Schedule A Consultation
424-835-3100
Schedule a consultation
Encino/San Fernando Valley
Marina Del Rey
Las Vegas
Schedule a consultation
Encino/San Fernando Valley
Marina Del Rey
Las Vegas
  • About Us
  • Procedures
  • Conditions Treated
  • Patient Resources
  • Blog
  • Contact Us
Call us
428-832-3100
Locate Us
Encino/SanFernando Valley
Marina Del Rey
Doctor's Bio
Testimonials
Meet the Team
Call us
428-832-3100
Locate Us
Encino/SanFernando Valley
Marina Del Rey
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name
  • Procedure Name

Encino/San Fernando Valley

Conveniently located in the First Financial Plaza on the second floor.

Explore Office

Encino/San Fernando Valley

Conveniently located in the First Financial Plaza on the second floor.

Explore Office
Steps to a Successful Surgery

Pre-Surgery Planning

Be fully prepared and confident for your procedure with our detailed Pre-Surgery Planning resources and information below.

Prefer a PDF version?

Download our Patient Surgical Guide
Download Now

Medical Clearance

The Surgery Scheduler will work with you to assist in coordinating the pre-operative medical clearance. Clearance exams must be completed within 14-30 days of surgery (depending on surgical facility).
  • Pre-operative clearance (H&P) by a primary care physician within 30 days of surgery
  • Lab Results within 14-30 days of surgery (depending on facility)
  • Chest Xray within 6-12 months of surgery (depending on facility)
  • Covid Antigen test within 24hours of surgery (DISC Surgery Center Newport Beach Only)
  • Patients are required to have a Covid antigen test within 24hours of the surgery date.
  • At home tests are accepted – MUST provide proof upon arrival

Note:

  • If you have a history of heart problems or any other health issues, we may require additional cardiac or other special clearance
  • If you are taking Plavix, Coumadin, Aspirin, or anti-inflammatory medications, please make sure you coordinate with your prescribing doctor as to when to stop and restart these medications.
  • If you are diabetic, please consult with your primacy doctor prior to stopping any medications
For Anterior Lumbar Interbody Fusion (ALIF) procedures ONLY

A consultation with vascular surgeon may be required prior to surgery. Please contact the vascular surgeon’s office to schedule your appointment. This information will be provided to you.

Transportation

For your safety, you will not be allowed to drive a motor vehicle after surgery.

You will need to arrange for a responsible adult to safely drive you home and stay with you for 24 hours after surgery.

Taking an Uber or taxi home WILL NOT be permitted for your safety.

When to Notify the Physician's Office/Surgery Center Prior to Surgery

Please notify our office as soon as you experience any of the following:
  • Elevated temperature (fever), cough, cold, vomiting or diarrhea
  • You suspect you may be pregnant

Medications

The Surgery Scheduler will work with you to assist in coordinating the pre-operative medical clearance.

In preparation for surgery, there are several types of medications that need to be stopped for patient safety purposes. Unless you have been specifically instructed otherwise by the surgeon or your personal physician, please stop all the following medications. If another physician’s office has given you instructions regarding medications, please share that information with our office.

Stop all the following 14 days before surgery
  • Aspirin or Aspirin containing products like Excedrin, Ecotrin, Xarelto, Ibuprofen, Advil, Naproxen, Motrin & all NSAID
  • Plavix (Clopidogrel)
*Note: Plavix should be discontinued for 14 days BEFORE and 14 days AFTER surgery. Please confirm with your cardiologist that this is an acceptable amount of time to discontinue the medication.
  • All herbal supplements (i.e. Ginkgo biloba, ginger, ginseng, glucosamine, kava-kava root, St John’s Wort, Ma Huang, MSM, Vitamin E, Sam-E, garlic tablets, turmeric)
  • Multivitamins or supplement packs with numerous ingredients
Please discuss w/your primary provider
  • Ozempic, Wegovy, Victoza, Mounjaro, Rybetsus

If you are taking these medications for diabetes management or to help prevent or control hyperglycemia (high blood surgery) then consider consulting with an endocrinologist for guidance.

