Your Visit

Your Physician is an Expert on Medical Care. You are the Expert on Yourself.
Get the most out of your visit by preparing for your appointment. Many people are more satisfied with their health care if they share the responsibility with their health professionals. Often there is more than one option for diagnosing or treating a condition. By being a partner with your doctor, you can help choose the option that best fits your values, beliefs, and lifestyle. You also will feel more confident about carrying out the chosen treatment.

What to Bring
If possible, please complete the appropriate forms prior to your arrival at the office. If you have been evaluated previously for this or a related condition, bring all materials with you:

  • Medical records including surgery notes if applicable
  • X-rays, CT scans, MRIs, nerve studies
  • List of medications that you currently take and any medical problems you have

What to Think About
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:

  • What are your main symptoms?
  • How long have you had your symptoms?
  • What were you doing when your symptoms started?
  • Have you had this problem in the past?
  • What was the diagnosis?
  • How was it treated?
  • How and when did an injury occur? How was it treated?
  • Have you had any injuries in the past to the same area?
  • Do you have any continuing problems because of the previous injury?
  • Have you ever had surgery in that area?
  • What activities, related to sports, work, or your lifestyle, make your symptoms better or worse?
  • Do you think that activities related to your job or hobbies caused your symptoms?
  • What home treatment measures have you tried? Did they help?
  • What non-prescription medicines have you taken? Did they help?

What Can I Expect After I See My Physician

After visiting with your Physician, your treatment plan may include:

  • Diagnostic Testing to identify/confirm your diagnosis
  • Follow Up appointment to track the progression of your injury/condition.
  • Non-Surgical Treatments to aid in the healing and recovery process.
  • Physician Referral to ensure that you receive the best care available.
  • Surgery to provide the best possible outcome.

Your Continued Care

Diagnostic tests are essential to helping your doctor diagnose and treat your condition or injury. Here you will find information on common diagnostic tests and how to prepare for them. Some common diagnostic tests are:

  • CT Scan –Non-invasive digital processing used to generate a 3-D image of the inside of an object.
  • MRI – Non-invasive medical imaging technique visualizing internal structure and limited function of the body.
  • X-Rays – Identify bone structures and allow detection of pathology of the skeletal system.
  • EMG – Technique for evaluating physiologic properties of muscles.

Make an appointment with our office as soon as your diagnostic appointment has been scheduled. This will allow us to follow-up with you on the results without delay. Make sure you bring any films, discs or results for tests previously performed. Note that your Physician will discuss all testing results during your office visit.

Your Physician may schedule you for a follow up appointment to track the progress of your injury.

Physical Therapy
Physical therapy can be a very successful non-surgical treatment for many conditions. It will often be prescribed by your doctor before and/or after surgery. The goal of physical therapy is to speed your recovery, improve your function and range of motion, and strengthen your muscles. Click here to learn more.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDS)
NSAIDS are drugs that relieve pain, fever, and inflammation without using steroids. Steroids can have similar effects, but also more side effects. NSAIDS include over the counter drugs like aspirin and ibuprofen. These drugs are often very effective in reducing pain and swelling caused by inflammation or injury. Ask your doctor before taking NSAIDS if you are concerned about drug interactions, such as with blood thinners like Coumadin.

Injections Corticosteroid Injections
Corticosteroid injections are also used to treat pain and swelling caused by inflammation. They are typically injected at the site of inflammation such as a joint, bursa, or tendon. These injections have the potential to significantly reduce pain and even cure some conditions.

Your doctor may refer you to another Physician within or outside of our practice in order to ensure that you are receiving the best care for your specific injury/condition.

Your physician may advise you that surgery is the best treatment option for you.

Surgery


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Where will my surgery be performed?
PO&SM physicians perform procedures at our local outpatient surgery center in Laurel, Maryland and provide inpatient care at local hospitals like

The doctor’s staff will schedule the surgery for you and let you know where it will be performed.

Review and update your medication and allergy list
Make sure you review and update your medications and allergies list prior to your surgery. We recommend that you put all your medications and allergies on an index card that you can keep in your wallet or on your person. Bring this with you to your surgery.

Obtain your surgical clearance right away
Some surgeries will require a written surgical clearance from other physicians. Once your surgery date is set, you will be instructed to make appointments with the appropriate physicians to obtain your medical clearance right away! If your medical clearance is not obtained in time, your surgery could be delayed.

Prepare the following items and bring them with you to the hospital

  • Insurance card
  • Photo ID
  • X-Rays and MRI’s

Get a good night’s sleep and just relax!
The night before surgery, get a good night’s sleep and just relax. You are in good hands!

These Pre-Operative Instructions are general guidelines that can be used before surgery for most patients. Since every case is unique, your surgeon may give you further or differing instructions. Please follow his or her guidelines.

  • You will be contacted the night before surgery by the surgical facility and told what time to arrive. Usually you are asked to arrive approximately 2 hours prior to your surgery time.
  • Do not eat or drink anything after midnight prior to your surgery. This includes water and coffee. This is for your safety during the procedure. If you eat or drink after midnight, your surgery will need to be rescheduled.
  • Discontinue any medications that you were instructed to stop taking by your physician. If however you are taking any regular medications such as Heart, BP, asthma, or seizure medicines, they can be taken in the morning on the day of your surgery with a sip of water. Swallow only enough water to take your medication.
  • Make sure that you know the location and directions to the surgical facility.
  • Avoid tobacco, gum, mints, or candy of any kind the morning of your surgery.
  • Prior to surgery, shower/bathe, brush your teeth and gargle as usual, but do not swallow any water.
  • Remove any wig or hairpiece, contact lenses, body jewelry, hairpins, etc. If you wear glasses, bring your glasses and eyeglass case with you.
  • Wear loose fitting clothing and flat shoes. Do not bring or wear jewelry. Leave all valuables at home.
  • If you are having outpatient surgery, you MUST arrange for someone to drive you home. If you arrive without arrangements, your surgery will be rescheduled.
  • It is necessary to have a responsible adult stay with you after surgery because the effects of anesthesia remain with you for approximately 24 hours.
  • You will need to see your physician for a post-op appointment after surgery. If you have not already scheduled your post-op appointment, please call your physician and schedule it.

These Post-Operative Instructions are general guidelines that can be used after/before surgery for most patients. Since every case is unique, your surgeon may give you further or differing instructions. Please follow his or her guidelines.

  • RICE – Rest, Ice, Compression and Elevation is often found to be the best treatment.
  • Use the medication your physician has prescribed for you and follow the directions exactly as they appear on your medication bottle. If you cannot control your pain or the medication is making you sick, please call our office.
  • Your physician will instruct you on whether you should remove your post-op bandage yourself or if you should wait until your follow-up visit at the office.
  • Do not bathe or swim until you have been permitted to do so by your physician. You may shower; however keep the dressing clean and dry.
  • If you have not already scheduled your post-op appointment, please call your physician and schedule it.
  • Return to work will be determined by your physician.
  • You may do exercises as instructed by your physician.
  • Please contact the office if you have excessive symptoms, including but not limited to: redness, increased warmth at surgical sight, numbness, tingling, discoloration, foul odor and fever.