Patient Services

If your insurance is a preferred-provider organization (PPO) or self-insured, then please call our office at 808-548-7033  or fill out our online request. If you are part of a health maintenance organization (HMO) and have not seen us for three years, you will need a new referral from your primary care physician(PCP). Please contact your PCP and have them arrange a follow-up. Please confirm we are within your health network prior to your visit. If Island Orthopaedics is not a provider listed in your network, but you want to see one of our doctors, check if have Out of Network benefits. Out of Network means the insured is responsible for their deductible and a percentage of the total amount for services rendered. If we treated you during a hospitalization or received a referral from the emergency department, please call our office at 808-548-7033 for a timely consultation.

Second opinions are welcome. When determining if surgery is right for you, you should feel comfortable with the surgeon who is operating on your body. We have revision surgeons who specialize in the care of complications following surgery and will care for you regardless of the complexity of your problem.

Please bring a picture ID (driver’s license or state ID) and insurance card to your first visit. Please print the patient registration forms and fill them out prior to your visit. If you are seeking a second opinion, please bring copies of any operative reports, implant records, office notes and hospital charts.

Deciding to have surgery can be a difficult process and is different for everyone. Your orthopedic surgeon at Island Orthopaedics can help you determine when you should consider surgery. When investigating surgical treatment, you should consider the severity of your pain, your decreased mobility, and your quality of life.

Yes! All of our surgeons at Island Orthopaedics are trained in modern techniques and minimally-invasive surgery including arthroscopic and anterior hip approaches. We also will provide you with non-operative treatments for any condition when available.

You should have an evaluation at Island Orthopaedics to see if you are a candidate for surgery. We will schedule surgery for you if it is appropriate and provide you with all the information necessary for what date and time you should arrive at the hospital for surgery.

Fill all prescriptions given to you in the office before surgery and bring them with you. Do not eat or drink anything after midnight prior to your surgery. Brush your teeth and rinse your mouth with water, but do not swallow any of the water. Take your heart or blood pressure medications as instructed with a sip of water. If you have insulin dependent diabetes, ask your endocrinologist or primary care physician how to adjust your insulin dose. If you are going home, you will need a responsible driver. You will not be able to drive yourself home. If you are staying in the hospital, bring clothes and toiletries with you. Bring home medications in the original bottles Do not bring valuables and jewelry. Wear comfortable clothing. Bring a case for glasses, contacts, dentures, or hearing aids. Do not wear makeup, perfume, nail polish, hair pins, barrettes or similar items. Any child under the age of 18 must be accompanied by a parent or legal guardian. Adult patients who are incompetent must be accompanied by a guardian who is able to sign legal documents.

On admission to the surgical preparation area, you will change into a gown. If you are being admitted, leave your suitcases in the car until after surgery when you have been assigned a room. Your street clothes will be placed in a bag and held until post-op. Do not leave your valuables with us. In the preoperative surgical area, you will be assessed by a registered nurse and an intravenous (IV) line will be started. Your surgical consent form will be confirmed multiple times by the staff and surgeon. This is for your safety. Preoperative sedation may be administered to help you relax. This is not the anesthetic, but it may make you drowsy. Family members may visit until you are transported to the operating room suite. You will be assisted in transferring from the cart to the operating room bed. If a block or spinal is to be performed, it may happen at this point. Anesthesia will be given at that point prior to the start of surgery.

Family, friends, and significant others are very important to ensuring success postoperatively. They will be directed to the waiting area during surgery. The doctor will come to the waiting area to talk to the family after surgery is completed. If the family must leave this room, they should inform the desk of their location. Please leave a number for the surgeon to call if family is leaving the waiting area.The surgeon may call the family if he is unable to find them in the waiting room.

After surgery, you will be transported to the Post Anesthesia Care Unit (PACU). The PACU staff will watch you closely until you are fully awake. Let your nurse know if there is any discomfort or nausea so medication can be given. The surgeon will see your family or friend(s) in the waiting room and provide them with an update to how the surgery went and any answers to questions or concerns. Length of stay in the PACU is variable, depending on how quickly you awaken, your discomfort or nausea, and how soon a room is available upstairs for any admissions.

This depends on the surgery received. Always make sure you are cleared prior to operating a vehicle by your surgeon. At a minimum, you must be off narcotics. You must feel comfortable and safe behind the wheel, so that you would be able to brake or accelerate in the event of an emergency. If you are driving a manual transmission, you will require the use of all four extremities.

This is also variable depending on your surgeon or surgery received. Please confirm with the surgeon prior to showering.