Easy Money Making Part Time Internet Jobs.

Andhra Bank Job Vacancies – Andhra Bank Clerical Cadre Posts – Andhra Bank Recruitment 2012-13

noreply@blogger.com (mary joseph) — Mon, 30 Apr 2012 07:25:00 -0700

Andhra bank invites applications for 600 clerical cadre posts.

Selection for clerical cadre posts will be made on the basis of performance in common written examination (CWE) conducted by IBPS during Nov-December 2011 and interview.

Pay scale: 7200-400/3-8400-500/3-9900-600/4-12300-700/7-17200-1300/1-18500-800/1-19300 plus DA, HRA, etc....

The last date for online registration: 05:05:2012

Other detailed information at Andhra bank’s official website: http://andhrabank.in/english/Recruitment.aspx

Dena Bank Recruitment 2012 – Dena Bank Clerical Cadre Job Vacancies – Online Application Form

noreply@blogger.com (mary joseph) — Mon, 30 Apr 2012 07:18:00 -0700

Dena bank invites applications for 1090 clerical cadre posts.

The last date for online registration: 02:05:2012

Refer detailed information at Dena bank’s official website:

http://www.denabank.com/viewsection.jsp?lang=0&id=0,48

.NET Developer jobs available in Chennai

noreply@blogger.com (mary joseph) — Fri, 9 Mar 2012 05:57:00 -0800

.NET Developer for night shift
by SRA Systems Limited in Chennai

Job Description:
Mandatory experience of 0 - 1 years in Net 2.0/3.5 with Sql Server 2005/2008 with excellent English communication and willing to work on Night shift

Salary: Not Disclosed by Recruiter
Industry: IT Software, Software Services
Functional Area: IT-Other
Role Category: Programming & Design
Role: Software Developer
Keyskills: Net 2.0 / 3.5

View More Here

Software Jobs Bangalore - 3GPP, BT Protocol Design and Development Expertise

noreply@blogger.com (mary joseph) — Tue, 28 Feb 2012 06:54:00 -0800

Embedded Software Engineer with Protocol Development Expertise
by SYNAPSE Design in Bengaluru/Bangalore

Job Description

Hi,

Synapse Design (www.synapse-da.com) is an industry leader in design services and is the engineering backbone of most Fortune 500 System & Semiconductor companies around the world. Synapse target customers are companies with $1 billion in revenue, we enable them to meet their technical & resource challenges to build the ........

View More Here

Home Based Part Time Data Entry Job Opportunity

noreply@blogger.com (mary joseph) — Tue, 24 Jan 2012 04:24:00 -0800

Job: Data Entry Associate - Home Based, Allied Data Sys

Data Entry / Ad Typist at home

Company: Allied.Data.Sys

Job Type: Full-time, Part-time

Pay Type: Hourly

Location: Dallas Parkway
Plano, TX 75024

At home Data Entry Position, great opportunity for stay at home moms or anyone who wants to work in the comfort of your own home.

Requirements: You will need a computer with Internet access, valid email address, good typing skills and .......

View more here

Source: snagajob.com

Part Time Jobs - Online Freelance Writer

noreply@blogger.com (mary joseph) — Mon, 23 Jan 2012 06:39:00 -0800

Freelance Writer - Online (part time, work from home)

Company: Examiner.com

Employee Type: Contractor

Industry: Art - Photography - Journalism , Internet - ECommerce, Printing - Publishing

Location: Ann Arbor, MI

Examiner.com is a dynamic entertainment, news and lifestyle network that serves more than 20 million monthly readers across the U.S. and around the world, and currently seeks regular writer contributors ("Examiners"). Examiners write from a local perspective in the third person. This generally includes tips and.........

View More Here

Source: careerbuilder.com

LinkShare Pay-Per-Call Platform

noreply@blogger.com (mary joseph) — Fri, 14 Aug 2009 23:35:00 -0700

Pay-per-call offers higher ROI potential because calls can increase conversion rates and give us new places - online and offline - where ads can show up.

LinkShare, a leading performance marketing network provider, today announced a new and innovative technology that enables advertisers to extend their reach to a larger base of publishers - while enabling publishers to earn more commissions per transaction. The new pay-per-call platform tracks completed calls that publishers drive to advertisers' call centers, thus opening affiliate marketing up to offline activity.

The new platform allows publishers to promote unique phone numbers through on-or offline media, or also earn commissions when customers opt to call the phone number on an Advertiser's site. Publishers can sign up to use the new platform by visiting www.linkshare.com/paypercall. The platform will also be shown at the upcoming Affiliate Summit East in New York City (August 9 -11, 2009). Attendees can stop by the LinkShare booth (Booth #1221) for a live demonstration.

"LinkShare is committed to offering innovative technologies that support the overall goal of increasing revenue opportunities for our network's advertisers and publishers," said Russ Pechman, VP of LinkShare Lead Advantage. "Pay-per-call offers higher ROI potential because calls can increase conversion rates and give us new places - online and offline - where ads can show up."

LinkShare's first pay-per-call users have launched in the Lead Advantage Network, which promotes advertisers that are focused on lead quality. Calls can generate higher quality than online form leads through the usage of filters that qualify and route calls depending on a variety of factors including call duration, geography and more. Offers using pay-per-call will soon be available in the LinkShare Affiliate Network in addition to Lead Advantage.

LinkShare pay-per-call is simple to set up and manage for both advertisers and publishers within its network, and works seamlessly with an advertiser's existing online initiatives. Additional benefits include:

* Pay-per-call can be seamlessly included into Advertisers' existing affiliate programs. Commissions earned by Publishers are incremental to their existing commissionable transactions
* Filters and qualification paths allow Advertisers to control call quality
* Publishers and advertisers can leverage new marketing channels - off-line and online - to generate volume

Commission Junction PayPerCall

noreply@blogger.com (mary joseph) — Fri, 14 Aug 2009 07:45:00 -0700

Commission Junction has introduced a new platform, CJ PayPerCall, which is a new way for affiliates to earn commission through CJ.

In addition to more than a dozen advertisers, like ADT and ServiceMagic, who have launched pay-per-call campaigns, they anticipate a very large financial services advertiser launching soon just for pay-per-call.

CJ will be hosting a live demo of CJ PayPerCall to answer questions and provide affiliates with materials to start driving commissioned calls for advertisers.

Prior to the demo, be sure to sign up for a CJ PayPerCall publisher account for the new platform at www.cj.com/paypercall.

