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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.

Friday 31 August 2012

Caudal epidural steroid injection with Racz catheter Fluoroscopy IV sedation


PROCEDURES:
1.  Caudal epidural steroid injection with Racz catheter.
2.  Fluoroscopy.
3.  IV sedation.



ANESTHESIA:  Local and IV sedation.

PREOPERATIVE DIAGNOSIS:  Lumbosacral radicular pain.

POSTOPERATIVE DIAGNOSIS:  Lumbosacral radicular pain.

INDICATIONS:  Pain, refractory to conventional therapy.

ESTIMATED BLOOD LOSS:  Minimal.

COMPLICATIONS:  None.

DESCRIPTION OF THE PROCEDURE:  The patient was identified in the holding room.  Written informed consent was obtained, including the discussion of the risk, benefits, and alternatives to the procedure.  An IV was placed and the patient was taken to the fluoroscopic suite and positioned prone on the procedure table.  IV access was confirmed.  Monitor is applied.  Time-out performed and mild IV sedation begun by the sedation nurse under direct MD supervision.  The patient’s lumbosacral area was prepped and draped in sterile fashion with Betadine x3.  Utilizing a lateral fluoroscopy, the sacral hiatus was identified and 3 cc of 1% lidocaine was used to anesthetize the overlying subcutaneous tissue via a 25-gauge 1.5 inch needle.

Next, an 18-gauge Tuohy needle was advanced under intermittent lateral fluoroscopic guidance towards the sacral hiatus and into the epidural space.  After negative aspiration to blood or CSF, a Racz catheter was inserted through the Tuohy needle into the epidural space with lateral fluoroscopy confirming good spread into the epidural space.

Next, AP views were utilized and a live fluoroscopy was utilized to advance the Racz catheter upto the L5 vertebral body level.  After negative aspiration for blood or CSF, 3 cc of Omnipaque radiocontrast solution was injected into the epidural space demonstrating very good spread within the epidural space and along the S1 and S2 nerve roots.

Next, 5 cc of solution containing 3 cc of 0.25% preservative free bupivacaine and 80 mg of Kenaolog was then cranially injected following negative aspiration for blood or CSF into the epidural space.  All needles were removed, intact, and hemostasis was appreciated.  A meaningful verbal contact was maintained with the patient throughout the entire procedure.  The patient was then allowed to recover on a monitor setting for 30 minutes prior to discharge home in stable condition and no complications were noted

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