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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

Left knee arthroscopy with synovectomy, two compartments Chondroplasty patella


PREOPERATIVE DIAGNOSIS:
Left knee medial meniscus tear, possible anterior cruciate ligament injury.

POSTOPERATIVE DIAGNOSIS:
Synovitis of left knee with chondral lesion of the patella medial facet.

OPERATION PERFORMED: 
1. Left knee arthroscopy with synovectomy, two compartments. 
2.  Chondroplasty patella.

ANESTHESIA:  Spinal.

BLOOD LOSS:   Minimal.

FLUIDS:  Crystalloid.

COMPLICATIONS:  None.

INDICATIONS FOR SURGERY:   The patient is a 22-year-old male with chronic left knee pain.  Risks, benefits, and alternatives were discussed.  The patient wished to proceed with surgery.

OPERATIVE PROCEDURE:  The patient was identified, brought to the operating room and placed in supine position on table.  After induction of a spinal anesthetic, the patient received Ancef preoperatively.  Left knee was sterilely prepped and draped.  Positive findings on exam.  More tenderness over the joint line preoperatively and over the medial aspect of the knee.  However, Lachman test negative on exam and negative under the anesthetic.  At this time, the pivot shift test was also negative.  The left knee was sterilely prepped and draped in the usual fashion.  A knee holder was placed.  The patient's portal sites were established after inflating the joint with saline.  The findings were as follows:  The patient was noted to have chondromalacia, medial patella facet, lateral facet intact, medial compartment showed intact.  Medial meniscus, lateral meniscus, ACL, and PCL were grossly intact and probed carefully.  There was synovitis anteriorly and anteromedially as well as suprapatellar pouch.  This was resected using full-radius resector as well as along the anterior aspect of the knee.  After completion of our synovectomy and hemostasis was obtained, we went back to the patella.  The patella was then addressed using a cautery device at a setting of one where we smoothed the articular cartilage, loose chondral flaps.  This was a grade 2 A to 2 B lesion.  No exposed bone.  Once we completed this, we checked patellar tracking once more which was essential.  All instruments were then removed from the knee.  The knee was closed with nylon sutures and injected with Marcaine for postoperative pain control.

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