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Patient Care Services

Knee Surgery Tweet

St. Joseph's Hospital Health Center "tweeted" through a knee replacement survery May 29, 2010. The twitter stream is below; most recent post is at the top.

  • Twitter blocked us from updating! If we do this again, we'll be more careful not to blow by twitter's status update limits! #orthosurgery 9:06 AM May 29th via web
  • By the way, a twitter glitch prevented us from sharing the last 25 or so tweets from the OR yesterday. #orthosurgery 9:05 AM May 29th via web
  • Thanks so much for following our #orthosurgery We have lots of new followers! Look forward to sharing and interacting with all of you! 9:04 AM May 29th via web
  • YNN NEWS St. Joseph's "tweets" about surgical procedure... http://bit.ly/du22lc 2:38 PM May 28th via Facebook
  • Check out our Live Knee Surgery twitt this morning at http://twitter.com/StJosephsHealth follow #orthosurgery http://bit.ly/bdLeMk 1:58 PM May 28th via Facebook
  • The upcoming pic shows the last bit of wine going out of the cup.....waste no bordeaux concept. 10 cc's platelet rich plasma.#orthosurgery 8:23 AM May 28th via web
  • http://twitpic.com/1rsrsg 8:23 AM May 28th via Twitpic
  • http://twitpic.com/1rsrkx 8:22 AM May 28th via Twitpic
  • http://twitpic.com/1rsrf1 8:21 AM May 28th via Twitpic
  • Next picture will be of everything in place and knee bent. Kneecap is in place. #orthosurgery 8:21 AM May 28th via web
  • The next pic is of the finished knee. Knee completely in place and knee straight. #orthosurgery 8:21 AM May 28th via web
  • http://twitpic.com/1rsr92
  • Next pic is of actual insert being applied. The plastic that rubs on surface. One used today is advanced. 10 x's better #orthosurgery 8:20 AM May 28th via web
  • The operation part of the surgery is done. Platelet gel now being sprayed into the knee. #orthosurgery 8:19 AM May 28th via web
  • The thing that looks like a gun is a pulse irrigator--like a power washer for your car--which allows us to wash and suck the fluid & debris 8:18 AM May 28th via web
  • http://twitpic.com/1rsqgk 8:18 AM May 28th via Twitpic
  • It is applied like a paint gun onto the surface. #orthosurgery 8:17 AM May 28th via web
  • You can also follow @ambersmith a #syracuse reporter covering today's surgery and tweeting, too! #orthosurgery 8:17 AM May 28th via web
  • http://twitpic.com/1rsq55 8:17 AM May 28th via Twitpic
  • The syringe is a special aerosol allows us to spray a coating along the areas of the tissue where we want it to be appliced. #orthosurgery 8:17 AM May 28th via web
  • The upcoming pic is of the prepared platelet gel. #orthosurgery 8:16 AM May 28th via web
  • http://twitpic.com/1rspud 8:16 AM May 28th via Twitpic
  • The flow of the operation is at a lull because we are waiting for the cement to dry. #orthosurgery 8:15 AM May 28th via web
  • The pic is of the kneecap in place with the cement being cleaned. #orthosurgery 8:15 AM May 28th via web
  • http://twitpic.com/1rspka 8:15 AM May 28th via Twitpic
  • http://twitpic.com/1rspj7 8:15 AM May 28th via Twitpic
  • Upcoming picture is of femur in place--actual femoral component. #orthosurgery 8:14 AM May 28th via web
  • Might want to avoid breakfast for those with squeemish stomachs. #orthosurgery 8:14 AM May 28th via web
  • http://twitpic.com/1rspai 8:14 AM May 28th via Twitpic
  • Actual implant now in place & bone cement being cleaned out of way. Next pic is of cement on femur. Looks like dollups of icing on cake. 8:13 AM May 28th
  • via web
  • http://twitpic.com/1rsp2k 8:13 AM May 28th via Twitpic
  • @woodd00 Just for ortho surgery...due to the serious nature of complications from infection #orthosurgery 8:12 AM May 28th via web in reply to woodd00
  • http://twitpic.com/1rsouc 8:12 AM May 28th via Twitpic
  • You must work quickly when bone cement is mixed because you only have a certain amount of time before it hardens. #orthosurgery 8:12 AM May 28th via web
  • Upcoming pic is of bone cement placed on top of the shin bone in preparation for tibial component to be put into place. #orthosurgery 8:11 AM May 28th via web
  • http://twitpic.com/1rsoge 8:11 AM May 28th via Twitpic
  • Implants come in both male and female widths. Again like the shoe analagy--women's feet and femurs tend to be narrower. #orthosurgery 8:10 AM May 28th via web
  • http://twitpic.com/1rso75 8:10 AM May 28th via Twitpic
  • Dr. Brett is loving the whole taking of pictures! #orthosurgery 8:09 AM May 28th via web
