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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.

Thursday, 26 July 2012

Dual chamber pacemaker insertion

PROCEDURE:  Dual chamber pacemaker insertion.

INDICATIONS:  Complete heart block.

ANESTHESIA:  Delivered per anesthesia service via mouth and reports it separately.

PROCEDURE IN DETAIL:  The patient was prepped and draped as usual.  The left pectoralis was approached and copiously infiltrated with lidocaine and Marcaine mix.  The skin incision was carried down to the pectoral pocket which was fashioned without difficulty.  Access was obtained at the thoracic end of the subclavian vein with two separate sticks.  Two 8-French sheaths were used for introduction of the leads into the vasculature which were positioned at intraventricular high septal position and right atrial lateral wall appendicular position.  Adequate thresholds were obtained.  The leads were _____ floor.  The pocket was lavaged thoroughly with antibiotic solution, and the leads were connected to the generator where the pocket was then closed into separate layers in addition to Dermabond with no complications.

TECHNICAL DATA:
The new pacemaker is St. Jude Medical 6826, serial number is 1962153, the right ventricular lead is St. Jude Medical 1788 TC/52 cm lead serial number is BHE 20520, right atrial lead is St. Jude Medical 1788TC/46 cm lead, serial number is BAL 46014.  The P-wave is 2.9, the R-wave is 8.6, impedance of 496 and 584 with a threshold of 1.3 V at 0.5 and 0.9 V at 0.5.  The device prompted DDDR 60/120.

CONCLUSION:  Successful implantation of dual chamber pacemaker system.  No complications _____ postimplant care.
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