Information that help you plan your visits
What to bring
Please bring to your appointment
- A referral letter from your GP or Specialist.
- Recent Xray/CT/MRI on a film or disc. If not available please get the location of the radiology provider.
- Private Health insurance details.
- Medicare card.
- DVA or Health care card ( If applicable).
Please arrive 10 minutes prior to your consultation time.
Please check in and fill the new patient registration form. Alternately, you can download, print and fill the form HERE prior to coming for your appointment, to save time.
At your initial appointment Mr Sethi will thoroughly assess your condition, how it impacts on your lifestyle and job and review any investigations or treatments that you have had.
An accurate diagnosis is critical to successful treatment of orthopaedic conditions.
Once a clear diagnosis is made, Raman will ensure you have a thorough understanding of the condition so that you can make fully informed decision regarding treatment options. You and Mr Sethi will formulate a personalised treatment plan together.
For most conditions, a number of treatment options exist. It is important to make the best choice for your particular circumstances. Raman works closely with a large network of specialist therapists who may become a part of your treatment plan.
If surgery is required, Mr Sethi will walk you through this process to ensure that you are comfortable with every step of the plan. He will ensure you are looked after by a team, expert in post-operative rehabilitation and functional recovery to help you achieve optimum outcome.
Follow Up Consultation
Mr Sethi will follow up of your progress to ensure that a successful outcome has been achieved. For many conditions, We do collect specific information in the form of questionnaires to do a reliable measurement of the outcome. This model of care translates into better results for you.
Being physically and mentally prepared can ensure that your surgical experience is as stress-free as possible. Mr Sethi and his team will work with you to put your mind at ease and will be right here with you every step of the way.
Understanding Your Surgery
Before choosing to undergo surgery, Mr Sethi will ensure you have all the information you need to feel absolutely comfortable with this decision. Raman feels strongly that patients must be engaged in the decision-making process, ensuring that you can play an active role in your treatment and recovery.
One of the most important aspects of this process is having a clear understanding of what to expect following surgery:
- How will post-operative pain be managed?
- How long will your hospital stay be?
- Will there be any plaster, braces or shoes?
- How long will it take to recover?
- What is the long-term outlook?
These questions will be addressed during your consultation; however we understand that sometimes it can be a lot of information to take on board. Should you have any queries/concerns, we encourage you to get in touch with us and we will be very happy to help out .
Discharge Planning and Pre habilitation
It’s always good to plan .
Following surgery, you may be placed into a plaster or splint, there will usually be some short-term limitations on bearing weight on the leg. It will be important to consider what support you may need from family or friends to help with activities such as Driving, Self care activities (dressing, showering, etc), Shopping and Meal preparation, and caring for the family. Some simple steps such as placing regularly used items within easy reach, or organising a short-term meal delivery service can make an enormous difference the first few weeks following surgery.
If you anticipate that you will have difficulty managing post-operatively, you can discuss with us the wide range of support options available through the admitting hospitals.
For a successful outcome it is also important to maintain the muscle mass and range of motion around the joints. Talk to us about organising pre habilitation before the surgery.
Preoperative Medication Management
Certain medications require careful consideration around surgery. Please ensure that you let us know if you are taking any of the following medications:
- Blood thinners (Aspirin, Plavix, Apixaban, Warfarin, etc)
- Rheumatoid arthritis medications
- Steroids (prednisolone)
- Diabetes medications (insulin, oral hypoglycaemic agents)
We will work closely with your GP and other treating specialists to ensure that these medications are managed effectively during the peri-operative period.
Smoking has a number of harmful effects on the body and we would encourage you to quit smoking prior to surgery. The reason this is important is that it has been repeatedly shown that stopping or cutting down smoking will reduce your risk of a number of post-operative complications including infection, wound healing problems and delayed bone healing.
You will need to be fasted prior to surgery – an empty stomach significantly reduces the risk of anaesthetic related complications. You will be contacted and given comprehensive instructions regarding fasting times and when to present to hospital.
Some pain after surgery is normal and unavoidable, that said, these days we have a number of ways of ensuring that post-operative pain is manageable. You may have had a nerve block placed by the anaesthetist or some local anaesthetic put in around the site of your surgery. This is very effective in the first 6-12 hours following surgery but as it wears off it is important start to take some analgesia so that you don’t get a shock when the block wears off completely.
Depending on your procedure, you will be given a prescription for analgesia to take once you are home. Simple analgesia like paracetamol and anti-inflammatories are often enough to manage pain after minor procedures, but even after more extensive surgery, these will help to manage your pain and significantly reduce the amount of stronger pain-killers required.
Stronger analgesia usually involves the use of opioid medications such as Oxycodone (Endone) or some of the newer agents like Tramadol (Tramal) or Tapentadol (Palexia). These medications are very effective at controlling pain but can have side effects such as nausea, vomiting, constipation, confusion and sleepiness. Every patient is different but it is important to try to minimise the use of these medications to limit side effects but also to reduce problems with tolerance (opioids lose their effectiveness the more that you use them).
