From the first visit to full recovery, your care with Dr. Ronjon Paul is designed to be thoughtful, individualized, and transparent.

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Patient Information – Preparing for Surgery

before your surgery

Optimization for Spinal Surgery

Before undergoing surgery, Dr. Paul and his team will work with your primary care provider and other specialists to optimize your health to minimize the risk of complications.
Cardiovascular Health

People who have had cardiac interventions such as stents, ablations, and surgery or have a history of significant cardiac diagnoses will need to see their cardiologist prior to surgery. Your cardiologist may require additional testing or interventions.

Smoking

We require all patients undergoing spine surgery to quit smoking two weeks before surgery. Nicotine is a significant risk factor for many complications, including infections, recurrent nerve problems, fusion failure, and others. Click here for more information and support.

Obesity

A BMI over 35 is associated with major complications from spine surgery. Excess weight also adversely impacts your pain and recovery. If your BMI is over 35, we postpone surgery because the weight must be improved. We are happy to offer additional help from our weight loss clinic.

before your surgery

Supplements to Begin Before Surgery

We recommend all our patients start the following regimen of supplements two weeks before surgery. There is some evidence that they improve wound healing and bone healing (if fusion is required). You may revert to any of your routine vitamins after the first weeks following surgery.
calcium supplements

Calcium

Calcium is essential for normal bodily functioning. If not received in sufficient quantities, the body will mobilize other sources, namely the bones. Naturally, this weakens the skeletal system and increases the risk of injury. Adults should aim to consume approximately 1000 mg of calcium per day.

vitamin c

Vitamin C

Necessary for the formation of collagen, vitamin C is another essential supplement if normal daily intake is inadequate. Collagen is used in bone building and supports the skeletal system in connective tissues. A recommended daily dosage is at least 3000 mg.

 
 
 
 
Vitamin D

Vitamin D

Another crucial vitamin for healthy bones, vitamin D aids in calcium absorption. Inadequate levels can lead to thin or brittle bones prone to damage. Optimal daily intake for adults is approximately 1000 IU.

Things to Do Leading Up to Surgery

Preparing for Surgery

preparing for surgery with dr. ronjon paul

Pre-Operative Instructions and Testing

Our pre-anesthesia nurse will call you before the scheduled date of surgery to review your medical history and pre-operative instructions. If we have been unable to reach you, please call our nurse at (847) 982-4100 between the hours of 8:00 a.m. and 4:30 p.m. It is important you return this call promptly so the anesthesiologist can determine if you will need further testing before your procedure. If there is no answer, please leave a message with the best time and the phone number (and if possible, an alternative phone number) you can be reached at, and the nurse will return your call as soon as possible.

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Making arrangements before your surgery allows you to focus on your recovery when you return home. Simple changes in furniture arrangement, housekeeping and lighting can help reduce your risk of falling. These arrangements will help you navigate your home with a walker.

 

Prior to your surgery, a physical examination by your Primary Care Physician (PCP) will need to be completed no more than 30 days before the date of your surgery and the medical history review. In some cases, you may need an EKG (also within the 30 days), lab work, or X-rays. If you see any specialists, such as a cardiologist or pulmonologist, you will also need clearance from them prior to surgery. Please bring a complete list of medications and supplements (prescriptions and over-the-counter) you are taking to these appointments.

Preparing Your Home

Making arrangements before your surgery allows you to focus on your recovery when you return home. Simple changes in furniture arrangement, housekeeping and lighting can help reduce your risk of falling. These arrangements will help you navigate your home with a walker.

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The following are recommendations to increase your safety at home:

  • Move all throw rugs out of your pathways.
  • Adjust furniture to allow for maneuvering with one arm or a walker or cane.
  • Survey your bathroom and plan for managing after your surgery.
  • Move footstools, plant stands, or other low floor items a safe distance from walkways.
  • Remove or tape down any cords or wires in pathways.
  • Try to borrow a chair with arms (without wheels) to help you get up and sit down easily.
  • Place a cushion or folded blanket in chairs that sit low or are hard to get out of.
  • Make arrangements for assistance with your pets or prepare a secure spot for them to stay while you are getting settled in your house.
  • Move things you might need (medications, magazines, phone, cooking utensils, laundry items) to areas where you can reach them easily.
  • Carry a portable phone or cell phone with you at all times.
  • Have telephone numbers of people that could help you in case of emergency readily available.
  • Prepare some nutritious meals and place in the freezer to simplify cooking after you get home.
preparing for surgery with dr. ronjon paul
preparing for surgery with dr. ronjon paul

Medications & Alcohol

If you are on any anticoagulation prescription medications (such as Coumadin, Plavix, Xarelto, and Eliquis), please notify your surgeon and contact your prescribing physician to find out when to stop the medication prior to surgery. Also, stop taking all herbals and supplements, vitamins, and appetite suppressants 14 days before surgery. Stop taking nonsteroidal anti-inflammatory medications (NSAIDs) such as Motrin, ibuprofen, Advil, Aleve, Naproxen, and others 7 days before surgery. And stop drinking alcohol and ingesting marijuana 24 hours before surgery.

