Your Same Day Lymphatic Mapping, Localization, and Surgery at MSK's Josie Robertson Surgery Center

This information describes what you can expect during your same day lymphatic mapping, localization, and surgery at Memorial Sloan Kettering’s (MSK’s) Josie Robertson Surgery Center (JRSC). Read this before your surgery and refer to it on the day of your surgery so that you know what to do and what to expect. Remember to also review the educational resources your nurse gave you.

The JRSC is a state of the art ambulatory surgery center. Your care there will be based on your surgery and designed specifically for you. We will talk with you and your caregiver so that you’ll both know what to expect at every step. You and your caregiver will play an active role during your time at the JRSC and at home.

Before your surgery, you will have lymphatic mapping and localization done. You will have your lymphatic mapping done in the Molecular Imaging and Therapy Service (MITS), which is sometimes called the Nuclear Medicine service. You will have your localization done at the Evelyn H. Lauder Breast and Imaging Center (BAIC). 

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Before Your Surgery

  • While you’re at the JRSC, you will have a tablet available for your use. There are things you may need to do before your surgery to use some functions of the tablet and other services available at the JRSC.
    You will receive a series of surveys in your patient portal (MyMSK) or email account before and after your surgery. These surveys will ask about your health and your experience at the JRSC.
    • You will be able to video conference with anyone from your room. If you would like to video conference, set up a Skype account if you don’t already have one.
    • You will be able to listen to music in your room. If you would like to listen to music, set up a Pandora® account if you don’t already have one.
  • To keep patients and staff safe and healthy during the COVID-19 pandemic, we’ve made updates to our visitor policy. Visit www.mskcc.org/visit for more information.
  • Your caregiver can come to the JRSC with you and stay with you until you’re brought to the operating room. At that time, your caregiver will need to leave the JRSC.
  • Your healthcare provider will call them with updates about your surgery and will let them know when they can return to the building.
  • No visitors can stay overnight at this time.
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The Day of Your Surgery

What to bring

  • Your prescription card, if you would like to have your prescriptions filled at the JRSC.

Lymphatic mapping and localization procedures

Where to go for your procedures

Your lymphatic mapping procedure will take place in the Molecular Imaging and Therapy Service at Memorial Hospital.

  • Memorial Hospital is located at 1250 First Avenue, between East 67th and East 68th Streets. The guard at the front desk will direct you to the Molecular Imaging and Therapy Service. Check in at the Radiology Department reception desk next to the elevators

Your localization procedure will take place at the BAIC. The BAIC is located at 300 East 66th Street, between First and Second Avenues.

  • If you’re having a breast wire, seed, or skin localization, take the elevators to the Breast Imaging Department on the 5th floor.
  • If you’re having a magnetic resonance imaging (MRI) needle localization, take the elevators to the MRI Department on the 6th floor.

Check in at the reception desk next to the elevators. Your localization will take about 45 minutes to 1 hour.

After your first procedure is finished, you will be escorted to the 1275 York Avenue entrance, where a car service will bring you to the BAIC for your localization procedure. The same car service will pick you up from the BAIC to take you to the JRSC for your surgery. Your procedures will take about 3 hours.

Parking information for your visitors

Your caregiver and other visitors should park at JRSC, located at 1133 York Avenue, between East 61st and East 62nd Streets.

  • If you’re coming from Northbound FDR Drive, you will need to go around the block to pull into the driveway on southbound York Ave, between East 62nd and East 61st Streets.
  • If you’re coming from Southbound FDR Drive, take southbound York Avenue and pull into the driveway.

There are several options for parking at the JRSC. There is a valet service at the JRSC entrance. If you choose to use this service, the valet will park your car next door in the City Parking garage. The valet service is free, but you will need to pay the parking garage fee when you leave the JRSC. For more information about parking, call 646-888-7100.

If you choose not to use our valet service, there are nearby garages. You will have to pay to park in these garages.

After your procedures

After your procedures are finished, you will be escorted to the lobby. A car service will pick you up from the driveway of the BAIC at the 300 East 66th Street entrance. They will take you and your caregiver to the JRSC for your surgery. There is no charge for this car service.

Check-in at JRSC

  • Once you enter the JRSC, a concierge will greet you and direct you to the check-in area on the 3rd floor.
  • When you get to the 3rd floor, you and your caregiver will be given badges to wear. These badges will allow your healthcare team to provide updates on your progress.
  • If you have any dietary restrictions (such as kosher, gluten free, or vegetarian), tell us when you check-in. We will make sure we give you the food and drink you need.
  • We will ask you for the name and contact information of the person who will take you home when your surgery is finished.

What to expect in the pre-surgical center

  • After you check in, a member of your healthcare team will bring you and your caregiver to the pre-surgical center on the 6th floor.
  • You will meet with your healthcare team. They will review your medical history and answer any questions you may have.
  • Your nurse will bring you to the operating room when it’s time for your surgery.
  • While you’re in the operating room, your caregiver will be asked to leave the building.

Information for Caregivers and Visitors
  • To keep patients and staff safe and healthy during the COVID-19 pandemic, we’ve made updates to our visitor policy. Visit www.mskcc.org/visit for more information.
  • You will need to fill out the visitor registration form before you visit the JRSC. Click here to fill out the form. Only 1 visitor can come into the JRSC with the patient.
  • At the entrance, we will check your temperature and ask you to show the email confirmation you got after filling out the visitor registration form.
  • You can go with the patient to their room in the pre-surgical center and stay with them until they’re brought to the operating room. At that time, you will need to leave the JRSC.
  • Our Nursing/Family Liaison will call you with updates during the surgery.
  • When the surgery is over, a member of the surgical care team will call you and let you know when you can return to the building.
  • You can join the patient in their room while they learn how to safely recover after their surgery.
  • No visitors can stay overnight at this time.

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After Your Surgery

At the JRSC

A member of your healthcare team will take you to your private recovery room on 4th, 5th, or 6th floor. When you’re ready, we will call your caregiver to return to the building and bring them to your room.

From your room you will be able to:

  • Communicate with your healthcare team.
  • Listen to Pandora.
  • Skype with your friends and family.
  • Watch or listen to music channels on the TV.

Your nurse will help you get ready to go home. When you’re awake, your nurse will:

  • Encourage you to walk.
  • Give you something to eat and drink.
  • Review your discharge instructions with you and your caregiver.
  • Answer any questions you may have.

Depending on your type of surgery, you may stay at the JRSC 1 night. If your healthcare team feels you need to stay longer, you will be taken to Memorial Hospital, located at 1275 York Avenue, between East 67th and East 68th Streets.

When You’re at Home

The day after you go home, a member of your healthcare team will call you to see how you’re feeling and answer any questions.

MyMSK RecoveryTracker

We want to know how you’re feeling when you go home. The MyMSK Recovery Tracker is a group of questions we will send to your MyMSK account daily for 5 to 10 days after your surgery. It will only take 2 to 3 minutes to complete. Please answer the questions every day before midnight. Your answers to these questions will help us take the best care of you.

Your healthcare team will review your responses to make sure you’re recovering as expected. Based on your answers, we may reach out to you or ask you to call your surgeon’s office to give us more information. You can always contact your surgeon’s office if you have any questions.

MyMSK is our patient portal. If you don’t have a MyMSK account, visit my.mskcc.org or call 646-227-2593 to sign up. For more information, talk with someone in your surgeon’s office or watch the video How to Enroll in MyMSK: Memorial Sloan Kettering's Patient Portal.

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Your feedback will help us improve the information we provide to patients and caregivers. We read every comment, but we’re not able to respond. If you have questions about your care, contact your healthcare provider.
 

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