Patient Surgery Information Pre/Post-Operative Surgery Instructions Thank you for choosing the Oklahoma City Ear, Nose & Throat Clinic for your healthcare needs. It is our privilege to serve you and your family. Your surgery is scheduled on _____________________________________ at the following location: St. Anthony Hospital - 5th Floor Surgery - 1000 N. Lee, Oklahoma City, OK 73102 - 405.272.6608 St. Anthony Midtown Surgery Center - 1110 N. Lee, Oklahoma City, OK 73103 - 405.979.7820 The Surgery Center - 1106 W. MacArthur, Shawnee, OK 74804 - 405.395.5750

Your surgeon is : ____________________________________________________________________________ Your surgery coordinator is: __________________________________ Phone: 405.272.6027 ext. _______ Your post operative follow-up appointment is scheduled for: __________________________________

Please read this entire packet well in advance of your surgery!

OKLAHOMA CITY EAR, NOSE & THROAT CLINIC 405.272.6027

OKCENT.COM

General Surgery Information • Request for specific dates for surgery should be made immediately. The process of pre-certifying and scheduling your surgery usually takes 5 business days. Please allow 5 days before calling the office after you have given us your preference of surgical dates. If you have not heard from our schedulers in 5 business days, please call them. They may need your assistance with the pre-certification process. • A “NO SHOW” for surgery cancels your relationship with this clinic. 48 hour notice is required to change or cancel a surgery. • Please take a photo ID and all insurance cards to surgery with you. • Surgery times can vary from early morning to late afternoon. Call the assigned surgery center the day before surgery to confirm your arrival time. Call on Friday for a surgery scheduled on a Monday. • If you are a foster parent to the child having surgery, please bring all placement papers and make sure that the judge or county director has signed off on the consent that was faxed to your caseworker. Without this information surgery cannot be performed. • A $25.00 prepaid fee is required for ANY documents (FMLA, Insurance, etc...) that need to be filled out by a doctor. For disability papers, there is a $45.00 prepaid fee. All forms must be turned in 10 days prior to surgery to be filled out on time. • For additional information, please visit our website at www.okcent.com

Pre-surgery instructions • Do not eat or drink anything after midnight the night before surgery. This includes water, coffee, food, gum, candy, and chewing tobacco. • Refrain from alcohol or illegal drug use two days before your surgery. • If you become ill with flu, fever, congestion in your lungs or skin problems at the operative site, call our office. • Shampoo your hair and bathe or shower with an antibacterial soap the morning of your surgery. Do not use any hairspray or gels. You may also brush your teeth, but please, don’t swallow any water. • Do not wear make-up or any jewelry the day of surgery. • Contact lenses cannot be worn during surgery. Be sure to bring a case to keep your lenses in during your surgery. • Please, make arrangements to have someone drive you home and assist you at home for the first 24 hours after surgery. • STOP taking any medications that include aspirin or blood thinners that can increase the risk of bleeding 7 to 10 days prior to surgery. Tylenol may be taken as a substitute for aspirin or ibuprofen. • It is important that your surgeon as well as the anesthesiologist is aware of your current medications and medical history. You will meet your anesthesiologist the day of surgery.

405.272.6027

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Prescription Refill Policy - please read throughly Prescription refill requests should be faxed (405.272.8311) from your pharmacy between the hours of 8:00 a.m. and 3:00 p.m. Monday through Thursday and 8:00 a.m. and 10:00a.m. on Fridays. It is often necessary for your physician to review your chart before a refill can be authorized. It is the policy of the Oklahoma City Ear, Nose & Throat Clinic, PC, to authorize prescription refills during normal office hours only. Narcotic prescriptions will not be filled at night, on weekends or over the phone. Please be considerate and aware of this policy.

