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Zimmer makes an ATS tourniquet. ? nm

Posted By: Txczech on 2009-02-25
In Reply to: s/l osteo tourniquet - used for trigger thumb release (thanks) - nm

Subject: Zimmer makes an ATS tourniquet. ? nm




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explant (I think Zimmer makes one)
Subject: explant (I think Zimmer makes one)


try Zimmer
Subject: try Zimmer


Zimmer IB?

Zimmer IB, 2 knee components were used.


This is the sentence but it doesn't make sense to me.  What is IB? and should there be a comma after Zimmer or something?


Zimmer IB2
Subject: Zimmer IB2

I have spent sooo much time researching this.  During a total knee arthroplasty:  "Zimmer IB2 knee components were used."  I get the impression  IB2 has been discontinued, since even the Zimmer website does not list such an item.  Have any of you transcribed a TKA using a Zimmer IB2 implant?
Zimmer Explant
Subject: Zimmer Explant


Also Zimmer brand name of numerous instruments
Subject: Also Zimmer brand name of numerous instruments

d
Zimmer TM-100 cage used in back surgery
Subject: Zimmer TM-100 cage used in back surgery

I'm doing a report for placement of a Zimmer TM-100 ______foam cage at the C4-5 level.  Neuro reports of this sort take me so long because I have such a hard time finding and documenting the instrumentation that they use!  I've checked my reference books and googled, to no avail.  I can't seem to figure out the first part of the 'foam' word for this cage.  It sounds kinda' like zylofoam, tanofoam or tilofoam.  Arghhhh!
Google Zimmer-IB II total knee system
Subject: Google Zimmer-IB II total knee system

x
Zimmer is a known brand of components. Sted's Ortho Words shows it, as does a net
Subject: Zimmer is a known brand of components. Sted's Ortho Words shows it, as does a net

s
tourniquet
There is a DUAL tourniquet..
tourniquet
Subject: tourniquet

maybe increased?
DIAL tourniquet maybe...
xx
dial tourniquet

 


I'm not sure but an orthopedic doctor I type for says well padded nonsteriile tourniquet could it be that or sterile tourniquet? 


A "Turnakot" was used as a tourniquet
Subject: A "Turnakot" was used as a tourniquet

A "Turnakot" was used a tourniquet for both fingers.  
name of thumb tourniquet
Subject: name of thumb tourniquet

 


Sounds like "tournicot"? 


I believe it is Rumel as in the tourniquet
Subject: I believe it is Rumel as in the tourniquet


s/l Burgin tourniquet
Subject: s/l Burgin tourniquet


They also say the tourniquet was elevated
Subject: They also say the tourniquet was elevated


well-padded thigh tourniquet, maybe? nm
x
No, not Esmarch--that's a type of tourniquet. nm
Subject: No, not Esmarch--that's a type of tourniquet. nm

x
B could be for Bier block if tourniquet was used
Subject: B could be for Bier block if tourniquet was used

x
he's probably saying no hair tourniquet in GU exam
Subject: he's probably saying no hair tourniquet in GU exam

It is pretty bad.  When my little baby was only a couple of months old, I took off his tiny sock and, to my horror, a piece of hair was wrapped so tight around his teeny little toe that it had swollen and turned purple-red.  I so almost panicked.  I painstakingly removed it, which was no easy task, and vowed to be ever so more careful that it never happened again...
So how does a hair tourniquet get started?
Subject: So how does a hair tourniquet get started?

You can kind of see how a hair would be so fine, and babies have that sweet baby plumpness so that it would be hard to see the hair until the baby had redness and irritation, but does the hair just sort of get worked into the area from a sock or something that was in the dryer and had a hair already on it? Who knew there were so many things to worry about??
BTW, Carol, I think it is 250mmHg for the tourniquet....sm
Subject: BTW, Carol, I think it is 250mmHg for the tourniquet....sm

right now I am a full-time OP MT and have done thousands, I have never heard of the surgeon putting the tourniquet up over 275 mmHg, mostly I get 250 mmHg, I didn't want to cut in, just wanted to give a shout out for help to you!!
tourniquet s/l incliged to 250 mmHg
Subject: tourniquet s/l incliged to 250 mmHg

Got any ideas? It definetly doesn't sound like inflated or elevated. Thanks in advance.
Tourniquet was inflated. I hear that the most.
Subject: Tourniquet was inflated. I hear that the most.


