This information will help you prepare for your pulmonary procedure at Memorial Sloan Kettering (MSK).
About Your Procedure
The procedure you will be having is: _______________________________
Your procedure will be done at Memorial Hospital (MSK’s main hospital). The address is:
1275 York Avenue (between 67th and 68th Streets)
New York, NY 10065
Your procedure will be in either the operating room or the endoscopy suite. Your doctor or nurse will tell you where your procedure will be. They will also check off the correct box below.
- The operating room
Take the B elevator to Presurgical Center (PSC) on the 6th floor.
- The endoscopy suite
Take the M elevator to the 2nd floor.
Before Your Procedure
You may need to stop taking some of your medications before your procedure. Talk with your doctor about which medications are safe for you to stop taking. We have included some common examples below.
Anticoagulants (blood thinners)
If you take a blood thinner (medication that affects the way your blood clots), ask the doctor performing your procedure what to do. Their contact information is listed at the end of this resource. Whether they recommend you stop taking the medication depends on the reason you’re taking it.
Do not stop taking your blood thinner medication without talking with your doctor.
|Examples of Blood Thinners|
|apixaban (Eliquis®)||dalteparin (Fragmin®)||meloxicam (Mobic®)||ticagrelor (Brilinta®)|
|aspirin||dipyridamole (Persantine®)||nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil®) or naproxen (Aleve®)||tinzaparin (Innohep®)|
|celecoxib (Celebrex®)||edoxaban (Savaysa®)||pentoxifylline (Trental®)||warfarin (Coumadin®)|
|cilostazol (Pletal®)||enoxaparin (Lovenox®)||prasugrel (Effient®|
|clopidogrel (Plavix®)||Fondaparinux (Arixtra®)||rivaroxaban (Xarelto®)|
|dabigatran (Pradaxa®)||heparin (shot under your skin)||sulfasalazine (Azulfidine®, Sulfazine®)|
Please read our resource Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs). It has important information about medications you’ll need to avoid before your procedure and what medications you can take instead.
Medications for diabetes
If you take insulin or other medications for diabetes, ask the doctor who prescribes the medication what you should do the morning of your procedure. You may need to change the dose before your procedure.
Diuretics (water pills)
If you take any diuretics (medications that make you urinate more often), ask the doctor performing your procedure what to do. You may need to stop taking them the day of your procedure. Diuretics are sometimes called water pills. Some examples are furosemide (Lasix®) and hydrochlorothiazide.
Before your procedure, you will talk with a nurse to plan your care during your procedure. The way you talk with the nurse depends on where your procedure will be done. Your doctor or nurse will tell you what to expect. They will also check off the correct box below.
You may have medical tests to help plan your procedure. These tests may include an electrocardiogram (EKG) to check your heart rhythm, a chest x-ray, blood tests, and any other tests necessary to plan your care. These tests may be done before or after you talk with the nurse. The nurse may also recommend you see other healthcare providers.
- If your procedure will be done in the operating room, you will have a Presurgical Testing (PST) appointment within 30 days of your procedure.
You can eat and take your usual medications the day of your PST appointment.
During your appointment, you will meet with a nurse practitioner (NP) who works closely with anesthesiology staff (doctors and specialized nurses who will give you medication to make you sleep during your procedure). Your NP will review your medical and surgical history with you. They will talk with you about which medications you should take the morning of your procedure. You will also have medical tests to help plan your procedure.
It’s very helpful if you bring the following to your PST appointment:
- A list of all the medications you’re taking, including both prescription and over-the-counter medications, patches, and creams.
- Results of any tests done outside of MSK, such as a cardiac stress test, echocardiogram (echo), or carotid Doppler study.
- The name(s) and telephone number(s) of your doctor(s).
- If your procedure will be done in the endoscopy suite, a nurse will call you 3 days before your procedure.
The nurse will confirm the type of procedure(s) you’re having and review the instructions in this resource with you. They will also ask you questions about your medical history and all medications you’re taking. They will talk with you about which medications you should take the morning of your procedure.
If you develop any illness (such as a fever, cold, sore throat, or the flu) before your procedure, please call your doctor who scheduled the procedure. After 5:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the fellow on call for the Pulmonary Service.Back to top
The Day Before Your Procedure
A clerk from the Admitting Office will call you after 2:00 pm the day before your procedure. If your procedure is scheduled on a Monday, you will be called on the Friday before.
The clerk will tell you what time you should arrive at the hospital for your procedure. They will also remind you where to go on the day of your procedure. This will be one of the locations below.
If you don’t receive a call by 7:00 pm, please call 212-639-5014.Back to top
The Day of Your Procedure
- Take only the medications you were instructed to take the morning of your procedure. Take them with a few sips of water.
- Don’t put on any lotion, cream, powder, deodorant, makeup, perfume, or cologne.
- Remove any jewelry, including body piercings.
- Leave valuables, such as credit cards and jewelry, at home.
- If you wear contact lenses, wear your glasses instead.
- A list of all the medications you take.
- Medications for breathing problems (such as inhalers), if you take any.
- Medications for chest pain, if you take any.
- A case for your glasses or contacts.
- Your Health Care Proxy form, if you have completed one.
- Your breathing machine for sleep apnea (such as a CPAP), if you have one.
Once you’re in the hospital, you will be asked to state and spell your name and date of birth many times. This is for your safety. People with the same or similar names may be having procedures on the same day.Back to top
After Your Procedure
If fluid was drained from your chest during your procedure, you will have a follow-up appointment in the Pleural Disease Clinic about 2 to 4 weeks after your procedure.
Your appointment will be with one of the interventional pulmonology advanced practice providers (APPs), which include NPs and physician assistants (PAs). APPs are medical professionals who work closely with your doctor.
If you have any questions about your follow up-appointment in the Pleural Disease Clinic, call 212-639-6283.Back to top
If you have any questions or concerns, please call Interventional Pulmonology at 212-639-LUNG (212-639-5864). If you had fluid drained from your chest, call the Pleural Disease Clinic at 212-639-6283. You can reach a staff member Monday through Friday from 9:00 am to 5:00 pm.
After 5:00 pm, during the weekend, and on holidays, please call 212-639-2000 and ask for the fellow on call for the Pulmonary Service.