Preparing for Surgery

Once the decision to proceed to surgery has been made, we will assist you in getting it organized. Basically, we need to find a date for the surgery, get clearance from your primary care doctor or specialist, and verify the procedure with your insurance company. We can assist you with all of these issues.

  • Select the date for surgery. My scheduler Jeanette will contact you to put our calendars together to find a date for surgery. She can be reached at 513-346-1521.
  • Stop smoking prior to surgery! Now’s the perfect time.
  • Have your history and physical done within 30 days of surgery. This is done by your family doctor.
  • Get your pre-op lab work done. Some tests are required for anesthesia. Our office will assist you in getting these scheduled.
  • Get as healthy as possible before surgery. If you have any on-going issues, such as an infected tooth, fever, chest pain, urinary problems, uncontrolled high blood pressures or sugars, we need to get those addressed before surgery. Contact your primary care doctor. We will work with him/her to get you as healthy as possible prior to surgery.
  • Some medicines, like Coumadin/warfarin, Plavix, aspirin, and NSAID’S (arthritis meds like aleve or ibuprofen) can prolong bleeding time. Usually we like to stop these a week before surgery. Check with your primary care doc or cardiologist (if you have one) to see if this is possible.
  • Most medicines should be taken the morning of surgery just like normal. If you are a diabetic, however, talk to your primary care doctor to see what dose of oral agent or insulin you should take before surgery. Don’t drink alcohol for 48 hours before surgery. It delays emptying of the stomach.
  • DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT THE NIGHT BEFORE SURGERY. Not even water or coffee. (Cruel, I know.) You need an absolutely empty stomach for safe anesthesia.
  • The day before surgery take a good shower and clean the area we are going to operate on as well as possible, preferably with antibiotic soap (such as Dial).
  • The morning of surgery you may also shower, bathe, or shampoo as you wish before coming to the hospital. Don’t eat or drink anything! Remove any fingernail polish (we put an oxygen sensor on your finger). Leave valuables, including jewelry, at home.
  • Bring ID, your history and physical, a complete list of your medications, your medical insurance card, something to read, these instructions, friends/family to drive you, and a positive attitude.
  • Relax! We will take good care of you!

If you have any questions, please contact us at 513-346-1599 during regular hours

No Blood Thinner Medication Before Surgery

Please discontinue use of all blood thinner medication at least 5 days prior to surgery unless instructed otherwise by your physician Blood thinner medications may include, but are not limited to:

  • Coumadin (Warfarin)
  • Lovenox
  • Heparin
  • Plavix
  • Xarelto
  • Pradaxa
  • Persantin (Dipyrdiamole)

If you are receiving care from a cardiologist, check with their office before stopping any heart medications.

Obtaining Ice therapy prior to surgery

After your surgery, it is recommended you place an ice pack on the surgical area. This will reduce the pain and swelling associated with your surgery, and as a result you will be significantly more comfortable.

You may purchase an ice pack at your pharmacy to freeze and use as instructed. Frozen peas, carrots, and other small frozen vegetables make for inexpensive yet effective substitutes. Purchase double the number of packs you will need, so that half of them can stay in the freezer while the other half are applied to the surgical area. With this strategy you will always have cold ice packs to apply.

You may prefer the convenient and effectiveness of a cold therapy machine, which re-circulates ice water through customized circulation pads held in place using Velcro straps. This machine allows for longer and more consistently cold therapy and prolonged pain relief. It is also very helpful after your post-op physical therapy sessions. If you would like to purchase the cold therapy machine, you may contact the following local representative, who can answer any questions regarding use of the machine, and to arrange purchase, pick-up, and delivery.

To purchase a “Donjoy Ice Man” cold therapy machine: $150
Lindsay Miller (513) 519-5448