A medical clearance checkup or pre-surgical evaluation is scheduled with a primary care, New York City doctor prior to a planned surgery. During this evaluation, our NYC primary care doctors evaluate your health and any issues that may lead to your surgery and recovery being as safe as possible. It may include diagnostic tests such as urinalysis/EKG/blood work or other evaluation depending on the specifics of your condition.
Studies have shown that a physical exam and evaluation prior to surgery can help and may even shorten recovery times and lead to better outcomes.
If you are preparing for planned surgery under general anesthesia, it’s important to have a preoperative evaluation. The goal of this evaluation is to reduce the risk of surgery and to ensure you recover as quickly as possible.
Our experienced primary care physicians can provide comprehensive preoperative assessments that will help to determine if you are fit for surgery.
The procedure for pre-surgical clearance will include:
- General health assessment
- Physical examination
- Laboratory tests.
General Health Assessment
Initially, our physician will need to review your complete medical history and surgical history and your family’s medical history. They will also ask you about your social history, which is your use of tobacco and alcohol, use of any drugs, your history of allergies, and any recent drug therapy and unusual reactions. Your medication use is particularly crucial.
It’s possible you may need to discontinue using some drugs preoperatively because of the risk of interactions with drugs used during anesthesia. We will ask if you have had any previous reactions associated with anesthesia or if there is a family history of adverse reactions to anesthetic.
Your general health assessment is a comprehensive review designed to look for any signs of inadequately controlled chronic diseases or undiagnosed disease. Diseases affecting the respiratory and cardiovascular systems are especially important when assessing a person’s fitness for anesthesia and surgery.
Your physical examination continues to build on the information gathered during your general health assessment. It will most likely include an assessment of your heart and lungs, and your airway, documenting your vital signs.
If we detect any abnormal findings, we may order other tests to investigate these before your surgery.
Assessing Your Cardiovascular Risk
It’s important to assess your heart health, including its functional capacity and the possible risks of surgery. This is especially critical if you have had any heart problems.
We may order specific laboratory tests based on your general health assessment and your physical examination and based on the type of surgery required.
Lab tests typically ordered include:
- Complete blood count to check your kidney and liver function
- Fasting glucose test
We may also order an electrocardiograph to assess your heart health and a chest radiograph to check the condition of your lungs.
Based on our findings, we might want you to visit other doctors. These may include a heart doctor or cardiologist if you have a history of heart problems, have high blood pressure or diabetes, or if you smoke heavily or are out of shape.
You may need to see a diabetes doctor if you have diabetes or if your fasting glucose test identifies high blood sugar. People with sleep apnea might need to see a sleep doctor as this condition can cause pauses in breath during sleep. Anyone with a history of blood clots or who has close relatives who have had blood clots may need to see a hematologist specializing in blood disorders.
Every assessment for pre-surgical clearance is tailored individually according to your age, medical history, the surgery required, and your level of risk.
If you are relatively healthy and we do not identify any risk factors, your assessment will most likely be very straightforward requiring very few tests. However, if your medical history is more complicated, we may need to order additional tests.
Our aim is to health ensure your surgical procedure is as safe and as smooth as possible. Overall, the general risk of surgery is very low for healthy people.
Our award-winning physicians and best doctors in Manhattan and New York’s Upper East Side look forward to meeting with you and discussing your needs.
Preoperative Clearance for Patients in NYC
Please make an appointment at one of our convenient locations in Midtown Manhattan or Upper East Side with our primary care physicians. Our general practitioners and internist doctors look forward to meeting you!