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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.

Tuesday 7 August 2012

Advancement of flap/U-shaped pedicle flap reconstruction of a left brow defect


PREOPERATIVE DIAGNOSES:
1.  Nodular basal cell carcinoma of the left forehead, left brow region.
2.  Acquired defect, left forehead brow region status post Mohs resection.  Defect measures 1.5 x 1 cm in size.

POSTOPERATIVE DIAGNOSIS:  
1.  Nodular basal cell carcinoma of the left forehead, left brow region.
2.  Acquired defect, left forehead brow region status post Mohs resection.  Defect measures 1.5 x 1 cm in size.

OPERATION PERFORMED:  Advancement of flap/U-shaped pedicle flap reconstruction of a left brow defect.



ANESTHESIA:  Local.

INDICATIONS:  The patient is 65-year-old female who was in her usual state of health without any acute medical problems who presents today for discussion regarding possible immediate reconstruction.  She desires immediate reconstruction after undergoing Mohs resection of a left brow defect.  I have taken care of her husband in the past.  In the preoperative setting, we discussed her findings as well as her options.  I gave realistic expectations of what to expect.  I discussed the potential complications including but not limited to bleeding, infection, and dehiscence of wound all of which may require further procedures of prolonged wound care.  In addition, I informed that despite best efforts, she indeed will have a permanent scar and only time will tell how significant that scar will be.  Potential complications _____ discussed, all questions answered, and she wishes that I proceed.  From my standpoint there were no medical contraindications to proceeding with primary reconstruction.

PROCEDURE IN DETAIL:  The patient was taken to the main operating room and placed supine on the operating room table.  The entire area was prepped and draped sterilely in the standard fashion.  Lidocaine 1% with epinephrine was used for local anesthesia.  Upon inspection of the wound, complex repair techniques would not result in satisfactory closure as it resulted in distortion of her left brow as well as bunching up of the tissue.  A U shaped pedicle flap was designed.  It was elevated after satisfactory anesthesia after incising the planned markings.  In this manner, the lateral component was advanced medially.  This resulted in no vertical pull.  Meticulous hemostasis was performed throughout using low-power needle tip cautery.  Irrigation carried out with saline solution.  Insetting in the flaps performed using interrupted 5-0 antibacterial Vicryl suture.  Skin it self was closed using running 5-0 fast absorbing suture.  This resulted in satisfactory closure with minimal distortion of the brow.  Mastisol and Steri-Strips were applied.  All sponge, instrument, and needle counts were correct x2

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