Surgeon Presurgical Instructional Physical Therapy Session Name Phone # Date Time Call (585) 341-9200 to schedule. Surgery Presurgical Screening Appointment Date of Surgery (we will call you to schedule) Joint Being Replaced: r Left r Right r Shoulder r Elbow Date Time Questions: (585) 341-0753. Leave a message and we will return your call. Medical Clearance (doctor statement that I can have surgery) Confirm Surgery Time Doctor Call (585) 341-6707 day before surgery between 2 p.m. and 4 p.m. Date of Medical Clearance Sign up for MyChart: Visit mychart.urmc.rochester.edu Other Doctors I Need to See I have questions about Support System (designated person to help during journey) Name Phone # . ORTH_SE_JNT_GUID_P_1219 Physical Performance Physical Orthopaedics & & Orthopaedics Physical Performance Physical Orthopaedics & & Orthopaedics . Replacement Joint Total Shoulder and Elbow Elbow and Shoulder GUIDEBOOK TO GUIDEBOOK joint.urmc.edu (585) 784-2966 784-2966 (585) Rochester, NY 14620 NY Rochester, 1000 South Avenue Avenue South 1000 Evarts Joint Center at Highland Hospital Highland at Center Joint Evarts at Highland Hospital Highland at Evarts Joint Center Center Joint Evarts FRONTPANEL Surgeon Presurgical Instructional Physical Therapy Session Name Phone # Date Time Call (585) 341-9200 to schedule. Surgery Presurgical Screening Appointment Date of Surgery (we will call you to schedule) Joint Being Replaced: r Left r Right r Shoulder r Elbow Date Time Questions: (585) 341-0753. Leave a message and we will return your call. Medical Clearance (doctor statement that I can have surgery) Confirm Surgery Time Doctor Call (585) 341-6707 day before surgery between 2 p.m. and 4 p.m. Date of Medical Clearance Sign up for MyChart: Visit mychart.urmc.rochester.edu Other Doctors I Need to See I have questions about Support System (designated person to help during journey) Name Phone # . ORTH_SE_JNT_GUID_P_1219 Physical Performance Physical Orthopaedics & & Orthopaedics Physical Performance Physical Orthopaedics & & Orthopaedics . Replacement Joint Total Shoulder and Elbow Elbow and Shoulder GUIDEBOOK TO GUIDEBOOK joint.urmc.edu (585) 784-2966 784-2966 (585) Rochester, NY 14620 NY Rochester, 1000 South Avenue Avenue South 1000 Evarts Joint Center at Highland Hospital Highland at Center Joint Evarts at Highland Hospital Highland at Evarts Joint Center Center Joint Evarts FRONTPANEL Welcome Table of Contents Thank you for choosing Evarts Joint Center at Highland Hospital, part of UR Medicine Orthopaedics & Physical OUR SHOULDER & ELBOW TEAM Performance. Here, you will receive the most advanced Treatment Team ........................................................... 2 care and widest range of treatment options from UR Orthopaedic Surgeons ................................................ 2 Medicine surgeons in the comfortable setting of a community hospital. SURGERY PREPARATION Logistical Checklist ...................................................... 3 Our team is highly trained and performs the most Getting Physically Ready for Surgery ......................... 5 shoulder and elbow replacements and reconstructions Understanding Anesthesia .......................................... 5 in the Rochester area. There is considerable evidence showing that surgeons who perform more shoulder and HOSPITAL STAY elbow replacement procedures achieve better outcomes for their patients. All the surgeons on our team are Day of Surgery ............................................................. 6 fellowship trained, the highest level of training available During Your Stay – What to Expect ............................ 6 for the specialty. Pain Management ....................................................... 7 Physical Therapy .......................................................... 7 We are the only joint center in the region affiliated with Occupational Therapy ................................................. 7 UR Medicine, one of the top-5 National Institutes of Keeping Lungs Clear ................................................... 7 Health funded research organizations in musculoskeletal research. This means our doctors are advancing care in the lab and classroom and can then bring their YOUR RECOVERY breakthrough medical insights to our patients. Discharge Plan ............................................................. 8 The quality of our services has been recognized with Transportation ............................................................. 8 the Gold Seal of Approval™ from the Joint Commission, Discharge Medications & Highland Pharmacy ........... 8 the nation’s leading organization for setting rigorous Incision Care ................................................................ 