Click Here For Details

GOMEZ PEER - How to make cash

noreply@blogger.com (mary joseph) — Thu, 9 Jul 2009 06:15:00 -0700

Earn Cash Every Time You Are Online!

Sound too good to be true? It's not. You can earn cash for every minute your PC is on and connected to the Internet. By running the Gomez PEER, you will also help us provide the most realistic picture of Web performance.

To be eligible, you must meet certain program requirements, then download and install the Gomez PEER. It's as simple as that. Gomez is now selecting PEER participants from all over the world.

GOMEZ PEER is really paying website. This website pays you for keeping computer on. You can install gomez software in more than one computer and in all the computer just type the same username that you registered in gomez. This will help you to earn more fastly from GOMEZ. Currently gomez wanted users from countries like United States, China, Germany, United Kingdom, Korea, Japan, Mexico, Australia, Canada, South America

If yours country is not listed above then it doesn't mean that you cannot join gomez. You can also join GOMEZ but the users from most wanted countries will earn more fastly.

When you run GOMEZ PEER software it will need internet connection where it will check its server for work. You will be paid for the work that it gets from the server. Suppose you downloaded the GOMEZ PEER software and you run it for 1 hour. Let you got the work for 30 minutes then you will only be paid for 30 minutes and not for 1 hour. 30 minutes will be treated as Processing Time while 1 hour will be treated as Total Online Time.

Moreover GOMEZ pays $2 for each referral and its minimum payout if only $5. Suppose you don't rich the minimum payout at this month then yours money will be rolled over to the next month only if you are one of the active member of the GOMEZ. When you join GOMEZ you get the status of PENDING member. But you don't worry about that just install GOMEZ PEER and after few weeks you will automatically become the ACTIVE member. Once you become ACTIVE member you will find that you are earning more fastly as you were earning at the time when you were just PENDING member.

Try to install GOMEZ PEER in more than one computer so that you can earn rapidly.

The frequent problem a gomez member face is that FAILED TO CONTACT GOMEZ PEER(2).

This error is faced after downloading GOMEZ PEER software and you will hardly find the correct solution of this problem in websites. But I have the correct solution for it.

The main problem is that people download incorrect GOMEZ PEER software.

When you will go for downloading GOMEZ PEER software you will find.

1> Download US PEERInstall.exe (19.1 MB)

2> Download International PEERInstall.exe (22.1 MB)

The user thinks that the option 1 is only for US members and option 2 is only for international members. Now this is the thinking which causes the error FAILED TO CONTACT GOMEZ PEER(2).

Actually the option 1 is for those who have the US-English Language as their operating system language. So, if you are from India, US etc. and if yours computer uses US-English Language for operating system then you have to download the US PEERInstall.exe of 19.1 MB.

And if yours computer uses any other language except US-English then you have to download the International PEERInstall.exe of 22.1 MB.

After installing GOMEZ PEER you have to keep yours internet connection ON for few minutes because GOMEZ download some files from the server. I think the total download size will be nearly 5-7 MB.

System Requirements for GOMEZ PEER

-> An Internet connection
-> A 500 Mhz Pentium III or better
-> OS: Windows XP, NT, 2000 or 2003 Operating System
-> 128 MB RAM and 40 MB of free hard disk space.
-> You must also have the ability to visit secured or SSL encrypted pages.

Note:- Some website provides cracked GOMEZ PEER and promise that cracked version will help you in earning fastly. But I suggest you not to download those versions. Download GOMEZ PEER only from the GOMEZ official website and not from Other website.

Gomez official website ==> http://peer.gomez.com/

Home Based Data Entry Freelancer Jobs.

noreply@blogger.com (mary joseph) — Fri, 19 Jun 2009 08:24:00 -0700

There are several websites of on-line marketplace for data entry services ! On-line marketplace allows you to buy and provide data entry services in a simple and secure manner. This is relatively new website on data entry and it is online marketplace for data entry, where you put your bid on data entry projects posted from all over the world.

Easy Work From Home - Worldwide.

Get yourself registered for free, find data entry projects, bid for the projects. You can post your profile, work experience, projects completed to increase the chances of acceptance of your bid by the owner company of project.

Various online marketplace web sites are given below, where you can get projects for data entry.

Go Freelance: Find thousands of freelance and work-at-home jobs. Click here to start today
Make Thousands of Dollars...Whenever You Want...
All over the world, people like you are pocketing thousands of dollars doing easy freelance work. And you can, too. Best of all, you can start right now. Grab your trial membership and you could be earning money today, doing fun freelance jobs like these:
Entering data into forms - $325.00 per day
Completing opinion surveys - $40.00 per hour
Writing articles and stories - $60.00 per hour
Editing documents - $300.00 per day
Answering and sending emails - $190.00 per day

Homedatabiz
From the comfort of your home you can operate a home business and earn $500.00 to $2000.00 per month on twenty hours a week or less. Get into the new millennium and the online community. Work smarter not harder. DOWNLOAD THE OPPORTUNITY TODAY. !
Need a income supplement but not another job? How does $500.00 to $2000.00 a month sound without leaving your home? We have the answer with a home computer business that will teach you; Pre-employment Screening, General Background Investigations and People Finding all from your home.

Palm Coast Data
At PCD, our people are the source of all our abilities and successes. Check out the job listings. See if one is right for you. Palm Coast Data is an exciting place to work and we are looking for hard-working, driven people who are committed to serving our customers —we're looking for people like you.

Axion Data, Inc.
All data entry operators work from home and are independent contractors. Contractors provide their own computer equipment and software, pay their own taxes, and bill Axion for the work performed.

Continental Promotion Group, Inc.-Arizona only .
Continental Promotion Group offers a work-from-home, contract data entry program for Arizona only. Data entry work is paid by the piece.

KeyForCash
Typing images of words and numbers. Payment depends on accuracy and typing speed. If they are not taking up new enrollments , you can register on the website and will be put on the waiting list. An above average typist with a speed of 70-80 wpm can earn 6$ per hour. Checks are sent every week.

WSOL Inc.
Working Solutions was started in 1996 and provides call center (phone ) work and data entry work to agents working from home . No fees are charged. Agents can work on 2-3 projects at a time depending on their skills and can earn between $7.20 per hour to $30 per hour, depending on the project. High speed internet access and Windows PC required. You may get a reply from them a few months after applying , depending on their clients requirement, since they have a long waiting list and few agents leave the company.

