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OF KENTUCKY, P.S.C.
250 FOUNTAIN COURT
LEXINGTON, KY 40509
FAX (859) 254-1814
Instructions for Our Surgical Patients
Established in 1951, Dermatology Associates of Kentucky, P.S.C. is one of the largest and most comprehensive dermatologicpractices in the United States. We have an experienced, compassionate surgical team that is committed to your health, comfort,and safety. Surgeries are performed in our fully accredited ambulatory surgery center. Our goal is to provide you with thehighest level of care before, during, and after your upcoming surgery.
s to help ensure a successful and pleasant surgical experience:
If you have a history of heart disease, strokes, clots, DVT, or cardiac arrhythmias, please CONTINUE ALL blood
(including coumadin and warfarin) as prescribed by your cardiologist or physician. This reflects a policy
change to reduce the risk of heart attack or stroke in high-risk patients.
For other patients, it is helpful to discontinue blood thinners as instructed below, to minimize bleeding during surgery,
Avoid medicine containing aspirin, ibuprofen, and all other non-steroidal anti-inflammatory medications(refer to list below) for 7 days prior to your procedure.
Please avoid all
alcohol and vitamin E for 3 days prior to your procedure.
You should also stop ginko, ginseng, papaya, sweet clover, tamarind, and garlic supplements 7 days prior to surgery.
*Please consult your prescribing physician before stopping any blood thinners. If they do not feel you should stop, please contact our surgical coordinator.
The following MAY be continued:Acetaminophen
your other regular medication as prescribed, including on the day of surgery.
Please stop smoking for at least 7-14 days prior to surgery to improve wound healing and reduce
scarring and infection risks.
Do not wear any makeup or pullover clothing on the day of surgery. In general, most surgical sites are onthe face, and pulling tight clothing over the wound may cause discomfort or bleeding. (If your wound ison another part of the body, you may want to consider your clothing for the day as well, perhaps sweatpants, sleeveless shirts, etc.)
4. Unless instructed otherwise, you must have someone accompany you on the day of surgery who can
drive you home and stay with you the remainder of the day
. You will most likely receive an oral
sedative (eg. Valium) prior to surgery. Some patients may feel a bit light-headed or tired after surgery.
You will likely have bending/lifting restrictions for at least three days following surgery. More strenuous
activities, like golf, tennis, and heavy lifting, are best avoided for 3 weeks after surgery.
accordingly with respect to work and social activities. This is a safety precaution. If this presents a problem,
please contact our surgical coordinator.
If you are scheduled to undergo Mohs micrographic surgery for skin cancers, you should be prepared tospend most of the morning, (typically 3-5 hours) and sometimes part of the afternoon, at our office. Pleasebring a book or something to help pass the time.
Get a good night’s sleep, and due to the amount of time you may spend with us, please eat a light breakfast
or lunch before your surgery. We will only use local anesthesia, generally Lidocaine with epinephrine,
(you will not be put to sleep)
so this will not affect our work and will make your time spent here more
In some cases, the surgery can be more extensive than anticipated-particularly for skin cancers of long standingduration and those that have recurred following previous therapy. Although it is rare, we must occasionallyadmit a patient to the hospital for observation, continue further surgery on the following day, or enlist theassistance of other surgical specialists.
If you are unable to keep your surgery appointment, please contact our surgical coordinator at(859) 977-2290 (our regular scheduling staff cannot change your surgical appointment) at least 48-72hours in advance, so we may use your surgical slot to accommodate another cancer patient.
If you have any questions or concerns, please do not hesitate to contact us.
For Your Information: If you are driving a long distance
to come to our office and are interested in staying at a
hotel over night, the following hotel offers a reducedrate to surgical patients.
(I-75 Exit 108)2.4 miles from our office!
250 Fountain Ct.
From I-75take Exit 104to Richmond Rd.
Pemphigus Vulgaris: Rituximab therapy – case series on three patients S M B Ekanayake1, Senior Registrar in Dermatology, Teaching Hospital, Kandy M Dissanayake2, Consultant Dermatologist, Teaching Hospital, Kandy Abstract Pemphigus vulgaris (PV) is an immunobullous disorder caused by pathogenic autoantibodies against Desmogleins. Many therapies have been designed to reduce autoantib
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