Instructions prior to surgery with Anesthesiologist    

Blood Thinners:  Please avoid the following over the counter medications for 5 days prior to surgery:  Aspirin, baby aspirin, Excedrin, Ibuprofen, Motrin, Naproxen, Anaprox, NSAIDs, Vitamin E, garlic supplements,  omega-3 supplements,  Echinacia, Aleve and Advil.  If you take prescription anti-coagulants or blood thinners, please be sure the doctor knows, as these must also be discontinued prior to surgery, with your cardiologist’s coordination.  These medications may include Plavix, Coumadin, Warfarin, Ticlid, Heparin, Persantine, or Lovenox.

No Driving: Please arrange for an adult to drive you to and from the office, and to stay with you for at least four hours after surgery.

NPO Status: Beginning 8 hours prior to surgery, you must fast.  This means nothing to eat for 8 hours prior to surgery.  You may drink two times, prior to surgery.  It should be limited to 6 ounces of clear sweetened beverage such as ginger ale or apple juice; once 6 hours prior to surgery,  and then again 4 hours before your appointment. If your appointment allows you time to eat, it must be a light meal, mostly carbohydrates, such as toast and jelly.  No meat, fats, or fried food is allowed on the day of surgery.  Medication, if authorized by the doctor, may be taken with a small sip of water.    No gum chewing is allowed the day of surgery.

Comfort: Wear loose, comfortable clothing. Buttoned shirts are preferable to pull-over shirts. Please do not use hair clips or have a ponytail or bun against the back of the head.  If you wear dentures, please do not use adhesive.  Please do not wear jewelry or contact lenses.  It is acceptable to wear hearing aids.  Please wear sneakers and not sandals or flip-flops.