Medications That Can Increase Risk of Bleeding All patients anticipating surgery MUST stop taking any source of aspirin or any other drugs which may interfere with the blood clotting mechanism. Aspirin is a very strong anticoagulant which causes profound bleeding problems in individuals, therefore, patients MUST stop taking all aspirin containing products 7-10 days prior to surgery and for 2 weeks after surgery. Tylenol may be taken as a substitute. The following list, though comprehensive, may not be complete. Please check with a pharmacist when in doubt of the bleeding factor of any medications. Advil

Sureprin81

Feldene

Piroxicam

Aleve

Ultraprin

Fenoprofen

Plavix

Arthropan

Aggrenox

Fiorinal

Ponstel

Ascriptin

Amigesic

Flurbiprofen

Pravigard PAC

Aspercin

Aminosalicylate Sodium

Indocin

Prevacid Naprapac

Aspergum

Anaprox

Indometacin

Relafen

Aspirin

Ansaid

Indomethacin

Reprexain

Bayer Aspirin

Arthrotec

Indomethacin Sodium

Rofecoxib

Bufferin

Bextra

Trihydrate

Salicylsalicylic Acid

Buffinol

Cataflam

Ketoprofen

Salsalate

Doan’s

Celebrex

Ketorolac

Solaraze

Ecotrin

Celecoxib

Lodine

Soma Compound

Elixsure

Cilostazol

Meclofenamate

Soma Compound w/

Excedrin Migraine

Clinoril

Mefenamic Acid

Codeine

Genpril

Clopidrogrel

Meloxicam

Sulindac

Goody’s Extra Strength

Combunox

Mobic

Tolectin

Headache Powder

Coumadin

Nabumetone

Tolmetin

Halfprin

Damason-P

Nalfon

Toradol

Ibu-200

Darvon compound

Naprapac

Tricosal

Ibuprofen

Daypro

Naprelan

Valdecoxib

I-Prin

Diclofenac

Naprosyn

Vicoprofen

Keygesic

Diflunisal

Naproxen

Viox

Menadol

Disalicylic

Norgesic

Voltaren

Midol (ALL TYPES)

Dolobid

Norgesic Forte

Warfarin

Momentum

EC-Naproxyn

Ocufen

Zori

Motrin

Endodan

Oxaprozin

Pamprin

Equagesic

Paser

Proprinal

Etodolac

Percodan

St. Joseph Adult Aspirin

Etodolic Acid

Persantine

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Financial information IF YOU HAVE NOT MET YOUR INSURANCE DEDUCTIBLE YOU WILL BE REQUIRED TO PAY THE DOCTOR’S FEE PRIOR TO SURGERY. AFTER INSURANCE PAYS YOU WILL BE REIMBURSED ANY OVERPAYMENT ON YOUR PART OR BILLED FOR ANY REMAINING BALANCE. Prior to scheduling surgery, we will check with your insurance company for information regarding the type of and the extent of your coverage. If you have any questions regarding the following information about your insurance coverage, please contact your insurance company directly. Their phone number should be on your insurance card. • Amount of your deductible • Amount of deductible that you have met • Deductible to be paid up front. • Your out of pocket expenses • Co-pay • What percentage insurance pays • Effective date to current date of Insurance • Pre- Authorization Requirements • Pre-existing Clause • In Network/ Out of Network • Primary/ Secondary Insurance This information is required to avoid conflicts. This will be processed with the information given to us by you.

PLEASE TAKE PHOTO ID & ALL INSURANCE CARDS TO SURGERY WITH YOU

Surgery Center Locations and Maps

I-235

I-40 Westbound Exit Western Ave, North to 10th Street, turn right. I-40 Eastbound Exit Western Ave, North to 10th Street, turn right.

WALKER

DEWEY

N. LEE

SHARTEL

WESTERN

I-44

I-35 BROADWAY EXT.

MAP OF ST. ANTHONY HOSPITAL INTERSTATE ACCESS

13th ST. 10th ST.

I-44

9th ST. 6th ST.

I-235 Southbound Exit 10th Street. West to Lee, turn left.

