Mid America Surgery Institute

What Happens Before My Surgery

A registered nurse will call you prior to your scheduled surgery date to review your pre-operative instructions including when to stop eating and drinking, obtain a brief medical history, confirm your arrival time and give tips on how to prepare for your home care. We will need to get personal health information such as the names of medications you take as well as the dose and how often you take them. We will be asking for your private health information and it is important you are in a place where you feel comfortable discussing your personal information.

A member of our business office will call to discuss the amount of any co-pay or deductibles that need to be met and paid upon registration. We accept cash, credit cards, cashiers checks and money orders for payment. We accept personal checks for deductibles, co-insurance and co-pays. We do not accept personal checks for cosmetic or private pay surgeries. We also encourage patients to verify their own coverage and obligations.

Surgery Centers are designed to provide high quality care in the most cost effective manner. One means of reducing costs is to eliminate the expenses of itemizing bills. The Surgery Center's charges include routine lab, materials, equipment and nursing services necessary for the procedure. It does not include your doctor's fee, anesthesia fee, pathology studies, radiology services or special items such as a brace, for example.

Cosmetic procedures require 100 percent of the facility fee and anesthesia fee to be paid 5-10 days prior to surgery.

One person will be allowed to wait with you in the pre-operative area once you are ready for surgery.

How Can I Prepare for My Surgery

(For Pediatric Patients see special section below)
Do not eat or drink anything (including water, gum and mints) after midnight the night before your surgery, unless you are instructed to do otherwise. Undigested food in your stomach can cause serious complications. See instruction for children up to two under the pediatric section below.

If you are a diabetic or take medications for your heart or for other specific conditions, you will be given specific instructions what to do the day of your surgery.

Arrange for a responsible adult to accompany you to the Center, receive discharge instructions, drive you home and stay with you for the first 24 hours following your surgery. For your own safety and protection, you will not be allowed to drive a motor vehicle home. The only exception to this is for patients having a local anesthetic only (numbing medicine).

If you suspect that you are pregnant, please notify your doctor and our nursing and anesthesia personnel.

Please report to your doctor even minor changes in your health between your recent visit to your doctor and the day of your procedure, such as an elevated temperature, cough, or cold.

Leave all jewelry, cash and valuables at home or with the person accompanying you. We also suggest you wear casual, loose clothing. During surgery you will wear a patient gown provided by the Surgery Center.

Refraining from smoking after midnight the night before your surgery will enhance your healing time.

Bathe or shower the morning of surgery to minimize the chance of infection. Brush your teeth but avoid swallowing any water.

Should you need reading glasses or contacts to read and sign documents, please bring the appropriate containers and/or soaking solutions with you.

What Should I Expect When I Arrive at the Center on the Day of Surgery?

It is important that you arrive at the Center one hour before your procedure unless you are instructed otherwise. Please remember to bring your photo ID, your insurance card and accepted method of payment for any money due at the time of registration.

Special Arrangements for Pediatric Patients

You and your child are invited to meet our staff and tour the facility. To help alleviate the fears of both child and parent, please call for an appointment to tour our facility prior to the day of surgery.

There will be individualized instructions about when to stop letting your child eat and drink.

For comfort, children may wear their pajamas to the Surgery Center from home and then change back into them following surgery.

Both parents may stay with their child in the pre-operative area before surgery and in the step-down recovery area following surgery. A favorite stuffed animal or security blanket may accompany your child throughout the process. A parent or legal guardian must remain at the facility while their child is under our care. Please bring a bottle or sippy cup if your child does not drink from a cup. Your child may have formula or breast milk following the procedure.

Pre-Operative Instructions for Medications

Stop taking these medications five to seven days before surgery:

Advil, Ibuprofen, Aleve, Mortin, Excedrin, Celebrex, Bextra, Mobic, Vitamin E, Omega-3 (fish oil), Garlic, Ginger, Flax Seed, Ginkgo Biloba, Ginseng, Glucosamine, Green Tea, weight loss or diet medications.

You may use Tylenol for pain.

You will need to discontinue taking medications inhibiting coagulation, including aspirin, Plavix and Coumadin 1 week before surgery if possible. Lovenox should be discontinued the day prior to surgery. If you have been prescribed blood thinner as list above – please check with your medical doctor prior to discontinuing the medication.

Please check with your physician if you are taking any steroids, methotrexate or other medications for rheumatoid arthritis.