Pre-Operative Surgery Instructions



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Pre-Operative Surgery Instructions

Once you have completed all the necessary pre-operative evaluations/testing as requested by your surgeon and the results have been received and reviewed, you may now begin discussing scheduling a surgery date.

Please call to speak with Diana Wu, RPA-C (Dr. Pomp) or Alison Olsen, RPA-C (Dr. Dakin) to schedule your surgery.
My Surgery Date: __________________________________
Pre-Admission Testing:

My Pre-Admission Testing Date: ________________________________

Location: Greenberg 3 West at New York-Presbyterian Hospital/Weill Cornell Medical Center. Enter the hospital at 525 East 68th Street (Main Entrance). Take the Greenberg Pavilion elevators to the 3rd Floor West. The hours are M – F, 8:30-4pm. Pre-Admission Testing is scheduled approximately 2 weeks prior to your surgery date. Blood tests, Urinalysis, EKG and chest x-ray will be done. Some of your labs are required to be fasting, so please nothing to eat or drink after midnight the night prior.

No appointment is necessary, however we recommend you arrive early, as testing will take several hours.
Anesthesia Evaluation:

In addition to Pre-Admission Testing, you will also speak to an anesthesiologist in Greenberg 3 West regarding details of the anesthesia you will be receiving during your surgery. It is important to provide the anesthesiologist with all your medical and surgical history, including all over the counter and prescription medications, allergies, as well as personal or family history of complications with receiving anesthesia.


Medical Clearance:

Prior to your surgery you will need clearance from your Primary Care Physician. You should arrange to see your Primary Care Physician to complete and fax back the History and Physical form given to you at your initial appointment with the surgeon. It is important that this form is signed and dated within 7 days of your surgery and no sooner.




Medications:

  • STOP Aspirin, Ibuprofen (Motrin, Advil), NSAIDS (Aleve, Relafen) and gout medications (indomethacin, colchicines) 7 days prior to surgery.

  • STOP Glucosamine +/- Chondroitin 7 days prior to surgery.

  • STOP Vitamin E, Ginseng, St. John’s Wort, and garlic supplements 7 days prior to surgery.

  • STOP Coumadin 5 days prior to surgery.

  • STOP Glucophage/metformin 2 days prior to surgery.

  • Water pills/diuretics (Lasix/furosemide, Hydrocholorothiazide, Aldactone/spironolactone, Diovan HCT) should NOT be taken on the day of surgery.

  • Blood pressure medications (antihypertensives) and heart medication SHOULD be taken the day of surgery with a sip of water.

  • Insulin doses should be adjusted prior to surgery while on clear liquids and the morning of surgery. Please consult your endocrinologist or Primary Care Physician for appropriate dosing instructions.

If you have taken any of these or if you have any other concerns, contact our office.


Prior to Surgery:

You will be on only clear liquids for 2 days prior to your surgery. You should NOT consume any dairy products or red Jell-O. Please refer to the Clear Liquid Diet list below.


Do not have anything to eat or drink after midnight the night prior to your surgery EXCEPT your usual morning dose of heart and blood pressure medications with a sip of water.
On the evening before surgery call (212) 746-5299 between 4pm and 7pm to find out what time to arrive for your surgery and where to go. If your surgery is on a Monday, please call on Friday before surgery.
Day of Surgery:

You will present to Admit Day Surgery located in the Greenberg Pavilion, 3 West. Enter through 525 East 68th Street (main entrance) and take the Greenberg elevators to the 3rd Floor.


For your safety and comfort, you must follow these Pre-surgery instructions:



  • Do not eat or drink anything after midnight the night prior.

  • Do not drink any alcoholic beverages during the 24 hours before your surgery.

  • Brush your teeth without swallowing.

  • Do not wear contact lenses

  • Do not bring valuables or wear jewelry. All jewelry must be removed before going to the operating room. Bring the case in which you place your eyeglasses or contact lenses; using the case will help prevent loss.

  • Wear little or no makeup and remove all colored nail polish.

  • Wear casual, comfortable, loose-fitting clothing.

  • You will be asked to remove your dentures before surgery. They will be placed in denture cup and returned to you after surgery. Please leave partial-plate dentures at home.

  • Bring to the hospital a list and the doses of all current medications.

  • Arrange for a responsible adult to drive you to and from the hospital. You will not be permitted to drive after your surgery.

Preoperative Clear Liquid Diet




Food Groups

Foods Allowed





Foods Not Allowed

Beverages
Soups

Desserts


Water, tea, juices, clear sodas, Gatorade

Bouillon, consommé, broth

Jello, ices, ice pops

(avoid red-colored Jello and ices)



All others including nectars, milk, cream, cocoa, prune juice, tomato and vegetable juices, colas, coffee, alcoholic drinks

All others

All others




Sample Menu




Breakfast Lunch Dinner

8 oz Tea 12 oz. Gatorade 6 oz apple juice


½ C Artificially Sweetened 4 oz Water 1 Sugar free ice pop Jello
6 oz. Vegetable Broth 6 oz. Beef Broth 6 oz. Chicken Broth
4 oz Water 8 oz. Decaffeinated Tea 8 oz. Decaffeinated with lemon and Equal Tea with Splenda





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