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Same-Day Pre-Op

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Same-Day Pre-Op

It is well known that surgery is associated with certain complications. The most common complications that occur after surgery are related to the heart, lungs or some type of infection. In almost all cases, when surgical complications occur, the hospital stay is prolonged, the cost of healthcare is increased and the recovery is prolonged. Thus, today it is routine practice for healthcare providers to perform a preoperative medical evaluation.

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The goal of medical preoperative evaluation is to assess medical problems in surgical patients, to determine how best to manage these problems during surgery, to give clearance and to provide recommendations for post-operative care. On occasion, the surgeon requesting the consultation will have a specific question.

Preoperative medical evaluation is usually done two to three weeks prior to the surgery. The healthcare provider will determine the type of surgery, any past surgical procedures, experience with anesthesia, any recent infections, condition of the heart and lungs and use of medications. Many times certain drugs have to be discontinued or the dosages have to be reduced prior to surgery to avoid bleeding complications.

The doctor will also determine the immunization status, if the patient is a smoker and/or consumes alcohol. It is important to quit smoking at least 4-6 weeks prior to surgery to decrease the risk of lung complications. The doctor will also determine if the individual has any family support and if he/she will require assistance at home. Plans for assistance are usually made prior to the surgery so that there are no delays.

Besides routine blood work, the preoperative medical testing includes an ECG, urine testing, a urine pregnancy test in females and a chest x-ray. The two organ systems that are thoroughly investigated in preoperative testing in patients over the age of 55 include the heart and lungs. Complications from the heart and lungs can be life threatening and can prolong hospital stay. If the individual has any prior heart or lung problems a referral is usually made to a cardiologist and a lung specialist to ensure that the patient is stable to undergo surgery. Preoperative testing is vital in elderly people and can be lifesaving.

We perform preoperative clearance exams for major and minor surgery in the office. EKG’s, chest x-rays and laboratory collection can be done in the office at the time of exam. We will coordinate this exam with any consulting specialist that you may have in order to give you a comprehensive preoperative assessment and clearance.

Dr. Marina Gafanovich, MD is delighted to offer her Same-Day Priority service for Pre-Op clearances. Call 212-249-6218 to discuss your needs and schedule an appointment. We guarantee that you will be seen within 24 hours of your request.

Reviews

Dr.Gafanovich is very professional, compassionate, and up-to-date on the latest medical procedures. She is an excellent listener, and very good at explaining diagnoses and medical procedures in everyday language. After each office visit, I walk out of the office feeling reassured and confident that I had the best medical care…

Georgette
West New York, NY

I have worked in healthcare for roughly 7 years and physicians like Dr. Gafanovich are few and far between. She excels in both diagnostics and treatment and never rushes through an appointment. She is kind and compassionate and sets the bar for how medicine should be practiced. Her office staff…

Lauren Coughlin
Hoboken, NJ

I went to see Dr. Gafanovich for a routine physical. The girls at the desk were very nice and my wait time was short. Dr. Gafanovich was kind and knowledgeable. I also had blood work done and was impressed with how quickly I received the results and how thoroughly Dr….

Cindy Gooden

Dr.Gafanovich is the best. She is so warm and wonderful. She really takes the time to speak to her patients and is very detailed in her explanations. She makes the examination very comfortable by talking through the entire procedure and explains what she is doing. Thank you.

Liza Mortinerelli

Dr. Gafanovich is a compassionate, brillant and very pleasant professional. great experience. not like others. dr. Gafanovich came highly recommended by my entire firm and lived up to her reputation. I have since recommended her to friends. The office is very clean and professional. There is absolutely no sense of…

Peter L. Shulder

Dr. Gafanovich administers not only medical professional advice, she also has sincere interest and respect for her patients. My husband and I are her patients and she brings not just wisdom to her practice but also genuine sensitivity. The Lab Technician is a very caring and kind person. The office…

Diane Blanchard
New York, New York

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    Manhattan physician Dr. Gafanovich
    Dr. Marina Gafanovich, MD #1 Ranked Upper East Side Internist
    1550 York Ave, New York, NY 10028
    Lat.: 40.7733452
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    Phone: (212) 249-6218

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