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Surgery Information

For Premjit “Pete” S. Deol, D.O  & Molly Kovell, PA-C 

Contact Information

Point Person & Surgery Scheduler: Katharine Howell, Clinical Liaison

    • Call: 720-497-6602, to leave a message with questions or 303-233-1223: extension: 6602, or following prompts for physician care team

    • Message: Through Common Spirit MyChart patient portal *The patient portal is the preferred point of contact for all questions/concerns

    • Fax: 720-497-6755

Additional Contact Information

    • NotifyMD (After Hours, Excluding Holidays): Medical questions or concerns that require Immediate Attention AFTERHOURS. Call the main line and you will be directed to our afterhours team: 303-233-1223

    • Triage  (Urgent during business hours, Excluding Holidays): Medical questions or concerns that require Immediate Attention during business hours. Call the main line and dial extension 1100 to be directed to our Triage team.

    • Appointment Scheduling (9am- 5pm, M-F): Schedule new appointments or to reschedule appointments. Call: 303-233-1223 option 2, option 1 and then option 1.

    • Refills on Medication  (8am- 3pm M-F, excluding holidays and weekends): Refills for prescriptions, new prescriptions, or questions about medications. Call Dr. Deol’s point person, 720-497-6602.

    • Disability/ FMLA: Questions/concerns about disability/FMLA paperwork/work forms. Please allow 5-7 business days to have these forms returned to you. Contact the clinical liaison, call 720-497-6602. You may fax the forms to 720-497-6755 or email drdeolpc@panoramaortho.com.

    • Pre-Authorization (9am-4:30pm, M-F, Excluding Holidays): Insurance authorization questions. Call: 303-233-1223 option 2, option 3, and then option 4, our auth representative is Corina Salazar.

    • Physical Therapy: Schedule physical therapy appointments. Questions or concerns for your physical therapist. Call: 303-274-7330 for central scheduling physical therapy for all Panorama and affiliated therapy scheduling.

    • Billing Hotline: Questions regarding billing. Call: 720-497-6637 direct line. You can also call the main line, 303-233-1223 option 2, option 3 and then option 1.

Patient IQ

Knee Scooter Resources

Online at Amazon or Walmart, or Knee Walker Central (kneewalkercentral.com), or can search for other medical supply stores or resources through insurance or through search engine (Google) 

Rocky Mountain Knee Scooter

Address: 6205 E Ohio Ave Suite B, Denver, CO 80224

Phone: 720-577-4040 

Knee Scooter USA Rentals

Address: 3605 S. Roslyn Way, Denver, CO 80237

Phone: 208-408-1888

Dave’s Locker

(Second hand, free per need) 

Address: 7903 Allison Way, Arvada, CO 80005

Phone: 720-624-6486 

Mile High Knee Scooter

Call/text. Offering weekly rental options 

Phone: 720-604-0488 

*Insurance does not typically cover knee scooters, but you can call your insurance to verify this. If they do cover knee scooter costs, they often will want you to get the knee scooter through a specific medical supply facility/provider. Your insurance should be able to provide that information for you.  

Call the medical supply facility and find out what information they need from our office (they may want a prescription with specific information included, please ask insurance or facility what is needed) and where the prescription can be faxed. You can then call the office to give us the information and fax number for us to send the prescription. You can also have the facility where you are getting your knee scooter to fax us a request.  

Dr. Deol’s Office Contact: 

