ANDREW K. CHANG, M.D., D.D.S. ALBERT A. CUTRI, M.D., D.D.S.
9855 Erma Rd., Suite 100, San Diego, CA 92131 (858) 536-2900
PRE-OPERATIVE INSTRUCTIONS
1. YOU ARE TO BE ACCOMPANIED BY A RESPONSIBLE ADULT. IT IS VERY IMPORTANT FOR THEM TO REMAIN IN THE WAITING ROOM UNTIL YOU ARE READY TO LEAVE THE OFFICE. WE ALSO REQUIRE THAT A RESPONSIBLE ADULT REMAIN WITH YOU AND ASSIST YOU THROUGHOUT THE DAY, FOLLOWING YOUR SURGERY AS DIZZINESS AND FORGETFULNESS MAY OCCUR. Anticipated length of surgery: ________________________.
2. If you are going to have general anesthesia in the morning, do not have anything to eat or drink (including water or coffee) from midnight on. If you are going to have general anesthesia in the afternoon, do not have anything to eat or drink (including water or coffee) for 8 hours prior to surgery. EXCEPTION: Take prescribed medications with a small sip of water prior to your appointment as directed by Dr. Chang or Dr. Cutri and according to instructions in section 6 below.
3. Personal preparation and importance of cleanliness:
a. Bathe prior to surgery with particular attention to the head, face, and neck areas. b. Brush your teeth and use Peridex or a mouthwash prior to your appointment. c. Be clean shaven or trim and cleanse your beard and/or moustache if applicable. d. Please, no facial makeup, no earrings, and no tongue or nose rings. e. Please wear shoes and clean clothes. f. No leggings, long stockings or pantyhose (sometimes we have to attach a heart monitor to the leg). g. Remove contact lenses. h. Wear loose short sleeved clothing for easy access to the upper arms. Please NO sweatshirts. i. Remove nail polish from left index finger, as we use a special oxygen monitor during surgery.
4. Avoid any Aspirin or Aspirin-like products such as Ibuprofen (same as Motrin and Advil), and Aleve for at least
1 week prior to surgery. Tylenol (acetaminophen) is ok.
5. If you come down with a cough, cold, chest or nasal congestion, call to reschedule at least 24 hours prior to
6. Medications: If not listed below, follow instructions on pharmacy label. Otherwise, take as follows:
a. Antibiotics (Amoxicillin / Clindamycin / Doxycycline / Augmentin / Cephalexin): ___ tablet every ___
hours until gone. start antibiotic with ___ tablet(s) one hour prior to surgery with a small sip of water. start antibiotic 3 days prior to surgery. start antibiotic now.
b. Oral rinse (for example Peridex or Biotene): 1 capful rinse for 30 seconds then expectorate.
start 30 minutes prior to surgery / start now / start 3 days prior to surgery start brushing the gumline of teeth to be removed three times a day. continue three times a day starting 1 day after your surgery for 7 days or until directed by your doctor.
c. Pain medications: If you are not allergic to, or restricted from using, anti-inflammatory pain medications,
and if you do not have stomach problems, try to use Ibuprofen (same as Motrin and Advil) 400/600/800 mg, or Aleve every 8 hours with food instead of, or in conjunction with, the narcotic pain medication prescribed: (Norco / Percocet/ Tylenol 3): _______ tablet(s) every ___ hours for pain following surgery.
d. Medrol Dose Pack: Use as directed starting day after surgery (look for instructions on the packet).
7. Special Instructions: ______________________________________________________________________
TIC DISORDERS INCLUDING TOURETTE SYNDROME TOURETTE SYNDROME ASSOCIATION 42-40 Bell Boulevard Bayside, New York 1136l-2820 Telephone: (718) 224-2999 Toll Free 1-800-237-0717 PENNSYLVANIA TOURETTE SYNDROME ASSOCIATION 132 W Middle Street Gettysburg, Pennsylvania 17325-2108 Telephone: (717) 337-1134 1-800-446-6356 Cheston M. Berlin, Jr., M.D. University Professor of P
Reducing Adverse Drug Events From Physician Error John Caccavale, Ph.D., ABMP During the calendar year ending 2001, more than 3 billion prescriptions for medications were written in the United States at a cost of more than $132 billion dollars.32-34 Estimates project this cost to rise to more than $400 billion by the year 2014. The passage of the prescription benefit bill during the Bush II