General Practitioners

• Medical Weight Loss
  It is also important to avoid smoking as much as possible before the surgery, including marijuana and vaping. Please avoid any herbal supplements, weight loss medications, unprescribed or illegal medications.
• Colonoscopy
  Twilight sleep is given for procedures that do not require a breathing tube - including, but not limited to: colonoscopy and upper endoscopy, many hand and foot surgeries, breast biopsy and hysteroscopy. Propofol is usually administered along with a sedative and pain medicine through an IV. This is a very safe and comfortable anesthetic that causes very little “hangover” feeling. People often say it is the best sleep ever.

Ophthalmologists

• Cataracts
  There are multiple types of anesthesia that offer a range of effects. The lightest type of anesthesia is called MAC (Monitored Anesthesia Care), and is given for minor procedures like cataract surgery. This includes a light sedative and perhaps a little narcotic, administered through an IV, to keep patients comfortable, but responsive for certain procedures.
• Cataract Surgery

Gynecologists

• Labor and Delivery
  Regional anesthesia is a type of anesthetic that numbs a portion of the body (a “region”). Examples include spinal for a hip or knee surgery, epidural for childbirth or cesarean and peripheral nerve blocks that numb arms, shoulders, legs and feet. These anesthetics have a number of benefits, including decreased risk of nausea and vomiting, and decreased need for narcotics. They can also provide longer lasting post operative pain relief. Regional anesthetics are usually administered with sedation or Propofol to minimize awareness and anxiety.

Internists

• Endoscopy

Psychiatrists

• Anxiety

Endocrinologist

• Diabetes Care

Surgeons

• General Surgery
  Our ERAS program varies with different surgical services but is designed overall to reduce pain, decrease hospital and most importantly to get our patients back to normal, as soon as possible.
• Joint Replacement
  In the recovery room, nursing staff will encourage early eating and ambulation. Even after joint replacement surgery, our nursing staff will help you get out of bed on the day of surgery. Cardiac patients are often extubated in the operating room rather than spending hours or days on a respirator in the ICU. Non-narcotic pain relievers are given around the clock with narcotics only offered when needed.
• Robotic Surgery
  General anesthesia is necessary for certain major and minor procedures, including laparoscopy, appendectomy, robotic surgery, larger specialized surgeries like head and neck, and most plastic surgeries. This requires a breathing tube, almost always placed while asleep, and usually the administration of anesthesia gas. Occasionally TIVA (Total IV Anesthesia) can be given rather than anesthesia gas. Sedatives are given prior to induction of general anesthesia and pain and antiemetics are given during the procedure.
• Hip Replacement
• Laparoscopy

Physical Therapists

• Physical Therapy

Podiatrists

• Podiatric Surgery
  During some procedures it is possible to be awake. Good examples include some orthopedic procedures, like knee or hip replacement or hand or foot surgery. It is routine for women to have a Cesarean section with a regional anesthetic and be awake for the birth of their baby. Unfortunately, many surgeries require a patient to be asleep. We are happy to discuss all options and design a plan that works for each person.