I-40

I-235 Northbound Exit Harrison Ave/Downtown. West to 6th Street, North on Walker to 9th Street, turn left.

405.272.6027

I-35

OKCENT.COM

St. Anthony Midtown Surgery Center

Address: 1000 N. Lee - Oklahoma City, OK 73102 Phone: 405.272.6608

Address: 1110 N. Lee - Oklahoma City, OK 73103 Phone: 405.979.7820

The surgery department is located on the 5th floor of the main hospital. Valet parking is free and no tipping is required. Valet parking is open from 9 a.m. through 4 p.m., Monday through Friday, and is located at the east entrance of the building. You may also park in parking lot which is east of St. Anthony Hospital.

Valet parking is free and no tipping is required. Valet parking is open from 9 a.m. through 4 p.m., Monday through Friday, and is located at the west entrance of the building. You may also park in the Bone & Joint Parking Garage which is connected to the building.

ST. ANTHONY HOSPITAL

e

Valet Parking Self Parking Admitting Cafeteria

j

BEHAVIORAL MEDICINE CENTER

P NW 10th

w

P

EAST ENTRANCE

e

WEST COVERED PATIENT & VISITOR PARKING

SAINTS MEDICAL PLAZA

NW 9th COVERED PATIENT & VISITOR PARKING

ST. ANTHONY PHYSICIAN OFFICE BUILDING

CT Center MRI Center Outpatient Services Radiology Saints Medical Plaza Imaging Outpatient MRI

PARK PL.

NW 10th

Saints Heart & Vascular Institute Cath. Lab Inpatient Visiting

Valet Parking Self Parking Admitting Hematology Oncology Physicians Cancer Institute

DEWEY

.

WEST ENTRANCE

DR

BONE AND JOINT HOSPITAL AT ST. ANTHONY PARKING

HEART E.R. ENTRANCE

w

N

PASTEUR BUILDING

SE

ST. ANTHONY BONE AND JOINT HOSPITAL AT MIDTOWN ST. ANTHONY SURGERY CENTER

AS

E.R. ENTRANCE

ST. ANTHONY PARKING

N

NW 11th

JOYFUL BEGINNINGS

P

ORG, PC MRI CENTER

CL

j

LEE

SHARTEL

MAP OF CAMPUS

WALKER

St. Anthony Hospital

P

NW 8th

The Surgery Center in Shawnee Address: 1106 W. MacArthur - Shawnee, OK 74804 (NW corner of MacArthur and J.D. Kethley Blvd.) Phone: 405.395.5750 The Surgery Center is located at the NW Corner of MacArthur and J.D. Kethley Blvd. Parking is available in front of the building.

Directions From the East: From Eufaula, take I-40 west (toward Oklahoma City) Take the Kickapoo Street Exit (Exit 185) Go south on Kickapoo Street Go west on MacArthur (past Oklahoma Baptist Univ.) From the West: From Oklahoma City, take I-40 east Take the Kickapoo Street Exit (Exit 185) Go south on Kickapoo Street Go west on MacArthur (past Oklahoma Baptist Univ.)

From the North: From Chandler, take Rt.18 south past I-40 Cross I-40 to MacArthur Blvd in Shawnee Go west on MacArthur (past Oklahoma Baptist Univ.) From the South: From Rt.177 north Take the MacArthur Street Exit Go east on MacArthur (just past airport)

