Your Surgery Journey
What to Expect Before Surgery
Learn how to get ready for your procedure and what you need to take care of ahead of time.
Topics covered:
- Meeting with your Physician
- Pre-surgery physical exam
- Medication instructions
Transcript
Welcome to Midwest Spine and Brain Institute. You have made the important decision to schedule surgery and we are here to help you on your path to surgery and recovery. Let's begin with prior authorization for surgery.
Many surgeries do not require a prior authorization. However, if your insurance requires one, we will assist you in this process. A prior authorization representative from Midwest Spine and Brain Institute will contact you to obtain information needed to process this request, including but not limited to physical therapy notes, psychological evaluation and or nicotine testing.
The prior authorization is generally a quick process of less than one week but can occasionally take longer and on rare occasions up to 30 days. After the approval is received, a surgery scheduler from Midwest Spine and Brain Institute will call you to schedule a date and give you further information specific to your surgery. Preparing for surgery, preoperative physical.
Now that you have the date of your surgery, please call your primary care provider as soon as possible, at least seven days prior to your scheduled surgery date, but no more than 30 days prior to your scheduled surgery date. Based on your preoperative physical, additional testing or blood work may be necessary in order to appropriately clear you for surgery. If there are any concerns that need to be addressed, your surgery date may be changed to allow enough time to address these concerns to ensure you are safe to have surgery.
If you do not complete your preoperative physical before your surgery date, your surgery will need to be rescheduled. Preparing for surgery, medications. Certain medications and supplements must be temporarily stopped before your surgery.
Some of these medications include those that are meant to or could possibly thin your blood. These may include blood thinners such as Coumadin or Plavix, anti-inflammatory medications such as Advil or Ibuprofen, and all herbal supplements including those used for weight loss. There are other medications that you may be given or need to adjust before surgery.
Please see your surgery packet for further details. Check with the physician who prescribed your medications to determine which medications may need to be adjusted or stopped and when they can be started again. The surgery scheduler will also schedule your initial post-operative appointment at this time with one of our providers or nurses.
Preparing for surgery, preoperative call from the hospital or surgery center. A nurse from the hospital or surgery center will call you within a few days before your surgery date. Be prepared to discuss your current medications and allergies.
They will go over information that could include what time to arrive at the facility, when to stop eating or drinking, registration information, general information as to where to park and check in for surgery, who your driver is, identify your emergency contact, and answer any questions you may have regarding their facility and what you can expect during your time there.
What Happens During and After Your Surgery
This video walks you through what to expect in the operating room and your early recovery.
Topics covered:
- How your incision will be closed
- Whether a brace will be used
- Discharge instructions
- What not to bring, including FMLA and disability paperwork
- Activity restrictions, such as no lifting or bending
Transcript
Let's discuss what you can expect while you are in the hospital or surgery center.
Depending on your surgery, you will either be able to go home the same day from the hospital or surgery center, or you may need to stay overnight in the hospital for a few days. Regardless, you will need a driver to take you home. If you do not have additional help in your home following surgery, be sure to let the nurse from the hospital know this when they call.
If you are given a brace after surgery, please wear it as directed by your surgeon. How long you will need to wear this depends on how well you are healing. Your provider can discuss a time frame for bracing during your first visit.
A nurse or advanced practice provider will discuss incision care with you before you leave the hospital. They will let you know if your incision was closed with stitches, staples, or glue. You may need to cover your incision with 4x4 gauze pads and tape for a little while after surgery.
You can find these supplies at your local pharmacy. Please review your discharge instructions for specific care instructions based on what was used to close your incision. Initially, your activity will consist of only walking.
Your provider will discuss how you can increase activity during your first post-operative visit. Do not bend or twist at your surgical site and do not lift more than five pounds. Following these instructions will assist in proper healing.
The hospital or surgery center will provide you with a discharge summary, list of medications, and instructions for follow-up. Pain medication management after surgery. It is expected to have some pain after surgery.
You may have the same symptoms initially after surgery that you did before surgery as it will take time for healing to occur and these symptoms to improve. You will be sent home with a small amount of pain medication. Depending on your surgery and condition, your pain medication will be refilled for a short time after surgery if needed.
If you require pain medication after this time, your provider may refer you to your primary care physician or a pain clinic for further management. If you have questions about your pain control after you are discharged, please call Midwest Spine and Brain Institute at 651-430-3800 and we will be happy to assist you.
After You Leave the Hospital or Surgery Center
Know what support you’ll receive and when to expect follow-up communication.
Topics covered:
- A follow-up call from the facility RN
- A call from a Midwest Spine & Brain Institute RN
- What to do if you have questions
Transcript
Once you are discharged from the hospital, we want to be sure you are well on your way to recovery. A nurse from the hospital or surgery center will call you a few days after discharge to see how you're doing.
They may ask you questions regarding how you are feeling, symptoms you may be experiencing, if your pain is manageable, and if you understand your discharge instructions. If your pain is not manageable or you are experiencing new symptoms after surgery that you did not have before surgery, please call Midwest Spine and Brain Institute directly at 651-430-3800 so our nurses can assist you. Recovery after surgery.
Post-operative call from Midwest Spine and Brain Institute. A nurse from Midwest Spine and Brain Institute will call you within one to two business days after your discharge from the surgical facility. Our nurse will ask you how you are feeling, what your current pain level is, or what you are using for pain management, what new symptoms you may be experiencing, how your incision looks, if you are able to use the bathroom, if you are getting up to move around throughout the day to help prevent complications, if you are experiencing new symptoms, need pain medication refills, and if you have any other concerns.
FMLA and disability paperwork. If you need assistance with FMLA or disability paperwork, contact our office at 651-430-3800. Please do not bring any FMLA or disability paperwork to the hospital to be completed.
See your surgery packet for information on where to mail your forms. Please refer to your surgery packet for more details regarding your surgery. Your surgery packet can also be found on our website www.midwestspineandbrain.com. Please remember, if you experience any symptoms of infection, new or unusual pain, numbness or tingling, or if you have any other questions or concerns, call Midwest Spine and Brain Institute at 651-430-3800.
Thank you for choosing Midwest Spine and Brain Institute, where we are free to put you first.