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PROCEDURES & SERVICES

  • Abdominal Surgery
  • Appendectomy
  • Breast Surgery
  • Colonoscopy
  • Colon Surgery
  • Critical Care/Trauma
  • GI Endoscopy
  • Hemorrhoid Treatment
  • Hernia Surgery
  • Gallbladder Surgery
  • Skin Cancer/Mole Removal
  • Thyroid Surgery
  • Vascular Access
  • Wound Care

Follow-up Care

General Post Operative Instructions

Wound Care
  • It is ok to shower 24 hours after your surgery. Avoid tub-baths, swimming pools, and hot tubs until the incisions are completely healed.
  • Call the Doctor's office for any problems with the incision such as redness, undue swelling, fluid drainage, or signs of infection.
Activity
  • Your body will require rest until you feel able to resume your normal routine, usually a week up to a month is needed for your recovery.
  • It will take 1 month to 6 weeks until you are ready to resume heavy lifting (over 20 pounds) or any strenuous exercise. Until then, "Don't Overdo It!"
Pain Medication
  • You should have a prescription for a pain reliever such as Darvocet, Vicoden or Lortab. These are preparations that combine a mild narcotic with acetaminophen, the ingredient in Tylenol. Do not take Tylenol while you are taking any of these prescriptions. Take this medication as prescribed, usually 1 or 2 tablets every 6 hours as needed.
  • Pain relievers sometimes can cause constipation. A good method of prevention is to take a laxative such as Milk of Magnesia every day you have to use the pain pills.
  • You may also use "over the counter" Ibuprofen (Advil) instead of your prescription or in combination with the prescription medicine. If you choose to use Ibuprofen along with your prescription, take it on a 6-hour dosing schedule and alternate with the prescription every 3 hours.
  • No driving while taking the prescription pain pills.
  • No alcohol containing drinks while taking the prescription pain pills.
  • Call the Doctor's office for pain that is not controlled with your prescription or is getting worse, especially if accompanied by a fever. You should notice improvement and decreasing discomfort each day.

Breast Biopsy

Activity
  • You should be able to resume your normal activities within 1 or 2 days.
  • It will be 1 month until you are ready to resume heavy lifting (over 20 pounds) or any strenuous exercise. Until then, "Don’t Overdo It!"
  • Wear the binder you were given in the hospital for 24-48 hours, day and night. Wearing a bra, even for sleeping, during the first week may help relieve discomfort
Pain Medication
  • You should have a prescription for a pain reliever such as Darvocet, Vicoden or Lortab. These are preparations that combine a mild narcotic with acetaminophen the ingredient in Tylenol. Do not take Tylenol while you are taking any of these prescriptions. Take this medication as prescribed, usually 1 or 2 tablets every 6 hours as needed.
  • Pain relievers sometimes can cause constipation. A good method of prevention is to take a laxative such as Milk of Magnesia every day you have to use the pain pills.
  • You may also use "over the counter" Ibuprofen (Advil) instead of your prescription or in combination with the prescription medicine. If you choose to use Ibuprofen along with your prescription, take it on a 6-hour dosing schedule and alternate with the prescription every 3 hours.
  • An ice pack to the incision, intermittently, during the first 24-48 hours may help relieve discomfort and keep swelling down.
  • No driving while taking the prescription pain pills.
  • No alcoholic drinks while taking the prescription pain pills.
  • Call the Doctor’s office for pain that is not controlled with your prescription or is getting worse. You should notice improvement and decreasing discomfort each day.
Wound Care
  • Your incision is closed with a "buried" suture line and covered with a clear, plastic bandage.
  • It is ok to shower with or without the bandage in place 24 hours after your surgery. Avoid tub-baths, swimming pools and hot tubs until the incision is completely healed.
  • The bandage may be removed 3-5 days after the operation.
  • Call the Doctor’s office for any problems with the incision such as redness, undue swelling, fluid drainage or signs of infection.

Gallbladder Removal (Laparoscopic Cholecystectomy)

Wound Care
  • Your incisions are closed with a "buried" suture line and covered with small tapes.
  • The dressings can be removed in 24 hours. The tapes can be removed after 5 days.
  • It is ok to shower 24 hours after your surgery. Avoid tub-baths, swimming pools and hot tubs until the incisions are completely healed.
  • Call the Doctor’s office for any problems with the incision such as redness, undue swelling, fluid drainage or signs of infection.
Diet
  • Most people are able to resume a normal diet after gallbladder surgery. Occasionally, some people experience mild cramping and indigestion; if you continue to have trouble with some types of food, these difficulties will usually get better on their own within six weeks.
Activity
  • Your body will require about 1 week of rest until you feel able to resume your normal routine, this includes driving.
  • It will take 2 weeks until you are ready to resume heavy lifting (over 20 pounds) or any strenuous exercise. Until then, "Don’t Overdo It!"
Pain Medication
  • You should have a prescription for a pain reliever such as Darvocet, Vicoden or Lortab. These are preparations that combine a mild narcotic with acetaminophen, the ingredient in Tylenol. Do not take Tylenol while you are taking any of these prescriptions. Take this medication as prescribed, usually 1 or 2 tablets every 6 hours as needed.
  • Pain relievers sometimes can cause constipation. A good method of prevention is to take a laxative such as Milk of Magnesia every day you have to use the pain pills.
  • You may also use "over the counter" Ibuprofen (Advil) instead of your prescription or in combination with the prescription medicine. If you choose to use Ibuprofen along with your prescription, take it on a 6-hour dosing schedule and alternate with the prescription every 3 hours.
  • No driving while taking the prescription pain pills.
  • No alcohol containing drinks while taking the prescription pain pills.
  • Call the Doctor’s office for pain that is not controlled with your prescription or is getting worse, especially if accompanied by a fever. You should notice improvement and decreasing discomfort each day.

