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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

Repeat cesarean section


PREOPERATIVE DIAGNOSIS:  Previous cesarean section.

POSTOPERATIVE DIAGNOSIS:  Previous cesarean section.

PROCEDURE:  Repeat cesarean section.

ASSISTANT:  Gail Glennon.

ANESTHESIA:  Spinal.

ESTIMATED BLOOD LOSS:  70 mL

COMPLICATIONS:  None.

FINDINGS:  Beautiful baby girl, Apgars 9 and 9, weight is 7 pounds 5 ounces.  Normal uterus, tubes and ovaries.  Three-vessel cord, intact placenta.

INDICATIONS:  This is a 34-year-old gravida 3, para 1, at term with history of previous cesarean section, otherwise uncomplicated prenatal course.  Risks, benefits, and alternatives discussed with the patient at length including risks of morbidity and mortality of fetus, including risks of morbidity and mortality of mother, including risks of hemorrhage, infection, and injury to bowel, bladder, and uterus.  Risks were accepted.  The patient was taken to the operating room.  Spinal anesthesia was given without difficulty.  She was then prepped and draped in normal sterile fashion, dorsal supine position with leftward tilt.  Pfannenstiel incision was made with scalpel carried through to the underlying layer of fascia with Bovie.  Fascia was incised midline extended laterally.  Rectus muscle dissected with Bovie.  Peritoneum identified and entered.  Bladder flap created.  Uterine incision was made with scalpel, extended laterally.  Moderate meconium was noted.  Baby was delivered from vertex presentation to leave suction at abdomen.  Cord clamped and cut.  Baby handed off to the awaiting pediatrician.  Three-vessel cord intact.  Placenta was delivered spontaneously.  Uterus exteriorized and cleared of all debris.  Uterine incision was repaired with 0 Vicryl in a running fashion.  Second layer was used to obtain hemostasis.  The uterus was returned to the abdomen.  Uterine incision was inspected and noted to be hemostatic.  The gutters were cleared of all clots.  The fascia was repaired with 1 Vicryl in a running fashion.  The skin was closed with staples.  The patient tolerated the procedure well.  Sponge, lap, and needle counts were correct x3.  The patient was taken to the recovery room in stable condition.
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