Dr. H. Keith Pinchot
www.mainlandpain.com

Dr. Ben Tiongson
www.painreductioncenter.com

Dr. Mikhail Fukshansky
www.mainlandpain.com

Dr. Sherman Nagler
www.foothouston.com

Dr. Bryan Lee
www.foothouston.com

Dr. John Knecht
www.gulfcoastpodiatry.com


Brenda Mosley, RN, BSNAdministrator/Director of Nursing
713-357-4401 direct bmosley@mainlandsurgery.com

Member N. Galveston County Chamber of Commerce

PRE-OPERATIVE INSTRUCTIONS

• CASES BEFORE 1:00PM:

DO NOT EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE YOUR PROCEDURE (this includes water, candy and chewing gum).  Your procedure will be postponed if you ignore this precaution. If you take blood pressure, heart, pulmonary, or pain medication please take with a small sip of water. 

• CASES AFTER 1:00PM:

Eat a light breakfast before 7:00am and take your blood pressure, heart, pulmonary, or
pain medication.  DO NOT EAT OR DRINK AFTER  BREAKFAST (this includes water, candy and chewing gum).   If you are a DIABETIC TAKE YOUR ORAL HYPOGLYCEMIC OR INSULIN. PLEASE CHECK YOUR GLUCOSE LEVEL.

• Bathe or shower on the morning of your procedure to minimize the risk of infection.  DO NOT USE ANY BODY LOTION OR POWDER THE MORNING OF YOUR PROCEDURE.

• Brush your teeth the morning of your procedure, but  DO NOT SWALLOW ANY WATER.

• DO NOT consume alcohol 24 hours prior to your procedure.  Refrain from smoking 12 hours prior to your procedure.  These substances can cause you to have adverse reactions to anesthesia and medication.

• Wear loose comfortable clothing and low-heeled shoes.  If you are having a procedure involving your upper body you may want to wear a shirt, which buttons up.

• Leave jewelry and valuables at home. Remove all make-up and false fingernails before arrival for your procedure

• Stop herbal medications 7 days  Plavix or Coumadin 5 days and ASA and/ nsaids 2 days prior to your procedure 

• Report any health changes to your surgeon, immediately even if the changes seem minor, such as fever, cough, rash, or a cold.  Notify your physician if there is a possibility that you are pregnant.

• Bring insurance cards with you on the day of your procedure, as well as drivers license, social security card and any money due.  You should have received a call from our business office concerning your estimated charges. If you have not received a call about your financial responsibility, call our office at 713-357-4400.

• Arrange for a responsible adult to drive you home and stay with you for the first 24 hours following your procedure.  The effects of anesthesia and sedation will make you drowsy for this period of time. 

• Arrive on time so that your procedure may begin as scheduled.