Phone: 720-497-6602 

Fax: 720-497-6755 

Email: drdeolpc@panoramaortho.com 

Medical Supply Stores

Restore at Panorama Orthopedics in Golden

660 Golden Ridge Road  

Suite 250 

Golden, CO 80401 

Phone: 303-233-1223 

Mountain View Medical

5076 West 58th Avenue 

Arvada, CO 80002 

Phone: 303-455-1300 

Fax: 303-455-133 

Aspen Medical Supply

250 E Dry Creek Road 

Littleton, CO 80122 

Phone: 720-322-0101 

Major Medical – North Denver 

7000 North Broadway  

Suite 412 

Denver, CO 80221 

Phone: 303-403-4655 

Major Medical- South Denver

W. Mineral Avenue

Suite 111 

Littleton, CO 80120 

Phone: 303-403-4655 

Major Medical – Longmont 

1649 North Main Street 

Longmont, CO 80501 

Phone: 303-651-6400 

Fax: 303-678-4837 

Physician’s Choice Medical  

7000 Broadway  

Suite 200 

Denver, CO 80221 

Phone: 303-429-7300 

Fax: 303-427-6205

General Foot & Ankle Surgery Guidelines

Billing Overview

  1. Please note that there will be several entities billing separately for your surgery: 
    • surgeon 
    • anesthesiologist 
    • facility 
  2. We will work with you to help you understand your benefits as you may have a deductible or co-insurance to meet before your insurance pays anything.  It is always best for you to contact your insurance and check your in-patient and out-patient surgical benefits prior to your surgery. 
  3. You may require durable medical equipment (DME) or physical therapy for your recovery which will also result in separate charges.  The DME team can be reached at 720-497-6126 or by email at DMEstaff@panoramaortho.com  
  4. Most procedures allow 90 days of office visits included in your post-operative care during follow up from surgery.  However, x-rays and cast changes are billable within those 90 days. 
  5. For some procedures with newer techniques, the insurance may consider the procedure to be “investigational or experimental” and may not want to cover all or part of your procedure.  If that is the case, you will be notified prior to surgery and a deposit and waiver may be necessary to proceed. 
  6. Prior to your surgery, our authorization team will contact your insurance company and get the procedure pre-approved. Some procedures do not require pre-authorization; authorization will always be confirmed.  Authorization is not a guarantee of payment.  That means that the insurance company can still deny procedures after they are performed.    
  7. If you have a deductible to meet with your insurance policy, our pre-surgical collections team will contact you to pre-collect towards your out-of-pocket requirement.  The facility may also want to pre-collect too, so we will coordinate so as not to over-collect.  If no prepayment is required, our team will not reach out to collect.  
  8. If you have no insurance* We will pre-collect towards any elective procedure and we will help provide contact information so that you may obtain quotes from all parties involved in your surgery. 
  9. Our pre-surgical collections team can be reached at 720-497-6104 or by email at preprocedurecollections@panoramaortho.com  
  10. If you are under workers’ compensation* Our work comp team can be reached at 720-497-6131 or WorkComp@panoramaortho.com  
  11. Our billing team can be reached at 720-497-6637 or CustomerServiceTeam@Panoramaortho.com if you have any questions. 

Perioperative Surgery Instructions & Information

For Regular Insurance: 

 For Workers Comp:

Scheduling Your Surgery: 

A surgery coordinator will be contacting you within the next several days to work on getting a date set for your surgery. Dr. Deol operates at: 

Golden Ridge Surgery Center: 660 Golden Ridge Road, Golden, CO, Phone: 303-963-1500

Ortho Colorado Hospital: 11650 W 2nd Place, Lakewood, CO, nurses phone: 720-321-5170

St. Anthony’s Hospital:11600 W 2nd Place, Lakewood, CO, Phone: 720-321-0000. 

His standard surgery days are Tuesdays and Fridays.  

1) The surgery scheduler is not allowed to give out time of surgery. The facility coordinates the time of your case. The facility will call you 1 business day prior to your surgical date. 

2) The anesthesiologist will contact you 1 business day prior to surgery (usually the night before) to review medical history and advise when you should be fasting from liquids and solid foods. Typically, NO food or drink after midnight before your surgery. 

Pre-Operative Medications: 

Please call the physician’s office that has prescribed you any medications you are currently taking to inquire whether they should be discontinued prior to surgery or the nurses at the surgical facility with any specific questions but there is a list/guideline attached on webpage. 

Please discuss with your prescribing physician prior to stopping any prescribed medications.  Medication such as aspirin, Advil, Aleve, Motrin, Ibuprofen and prescription anti-inflammatory should be discontinued ONE WEEK prior to surgery.  If your surgery is to be scheduled within the next week, discontinue any of these medications IMMEDIATELY.  Taking these medications may cause excessive bleeding and complicate your surgery. ** Plain Tylenol or generic Tylenol is okay to take and will not cause excessive bleeding. 

