If you believe surgery is your only option, it’s time to speak to a surgeon at Outpatient Services East about your options and what you can expect.

However, until that time, here is a brief list of common shoulder surgeries, what they involve and what you can expect.

Arthroscopic Debridement

Debridement is a procedure when all other procedures (such as physical therapy, injections and oral pain medications, etc.) have failed. In short, it involves poking two to three tiny holes around the shoulder and “cleaning out”  the inflamed tissue, scar tissue and any bone spurs. This allows healthy tissue to grow and function. The surgeon will also clean out any debris from the shoulder joint. The procedure and recovery time are comparatively short at less than an hour and two to four weeks, respectively.

Shoulder Stabilization/Bankart Procedure

This procedure is associated with the trauma of a dislocated shoulder. The shoulder joint is a ball and socket joint. This allows you a wide range of motion when it comes to your hand, but there is a drawback. The joint is relatively shallow and in order to keep the “ball in place” the body develops a soft tissue “bumper” around the joint. You can guess what happens to this soft tissue when the joint dislocates: It tears.

Sometimes the body heals on its own, but sometimes it doesn;t. When the pain persists, surgery might be the right choice. Typically, the Bankart Procedure is successful in stabilizing the shoulder. The procedure involves placing anchors into the shoulder socket, looping thread around the capsule and labrum and allowing the shoulder the stability needed to heal properly. This surgery takes roughly an hour, and the recovery process runs between four to six weeks, with full recovery within four months.

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Rotator Cuff Repair

Rotator Cuff tears happen, especially as we get older. The cause could be something as benign as an awkward stretch or as traumatic as a fall. Sometimes, we don’t even know what caused the tear. We know it HURTS and it’s debilitating.

When your rotator cuff is working , you have a full range of motion and strength. When it isn’t, the upper portion of the arm bone is bumping against the roof of the shoulder making it difficult to move your arm above your head(or worse) and causing a loss of strength. Imagine not being able to grab a soda from the fridge and pop the top. That’s how bad it can get.

The means of repairing a rotator cuff tear is similar to the Bankart Procedure. Small anchors are placed in the bone and the shoulder is stabilized via loops of thread tied back to the bone. The procedure takes about an hour and a half with the typical recovery taking four to six months with full recovery taking up to a year.

Shoulder Replacement

Once cartilage is gone; it is gone. There’s nothing to do to regrow cartilage. It’s at that point, it’s time to consider shoulder replacement surgery. There are three types of shoulder surgery: hemi-arthroplasty, total shoulder arthroplasty and reverse total shoulder replacement. The recovery time for each of these surgeries is three to four months with a full recovery made within a year. Consult with your doctor to determine which is right for you.

Considering shoulder surgery? Call Outpatient Services East at 205-838-3888 to schedule a consultation. We  are happy to help in any way we can.

The post Common Shoulder Surgeries: Is It Time? appeared first on OSE Surgery Center.

Well, if you are one of those who felt your friend or co-worker was carrying on a little too much, you’re wrong. A ruptured achilles tendon can be very painful. In fact it can be debilitating.

The achilles tendon is the largest tendon in the human body. While it can withstand a lot of force it is also the most frequently ruptured tendon. In most cases a ruptured tendon is the results of a sports injury. The professional athletes and the “want to be” athletes are subject to rupturing this tendon. If it does not rupture you may still develop tendonitis. (inflammation of the tendon due to overuse)

We do not want to scare you but you need to know that achilles tendonitis can be caused by simple things such as:

Running up a hill or climbing stairs, overuse stemming from lack of natural flexibility in the calf muscles, increasing mileage or speed when walking, jogging, or running before you are in shape to do so, exercise or precipitate in a sports activity without warming up, trauma caused by sudden and/or hard contraction of the calf muscles when putting out extra effort, such as in a sprint, and by wearing improper shoes.

Achilles tendonitis often begins with mild pain after exercise or running that gradually worsens.

Some signs to look for are:

• Recurring localized pain, sometimes severe, along the tendon during or a few hours after running.
• Morning tenderness about an inch and a half above the point where the Achilles tendon is attached to the heel bone.
• Sluggishness in your leg.
• Mild or severe swelling.
• Stiffness that generally diminishes as the tendon warms up with use.