Hold your oral diabetes medications on the morning of surgery.
  • If you take insulin, you will likely need to reduce your insulin dose before surgery.

Please discuss this during your pre-operative clearance with your doctor and follow their instructions.

  • Your normal daily medications should be continued until the day before surgery unless they are listed above

These may include blood pressure, thyroid, cholesterol, asthma, or other medications.

  • Take your normal morning medications on the day of surgery with a small sip of water.
  • If you use an inhaler, bring it with you the morning of surgery.
  • You may take Tylenol for pain until the day before surgery.
  • Hibiclense (Topical antiseptic soap)
  • Apply to skin only.
  • Use two nights before surgery and the morning of surgery
  • Stool Softeners
Narcotic medications and anesthesia cause constipation and we recommend taking a these over-the-counter (OTC) medications while taking pain medications.
  • Colace 100mg- You may take up to 500mg over 24 hours
  • Magnesium citrate, Dulcolax, Miralax are great options as well

Post-Operative Medications

You may receive prescription(s) for the following medications BEFORE surgery. Do not combine medication with benzodiazepines as it can cause adverse reactions such as respiratory depression.

Note:

Dr. Macyszyn DOES NOT REFILL these prescriptions and will recommend you follow up with your pain management provider or primary care provider for post-operative pain management control.

Narcotic pain medication
Typically Oxycodone.

Take 1-2 tablets every 4-6 hours as needed for pain.

Muscle relaxant to be taken as needed for muscle spasms or muscle tightness. Take 1 tablet every 8 hours as needed

Steroid pack you take over 6 days that acts as an anti-inflammatory.
  • You only need to take this if you experience an increase in pain or radiating pain after surgery.
  • Not typically prescribed with medications listed above.
Post-operative prescriptions are electronically sent before surgery.

If you are out of town, we can send prescriptions to the pharmacy of your choice or to a pharmacy close to the surgical facility.

Disc Surgery Center Newport Beach

Newport Center Pharmacy

Cedars Sinai Marina del Rey

Marina del Rel Pharmacy

Night Before Surgery

Shower

Shower with Hibiclense which can be purchased at any pharmacy. You should lather up the Hibiclense soap and let it sit on the skin for about 2-3 minutes before washing it off. You do not need to use the Hibiclense AFTER surgery.

Clothes & Bedding

After your Hibiclense shower, put on clean clothes and sleep in clean sheets the night before your procedure.

Food & Drink

Do Not eat or drink (water or any liquids) 8-12 hours before surgery.

Medications

Continue taking your approved prescription medication with small sips of water.

Alcohol & Smoking

Refrain from drinking alcoholic beverages or smoking 24 hours before your surgery.

Hair Removal

Do Not shave or remove hair from the surgical site yourself; we will do that with special surgical clippers as needed.

Jewelry & Piercings

Remove all jewelry, including body jewelry (piercings).

Morning of Surgery

Shower

Shower with the Hibiclense. Let sit on skin for 2 minutes then rinse.

Clothing

Wear clean, loose, and comfortable clothing that can easily be changed into. Button down shirts are recommended.

Teeth & Dentures

It is okay to brush teeth, but DO NOT swallow any water. Dentures will be removed prior to surgery and returned to you after surgery.

Medication

The morning of your procedure take heart, blood pressure and seizure medication as indicated (Take medications with only a SMALL SIP of water).

Don't

  • Do not use lotions or perfumes.
  • Do not wear contact lenses. If you wear glasses, please bring them with you.
  • Do not wear or removal all makeup.
  • Do not wear or removal all makeup.

Remove

  • Remove all jewelry (including body jewelry) before surgery.
  • Remove all nail polish on fingers, including gel and acrylic nails prior to surgery. We will need to place a pulse oximeter on your fingernail to ensure adequate oxygen profusion during surgery.

