PRAIRIE SHOULDER, ELBOW & HAND CENTER
1. It is the patient’s responsibility to get pre-certification from your insurance company for your surgical
procedure. At this time, if you will need Physical Therapy, please verify the number of visits allowed.
2. Make an appointment for your preoperative history & physical with your personal
physician. This needs to be completed within 30 days of your procedure.
3. Do not
eat or drink anything after midnight the night before surgery, unless otherwise instructed. This
includes gum, candy, water and any tobacco products.
taking these medications and herbal products 7 days before surgery:
taking these anticoagulants as directed by your personal physician:
5. Tylenol (acetaminophen) and Celebrex are OK to take.
6. Beginning the day of surgery, take one 500 mg tablet of Vitamin C for 50 days after surgery.
7. Bring a driver. You must be driven home by an adult.
8. Bring your insurance, Medicare, and/or recent Medicaid cards
9. If you are diabetic, please bring your glucose monitoring device, insulin and supplies if you take insulin.
10. If you have respiratory problems bring your inhalers, home O2, CPAP machine and other supplies with
11. Please inform us if you have a pacemaker or defibrillator.
12. Leave your valuables, jewelry and personal belongings at home.
13. Do not wear makeup or nail polish. If you wear contact lenses, please bring a case with you. It may be
14. For more information, please visitodepending
on which facility your surgery is scheduled.
15. Please call the office if you have questions regarding your upcoming surgery at 402 489 4700.
Commonly Asked Questions
1. Do I have to pre-certify my surgery or will Prairie Shoulder, Elbow and Hand Center do that? • It is the patient’s responsibility to get pre-certification from your insurance company for your procedure,
but the office will aide you in the process if requested.
2. Are there any complications from surgery? • They are not common but do occur. Complications include, but are not limited to, surgical failure,
infections, persistent pain, stiffness, blood vessel or nerve injury and blood clots.
3. What are some of the warning signs of an infection? • Signs include but are not limited to: Painful swelling, temperature above 101⁰, redness or drainage from
• Call Prairie Shoulder, Elbow and Hand Center immediately at 402-489-4700. 4. Can I change my dressings? • Be sure to ask your nurse for guidelines as to how to maintain dressings. These are specific instructions
that will be outlined by your physician.
5. Can I get my wound wet? • If the doctor has given the OK to remove dressings you may get the wound wet. Make sure to use clean
water from the shower or sink and let it run over the incision – do not scrub. Example of water you should avoid would be dishwater, bathwater, swimming pools, hot tubs and lakes. After cleaning, keep the wound covered by a dry band aid and change daily or if it is moist.
6. What if the wrap is too tight? • If the wrap is too tight and held in place with an ace wrap, it is ok to re-wrap more loosely but if splinted
you should always keep it in place. If that does not relieve pressure or pain, please contact the office immediately whether it is day or night.
7. Is swelling normal? • Yes, it is normal to experience some swelling. To control this make sure to elevate extremity, ice and keep
8. What if I have continued pain after taking pain medications?
• If no contraindication for non-steroidal anti-inflammatory drugs (NSAIDS), you can supplement pain
management with over-the-counter medications like Ibuprofen (Motrin, Advil) or Naproxen (Aleve). Examples of contraindications are: severe kidney disease, history of stomach ulcers, anaphylactic reaction to NSAIDS, use of blood thinners (Warfarin (Coumadin), Heparin, Lovenox) or you have been previously instructed by your physician to avoid NSAIDS.
• If, after supplementation with NSAIDS, you have continued pain please call the office.
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9/1/2012 Calcium balance Importance of calcium • in vertebrates plays double role: – in the form of inorganic salts (hydroxyapatite) builds up the internal frame (skeleton) – found in the extracellular space in soluble form • calcium metabolism is strictly regulated as its appropriate level is indispensable in many physiological processes – sets the