1-2 Weeks Before Your Procedure
Make an appointment with your primary care doctor for a history and physical.
- Clarify with your surgeon the instructions for your medications.
- If you are on a blood thinner like plavix, aggrenox, or warfarin, we will give you instructions explaining when to stop taking it.
- If you are taking aspirin, please continue this medication; do not stop taking it.
- If you are on a medication for diabetes (such as insulin, metformin, glyburide, or Januvia®), you will be given instructions for modifying or holding your medication while you are fasting for the procedure. If you are a brittle diabetic or have an insulin pump, please discuss this with your endocrinologist. If you are on metformin (glucophage) and are undergoing an angiogram, you will be not taking this medication for several days following the procedure.
- Discontinue any herbal medications or supplements that are not absolutely essential.
- Discuss with your surgeon if your alcohol consumption is greater than three drinks per night, if you consider yourself to have an alcohol addiction, or if you have ever suffered from alcohol withdrawal.
Labs and Tests:
- Make an appointment with your primary care doctor for a history and physical.
- If you are over 60, you will need to have an EKG and labs within a week of the surgery date.
- Remember to discuss the surgery with your family. It is important that they have enough time to ask questions and arrange their schedules to provide assistance for you after surgery.
- Make arrangements for your ride the day of surgery. You will not be permitted to drive yourself home.
- Provide us with a cell phone number or a contact number where you will be the day prior to your surgery.
- Talk with your employer about your time off work. The number of days off work is not always predictable, and depends on the type of work you do and the type of surgery you are having. There may also be activity restrictions following surgery (like no heavy lifting). Discuss these issues with your surgeon. In general, for varicose vein surgery, people are off work for two to three days and have no specific activity restrictions afterwards.
- If you are traveling from a distance and need to make hotel arrangements for family, the hospital has contracts with local establishments and can help with this.
- If you do not speak English, please try to arrange for someone to be with you who can translate for you. We also have a language line in the hospital to assist with translation.
- If you are going to be staying in the hospital after surgery, make arrangements for your dependents (taking care of the dog, etc.).
If you have pre-existing disabilities and are undergoing a major surgery, you may benefit from a few days or weeks in a rehabilitation center after the hospitalization. There is no need for you to arrange this ahead of time; there will be case managers in the hospital to help with this.