Patient Information

Surgical Instructions

Please refer to the printed instructions given to you during your Pre-Operative appointment.  For your convenience, many of these instruction packets are also available here:

Some procedures have additional instruction supplements:

Note: These are PDF documents which require Adobe Acrobat Reader in order to read them. If you do not have a copy of Adobe Acrobat Reader on your computer you can download it here.

Prior to Surgery

Medications to Discontinue Before Surgery

Please alert your surgeon to any prescription drugs, over-the-counter medications or herbal supplements you are currently using.

In many cases, you will be required to stop taking certain medications at least one week prior to surgery. Many types of drugs and herbal supplements can increase your risk of bleeding and affect the healing process.

If you are taking blood thinners, it is essential to let your physician know.  A plan will be structured for you to discontinue these medications before surgery, and you will be informed of when they may be restarted again after surgery.

Certain medications such as Tylenol may be acceptable to take before surgery, but consult with your physician before using anything.

Preparing for Surgery

  • Please carefully follow all of the specific instructions provided by Dr. Brown. They were developed as a safety measure. If the instructions are not followed, it may result in the cancellation of your surgery.
  • Unless Dr. Brown has given you permission, do not eat or drink after midnight in the evening prior to your surgery. You may brush your teeth, but rinse your mouth with water without swallowing it.
  • If you use any medication regularly, ask your surgeon beforehand whether you may take it on the day of your surgery. This includes insulin, blood pressure pills, aspirin, birth control pills, heart or asthma medications. If you have been cleared to take your medication, swallow it with only small sips of water.
  • Do not smoke, drink alcohol (liquor, beer or wine) or use recreational drugs for at least 72 hours prior to surgery.
  • Do not shave the surgical site.

Day of Surgery


Please report to the hospital at your scheduled time of surgery, as discussed with the office the day prior to surgery.  This can be as early as 5:30 in the morning.  Please plan your travel arrangement accordingly.


If you are coming for day / ambulatory surgery (i.e. going home the same day of the procedure), you will need an adult escort to take you home.

Personal Items

When you arrive, we advise that you do not wear contact lenses or body jewelry.  You may wear eyeglasses, hearing aids, or dentures, although you will be asked to remove them before the procedure.

If you are coming for ambulatory surgery, wear casual, comfortable, loose-fitting clothing that will be easy to put back on after surgery.

Medications and Allergies

Bring a list of all the medications, dosage, and schedules,  A nurse will verify these medications with you before your operation.  Also, bring a list of allergies to medications, food, or other substances.

After Surgery

When you are discharged, you must have a responsible escort to take you home.

When discharged:

  • You will be given prescriptions for your post-operative medications.
  • The nurse will give you other instructions regarding care of the surgical site.

After Leaving the Hospital

  • Contact Dr. Brown's office with any questions you may have about your discharge instructions.
  • You should already have a follow-up appointment scheduled with Dr. Brown.  If not, please call the office and set one up for 7-10 days after surgery.
  • Keep the wound clean and dry.
  • Follow Dr. Brown's instructions on when you can take a bath or shower.
  • Infection is always a concern.  If you incision should become red, hot, swollen, or have drainage, please call Dr. Brown's office.  Do not wait for your follow-up appointment.
  • Should any difficulties arise after your discharge, call Dr. Brown's office.  If you have any life threatening problems, call 911 immediately.

Diagnostic Tests

During your visit, Dr. Brown may order a diagnostic test to help evaluate your problem.  For many problems, x-rays will be taken in our office at the time of your visit.  Other tests may need to be scheduled.

Your test will be scheduled by Medix Technologies, Inc.  Medix will obtain any necessary preauthorization, and should contact you within 48 hours of your office visit.  Medix will assist in scheduling your diagnostic test at a location convenient to where you work or live.  If you have not heard from Medix within 48 hours, please call (713) 572-6200.

Some common forms of diagnostic tests are listed below.

  • X-Ray - X-ray imaging, also called radiography, is a fast and easy way to identify and diagnose bone injuries and disorders such as arthritis, cancer, osteoporosis, fractures and infections. It is also used in conjunction with orthopedic surgery to ensure that a fracture or other injury has been properly aligned, and it can aid in the detection and diagnosis of abnormalities in the chest organs, including the heart and lungs. X-rays may be followed up with MRI, PET, CT, or ultrasound imaging if further testing is needed.
  • MRI - MRI, short for Magnetic Resonance Imaging, is a radiation-free scanning technique that uses radio waves and magnetic fields to produce detailed three-dimensional images of the body. MRI can be used to identify or precisely locate an injury or abnormality, to scan for developing problems or analyze damage from previous trauma, and to aid in the planning of surgery.
  • CT or Cat Scan - Computed tomography (CT), or CAT scan, uses low doses of X-rays to obtain images of the body. CT scans are highly useful for examining injuries and abnormalities, guiding needle biopsies and aiding in surgical preparation.
  • EMG - An electromyogram (EMG) is a diagnostic test that measures the electrical activity of your muscles. It is done to detect certain nerve and muscle disorders that cause weakness, paralysis, and/or twitching of the muscles. An EMG usually lasts 30 to 60 minutes.
  • Bone Scan - A bone scan is a diagnostic exam that evaluates the bones for new areas of growth or breakage. It may be used for the entire body or just a certain area, and can diagnose a specific problem or be part of a routine screening process. A bone scan can often detect abnormalities much earlier than a regular X-ray.

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