What is One Medical Pre-Operative Passport?

One Medical provides comprehensive pre-operative medical evaluation and clearance for patients scheduled for cirugía at Advanced Urology. This service ensures:

  • You're medically optimized before your procedimiento
  • All chronic conditions are well-controlled
  • Potential anestesia risks are identified and minimized
  • Necessary testing is completed
  • You're cleared for safe cirugía

Think of it as a comprehensive health check-up focused on making your cirugía as safe as possible.

Why Pre-Operative Clearance Matters

Patient Safety

  • Identifies medical conditions that need attention before cirugía
  • Reduces anestesia risks
  • Prevents surgical complications
  • Optimizes chronic disease management

Better Outcomes

  • Well-controlled diabetes = faster healing
  • Optimized blood pressure = less bleeding
  • Managed medications = fewer interactions
  • Clear plan = smoother recovery

What One Medical Evaluates

Complete Medical Assessment

Cardiovascular Health

  • Heart disease history
  • Hypertension control
  • Recent cardiac events
  • Pacemaker or defibrillator
  • Stents or bypass cirugía
  • EKG if indicated
  • Cardiology clearance if needed

Pulmonary Health

  • Asthma or COPD
  • Sleep apnea
  • Smoking history
  • Recent respiratory infections
  • Chest X-ray if indicated
  • Pulmonology clearance if needed

Endocrine & Metabolic

  • Diabetes management and control
  • Thyroid function
  • A1c levels
  • Blood sugar monitoring plan

Hematologic

  • Bleeding disorders
  • Blood thinner management
  • Anemia
  • Blood counts (CBC)
  • Coagulation studies if indicated

Other Medical Conditions

  • Kidney or liver disease
  • Neurological conditions
  • Previous anestesia complications
  • Allergies (medications, latex, anestesia)
  • Recent infections
  • Immunosuppression

Requerido Forms and Information

Complete Medical History Form

Provide detailed information about:

  • All past surgeries and procedures (with dates)
  • All medical diagnoses and chronic conditions
  • Hospitalizations in past year
  • Family medical history (heart disease, clotting disorders, anestesia reactions)
  • Social history (smoking, alcohol, drug use)
  • Functional status and exercise tolerance

Complete Medication List (CRÍTICO)

This is one of the most important parts of your clearance.

For EACH Medication, Provide:

  1. Generic name (and brand name if you know it)
  2. Exact dose (e.g., 10 mg, not "one pill")
  3. Frequency (e.g., "twice daily", "every morning")
  4. Route (by mouth, injection, patch, etc.)
  5. Prescribing doctor (which doctor prescribed it)
  6. What it treats (e.g., "for high blood pressure")

Include ALL of the following:

  • ✅ Prescription medications
  • ✅ Over-the-counter medications (Tylenol, antacids, etc.)
  • ✅ Vitamins and supplements
  • ✅ Herbal products
  • ✅ Eye drops (prescription)
  • ✅ Inhalers
  • ✅ Patches (nicotine, pain, hormone)
  • ✅ Injections (insulin, biologics)

⚠️ Importante: Incomplete medication lists can delay your cirugía. Include everything, even if you think it's not important.

Allergy Information

List all allergies including:

  • Medication allergies (what reaction occurred)
  • Latex allergy
  • Anestesia reactions in past
  • Food allergies (if severe)
  • Environmental allergies if severe

Cronograma for Clearance Process

As Soon as Cirugía is Scheduled

When What to Do
Day 1 Cirugía scheduled at Advanced Urology → We send referral to One Medical
Days 2-3 One Medical contacts you to schedule pre-op appointment
Antes appointment Complete all forms, gather medication list, collect records
1-2 weeks before cirugía Attend One Medical appointment for evaluation
Después appointment Complete any ordered testing (blood work, EKG, X-rays, specialist clearances)
3-5 days before cirugía One Medical sends clearance to Advanced Urology Cirugía Center
Cirugía day Proceed with optimized surgical care

⚠️ Don't Delay: Schedule your One Medical appointment immediately after cirugía is booked.

Late clearance can result in cirugía postponement. Plan for 2-3 weeks lead time.

Common Tests Ordered by One Medical

Depending on your age, health history, and type of cirugía, One Medical may order:

Blood Work

  • Complete Blood Count (CBC)
  • Comprehensive Metabolic Panel (CMP)
  • Coagulation studies (PT/INR, PTT)
  • Hemoglobin A1c (diabetes)
  • Type & Screen (if transfusion possible)

Cardiac Testing

  • EKG (electrocardiogram)
  • Echocardiogram (if heart disease)
  • Stress test (if indicated)
  • Cardiology clearance letter

Pulmonary Testing

  • Chest X-ray
  • Pulmonary function tests (PFTs)
  • Arterial blood gas (if severe lung disease)
  • Pulmonology clearance letter

Other Tests

  • Urinalysis (check for infección)
  • Pregnancy test (women of childbearing age)
  • COVID-19 test (if required by facility)
  • Other specialist clearances as needed