Tags: data entry job at home, data entry work, typing at home, data entry employment, data entry from home, work from home data entry

Online Tutoring - Work From Home.

noreply@blogger.com (mary joseph) — Sun, 31 May 2009 13:53:00 -0700

Tutoring students online is one option when thinking about working from home. There are many web sites which either hire tutors or let tutors promote their services. Each site differs in their requirements. I have tried to sort out the below links, starting from the ones which need the least qualifications right up to the hardest ones. Many of the opportunities are available to any country in the world.

No qualifications needed:

Idapted Ltd. - English Language Tutors. You can choose your own hours, experience or qualifications are not a must.
Requirements:
English must be your first language.
You must fill out an application form through which they judge how suitable you are.
They provide training if they feel you qualify.
US only excluding Hawaii and Alaska

Kasamba You can sell your knowledge on just about any topic here. Tutoring is just the beginning. You can give advice, do psychic readings, anything you are interested really. - Worldwide

Gamertrainer.com Teach people how to get better at online games like Halo, WoW and others. I don’t think they hire many people just yet but if you are passionate abut online games it’s something to keep an eye on. Any country

Blue Media LLC - Teach any subject including non academic ones. This is more like running your own business since you have to win your clients yourself by participating in the marketplace at their site. You get to set your own payment level, hours, form of teaching and more with this online tutoring platform. You can start immediately. - Available worldwide

eduFire.com - Teach any language (including English) via webcam. Another self promoted one with immediate start and no qualification needed. Available WorldWide.

TalkBean Teach using a webcam and microphone. Like the two above you need to find your own students.

Limu.com ltd. - Much like the above three but with some differences. Make sure to read their information as to exactly how it works.

Teach Online with UniversalClass™ - Non academic subjects can be taught here without certifications as long as you are experienced in the subject. Academic subjects need qualifications.

Unsure if / what qualifications are needed

SMARTHINKING, Inc. - Hires on a regular basis, but the peak season for hiring is May-August and November-December every year. They cover a wide range of subjects.
Requirements
They offer training but don’t mention what sort of qualification you need to have in order to apply.
Available worldwide but you must have a US bank account

Creating Careers Ltd You can apply to teach Employment skills, Entrepreneurship, Sports coaching or IT skills. They provide training. As far as I can tell it’s UK only

Internet Assessor: Google Approach To Hire Freelancers.

noreply@blogger.com (mary joseph) — Fri, 29 May 2009 19:17:00 -0700

This is may be the best work from home opportunity for the freelance job seekers who want to earn some money online. Google is hiring freelancers in last few years and giving them a chance to earn some money online. Google says it as a ‘Temporary position’. And the official name of the position is ‘Quality Rater’. The raters working from their home around the world work manually to improve the search results delivered by Google search. In most cases Google recruits and manage freelancers (Quality Raters) through some world’s top outsourcing companies. One of these is Lionbridge Inc. It’s working on recruiting freelancers for this ‘Internet Assessor’ program from more than 80 countries around the world. I have seen this Job to be posted on Monster.com and Yahoo hot jobs by Lionbridge Inc. This temporary poison is also known as Internet Assessor and Web Evaluator.

Easy Work From Home - Worldwide.

Temporary Position at Google (The Role)

As an Internet Assessor/ Web evaluator/ Quality Rater is assigned to improve the search results delivered by Google search.

This is a task based work performed in Google’s own invented program called ‘EWOQ’. Every rater has access to the program and they work from home and usually expected to complete 60-75 task per hour (Evaluate search result page(s) against search terms/queries).

Hours of work per week are a recommended minimum of 10 and maximum of 20. You may structure your hours whatever way you wish. This means you can work from home at any time and around your own schedule.

The EWOQ Program inside Google (Where the Freelancers work)

The freelancers get access to the Rating Interface (Log in to work) by visiting the following URL

www.google.com/evaluation/search/rating/home

This is Google’s own program you will use as a rater. Applicants are asked to provide a Gmail /Google account during the recruitment process. The successful candidates (It’s not very hard to become successful) get the access to the program with their Google accounts.

Schreenshot: Rating Task Home(Taken from the Study Materials for the applicants)

How Much the Raters/Internet Assessors Earn

The raters are allowed to work minimum of 10 and maximum of 20 hours per week. Payments are made in Euro and vary country to country. The rate of payments is determined on your local currency’s position against US dollar.
Generally the raters get the amount equivalent to $10(Per hour). Where the local currency is stronger than US Dollar, they will get more than that, Up to 20/25 Euro per hour.

Payments are sent to rater’s bank accounts after 60 days.

Recruitment Process

The recruitment process is run by some world's top outsourcing firms(Lionbridge Inc. and WorkforceLogic. )on behalf of Google. Most of the time, such as Lionbridge Technologies, Inc. the consultancy firms don't unveil that they are hiring people to work inside Google during the recruitment process.

You must have to pass an exam before being accepted into the Rating Program and will not get a second chance to apply or sit for the exam.

The exam is an ‘Open Book’ online exam where you will be provided the study materials. You will get one week to study the material and complete the exam.

There are two parts of the exam:
Part 1: Consist of 24 theory questions
Part 2: Consists of 270 practical questions.

Study Materials and Exam

At the exam stage of the recruitment process you will receive all your exam material by Thursday as the exam is compiled every Wednesday.

You will have one week to study the materials and complete the exam.

Study Materials

The study materials you will be provided are the guidelines and instructions on how you work as a Internet Assessor or Quality Rater.

The Exam (Theoretical Part)

The theoretical part of exam will have 24 questions and these are very easy if you just read and understand the study material.

Sample question:

“A user is searching for string lyrics. How would you rate the following result?

http://www.lyricskid.com/songs/2nd-string-lyrics.html

(Tick)

A. Vital

B. Useful

C. Relevent

D. Not Relevent

E. Off-topic

F. Didn’t load

G. Foreign Language

The Exam (Practical Part)

This part has a total of 270 questions you will be required to answer or solve. This is basically a bunch of the exact task you will be working on as a Rater. This part is the harder one but anyone who read the Guidelines carefully can easily pass the exam.

Few tips to be successful in the exam

1. Read the guideline carefully and try to understand it.2.You will get access to the practical part of the exam if you pass the theoretical part. This part is easy. Try to complete it as early as possible so that you can take your time to complete the practical part.
3. Don’t keep lots of task “Save Now” to finalize later. Because you will not be able to submit multiple answers at a time.

Applicants from more than 80 countries are eligible to apply through LionbridgeInc. to get this temporary position at Google.

