Scheduling Your Surgery:
A surgery coordinator will be contacting you within the next several days to work on getting a date set for your surgery. Dr. Deol operates at:
Golden Ridge Surgery Center: 660 Golden Ridge Road, Golden, CO, Phone: 303-963-1500
Ortho Colorado Hospital: 11650 W 2nd Place, Lakewood, CO, nurses phone: 720-321-5170
St. Anthony’s Hospital:11600 W 2nd Place, Lakewood, CO, Phone: 720-321-0000.
His standard surgery days are Tuesdays and Fridays.
1) The surgery scheduler is not allowed to give out time of surgery. The facility coordinates the time of your case. The facility will call you 1 business day prior to your surgical date.
2) The anesthesiologist will contact you 1 business day prior to surgery (usually the night before) to review medical history and advise when you should be fasting from liquids and solid foods. Typically, NO food or drink after midnight before your surgery.
Please call the physician’s office that has prescribed you any medications you are currently taking to inquire whether they should be discontinued prior to surgery or the nurses at the surgical facility with any specific questions but there is a list/guideline attached on webpage.
Please discuss with your prescribing physician prior to stopping any prescribed medications. Medication such as aspirin, Advil, Aleve, Motrin, Ibuprofen and prescription anti-inflammatory should be discontinued ONE WEEK prior to surgery. If your surgery is to be scheduled within the next week, discontinue any of these medications IMMEDIATELY. Taking these medications may cause excessive bleeding and complicate your surgery. ** Plain Tylenol or generic Tylenol is okay to take and will not cause excessive bleeding.
Post operative pain medication is sent the night before surgery to your pharmacy listed on file in your patient chart.
You will experience pain associated with surgery. We do NOT expect you to have zero pain. The goal is to manage your pain appropriately and safely. Opioid pain medication can cause sedation, depression, tolerance, dependence, abuse, impaired breathing, constipation, nausea, or itching. Opioids can contribute to hospital readmission and even death.
If you had a nerve block, please note it is difficult to predict when they will wear off – but in general, blocks of the lower leg done behind the knee will typically wear off in 12-24 hours. If you had a block around your ankle it will typically wear off in 6-8 hrs. To stay ahead of the pain, start taking your prescribed pain medication before the block wears off. Once the block wears off you may titrate up or down with the prescribed dosage of pain medication.
We always recommend adding OTC pain medications in combination with your prescription narcotic/pain medicine!
Tylenol (Acetaminophen) is recommended to assist with pain. You may take up to 3,000 mg of tylenol in a 24 hour period. You may take 500 mg tablets every 4 hours, 650 mg tablets every 6 hours or 1000 mg every 8 hours.
ADDITIONALLY, it is safe to also take OTC NSAIDs/anti-inflammatory medications such as ibuprofen/Advil/Motrin/Aleve. Defer to medication bottle for dosing. Recommend 600 mg ibuprofen every 6 hours with food and water.
Weaning off the opioid pain medication will decrease risks for potential side effects. To begin weaning off the opioid pain medication, you will begin by increasing the time interval between doses (for example: if you take the medication every 4 hours, try to stretch it to 5-6 hours). Once you have achieved stretching your medication time interval, you can then begin to decrease the dose of the opioid pain medication (for example: instead of taking 2 tablets at a time, try to take 1 tablet). If pain medications are running low, need a refill, or you have questions or concerns about these medications, call Panorama Orthopedics prescription line Monday-Friday between 9am- 5pm, 720-497-6662 (unable to refill prescriptions during the weekend and holidays). Refills of opioid pain medication will be at the discretion of your surgeon based on your specific surgery and postoperative course.
Do not consume alcohol, marijuana or drive while taking opioid pain medications.
Even if you have regular bowel movements prior to having surgery, you are likely to experience postoperative constipation. Exposure to anesthetics and narcotics, reduced fluid intake and reduced physical activity contribute to this constipation.
We recommend taking Colace, Miralax, Milk of Magnesia or any stool softener.
The risk of developing a blood clot or DVT is always a concern after surgery. You will either be prescribed 81 mg Aspirin to take twice a day for 30 days post operatively OR a prescription anticoagulant/blood thinner will be sent to your pharmacy depending on your risk factors.
** While taking prescription anticoagulant you ARE NOT TO TAKE any Advil, Motrin, Aleve,
Ibuprofen or other anti-inflammatory medications. Again—please contact the prescribing physician to discuss stopping any prescribed medications while taking the blood thinner.
You are advised to go directly home from the surgery center or hospital after surgery. Patients are NOT allowed to drive themselves home, so please arrange transportation home and plan to have someone with you for the first night.
Some medications may need to be stopped before surgery. Please discuss the medications what you are currently taking with your surgeons and the care teams who prescribed the medications to see if you need to stop taking any of them prior to your surgery. Below is a list of medications that you will want to talk about:
Warfarin (Coumadin)
If you take Coumadin, please discuss this with your surgeons and physicians at least seven (7) days before your operation. You need to obtain special instructions about when to stop this medication.
Enoxaparin (Lovenox ) or Arixtra
If you take Lovenox or Arixtra, please discuss this with your surgeons and physicians as soon as possible. You need to obtain special instructions about when to stop this medication.
Insulin
If you take Insulin, please check with your prescribing doctor or the anesthesiologist about what to do the day of surgery
Typically we will have you stop this 7 days prior to surgery date.
Nonsteroidal Anti-Inflammatory Drugs (NSAIDS)
If you take NSAIDS, please discuss this with your surgeons and physicians at least 3-5 days before your operation, but preferably 7 days prior if possible.
Monoamine Oxidase Inhibitors (MAOI)
If you take tranylcypromine (Parnate, Sicoton), phenelzine (Nardil, Nardelzine), Isocarboxazid, Marplan, Deprenyl, resagiline (Azilect), or selegiline hydrochloride, please discuss this with your surgeons and physicians at least fourteen (14) days before your operation. You need to obtain special instructions about when to stop this medication.
Dietary Supplements: Vitamins, Minerals, Herbal Supplements, and Holistic Supplements
Dietary supplements listed below should be stopped 7-14 days before your operation.
What medications can you take on the day of surgery?
You may take any of these if they are currently prescribed to you:
If you have asthma, use your inhaler the morning of surgery and BRING them with you.
DO NOT take Water Pills, Diabetic Pills… in addition to anything you have previously stopped taking in preparation for surgery (remember this includes Aspirin, Motrin, Coumadin, Warfarin with instructions from prescribing physician and surgeon).