  • Upcoming pic is of component box which shows implant . This is a gender specific or "girl" version of the implant.#orthosurgery 8:09 AM May 28th via web
  • http://twitpic.com/1rsnxc 8:09 AM May 28th via Twitpic
  • Implants being verified before being handed up to the surgical field #orthosurgery 8:08 AM May 28th via web
  • The picture will show the "trial" in place to see how it fits. #orthosurgery 8:07 AM May 28th via web
  • http://twitpic.com/1rsney 8:07 AM May 28th via Twitpic
  • Upcoming pic is of Dr. Greenky placing a "trial" tibial plate on top of the tibia. Component trials-pieces to ensure real one will fit. 8:07 AM May 28th via web
  • The femur is made of cobalt chromium. #orthosurgery 8:05 AM May 28th via web
  • Femurs are listed in sized in letters - E and the tibias are sized in numbers and this one is a 4 #orthosurgery 8:05 AM May 28th via web
  • The OR is like a really great shoestore. We have a style and size for everyone! #orthosurgery 8:04 AM May 28th via web
  • many different sizes of the components. 12 different femur sizes; 8 tibia sizes. The OR is like a really great shoe store. #orthosurgery 8:04 AM May 28th via web
  • http://twitpic.com/1rsmih
  • upcoming picture is of the "completed" tibia. There is a flat surface that will receive the new man-made surface. #orthosurgery 8:03 AM May 28th via web
  • http://twitpic.com/1rsm7t 8:03 AM May 28th via Twitpic Retweeted by you
  • Upcoming picture is of Twittering Activity/Team in act of twittering. According to Dr. Brett might be more fun than surgery #orthosurgery 8:02 AM May 28th via web
  • http://twitpic.com/1rslxy 8:02 AM May 28th via Twitpic
  • Dr. Brett Greenky is learning how to use twitpic on an iPhone...difficult to do with surgical gloves on #orthosurgery 8:02 AM May 28th via web
  • This is important so that the knee is not knock kneed or bow legged after the surgery. Alignment is critical. #orthosurgery 8:01 AM May 28th via web
  • http://twitpic.com/1rslog 8:01 AM May 28th via Twitpic
  • Seth Greenky needs a windshield wiper for his mask...he just commented to his team #orthosurgery 8:01 AM May 28th via web
  • The upcoming picture shows tibial guide in place which helps to align the tibia so that the cut is at right angle long access of the tibia. 8:00 AM May 28th via web
  • The coagulating smells like something is burning... #orthosurgery 8:00 AM May 28th via web
  • Coagulating blood vessels. #orthosurgery 7:59 AM May 28th via web
  • http://twitpic.com/1rsl43 7:59 AM May 28th via Twitpic
  • Removing the residual meniscus (washer made of cartilege) so that the component will fit best. #orthosurgery 7:59 AM May 28th via web
  • The femur has been completed and the upcoming picture will show that the femur will be brought forward to prepare #orthosurgery 7:58 AM May 28th via web
  • http://twitpic.com/1rsku2 7:58 AM May 28th via Twitpic
  • http://twitpic.com/1rskoy 7:57 AM May 28th via Twitpic
  • The upcoming picture shows that the trimming is being completed and the bone is being polished and readied. #orthosurgery 7:57 AM May 28th via web
  • A saw is being used by the operative team to trim the end of the bone. #orthosurgery 7:56 AM May 28th via web
  • Recent picture shows the "trimming block" in place. #orthosurgery 7:56 AM May 28th via web
  • Picture of femur being partially trimmed. Dr. Greenky determining appropropriate size. #orthosurgery 7:55 AM May 28th via web
  • http://twitpic.com/1rsk1x 7:55 AM May 28th via Twitpic
  • The manmade surface will be bonded on to the site. #orthosurgery 7:54 AM May 28th via web
  • Trimming off about 10 mm of bone to replace it with a man-made surface. #orthosurgery 7:53 AM May 28th via web
  • Tools on a nearby table are neatly laid out for the surgeon. Almost looks like a mechanic's work table! #orthosurgery 7:53 AM May 28th via web
  • The femoral alignment jig is in place. A device used for lining up the cuts that prepare the bone on the femur #orthosurgery 7:53 AM May 28th via web
  • Ppatella trim http://twitpic.com/1rsj4f 7:52 AM May 28th via Twitpic
  • WIth the knee flexed, drilling a hole in the femur. #orthosurgery 7:51 AM May 28th via web
  • Preparing the kneecap for the procedure. #orthosurgery 7:50 AM May 28th via web
  • Dr. Greenky trimmed the kneecap. #orthosurgery 7:50 AM May 28th via web
  • Saw being used sounds like a weed wacker...#orthosurgery 7:49 AM May 28th via web
  • Incision made. #orthosurgery 7:48 AM May 28th via web
  • All participants in protective garb to protect skin from ultraviolet light exposure. #orthosurgery 7:48 AM May 28th via web
