Diseases

Will physician's fees, associated costs, hospital services, rehabilitation programs, and pain medications be covered by my insurance plan? Sometimes the doctor's office staff can be very helpful in securing the answers to these questions. If not, a direct call to your insurer is in order.

Obtaining a second opinion is very reasonable for an elective (voluntary, or non-emergency) surgical procedure. This will not be a problem with the first surgeon, who will recognize this as commonplace. Second opinions can reassure anxious patients (and family members) and make the whole process easier for all involved.

What are the nonsurgical or medical treatments available to help the condition? What will/might happen if the operation is not done? If the operation is not done at this time, can it be done later? What are the consequences if the procedure is postponed or delayed?

What are the problems, complications, or conditions that are the risks of the procedure? How common are these complications and potential adverse events? If complications occur, how can they be treated? Is hospitalization required, or can the procedure be performed on an outpatient basis? If hospitalization is recommended, how long is a typical hospital stay?

What exactly are the expected or possible benefits of doing the procedure? How likely is it that these benefits will result from the procedure?

Ask your surgeon for a simplified explanation of the type of operation, technique used, and reasons it should be performed. (Pictures and drawings can tell patients and family a great deal.) Why was this specific procedure chosen over possible alternatives?

Is the procedure being done to relieve pain, diagnose a condition, correct deformity, for cosmetic reasons, or what exact purposes? Must the procedure be performed immediately?

Procedures vary in terms of wound recovery time and length of rehabilitation programs. It is very important for patients to know the long-term program ahead of time for the best planning. Will pain control medications be necessary? How long will it be until you can resume normal functioning? When can you return to work and recreational activities?

It is reasonable to ask how often the surgeon performs the particular procedure. Ask the surgeon about his/her experience with this procedure, its outcome, and the hospital or setting in which the operation will be performed. Is the nursing staff accustomed to caring for patients who have had this procedure?

Is a general anesthetic necessary? Can the procedure be performed under local or regional anesthesia? Are sedatives or other medications required prior to the procedure? What are the risks of the type of anesthesia to be used?

Surgical procedures may be performed in a hospital operating room or in an outpatient surgical facility, which may be located in a hospital or sometimes in medical offices.