Earning Opportunities Online Tutoring Jobs.

noreply@blogger.com (mary joseph) — Wed, 27 May 2009 07:31:00 -0700

Qualifications needed:
Aim4a.com - A company that provides online tutoring opportunities. Elementary, Middle, High School, and College Level, Math, Science, English Language Arts, or any other academic subject.
Requirements:
A minimum of bachelors degree in the subjects you would like to teach
Some teaching experience
AVAILABLE WORLD WIDE

Homework Tutoring. - Seeking tutors to provide homework Help in Engineering, History and Law but are also seeking tutors with experience teaching in subjects that they do not currently offer. Possibly US only but not certain

Educate Online. - Online tutoring for students in grades K-12.
Requirements:
Current teaching certification.
Ability to pass a background check, fingerprints and drug test
US Only

OnlineLearning.net - Instructor-led continuing adult education.
Requirements:
Varies by departments, but providers require a terminal degree, and professional experience and/or some teaching experience in the subject area or related field are a plus. US only

Tutor.com, Inc. - Provides 24/7 online tutoring. You can choose to tutor from as little as five hours a week up to 30 hours a week. Maths and science mainly.
Requirements:
Must be currently enrolled in or have graduated from an accredited US or Canadian College or University degree program.
US and Canada only

Tutornet.ws - Maths and sciences for Elementary, middle and high school as well as university.
Certifications and backgrounds checks required.
US only

TutorVista.com - English, Math and Science across K-12.
Requirements:
Be a post graduate in your subject.
Work for minimum 4 hours a day.
Available worldwide

Kidspan If you are interested you need to fill out their online form. Available to all countries

Homeworkhelp.com. - Here you can set your own fee to help students with their homework. Must be a certified teacher. Possibly US only

Virtual University - Write a course that they are looking for and be paid $200 if it gets accepted.

Physics247 Homework help in physics
Requirements:
Bachelors degree and training experience required.
Looks like US only but not certain

Bilingual America
Requirements:
You must be a native Spanish or English speaker and have 80% skills in Spanish or English as your second language.
Any 4 year degree is ok. Training is provided.
Available only to Georgia or Florida residents.

Transcription -Chart Notes-7

noreply@blogger.com (mary joseph) — Mon, 25 May 2009 06:38:00 -0700

Sample Type: SOAP - Chart Notes
Sample Name: Chiropractic Progress Note
Description: Patient with hip pain, osteoarthritis, lumbar spondylosis, chronic sacroiliitis, etc.
(Medical Transcription Sample Report)

CHIEF COMPLAINT: Hip pain.

HISTORY OF PRESENTING ILLNESS: The patient is a very pleasant 41-year-old white female that is known to me previously from our work at the Pain Management Clinic, as well as from my residency training program, San Francisco. We have worked collaboratively for many years at the Pain Management Clinic and with her departure there, she has asked to establish with me for clinic pain management at my office. She reports moderate to severe pain related to a complicated past medical history. In essence, she was seen at a very young age at the clinic for bilateral knee and hip pain and diagnosed with bursitis at age 23. She was given nonsteroidals at that time, which did help with this discomfort. With time, however, this became inadequate and she was seen later in San Francisco in her mid 30s by Dr. V, an orthopedist who diagnosed retroverted hips at Hospital. She was referred for rehabilitation and strengthening. Most of this was focused on her SI joints. At that time, although she had complained of foot discomfort, she was not treated for it. This was in 1993 after which she and her new husband moved to the Boston area, where she lived from 1995-1996. She was seen at the Pain Center by Dr. R with similar complaints of hip and knee pain. She was seen by rheumatologists there and diagnosed with osteoarthritis as well as osteophytosis of the back. Medications at that time were salicylate and Ultram.

When she returned to Portland in 1996, she was then working for Dr. B. She was referred to a podiatrist by her local doctor who found several fractured sesamoid bones in her both feet, but this was later found not to be the case. Subsequently, nuclear bone scans revealed osteoarthritis. Orthotics were provided. She was given Paxil and Tramadol and subsequently developed an unfortunate side effect of grand mal seizure. During this workup of her seizure, imaging studies revealed a pericardial fluid-filled cyst adhered to her ventricle. She has been advised not to undergo any corrective or reparative surgery as well as to limit her activities since. She currently does not have an established cardiologist having just changed insurance plans. She is establishing care with Dr. S, of Rheumatology for her ongoing care. Up until today, her pain medications were being written by Dr. Y prior to establishing with Dr. L.

Pain management in town had been first provided by the office of Dr. F. Under his care, followup MRIs were done which showed ongoing degenerative disc disease, joint disease, and facet arthropathy in addition to previously described sacroiliitis. A number of medications were attempted there, including fentanyl patches with Flonase from 25 mcg titrated upwards to 50 mcg, but this caused oversedation. She then transferred her care to Ab Cd, FNP under the direction of Dr. K. Her care there was satisfactory, but because of her work schedule, the patient found this burdensome as well as the guidelines set forth in terms of monthly meetings and routine urine screens. Because of a previous commitment, she was unable to make one unscheduled request to their office in order to produce a random urine screen and was therefore discharged.

PAST MEDICAL HISTORY:
1. Attention deficit disorder.
2. TMJ arthropathy.
3. Migraines.
4. Osteoarthritis as described above.

PAST SURGICAL HISTORY:
1. Cystectomies.
2. Sinuses.
3. Left ganglia of the head and subdermally in various locations.
4. TMJ and bruxism.

FAMILY HISTORY: The patient's father also suffered from bilateral hip osteoarthritis.

MEDICATIONS:
1. Methadone 2.5 mg p.o. t.i.d.
2. Norco 10/325 mg p.o. q.i.d.
3. Tenormin 50 mg q.a.m.
4. Skelaxin 800 mg b.i.d. to t.i.d. p.r.n.
5. Wellbutrin SR 100 mg q.d.
6. Naprosyn 500 mg one to two pills q.d. p.r.n.

ALLERGIES: IV morphine causes hives. Sulfa caused blisters and rash.

