HAVE QUESTIONS ABOUT PREPARING FOR SURGERY ? WHAT TO DO AFTER?

PLEASE ARRIVE AT:

CALIFORNIA BACK AND PAIN SPECIALISTS

14624 Sherman Way Suite 307

Van Nuys, CA 91405

PLEASE DO NOT EAT OR DRINK ANYTHING 8 HOURS PRIOR TO YOUR APPOINTMENT TIME.

PRE-OPERATIVE TESTING:

CALBPS requires patients to have a pre-operative physical and laboratory testing within fourteen (14) days of their surgical procedure. Our office must be in receipt of your reports 48 hours prior to your surgery. Accordingly, please schedule a pre-operative appointment with your internist no less than 4 days and no more than 14 days prior to your surgery date.

After scheduling your preoperative appointment, please provide the dates to your doctor's assistant at (818) 405-0064. Our office will provide the necessary paperwork to your pre-op physician prior to your appointment date.

  •  You will also receive a phone call from CALBPS to go over your medication and allergies 1-2 days prior to your surgery date

INFORMATION SESSION - TOTAL JOINT REPLACEMENTS:

  • How to prepare yourself and your home for the postoperative physical limitations you might not anticipate;
  • On pre and post-operative activities, nursing care, pain management, equipment and your role  in the recovery process;
  • We can also help answer questions you may have about your surgery, diet or other postoperative needs.

PRE-OPERATIVE MEDICATIONS:

  • Stop taking Aspirin and Anti-inflammatory medications (NSAIDs) prior to surgery. Please do not take any Aspirin or medications containing Aspirin, such as (Bayer, Ecotrin, etc) at least seven (7) days prior to your surgery date. If you are on Plavix, Coumadin or Warfarin, or another prescription blood thinner, please discuss the management of these medications with your cardiologist. Typically, these medications are stopped prior to your surgery on approval from the prescribing physician.
  • Please do not take any anti-inflammatory medications (NSAIDs) such as Advil, Celebrex, Ibuprofen, Naprosyn, Motrin, etc. at least five (5) days prior to your surgery date.
  • In addition, if you are taking any medicinal herbs such as Cayenne, Cowhage, Echinacea, Ephedra, Feverfew, Garlic, Ginger, Gingko, Ginseng, Goldenseal, Kava-kava, Licorice, St. John's Wart, Saw Palmetto or Valerian, you will also need to stop these (5) days prior to your surgery.
  • If you are taking other medications not listed above, please discuss them with your internist at the time of your pre-operative appointment.

WHAT TO DO AND BRING:

  • If you develop a fever, cold symptoms, coughing, chills, aches, or any other illness between now and your surgery date, notify your surgeon's office and your primary care physician immediately.
  • Bring a current list of medications with you to the surgery center; this should include medication names, dosages, and how many times a day you take each medication.
  • Bring Insurance cards/information, Identification card or Driver's license, emergency telephone number.
  • Please wear loose fitting,  comfortable  clothing to the surgical center.
  • Be sure to have someone available to care for you for the first 24hrs after surgery, and someone to drive you to and from the Surgical Center.

WHAT NOT TO DO OR BRING:

  • DO NOT eat or drink anything after 12:00 am (midnight) the day before your surgery. This includes water, chewing gum, breath mints, etc. There are some exceptions that may be made by your internist or surgeon. If you are required to take a medication on the morning of your surgery, you may do so with a small   sip of water.
  • On the morning of your surgery, you may brush your teeth and rinse your mouth but DO NOT swallow any of the water/mouthwash.
  • DO NOT bring any valuables, such as jewelry.

INSURANCE:

Please note that each insurance varies in its ability to cover you for your surgeon's fees, hospitalization, procedure, anesthesia fees and any other special necessities.

It is important you contact our financial department to discuss insurance coverage and arrangements for payment at 818-884-5480 Please be advised the doctor may not be contracted with your insurance carrier. To avoid delays, postponements, or cancellation of your surgery, please take care of all financials prior to your surgery.

As a courtesy to our patients, your surgeon's office will obtain the authorization for your surgeon’s fee, hospitalization and surgery.

ANESTHESIA:

  • CALBPS has privately contracted anesthesiologists whom work with our surgeons. If you have any questions regarding anesthesia, please contact us at (818) 405-0064.

MEDICAL EQUIPMENT:

  • Most surgical procedures require post-operative equipment such as braces, slings, ice machines, etc. The necessary items will be selected by your surgeon; however, a DME company will be contacting you to make arrangements for these items to be delivered before your surgery. Often times these items are covered by your insurance company. In the event that the items are not covered, patients will be offered the equipment to rent. Fees vary per DME distributor.
  • If you are given a post-operative brace or sling, please be sure to bring this with you to the hospital on the day of your surgery

POST OPERATIVE MEDICATIONS I INSTRUCTIONS:

  • You will be given a prescription for post-operative medications the day of surgery.
  • You will be given post-operative instructions specific to your surgery. Also, you will be provided with a "Frequently Asked Questions" handout to further assist you during the recovery process.

POST OPERATIVE APPOINTMENT:

Your post- operative follow-up  appointment will be scheduled  on the day of your surgery.

DISABILITY FORMS:

All Private Insurance Disability Forms, Life Insurance Forms, Work Insurance forms & Workers' Compensation forms will have a $25.00 fee due at the time forms are submitted to the office. Paperwork will not be processed without payment. The initial State Disability form completed will not require a fee. Please be sure that all forms submitted are appropriately filled out and signed by you before the physician can complete his/her portion of the paperwork.

For any additional questions or assistance, please contact your physician's surgical coordinator Gilbert Manriquez   at (818) 884-5480

 

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