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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

ERCP, sphincterotomy, and balloon sweep


PROCEDURES PERFORMED:  ERCP, sphincterotomy, and balloon sweep.

INDICATION:  High liver enzymes with gallstones and central abdominal pain, possible common bile duct stones.

POSTPROCEDURE DIAGNOSES:
1.  Patent cystic duct.
2.  Bile duct evaluated with small sphincterotomy and balloon sweeping.  No obvious stones emerging.  Initial small filling defects noted; however, without materializing stone.


MEDICATIONS:  Per anesthesia with intubation.

PROCEDURE IN DETAIL:  The risks of perforation, bleeding, infection, sedation, pancreatitis, the consequences of gallstones, and possible common bile duct stones including pancreatitis reviewed and informed consent obtained.  Once intubated in the prone position, the duodenoscope easily advanced in second portion of the duodenum where the major ampulla was identified.  This appeared endoscopically normal.  Small slivers of bile noted coming out.  The Hydratome was placed direct in the 11 o'clock position.  Gentle wire protrusion resulted in pancreatic cannulation.  The wire was then removed, catheter manipulated, and again pancreatic cannulation was noted.  There was no injections undertaken.  The catheter was then manipulated more to the left of the 11 o'clock position, which allowed wire-guided common bile duct cannulation.  Careful cholangiogram was obtained, initially it was not clear with the filling defect in the distal ducts.  Further images were attempted to be obtained to identify this.  The cystic duct filled.  Caution was taken not to overfill the gallbladder.  The intrahepatic ducts appeared normal.  Decided to do small sphincterotomy, which was undertaken without complications.  A small balloon 9 through 12 was then inflated to fill the caliber of the proximal ducts and gently sweep out with filling defects identified with these that appeared to be bubbles.  Subsequent repeat _____ cholangiogram appeared to be negative and there were no stones visualized in the duodenum at the completion of the procedure.  The patient appeared to tolerate this well.  She will be observed, placed on liquids if stable and there is no increasing symptoms.  She has received a dose of Levaquin today.  She will probably be observed overnight with consideration given to cholecystectomy in the a.m.  If she is symptom free and elects to be discharged, she should have subsequent elective cholecystectomy.

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