Welcome to Center for Advanced Surgical Treatment

Opening Hours : Monday to Friday - 8:00am to 4:30pm
  Contact : (832) 223-9200

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Advance Directives

An advance directive is a legal document that tells your family, friends, and healthcare professionals the care you would like to have if you become unable to make medical decisions. Through advance directives, you can make legally valid decisions about your future medical treatment.

You do not need a lawyer to complete your advance directives. However, you should be aware that each state has its own laws for creating advance directives.

There are three advance directives recognized in Texas:

  • The Texas Medical Power of Attorney appoints someone to speak for you any time you are unable to make your own medical decisions, not only at the end of life. Your attending physician must certify in writing that you are unable to make health care decisions and file the certification in your medical record.
  • A living will, officially known in Texas as the Directive to Physicians and Family or Surrogates, describes the kind of medical treatments or life-sustaining treatments you would want if you were seriously or terminally ill. A living will should be signed, dated and witnessed by two people, preferably individuals who know you well but are not related to you and are not your potential heirs or your health care providers.

By creating an advance directive, you are making your preferences about medical care known before you’re faced with a serious injury or illness. This will spare your loved ones the stress of making decisions about your care while you are sick. Any person 18 years of age or older can prepare an advance directive.

In order to make your directive legally binding, you must sign it, or direct another to sign it, in the presence of two witnesses who must also sign the document.

Who will perform my anesthesia?

Our center cooperates with anesthesia services providers specializing in providing anesthesia at the Ambulatory Surgery Center setting. A team consisting of a board certified anesthesiologist and certified nurse anesthetist will care for you. This team approach provides maximum patient safety.

Home Recovery after Surgery

Recovery from surgery takes some time. The length of recovery depends on type of the surgery. Your surgeon will go over the specific postoperative treatment protocol with you and your family. We strongly encourage that you make arrangements to have an adult family member or companion assist you during the postoperative period. (We may require that an adult be with you at home.) Any special instructions necessary for the recovery period at home will be relayed to you by the nurse before you leave the Ambulatory Surgery Center. It is not unusual that patient forgets some informations. Generally, we will provide postoperative instructions to your companion as well and instructions will be provided to you in written form. The following are addition guidelines to the formal instructions for all patients:

  • Call your surgeon if you have any unusual symptoms or unexpected changes in your condition.
  •  Do not take any other medications other than those prescribed by your physician.
  •  Do not take any other medications other than those prescribed by your physician.
  • Avoid all alcoholic beverages.
  •  Do not drive or operate machinery or heavy equipment for at least 24 hours after your surgery.
  • Do not drive or operate machinery or heavy equipment for at least 24 hours after your surgery.
  • Avoid signing any legal documents for at least 24 hours after your surgery.
  • You may not be alone at home for at least the first night after your surgery.

Our nurse will call the patient the day after his/her surgery to see how he/she is doing, talk about any concerns and generally try to get any feedback from him/her. We welcome any comments and hope that if you receive a survey, you will feel free to add any suggestions.

What happens after surgery

After surgery there will be various choices of a recovery route. The choice will be based primarily on your medical condition and safety needs. Some patients are alert and oriented immediately after surgery. They may well bypass the normal recovery room and go directly back to their rooms and recover in a comfortable chair with their families. Others may go to a normal recovery room where they will be carefully monitored by highly trained recovery room nurses with state-of-the-art equipment. Light nourishment will be available. As soon as the patient feels up to it, one adult visitor will be invited to visit the patient. When the anesthesiologist determines that the patient is ready to go home, the nurse will give written instructions for recovery at home. We will try to have your prescriptions called into the pharmacy, etc. so that your transition home can be as smooth and easy as possible. Once the patient is ready to leave, he/she will be escorted to his/her car by our personnel. No patient will be allowed to go home until we are absolutely satisfied with the safety of his/her discharge. In rare circumstances we may decide that it is best for you to be admitted to the hospital.

Please remember that we may not discharge you to any empty home. It is your responsibility to arrange to have someone at home with you for at least the first night. We will confirm that you have made arrangements.

What information can be found in my health record

health record is created any time you see a health professional such as a doctor, nurse, dentist, chiropractor, or psychiatrist. You could find the following in your health record:

  • Your medical history and your family’s medical history
  • Labs and x-rays
  • Medications prescribed
  • Alcohol use and sexual activity
  • Details about your lifestyle (smoking, exercise, recreational drug use, high-risk sports, stress levels)
  • Doctor/nurse notes
  • Results of operations and proceduresGenetic testing
  • Research participation
  • Any Information you provide on applications for disability, life or accidental insurance with private insurers or government programs
  • Driver’s License
  • Social Security Number
  • Financial information such as credit cards and payment info

Who has access to my health records

Many more people than you would ever want, including people outside the health care industry.

  • Insurance companies
  • Government agencies especially if you receive Medicare, Medicaid, SCHIP, SSI, Workers Comp or any local, state or federal assistance
  • Employers
  • Banks, Financial Institutions
  • Researchers
  • If you are involved in a court case, your health records can be subpoenaed and available to the public
  • Marketers
  • Drug companies
  • Data miners
  • Transcribers in and outside the U.S.
  • Many health websites collect information about you

What is the best way to deal with paperwork before surgery?

