Preparing for Surgery MEDICATIONS TO DISCONTINUE BEFORE SURGERY Preparations for your Hospital Stay Useful Addresses
Please confirm the time of your surgery. Two days before surgery call your surgeon’s office manager. If your surgery is on a Monday, you need to confirm on Friday.
| Spine Surgeons |
Manager |
Contact Number |
| Dr. Vadim Lerman |
|
(212) 844-8680 |
| Dr. Chan Roonprapunt |
Karen Latouche |
(212) 523-6720 |
Preparing for Surgery
Pre-operative testing (i.e. blood work, chest x-rays, EKGs, stress tests, and pulmonary function studies) will be required prior to surgery. All testing must be completed 2 – 4 weeks prior to surgery.
Antibacterial Soap – To minimize the incidence of infection, an antibacterial soap called Hibiclens will be provided for use at the 2 showers prior to surgery. This is usually the night before and the morning of the surgery. Cleanse your entire body, paying special attention to the area where your surgery is going to be performed. In the surgical area, use a wash cloth, cleansing for 5 minutes.
Your level of fitness and nutrition prior to surgery should be maintained to the best of your ability. Continue with any fitness activities that do not cause pain. Maintain a healthy balanced diet.
If you smoke cigarettes, it is strongly advised that you decrease the amount you smoke or stop smoking completely. Research indicates that smoking adversely affects bone healing and will thus delay or impede your full recovery following surgery. Inhalation of smoke irritates the breathing passages and may lead to respiratory problems during and after surgery.
Any errands (i.e. house cleaning and grocery shopping) should be completed prior to surgery. The fewer concerns you have upon discharge, the easier your transition home will be.
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MEDICATIONS TO DISCONTINUE BEFORE SURGERY
Please do not take any of the following medications for at least seven (7) days prior to surgery. If you have spinal fusion surgery, you will NOT be able to take NSAIDS or medications containing aspirin for about 3 months (until your doctor tells you that your fusion appears solid). This list of medications to discontinue is not complete. Other medications may contain these products as well. Please check with your physician if you are taking other medications.
| Non-Steroidal Anti-Inflammatory Drugs (NSAID’s) |
Advil Celebrex Ketoprofen Aleve Mobic Daypro |
Lodine Toradol Anaprox Diclofenac Mobic Relafen |
Ansaid Feldene Motrin Vicoprofen Arthrotec Ibuprofen |
Naprosyn Voltaren Bextra Indocin Naproxen |
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| Medications Containing Aspirin |
Alka-Seltzer Bufferin Fiorinal |
Anacin Darvon Compound Pepto-Bismol
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Asprin Ecotrin Percodan
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Bayer Arthritis Excedrin
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| Estrogen Products |
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All oral contraceptives and hormone replacement therapy
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| Anticoagulants and Antithrombotics |
Aggrenox Halfprin Persantine |
Coumadin Herapin Plavix
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Ecotrin Lovenox Ticlid
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Fragmin Orgaran
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| MAO Inhibitors |
Nardil (Phenelzine) Parnate (Tranylcypromine) |
| Herbal Medications and Supplements |
Vitamin E (14 days before) Garlic Lovaz St. John's Wort
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Valerian Multivitamins (containing Vit.E) Ginkgo Biloba Ginseng
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Ma Huang Echinacea Saw Pilmetto Kava
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Fish Oil
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| MEDICATIONS THAT MAY BE TAKEN PRIOR TO SURGERY |
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Acetaminophen (Tylenol) Duragesic Roxanol
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Darvocet Fioricet MSIR Tylenol + Codein
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Darvon Lorcet Oxycontin, oxycodone Vicodin (Hydrocodone)
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Dilaudidt Lortab Percocet
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Preparations for your Hospital Stay
- Have nothing to eat or drink after midnight prior to your surgery. Daily medications should be taken with a small sip of water.
- Eat lightly the day before surgery.
- If you have young children or a family member for whom you are the primary care-giver, arrange for alternative care for them after your surgery. This will allow for a restful recuperation period.
- If you are having extensive surgery, or if you are already having difficulty, it may be helpful to rent or purchase an elevated toilet seat and a shower chair. During the rehabilitation process, the occupational therapist will help you determine if you need any other adaptive devices or medical equipment before discharge from the hospital.
Suggested items to bring to the hospital:
- Two comfortable loose fitting outfits (i.e. jogging suit, nightshirts, bathrobe etc.).Comfortable shoes and socks and slippers.
- Comb/brush, and any other personal grooming items that you normally use daily.
- Personal stereo (Walkman) with relaxation tapes, favorite music, books on tape, books and magazines.
- Please leave valuables at home.
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Useful Addresses
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Beth Israel Medical Center 1st Avenue and 16th Street 212-420-2000
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Admission Office (Morning of Surgery) Beth Israel Medical Center 1st Avenue and 16th Street | 1st Floor 212 844-4749
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Diagnostic Radiology MRI | CT Scan | Bone Density Philips Ambulatory Care Center (PACC) 212 844-8880 To Schedule an Appt: 8:00 AM to 11:00 PM
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Blood Donor Center 317 East 17th Street Fierman Hall | 3rd Floor 212 420-2826 By Appointment Only: 8:30 AM to 4:00 PM
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