  • Preparing to turn Ultraviolet Lights on to flood room with UV lights that kill bacteria on contact. #orthosurgery 7:47 AM May 28th via web
  • Surgery official underway. #orthosurgery 7:46 AM May 28th via web
  • Surgery is under way now #orthosurgery 7:46 AM May 28th via web
  • Wrapping an esmark bandage to squeeze blood out of the leg so when the tourniquet is inflated there will be less blood loss. #orthosurgery 7:46 AM May
  • 28th via web
  • Timeout #orthosurgery http://twitpic.com/1rshhl 7:46 AM May 28th via Twitpic
  • silence in the room. #orthosurgery 7:45 AM May 28th via web
  • X rays are being verified now #orthosurgery 7:44 AM May 28th via web
  • Timeout in progress. Critical check point to ensure correct patient, surgical procedure, site, etc. #orthosurgery 7:43 AM May 28th via web
  • #orthosurgery http://twitpic.com/1rsgqp 7:43 AM May 28th via Twitpic
  • Time out is happening now....#orthosurgery 7:42 AM May 28th via web
  • UV lights are used> It's just like being in a tanning booth. so all skin is covered #orthosurgery 7:42 AM May 28th via web
  • All masked up! Ready to go #orthosurgery 7:41 AM May 28th via web
  • draping the patient for surgical exposure. #orthosurgery 7:39 AM May 28th via web
  • Dr tumuluri anesthesiologist #orthosurgery http://twitpic.com/1rsff7 7:38 AM May 28th via Twitpic
  • One of the OR team members has her mask all decorated with stickers! too cute... #orthosurgery 7:35 AM May 28th via web
  • Seth Greenky, surgeon, and resident are scrubbing up now...rub a dub dub! #orthosurgery 7:35 AM May 28th via web
  • Xrays for review during case #orthosurgery http://twitpic.com/1rse6h 7:33 AM May 28th via Twitpic
  • Dr. Mike Potter, orthopedic resident will be assisting Dr. Seth Greenky today. #orthosurgery 7:32 AM May 28th via web
  • It helps the patient for the time when she will get up and walk around later today #orthosurgery 7:30 AM May 28th via web
  • reason we do those blocks is that when spinal wears off the leg can still be numb #orthosurgery 7:30 AM May 28th via web
  • supplemental anesthetic - nerve block and other block is for after surgery #orthosurgery 7:29 AM May 28th via web
  • Anesthesia is in place. she is numbed from waist down. #orthosurgery 7:29 AM May 28th via web
  • Patient is positioned so the sterile prepping of her leg can begin #orthosurgery 7:29 AM May 28th via web
  • Instruments in room #orthosurgery http://twitpic.com/1rsd4d 7:29 AM May 28th via Twitpic
  • OR#11 is the total joint replacement room. sign says UV lights in use do not enter w/o protective equipment #orthosurgery 7:28 AM May 28th via web
  • Preparing the patient in the OR now #orthosurgery 7:26 AM May 28th via web
  • Will post pics of the hoods, we promise! #orthosurgery 7:20 AM May 28th via web
  • Blood has been drawn...Dr. Seth Greenky says we're good to go. Heading into OR#11 with our protective hoods #orthosurgery 7:19 AM May 28th via web
  • Heading into surgery soon... #orthosurgery 7:18 AM May 28th via web
  • Consultation with Dr. Parker. #orthosurgery http://twitpic.com/1rsab7 7:18 AM May 28th via Twitpic
  • @ambersmith just met Dr. John Parker, the author of the End Note in Healthy CNY http://is.gd/csUdA 7:17 AM May 28th via web
  • Patient's blood components being harvested and will be "spun" to separate the plasma and platelet components for use during #orthosurgery 7:10 AM May 28th via web
  • Perfusionist Jeff Wilson is doing an interview with @ambersmith about the platelet gel component of the #orthosurgery 7:07 AM May 28th via web
  • Dr. Seth Greenky will be performing the surgical procedure and Dr. Brett Greenky will be narrating and responding to followers' questions. 7:02 AM May 28th via web
  • Preparing to move to OR #11. #orthosurgery 7:00 AM May 28th via web
  • Patient has had her spinal done....#orthosurgery 6:56 AM May 28th via web
  • Taking a picture of our patient before she gets the pain blocks #orthosurgery 6:54 AM May 28th via web
  • @ambersmith is chatting with Ortho surgeon Dr. Brett Greenky about the system of preparing the patient #orthosurgery 6:51 AM May 28th via web
  • Getting ready for surgery...Post-Standard is here taking pics ..we'll scrub in soon. 6:50 AM May 28th via web
  • Drs. Seth & Brett Greenky.#orthosurgery http://twitpic.com/1rrzni 6:34 AM May 28th via Twitpic
  • Photo shoot by Post Standard for Twitter Event. #orthosurgery 6:30 AM May 28th via web
  • Photo shoot by Post Standard for Twitter Event 6:30 AM May 28th via web
  • St. Joseph's Hospital to tweet during knee replacement surgery Friday, May 28 at 7:00am... http://bit.ly/dkWOZG 4:21 PM May 27th via Facebook