Preparing for Surgery & Procedure
We want you to feel as comfortable as possible before, during, and after surgery. To help prepare for your surgery, please review the information below. If you have any questions or concerns, please call 713-986-6016/713-986-5640.
You will be responsible for any amounts not covered by your insurance prior to surgery, such as deductibles, co-insurance, or out-of-pocket amounts. We recommend you contact your insurance company for details. Please be aware that the surgery center or hospital fees are separate from the physician fees. If you have any questions, please contact our office.
Pre-Operative Clinic Visit
You will need to schedule a pre-op visit with Shae Sloan, our physician assistant, two weeks prior to your surgery date. During the pre-op visit you will discuss the surgery, arrival time for surgery, recovery time, and physical therapy.
Dr. Adickes requires surgical clearance. This includes a cardiovascular EKG within the last 6 months, lab work within the last 2 weeks, and that you be healthy enough for surgery. This can be completed at a scheduled pre-op clinic visit, or you can obtain a clearance with your family physician. If you have your surgical clearance with your family physician, it is your responsibility to confirm that Dr. Adickes has received the results prior to your surgery date.
Prior to Surgery
If you have any change in your physical condition prior to surgery, such as a cold, fever, sore throat, rash, or flu; please inform the office at 713-986-6016/713-986-5640.
The following instructions are very important and MUST be followed, or surgery may be canceled:
- DO NOT eat or drink anything after midnight the night before surgery. This includes: water, juice, coffee, chewing gum, mints, etc.
- DO NOT drink alcoholic beverages or take drugs unauthorized by your surgery team within 48 hours prior to surgery.
- DO NOT SMOKE before or after your surgery. Smoking can cause anesthetic problems.
- DO NOT take aspirin or aspirin products for one week prior to surgery or after surgery unless otherwise instructed by your doctor. Talk to the doctor if you take Coumadin, Motrin, Ibuprofen, Vitamin E, or other mediations that may thin your blood. (If you have a question on blood thinners, please inform Shae of all medications you are currently taking at your pre-op appointment.)
- If you are taking medication for breathing, seizures, heart disease, or blood pressure, take them on the morning of surgery with a sip of water. You will also discuss medication recommendations during your pre-op visit.
Important Points to Remember
- Wear comfortable, loose fitting clothes.
- Leave all valuables at home. This includes wedding rings, watches, I-Pods, and money.
- Bring your insurance card and ID.
- A responsible adult must drive you from your surgery and stay with you for 24 hours after surgery.
- Leave your gown and slippers at home. These will be provided when you arrive.
- Prosthesis, contact lenses, body jewelry, etc. will be removed before you enter the operating room. You may be asked to remove your dentures. They will be kept in a secure area and will be returned to you in the recovery room after surgery.
- You may wish to bring a pillow or blanket for the ride home.
- Baylor College of Medicine: 7200 Cambridge St, Houston, TX 77030, (713) 986-6016
- Elite Surgical Center: 6655 Travis Ste. 200, (713) 595-5900
Surgery Date ____________________
Arrival Time ____________________
Estimated Start Time ____________________
Upon arrival, check in with the front desk.
- You will be taken into an area where you will change into a patient gown and empty your bladder.
- You will be placed on a bed and a nurse will check your blood pressure, heart rate, and temperature. An intravenous (IV) will be started and lab samples may be collected.
- You anesthesiologist and nurse anesthetist will discuss the anesthetic plan with you.
- You will be given antibiotics through your IV.
- Medication to help you relax will be administered. It may make your mouth feel dry.
- Family members and friends may remain with you until you go to the operating room.
- You will be taken to the Post Anesthesia Care Unit (Recovery).
- Dr. Adickes will notify your family members that you are in the recovery area.
- The RN taking care of you will notify your family members when they may join you in the recovery area.
- When you have awakened and your blood pressure is stable, you may be discharged home (outpatient surgeries only).
- In the unlikely event that surgical or anesthetic procedures are unexpectedly prolonged or complicated, Dr. Adickes may arrange for regular hospital admission overnight.
- Expect to be drowsy for approximately 24 hours after surgery.
- Discharge instructions will be provided and any questions answered.
- After discharge, you will then be taken to the exit in a wheelchair.
- DO NOT drive a car, sign legal documents, operate machinery, drink alcoholic beverages, or use drugs not authorized by your surgical team for at least 24 hours after surgery.
- You will be seen the next working day after surgery for your 1st post operative visit.
- You will not be able to drive or return to work on the day of surgery.
- General signs and symptoms of infection: Fever greater than 101, warmth on incision site, redness (some redness may be normal), abnormal drainage from the incision, persistent or increasing pain.
- If you experience severe pain, heavy bleeding, or a temperature greater than 101 degrees F, call Dr. Adickes office or immediately go to the emergency room.
Dressing Changes and Incision Care
Your surgical dressing will be changed during your first post op visit by clinic staff. Future dressing changes and wound care instructions will be discussed as well. Your post op appointment time will be given to you on your surgery date.