Before & After Parathyroid Surgery- Dr. Valeria Simone - 0 views

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  #1 sophiemay on 25 May 23

   

  Before & After Parathyroid Surgery- Dr. Valeria Simone

  
  

  Reviewed by Dr. Valeria Simone MD (Southlake General Surgery, Texas)

  
  

  Understanding what to expect before and after parathyroid surgery is essential, as it can be a life-altering event for many people. The patient and the surgical team should get together before the procedure to go over the procedure’s specifics and any preoperative requirements.

  
  

  Patients need to adhere to a structured recovery plan after surgery to guarantee a speedy and trouble-free recovery.

  
  

  Before you see the surgeon, you may need to go through some tests to examine your parathyroid glands. Physical examination may include an ultrasound, a sestamibi scan, or a CT scan. These tests give valuable data to the surgeon about your parathyroid glands.

  
  

  You will likewise have routine blood tests. Contingent upon your blood test results, a few people may need to take Vitamin D prior to surgery.

  
  

  
  

  
  

  

  
  

  
  

  
  

  Before your Parathyroid Surgery:

  
  

  Multiple routine screenings are performed before parathyroid surgery to make sure the patient is healthy enough to undergo the procedure.

  
  

  Blood tests, a complete physical examination, and a review of the patient’s medical history are just some of the things that are often done at least a week or two before surgery.

  
  

  Depending on your health background, you may additionally need a stress test, chest x-ray, or electrocardiogram (ECG). Your cardiovascular and respiratory health will be evaluated. No in-hospital observation is needed for these examinations.

  
  

  These examinations may be ordered by your primary care physician, the surgeon, or a high-risk anesthesiologist, depending on your age and overall health.

  
  

  Before surgery, you might also be advised to see an endocrine nurse practitioner who will instruct you about the surgery and ensure all your medical examination has been completed.

  
  

  Medication Instructions

  
  

  PLEASE CONSULT your doctor or surgeon PRIOR to changing or halting any of your medications.

  
  

  Medication Instruction before Surgery:

  
  

  Many medications may require discontinuation prior to surgical procedures. Before discontinuing the use of any prescribed medication, you should check with your surgeon or primary care physician.

  
  

  Medicines related to the heart (like blood pressure medications): AVOID taking them on the surgery day and consult your surgeon:

  
  

  
  
  • Captopril (Capoten)
  
  
  • Enalapril (Vasotec)
  
  
  • Benazepril (Lotensin)
  
  
  • Bumetanide (Bumex)
  
  
  • Candesartan (Atacand)
  
  
  • Eprosartan (Teveten)
  
  
  • Fosinopril (Monopril)
  
  
  • Furosemide (Lasix)
  
  
  • Lisinopril (Prinivil, Zestril)
  
  
  • Metolazone (Zaroxolyn)
  
  
  • Olmesartan (Benicar)
  
  
  • Perindopril (Aceon)
  
  
  • Hydrochlorothiazide (HCTZ)
  
  
  • Iosartan (Cozaar, Hyzaar)
  
  
  • Irbesartan (Avapro)
  
  
  • Quinapril (Accupril)
  
  
  • Ramipril (Altace)
  
  
  • Spironolactone (Aldactone)
  
  
  • Telmisartan (Micardis)
  
  
  • Valsartan (Diovan)
  
  

  
  

  Blood thinning medicines: Please ensure you have discussed this with your PCP or surgeon before stopping any of these medications.

  
  

  
  
  • Aspirin – Avoid taking 7 days prior to surgery
  
  
  • Coumadin – Avoid taking 5 days prior to surgery
  
  
  • Heparin – Must be held for 12 hours before surgery
  
  
  • Antiplatelet agents (Plavix, clopidogrel, ticlopidine) – Please follow the instruction of your surgeon or cardiologist.
  
  

  
  

  Diabetes medications:
  Insulin – Patients using insulin pumps:

  
  

  
  
  • Carry on with your basal rate ONLY
  
  

  
  

  Patients not using insulin pumps:
  During the morning of the surgery day:

  
  

  
  
  • Hold short-acting insulin
  
  
  • Pre-blended insulin (eg. 70/30): give 1/3 of regular dose
  
  
  • Lantus: give a regular dose
  
  

  
  

  Avoid taking any oral diabetes medications on the morning of surgery.