Preparing Yourself Before Surgery

Please follow your pre-operative instructions carefully. It is extremely important to understand and follow these directions, as they are for your safety.

 

If these instructions are not followed, it could result in the cancellation of your surgery.

    • Nothing to eat or drink after 11 p.m. the night before your surgery. Do not suck on hard candy, lozenges, breath mints, or chew gum.
    • Drink 12 oz. of regular Gatorade (not red Gatorade) 4 hours before your scheduled surgery.
    • Take Celebrex 200 mg (or Meloxicam 15 mg if sulfa allergic) the night before your surgery.
    • Tell us if you have any allergies or sensitivities to food or medication.
    • If you take daily medications, the pre-admission testing nurse will instruct you on which medication you may take the day of surgery and at what time. Stop taking all herbals and supplements, vitamins, and appetite suppressants 2 weeks before surgery.
    • For GLPs, consult with your prescribing physician before stopping.
    • Stop smoking 4 weeks before surgery.
    • Remove nail polish and nail wrapping from all fingers and toes prior to coming to the surgery center.  If you do get a pedicure do not get color nail polish. This only applies to no-chip nail polish.
    • Remove all metal jewelry, including metal piercings before coming to the surgery center. Please leave all jewelry and valuables at home.
    • Stop drinking alcohol and ingesting marijuana 24 hours before surgery
    • No oral surgery or dental cleanings for six weeks afer surgeryunless approved by Dr. Paul or his staff.

In addition, although not mandatory, the following suggestions are also helpful to follow:

    • The use of pain medicines can, and most likely will, cause constipation. If you are prone to constipation, make sure your bowels are soft and moving regularly prior to surgery for several days. Some patients will start a clear liquid diet the day before. It is especially important that you have a bowel movement within 48 hours after surgery. Opioid medications in particular are associated with constipation, and patients should look into taking a stool softener such as docusate, and a fiber laxative such as psyllium to facilitate normal bowel movements.
    • Nausea and Vomiting – If you are prone to nausea and vomiting, please let the anesthesiologist know the day of surgery. Current anesthetic practices have drastically improved these issues, but additional precautions may help. Also, Dr. Paul’s team will avoid medications that may cause nausea and vomiting for you.
preparing for surgery with dr. ronjon paul
stethoscope

Your Postoperative Visit

Your post-operative follow-up visit with your surgeon will be scheduled for you by our surgery scheduler and will take place around 14 days following your surgery.

preparing for surgery with dr. ronjon paul

Preparing Your Skin Before Surgery

Preparing or “prepping” skin before surgery can reduce the risk of infection at the surgical site. Our facility has chosen to have you bathe with a special soap called Hibiclens before surgery at home to reduce the bacteria on the skin. The steps below outline the prepping process and should be carefully followed. 

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Night Before Surgery

 

  • If you plan to wash your hair, use your regular shampoo; then rinse your hair and body thoroughly to remove any shampoo residue
  • Wash your face with your regular soap or water only
  • Thoroughly rinse your body with water from the neck down
  • Apply Hibiclens directly on your skin or on a wet washcloth and wash gently; move away from the shower stream when applying Hibiclens to avoid rinsing it off too soon
  • Rinse thoroughly with warm water and keep out of eyes, ears and mouth; if Hibiclens comes in contact with these areas, rinse out promptly
  • Dry your skin with a towel
  • Do not use your regular soap after applying and rinsing with Hibiclens
  • Do not apply lotions or deodorants to the cleaned body area
  • Dress in clean pajamas
  • NOTE: If you experience any itching or burning sensations or develop a rash, wash the area with water.
  • NOTE: If taking a bath, the last use of Hibiclens should be the day before surgery; however, if showering, it is okay  to use Hibiclens the day of surgery.
sneezing2

If Illness Develops

If you develop a cold, virus, sore throat, temperature, or other illness during the week before your scheduled surgery, please contact your surgeon immediately. Your surgeon will determine whether your procedure should be rescheduled.