What to Bring to One Medical Appointment

✅ Requerido Items

  • ✅ Completed patient forms (provided by One Medical)
  • ✅ Complete medication list with doses and frequencies
  • ✅ Insurance cards (primary and secondary if applicable)
  • ✅ Photo ID (driver's license)
  • ✅ List of all physicians (names, specialties, phone numbers)
  • ✅ Recent medical records (if available):
    • Prior EKGs, echocardiograms
    • Recent lab results
    • Specialist letters or notes
    • Hospital discharge summaries
  • ✅ Preguntas list for the provider

Common Medical Conditions Requiring Optimization

Diabetes

  • Goal: A1c < 8% (ideally < 7%)
  • Optimization: Medication adjustments, insulin management
  • Cirugía day plan: Special instructions for diabetes medications

Hypertension

  • Goal: Blood pressure < 160/100
  • Optimization: Medication adjustment if poorly controlled
  • Cirugía day: Most BP meds continued

Anticoagulation (Blood Thinners)

  • Assessment: Why you're on blood thinners (heart, stroke, DVT/PE prevention)
  • Coordination: With cardiologist or prescribing doctor
  • Plan: When to stop before cirugía, when to restart after
  • Bridge therapy: May be needed for high-risk patients

Sleep Apnea

  • Importante for anestesia: Higher risk with sedation
  • Bring CPAP: May need it in recovery
  • Special monitoring: Anestesia team will be notified

If Additional Testing or Clearances are Needed

One Medical may refer you to specialists for clearance if you have complex medical conditions:

Cardiology Clearance

Requerido for:

  • Recent heart attack (within 6 months)
  • Unstable angina
  • Recent cardiac stent
  • Heart failure
  • Significant valve disease
  • Pacemaker or defibrillator

Pulmonology Clearance

Requerido for:

  • Severe COPD or asthma
  • Home oxygen use
  • Recent pneumonia or respiratory infección
  • Poor pulmonary function

Hematology Clearance

Requerido for:

  • Bleeding disorders (hemophilia, von Willebrand disease)
  • Clotting disorders
  • Severe anemia
  • Complex anticoagulation management

Cronograma: Specialist appointments can take 1-2 weeks to arrange. Start the clearance process early to avoid cirugía delays.

Medication Management for Cirugía

Which Medications to Continue

Usually CONTINUE on cirugía day:

  • Blood pressure medications (most)
  • Heart medications (beta blockers, etc.)
  • Thyroid medications
  • Anti-seizure medications
  • Psychiatric medications
  • Glaucoma eye drops

Which Medications to Hold

Usually STOP before cirugía:

  • Blood thinners (timing varies - One Medical will specify)
  • Diabetes medications (special instructions given)
  • Diuretics (water pills) - usually hold morning of cirugía
  • NSAIDs (ibuprofen, naproxen)
  • Supplements that affect bleeding

🚨 Never stop or change medications on your own. Follow One Medical's specific instructions for YOUR medications.

What Happens at Your One Medical Appointment

Comprehensive Evaluation (30-45 minutes)

  • Vital signs: Blood pressure, heart rate, oxygen saturation, weight
  • Physical exam: Heart, lungs, general assessment
  • Medical history review: Go through all health conditions
  • Medication review: Verify all medications and give cirugía day instructions
  • Allergy review: Document all allergies
  • Anestesia assessment: Review anestesia risks and plan
  • Test ordering: Order any necessary pre-op tests
  • Specialist referrals: Arrange additional clearances if needed
  • Patient education: Explain what to expect
  • Preguntas: Answer all your concerns

Después One Medical Clearance

Next Steps

  1. Complete all ordered tests promptly
    • Blood work, imaging, specialist appointments
    • Send results back to One Medical
  2. One Medical reviews all results
    • May request additional testing if abnormalities found
    • May recommend optimization before clearing
  3. Clearance letter sent to Advanced Urology
    • Confirms you're optimized for cirugía
    • Includes medication instructions
    • Notes any special anestesia considerations
  4. Cirugía Center receives clearance
    • You're confirmed for cirugía
    • Pre-op call scheduled

Frequently Asked Preguntas

Do I need clearance for all surgeries?

Most surgeries requiring general anestesia need clearance, especially if you have medical conditions or are over 65. Your Advanced Urology team will tell you if clearance is required.

How long does clearance take?

The One Medical appointment is 30-45 minutes. If testing is needed, allow 1-2 weeks for completion. Start the process at least 2-3 weeks before cirugía.

What if I'm not cleared?

If medical issues are found, One Medical will work with you and your doctors to optimize your health. Cirugía may be postponed until you're safe to proceed.

Is there a cost for One Medical?

Pre-operative evaluation is typically covered by insurance as part of surgical preparation. Bring your insurance cards.

Can my primary care doctor do this instead?

We use One Medical for their expertise in pre-operative optimization and standardized protocols. They coordinate directly with our Cirugía Center.

What if I have questions after the appointment?

Call One Medical directly for clearance questions, or call Advanced Urology (678-344-8900) for cirugía-related questions.

Contact Information

For Surgical Preguntas:

Advanced Urology
📞 678-344-8900
⏰ Monday-Friday, 8 AM - 5 PM

For Clearance Preguntas:

One Medical
(Contact info provided with your referral)