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Procedure appointment confirmationProcedure Appointment Confirmation
5665 Lowery Road, Suite 100
1788 Republic Road
Norfolk, VA 23502
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:
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
SK65 COUMPOUND CAPS
MONACET WITH CODEINE
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
În sãlile de forþã ºi bãrbaþii suferã la frumuseþe Suplimenþi nutritivi n-august, dar fac muºchi Dacã trãim la oraº, o testosteronului, ceea ce are ca efect ºi viaþã comodã dominatã de tehnologie nu trebuie neapãrat sã avem ºi o în douã etape: în primele 7 zile e o fazã formã fizicã inferioarã oase) ºi magneziu (care ajutã muºchiultrebuie ada