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PREOPERATIVE SURGICAL INSTRUCTIONS

You are being scheduled for surgery at Crouse Hospital. You will be notified by the hospital of your admission time.  If you will not be available at the phone number you have given us; for example, if you will be staying in an area hotel or a relative's home the evening prior to admission, please notify us of this plan.  Our office hours are Monday through Friday from 8:30 a.m. to 4:30 p.m.  You may call Hospital Admitting at any time to notify them when you arrive at your new location/phone number.

If OUTPATIENT SURGERY is being scheduled, it will be done in the One Day Surgery Center located on the 7th floor of the Crouse Physician's Office Building.

PREADMISSION TESTING will be required one to two weeks prior to surgery.  You will be given instructions about the tests ordered and when and where they will be performed.  This preadmission testing may include x-rays, bloodwork, urine testing, and an EKG.  If you are being admitted the same day as surgery, you may need to see the hospital Nurse Practitioner for an examination one to two weeks before your surgery date.

You may wish to DONATE your own (autologous) blood if you are scheduled for major surgery to have available in the event you need a blood transfusion.  If you plan to donate blood, you will need to obtain a prescription from our office and then call the American Red Cross as soon as possible to make arrangements.  In addition, you should begin taking one iron tablet three times a day as soon as possible to help reverse the anemia effects of the donation.

If you SMOKE, you should stop IMMEDIATELY.  Stopping will reduce the chance for lung problems (including pneumonia) after surgery.  Smoking is not permitted in the hospital or surgery center.

You should take your routine MEDICATIONS the day of hospital admission, unless instructed otherwise.  Please bring your medication bottles with you to the hospital so they can be checked.  While in the hospital, you will not be taking medication on your own, all medications will be dispensed to you.

You should STOP TAKING any medicine which contains aspirin (i.e., Anacin, Ecotrin, Bufferin, Excedrin, Norgesic, Empirin, Mono-Gesic, Salflex, Trilisate, Lortab ASA, Easprin, Alka-Seltzer) or ibuprofen (Motrin, Advil, Nuprin, Midol) or naproxen (Anaprox, Naprosyn, Aleve) or arthritis/NSAID medicine (i.e., Feldene, Indocin, Clinoril, Relafen, Ponstel, Nalfon, Dolobid, Daypro, Ansaid, Lodine, Tolectin, Torodol, Voltaren, Cataflam) or ketoprofen (Orudis [KT], Oruvail, Actron) two weeks prior to surgery.  You may take acetaminophen (Tylenol), however. 

PLEASE ASK THE DOCTOR IF YOU SHOULD STOP ANY HORMONES including: estrogen (i.e., Premarin, Estrace, Ogen, Estratab, Estratest, Menest, Ortho-Est, PMB, Premphase, Prempro, Estraderm or Climara patch, birth control pills), progesterone (i.e., Provera, Amen, Aygestin, Cycrin, Megace), or tamoxifen (Nolvadex) two weeks prior to surgery.  If you are stopping birth control pills, it is suggested you use a barrier method (foam and condoms) for contraception up to the time of surgery and for the first two weeks after restarting the pill.  It is not necessary to stop hormone medication or birth control pills prior to outpatient surgery unless specifically instructed to do so.  STOP ALL HERBAL AND COMPLIMENTARY TREATMENTS two weeks prior to ANY surgery.  Some of these can cause problems with clotting.

If you are having OUTPATIENT or SAME DAY ADMIT SURGERY, you must not have any food or liquids by mouth after the midnight before your surgery.  IF YOU EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE SURGERY, YOUR SURGERY MAY BE CANCELLED.  Plan to come to the hospital TWO HOURS before the scheduled time of the surgery.  You should have an interview with the Anesthesiologist scheduled prior to the date of the surgery.  You should take your normal medications prior to surgery (except as listed above), including the morning of your surgery, with a small sip of water only, unless otherwise instructed.  If you have diabetes and take insulin or pills, please ask for specific instructions.

For some surgeries, you will need to do a HOME BOWEL PREPARATION.  You may only drink clear liquids the day before surgery.  Please purchase two (2) bottles of Magnesium Citrate at your local pharmacy.  You need to drink them the day before the surgery, one at 2 pm and the other at 5 pm.  Drink plenty of water while doing the prep.

Because we are not able to speak with all family members of each patient, you may designate one family spokesperson with whom we will communicate, who will be responsible for communicating with the rest of the family.  In addition, NYS law provides that you may designate one person as your Health Care Proxy Agent, who will be empowered to make decisions for you if you are not able to make them.  The hospital can provide you with these forms.

 

 

 





739 Irving Avenue - Suite 530 Syracuse, NY 13210 Tel: 315-478-1158 - Fax: 315-478-3014

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