Treatment normally includes:

• A bandage specifically designed to restrict motion of the tendon.
• Taking nonsteroidal anti-inflammatory medication for a period of time. (do not use a bandage or take medication before you discuss the problem with your doctor)
• Orthotics, which are corrective shoe inserts designed to help support the muscle and relieve stress on the tendon. Both nonprescription orthoses(such as a heel pads or over-the-counter shoe inserts) and prescribed custom orthotics may be recommended depending on the length and severity of the problem. (it would be best to discuss this first with your doctor)
• Rest and switching to exercises that do not stress the tendon (such as swimming).
• Stretching and exercises to strengthen the weak muscle group in front of the leg, calf, and the upward foot flexors, as well as massage and ultrasound.

In extreme cases, surgery is performed to remove the fibrous tissue and repair any tears.

You can receive the information and treatment you need for your injured achilles tendon from the health care professionals at Outpatient Services East. Many people have had the treatment or surgery they required there and are s please they did.

Contact them today at 205-838-3888  

The post You’ve Hurt Your Achilles Tendon appeared first on OSE Surgery Center.

Speak Up: Right ID, Right Care

When you’re in the hospital, nurses are supposed to use “patient identifiers.” This ensures the right patient gets the right kind of care, in the right place, and at the right time. This may include asking your name, birthday, and maybe even your phone number – or, checking your wristband.

Hospitals are busy places. There may be other patients who look like you or have similar names. Make sure you are being identified correctly. If you are concerned, always Speak UP!

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Speak Up: Help Prevent Errors in Your Care

See the first in a series of new animated Speak Up™ videos that encourage patients to speak up and be active participants in their health care. Like the other Speak Up materials, the videos are free and can be used by accredited organizations and other interested stakeholders that want to promote the Speak Up message.

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Everyone has a role in making health care safe.  That includes doctors, health care executives, nurses and many health care technicians.  Health care organizations all across the country are working to make health care safe.  As a patient, you can make your care safer by being an active, involved and informed member of your health care team.

View English Brochure

View Spanish Brochure

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Speak Up: Help Prevent Medical Test Mistakes

Medical tests and laboratory tests are important aids for doctors. However, sometimes the wrong test is ordered. Or the test results can be misunderstood.

View English Brochure

View Spanish Brochure

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The post Preventing Medical Errors appeared first on OSE Surgery Center.

There are a few things you need to know before you pre-register. For example if custody or guardianship of a patient has been awarded by a court of law, court papers must be presented prior to surgery.

It is not the law but it is a good practice to have an “Advance Directives” drawn up before you have surgery of any type. Advance Directives are documents that clearly state your choices for health care. By having Advance Directives you are making known your wishes regarding the medical care you do or do not want to receive if you become too sick to speak for yourself. This, not only makes your wishes known, it takes the burden of making the decisions off your love one during a time that is already hard for them.

Please note that procedures done in an ambulatory care setting such as OPSE are performed to enhance or improve the patient’s quality of life. It is their policy that if you suffer a cardiac or respiratory arrest or other life-threatening situation, resuscitative measures will be initiated and you will be transferred to a hospital. The decision for further treatments or withdrawal of treatment measures will be exercised at the hospital in accordance with your Advance Directive.

If you present an Advance Directive to OPSE at the time of your admission, a copy will be made and become a part of your medical record and will be transferred with you should you have to be moved to a hospital for a higher level of care. If you disagree with this policy please discuss it with your physician prior to your procedure. It is the desire of OPSE to handle every issue as the patient wishes when possible.

You can find printable forms that you may need when you visit our web site. Some are listed below:

Important Federal Information Related To Your Surgery

Patient Rights and Responsibilities

Advance Directive Brochure

Brochure with Advance Directive Form

Patient Infection Control Brochure

Patient Safe Surgery Brochure

If you chose to pre-register online please register ONLY if you are within 30 days of your surgery or procedure. Be sure you enter a valid email address to receive an emailed confirmation of registration. Double check to ensure you furnished all required information. If a required item is left blank the space will be flagged with red. Without all required information the form will not submit and your registration will not be completed.

