Cardiac Clearance Form: Fill & Download for Free

(See previous answers on how a surgeon feels BEFORE and DURING surgery.)***AFTER***Is that them? Shoot, I am bad with faces, and these COVID masks make it ten times worse. “Mr. Jones, is Mrs. Jones…? No, that’s fine I can wait. Your son’s okay. Everything’s okay. Does she know how to find her way back here from the restroom? I can go… oh, there she is. Mrs. Jones? Everything went fine.”“He had a hole in his colon. I had to take out a segment of it but things could have been much, much worse. So sometimes, with these emergency trauma operations, because people have already had some blood loss and aren’t in the best of shape going into the OR, we elect to do things in stages — do the part of the operation that needs to be done right away, let him rest in the ICU for a couple days, get all his numbers up, and bring him back later to finish up. And that’s what I decided to do here. So, for right now, he’s still on the breathing machine, his abdomen is still open, he’s gonna get some fluid and antibiotics and we’re gonna keep him sedated and comfortable. But you can go back in and see him, just the two of you, when the nurses get him situated.”“You’re very welcome. My pleasure.”“Yes. He’s going to be fine.”He is. He is going to heal up perfectly. He is going to be fine. I’ve done a thousand of these before. So he will be. I think.These elevators are stupid slow.That inner row of sutures looked good, didn’t it? It looked fine. Close enough together. Not too close. I cinched down my knots. But I didn’t tear the tissue.Seriously. What on earth is taking them so long?I could be answering texts. Let’s see, ortho called about my 90-year-old guy with a hip fracture following ground level fall. Passed out. Ortho wants cardiac clearance. Seems reasonable. Two calls from the ICU? Shit. I didn’t even hear my phone go off in the OR. Oh well. I hope the Nurse practitioner got that while I was scrubbed.Fucking elevators! Screw it, I don’t need ‘em, I’ll just swing by the ICU now and see what’s up. Aw, and look! Rob just IM’d me to tell me loves me. Geez, Rob, it’s the middle of the ni—…oh, no it’s NOON in London, haha. Well, I love him back, regardless.Alan is on again tomorrow, he will keep an eye on my post-op patient for me, he’s a good surgeon. Then I can take Jones back to the OR on Monday — wait, am I on days or nights Monday? Whatever, I’ll figure it out.He’ll do fine.He’ll do fine.Anyway, I’ve given the resident enough of a headstart. Life goes on. “Dr Kelly — it’s 5 am, ready to round? And did you put that trauma on Flagyl?… What the hell, Kelly? I was very clear. And you should know that anyway, in a guy with a bowel injury and gross contamination? C’mon. You’re a fourth year. He goes on antibiotics and he stays on antibiotics until he goes back to the OR. Let’s meet at the nursing station on 3. You want anything from the doctor’s lounge?… Cream, no sugar, right?”But for me, a Coke. A tall, icy, fizzy, frosty Coke. And a long pee. I’ve earned it.Aw shit. I still have to dictate.Goddam pager.

Overall, it is extremely unlikely. It is possible to have allergic or negative reactions to anesthesia agents, and there are a few conditions where anesthesia can cause dangerous, potentially deadly reactions, but anesthesiologists generally review a person’s history before signing off on the orders, and they are careful to pay attention to allergies, past surgeries, cardiac clearance, etc. But the human body is not a machine, and occasionally, death can occur. It’s quite rare.

There are some risks and the excellence of the Bariatric Center is important. When a person is obese or morbidly obese they also have risks of anesthesia. They will need cardiac clearance and clearance from their GP. The morbidity and mortality associated with obesity and it’s related problems of hypercholesterolemia, diabetes, sleep apnea, and cancers make the risks involved in surgery such as potential bleeding, blood clots, pneumonia, and wound infection worth the process of the Bariatric journey.