Pre/Post Operative Care

The physicians in our office are often delegated with the task of ensuring optimal health before and after surgeries. These tasks include general blood work, wound monitoring, and treatment/referral should side effects arise.

Below, a list of some of the pre-operative screening tools we use to prepare a patient for bone grafting surgery. We work closely with patients and other medical providers to ensure the outcome of operative procedures has the best prognosis. Each case may have an individualized, tailored plan.  

General Screening:

 

-6399               CBC (INCLUDES DIFF/PLT):

WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) 

- 94220             CARDIO IQ(R) ADVANCED LIPID PANEL AND INFLAMMATION PANEL

Cardio IQ® Cholesterol, Total; Cardio IQ® HDL Cholesterol; Cardio IQ® Triglycerides; Cardio IQ® Non-HDL and Calculated Components; Cardio IQ® Lipoprotein Fractionation, Ion Mobility; Cardio IQ® Apolipoprotein B; Cardio IQ® Lipoprotein (a); Cardio IQ® hs-CRP; Cardio IQ® Lp-PLA2 Activity

 

-92272             VITAMIN D, 25 HYDROXY

 

-561                 INSULIN 

* Note: Level should be below 5 (fasting) and compared/contrasted with fasting glucose (measured in CBC). 

 

-5616               IRON, TIBC AND FERRITIN PANEL

 

-10231COMPREHENSIVE METABOLIC PANEL (REFL)

Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen

 

For patients taking Bisphosphates, or are undergoing Hormone Replacement Therapy.

 

-16322             OSTEOCALCIN, N MID 

-439                 ESTROGEN, TOTAL, SERUM

-7137               FSH AND LH

 

For Women over 40:

 

-7065               VITAMIN B12/FOLATE, SERUM PANEL 

Evidence:https://academic.oup.com/jn/article/133/3/801/4688042

 

For Women over 40 and/or with relevant history, risk factors, or family history:

 

-4576               BONE DXA BONE DENSITY: PA SPINE AND HIP

 

For Patients taking Anti-Coagulants, high doses (>2000mg qd) EPA, family history, or history of present illness including bleeding and/or clotting disorder(s):

 

-85610             PROTHROMBIN TIME WITH INR

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