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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 2 August 2012

Endoscopic retrograde cholangiopancreatography, sphincterotomy, and removal of bile duct stone


PROCEDURE:
1.  Upper endoscopy.
2.  Endoscopic retrograde cholangiopancreatography, sphincterotomy, and removal of bile duct stone.

The indication, risks, benefits, alternatives, and limitations were explained to the patient and husband yesterday in the office and again today at the bedside to the patient.

INDICATIONS:  Possible common bile stone, possible bile leak, abdominal pain, rule out upper GI causes, and abnormal LFTs.

The indication, risks, benefits, alternatives, and limitations were explained to the patient and her husband.  The risk of anesthesia, perforation, bleeding, infection, cardiopulmonary risk, morbidity, and mortality were discussed.  Possibility of missing a lesion, a polyp, a growth, a mass, or cancer was discussed.  The risk of cold biopsy, hot biopsy, and polypectomy was discussed.  The risk of oropharyngeal injury, sore throat, bronchitis, aspiration, aspiration pneumonia, and sinusitis were discussed.  Esophageal and pharyngeal injury and perforation discussed.  Duodenal injury and perforation discussed.  The risk of sphincterotomy, bleeding, perforation, and need for surgery discussed.  The risks of bile duct injury, bile duct leak were discussed.  The risks of mild-to-severe pancreatitis, consequences of pancreatitis, morbidity, and mortality were discussed.  The risks of cholangitis were discussed.  The need for antibiotics was discussed.  All these discussions were explained in detail yesterday, they both understood everything.  Today, I explained everything to the patient again, she understood everything and she gave an informed consent both for the endoscopy and for the ERCP.

PROCEDURE IN DETAIL:  She was then brought to the Radiology suite.  Anesthesia of the intubated and anesthetized the patient and the endoscopy was first procedure.  The gastroscope was advanced into the esophagus, stomach, and duodenum.  Third portion, and second portion bulb was normal.  Pylorus was normal.  Antrum was normal.  On retroflexion, lesser curvature, greater curvature, fundus, and cardia were normal.  The stomach insufflated very well.  No abnormal folds were seen.  Esophagogastric junction was normal.  Esophageal mucosa was normal.  Procedure completed.  The patient tolerated procedure well.

Next procedure ERCP, the ERCP scope was advanced into the esophagus, stomach, and duodenum.  Ampulla was identified.  Using a wire only the bile duct was easily cannulated.  Cholangiogram showed common bile stone confirmed by Dr. Michael Katz, radiologist present in the room.  Following which, a sphincterotomy was done safely without any complications.  Following which without any difficulty using a balloon, the stone was removed.  Following this, an occlusion final cholangiogram was done, bile duct was clear and the bile duct drained very quickly and very well.  Procedure completed. The patient tolerated the procedure well
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