Critical preparation
- Fast for at least 8 hours: do not eat or drink anything, including water. Pre-medications may be taken with a small sip of water if instructed.
- Bring a responsible driver: an adult must accompany you, remain at the office with a vehicle throughout the procedure, and drive you home. Rideshare and medical transport do not qualify. Without a qualified driver, the appointment will be canceled. A $150 fee applies if the driver leaves during the procedure.
- Avoid marijuana for at least 3 days: marijuana can interfere significantly with IV sedation and may cause severe disorientation or combative behavior, requiring the procedure to stop and be rescheduled.
Day of surgery
- Arrange for a responsible adult to stay with you for several hours after surgery.
- Wear comfortable, casual clothing and a loose-fitting short-sleeve shirt.
- If you have diabetes, check your blood sugar that morning, bring the reading, and tell the team if it is unusually high or low.
- Cell phones and other electronic devices are not permitted in the procedure room.
- Arrive 10–15 minutes early. Give at least 24 hours’ notice to reschedule by calling 402-317-5657.
Diabetes guidance
- Do not take oral diabetes medicines on the morning of surgery. Resume your normal regimen afterward unless your physician directs otherwise.
- Bring your continuous glucose monitor if you use one.
- If you use insulin, take one-half of your usual long-acting insulin dose (NPH, Lente, or Lantus) that morning. Do not take regular short-acting insulin on the day of the procedure.
- Call the office or your primary care physician with medication questions before surgery.
Blood thinners
- Stop aspirin 7 days before the scheduled surgery date.
- Common blood thinners include warfarin (Coumadin), Eliquis, Xarelto, Pradaxa, and Plavix. The practice sheet directs patients to stop these 4 days before surgery.
- Before stopping any prescribed blood thinner, confirm with the prescribing physician that it is safe.
Your individualized medication plan takes priority. If anything is unclear, call 402-317-5657 before changing medication or arriving for surgery.