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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.

Sunday 29 July 2012

Right subclavian Port-A-Cath placement Operative fluoroscopy with image acquisition and supervision Foley cath/heparin


PREOPERATIVE DIAGNOSES:
1.  Uterine cancer.
2.  Advanced stage malignancy.
3.  Chemotherapy.
4.  Venous access.

POSTOPERATIVE DIAGNOSES:
1.  Uterine cancer.
2.  Advanced stage malignancy.
3.  Chemotherapy.
4.  Venous access.

PROCEDURE PERFORMED:
1.  Right subclavian Port-A-Cath placement.
2.  Operative fluoroscopy with image acquisition and supervision.
3.  Foley cath/heparin.

COMPLICATIONS:                                     None.

ESTIMATED BLOOD LOSS:                    Less than 30 mL.

DISPOSITION:                                             The patient was transferred to the recovery room in stable condition.

JUSTIFICATION:                                        The patient presents on 04/24/09 to the above procedures, for the above diagnoses.  She is aware that these risks include infection, bleeding, injury to adjacent structures such as the regional blood supply, pulmonary structures.  All of the patient's questions have been answered, apparently to her satisfaction.  The patient has elected to proceed with surgery, and is medically cleared.

PROCEDURE IN DETAIL:                                    Following documentation of informed consent for the above procedures, the patient was brought to the operative suite where she was administered general, conscious sedation, prepped and draped in the usual sterile fashion in the supine position.  Subclavian Port-A-Cath placement _____ with a single pass on the right side, the subclavian vein is accessed.  A wire is advanced to the region of the superior vena cava under fluoroscopic guidance.  Using fluoroscopic image acquisition and supervision, a catheter was advanced to the region of the superior vena cava.  A 2-cm incision was developed 2 fingerbreadth below and parallel to the clavicle on the right side, where a pocket is developed in the subcutaneous to accommodate the port.  The port is secured in the chest wall fascia using 2 interrupted sutures of 2-0 Prolene.  The subcutaneous was irrigated and closed using a running suture of 2-0 Vicryl.  A 4-0 Monocryl was used to reapproximate skin margins.  _____ upon completion is notable for good venous return and flow.  Fluoroscopic assessment is notable for appropriate line placement.  The port is generously flushed with heparinized solution.  Dressings were applied.  All sponge and needle counts were correct x3 at the end of the case.  The patient tolerated these procedures well, and was transferred to the recovery room in stable condition.
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