General Practitioners

• Arthritis
• Medical Weight Loss
  Herbal medications should be discontinued two to three weeks prior to surgery. Diet medicines for weight loss should be stopped two weeks prior to surgery by the physician who prescribed it. Vitamins and other supplements should be held the day of your surgery.
• Primary Care
  Postoperative pain control can start preoperatively. For patients who are expected to have substantial pain a medication may be prescribed preoperatively such as Celebrex (Cox 2, doesn't interfere with bleeding) 400 mg/day or similar non-steroidal anti-inflammatory (NSAI) medication (may not be covered by insurance) that can be be used starting either the day before or the morning of surgery with a sip of water. Tylenol 1000 mg (if you do not have liver problems and it is allowed by your primary care physician) four times a day starting the day prior to surgery and including the morning of surgery may help postoperative pain. (Maximum dose of Tylenol is 3000 mg/day including all sources (percocet, Tylenol with codeine and other medications also contain Tylenol). The effect of taking Celebrex (or other anti-inflammatory) and Tylenol seem to be additive (synergistic). Celebrex or other anti-inflammatory is usually continued postoperatively for 2-5 days until the pain is controlled. It may be stopped as soon as the pain is under control. Other anti-inflammatory medications or aspirin should not be taken at the same time unless it is allowed by your primary care physician. If Celebrex is not covered by your insurance or you do not have a prescription for an anti-inflammatory an over the counter (OTC) anti-inflammatory (NSAI) such naproxen or ibuprofen can be used if you are normally allowed to take these medications. Naproxen (Aleve, Anaprox, Naprosyn etc) approximately 500-550 mg two times a day with food is recommended. Alternatively ibuprofen (Advil,Nuprin, Motrin etc) 600 mg to 800 mg 3-4 times per day (maximum dose 3200 mg/day) with food. If gastrointestinal (GI) symptoms arise please discontinue the anti-inflammatory medications. Naproxen, ibuprofen or other non-Cox 2 anti-inflammatory medictions can not be taken for 5-7 days prior to surgery. Also NSAI medications may interfere with bone healing. Therefore they should be limited if bone healing is necessary for your recovery. This includes fracture healing, healing of fusions or bone ingrowth for prosthesis. Also NSAI medication, besides Celebrex, generally interfere with platelet function and they may cause increased bleeding during surgery and postoperatively and therefore should not be used for 5 days preoperatively. If questions arise please check with the office.
• Electrocardiogram
  Preadmission screening is a process which will involve a transfer of information between you and the facility where you are having surgery. An actual visit to the facility may or may not be necessary. The PAS process is designed to allow appropriate medical evaluation prior to your surgery. It is a very important part of your surgery and should be treated as such. It will help ensure a safe and efficient day of surgery and help avoid delays. The process includes the appropriate history and physical (our physicians, physician assistants or nurse practitioners or possibly your primary care physician), laboratory studies (blood test, chest x-ray or EKG as needed). The need for the tests is determined by your age and medical problems as well as the type of procedure planned. Therefore it may be different for each person and procedure. Most patients will not need to visit the facility preoperatively. However, you may be asked to visit with the facility preoperatively based on your age, medical problems and procedure being performed. If you are asked to visit the facility it is for your safety and should be scheduled. PAS may include transfer of information over the phone, online or in person. Please have all insurance information available. Have a list of all your medications including doses, previous surgical procedures and all medical problems. If you have had substantial medical problems you may have to obtain previous medical records including but not limited to EKG, echocardiograms, stress tests, angiograms etc. Please have the names, addresses and phone numbers of your primary care physician and previous specialists involved in your medical care.

Endocrinologist

• Diabetes Care

Radiologist

• MRI
  We have onsite x-ray at all locations and onsite therapy therapy at some locations to help provide comprehensive care. Emergent CAT scans and MRI’s can often be done the same day. So please plan accordingly.
• Radiology
  In 1999, after over 30 years of taking care of hand problems, we opened the Hand Center at the New England Baptist Hospital. This enabled us to provide comprehensive services for your hand problems. We developed a team approach which may include physician assistants, hand surgery fellows, hand therapists, and radiology staff. All are specifically trained to help in the care of your hand and upper extremity problems.
• X-Rays

Surgeons

• Orthopedics
• Joint Replacement
  All patients who are having total joint replacement (total elbow arthroplasty, total wrist arthroplasty) surgery should see a dentist at least one month prior to surgery because dental work should be discouraged post operatively if possible for 6 months after surgery. Postoperatively after Joint replacement (Elbow, wrist) antibiotic prophylaxis for dental procedures may be needed for high risk individuals having high risk procedures that will cause a bacteremia. This depends on whether the gingival tissue is being manipulated or there is perforation of the oral mucosa, whether the patient is immunocompromised, whether the patient has diabetes mellitus and if their glucose is under control, history of previous prostatic infection and length of time since the joint replacement. In 2016 the AAOS board approved an Appropriate Use Criteria (AUC) for management of patients with orthopedic implants undergoing dental procedures. Please go to this webpage and there is an algorithm to determine if antibiotics are appropriate. This is a guideline and you should speak to you your surgeon if you has any questions. The full AUC pdf is also available. Usually if it is less than 6 months post joint replacement we would recommend antibiotic prophylaxis. Again please check with your surgeon.
• Hand Surgery
  Our practice started as Hand Surgical Associates in approximately 1970 by Dr. Edward A. Nalebuff, MD and later with Dr. Lewis H. Millender, MD. This was the first Hand Surgery practice in Boston and in the New England region. Later, in 1990, they were joined by Dr. Andrew L Terrono, MD and then in 1998 by Dr. Paul Feldon, MD.
• Orthopedic Surgery
  The New England Baptist Outpatient Care Center at Dedham is a state-of-the-art facility conveniently located off of Route 128. With a focus on sports medicine and orthopedic surgery, the Center offers patients a complete experience where all of their outpatient surgical, pain management, and rehabilitative needs can be met in one place. Services offered include physician consults, ambulatory surgery, hand therapy
• Reconstructive Surgery
  Casts are still a tried and true method for the treatment of broken bones as well as many other injuries. They are used frequently after reconstructive surgery. Simple cast care instructions are important to prevent problems. These are only guidelines and any questions should be directed to your physician.

Physical Therapists

• Sports Medicine
  Our staff of highly skilled Orthopedists are trained in all areas, specializing in Workers' Compensation injuries and Sports Medicine.
• Physical Therapy
  Joint replacement is a surgical procedure in which the worn, damaged surfaces of the joint are removed and replaced with new artificial parts. Your doctor may consider a joint replacement if you have severe pain which limits daily activities and is not relieved with medications, injections, physical therapy, or other treatments. The goal of the surgery is to relieve pain and restore the alignment and function of your joint.
• Tennis Elbow