MEDICAL TRANSCRIPTION SAMPLE REPORTS: IM roding Gamma nail, long Gamma

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

IM roding Gamma nail, long Gamma

PREOPERATIVE DIAGNOSIS: Peritrochanteric proximal femoral shaft subtrochanteric fracture, right femur.

POSTOPERATIVE DIAGNOSIS: Peritrochanteric proximal femoral shaft subtrochanteric fracture, right femur.

OPERATION PERFORMED: IM roding Gamma nail, long Gamma 125-degree, right femur with 11 x 380 nail, 90-mm lag screw, and 40 x 5 distal locking screw.

ESTIMATED BLOOD LOSS: 75 mL.

COMPLICATIONS: None.

DRAINS: None.

SPECIMENS: None.

ANESTHESIA: Spinal.

PROCEDURE IN DETAIL: Following induction of anesthesia, the patient was placed on the fracture table in a supine position. All bony prominences were carefully padded and protected. The left leg was placed on the stirrup leg holder. The right leg was placed in traction and reduction was achieved under fluoroscopic visualization of the right subtrochanteric and peritrochanteric fracture. The patient wad prepped and draped in sterile fashion. Prophylactic antibiotics of 1 g Ancef had been given.

A longitudinal incision was made at the tip of the trochanter. The guide rod was passed through the arm and position visualized at the AP and lateral planes, and noted to be in good alignment. The rod was measured utilizing the measuring guide, and the rod length was selected to be 380. The canal was then progressively reamed to 13 mm distally, 15 mm proximally, followed by the insertion of the 125-degree long Gamma 11 x 380 nail. The nail was appropriately positioned fluoroscopically, and utilizing the proximal guide, the femoral head and neck were drilled with the guide pin, followed by reaming, followed by measuring, and insertion of the 90-mm lag screw. The lag was appropriately positioned. The compression screw was tightened proximally and compression was achieved. Fracture of the hardware visualized in the AP and lateral planes and noted to be in good alignment. With the traction released, appropriate fracture position was obtained and the proximal jig was removed. The perfect circle was obtained in the distal locking screw site with the proximal dynamic slot. The drill hole was made in the proximal portion of the slot, measured, and a 40 x 5 mm screw was then inserted. The position of the screw was verified in the AP and lateral planes and permanent radiographs were obtained of the rods and fracture proximally and distally. The wound was irrigated copiously with antibiotic irrigations. The fascia was repaired with #1 Vicryl interrupted vertical mattress sutures. The subcutaneous was closed with 2-0 Vicryl interrupted vertical mattress sutures, and the skin was closed with staples with Adaptic, 4 x 4’s, ABD's, and Micropore tape applied. The patient was sent to the recovery room in a good condition.

MEDICAL TRANSCRIPTION SAMPLE REPORTS

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