Pre-operative testing and medical clearance

Prior to your surgery, you will need to have routine tests that are required of all patients undergoing a procedure under anesthesia.  These may include routine blood tests, electrocardiogram, chest x-ray, urinalysis, and echocardiogram.  Depending on your age and your other medical problems, we will determine which of these tests you need and whether you will require a letter of medical clearance from your regular doctor.  Pre-operative testing can be arranged through our office or through your medical doctor’s office. Results need to be faxed to our office within two weeks of the day of surgery.

Make certain to schedule all of the pre-operative testing and clearance you have been given. We welcome your outside diagnostic tests and laboratories. You may prefer to have these tests through the office of your primary care physician or referring specialist.

If you wish to have your medical tests performed in or close to Dr. Belsley’s office building then consider the following:

 

Blood work:

Patient Service Center Room 1A located on the 1st floor to the right of the elevators. Open  8 am until 6:30 pm for all walk-in appointments. 212-523-8751

Chest X-ray

West Side Radiology 6th Floor open 9am until 7pm for walk-in appointments. 212-523-7533

EKG:

UMPA Cardio Diagnostic Services located on the 9th Floor room 9C open until 9am to 3pm for all walk-in appointments. 212-492-5590. UMPA does not accept all insurances.  All insurances are however accepted in the hospital but requires that you go across the street to Roosevelt Hospital 3rd floor suite 3B 30. This center is only open from 9am until 12pm for walk-in appointments. 212-523-7370

Mental preparations and planning

This is an important planning and preparation time.  Follow all of the good health habits you have begun in addition to the following:

Try to relax prior to your operation

The pace of life in New York can be very hectic. Try to remember that your decision for surgery reflects the fact that you have decided to take a proactive step to fix a health problem. Do not be shy about asking for help from your family and loved ones.

Put your schedule together for the day before, day of and first few days following the surgery. Share this with all of your key support people.

STOP taking the following for the duration before your surgery. Taking any of the following can increase your risk of bleeding and other complications:

Aspirin and medications containing aspirin, Blood thinners including Plavix and Coumadin, Garlic Supplements, Ibuprofen and anti-inflammatory agents, Green Tea or green tea extracts, Vitamin E, Estrogen supplements, St. John’s Wort and other herbal supplements.

Allowed Supplements:

Arnica Montana may have a beneficial effect on bruising, swelling, pain, muscle fatigue and inflammation. My office recommends Arnica Montana 12c. Allow 5 pellets to dissolve beneath your tongue 3 x per day for 2 days prior to surgery and 2 weeks after surgery.  Do not eat or drink anything for 15 minutes before or after taking this medication.

Fitness:

Don’t over-do it. Avoid anything strenuous or that could potentially cause injury. Light exercise is fine.

Good nutrition:

Maintain a balanced and healthy diet.

NO SMOKING:

Stay away from second-hand smoke, too. Your healing and health depend heavily on this.

Lead a healthy lifestyle:

Practice good hand-washing and avoid large crowds or individuals who are ill.  Do not risk catching a virus or cold: no sharing beverages or other high risk opportunities for contacting viral or other illnesses.

Avoid sun exposure:

Sun damaged skin can more readily produce irregular scars or cause pigmentation irregularities following surgery.

ONE WEEK BEFORE SURGERY

Confirm your day of surgery plans.  This includes your transportation and after-care (a responsible adult for the first 24 hours after your arrival home around the clock or a private duty nurse).

Review your prescription orders and instructions

You should discuss the prescription medications that you take with Dr. Belsley and decide which of those medications you will take the morning of surgery and which you will not take the morning of surgery.

Confirm all lab results and medical clearance paperwork have been received

by Dr. Belsley if you have not already done so.

Continue to practice healthy habits, nutrition and fitness

No strenuous exercise. No saunas, hot tubs, steam baths or mud wraps.  No smoking or alcohol.

Relax.

Call our office with any unusual anxiety or concerns.  Get plenty of rest.

ONE DAY BEFORE SURGERY AND PREPARING FOR YOUR OPERATION:

Pack your bag for the day of surgery.

This should include:

All paperwork, Reading Glasses if needed, Your identification, Warm, clean cotton socks, All prescription medications,  Saltines or other crackers in case of nausea during your ride home

Expect a call from the hospital

to confirm you arrival time on the day of surgery.  This time may not be finialized until the day before your operation.

Confirm your route to and from

surgery with the responsible adult who will drive you. Also confirm plans with your 24-hour support person and make certain he or she has all of your post-operative instructions.

Shower as directed. Use an anti-bacterial, fragrance-free soap. Shampoo your hair.  Do not use any hair gel or other styling products, scented skin creams or moisturizers. Do not use any deodorant, hair spray, perfume or cosmetics. Remove all finger nail and toe nail polish. If you have acrylic nails, at least one will need to be removed prior to surgery.

Do not eat or drink anything after midnight the night before surgery.  No candy, gum or mints. Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery.  This includes candy, gum and mints.

RELAX!

Get plenty of rest and avoid unnecessary stress.

THE DAY OF SURGERY

NOTHING by mouth.  Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery. This includes candy, gum, mints.  Take the morning medications that you have discussed with Dr. Belsley with a small sip of water.

Do not wear cosmetics, jewelry of any kind, contact lenses, hair clips, body piercing: (If there is something you cannot remove, let the admitting nurse know right away.)

Wear comfortable, clean, loose-fitting clothing: Do not wear jeans or any tight-fitting bottom; rather have a pair of loose, drawstring sweatpants to wear home.  You may wear a robe.  Wear slip on, flat shoes with a slip proof sole; no heels. Wear clean cotton socks, as the operating room can feel cool.  For your comfort, wear a zip or button front top.  No turtlenecks.

You will need to arrive at the hospital two hours prior to your surgery start time on the day of your surgery (except for 7:30 am cases for which you will need to arrive at 6 am).  This time allows for adequate check-in time as well as time for you to meet with nurses and your anesthesiologist.  Enter Roosevelt Hospital on the entrance on Tenth Avenue and alert the security personnel in the lobby that you are having surgery.  They will direct you to the Ambulatory Surgery Center on the 5th Floor.  Although you will be given a locker on your day of surgery, please do not bring any valuables that could get lost.

Your family members will be directed to wait in the waiting room during your surgery.  After the surgery has been completed, Dr. Belsley will speak to your family members in the waiting room.  If you are to be discharged the same day you have your surgery, please be sure to have someone to escort you home.

Once your surgery is completed, you must follow all the instructions given to you in order to heal properly and have a good outcome.

Medical Condition: 
Preoperative Period
Medical Procedure: 
Preoperative Procedures
Speciality Classification: 
Surgical
Medical Entity Classification: 
Preoperative Care
MeSH Identifier: 
E04.604.750
National Library of Medicine: 
MeSH
Medical Audience: 
Patient