As stated before, Outpatient Services East wants to make your time with us as smooth and easy as possible. They look forward to helping you any way they can. Not only does the staff want to see that you have the medical care possible they want the entire experience to be the very best.

Contact OPSE by phone: 205-838-3888 or visit us online at www.osesurg.com.

The post Pre-Registration appeared first on OSE Surgery Center.

Please know that if the preoperative instructions are not followed your procedure may have to be cancelled. Your health and wellbeing is of utmost importance to our staff. The entire group is very concerned about your welfare.

Below are some of the things you will need to do to prepare for your procedure or surgery. Note that there may be other thing your doctor instructs you to do or not to do.

Do Not

• Eat or drink or smoke anything (including candy, mints or gum) after midnight the evening before your procedure unless your physician has otherwise instructed you.

Do

(Some procedures require a bowel prep.  Please read and follow all instructions regarding this prep and refer all questions to your physician’s office prior to the day before your procedure.)

1.  Bring a list of all medications you are using. This includes any over the counter, herbal, creams, etc.

2. Bring a list of any thing you are allergic

3. Have a copy of custody papers, power of attorney, or any other type papers that involve the patient. Bring a copy of your insurance card and a picture ID such as your driver’s license.

4. Check with your physician about taking your heart, breathing (asthma), seizure, gastric reflux, high blood pressure medicine or any long term pain control medicine you take on a daily basis with a small sip of water the morning of your procedure.

5. REMOVE ALL jewelry including anklets and toe rings before coming to the facility. (This includes all body piercing jewelry)

6. Bathe or shower the morning of surgery and brush your teeth. Your doctor may have you bath the night before and the morning of your surgery using antibacterial soap.

7. Wear loose, comfortable clothing as some procedures require removal of all clothing including underwear

8. Wear your glasses or bring a case and solution for storing any contact lens.

9. Bring a favorite toy or blanket for younger patients.

10. Bring a responsible adult to be with you and to drive you home. Verification of a responsible adult will be made prior to your being admitted to the surgery center.  If responsible adult verification cannot be made, your procedure will be cancelled.

11. Notify your doctor if you take Coumadin, Plavix or any other blood thinner

12. Notify your doctor and our staff if you have an insulin pump. Your doctor will determine if and when it needs to be disconnected. Please bring any supplies necessary to reconnect the pump.

13. Notify your doctor and our staff if you have any internal or external devices such as pacemakers or defibrillators.

14. Notify your doctor and our staff IMMEDIATELY if you suspect you are pregnant.

15. Notify your doctor and our staff of any changes in your health, even minor changes such as a cold or fever.

IF YOU ARE LATE or cannot keep your appointment, please notify us by calling 205-838-3888.

If the staff at Outpatient Services East can help you in any way please call them at 205-838-3888.

Visit them at www.osesurg.com.

The post Preoperative Instruction appeared first on OSE Surgery Center.

The day before your scheduled procedure at Outpatient Services East you will be given the time for your arrival to the facility. It is important for you to keep your arrival time. our The amount of time you have to wait prior to your procedure depends on several things: patient bed availability, the schedule for operating rooms and/or your physician. The staff at Outpatient Services East strive to keep your waiting time to a minimum but some delays are unavoidable.

Length of Stay

You and your caregiver need to plan to be at the facility for a minimum of 4 hours. The length of stay can vary from person to person.

Preparation

After you are placed in your room a staff member will give you instructions on what clothing you need to remove.  You will be given a gown to wear.  If you are wearing  dentures or contacts lens they will need to be removed at this time.

If your procedure requires anesthesia, you will meet an anesthesiologist who will review your history, answer your questions and discuss the anesthesia plan. Feel free to ask you may have. Your caregiver is permitted to sit with you during the preparation time if you so desire. He/she is encouraged to ask questions too.

The nurse who will be assisting your physician will take you to the operating or procedure suite. Each operating or procedure room is fully equipped and staffed to handle your procedure and any possible complications.

After Your Procedure

When your procedure is over you will be taken to recovery where you will be closely observed by the nursing staff. The length of your procedure and recovery stay depends on the type of procedure and anesthesia you were given. Each patient’s response may vary. You may be discharged home from recovery. However, some procedures are more extensive and each patient’s response is different so you may be returned to your admission room to continue recovery. You will be served cold liquid refreshments. Do not worry if you still feel sleepy when you are discharged.

