MEDICAL TRANSCRIPTION SAMPLE REPORTS: ERCP

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

PROCEDURE PERFORMED: ERCP.

PROCEDURE INDICATION: Common bile duct stones on intraoperative cholangiography post cholecystectomy.

POSTPROCEDURE DIAGNOSES:

1. Multiple common bile duct stones removed after sphincterotomy with balloon stone extraction of the eXit cholangiography revealing the bile duct free of any residual stones.

2. Intact intrahepatic ducts and intact cystic duct remnant.

MEDICATIONS: Per anesthesia with intubation.

PROCEDURE IN DETAIL: The risks of perforation, bleeding, infection, sedation, and anesthesia were outlined. Assistance of an interpreter was utilized. With the patient intubated in the prone position, the scope was advanced to the second portion of the duodenum after suctioning the stomach clear of fluid. The major ampulla was identified and noticed to be bulging. Cannulation initially secured the ampulla and wire guidance went into the pancreatic directions on two occasions. There was a sensation that there is something impacting the distal bile duct. With angulation change and wire guidance, common bile duct was cannulated and cholangiography revealed multiple filling defects within the bile duct. Sphincterotomy then undertaken with a controlled fashion Erbe generator. The wires then advanced into proximal biliary tree, the catheter removed, and 9 to 12 mm balloon was utilized to occlude the bile duct distally and removed stones and then moved more proximally and removed more stones, then high up into the right hepatic duct and gradually brought back into the common hepatic duct thereby trapping the residual stones and pulling them out under eXit cholangiography guidance. Multiple stones were seen within the duodenum at the completion of the procedure. These appeared to be cholesterol stones. There is no bleeding from the sphincterotomy site. The patient will be managed postoperative anesthesia in the immediate postoperative setting. She will be continued on antibiotic fluids, analgesics, antiemetics, as previously outlined. The diet will be advanced based upon progress over the next few hours. Lab work to be ordered for the morning.

MEDICAL TRANSCRIPTION SAMPLE REPORTS

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