Do

  • Bring your cellphone, laptop, or any electronics.
  • Bring any charging cables for your phone or electronics.
  • Bring Inhaler & CPAP machine (if applicable) - please bring it on the day of surgery. Many times, the anesthesiologist will have you use it before surgery.
  • Leave at Home your valuables, including jewelry and watches.

Day of Surgery

Surgery Centers

DISC Surgery Center Marina del Rey
Specialty Surgery Center of Encino

Parking

Parking is centrally located and owned and operated by the building. DISC Sports & Spine at Marina del Rey or Newport Beach DOES NOT validate, and standard parking rates apply. There is a 10-15minute grace period for pick-ups/drop-offs, depending on location.

Arrival/Check-In

Arrival is typically 2 hours prior to the scheduled surgery time (depending on the facility) Check-in at the front desk to register and verify information.

Pe-Operation

• You will be escorted in to change and secure belongings.
• Then escorted to a pre-operative area in further preparation for surgery and patient education.
• Surgical staff will meet with you to discuss surgery and answer any questions.

After Surgery

Parking

Guest will remain in the waiting area. Once you are in the recovery area, a nurse will provide your guest access.

Discharge

You and your guest will be provided verbal and written post-operative car instructions upon discharge.

Recovery Room

Length of stay depends on the type of surgery and anesthesia you receive.

Outpatient

You will be discharged same day

Overnight Stay

If your surgeon has recommended overnight stay you will be discharged by the next morning.

Inpatient stay

your stay will be between 2-4 days depending on the surgery and then to a rehabilitation facility.

Resources

Stay Up-to-Date

June 26, 2024

Recognizing Early Signs of Scoliosis in Children: A Guide for Parents

Scoliosis is a condition characterized by an abnormal curvature of the spine, which can lead to various health issues if not addressed early and often emerges during childhood or adolescence. ...
Read More
June 26, 2024

Wearing Lidocaine Patches Safely

Lidocaine patches are a popular option for managing localized pain, providing relief by numbing the affected area. While they can be effective, it’s important to understand how to use lidocaine patches safely. ...
Read More
Recent Advances in Spinal Surgery
June 26, 2024

Recent Advances in Spine Surgery and How They’re Revolutionizing the Field

A discectomy is a surgical procedure in which a portion of a damaged or herniated intervertebral disc is removed to relieve pressure on the spinal cord or nerve roots. It is typically performed to alleviate pain, numbness, or weakness caused ...
Read More
June 26, 2024

Spinal Cord Stimulators (SCS): Everything You Need To Know

A spinal cord stimulator (SCS) is a medical device that is surgically implanted in a person’s body to help manage chronic pain by sending electrical impulses to specific areas of the spinal cord. ...
Read More
June 26, 2024

Grades of Anterolisthesis: Understanding Severity and its Impact on Your Health

Anterolisthesis is a spinal condition characterized by the forward displacement of one vertebra over another. It is a type of spondylolisthesis, which is the general term for vertebral displacement. ...
Read More
Visit OUr Blog
Twitter Instagram Linkedin
Schedule a Consultation
Encino/San Fernando Valley
Marina Del Rey
Las Vegas
424-835-3100
Schedule a consultation
Encino/San Fernando Valley
Marina Del Rey
Las Vegas
Schedule a Consultation
Encino / San Fernando Valley
Marina Del Rey
Call Today
Schedule A Consultation
Schedule a consultation
Encino/San Fernando Valley
Marina Del Rey
Las Vegas
Doctor's Bio
Testimonials
Meet the Team
Outpatient Surgery Center
Outpatient Surgery Center
Locations
FAQs
Pre-Appointment Instructions
Long Distance Patients
Blog
Spine Health Articles
Tips for Maintaining a Healthy Spine
Advancements in Treatments
Online Scheduling
What to Expect
Doctor's Bio
Testimonials
Meet the Team