The typical patient process if you will is that a person hears of us from a friend or whatever and calls and they will talk to Kristi who is our patient coordinator and Kristi gives them basic information about whatever procedure they are interested in, explains what the cost is and we will set up a consultation if the patient would like to come to discuss that. Usually we send them a packet of information prior to the consultation about myself, about our practice, and about their general health, and we ask them to fill that out and bring that with them when they come in for their consultation. When they come, they will talk to either Kathy or Janet, one of our two RNs about what their desires are, what their goals are, their medical history, and so forth and then I will go and see them and discuss those issues with them, examine them, would do photographs usually because it helps me in the planning if we are going to do a surgical procedure later and then the patient gets dressed and then I come back and we talk for 10 or 15 minutes about the procedure itself, exactly what to expect, how they will be treated afterwards, when their postoperative appointments will be, and I also would like to go through and explain that every surgical procedure has a certain amount of risk. It is like driving your automobile home. There are very low risks but they are real and we talk about those. We talk about bruising, we talk about swelling, we talk about infection those sorts of things and then that is the end of the consultation part with the doctor. At that point, they talk again to Kristi who is the lady who is in charge of my surgery schedule, and if they decide that they would like to schedule either then or later, we find a time for them on the operative schedule and then we send them additional correspondence up to the time of their surgery, so they know what to expect once they get here, then we set aside either a morning or two-thirds of a day depending on how extensive the surgical procedure will be and they come in with a spouse or friend, somebody drops them off. They are here for about an hour before surgery. We do the surgical procedure. We keep them in our recovery room for about an hour afterwards and the nurses are checking their vital signs, their blood pressure and temperature and their breathing because you have to let the anesthetic effects wear off and then once those have worn off again you need a spouse or friend someone to drive you home safely and almost everybody goes home. We see you back usually two days after surgery, perhaps five days after surgery, a week after that, two weeks after that, a month after that, so there are about two months after surgery we will be following you very closely. We are always available. If there is a question or concern in the middle of the night, you can call the exchange, you can call the office directly and talk to one of us, so we are here for you for about a two-month period after the surgery.

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