 Post Operative Pain Management & Narcotic/Opioid Prescriptions 

Post operative pain medication is sent the night before surgery to your pharmacy listed on file in your patient chart. 

You will experience pain associated with surgery. We do NOT expect you to have zero pain. The goal is to manage your pain appropriately and safely. Opioid pain medication can cause sedation, depression, tolerance, dependence, abuse, impaired breathing, constipation, nausea, or itching. Opioids can contribute to hospital readmission and even death.  

If you had a nerve block, please note it is difficult to predict when they will wear off – but in general, blocks of the lower leg done behind the knee will typically wear off in 12-24 hours. If you had a block around your ankle it will typically wear off in 6-8 hrs. To stay ahead of the pain, start taking your prescribed pain medication before the block wears off. Once the block wears off you may titrate up or down with the prescribed dosage of pain medication.  

We always recommend adding OTC pain medications in combination with your prescription narcotic/pain medicine!  

Tylenol (Acetaminophen) is recommended to assist with pain. You may take up to 3,000 mg of tylenol in a 24 hour period. You may take 500 mg tablets every 4 hours, 650 mg tablets every 6 hours or 1000 mg every 8 hours. 

ADDITIONALLY, it is safe to also take OTC NSAIDs/anti-inflammatory medications such as ibuprofen/Advil/Motrin/Aleve. Defer to medication bottle for dosing. Recommend 600 mg ibuprofen every 6 hours with food and water. 

Weaning off the opioid pain medication will decrease risks for potential side effects. To begin weaning off the opioid pain medication, you will begin by increasing the time interval between doses (for example: if you take the medication every 4 hours, try to stretch it to 5-6 hours). Once you have achieved stretching your medication time interval, you can then begin to decrease the dose of the opioid pain medication (for example: instead of taking 2 tablets at a time, try to take 1 tablet). If pain medications are running low, need a refill, or you have questions or concerns about these medications, call Panorama Orthopedics prescription line Monday-Friday between 9am- 5pm, 720-497-6662 (unable to refill prescriptions during the weekend and holidays). Refills of opioid pain medication will be at the discretion of your surgeon based on your specific surgery and postoperative course. 

Do not consume alcohol, marijuana or drive while taking opioid pain medications. 

 

Constipationerative Constipation 

Even if you have regular bowel movements prior to having surgery, you are likely to experience 

post-operative constipation. Exposure to anesthetics and narcotics, reduced fluid intake and reduced physical activity contribute to this constipation. 

We recommend taking Colace, Miralax, Milk of Magnesia or any stool softener 

 

Blood clot/DVT Risk 

The risk of developing a blood clot or DVT is always a concern after surgery. You will either be prescribed 81 mg Aspirin to take twice a day for 30 days post operatively OR a prescription anticoagulant/blood thinner will be sent to your pharmacy depending on your risk factors. 

** While taking prescription anticoagulant you ARE NOT TO TAKE any Advil, Motrin, Aleve, 

Ibuprofen or other anti-inflammatory medications. Again—please contact the prescribing physician to discuss stopping any prescribed medications while taking the blood thinner. 

What is a DVT? 

What is a PE?

What are the potential symptoms of PE?

Immediately after surgery: 

You are advised to go directly home from the surgery center or hospital after surgery.  Patients are NOT allowed to drive themselves home, so please arrange transportation home and plan to have someone with you for the first night.  

Weight bearing Status: 

  • Please check your discharge instructions from the hospital/surgery center outlining your weight bearing status.
  • If you are Non weight bearing (no weight allowed on operative extremity) please arrange to have crutches, a walker, a knee scooter, or wheelchair to accommodate this status. Please review the information included in the surgery packet about a Roll-a-bout type device (knee scooter) and contact the listed vendors for arrangements to obtain one of these. 
  • If you need a wheelchair, please contact your insurance regarding coverage and where to obtain this/prescription requirements.  

Numbness and Tingling:   

  •  It is common to have effects from the block for 24-48 hours and this may last up to 72 hours.  It is also common to experience some residual numbness and tingling several weeks post-op. 

