Cancellation:
- If you need to cancel your procedure, please call our clinic at 248-929-8165 at least 24 hours prior.
Arrival Time for Appointment:
- Arrive at least 30 minutes before your scheduled procedure time.
Food and drinks:
- No food or drink at least 8 hours before your procedure.
- You may have plain water, black coffee/tea (no milk or cream may be added, however, sugar and artificial sweeteners are permitted), apple juice, or Gatorade up to two hours prior to your scheduled arrival time at the clinic. All other beverages/drinks are to be avoided at least 8 hours before your procedure.
- Do not chew gum at least 2 hours before the procedure.
- You may continue prescription medications with a small sip of water.
Driving:
- For Your Safety, you MUST have a responsible person to drive you home. If you plan to take a taxi, bus or other form of transportation, you will still need someone to be with you until you get home.
- You are not allowed to drive at all for the rest of the day after being sedated for a procedure and even without sedation after some procedures.
What to Bring:
- A complete list of your current medications.
- A complete list of allergies.
- Medical insurance card and photo identification.
- Advanced directives, living will or power of attorney (if applicable).
- CPAP device if you have sleep apnea.
- Inhalers if you are asthmatic.
- Any assistive devices or equipment you may need after procedure.
- Favorite Books/magazines to pass the time.
What NOT to Bring:
- Please try not to bring more than two family members/friends on the day of procedure.
- Don’t bring large sums of money, jewelry including rings and body piercings, valuables such as electronic equipment.
The Day of Procedure:
- For cleanliness of the injection site, please shower or bathe the night before or the morning of the procedure.
- Avoid wearing eye makeup or contact lenses before coming to the clinic. You can wear your glasses.
- You are not allowed to return to work for the rest of the day after being sedated for a procedure and even without sedation after some procedures.
Clothing:
- Please wear comfortable, loose-fitting clothes that are easy to change, fold and store and will not fit tightly over the area of your procedure.
Blood thinners:
- If you are on blood thinners, please inform us its name, dose and frequency. You may need to STOP blood thinners for few hours to 14 days before your procedure depending on type. Before you STOP you will need CLEARANCE from your prescribing physician.
Medication Restrictions:
- At any time before the procedure, you should take your usual medications (special rule apply for medications for DIABETES) with a small sip of water unless specifically asked not to do so by the Pain Clinic staff.
Diabetic patients:
- Please inform your family physician in advance about your injection with steroids.
- Do not take your diabetes pills the morning of your procedure. Bring your pills with you and take them as soon as the procedure is over and you start to eat. Evening pills can be taken at the usual time.
- Take ½ of your usual dose of long acting insulin (NPH, Lantus, Levemir) the morning of the procedure. Take no short acting insulin (Regular, Humalog, Novolog) the morning of the procedure.
- Please check your fasting blood sugar at home the morning of your procedure and let the Pre-Op Nurse know these results when you arrive.
- Blood sugars may elevated for up to 7 days after injection containing steroids. You will need to closely monitor your blood sugars during this time period and contact family physician with blood sugars over 200.