If your pain is not adequately managed post-operatively or if you are experiencing significant side effects please contact the hospital and they can get in touch with Mr Sethi.
Swelling Management after Foot/Ankle Procedures
Keeping swelling to a minimum post-operatively is important to achieve wound healing. Rest and elevation of the affected leg are the most important things you can do to minimise swelling.
Resting your part. It is important to rest especially after a foot/ankle surgery. Some practical tips include:
- Take a one- two weeks off work.
- Make sure you have family or friends around who are willing to help with tasks around the house.
- Consider organising a short-term meal delivery service or house cleaning assistance.
Elevation is another simple measure that will have a dramatic effect on post-operative swelling. Following procedures, the easiest and most effective method of elevation is to rest leg on a few pillows or cushions when lying down. Using a stool while you are sitting on couch can also be helpful.
Casts, Backslabs, Surgical shoes and Braces
After certain Foot/Ankle and Knee procedures, your leg will be placed in a temporary plaster splint (backslab). This is to give your limb a chance rest in a position that is comfortable and functional. If your leg requires longer-term support, this plaster backslab will usually be replaced with a brace after followup consultation.
While you have a plaster backslab on, it is important to keep your slab and bandages dry. If your plaster does inadvertently get wet, please contact us so that we can organise a review or earlier conversion to a Brace.
At the time your splint is fitted, your therapist will explain how to use your splint properly – when to take it off, how to put it back on, and what exercises you can be doing post-operatively. We find that the better patients understand the condition and rehabilitation, the better the results that can be achieved. It is important therefore to ask your therapist or Mr Sethi if at any point you are unsure of what you should and should not be doing as part of your rehabilitation.
When you are discharged from hospital you will have dressings applied to any surgical wounds. Mr Sethi chooses very specific post-operative dressings to optimise wound healing as well as maintain mobility and visibility of the surgical site. These dressings are designed to be left intact and undisturbed until your post-operative review.
Should you, your therapist or your GP have any concerns about your dressing or wound prior to your first post-operative review please let the rooms know immediately. In particular, please do not start any antibiotics without first contacting Mr Sethi – these can make the diagnosis of post-operative infection particularly difficult.
We are dedicated to supporting you through every part of your recovery and will always be happy to discuss any concerns over the phone or schedule an urgent review if required.
Your follow up appointments will usually be booked even before you surgery is performed and these will be confirmed with you when you are discharged. Sometimes, for patients from regional areas, we will plan simple post-operative follow up with your local GP to avoid unnecessary travel. If you are unsure of your follow up arrangements or if you can’t attend on of your appointments for whatever reason, please contact us and we will be able to help.
A referral Letter from Your GP or another specialist will help you claim the Medicare rebate if you are eligible. A referral from GP is valid for 12 months and a specialist referral is valid for 3 months.
The initial appointment consultation fees are payable in full on the day. Your rebate can be processed by our office and it will be credited into your eligible account.
- Your Referral letter.
- Medicare Card. DVA card or pension Card
- Your private medical insurance fund details
- Your medical imaging. If no CD/films available. Get the name and of the imaging company and we will try and access it online.
- Any Relevant information about your past medical history or surgery.
Mr Sethi is happy to treat WorkCover and TAC patients. Please bring your claim number and any other relevant details to the consultation.
We make every effort to arrange imaging prior to consultation if we anticipate you will need any scans for the assessment. If any further imaging is needed for your treatment plan, Mr Sethi will discuss with you at the time of consultation.
If Surgery is needed Mr Sethi’s office will try to arrange it and confirm the date with you. For an emergency fracture surgery we endeavour to organise within 48 hours.
You will be given an informed financial consent and estimate of the expected costs. We strive to keep the out of pocket costs to minimum.
If you are seeking a second opinion, please contact our office for further information.
Once you have a referral from your general practitioner and you contact Mr Sethi’s office for the first time you will be advised of the fees for the initial consultation. Our fees are in line with industry standards and Australian Medical Association guidelines. All consultations must be paid on the day of appointment. We accept EFTPOS or Credit card (Visa/Mastercard).
After your consultation we will submit the claim online and you will receive a partial rebate from Medicare within 24 hours back into your account.
Special consideration will be made for patients holding a pension or health care card.
Mr Sethi is registered for gap access cover scheme most health Funds. This means that most of the surgeon’s fee will be paid directly by Medicare and your private health insurance fund.
Your fees will be discussed at the time of consultation. A financial informed consent and quote will be provided.
In case there is out of pocket expense or a gap (depends on level of your insurance cover or complexity of surgery), it is kept to a minimum (usually less than 500 dollars).
Your anaesthetist fee will be advised by the anaesthetist involved in your care.
Most private hospital cover has some form of excess that is payable at the time of admission to hospital.
The surgeon fee for uninsured patients is in line with private hospital cover fees. Please call our office for detailed information regarding fees for surgery for uninsured patients.
If we have written approval from the third party before proceeding, there will be no charge.