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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

Right hip bipolar hemiarthroplasty with Stryker Accolade press-fit


PREOPERATIVE DIAGNOSIS:  Subcapital femoral neck fracture, right hip.

POSTOPERATIVE DIAGNOSIS:  Subcapital femoral neck fracture, right hip.

PROCEDURE:  Right hip bipolar hemiarthroplasty with Stryker Accolade press-fit #4, 132 degree Accolade TMZF stem, and 26 V40 head 45 mm UHR Centrax.


ANESTHESIA:  Spinal.

ESTIMATED BLOOD LOSS:  150 mL.

COMPLICATIONS:  None.

DRAINS:  None.

SPECIMEN:  Femoral head.

PROCEDURE IN DETAIL:  Following induction of anesthesia, the patient was placed in lateral decubitus position and prepped and draped in sterile fashion, right side up.  Prophylactic antibiotics of Ancef 1g had been given.  Longitudinal posterior approach was utilized through the skin and subcutaneous tissue.  The fascia was divided, and short external rotators and capsule were divided in the T-fashion.  The femoral head was removed from the acetabulum with the corkscrew.  The head was sized to a 46-mm Centrax and trial reductions of 45 and 46 mm Centrax were performed.  The femoral neck cutting guides were then utilized to cut the femoral neck in appropriate length followed by reaming and broaching to a # 4 stem.  Trial reduction was performed.  Hip was taken through a full range of motion with +0 neck length and noted to be stable.  Components were removed.  The wound was irrigated with pulsatile lavage.  The actual stem was then implanted, and the hip was taken through a full range of motion with the 46-mm trial head and noted to be stable with +0 neck length.  The actual head was implanted.  The hip was again reduced, taken through a full range of motion, and it was determined that the 46-mm Centrax was slightly tight and this was removed and trial again performed with #5, which fit well within the acetabulum and was stable and the 45 mm UHR was then selected, implanted, and hip taken through full range of motion with the actual component noted to be stable throughout full range of motion with good leg lengths.  The wound was irrigated copiously with antibiotic irrigation.  Thrombin spray was utilized.  The short external rotators and capsule repaired with #1 Ethibond interrupted vertical mattress sutures.  The fascia was repaired with #1 Vicryl interrupted vertical mattress sutures.  The wound again was irrigated and subcutaneous closed with 2-0 Vicryl interrupted vertical mattress sutures.  The skin was closed with staples.  Adaptic, 4x4s, ABD, and Micropore tape applied.  The patient was sent to the recovery room in a good condition.
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