  
  

  
  
  • Metformin
  
  
  • Glyburide
  
  
  • Glipizide
  
  

  
  

  Other prescription drugs:

  
  

  
  
  • MAO inhibitors – Avoid on the surgery day
  
  
  • Premarin – Avoid on the surgery day
  
  
  • Viagra or similar drugs – are not recommended to take 24 hours prior to surgery
  
  

  
  

  Over-the-counter medications:

  
  

  
  
  • Aspirin – avoid taking them 7 days prior to surgery
  
  
  • NSAIDS (ibuprofen, Aleve, naproxen, Celebrex) – avoid taking them 7 days prior to surgery
  
  
  • Iron – Avoid on the surgery day
  
  
  • Herbal supplements and Vitamin E-containing multivitamins – avoid taking them 7 days before surgery
  
  

  
  

  Surgery Day

  
  

  The surgery day schedule will be sent to you by the surgical department the night before your surgery, or at the very latest, 24 hours before. You must check in at the hospital two hours before your scheduled surgery time. In most cases, patients are instructed to abstain from eating or drinking after 12 p.m. on the day before surgery. Regular medications can sometimes be taken with a small amount of water. At your pre-op appointment, you will receive a briefing on prescription guidelines.

  
  

  Contingent upon your age, well-being, and surgical complications, you might need to remain in the hospital overnight. This is mainly discussed with your surgeon during your hospital visit. Kindly leave all valuables at home and wear comfortable clothes.

  
  

  Prescribe Medications on Discharge
  Regular medications you might be prescribed on discharge, please contact your doctor for medication or any health-related issues.

  
  

  Let’s explore more: Before & After Parathyroid Surgery- Dr. Valeria Simone - Southlake General Surgery

  
  

  Appointment

  
  

  If you have any further queries regarding parathyroid surgery, kindly contact us @ 817-748-0200 or You can also make an online appointment with us.

  
  

  Follow us on Facebook and YouTube.

  
  

  Source: Before & After Parathyroid Surgery- Dr. Valeria Simone - Southlake General Surgery

   