PHYSICAL EXAMINATION: A well-developed, well-nourished white female in no acute distress, sitting comfortably and answering questions appropriately, making good eye contact, and no evidence of pain behavior.
VITAL SIGNS: Blood pressure 110/72 with a pulse of 68.
HEENT: Normocephalic. Atraumatic. Pupils are equal and reactive to light and accommodation. Extraocular motions are intact. No scleral icterus. No nystagmus. Tongue is midline. Mucous membranes are moist without exudate.
NECK: Free range of motion without thyromegaly.
CHEST: Clear to auscultation without wheeze or rhonchi.
HEART: Regular rate and rhythm without murmur, gallop, or rub.
ABDOMEN: Soft, nontender.
MUSCULOSKELETAL: There is musculoskeletal soreness and tenderness found at the ankles, feet, as well as the low back, particularly above the SI joints bilaterally. Passive hip motion also elicits bilateral hip pain referred to the ipsilateral side. Toe-heel walking is performed without difficulty. Straight leg raises are negative. Romberg's are negative.

NEUROLOGIC: Grossly intact. Intact reflexes in all extremities tested. Romberg is negative and downgoing.

ASSESSMENT:
1. Osteoarthritis.
2. Chronic sacroiliitis.
3. Lumbar spondylosis.
4. Migraine.
5. TMJ arthropathy secondary to bruxism.
6. Mood disorder secondary to chronic pain.
7. Attention deficit disorder, currently untreated and self diagnosed.

RECOMMENDATIONS:
1. Agree with Rheumatology referral and review. I would particularly be interested in the patient pursuing a bone density scan as well as thyroid and parathyroid studies.
2. Given the patient's previous sulfa allergies, we would recommend decreasing her Naprosyn usage.
3. The patient is willing to consider a trial of Avinza at 30 mg p.o. q.a.m. in lieu of use of methadone which she finds sedating. Given her multiple medical conditions, this appears both appropriate and necessary. We will reassess her response to these medications over the next several weeks.
4. The patient agrees to the terms of the medication agreement form provided today and will abide by its terms. In addition, she is referred to Assured Pharmacy for electronic prescribing and coordinated care.

How to make money online with your videos

noreply@blogger.com (mary joseph) — Fri, 15 May 2009 06:53:00 -0700

Are you really thirst to make money online with more fun? If yes this is the another way to make money online. To Earn though this opportunity you Just need a video camera and some creative ideas and some techniques. Then start making money online..Did you confused how to make money online with video camera? Don’t Worry, Let me explain how can you make money online with an Just a video camera.

Did you heard about Metacafe ? Its one of Biggest video hosting company in the world. They have program named Metacafe’s Producer Rewards™ program. If you have great entertaining video, Metacafe invites you to make money online with your Videos.

How this Program Works:

Do you Have nice entertaining video to Metacafe website visitors? If your video is really entertain Metacafe’s visitors, they will pay you for every 1000 Views of your video. Every time someone watches your video you are getting money in your pocket.

Metacafe pays you $5 US dollars for every thousand views of your video. You will start receiving payments from Metacafe whenever your video reaches 20000 views and rating of 3.00 or more. It says that people really like your video.Remember your video fully owned and copyrighted by you, the license to Metacafe is non-exclusive deal. Metacafe helps you build your unique brand and website by marketing your video as well as you are making money too.

Is possible to make money with Metacafe

Metacafe have 1 million unique users everyday watching 400 million videos every month. Metacafe targeted to deliver the most receptive viewers to the most entertaining content. If your video really entertain the Metacafe viewers you can earn huge money through your videos.

Here is the nice video which participates in Metacafe’s Producer rewards program. This Video Earned $3,668 through Metacafe’s Producer Rewards™ program while add this video here.

Copy A Key In 60 Seconds - Click here for more amazing videos

Guidelines for Your Video

In in order to qualify Metacafe’s Producer Rewards™ program some of the guidelines as follows:

1. You hold full rights of your video instead of getting signed permission from all the people in the video.
2. You are willing to give Metacafe a non-exclusive license to the videos. This means that Metacafe can promote your video on Metacafe or in any other media. (Non-exclusive means you have the right to sign similar deals with any one like Metacafe)
3. Video must be suitable for all kind of audiences, that means no adult, erotic, violent or hateful content. Remember your Video targeted for metacafe’s views not just targeted for your friends and relatives.
4. Videos that run between 20 seconds and six minutes long recommended. To shorter or longer videos may not qualify.
5. Submit your videos that contains funny, amazing and cool.
6. Before submit your video to Metacafe take a backup of your video. Metacafe cannot return videos and not guaranteed that Will suitable displayed on Metacafe. Please do not submit videos that not owned by you.
7. Metacafe is not responsible for any injuries while preparing the video.

Do not discouraged if your video is not accepted by metacafe. Keep trying and keep on trying to submit to many videos to Metacafe until to occupy place your video in metacafe.

Get Paid to Take Online Surveys

noreply@blogger.com (mary joseph) — Sat, 2 May 2009 06:49:00 -0700

Join the Palm Research panel and get paid to take surveys and participate in focus groups.

We are currently recruiting survey panel participants from the USA, Canada, Australia, UK and Germany, plus we have opportunities for members worldwide.

Your opinions help shape and develop the products of the future. Our members have the opportunity to participate in paid surveys every day.

As always, membership is free and payments are guaranteed.

Home Based Jobs - Work From Home

noreply@blogger.com (mary joseph) — Wed, 8 Apr 2009 07:21:00 -0700

Make money creating educational content

Seemile is a new education marketplace where you can upload voice or video files of your lectures. You can set your own price and upon anyone purchasing it you will get paid, minus some commission which is kept by the site.
The site is still very new and obviously this is not an opportunity that will appeal to everyone but if you are able to teach a topic it could be worth giving the site a try.

18 sites that pay for writing

Even if you are not a professional writer, you can still make money from your writing. As long as you know where to look, you can find opportunities to earn money. I have listed some methods and links to get you started.

Get paid to write blog posts or articles

You can write exclusive articles, submit them at these sites and get paid for each one.

Families.com - Pays $4 per blog post and you also get 5% of the revenue your blog makes.
Today.com - You can create (minimum 100 word) posts about the topic of your choice and get paid. There is a long waiting list according to the site.
constant content- Get paid for each of your articles that gets sold and you can also earn 5% commission on sales made by people you refer to the site.
Oboulo.com Inc.Get paid $10/essay or presentation that gets accepted onto the site.
DailyArticle.com Sell unique articles at a price you specify. You are paid when someone purchases it.

Get paid by performance of your article - Revenue Sharing

Submit your articles to these sites and you will get a cut of the revenue your article generates on their site.
Triond - Publish writing, poetry, video, content, music and get paid
Associated Content, Inc.
eHow, Inc. - Write instructions on any topic and get paid depending on how popular your article is.
Hubpages Inc.
Squidoo, LLC
Suite 101
Xomba - You will have to sign up for adsense in order to earn revenue here.
Pakt, LLC - Write tutorials on any topic.

