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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

Insertion of left IJ HemoSplit catheter with ultrasound and fluoroscopic guidance


PREOPERATIVE DIAGNOSIS:                End stage renal disease.

POSTOPERATIVE DIAGNOSIS:             End stage renal disease.

OPERATION PERFORMED:                    Insertion of left IJ HemoSplit catheter with ultrasound and fluoroscopic guidance.

ANESTHESIA:                                             Local sedation.

FINDINGS:                                                    Patent left IJ.  The tip of the catheter was in the right atrium.  There were no complications.

PROCEDURE IN DETAIL:                                    A 74-year-old gentleman who had an infected catheter and now requires long-term hemodialysis access.  Consent was obtained.  The patient was taken to the operating room for insertion of a new catheter.

The patient was placed on the OR table in supine position.  The left side of the neck and the anterior chest was prepped and draped in usual sterile manner.  The ultrasound was used to visualize the left internal jugular vein.  Local anesthetic was administered through the skin and subcutaneous tissue and the left IJ was cannulated with 18-gauge needle.  The guidewire was inserted through the needle under fluoroscopy.  The guidewire was _____ in the inferior vena cava.  An incision was made at the entry site, and the catheter was tunneled through the subcutaneous tissue from the anterior chest wall up into the neck.  A dilator with a peel-away introducer was threaded over the guidewire under fluoroscopy.  The guidewire and the dilator were removed leaving the peel-away introducer in place.  The catheter was then threaded through the peel-away introducer and the introducer was peeled away and removed leaving the catheter in place.  The tip was adjusted to be in the right atrium.  Both ports were aspirated and flushed without any difficulty and then capped with 2500 units of Heparin and 2 mL in each port.  The incision at the base of the neck was reapproximated with running 4-0 Monocryl subcuticular stitch.  The catheter was secured to the skin with 4-0 Monocryl suture.  Sterile dressings were applied and this terminated the procedure. There was no complication.
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1 comment:

  1. Unknown12 March 2013 at 05:12

    Great post. I had no idea you could have an infected catheter. Poor man. This was very interesting, thanks so much for sharing.

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