Has anyone heard of a well padded dial tourniquet?
It sounds like the Dr is saying dial but not sure.
Ooooops!!! Sorry!!! I meant "DUAL" tourniquet


hair tourniquet--which put of physical examination would this go in??
Subject: hair tourniquet--which put of physical examination would this go in??

I looked up "hair tourniquet" to find that it affects mostly infants, a hair wrapped tightly around an extremity or the external genitalia causing extreme discomfort. I've got a rambling dictator who states things in no particular order. Does anyone have an opinion on where this is most properly put?


 


Found a DePuy (dee-pew) reusable tourniquet on a search. nm
.
A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help
Subject: A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help? ThX

x
s/l osteo tourniquet - used for trigger thumb release (thanks)
Subject: s/l osteo tourniquet - used for trigger thumb release (thanks)

x
MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR
Subject: MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR

Any ideas on the "TOR"?  I'm really stumped on this,  It's probably something simple..... 
Makes sense, now that you say that! Thanks! nm
x
Don't think it makes much of a difference.
Subject: Don't think it makes much of a difference.

:)
Makes more sense to me now
Subject: Makes more sense to me now

nm
Aha! That makes sense!...thx! :)
Subject: Aha! That makes sense!...thx! :)

nm


thanks, that makes sense.
Subject: thanks, that makes sense.

coffee? looks like I need some java java too !
Makes no sense to me
Subject: Makes no sense to me

Under surgical history: Gynecological history: Menarche at age 11, birth control pills for the past five to six years of a normal **pass-bearing that was 6**


This last part makes no sense to me. Is there anyone that does OB/GYN that could help me? Thank you


none of this makes sense to me
Subject: none of this makes sense to me

This is a patient admitted for a hysterectomy and salpingo-oophorectomy. Here is the sentence that makes no sense, this is an ESL, too.


A focus was then placed ** after careful** level of the angle of the mandible, probably to presented dental disease or some mandible node.


 


The sentence before: A PET scan showed the primary FDG-Avid located probably in the cervix, and no evidence of regional metastatic disease, no evidence of distant metastatic disease.


Thank you for any help with this mess.


Thanks. I guess that makes the most
Subject: Thanks. I guess that makes the most

sense.  It sounded like he made a C sound at the end of the word, but he could have been stumbling.  I couldn't find a thing that fit with the C.
Makes sense now, thank you...nm
Subject: Makes sense now, thank you...nm

x
Thanks, that makes me think of another question (sm)
Subject: Thanks, that makes me think of another question (sm)

What about dates, when they dictate like 06/30/2006 or whatever.  I used to have to spell it out in the hospitals I transcribed, has that changed too... looks like I'd better buy a new book (just what I want to do).  TIA
SPD makes sense because
Subject: SPD makes sense because

In the hospital I use to work, the surgical department had many subdepartments three of which were called Supply, processing and distribution,  These areas were labled within surgery, I never really knew what each departments responsibilities were because I had never seen it in a report.
yes that makes sense
Subject: yes that makes sense

Yes that makes sense.  I really can't be sure, but I personally never use ...ankles bilaterally.. I use..ankle bilaterally.. because I only have one ankle on each side.


Kind of like .. The man examined the speakers on each side of the televison.(imagining there is on ly one on each side)


or                 The man examined the speaker on each side of the televison. 


I could be wrong but haven't had a complaint.


yes, this makes sense - thank you !! nm
Subject: yes, this makes sense - thank you !! nm

x
makes sense to me -- SM
Subject: makes sense to me -- SM

From onelook.com <medicine> Proud flesh, a fungous growth or excrescence of granulations resembling flesh, in a wound or ulcer


 


 


that makes sense...
Subject: that makes sense...

as she was being seen for possible appendicitis.  Now I feel stupid.  Thanks so much! 
That makes sense. THANKS!
Subject: That makes sense. THANKS!


Well that makes more sense
Subject: Well that makes more sense

that anything else I've thought of. Thanks! Except that sounds like a procedure. Maybe injectable glucose ??One instance is in the plan, they'll say, "IGMO sliding scale". I blanked it about 20 times because I couldn't document it but never got any feedback, so now I just type IGMO and haven't had any feedback from that either.
If it makes you feel any better
Subject: If it makes you feel any better

I actually corrected a radiologist to her face because she was using that very term incorrectly, just like your dictator! She admitted she'd had a discussion with a professor in school about that word, and I could tell she couldn't understand it when he explained it and couldn't understand me either! She didn't think I was right, but she finally said she didn't care if I changed it! I was appalled that somebody with an MD & I think a PhD couldn't get the concept! What a nut!