Bid on freelance writing jobs

This may sound intimidating for the average person but there are many freelance jobs that are not looking for top of the line professional writing skills but rather someone who can produce a set of keyword rich articles fast and inexpensively.
Some freelance sites are:

Elance, Inc.
Guru.com

Sponsored posts on your own blog

You can join the below sites and find opportunities to post about a product or service on your blog and get paid for it. Some people feel this drags the quality of your blog down and I tend to agree but nonetheless there is money to be made here.

payperpost.comGet paid between $5 and $20 per sponsored post, depending largely on your Google PR rank and which country you are blogging from. Maximum 3 posts per day and it’s getting very hard to find available posting opportunities, they get snapped up immediately.
SponsoredReviews.com - Prompt paying, great company. Advertisers are a bit more selective and pay attention to your site stats.
ReviewMe I didn’t find as many posting opportunities here but every now and then something does come along.

Got a job as a blogger/writer

Lifetips.com hiring freelance writers to write tips on a range of topics.
ProBlogger Job BoardsYou can find many blogging jobs here

Transcription -Chart Notes-23

noreply@blogger.com (mary joseph) — Sat, 21 Feb 2009 08:11:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Gen Med Progress Note - 4
Description: The patient is in complaining of headaches and dizzy spells.
(Medical Transcription Sample Report)

SUBJECTIVE: The patient is in complaining of headaches and dizzy spells, as well as a new little rash on the medial right calf. She describes her dizziness as both vertigo and lightheadedness. She does not have a headache at present but has some intermittent headaches, neck pains, and generalized myalgias. She has noticed a few more bruises on her legs. No fever or chills with slight cough. She has had more chest pains but not at present. She does have a little bit of nausea but no vomiting or diarrhea. She complains of some left shoulder tenderness and discomfort. She reports her blood sugar today after lunch was 155.

CURRENT MEDICATIONS: She is currently on her nystatin ointment to her lips q.i.d. p.r.n. She is still using a triamcinolone 0.1% cream t.i.d. to her left wrist rash and her Bactroban ointment t.i.d. p.r.n. to her bug bites on her legs. Her other meds remain as per the dictation of 07/30/2004 with the exception of her Klonopin dose being 4 mg in a.m. and 6 mg at h.s. instead of what the psychiatrist had recommended which should be 6 mg and 8 mg.

ALLERGIES: Sulfa, erythromycin, Macrodantin, and tramadol.

OBJECTIVE:
General: She is a well-developed, well-nourished, obese female in no acute distress.
Vital Signs: Her age is 55. Temperature: 98.2. Blood pressure: 110/70. Pulse: 72. Weight: 174 pounds.
HEENT: Head was normocephalic. Throat: Clear. TMs clear.
Neck: Supple without adenopathy.
Lungs: Clear.
Heart: Regular rate and rhythm without murmur.
Abdomen: Soft, nontender without hepatosplenomegaly or mass.
Extremities: Trace of ankle edema but no calf tenderness x 2 in lower extremities is noted. Her shoulders have full range of motion. She has minimal tenderness to the left shoulder anteriorly.
Skin: There is bit of an erythematous rash to the left wrist which seems to be clearing with triamcinolone and her rash around her lips seems to be clearing nicely with her nystatin.

ASSESSMENT:
1. Headaches.
2. Dizziness.
3. Atypical chest pains.
4. Chronic renal failure.
5. Type II diabetes.
6. Myalgias.
7. Severe anxiety (affect is still quite anxious.)

PLAN: I strongly encouraged her to increase her Klonopin to what the psychiatrist recommended, which should be 6 mg in the a.m. and 8 mg in the p.m. I sent her to lab for CPK due to her myalgias and pro-time for monitoring her Coumadin. Recheck in one week. I think her dizziness is multifactorial and due to enlarged part of her anxiety. I do note that she does have a few new bruises on her extremities, which is likely due to her Coumadin.

Transcription -Chart Notes-22

noreply@blogger.com (mary joseph) — Sat, 21 Feb 2009 08:07:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Gen Med Progress Note - 3
Description: Sample progress note - Gen Med.
(Medical Transcription Sample Report)

CHIEF COMPLAINT: Followup on diabetes mellitus, hypercholesterolemia, and sinusitis.

SUBJECTIVE: A 70-year-old female who was diagnosed with diabetes mellitus last fall. She has been checking her Accu-Cheks generally once a day, and they range from 82 to a high of 132. She feels well. She walks 1-2 miles most days. If the weather is bad, they go to a local mall. Otherwise they walk outside. She does complain of some sinus congestion and drainage for the last several days. She is up-to-date on her mammogram that she had at the Baylis Building. She sees Dr. Cheng for her gynecological care. She is a nonsmoker. Denies abdominal pain, nausea, vomiting, diarrhea, constipation, blood in her urine, blood in her stools. She has nocturia x 1. Denies swelling in her ankles. She checks her feet regularly.

PAST MEDICAL HISTORY: Refer to chart.

MEDICATIONS: Refer to chart.

ALLERGIES: Refer to chart.

PHYSICAL EXAMINATION:
Vitals: Wt: 185 B/P: 142/70. When she checks it at the mall and other places, it is usually about 120/56. T: 96.5 P: 84 and regular.
General: A 70-year-old female who does not appear to be in acute distress.
HEENT: She has frontal and maxillary sinus tenderness on the right to palpation. The right TM is slightly dull.
Neck: Supple.
Heart: Clear.
Lungs: Clear.
Abdomen: Large, nontender. No swelling.

IMPRESSION:

1. Hypercholesterolemia.
2. Diabetes mellitus.
3. Sinusitis.

PLAN:
1. Allegra D 1 p.o. b.i.d. x 3 days.
2. Allegra 180 mg daily x 7 days.
3. Check an A1c, BMP, lipid profile, TSH.
4. She was given a copy of Partners in Prevention.
5. We discussed colonoscopy, and she is not ready to do that right now.
6. Will check stools for occult blood x 3. She is aware that a colonoscopy could pick up an early cancer.
7. Diet, exercise, weight loss stressed. We will let her know the results of her tests.
8. Refilled her prescriptions x 6 months.

