINS:  None.

SPECIMENS REMOVED:  Carotid plaque.

ESTIMATED BLOOD LOSS:  Minimal.

DESCRIPTION OF PROCEDURE/FINDINGS: 
After the induction of region anesthesia, the right neck was prepped and draped in the normal sterile fashion.

An incision was made anterior to the medial border of the sternocleidomastoid.  The skin and subcutaneous tissue was entered.  The medial border of the sternocleidomastoid was dissected out and this muscle was retracted laterally.  The internal jugular vein was identified and the medial border of this vein was dissected out.  The tributaries to this vein were taken between snaps and ligated with 2-0 and 3-0 silk ties.

The common carotid artery was identified and dissected out and controlled with vessel loops.  Dissection was carried out distally until the internal and external carotid arteries, as well as, the superior thyroid artery.  The hypoglossal ad vagus nerves were seen and preserved throughout the procedure.  The patient was systemically heparinized with 5,000 units of intravenous heparin.  Clamps were placed on the internal, external, and common carotid arteries.  The patient remained neurologically intact.

An arteriotomy was made in the common carotid artery extending into the internal carotid artery.  Endarterectomy was performed with adequate proximal and distal end points.  A Dacron patch was used to close the arteriotomy.  Prior to the closure of the arteriotomy, antegrade and retrograde flushing maneuvers were performed.  Patch closure was completed.

Clamps were removed.  There was a palpable pulse in the internal carotid artery and adequate Doppler signal.  The wound was irrigated with antibiotic solution and closed in layers.  The patient remained neurologically intact throughout the procedure.


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Postmenopausal bleeding and endometrial polyp Dilatation and curettage, diagnostic hysteroscopy.



PREOPERATIVE DIAGNOSES: 
Postmenopausal bleeding and endometrial polyp.

POSTOPERATIVE DIAGNOSES:
Postmenopausal bleeding and endometrial polyp.

OPERATION: 
Dilatation and curettage, diagnostic hysteroscopy.

ANESTHESIA:
General given by Jean.

SURGEON:


ASSISTANTS:
None.

ESTIMATED BLOOD LOSS:

SPECIMENS REMOVED:

DESCRIPTION OF PROCEDURE/FINDINGS:
Under satisfactory general anesthesia, the patient was placed in the dorsal lithotomy position.  The perineum and the vagina were painted with Betadine before applying sterile drapes.  The pelvic examination disclosed a closed cervix.  The uterus was normal size, anteverted.  Adnexa was negative.  A heavy-weighted speculum was inserted into the vagina followed by the anterior retractor.  The anterior lip of the cervix was grasped with a tenaculum forceps.  After satisfactory dilatation, a rigid hysteroscope was introduced into the endocervical canal and brought through the endometrium which was described as being normal and pale without any evidence of polyp or point of bleeding.  No friable mass was also noted.  The ostium on the left side was identified as well as the ostium on the right side and appeared to be normal and patent.  Upon withdrawing slowly from the uterine cavity, anterior, posterior and lateral all were identified, they appeared to be normal.  The endocervical canal was identified as well and (_____) but no evidence of polyps was seen inside.  Then the scope was removed.  Then the endocervical canal was curetted, which has been given and scanty amount of tissue was obtained.  The endometrial cavity was also curetted and moderate amount of tissue was obtained.  The procedure was well tolerated, 4 L of fluid was used during the hysteroscope.
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Suction curettage for Missed abortion



PREOPERATIVE DIAGNOSIS: 
^Missed abortion.

POSTOPERATIVE DIAGNOSIS: 
^Missed abortion.

OPERATION: 
^Suction curettage.

SURGEON: 

ASSISTANTS:  ^

ANESTHESIA:
General.

ESTIMATED BLOOD LOSS:  ^

SPECIMENS REMOVED:  ^

DESCRIPTION OF PROCEDURE/FINDINGS: 
^The patient was taken to the operating room, where general anesthesia was induced.  After an adequate level of anesthesia was obtained, she was then prepped and draped in the usual sterile manner. A weighted speculum was emptied placed in the vagina. Single-toothed tenaculum was used to grasp the anterior lip of the cervix, it could be seen. There was some tissue in the os. A #8 curved curette was inserted into the endometrial cavity and the contents were aspirated.  The sharp curettage was carried out to ensure the cleanliness of the cavity and then again suction was reapplied. The bleeding was minimal post procedure. The patient tolerated the procedure well and was sent to the Recovery Room in satisfactory condition.
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Friday 31 August 2012

Caudal epidural steroid injection with Racz catheter Fluoroscopy IV sedation


PROCEDURES:
1.  Caudal epidural steroid injection with Racz catheter.
2.  Fluoroscopy.
3.  IV sedation.

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