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What do they do for a Pre Op physical?

Sparky123SSparky123 Posts: 133
edited 06/11/2012 - 7:25 AM in Back Surgery and Neck Surgery
Even though I still haven't had my surgery approved yet by my workmans comp insurance, I'm going in for my Pre Op physical tomorrow. What do they do exactly? I think they told me over the phone way back when I made the appointment, but I can't remember what they told me (must be the pain meds) 8}


  • Depends on the surgeon and the type of surgery, but it generally consists of blood work, a urine analysis (to check for infections), and EKG and Chest x-ray depending on your age, and a written physical by your PMD saying you are cleared for surgery (mostly anesthesia).
  • They probably vary from doc to doc. I had an appt with PT, where they checked to see if I knew how to get in and out of bed (I learned the log roll when I had my hysterectomy years ago), then I went to see the surgeon and got to ask tons of questions and had my FMLA forms filled out, then I went to pre-admission testing, where they listened to my lungs, got my medical history, list of meds, checked my airway to make sure they wouldn't have problems intubating me, did a blood draw, and then I had an EKG. Then I had to stop by imaging and have one last CT scan. I was at the health center from 11 a.m. till 4 p.m. Boy was I starving when I got out of there!!


    3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.
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  • Also, FYI. Most pre ops are only good for 30 days, so if work comp doesn't approve you in time and you don't get scheduled right away, you'll have to have it re-done.
  • Sparky, now I had a pre-op appointment at the hospital a week before surgery with a nurse. I had lab work, urinalysis, chest xray, EKG, vital sign check, weight, history interview. Then I also went to my NS for a pre-op the day before surgery where he just confirmed I was still wanting to procede (gave me a chance to back out, LOL), talked about risks, and performed a very brief physical exam. I think some people have a physical at their PCP just to confirm that they are suitable to undergo surgery. My NS didn't require this as I am 41 in good health otherwise. Just think you are getting one step closer to getting this over and done with. >:D< Cali-Sue
  • Great question Sparky. My preop appointment is next Wednesday at the hospital, so I really appreciate all of the information from everyone! I am starting to get more nervous about the surgery. :SS
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  • I'm scheduled for pre-op tomorrow. I was told I would need blood work, an EKG and chest x-ray.

    When completing my forms, it asked about a flu shot, pneumonia vaccine and tetanus. I've had NONE of these.

    Am I gonna get pricked to death tomorrow???
  • Had it today at my family doctors office, here is what they did...

    Urine test
    Blood test
    Listened to lungs
    Checked airway
    Did a short medical history
    Got a script for a chest x-ray (got it done at local hospital right after physical)
    Got a script for a nose culture (also done at hospital to check for infections)
    Flu shot

    The cost- $550.00 (to my W/C insurance)
    Not sure how much the x-ray and nose culture were.
  • I think it does depend on age. All I had to do was have my vital signs checked (blood pressure, lungs, pulse, etc) and then they just went over my health history. No EKG, no urine sample, etc. I had mine done at the hospital where I had my surgeries. Second surgery I didn't have a pre-op testing appt... Well, I did, but I didn't get to go. It was scheduled for October 3, fusion for Oct 16, but I saw my surgeon 9/25 and they did surgery the next morning, but she said since I was young and in otherwise good health, it was fine that I didn't have a pre-op testing appt that time.
  • Wow, all I had was an EKG. As I was 46 and had a BMI of 28 they just wanted to make sure that my ticker could withstand a 4 hour surgery.
    Keep positive!


    ...an old timer here and ex-moderator

  • It's to make sure your healthy enough to with-stand the major surgery, the anestetic, the powerful drugs they will give you after, that your not a bleeder, etc... It's the same thing they do for any surgery where they're going to put you nite-nite for any length of time
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