  <div class="cArrow"> </div><div class="cContentInner"><p style="padding-left: 210px;"><strong><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="nofollow" target="_top" href="https://southlakegeneralsurgery.quora.com/Before-After-Parathyroid-Surgery-Dr-Valeria-Simone">Before & After Parathyroid Surgery- Dr. Valeria Simone</a></strong></p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Reviewed by <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="noopener nofollow" target="_blank" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/about-us/">Dr. Valeria Simone MD (Southlake General Surgery, Texas)</a></span></p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Understanding what to expect before and after parathyroid surgery is essential, as it can be a life-altering event for many people. The patient and the surgical team should get together before the procedure to go over the procedure’s specifics and any preoperative requirements.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Patients need to adhere to a structured recovery plan after surgery to guarantee a speedy and trouble-free recovery.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Before you see the surgeon, you may need to go through some tests to examine your parathyroid glands. Physical examination may include an ultrasound, a sestamibi scan, or a CT scan. These tests give valuable data to the surgeon about your parathyroid glands.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">You will likewise have routine blood tests. Contingent upon your blood test results, a few people may need to take Vitamin D prior to surgery.</p> <br /> <div class="q-box"> <br /> <div class="CssComponent-sc-1oskqb9-0 QTextImage___StyledCssComponent-sc-1yi3aau-0 cfUEeh"> <br /> <div class="q-box unzoomed" tabindex="-1"><img class="q-image qu-display--block" src="https://qph.cf2.quoracdn.net/main-qimg-135f5a5a2a284d505b1a6209215a6b85" /></div> <br /> </div> <br /> </div> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Before your Parathyroid Surgery:</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Multiple routine screenings are performed before parathyroid surgery to make sure the patient is healthy enough to undergo the procedure.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Blood tests, a complete physical examination, and a review of the patient’s medical history are just some of the things that are often done at least a week or two before surgery.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Depending on your health background, you may additionally need a stress test, chest x-ray, or electrocardiogram (ECG). Your cardiovascular and respiratory health will be evaluated. No in-hospital observation is needed for these examinations.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">These examinations may be ordered by your primary care physician, the surgeon, or a high-risk anesthesiologist, depending on your age and overall health.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Before surgery, you might also be advised to see an endocrine nurse practitioner who will instruct you about the surgery and ensure all your medical examination has been completed.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Medication Instructions</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">PLEASE <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="noopener nofollow" target="_blank" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/about-us/">CONSULT your doctor or surgeon</a></span> PRIOR to changing or halting any of your medications.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Medication Instruction before Surgery:</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Many medications may require discontinuation prior to surgical procedures. Before discontinuing the use of any prescribed medication, you should check with your surgeon or primary care physician.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Medicines related to the heart (like blood pressure medications): AVOID taking them on the surgery day and consult your surgeon:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">Captopril (Capoten)</li> <br /> <li class="q-relative">Enalapril (Vasotec)</li> <br /> <li class="q-relative">Benazepril (Lotensin)</li> <br /> <li class="q-relative">Bumetanide (Bumex)</li> <br /> <li class="q-relative">Candesartan (Atacand)</li> <br /> <li class="q-relative">Eprosartan (Teveten)</li> <br /> <li class="q-relative">Fosinopril (Monopril)</li> <br /> <li class="q-relative">Furosemide (Lasix)</li> <br /> <li class="q-relative">Lisinopril (Prinivil, Zestril)</li> <br /> <li class="q-relative">Metolazone (Zaroxolyn)</li> <br /> <li class="q-relative">Olmesartan (Benicar)</li> <br /> <li class="q-relative">Perindopril (Aceon)</li> <br /> <li class="q-relative">Hydrochlorothiazide (HCTZ)</li> <br /> <li class="q-relative">Iosartan (Cozaar, Hyzaar)</li> <br /> <li class="q-relative">Irbesartan (Avapro)</li> <br /> <li class="q-relative">Quinapril (Accupril)</li> <br /> <li class="q-relative">Ramipril (Altace)</li> <br /> <li class="q-relative">Spironolactone (Aldactone)</li> <br /> <li class="q-relative">Telmisartan (Micardis)</li> <br /> <li class="q-relative">Valsartan (Diovan)</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Blood thinning medicines: Please ensure you have discussed this with your PCP or surgeon before stopping any of these medications.</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">Aspirin – Avoid taking 7 days prior to surgery</li> <br /> <li class="q-relative">Coumadin – Avoid taking 5 days prior to surgery</li> <br /> <li class="q-relative">Heparin – Must be held for 12 hours before surgery</li> <br /> <li class="q-relative">Antiplatelet agents (Plavix, clopidogrel, ticlopidine) – Please follow the instruction of your surgeon or cardiologist.</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Diabetes medications:<br />Insulin – Patients using insulin pumps:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">Carry on with your basal rate ONLY</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Patients not using insulin pumps:<br />During the morning of the surgery day:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">Hold short-acting insulin</li> <br /> <li class="q-relative">Pre-blended insulin (eg. 70/30): give 1/3 of regular dose</li> <br /> <li class="q-relative">Lantus: give a regular dose</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Avoid taking any oral diabetes medications on the morning of surgery.</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">Metformin</li> <br /> <li class="q-relative">Glyburide</li> <br /> <li class="q-relative">Glipizide</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Other prescription drugs:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">MAO inhibitors – Avoid on the surgery day</li> <br /> <li class="q-relative">Premarin – Avoid on the surgery day</li> <br /> <li class="q-relative">Viagra or similar drugs – are not recommended to take 24 hours prior to surgery</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Over-the-counter medications:</p> <br /> <ul class="q-box"> <br /> <li class="q-relative">Aspirin – avoid taking them 7 days prior to surgery</li> <br /> <li class="q-relative">NSAIDS (ibuprofen, Aleve, naproxen, Celebrex) – avoid taking them 7 days prior to surgery</li> <br /> <li class="q-relative">Iron – Avoid on the surgery day</li> <br /> <li class="q-relative">Herbal supplements and Vitamin E-containing multivitamins – avoid taking them 7 days before surgery</li> <br /> </ul> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Surgery Day</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">The surgery day schedule will be sent to you by the surgical department the night before your surgery, or at the very latest, 24 hours before. You must check in at the hospital two hours before your scheduled surgery time. In most cases, patients are instructed to abstain from eating or drinking after 12 p.m. on the day before surgery. Regular medications can sometimes be taken with a small amount of water. At your pre-op appointment, you will receive a briefing on prescription guidelines.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Contingent upon your age, well-being, and surgical complications, you might need to remain in the hospital overnight. This is mainly discussed with your surgeon during your hospital visit. Kindly leave all valuables at home and wear comfortable clothes.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Prescribe Medications on Discharge<br />Regular medications you might be prescribed on discharge, please contact your doctor for medication or any health-related issues.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Let’s explore more: <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="noopener nofollow" target="_blank" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/before-and-after-parathyroid-surgery-at-southlake-general-surgery/">Before & After Parathyroid Surgery- Dr. Valeria Simone - Southlake General Surgery</a></span></p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Appointment</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">If you have any further queries regarding parathyroid surgery, kindly contact us @ 817-748-0200 or You can also <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="noopener nofollow" target="_blank" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/make-an-appointment/">make an online appointment </a></span>with us.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Follow us on <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="noopener nofollow" target="_blank" title="www.facebook.com" href="https://www.facebook.com/southlakegeneralsurgery/">Facebook</a></span> and <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="noopener nofollow" target="_blank" title="www.youtube.com" href="https://www.youtube.com/channel/UC52jtLNZsXETpR7nCYAUCpQ">YouTube</a></span>.</p> <br /> <p class="q-text qu-display--block qu-wordBreak--break-word qu-textAlign--start">Source: <span class="q-inline"><a class="q-box Link___StyledBox-t2xg9c-0 dFkjrQ puppeteer_test_link qu-cursor--pointer qu-hover--textDecoration--underline" rel="noopener nofollow" target="_blank" title="www.southlakegeneralsurgery.com" href="https://www.southlakegeneralsurgery.com/before-and-after-parathyroid-surgery-at-southlake-general-surgery/">Before & After Parathyroid Surgery- Dr. Valeria Simone - Southlake General Surgery</a></span></p></div>

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