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PATIENT INFORMATION

PRE AND POST OP INSTRUCTIONS

Specialized in Rhinoplasty

What is an Appendectomy?

View this document online:
http://www.facs.org/public_info/operation/brochures/apendectomia.pdf

What is a cholecystectomy/Gallbladder removal?

View this document online:
http://www.facs.org/public_info/operation/cholesys.pdf

What is a colonoscopy?

View this document online:
http://www.facs.org/public_info/operation/brochures/colonoscopy.pdf

What is a Hernia Repair?

View this document online:
http://www.facs.org/public_info/operation/brochures/herneap.pdf

Do Not take Aspirin or NSAID’s such as Ibuprofen one week prior to your surgery. You may take Tylenol. Please inform your surgeon if you are taking any blood thinners including Coumadin (Warfarin), Plavix, or Pradaxa.
Do Not eat or drink anything after midnight the day prior to surgery. You may take your morning medications with a sip of water. If you drink or eat before surgery, likely your case will be cancelled.
Please do not shave the surgical site prior to surgery. If it is necessary to shave the surgical site, the nurse in the operating room will shave it on the day of surgery.
Check with your surgeon or anesthesiologist if it is ok to take your medicines the day of surgery. It is ok to take high blood pressure medications the morning of surgery.
Please call Dr. P’s office if you have questions. If it is the night before surgery, page Dr. P at 817-216-0021.

GENERAL POST OP INSTRUCTIONS:

Drink plenty of fluids. Unless otherwise directed you may resume a regular diet, low-fat foods will settle in your stomach better.

Your appetite may be less than normal. Eat when you get hungry. Do not force yourself to eat. Stay hydrated and focus more on fluids initially than food. Fluid options that are good include water, gatorade, and crystal light.

A pain medicine prescription will be provided the day of surgery to go home. This is usually Vicodin or Lortab. Vicodin contains Hydrocodone and Acetaminophen (tylenol). Do not take extra tylenol along with your pain medication. Only take your pain medication if you need it.

If constipation occurs, Psyllium (i.e. metamucil) is the best remedy. You can take as directed on the package. If you have not had a bowel movement for 4 days then try milk of magnesia. If you are still constipated call the office.

The outer dressing can be removed generally the second day after surgery. For laparoscopic incisions there may be steri-strips underneath the incision that should fall off on their own. If they have not fallen off in a week or so you can remove them in the shower.

You can shower the second day after surgery. Please do not get the surgical site wet within 24 hours.

An Ice pack is recommended the first 24-48 hours after surgery. No heat! Ice can decrease swelling and bleeding in the wound.

Watch for signs of Infection: Redness, Drainage, increasing pain. Wound infection usually occurs around 3-7 days after surgery. Call if you have questions.

You should have a post op appointment with Dr. P around 14 days after surgery. If you don’t have an appointment, call the office and make a post op appointment.

When to call Dr P.

If you have an increase in your pain over several days that is persistent.

If you have new redness or swelling or drainage from the wound.

If you have fever greater than 101 degrees.

If you have persistent nausea and vomiting.

If you have any foul drainage from the wound.

My Post Op Philosophy

I am honored to be a part of your care. You can call me at any time as needed. Please call post op patient at 618-406-6869. My pager is 817-216-0021.

No question is too little or bothersome. I am here to help in any way I can. If you are experiencing severe pain, persistent vomiting that cannot be controlled, or have a symptom that is alarming and you cannot reach me call 911 or go to the Emergency Room at Medical Center of Arlington.

OUR HOSPITALS

Rajesh S Padmanabhan MD FACS Fellow of the American College of Surgeons Certified by the American Board of Surgery

Our Office – 3215 Omega Dr,

Arlington, Tx 76014

Office: 817-466-7400

Fax: 817-465-6582

Efax: 817-719-9330

E-mail: drP@drPsurgery.com

Trinity Park Surgery Center

3501 Matlock Rd

Arlington Tx 76014

Medical City of Arlington

3301 Matlock Rd

Arlington Tx 76015

Texas Health Arlington Memorial Hospital

800 W Randol Mill Rd

Arlington Tx 76012

ACCEPTED INSURANCE

Accountable Health Plans
Aetna
Beech Street
Blue Cross Blue Shield
Cigna
First Health
Great West
Health Payors Organization
HMO Blue
Humana
Interplan Health Group
Medicare
Multiplan
PHCS
Texas True Choice
United Health Care

Prescription Refills

Prescriptions are refilled during normal office hours only. Please try to call before you run out of your medication. Call your pharmacy first. They will contact us to obtain authorization for a refill. Prescriptions will not be refilled by the doctor on call after hours or on weekends.

Medical Records

To obtain copies of your medical records we must have a signed release from the patient. This should include the name and address and/or fax number where the records are to be sent. We try to handle these in a timely fashion, but please allow 1-2 business days.

Appointments

Please contact our office at 817-466-7400 to schedule an office appointment or to schedule your surgical appointment once you have met with Dr. P

Dr. P’s office appointment days are generally all day monday and Tuesday afternoon. Sometimes Tele-consults can also be done as needed. Emergency office appointments are on a case by case basis.

Dr. P’s generally does Colonoscopy and endoscopy on Tuesdays. Outpatient surgery is done on Wednesday and Thursday.

We will do everything we can to be on time. When emergencies arise we do our best to keep patients fully informed if there will be any delays or a need to reschedule an appointment. In the event there is an emergency we ask for your patience in dealing with delays. It is always a good idea to call ahead of a scheduled appointment to confirm.

Practice Hours

The office is open Monday – Friday

9:00 A.M. – 5:00 P.M.

(Hours may vary on a Friday or during Holiday dates)

After hours emergency call 911 or text or call Dr P at his cell

NEED HELP WITH SURGERY?

Call Now (817) 466-7400 and receive Top Quality Surgery for you and your Family

REQUEST AN APPOINTMENT