Medical Associates of Port Perry Ontario Canada, Doctors

Surgical

Frequently Asked Questions

What will my Pre-Admission visit include?

The pre-admission clinic is designed to prepare you for your surgery in advance of your Admission to the hospital. The visit may make your hospital stay shorter by allowing you to be admitted on the day of your surgery. You should expect to be in the clinic for up to one hour. Please report to the Admitting area upon arrival with your pre-operative package. If you do not attend, your surgery will be cancelled. The tests requested by your doctor must be completed before your admission to the hospital. Doing these procedures early can identify possible problems and make your stay more comfortable.

YOUR VISIT TO THE PRE-ADMISSION CLINIC WILL INCLUDE:

· Hospital Registration
· Blood/Urine specimen collection (if required)
· A nursing assessment which will include how to prepare for your surgery

WHAT TO BRING TO THE PRE-ADMISSION CLINIC:

· Any medications you are taking (in the original bottles)
· Your Provincial Health Card
· Any other documents your doctor may have given you

You will be contacted by the Surgeon’s office with your preoperative assessment interview time with the Nurse at Lakeridge Health and your arrival time for the day of the surgery. 

*** When reporting to the hospital for a preoperative appointment, please report to the Admitting Dept. You can access the office by using the most western driveway of the Hospital and the first set of sliding glass doors (Door #3).***

Where do I go for my surgery?

At your assigned time, please report to the Hospital Admitting Department. You can access the Admitting Department by using the most western (left) driveway of the Hospital and the first set of sliding glass doors (Door #3).

If you have any problems, please call our office at 905-985-2895 ext. 5415.

Vasectomy pre-op/post-op instructions

PATIENT INSTRUCTIONS - VASECTOMY

Pre-op instructions:

Prior to the operation you should shave your scrotum completely and have a bath or shower.
If you are having a general anasthetic you must have nothing to eat or drink after midnight the day before the procedure.
You will need to arrange for someone to drive you home.

The doctor may recommend the following after the surgery:

Put an ice bag on the scrotum for 2 hours after the procedure
Rest at home for 2 or 3 days
Wear a jock strap or briefs to support the scrotum (testicles) for 1 week
Take a pain reliever, as prescribed, for any pain following the operation
Go back to work as soon as you are able, usually within a few days

You may have sex again as soon as you feel able, usually about a week after the procedure. For six months use other birth control methods during intercourse, until your semen test is sperm-free. In 10 weeks you can produce a semen sample for the laboratory.

When should I call the doctor? (905-985-2895 x5412)

Call the doctor immediately if:

A fever develops
You have excessive redness, swelling, pain or discharge
It is difficult to urinate
There is excessive swelling in the testes

Call the doctor during office hours if:

You have questions about the procedure or its result
You want to make another appointment

Special Instructions:

1. A daily shower or bath will help to keep the area clean and the wounds do not need to be dressed.
2. The sutures in the wounds will dissolve on their own over the next couple of weeks.

Bowel Preparation for Colonoscopy

PICO-SALAX Patient Instructions

On the day prior to your procedure at Lakeridge Health Port Perry, you must be on a clear fluid diet only. NO SOLID FOODS are eaten this day.

Recommended clear fluids are:

- Water
- Apple, Grape or Cranberry Juice
- Gatorade or clear carbonated beverages
- Black Tea or Black Coffee
- Jello
- Broth

You will need to drink at least 1 large (8oz) glass of clear fluids every hour.

Also on this day, you will need to drink 2 packets of the prescribed laxative PICO-SALAX. These packets should be taken approximately 8 hours apart - the first package should be taken by noon. Please follow the instructions below -( NOT the instructions that come in the PICO-SALAX box. )

- Empty the contents of the packet into a large glass or a mug
- Add 150 mL (5oz) of cold water.
- Stir for 2-3 minutes to dissolve all of the laxitive then drink the liquid.
( If the mixture heats up, let it cool before you drink it )

You must be close to a washroom while taking the bowel prep.

You may continue to drink until midnight
After Midnight - NO DRINK (or FOOD including Gum and/or Candy) is allowed
until your procedure is completed ( unless you have been instructed to take your morning medication with a sip of water. )

General instructions:
1) Medication containing Asprin (ASA) should be stopped 1 week before your procedure
2) Blood thinners such as Coumadin (warfarin) should be stopped 1 week before your procedure - please confirm this with your physician.
3) Iron pills should be stopped 1 week before your procedure
4) Ticlid (ticlopidine) and Plavix (clopidogrel) should be stopped 4 days before your procedure.

How do I cancel my surgery?

If you need to cancel your surgery, please call the Surgeon’s office at least one week in advance at (905) 985-2895 ext 5412.

What preparation is necessary for surgery?

Please refer to the pre-op package that you were given at the time of your surgery booking for full pre-op preparation.

If you are having a Sigmoidoscopy, Hermorrhoid Banding or a Lateral Sphincterotomy, you will need to purchase and use two (2) Fleet Enemas (available over the counter from any drugstore) on the evening before your procedure and the second two (2) hours before the time of arrival at the hospital.DO NOT EAT ANYTHING AFTER MIDNIGHT. No Breakfast.

If you are booked for Gastroscopy or Operating Room Procedure, you may not have anything to eat or drink (also no gum or candy) after midnight the night before the procedure is to be done, and no breakfast the day of the scope. Blood thinners (Coumadin /Warfarin/ ASA/ Ticlid/Plavix) should be stopped 4-7 days prior to your scope. DO NOT EAT ANYTHING AFTER MIDNIGHT. No Breakfast.

WHAT TO DO THE NIGHT BEFORE YOUR SURGERY:

· Please call the Emergency Department at Lakeridge Health Port Perry at 905-985-7321 if you develop a cold, flu or chest infection
· Don’t eat food or drink (not even gum, water or candy) after midnight
· Bring your Provincial Health Card with you
· Bring any other documents your doctor may have given you

You must have a ride home for all procedures requiring an anaesthetic.