Procedure Appointment Confirmation 5665 Lowery Road, Suite 100 1788 Republic Road Norfolk, VA 23502 (757) 422.2966 Virginia Beach, VA 23454 (757) 422-4563 Fax
You have been scheduled for an outpatient procedure with APM Spine and Sports Physicians. You wil need to
Procedure DATE: Procedure TIME: PHYSICIAN: LOCATION:
Due to the risk of bleeding around the spine certain medications may need to be stopped. If you are taking
ant-inflammatory medications such as ibuprofen or naproxen please stop taking these for at least 7 days. (At
the time of scheduling you may be instructed to hold these for longer than 7 days). A list of anti-inflammatory
medications as well as blood thinners is enclosed.
If you are taking anti-coagulants (blood thinning medications) such as aspirin, Plavix, Coumadin or any other blood thinners (see enclosed list) please contact our office for instructions on stopping these medications prior to the procedure.
Most anticoagulation medication like aspirin, Coumadin and Plavix is prescribed for the prevention of strokes,
heart attacks or blood clots. Stopping these medications temporarily carries some risks. You may need to
discuss these risks with your physician who prescribed the anticoagulation medications prior to stopping
them. Please do not stop these anticoagulant medications without specific instructions from our
If blood work is required, we wil notify you at the time your procedure is scheduled. Please remain in
contact with us regarding the location your blood work was performed. We wil need to obtain the results
Please eat normally on the day of your procedure, and be sure to drink plenty of water in order to stay well hydrated. For procedures requiring conscious sedation (you wil be notified if this is the case), do
not eat for six (6) hours before the procedure. However we do need you to remain hydrated and are
encouraged to drink clear liquids such as water, Gatorade, or apple juice right up to the time of the
procedure. Please take your medication the day of the procedure unless advised otherwise.
For safety reasons, we require that you have someone drive you home from your procedure.
If you have any questions concerning your procedure, please do not hesitate to contact us at (757) 422-2966.
APM Spine and Sports Physician’s Staff APM PROCEDURE CONFIRMATION LETTER Page 1 of 2 Revised: 09/12/2011 PRE-PROCEDURE PATIENT GUIDELINES Prescribed and Over the Counter Medications
Although not a complete listing, the following medications contain some blood thinning qualities.
DARVON COMPOUND NORGESIC AGGRENOX PERCODAN ALKA SELTZER DOAN’S PILL PEPTO BISMOL PERSANTINE EMPRAZIL ASCODEEN-30 ASCRIPTIN EQUAGISIC ASPERGUM EXCEDRIN SINE-AID SINE-OFF ASPIRIN SUPPOSITORIES FIORINAL BAYER ASPIRIN SK65 COUMPOUND CAPS BC POWDER GOODIES POWDER STERO-DARVON/ASA BUFF-A-COMP SYNALGOS DC BUFFADYNE IBUPROFEN BUFFERIN TICLOPIDINE BUTALBITAL TOLECTIN CLINORIL CLOPIDOGREL CONGESPIRIN TRIMCINALONE MONACET WITH CODEINE VANQUISH CORIDICIN VOLTAREN COUMADIN NAPROSYN WARFARIN
Generally, Tylenol (acetaminophen) is permit ed prior to the procedure as long as you do not have any medical
issues prohibiting you from taking this medicine.
Your cooperation with the precautions wil help prevent bleeding complications during your procedure.
APM Spine and Sports Physician’s Staff APM PROCEDURE CONFIRMATION LETTER Page 2 of 2 Revised: 09/12/2011
Voices in the Wilderness As history edged toward the twentieth century, the German philosopher Friedrich Nietzsche wrote his parable of the madman who stormed into the marketplace with lantern in hand crying, “I seek God! I seek God!” Atheists in the audience made fun: “‘Has he got lost?’ asked one. ‘Did he lose his way like a child?’ asked another. ‘Or is he hiding? Is he
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Procedure Appointment Confirmation 
PRE-PROCEDURE PATIENT GUIDELINES