Hemorroid Removal

Wound Care
  • Sits-bath. During the first week following surgery, sitting in a bath of warm water twice a day will help healing and with relief. You should take a sits-bath after each bowel movement.
  • During the initial 48 hours after your procedure, an ice pack to the operative area intermittently may help reduce swelling and provide relief.
  • You will be instructed to obtain an over-the-counter stool softener, which should be taken daily for at least two weeks following your surgery.
  • Call the Doctor’s office for any problems such as undue swelling, fluid drainage or signs of infection.
Activity
  • Your body will require rest until you feel able to resume your normal routine, usually a week up to 1 month is needed for your recovery.
  • It will take time until you are ready to resume heavy lifting (over 20 pounds) or any strenuous exercise. Until then, "Don’t Overdo It!"
Pain Medication
  • You should have a prescription for a pain reliever such as Darvocet, Vicoden or Lortab. These are preparations that combine a mild narcotic with acetaminophen, the ingredient in Tylenol. Do not take Tylenol while you are taking any of these prescriptions. Take this medication as prescribed, usually 1 or 2 tablets every 6 hours as needed.
  • Pain relievers sometimes can cause constipation. A good method of prevention is to take a laxative such as Milk of Magnesia every day you have to use the pain pills.
  • You may also use "over the counter" Ibuprofen (Advil) instead of your prescription or in combination with the prescription medicine. If you choose to use Ibuprofen along with your prescription, take it on a 6-hour dosing schedule and alternate with the prescription every 3 hours.
  • No driving while taking the prescription pain pills.
  • No alcohol containing drinks while taking the prescription pain pills.
  • Call the Doctor’s office for pain that is not controlled with your prescription or is getting worse, especially if accompanied by a fever. You should notice improvement and decreasing discomfort each day.

Hernia Inguinal (Groin) Repair

Wound Care
  • Your incisions are closed with a "buried" suture line and covered with clear, plastic bandage.
  • The dressings can be removed 3-5 days after the operation.
  • It is ok to shower with or without the bandage in place 24 hours after your surgery. Avoid tub-baths, swimming pools and hot tubs until the incisions are completely healed.
  • Swelling and bruising on the scrotum and penis after hernia surgery sometimes occurs and will go away on its own in several days. Call if you are unable to urinate.
  • Call the Doctor’s office for any problems with the incision such as redness, undue swelling, fluid drainage or signs of infection.
Activity
  • Your body will require about 1 week of rest until you feel able to resume your normal routine, this includes driving.
  • It will take 1 month to 6 weeks until you are ready to resume heavy lifting (over 20 pounds) or any strenuous exercise. Until then, "Don’t Overdo It!"
Pain Medication
  • You should have a prescription for a pain reliever such as Darvocet, Vicoden or Lortab. These are preparations that combine a mild narcotic with acetaminophen, the ingredient in Tylenol. Do not take Tylenol while you are taking any of these prescriptions. Take this medication as prescribed, usually 1 or 2 tablets every 6 hours as needed.
  • Pain relievers sometimes can cause constipation. A good method of prevention is to take a laxative such as Milk of Magnesia every day you have to use the pain pills.
  • You may also use "over the counter" Ibuprofen (Advil) instead of your prescription or in combination with the prescription medicine. If you choose to use Ibuprofen along with your prescription, take it on a 6-hour dosing schedule and alternate with the prescription every 3 hours.
  • An ice-pack to the incision, intermittently, during the first 24-48 hours may help relieve discomfort and keep swelling down.
  • No driving while taking the prescription pain pills.
  • No alcohol containing drinks while taking the prescription pain pills.
  • Call the Doctor’s office for pain that is not controlled with your prescription or is getting worse, especially if accompanied by a fever. You should notice improvement and decreasing discomfort each day.

Bowel Preparation for Colonoscopy Procedure

  1. PURCHASE OVER THE COUNTER: You will need to purchase Dulcolax tablets (or the generic) and a bottle of MiraLAX (238 gram). You may get these products at Wal-Mart, United or CVS.
  2. ONE DAY PRIOR TO THE PROCEDURE: The day before the procedure we want you to be on a clear liquid diet for breakfast, lunch and dinner. No solid foods, milk or milk products.
  3. THE CLEAR LIQUIDS YOU MAY HAVE INCLUDE:
    • Water
    • Strained fruit juice (pulp free and with no texture)
    • Clear broth or bullion (chicken broth or beef broth)
    • Coffee or tea
    • Carbonated and non-carbonated soft drinks
    • Gatorade
    • Kool Aid
    • Jell-O
    • Ice Popsicles
    • YOU MAY NOT HAVE ANYTHING RED OR PURPLE.
  4. At 3:00 p.m. take 4 Dulcolax tablets with 8 ounces of clear liquid.
  5. At 5:00 p.m. mix the 238 gram bottle of MiraLAX in 64 ounces of Gatorade, lemonade or water. Shake the solution until the MiraLax is dissolved. Drink until the solution is gone. You have approximately 2 hours to drink the solution. We suggest drinking 8 ounces every 10 minutes and that will get the solution down in about 2 hours. Continue drinking clear liquids until bedtime.
  6. NO LIQUIDS AFTER MIDNIGHT!
  7. If you take blood pressure medication or heart medicine, you need to take those with a sip of water the morning of the procedure. Hold all other medications!!
  8. ˜ARRIVE FOR YOUR COLONOSCOPY AT THE SCHEDULED TIME˜
 
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