Pre/Post Operative Care
We 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