Transcription -Chart Notes-21

noreply@blogger.com (mary joseph) — Sat, 21 Feb 2009 08:04:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Gen Med Progress Note - 2
Description: Sample progress note - Gen Med.
(Medical Transcription Sample Report)

CHIEF COMPLAINT: Followup on hypertension and hypercholesterolemia.

SUBJECTIVE: This is a 78-year-old male who recently had his right knee replaced and also back surgery about a year and a half ago. He has done well with that. He does most of the things that he wants to do. He travels at every chance he has, and he just got back from a cruise. He denies any type of chest pain, heaviness, tightness, pressure, shortness of breath with stairs only, cough or palpitations. He sees Dr. Ferguson. He is known to have Crohn's and he takes care of that for him. He sees Dr. Roszhart for his prostate check. He is a nonsmoker and denies swelling in his ankles.

MEDICATIONS: Refer to chart.
ALLERGIES: Refer to chart.

PHYSICAL EXAMINATION:

Vitals: Wt; 172 lbs, up 2 lbs, B/P; 150/60, T; 96.4, P; 72 and regular.
General: A 78-year-old male who does not appear to be in any acute distress. Glasses. Good dentition.
CV: Distant S1, S2 without murmur or gallop. No carotid bruits. P: 2+ all around.
Lungs: Diminished with increased AP diameter.
Abdomen: Soft, bowel sounds active x 4 quadrants. No tenderness, no distention, no masses or organomegaly noted.
Extremities: Well-healed surgical scar on the right knee. No edema. Hand grasps are strong and equal.
Back: Surgical scar on the lower back.

Neuro: Intact. A&O. Moves all four with no focal motor or sensory deficits.

IMPRESSION:
1. Hypertension.
2. Hypercholesterolemia.
3. Osteoarthritis.
4. Fatigue.

PLAN: We will check a BMP, lipid, liver profile, CPK, and CBC. Refill his medications x 3 months. I gave him a copy of Partners in Prevention. Increase his Altace to 5 mg day for better blood pressure control. Diet, exercise, and weight loss, and we will see him back in three months and p.r.n.

Transcription -Chart Notes-20

noreply@blogger.com (mary joseph) — Sat, 14 Feb 2009 22:07:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Gen Med Progress Note - 10
Description: 5-month recheck on type II diabetes mellitus, as well as hypertension.
(Medical Transcription Sample Report)

SUBJECTIVE: The patient is a 66-year-old female who presents to the clinic today for a five-month recheck on her type II diabetes mellitus, as well as hypertension. While here she had a couple of other issues as well. She stated that she has been having some right shoulder pain. She denies any injury but certain range of motion does cause it to hurt. No weakness, numbness or tingling. As far as her diabetes she states that she only checks her blood sugars in the morning and those have all been ranging less than 100. She has not been checking any two hours after meals. Her blood pressures when she does check them have been running normal as well but she does not have any record of these present with her. No other issues or concerns. Upon review of her chart it did show that she had a benign breast biopsy done back on 06/11/04 and was told to have a repeat mammogram in six months but she has never had that done so she is needing to have this done as well.

ALLERGIES: None.

MEDICATIONS: She is on Hyzaar 50/12.5 one-half p.o. daily, coated aspirin daily, lovastatin 40 mg one-half tab p.o. daily, multivitamin daily, metformin 500 mg one tab p.o. b.i.d.; however, she has been skipping her second dose during the day.

SOCIAL HISTORY: She is a nonsmoker.

REVIEW OF SYSTEMS: As noted above.

OBJECTIVE:
Vital Signs: Temperature: 98.2. Pulse: 64. Respirations: 16. Blood pressure: 110/56. Weight: 169.
General: Alert and oriented x 3. No acute distress noted.
Neck: No lymphadenopathy, thyromegaly, JVD or bruits.
Lungs: Clear to auscultation.
Heart: Regular rate and rhythm without murmur or gallops present.
Breasts: Exam performed with a female nurse present. The breasts do have some scars present underneath them bilaterally from prior breast reduction surgery. There is no axillary adenopathy or tenderness. Breasts appear to be symmetric. There was no nipple discharge or retraction. No breast tissue retraction noted in either the sitting or the supine position. Upon palpation there were no palpable lumps or bumps and no palpable discharge.
Musculoskeletal: She did have full range of motion of her shoulders. She did have tenderness upon palpation over the right bicipital tendon. There is no swelling, crepitus or discoloration noted.

MEDICAL DECISION MAKING: Most recent hemoglobin A1c was 5.6% back in October 2004. Most recent lipid checks were obtained back in July 2004. We have not had this checked since that time.

ASSESSMENT:
1. Type II diabetes mellitus.
2. Hypertension.
3. Right shoulder pain.
4. Hyperlipidemia.

PLAN:
1. She is going to go to lab to obtain a hemoglobin A1c, BMP, lipids, CPK, liver enzymes and quantitative microalbumin.
2. We are going to set her up for a diagnostic bilateral mammogram due to a history of abnormal mammogram in the past which subsequently showed a benign breast cyst.
3. I told her for her shoulder to take ibuprofen 600 mg three times daily with her meals for a minimum of the next one week.
4. She is going to follow up in the clinic in three months for a complete comprehensive examination. If any questions, concerns or problems arise between now and then she should let us know.

Transcription -Chart Notes-20

noreply@blogger.com (mary joseph) — Sat, 14 Feb 2009 21:28:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Gen Med Progress Note - 1
Description: Sample progress note - Gen Med.
(Medical Transcription Sample Report)

CHIEF COMPLAINT: Followup on diabetes mellitus, status post cerebrovascular accident.

SUBJECTIVE: This is a 70-year-old male who has no particular complaints other than he has just discomfort on his right side. We have done EMG studies. He has noticed it since his stroke about five years ago. He has been to see a neurologist. We have tried different medications and it just does not seem to help. He checks his blood sugars at home two to three times a day. He kind of adjusts his own insulin himself. Re-evaluation of symptoms is essentially negative. He has a past history of heavy tobacco and alcohol usage.

MEDICATIONS: Refer to chart.

ALLERGIES: Refer to chart.

PHYSICAL EXAMINATION:
Vitals: Wt; 118 lbs, B/P; 108/72, T; 96.5, P; 80 and regular.

General: A 70-year-old male who does not appear to be in acute distress but does look older than his stated age. He has some missing dentition.
Skin: Dry and flaky.
CV: Heart tones are okay, adequate carotid pulsations. He has 2+ pedal pulse on the left and 1+ on the right.
Lungs: Diminished but clear.
Abdomen: Scaphoid.
Rectal: His prostate check was normal per Dr. Gill.
Neuro: Sensation with monofilament testing is better on the left than it is on the right.