Pre-Registration

We strongly support and encourage you to get the paperwork out of the way before the morning of your surgery. Getting all your paperwork completed before your day of surgery provide necessary piece of mind that there will be no “surprises” that may cause delay or cancellation of your surgery. Preregistration includes the admission forms, the billing forms, copayments and money matters, and possibly bringing some parts of your medical records.

For your convenience, please contact us to receive the necessary forms

Can my personal health information be used and disclosed without any notice to me or without my informed consent at the time of treatment

Yes.

The Amended HIPAA Privacy Rule states only that you must receive a Privacy Notice telling you how your personal health information will be used and disclosed. Section 164.520(c) (2) (i) (A).
Privacy Notices are often mistaken for consent forms, but they are simply notices telling you what will happen to your medical records.

The Night Before Surgery

You may have received instructions from us or your surgeon pertaining to the night before surgery. These instructions may have contained specific information about fasting, what time to be at the Center, Skin preparation, and other guidelines you may need to follow. We will nevertheless make every effort to contact every patient personally the day before surgery. This call is intended to help us better prepare for your visit, and to help you be prepared for your stay.

During this call, our nurse will ask a routine set of questions. You will be given instructions as to where and when to be at the Center, what to wear, what medications to take and what other arrangements you need to make. You will be given ample opportunity to ask any questions or make any requests at that time.


 

HOME MEDICATION

If you regularly take medications, we generally expect you to continue taking these medications unless indicated otherwise by your surgeon or anesthesiologist. Do not hesitate to call regarding this matter if you have any doubt. Please bring all your medications with you on the day of surgery.


 

IF YOU GOT SICK

If you notice any recent change in your health, particularly fever, colds, etc., please notify your surgeon and the Center as soon as possible.


PERIOD

Should you be undergoing a gynecological procedure only and you commence menstruating, please contact your surgeon or the Center as this may delay your surgery.


UNFORESEEN CHANGE OF THE PLAN

If you are unable to keep your appointment, please notify us as soon as possible.


 

PATIENT IS A MINOR

If the patient is a minor, at least one parent/guardian needs to remain on the premises at all times and must accompany the child home.


TRANSPORTATION HOME AND FIRST NIGHT HOME

Patients will not be allowed to drive, walk or take public transportation following sedation or anesthesia. Please make the appropriate arrangements. If you have been given general anesthesia, please make arrangements for a companion to be with you for at least twelve hours after the surgery. If you have problem with transportation please let us know we will do our best to help you.


 

EATING AND DRINKING BEFORE SURGERY 

Please feel free to have a hearty dinner and to eat and drink normally the night before surgery. You will receive specific instructions regarding fasting for surgery. Some patients believe that if they exaggerate the fasting procedures they will increase their safety. This perception is incorrect and we far prefer the fasting period be minimized. Please refer to the anesthesia section in this Do not hesitate to call us for clarification about this matter.

 

In addition to the instructions above, please remove all body piercings before leaving home. Remove contact lenses at home and rather wear eye glasses. Please do not wear any jewelry at all.

The Morning of Surgery

  • It is not unusual to feel worried before surgery. However, if you do not feel well on the day of surgery, please call your surgeon and the Center as early as possible. This can aid in the decision process well in advance of the surgery.
  • You may take a shower or bath, brush your teeth, etc. Please do not use make-up, hair spray, nail polish or toiletries as these may affect the anesthesia monitoring and hide clinical signs from the anesthesiologist.
  • Wear comfortable, loose-fitting clothing including low-heeled, comfortable shoes. Your clothing should be able to be stored in a garment bag or locked compartment.
  • When you arrive, we will provide you with operating room pajamas, robe and slippers to wear during your visit.
  • Please leave all jewelry and other valuables at home.
  • If you wear contact lenses, eyeglasses or dentures, please bring the appropriate storage case(s) for their protection.
  • If you normally use any equipment or device for assistance such as a walker or crutches please bring it with you. Please do not hesitate to notify us in advance of any special need you may have in getting from your car to the Center or any other special need you may have in the Center. (See special needs section in this website.)
  • Please bring your insurance identification cards, completed patient data form if possible, your driver’s license for identification and any other billing-related paperwork. You may also have been notified to bring some form of payment.
  • Please arrive on time (or early) for your appointment. Our aim is to minimize every patient’s wait before surgery. Your cooperation in this matter will help us attain this goal.
  • Please bring any medication that you take. This includes medication that you take occasionally such as asthma medications. Generally we request that you take most medications of the morning of surgery. Some medications will be stopped for the surgery, particularly diabetes medication and blood thinners. The medications will be given to the patient as soon as food can be tolerated after the procedure. Please bring all medication

Checklist Before Leaving Home

  • Wear comfortable, loose fitting clothing
  • Remove all piercing
  • Leave all jewelry and valuables at home
  • Bring cases for glasses, dentures, and contacts
  • Bring Health Insurance Card, Driver’s License, Completed Billing Forms and Copayments.
  • Bring all home medication
  • Make sure you have transportation home and adult person to stay and care for you first night after surgery.

Patients with special needs

We will do our best to accommodate patients who have special needs. Please call the Center in advance at (832) 223-9200 to make the necessary arrangements. We strive to improve our service. Hence, we welcome any suggestions that may be helpful in this respect. Please do not hesitate to contact us well in advance of the surgical date so that together we can be better prepared for your visit.