The Surgery Plan

It's important for you to make sure that all appointments and necessary tests are done to ensure that your surgery will not be delayed or cancelled.

Medical Clearance by an Internist or Primary Care Doctor:

Prior to any surgeries with Dr. Rajaee, you will need to set up an appointment with your primary care doctor or  internal medicine specialist who has privileges at Cedars-Sinai. This will help to ensure that all necessary testing and blood work is done in time for your surgical procedure.In certain situations, you may be also required to see your sub-specialists as part of your pre-operative clearance protocol.

For example, patients with heart disease may be required to see their cardiologist prior to surgery. Certain patients will also be required to have a visit with the Cedars-Sinai Anesthesiologist team prior to your procedure.  If this was recommended to you, please call to schedule your appointment at:

Cedars-Sinai Medical Center Anesthesia Pre-Procedure Evaluation Center (APEC):

(310) 423-4068

Advanced Health Sciences Pavilion 127 South San Vicente Boulevard Plaza Level, Suite A2600A Los Angeles, CA 90048 Parking Parking Lot #4 (P4),

Advanced Health Sciences Pavilion, Street Level. Entrances located on S. San Vicente Blvd and Sherbourne Way. Valet and handicap parking is available. Parking is validated in this location.

Studies and testing:

You will be required to get certain blood tests  and imaging tests by your internist as part of your medical clearance (blood tests, urine sample test, EKG, chest X-ray).

Blood management:

In Dr. Rajaee’s practice, blood donation is not routinely recommended prior to surgery, as the risk of transfusion for most patients is low. Dr. Rajaee uses medication and anesthetic techniques at the time of surgery that make the need for a blood transfusion rare. If you have questions regarding blood management, please call our office.

Pre-operative Joint Replacement Online Teaching Class (one week prior to surgery):

All patients are required to watch the online joint replacement education video prior to their surgery. Patients are generally asked to stop all blood thinning medications such as aspirin, coumadin, plavix, Ibuprofen, Naprosyn, Indocin, Voltaren, Cataflan, Relafen, vitamins and any herbal supplements.

In certain situations, patients may be allowed to continue their aspirin or other medication if deemed appropriate by the surgeon and the patients internal medicine doctor . You can continue to take: Tylenol, Celebrex, Mobic (meloxicam), Ultracet and Tramadol.*Instructions regarding any other medications that you are taking and not listed above, should be discussed at your preoperative medical clearance appointment.

Good tips for before and after your surgery to help you heal:

✓ Do not drink any alcohol
✓ Stop smoking or using tobacco
✓ Eat healthy foods
✓ Keep exercising as directed by your surgeon or physical therapist

The night before surgery:

✓ You should not eat or drink anything after midnight the night before your surgery
✓ The hospital will call you the day before your surgery with the time of arrival and where to go
✓ You should wash your body with anti-microbial soap the day prior to your surgery.  If you did not receive this at your pre-operative clinic visit, this can be purchased at most pharmacies

What to bring the day of surgery:

✓ Bring a list of medications, your insurance card and a photo ID
✓ Arrange for a friend or family member to drive you to the hospital as you will not be able to drive after surgery
✓ Make sure you have a ride arranged for going home afterwards
✓ Bring a change of comfortable clothes to change into once you are discharged from the hospital
✓ Patients must arrive at the time they were instructed to avoid the cancellation of surgery

Location of surgery:

Advanced Health Sciences Pavilion (AHSP)
127 S San Vicente Blvd, Los Angeles, CA 90048
4th Floor • Information Desk • Lot –P4

- or -

Ventana Ambulatory Surgery Center
18133 Ventura Blvd, 4th Floor, Tarzana, CA 91356