Your Surgery (Dr. Woo)

1. DO NOT eat or drink anything after midnight the day of your surgery. If you do eat or drink anything your surgery will be cancelled.

2. Stop taking 1 week before surgery: blood thinner (Aspirin, Coumadin, Plavix, Eliquis) or anti-inflammatory (Advil, Aleve, Naprosyn, Mobic, Motrin, Ibuprofen, Celebrex). Stop taking 10 days prior to surgery: Adderall, Vyvance, Ritalin, Focalin, Dexodrlne, Concerta, Strattera (any medication that is classified as an amphetamine). Adipex needs to be stopped 15 days prior to surgery. If you have any questions about any other medications, please call the office. It is best if you stop smoking 1-3 weeks before and after surgery, as smoking delays healing.

3. You do not need to bring any medications to the hospital while you are there. The staff at the hospital will give you all your medications. Please have a current list of medications.

4. You will be in the hospital for 1-2 days after surgery.

5. You will start physical therapy while in the hospital and continue for a few weeks once you are discharged from the hospital. You will be discharged with 2 weeks of home health physical therapy.

6. You will be on a blood thinner for 2 weeks after your surgery. You will be given Eliquis 2.5mg twice a day for 14 days or instructed to take low dose aspirin (81 mg) twice a day when you get home from the hospital. This may vary depending on your medication history. Dr. Woo will make the adjustment accordingly.

7. You will be given compression stockings when you leave the hospital. These help decrease the chance of having a blood clot. You need to wear these on your surgical leg all the time until you return for your post-operative visit.

8. It is okay to shower after your surgery. A waterproof dressing will be put on your incision the day of surgery, which needs to stay on for 1 week (7 days). You will be sent home with another dressing and instructions on how change it on day 7. This bandage will stay on until your post-operative appointment. Do not soak in a tub.

9. It is our office policy to not refill medications after hours or on the weekends. If you need a refill on your pain medication please call our office during regular business hours M-F 8:30am-5:0Qpm. Your medication might change with each refill. Dr. Woo will make adjustments to your medications accordingly. Please give us a 2 day notice before you run out of your medication. Dr. Woo is not in the office every day and all narcotic pain medications must be a written prescription. You will have to come to the office to pick this prescription up. We will call you and let you know when your narcotic pain medication is available for pick up. You should not get pain medications from another doctor while under Dr. Woo’s care. If you do then we will not refill any more pain medications.

10. It is normal not to have a bowel movement for a few days after surgery. Occasionally the strong pain medications can cause you to continue to have stomach issues post operatively. If you start to have discomfort we recommend that you purchase an over the counter stool softener, magnesium citrate and drink lots of water. If you don’t have relief after a few days of using these products please contact the office.

11. If you have any dental problems such as an infection or need any dental work, please have this taken care of before having your joint replaced. lt is recommended that you do not have any dental work done for at least 8 weeks after your surgery, this includes cleaning.

12. All total joints will have to pre-medicate with an antibiotic before having any dental work or cleaning. You will have to do this for the rest of your life to prevent infection. Please contact the office for a prescription.