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Meet our Surgeons David Hunter, M.D., F.A.C.S., has been in practice in Oklahoma City since 1981. He received both his undergraduate and medical degrees from the University of Kentucky in Lexington, continuing on there for post graduate training in surgery. He then completed three years specialized training in otorhinolaryngology at the Universities of Oklahoma and Alabama, as well as a fellowship in facial cosmetic and reconstructive surgery in Beverly Hills, California. Dr. Hunter is genuinely concerned that his patients enjoy the highest quality of life possible. He and his staff understand that physical appearance has a tremendous impact on an individual’s feelings of self worth. In addition to Dr. Hunter’s board certification by the American Board of Facial Plastic and Reconstructive Surgery, staff members also have special training and expertise in cosmetic surgery. In addition to his private practice, Dr. Hunter served as Chief of Staff (2003 and 2004) and was Chief of Surgery (2001 and 2002) at St. Anthony Hospital. In 1999, he helped establish the Craniofacial Center at St. Anthony. As a key member of this highly skilled team of specialists, Dr. Hunter’s expertise is surgical approach and closure during neurosurgery, including craniofacial and transphenoidal procedures. Keith F. Clark, M.D., F.A.C.S, Ph.D., completed his medical degree at the University of Michigan at Ann Arbor in 1978. After a surgical internship at the William Beaumont Hospital in Detroit, Michigan, in 1979, he attended the University of Iowa at Iowa City. There, he completed his otorhinolaryngology residency in 1983. He received a Ph.D. in laryngeal physiology in 1999 at the University of Oklahoma. Dr. Clark is a Fellow of the American Academy of Otolaryngology, Head and Neck Surgery, the Triologic Society, and the American College of Surgeons. He is also a member of the Oklahoma Academy of Otolaryngology and the Oklahoma County Medical Society. Dr. Clark is published in both clinical and research medical literature. He has also served as associate editor for the Otolaryngology, Head and Neck Surgery Journal and currently reviews articles submitted to several ENT journals. Prior to joining the Oklahoma City Ear, Nose & Throat Clinic, Dr. Clark worked at University Hospital and Children’s Hospital of Oklahoma, treating a wide variety of both adult and pediatric problems including laryngotracheal reconstruction, treatment of vocal fold paralysis, laser surgery, treatment of the professional voice, Botox injections for laryngeal dystonias, airway problems and endoscopic sinus surgery. Brent Scott, D.O., received his medical degree from Oklahoma State University–College of Osteopathic Medicine in 1998. He then completed his residency in otorhinolaryngology–head and neck surgery at Freeman Hospital in Joplin, Missouri, in 2003. After his residency, Dr. Scott completed a fellowship in head and neck surgery and advanced rhinology at Rush University Medical Center in Chicago, Illinois, in 2004. Upon completing his fellowship, Dr. Scott entered into a solo practice in otolaryngology in Woodward, Oklahoma, where he has been serving the people of northwest Oklahoma. In 2009, Dr. Scott joined the staff of the Oklahoma City Ear, Nose & Throat Clinic to focus his efforts on caring for patients with head and neck cancer. Dr. Scott is a member of the American Osteopathic College of Otolaryngology–Head and Neck Surgery, the American Academy of Otolaryngology–Head and Neck Surgeons, the American Academy of Facial Plastics and Reconstructive Surgeons, the American Medical Association, the American Osteopathic Association, the Oklahoma State Medical Association and the Oklahoma Osteopathic Association.

405.272.6027

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Troy E. Major III, DO, received his medical degree from the University of Health Sciences College of Osteopathic Medicine in Kansas City, Missouri, in 2000. He then completed his residency in otolaryngology and facial plastic surgery at Freeman Hospital in Joplin, Missouri, in 2005. Following his residency, Dr. Major completed a fellowship in cosmetic surgery at the English Plastic and Cosmetic Surgery Center in Little Rock, Arkansas. He then returned to his home state and was in private practice in Cape Girardeau for four years prior to joining the staff of the Oklahoma City Ear, Nose & Throat Clinic in August, 2010. Since joining the Oklahoma City Ear, Nose & Throat Clinic, Dr. Major has extensive training in Balloon Sinuplasty and special interest and expertise in Moh’s closure. Dr. Major is board certified by the American Osteopathic Board of Otolaryngology-Facial Plastic Surgery. He is a member of the American Osteopathic College of Otolaryngology-I-lead and Neck Surgery, the American Academy of Otolaryngology-Head and Neck Surgery and the American Osteopathic Association.

