Dr. Federico Macaya
P R E P A R A T I O N S   P R I O R   T O  S U R G E R Y
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The following are the recommendations from Dr. Macaya prior to having surgery:

You will be given specific instructions about preparing for your surgery, including guidelines for eating, drinking, smoking, and taking or avoiding certain vitamins and medications, depending upon the specific procedure you have chosen. We will send this information to you with a surgery date schedule. Please adhere carefully to these instructions.

Exercise is an important way to prepare yourself for surgery. If you don't regularly exercise, start now, but gently. Don't exercise to soreness, especially if surgery is near.

In particular, for three weeks before surgery, take no over-the counter drugs except acetaminophen (Tylenol, Datril). All of over-the counter drugs interfere with the blood's clotting ability and can make you bleed excessively. We should approve any other medicine.

If you smoke, plan to quit at least one to two weeks before your surgery and do not resume for at least four weeks after surgery. Tobacco use is bad for your whole body, and it has a very negative effect on healing. Nicotine constricts blood vessels, reducing blood flow to many areas, the most significant of which is your skin. Avoid overexposure to the sun before surgery, and do not go on a stringent diet, as both can inhibit your ability to heal. If you develop a cold or an infection of any kind, your surgery will probably be postponed.

Each of our patients is required to have appropriate medical tests completed before surgery is approved. You may bring the test results with you.

PATIENTS UNDER 45 YEARS OLD

Patients under 45 years of age must have a complete medical checkup by their own physician. In addition,  the following laboratory tests are required:

  1. HGB HCT RBC

  2. Plateles, Prothrombin time, Partial Thromboplastin time

  3. HIV

  4. Complete urine test

You may bring these tests with you.

PATIENTS OVER 45 YEARS OLD

Patients over 45 years of age must have a complete medical checkup by their own physician. In addition, the following laboratory tests are required:

  1. HGB HCT RBC

  2. Plateles, Prothrombin time, Partial Thromboplastin time

  3. HIV

  4. Complete urine test

  5. BUN, Creatinine

  6. Glucose

  7. Cholesterol, Triglycerides

  8. EKG

We do not recommend any surgery procedures in the following situations:

  1. When under a high degree of stress.

  2. If you have HIV.

  3. History of Hepatitis B or C.

  4. Patients with Cardiac Diseases (Cardiac arrhythmia, patients with a pacemaker, heart attack).

  5. Diabetic patients.

  6. Psychiatric patients.

  7. Patients with any blood disease such as anemia or haemophilia.

  8. Morbid obesity.

  9. For patients with asthma, emphysema, bronchitis, thyroid disease or high blood pressure, a complete medical checkup by your physician and consultation with Dr. Macaya is required.