 Warning Signs:   

  • Call our office immediately if you experience any of the following and ask to speak with Triage/NotifyMD- 303-233-1223. 
  • Fever over 101.5° by mouth 
  • If pain is unmanageable by pain medication, consider icing, elevating the extremity more often.   
  • Increased swelling (associated with increased pain) around or below the operative areas.  
  • Uncontrolled nausea or vomiting.  Please be aware some pain medications may cause nausea or vomiting.  If this is a side effect you experience, please contact our office immediately.  
  • Blood soaked dressing or increased drainage from the surgical area.  **If bleeding through the dressing, please contact our office immediately.  We may have you make arrangements to come in to the office to place you in a different cast/ splint and check the bleeding.   
  • Calf pain- Extreme calf tightness, constant throbbing pain, different than normal tenderness in your calf.  Contact our office immediately or go to your nearest Emergency Room as this is a sign/ symptom of deep venous thrombosis. 
  • Chest pain, difficulty breathing, or change in mental status– CALL 911 immediately. 

Post-Operative Logistics

Driving

Follow-up

Travel

Work

Disability/ FMLA Paperwork

Application for Handicap Tag

Postop Physical Therapy

What medications should I STOP before your surgery? 

Some medications may need to be stopped before surgery. Please discuss the medications what you are currently taking with your surgeons and the care teams who prescribed the medications to see if you need to stop taking any of them prior to your surgery. Below is a list of medications that you will want to talk about: 

Warfarin (Coumadin) 

If you take Coumadin, please discuss this with your surgeons and physicians at least seven (7) days before your operation. You need to obtain special instructions about when to stop this medication. 

Enoxaparin (Lovenox ) or Arixtra 

If you take Lovenox or Arixtra, please discuss this with your surgeons and physicians as soon as possible. You need to obtain special instructions about when to stop this medication. 

Insulin 

If you take Insulin, please check with your prescribing doctor or the anesthesiologist about what to do the day of surgery 

  • Clopidogrel (Plavix), 
  • Ticlopidine (Ticlid), 
  • Persantine, 
  • Fosamax 
  • Aspirin Drugs 

 Typically we will have you stop this 7 days prior to surgery date. 

Examples of Aspirin Products

Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) 

If you take NSAIDS, please discuss this with your surgeons and physicians at least 3-5 days before your operation, but preferably 7 days prior if possible.  

Examples of NSAIDS

Monoamine Oxidase Inhibitors (MAOI) 

If you take tranylcypromine (Parnate, Sicoton), phenelzine (Nardil, Nardelzine), Isocarboxazid, Marplan, Deprenyl, resagiline (Azilect), or selegiline hydrochloride, please discuss this with your surgeons and physicians at least fourteen (14) days before your operation. You need to obtain special instructions about when to stop this medication.  

Dietary Supplements: Vitamins, Minerals, Herbal Supplements, and Holistic Supplements 

Dietary supplements listed below should be stopped 7-14 days before your operation. 

Examples of Supplements

What medications can you take on the day of surgery? 

You may take any of these if they are currently prescribed to you: 

  • Heart medication 
  • Blood Pressure Medication 
  • Anti-seizure Medication 
  • Tylenol, if needed, for pain up until the day of your operation. 

If you have asthma, use your inhaler the morning of surgery and BRING them with you.  

DO NOT take Water Pills, Diabetic Pills… in addition to anything you have previously stopped taking in preparation for surgery (remember this includes Aspirin, Motrin, Coumadin, Warfarin with instructions from prescribing physician and surgeon). 

FAQ About Surgery

What time is my surgery? 

Has insurance approved my surgery? 

Where can I send my disability/FMLA paperwork?

Does Panorama provide Durable Medical Equipment?

Can Panorama Set up rehab for me?

I received oxygen to take home with me, can I get Panorama to send a letter to have that picked up?

When are prescriptions for medications given for use after surgery?

Do I have to have a ride to/from surgery? And is a taxi/uber/lyft ok?

I have received an e-mail about One Medical Passport – do I have to fill this out and is this from Panorama?