PREPARATION FOR SURGERY:

NOTE: Immediately call you doctor if you develop any pre-operative change in physical status such as: cold, flu, persistent cough or change in the condition for which you will be having surgery.

DO NOT EAT/DRINK ANYTHING AFTER MIDNIGHT THE NIGHT BEFORE SURGERY

(This includes water, coffee and tea; if you do so, your surgery will be CANCELLED)

·   Medications: 

o   Take blood pressure medications the morning of surgery with a small sip of water only

o   Do NOT take any medications for diabetes or diuretics (water pill).

·   It is alright to shower the morning of surgery

·   Shaving – DO NOT shave the area of the operative site at home before surgery

·   Do not wear makeup to the hospital

·  Wear baggy sweatpants or shorts for knee/ankle surgery OR a loose open front   shirt for shoulder surgery. This is to accommodate the large dressing and/or    brace or sling. You will not need a gown or slippers.

 · Please leave all jewelry and valuables at home

·   What to bring with you

[  ] Insurance card 

[  ] Driver's license or valid identification card

[  ] A list of all medications you are presently taking by name and dosage      and a list of your allergies

[  ] The bladder for the ice machine and/or brace (if you have them)

   [  ] Reading material to help you relax

[  ] Glasses/contacts, if needed, to complete the sign-in forms and a case to put your glasses/contacts in during surgery. Patients who have general anesthesia cannot wear their contacts during surgery.

AT THE HOSPITAL: AFTER SURGERY

Once the surgery is complete, you will be transported to the recovery room for observation. Most patients stay in the recovery room for about 1-2 hours. 

·       Outpatient procedures: You will be discharged home with instructions.  Postoperative medications will be sent directly to your pharmacy.   In the event of unexpected complications, such as prolonged recovery from anesthesia, you may need to remain in the hospital overnight.

·       Inpatient procedures: You will be transferred to a hospital room. Visitors are welcome after you have left the recovery room. Most patients are able to eat the night of surgery, but this depends on the specifics of your surgery. Several different types of pain medicines are used to keep you comfortable while you recover. If you have pain, please let your nurse know so that she can adjust or add medicines for your comfort. The type and dosage is typically chosen based on the 0-10 pain score. You will be able to be discharged home once your pain is controlled on oral medication, you are tolerating a diet and have been cleared by physical therapy.

POST-OPERATIVE TRAVEL TIPS

It is not advised that you fly or take long car trips during the recovery period after surgery. 

If travel is absolutely necessary, the following are suggestions for the prevention of blood clots:

·  Avoid leg crossing & change positions frequently while seated.

·  Do isometric calf exercises by flexing/extending/rotating the ankles and wiggling the toes for a few minutes every half hour to prevent blood from pooling in the feet.

·  If driving, stop every few hours to get out, walk around and stretch your legs. If flying, move around in the plane seat and cabin as much as possible.

·  Stay well-hydrated with water or non-caffeinated soft drinks or juices.

·  Take only short naps, unless a normal sleeping position can be attained. Wear compression stockings.