Q.
 
Where is your main office (or satellite's) located?
A.
 
Please see the "Contact Us/Map" link on this website.
 
Q.
 
 
 
What types of ultrasound can be done in your office?
A.
 
Jennifer's credentials, our ultrasound technician, are listed on the "Our Staff" link of this website. Our Ultrasound Lab accredited by ICAVL (Intersocietal Commission for the Accreditation of Vascular Laboratories). The following ultrasound procedures are performed in our vascular lab:
 
Carotid Ultrasound - Used to determine if a blockage exists in the carotid and to what extent. The carotid arteries supply blood flow to the brain, which can prevent stroke.
 
Abdominal Ultrasound - Used to diagnose and measure Abdominal Aortic Aneurysms.
 
Peripheral Ultrasound - Used to determine of there is diminished blood flow to the lower legs and feet. This can lead to gangrene and sometimes amputation.
 
Venous Ultrasound - Used to determine of a patient has a blood clot in their arms or legs.
 
Renal Ultrasound - Used to determine if the renal (kidney) arteries have any blockage.
 
Q.
 
 
 
I am having an ultrasound in your office; do I have to do anything special to prepare for it?
A.
 
The only ultrasound that we perform in our office that requires special preparation is a Renal Ultrasound. These special instructions are as follows:
 
Have a no fat meal at supper the night before (ex. fruits and vegetables).
 
Take an antacid at bedtime (ex. Tums, Mylanta).
 
No food or drink after midnight the night before.
 
Take another antacid 1 hour before the test.
 
Q.
 
 
 
Do I have to fast for my blood test?
A.
 
No, we do not need you to fast for any of our blood tests.
 
Q.
 
 
 
How do I prepare for my CT scan?
A.
 
You may be required to have some blood work and/or a chest x-ray the week before your scan. There are some medications that cannot be taken prior to some CT scans, please check with the office. No solid food for four hours before your scan. Liquids are allowed until you arrive for your test.
 
Q.
 
 
 
What should I do before my PET scan?
A.
 
No food or drink (except water-and a lot of it) four to six hours before your scan. Avoid drinks high in sugar, heavy lifting, running or exercise programs 24 hours prior to your Scan. Do not wear any clothing containing metal (including undergarments). Take your regular medications normally. Diabetic patients should have their last subcutaneous injection at least 4 hours prior to the scan, and maintain a blood glucose level of 140mg/dl or below if possible. This scan will take 2 - 3 hours.
 
Q.
 
 
 
Are there any special instructions for my Aortogram, Arteriogram, (Angiogram)?
A.
 
You will be required to have lab work the week before this test. No food after midnight the night before the test. Drink a lot of clear liquids the night before and the morning of the test. There are some medications that cannot be taken prior to this test, please check with the office. You will be at the hospital for the majority of that day. You will need someone to drive you home.
 
Q.
 
 
 
What should I do to prepare for my surgery?
A.
 
There will be pre-operative lab tests, x-rays, EKG and/or ultrasound that may need to be done prior to your surgery. You will be directed by the office staff if any of these are needed. You cannot have anything to eat or drink after midnight the night before your surgery. There are some medications that cannot be taken before surgery. Please check with the office. You need to be at the hospital 1½ hours prior to your scheduled time. You must check in with the admitting department (right inside the main entrance of Lakeland Hospital). If your surgery is out-patient, you will not be allowed to drive yourself home.
 
Q.
 
 
 
What can I expect following discharge from the hospital if I had heart surgery?
A.
 
These are the instructions you will be given:
 
Your next two weeks at home should be an extension of your last day in the hospital.
 
Take it easy with the visitors. Limit the number of visitors and do not let visitors stay too long for the first few weeks.
 
Walk as often and as far as you wish. Be sure to walk a few times a day, and whenever you get tired, rest.
 
Do not drive for a minimum for four weeks. The doctor will discuss this further at your first appointment.
 
Do not lift anything heavier than a telephone.
 
Eat whatever you like, and as much as you want for the first few weeks. It is important to get your strength back, so be sure that you DO eat. It may be easier to eat five small snacks a day instead of three big meals. (If you are diabetic be sure to follow your outlined diet.)
 
Be sure to take one aspirin a day and other medications as directed.
 
As you begin to feel better, you may resume your normal activities, including sexual activity.
 
If you are not improving, have fevers, redness or drainage from your wounds, increasing shortness of breath, angina-like chest pains, or any other unusual symptoms - please call.
 
***** Please call the office within 1-2 days of returning home to schedule your first post operative appointment. This appointment will be approximately 2 weeks from the day you were discharged from the hospital and will require you to have a chest x-ray 1 hour prior to this appointment. The clinic coordinator will make all the arrangements for you; all you have to do is show up. St Joseph office patients will have the x-ray at the Health Park on Hollywood Road. Niles, Dowagiac, South Haven and Watervliet Clinic patients will have the x-ray at each respective hospital. You will then bring the x-ray film or a CD of the x-ray with you to your appointment that day.
 
If you have any questions, concerns or complaints do not hesitate to call: 408-1660 or toll free 1-888-408-4080, both a 24 hour phone number.
 
Frederick H. Levine, M.D./Kourosh Baghelai, M.D.
 
*Always keep a current list of your medications with you and take this list to all doctor visits.
 
***Every patient's situation is different; you will be directed by the Surgeon and/or their staff for your particular needs.