Prior to discharge from the center, a nurse will explain your discharge instructions to you and your caregiver. Following these instructions is important for a safe and expeditious recovery.

Following Your Procedure

• You must be accompanied and driven home by an adult.
• Please plan to have someone with you for at least 24 hours after your procedure.
• Take all medications as directed.
• Utilize your pharmacist for further information about prescriptions.
• If you are taking an antibiotic, finish the entire prescription as directed by your physician.
• Resume your home medications as instructed by your physician.
• Most pain medications are better tolerated with food.

Someone from Outpatient Services East usually calls you within 24 to 72 hours of your procedure. If you have any questions or concerns before they call please call y If you have any questions or concerns please call your physician. Also, remember to make an appointment for a follow-up visit with your physician.

Feel free to call Outpatient Services East if you have any questions about what to expect on the day of your procedure.

205-838-3888

www.osesurg.com

The post Day of Procedure appeared first on OSE Surgery Center.

With the new advances in technology, anesthesia methods, and how pain is managed, many surgeries are now able to be done as outpatient. Over the past three decades outpatient surgery has become a popular choice for many patients. The staff at Outpatient Services East is abreast of these advances and is there to give you the best possible care.

The type of surgical procedure, anesthesia, and the patient’s medical history will determine how long they will stay at the outpatient facility. Your stay may be a few hours up to twenty three hours. You will be monitored and may need to demonstrate a few simple tasks before you are allowed to go home. You may be asked to drink some fluids and eat some food without getting sick to your stomach. In some cases, it will be important that you are able to pass urine as well.

You will be required to bring a responsible adult with you the day of your surgery. As you will be given anesthesia you will not be able to drive for 24 hours. It is a good plan to have someone with you that can stay with you for at least 24 hours. He/she will need to stay during your surgery and be there for the doctor to the results with as you may not be fully awake for a few hours.

Space is limited so we ask that you have no more than two people with you. We ask that no children be brought with you and that no one comes with you who may be sick. There is no place for food to be prepared at Outpatient Services East but vending machines are available if your caregiver and visitor need food or drink.

Below is a list of some of the services you can receive at Outpatient Services East:

• GENERAL SURGERY
Stereotactic Breast Biopsy, removal of cysts, lesions, hernia repairs, gall bladder removal, biopsies, hemorrhoid surgery, to name a few.

• GYNECOLOGY
D&C, Hysteroscopy, Laparoscopy, Laser Laparoscopy, Vaginal Hysterectomy,  Tubal Ligations, endometrial ablations and other diagnostic and surgical procedures.

• ORTHOPEDICS
Arthroscopy, Ligament Repair, Carpal Tunnel Release, Hand Surgery, Bone Biopsies, treatment of fractures, Shoulder Surgery, Bunionectomy, Hammertoe correction are some of the most common surgeries.

• PLASTIC SURGERY
Breast Augmentation and Reconstruction, Face Lifts, Skin grafts, lesion removals, Blepharoplasty and scar revisions to name a few.

• EAR, NOSE AND THROAT SURGERY
Tonsillectomy and Adenoidectomy, Ear tube insertions, Tympanoplasty, Laryngoscope, Septoplasty, Endoscopic Sinus Surgery, LAUP (snoring procedure) and others.

• I ENDOSCOPIC PROCEDURES
Upper Endoscopy, Colonoscopy, Dilatations,  Ablation of Hemorrhoids and Biopsies.

• EYE SURGERY
Cataract removal, Laser surgery, Eye muscle surgery, Blepharoplasty, and removal of foreign bodies from the eye are procedures commonly performed by Ophthalmologists.

• UROLOGIC SURGERY
Cystoscopy, biopsies, Vasectomy, Hydrocele repairs, Circumcision, and Stone retrieval are a few.

• DENTISTRY
Oral and maxillofacial surgery.

• NEUROLOGIC SURGERY
Nerve surgery of the hand and arm.

• PAIN MANAGEMENT
Injections to help people with chronic pain.

We would like you to consider us for your same day surgery needs. You can view us at www.osesurg.com or call 205-838-3888 for more information.

The post Outpatient Services East appeared first on OSE Surgery Center.