Welcome to our Practice                             



  "Man never made any material as resilient as the human spirit."

               -- by Bernard Williams


Routine Surgery Instructions

  • Avoid taking aspirin or aspirin derivatives (i.e. Ibuprofen, Advil, Motrin, Naprosyn, and anti-inflammatory medications) for at least 48 hours prior to surgery or preferably one week prior to surgery with physician’s approval. Tylenol may be used for pain. You may take routine medications according to usual with only sips of water if approved by the physician. If you are diabetic or take heart medications, please make sure the staff and doctor are aware of this.


  • Make sure to have laboratory tests done in the specified time period prior to surgery. You will need to set up a pre-operative appointment at the facility to discuss financial payment, arrival time, and pre-operative tests such as lab work, x-rays, EKG, etc. The facility at which you are scheduled to have your procedure will contact you regarding the time at which you should arrive for preoperative evaluation by the anesthesiologist and any other associated preoperative testing ordered.


  • You should have nothing by mouth after midnight the day before your surgery. However, if the planned procedure is not scheduled until late in the day, you may be allowed to eat light items up until 8 hours before surgery (you should always check with the nurse or doctor for your particular case). Accidentally ingesting food or water will cause delays in your surgery. If you are pregnant or diabetic, make sure the staff knows so that they may schedule accordingly.


  • Leave all valuables at home. Do not take anything that you do not need to the medical facility. Do remember to take your insurance card with you.


  • Make sure you have adequate transportation from the facility in which you will be having surgery. You will not be allowed to drive yourself home or take a taxi cab. Make sure you give yourself enough time to locate the facility and take care of any admission paperwork required.


  • It is recommended that you have a caretaker to supervise you for 24 hours following surgery.


  • Call the office if you develop any signs or symptoms of infection prior to surgery.


  • Make sure to notify the doctor of any allergies or if you have had any problems with anesthesia in the past.


  • For your convenience, we recommend filling the prescribed medications prior to your surgery date. Remember, do not eat anything after midnight, despite pharmacy instructions!


  • Please schedule a post-operative visit with the doctor or nurse for 7-10 days after surgery.


Breast Biopsies

  • For breast biopsies we recommend taking a compression bra (i.e. sports bra) with you to the office or facility to wear after your procedure. This helps with inflammation post procedure.



  • For colonoscopies a preparation kit will be given. This requires you to obtain a prescription medication to evacuate the colon the day prior to the exam. Several different kits can be prescribed according to patient needs. We ask that you maintain a clear liquid diet the day before the exam. An example of a clear liquid diet will be given to you at your consultation along with your prescription for a bowel preparation kit. The kit is usually started around noon the day before your procedure and requires that you be home preferably for the remainder of the day in order to have access to a restroom at all times. As instructed above, you should have nothing to eat or drink after midnight until after your exam is complete.


Inguinal Hernia Repairs

  • We recommend a jockstrap for male patients following inguinal hernia repairs to help reduce testicular swelling, a normal post-operative occurrence. These can be purchased at any local sporting goods store. Please take this with you to the surgical facility.

*Frequent hand washing is one of the best ways to avoid getting sick, spreading illness, and post-surgical site infections. Hand washing requires only soap and water or an alcohol-based hand sanitizer — a cleanser that doesn't require water. Find out when and how to wash your hands properly.


Handwashing 101

As you touch people, surfaces and objects throughout the day, you accumulate germs on your hands. In turn, you can infect yourself with these germs by touching your eyes, nose or mouth. Although it's impossible to keep your hands germ-free, washing your hands frequently can help limit the transfer of bacteria, viruses and other microbes.

Always wash your hands before treating wounds, this can decrease your risk of acquiring a post-surgical site infection.

Always wash your hands after:

  • Preparing food, especially raw meat or poultry
  • Using the toilet
  • Changing a diaper
  • Touching an animal or animal toys, leashes or waste
  • Blowing your nose, coughing or sneezing into your hands
  • Treating wounds
  • Touching a sick or injured person
  • Handling garbage or something that could be contaminated, such as a cleaning cloth or soiled shoes

Of course, it's also important to wash your hands whenever they look dirty.

How to wash your hands

It's generally best to wash your hands with soap and water. Follow these simple steps:

  • Wet your hands with running water.
  • Apply liquid, bar or powder soap.
  • Lather well.
  • Rub your hands vigorously for at least 20 seconds. Remember to scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails.
  • Rinse well.
  • Dry your hands with a clean or disposable towel or air dryer.
  • If possible, use your towel to turn off the faucet.

Keep in mind that antibacterial soap is no more effective at killing germs than is regular soap. Using antibacterial soap may even lead to the development of bacteria that are resistant to the product's antimicrobial agents — making it harder to kill these germs in the future.


[Back to FAQ Page] or [Back to Home Page]

© Dr. Dean Kocay, M.D. 2006