IMPRESSION:
1. Diabetes mellitus.
2. Neuropathy.
3. Status post cerebrovascular accident.

PLAN: Refill his medications x 3 months. We will check an A1c and BMP. I have talked to him several times about a colonoscopy, which he has refused, and so we have been doing stools for occult blood. We will check a PSA. Continue with yearly eye exams, foot exams, Accu-Cheks, and we will see him in three months and p.r.n.

Transcription -Chart Notes-19

noreply@blogger.com (mary joseph) — Sat, 14 Feb 2009 21:24:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Foot Pain - SOAP
Description: Patient having foot pain.
(Medical Transcription Sample Report)

SUBJECTIVE: This 32-year-old female comes in again still having not got a primary care physician. She said she was at Dr. XYZ office today for her appointment, and they cancelled her appointment because she has not gotten her Project Access insurance into affect. She says that Project Access is trying to find her a doctor. She is not currently on Project Access, and so she is here to get something for the pain in her foot. I did notice that she went in to see Dr. XYZ for a primary care physician on 01/14/2009. She said she does not have a primary care physician. She was in here just last week and saw Dr. XYZ for back pain and was put on pain medicines and muscle relaxers. She has been in here multiple times for different kinds of pain. This pain she is having is in her foot. She had surgery on it, and she has plates and screws. She said she was suppose to see Dr. XYZ about getting some of the hardware out of it. The appointment was cancelled, and that is why she came here. It started hurting a lot yesterday, but she had this previous appointment with Dr. XYZ so she thought she would take care of it there, but they would not see her. She did not injure her foot in any way recently. It is chronically painful. Every time she does very much exercise it hurts more. We have x-rayed it in the past. She has some hardware there. It does not appear to be grossly abnormal or causing any loosening or problems on x-ray.

PHYSICAL EXAM: Examination of her foot shows some well-healed surgical scars. On the top of her foot she has two, and then on the lateral aspect below her ankle she has a long scar. They are all old, and the surgery was done over a year ago. She is walking with a very slight limp. There is no redness. No heat. No swelling of the foot or the ankle. It is mildly tender around the medial side of the foot just inferior to the medial malleolus. It is not warm or red.

ASSESSMENT: Foot pain.

PLAN: She has been in here before. She seems very pleasant. Thought maybe she certainly might be having some significant pain, so I gave her some Lortab 7.5 to take with a refill. After she left, I got to thinking about it and looked into her record. She has been in here multiple times for pain medicine. She has a primary care physician, and now she is telling us she does not have a primary care physician even though she had seen Dr. XYZ not too long ago. We called Dr. XYZ office. Dr. XYZ nurse said that the patient did not have an appointment today. She has an appointment on March 15, 2009, for a postop check. They did not tell her they would not see her today because of insurance, so the patient was lying to me. We will keep that in mind the next time she returns, because she will likely be back. She did say that Project Access will be approving her insurance next week, so she will be able to see Dr. XYZ soon.

Transcription -Chart Notes-18

noreply@blogger.com (mary joseph) — Fri, 13 Feb 2009 06:22:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Fifth Disease - SOAP
Description: Fifth disease with sinusitis
(Medical Transcription Sample Report)

SUBJECTIVE: Grandfather brings the patient in today because of headaches, mostly in her face. She is feeling pressure there with a lot of sniffles. Last night, she complained of sore throat and a loose cough. Over the last three days, she has had a rash on her face, back and arms. A lot of fifth disease at school. She says it itches and they have been doing some Benadryl for this. She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

PAST MEDICAL HISTORY: Asthma and allergies.

FAMILY HISTORY: Sister is dizzy but no other acute illnesses.

OBJECTIVE:
General: The patient is an 11-year-old female. Alert and cooperative. No acute distress.
Neck: Supple without adenopathy.
HEENT: Ear canals clear. TMs, bilaterally, gray in color and good light reflex. Oropharynx is pink and moist. No erythema or exudates. She has postnasal discharge. Nares are swollen and red. Purulent discharge in the posterior turbinates. Both maxillary sinuses are tender. She has some mild tenderness in the left frontal sinus. Eyes are puffy and she has dark circles.

Chest: Respirations are regular and nonlabored.
Lungs: Clear to auscultation throughout.
Heart: Regular rhythm without murmur.
Skin: Warm, dry and pink. Moist mucous membranes. Red, lacey rash from the wrists to the elbows, both sides. It is very faint on the lower back and she has reddened cheeks, as well.

ASSESSMENT: Fifth disease with sinusitis.

PLAN: Omnicef 300 mg daily for 10 days. May use some Zyrtec for the itching. Samples are given.

Transcription -Chart Notes-17

noreply@blogger.com (mary joseph) — Fri, 13 Feb 2009 06:08:00 -0800

Sample Type: SOAP - Chart Notes
Sample Name: Down’s syndrome
Description: A 46-year-old white male with Down’s syndrome presents for followup of hypothyroidism, as well as onychomycosis.
(Medical Transcription Sample Report)

SUBJECTIVE: This 46-year-old white male with Down’s syndrome presents with his mother for followup of hypothyroidism, as well as onychomycosis. He has finished six weeks of Lamisil without any problems. He is due to have an ALT check today. At his appointment in April, I also found that he was hypothyroid with elevated TSH. He was started on Levothroid 0.1 mg and has been taking that daily. We will recheck a TSH today as well. His mother notes that although he does not like to take the medications, he is taking it with encouragement. His only other medications are some eyedrops for his cornea.

OBJECTIVE: Weight was 149 pounds, which is up 2 pounds. Blood pressure was 120/80. Pulse is 80 and regular.
Neck: Supple without adenopathy. No thyromegaly or nodules were palpable.

Cardiac: Regular rate and rhythm without murmurs.
Skin: Examination of the toenails showed really no change yet. They are still quite thickened and yellowed.

ASSESSMENT:
1. Down’s syndrome.
2. Onychomycosis.
3. Hypothyroidism.

PLAN:
1. Recheck ALT and TSH today and call results.
2. Lamisil 250 mg #30 one p.o. daily with one refill. They will complete the next eight weeks of therapy as long as the ALT is normal. I again reviewed the symptoms of liver dysfunction.
3. Continue Levothroid 0.1 mg daily unless dosage need to be adjusted based on the TSH.