Chad D. Willis DO, received his medical degree from Oklahoma State University College of Osteopathic Medicine and Center for Health Sciences in 2005. He then completed his residency in Des Peres Hospital in St. Louis, MO, in 2010. During his residency he became Chief Resident of Des Peres Hospital for the period of 2009-2010. He also attended Cameron University in 1998 and received his Bachelors of Science Degree in Chemistry. Staying abreast of the latest advances in the field of otolaryngology, Dr. Willis has continued his education by attending conferences at Baylor School of Medicine, St. Louis University School of Medicine and the University of Iowa’s Carver College of Medicine. Dr. Willis has contributed numerous articles to the Oklahoma Osteopathic Association Journal. Prior to joining the Oklahoma City Ear, Nose & Throat Clinic in November of 2011, Dr Willis practiced in Lawton, OK. Dr. Willis is board certified by the American Osteopathic Board of Otolaryngology. He is a member of the American Osteopathic College of Otolaryngology Head and Neck Surgery, and the American Osteopathic Association.

Professional Associations The physicians of the Oklahoma City Ear, Nose & Throat Clinic are members of the following professional associations:

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ABOUT THE OKLAHOMA CITY EAR, NOSE & THROAT CLINIC The Oklahoma City Ear, Nose & Throat Clinic is a premier provider of adult and pediatric ear, nose and throat care. The unique qualifications of our physicians and staff allow us to provide comprehensive care for wide range of ear, nose and throat conditions, including ear infections, ear tubes, strep throat, hearing loss, snoring and other sleep disorders, hoarseness, speech and language issues, facial plastics and reconstruction surgery, head and neck cancer surgery, allergy services and more.

Center of Sinus Excellence If you’re frustrated by a stuffy nose, sinus congestion, allergies, difficulty breathing through your nose or other bothersome symptoms, Oklahoma City ENT Clinic can offer relief. Our advanced sinus treatments – many of which are not available elsewhere in the area – can help most patients breathe easier without the pain and down-time of traditional sinus surgery. You’ll receive exceptional sinus and allergy care at the Oklahoma City Ear, Nose & Throat Clinic, through the very latest treatments and technologies such as In-Office Balloon Sinuplasty procedure.

CT and Ultrasound Services The Oklahoma City Ear, Nose & Throat Clinic strives to provide the most up to date, cost effective, and safe services to our patients. That is why we have installed a Xoran CT scanner in our Oklahoma City office. CT scans are integral to proper diagnosis and treatment. Our in-office scanner offers low dose radiation, high quality imaging and real-time diagnosis. In addition to our CT services that we perform in office at the Oklahoma City ENT Clinic, we also have the ability to provide ultrasound services to our patients for the diagnosis of thyroid disease, salivary gland disease, and neck mass detection.

Our Mission Our team provides patient centered, evidence based, cost effective healthcare to all patients.

Our Commitment For you, for your family…You can place your trust in Oklahoma City ENT knowing that every treatment or procedure is supported by years of intensive education, training and clinical experience. For you, for your family…You can place your trust in Oklahoma City ENT knowing that we work with our patients as partners in their care. We approach medicine from an evidence-based foundation and recommend treatment plans based on each individual’s unique needs. For you, for your family… We respect your time and run our practice accordingly We have staff members who speak Spanish We accept most major insurance plans We are affiliated with St. Anthony Hospital for inpatient and outpatient procedures

Contact Us Oklahoma City Ear, Nose & Throat Clinic 535 NW 9th Street, Suite 300 Oklahoma City, Oklahoma 73102 Phone: 405.272.6027 Fax: 405.272.8311 Website: okcent.com

Practice Administrators Dianne Hunter - 405.272.6027 ext. 104 Thomas Purvis - 405.272.6027 ext. 114 Surgery Coordinators Tia Davis - 405.272.6027 ext. 103 Jill Smith - 405.272.6027 ext. 102

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