8 health care standards. And, our state-of-the-art joint Caring for Yourself at Home ....................................... 9 replacement surgery center provides the highest level Sling Use ....................................................................... 9 of care with your comfort and ease of recovery as top priorities. Blood Clot Prevention ................................................. 9 Infection Prevention..................................................... 9 This guide will help you feel comfortable and confident Controlling Discomfort ................................................ 9 throughout your surgical journey as you move toward Temporary Changes ..................................................... 10 recovery and a life of greater mobility and independence. Dressing Yourself ......................................................... 10 Bring this guide to the hospital and keep it Life After Surgery ........................................................ 10 as a handy reference for at least the first year Living With Your New Joint ........................................ 11 after your surgery. When to Call for Medical Help ................................... 11 Included are several areas where you can record your Physical Therapy .......................................................... 11 questions to help you take an active role in your surgical journey. APPENDIX Exercises........................................................................ 12 For more information about the Evarts Joint Center, please visit joint.urmc.edu.Your surgeon, nurse, or Your surgeon, nurse, or therapist may add to or modify the recommendations in this guide. Always use their recommendations first and be sure to ask questions if any information or instructions are unclear. Our Our Team Team Orthopaedic Surgeons Treatment Team SurgeryIlya Voloshin, M.D. Surgery Orthopaedic Surgeon – Performs your surgery and directs your Preparation ChiefPreparation of the Shoulder and Elbow Division medical care. Professor, Department of Orthopaedics Anesthesiologist – Administers anesthesia to manage your pain Fellowship trained, Columbia University and keep you safe during surgery; will meet with you immediately Appointment: (585) 275-5321 before surgery to discuss your anesthesia options. Office: (585) 242-1321 Physician Assistant (PA)/Nurse Practitioner (NP)/ Orthopaedic Resident Physician – Assists during surgery and Hospital Hospital helps monitor your recovery; functions as an extension of the surgeon. Stay Stay Geriatrician – Specializes in the care of elderly patients and is Constantinos Ketonis, M.D., Ph.D. available to assist surgeons in managing complex medical problems Assistant Professor, Department of Orthopaedics as part of the Geriatric Fracture Center. Fellowship trained, The Curtis National Hand Nurse – Monitors vital signs, draws blood, places IV, monitors your Center pain, administers medication, and tracks your progress. Your nurse is Appointment: (585) 275-5321 your primary point of contact for you and your family while you are in Your Office: (585)Your 275-6970 Recovery Recovery the hospital. Patient Care Technician (PCT) – Assists nurses with vital signs and hygiene routine, and can help you get in and out of bed. Physical Therapist (PT) – Helps restore your shoulder or elbow Bilal Mahmood, M.D. range of motion, strength, and function. You will work with a PT in an Assistant Professor, Department of Orthopaedics outpatient location after surgery. Fellowship trained, Hospital for Special Surgery Occupational Therapist (OT) – Focuses on activities of daily living Appointment: (585) 275-5321 (ADL) that help you achieve independence, such as dressing and Office: (585) 275-7893 personal hygiene. Social Worker – Coordinates your discharge needs. Home Care Agency Coordinator – Arranges for services and equipment for your recovery, as needed, in your home. Sandeep Mannava, M.D., Ph.D. Assistant Professor, Department of Orthopaedics Locations Fellowship trained, The Steadman Clinic PHYSICAL MEDICINE AND REHABILITATION Appointment: (585) 275-5321 Clinton Crossings Office: (585) 242-1409 4901 Lac de Ville Blvd. Bldg. D, Suite 250 Rochester, NY 14618 (585) 275-3271, opt 3 REHABILITATION AND MD LOCATIONS Clinton Crossings Strong West Gregg Nicandri, M.D. 4901 Lac de Ville Blvd., Bldg. D 156 West Avenue Associate Professor, Department of Orthopaedics Rochester, NY 14618 Brockport, NY 14420 (585) 341-9150 (585) 637-0329 Fellowship trained, Duke University Appointment: (585) 275-5321 South Pointe Landing Platinum Office Building Office: (585) 276-4874 10 South Pointe Landing 2064 Fairport Nine Mile Road Rochester, NY 14606 Penfield, NY 14526 (585) 225-6296 (585) 851-0700 2 Our Our Team Team Surgery Surgery Preparation Preparation Logistical Checklist