THE SURGICAL SCHEDULER WILL CALL YOU
WITH THE FOLLOWING INFORMATION:

• Surgery date: ________________ Hospital: GSH or SSH (circle)
• Pre-surgical testing date: ________ call GSH 224-8787 or SSH 968-3998
• Medical Clearance appointment date________________
• Post op appointment date: ____________________

Do you have any history of cardiac or pulmonary disease? If so, you will need clearance from those doctors, please notify the surgical scheduler immediately. She may require you to schedule those appointments as well.

• Cardiac Clearance appointment date: ________________
• Pulmonary Clearance appointment date: _______________
• All radiology films, that pertain to you procedure, are required to be in our office 5 days prior to your procedure.

PRE SURGICAL INSTRUCTIONS:

1. NO Aspirin for 7-10 days prior to your procedure. NO Motrin, Advil, Aleve or Vitamin E.
2. NO Anti-inflammatory medication 5-7 days prior to your procedure.
(Verify with your pharmacist that any medication you are currently taking do not contain aspirin or anti-inflammatory drugs)
3. STOP COUMADIN OR PLAVIX 5 days prior to procedure- it is medically necessary to check with your medical doctor who prescribed it.
4. All other medications, only if necessary, can be taken with a sip of water the morning of your procedure.
5. Nothing to eat or drink after midnight prior to your procedure.
6. The hospital will call you the evening before your procedure to advise you of the arrival time.
7. You will need to make arrangements for transportation to and from the hospital.
8. If you are a diabetic notify the surgical coordinator immediately.
9. Hold all types of herbal products 2 weeks prior to surgery.

IF YOU ARE SCHEDULED FOR SURGERY AND HAVE ANY QUESTIONS CALL THE SURGICAL DESK 631-422-5371 ext. 14