Breast Cancer Surgery Packet: Patient Appointment Information

Transcription

1 Breast Cancer Surgery Packet: Patient Appointment Information Patient Name: MRN: DOB: Location: Cottage Hospital/Cottage Outpatient Surgery Date of Surgery: Sentinel Lymph Node Injections: Time: Location: 300 W. Pueblo St., Nuclear Medicine Check in Time: Date: Wire Localization: Time: Date: Location: Date of Post-Op Appointments: Time: Location: 317 W. Pueblo St., Sansum Clinic Department of Surgery with: Dr. Choi / Dr. Dunn Medical Oncology Consult Appointment: Time: Date: Location: Doctor: Radiation Oncology Consult Appointment: Time: Date: Location: 300 W. Pueblo St. Doctor: Notes:

2 Location Map De La Vina St. W. Quinto St. 4 W. Junipero St. 1 Santa Barbara Cottage Hospital W. Pueblo St. 3 Bath St. Castillo St. Padre St. W. Mission St. W. Ala m ar Ave. 2 Oak Park Ln. Calle Real 1 CANCER CENTER OF S.B. WITH SANSUM CLINIC 300 West Pueblo Street CANCER CENTER OF S.B. WITH SANSUM CLINIC 540 West Pueblo Street SANSUM CLINIC, MULTI-SPECIALTY 317 West Pueblo Street COTTAGE HOSPITAL OUTPATIENT SURGERY 2403 Castillo Street

3 Breast Surgery Packet How to Prepare for Surgery No eating or drinking anything at all after midnight the night before your surgery. This includes water, chewing gum, or hard candy on the day of surgery. Any medications that you were told to take by your doctor should be taken with a small sip of water on the morning of surgery. Please arrive on time for check-in before your surgery, as instructed. The time for check-in is listed above. Please do not take aspirin (this includes baby aspirin), ibuprofen, Motrin, Advil, or Aleve, or similar products for seven days prior to your surgery, However, if you take a daily aspirin or a blood thinner, you must talk with your surgeon to see if you should stop taking this medication before your surgery. Wear comfortable clothing and a soft comfortable bra. Please remove all jewelry, piercings, and nail polish before arrival. Please leave all valuables at home. Contact your surgeon s office if you develop cold or flu symptoms. If you are scheduled to go home on the day of surgery, you must arrange for a responsible adult to drive you home. On the day of surgery, please report to the check-in area where you were instructed to go your Pre-Operative Appointment. Your family member or a friend may accompany you. You will meet your surgeon in the pre-op area shortly before your surgery to ask any final questions or discuss any concerns that you may have. Once you go to into surgery, your family member or friend may wait in the waiting area. Before you can go home, you will need to tolerate liquids, urinate, and walk without dizziness. We will make sure your discomfort is tolerable. Your going-home instructions will be reviewed with you before your discharge. Everyone responds differently to surgery, so it is difficult to say exactly when you will be discharged. During your pre-operative appointment, the nurse will give you a general idea about how long it will take you to recover. If you have any questions or concerns please contact the surgical scheduler for Dr. Choi and Dr. Dunn (805)

4 Discharge Instructions After you leave the hospital, please follow these instructions. Instructions following anesthesia or sedation The medicines and/or anesthesia you received today are strong and will affect your body for at least the next few hours. You may have trouble with coordination or thinking because of these medicines. For your safety, please follow these recommendations carefully for at least 24 hours: Do not drive at all. You are required to be taken home today (or upon release) by a responsible adult. Do not drink any alcoholic beverage. You should rest today. Do not go to work. You should not do things that require you to think or act quickly. You should not do things that require careful work. You should not make important decisions or sign legal papers today. The medications may make you feel drowsy or nauseated, or you may have a poor appetite. If these problems are prolonged or severe, please call your doctor. Medications You should go back to taking all of your usual medications (if any), unless your doctor has told you otherwise. In addition, the medications listed below have been prescribed for you. Please do not add any other new medicines without asking your doctor first. Do not take aspirin, ibuprofen, Advil, Motrin, or Aleve until after we receive your Pathology results, unless approved by your doctor (these medications can increase the risk of bleeding.) Pain Pain medication will be given on the day of surgery. Medication: Take pills every hours as needed for pain. Do not exceed pills in a 24 hour period. Instead of any pain medication your doctor has prescribed, please note the following: You may take Tylenol (acetaminophen). Do not mix with prescribed pain pills. Do not take Motrin, Ibuprofen, Aspirin, or similar medicines until after we receive Pathology results. Your pain medicine can cause constipation. Please take a stool softener such as Colace and a gentle laxative (such as Milk of Magnesia). You do not need a prescription for these medicines. Do not drive while you are taking narcotic pain medications.

5 Discharge Instructions Surgical Dressing Please do not use any ointments on your incision. Please use only those topical medications on your incision as specifically instructed. Remove outer dressing (gauze) after 24 hours. Do not remove the steri-strips (thin paper strips that are on your incision). They will fall off on their own within 2 weeks. Drain Care If you have drain(s): Strip each drain and empty each bulb every 8 hours. If you have drain you will be given drain stripping instructions. Measure the amount and discard the fluid in the toilet. Record the daily drain output on the drain chart provided. Please bring this sheet with you to your follow-up Clinic appointment with your surgeon. Please change the gauze dressing surrounding the drain exit site daily or if saturated. Bathing Sponge bathe only until all drains are out. Please gently pat your incision(s) dry after you wash, do not rub dry. Activity Diet You may resume light activity tomorrow. Do not lift anything heavier than 10 pounds for 2 weeks. Do not engage in strenuous activity for 4 weeks unless approved by your doctor. Do not soak in a tub (includes hot tub and Jacuzzi) or swim in a pool for one week. Avoid deodorant or skin lotion near your incisions. You may go back to your usual diet. Do not mix pain medications and alcohol. Return to Work Discuss with your surgeon on the day of your surgery.

6 Discharge Instructions How You May Feel You may experience any of the following normal symptoms as you recover from surgery. As your incision heals: The area around the incision may be slightly red. You may see a small amount of clear or light red fluid staining your dressing. You may feel a ridge along your incision. This will go away. Other reactions to surgery: You may have some bouts of nausea or vomiting. You may have mild swelling at the area of surgery. You may feel tired, have muscle aches, or headaches. Call your Doctor If: Please call your doctor right away, or go to the Emergency Room for care, if you have any of the following listed below. Remember, your doctor, or someone covering for your doctor, is available 24 hours a day, 7 days a week. In an emergency, please dial 911 or your local emergency services. Temperature of 101 degrees or higher, and/or chills. Nausea and vomiting that lasts more than 24 hours. Inability to urinate. Increasing drowsiness. Worsening pain not relieved by pain medication. Increased swelling around the incision or drain exit site. Redness around the incision or drain exit site that is spreading. Bright red blood or foul-smelling discharge coming from the wound or drain. Shortness of breath. Chest pain. Lower extremity swelling. Your Doctor: Dr. Choi, Dr. Dunn Office Phone: (805) Fax: (805) Navigator: Karen Jorgensen, RN, BSN Office Phone: (805) Navigator: Tammy Stockero, RN, BSN, OCN, CBCN Office Phone: (805) Return Visit Please call (805) for a follow up appointment for 2 weeks if you were not already given a post-operative appointment. Your surgeon will call you in 7-10 days when your pathology results are available. Please let us know if you wish to be called at an alternate number.