Download Practice Information - Dishler Laser Institute

DISHLER AFFILIATED DOCTOR
CO-CARE INFORMATION
PRE- OPERATIVE EXAM
Patients will need a pre-operative examination done between 2 days and 90 days before
surgery. This testing should include a complete ocular health screening (Ocular/Medical
History, Entrance Testing, IOP, SLE, DFE) and refractive data (Past SRX, Dry Refraction,
Cycloplegic Refraction). If the pre-op is being done in the same week as surgery, please use
Tropicamide for the Cyclo exam so the patient will not still be dilated on surgery day.
If you use electronic records for pre-op exams we request that your data be transferred to our
standard pre-op form so the doctor is able to review and sign it to ensure accuracy. Data on
both eyes is always requested, even if the patient is only having surgery on one eye. Please
call our office ahead of time if there is anything unusual with the patient’s ocular or medical
history that may require specific education or a second opinion before surgery day. Once the
pre-op is complete please fax it to our office at 303-793-3008.
POST- OPERATIVE EXAM
Our standard post-operative exam schedule is 1 Day, 1 Week, 6 Weeks, and 6 Months
post-surgery. Patients can be seen as much as needed for post-operative related complaints
within the first year after surgery. We encourage patients traveling from long distances to stay
overnight in Denver and see us for their 1 Day post-op visit. If a local patient will be seen in
your office for their 1 Day post-op we request that it be scheduled first thing in the morning
while our Surgical Center is set up for any flap complications.
If you use electronic records for post-op visits these do not need to be copied to our form
before being sent to our office. We request that you fax each post-op exam as the patient
comes in so Dr. Dishler can review the patient’s progress. Feel free to call our office if you
have concerns about a patient’s recovery or if you would like them to be evaluated by Dishler
Laser Institute. Dr. Dishler is available by appointment to meet with any patient before or after
surgery.
CONSULTATIONS
Co-Care patients only have to make one trip to our office on surgery day. Corneal testing
including Pachymmetry, Topography, and Wavefront Aberrometry can be performed on the
same day as surgery. Patients that are interested in coming in ahead of time to make sure they
are candidates, meet our doctors and tour our facility are welcome to schedule a free
consultation. We also offer free Corneal Topography testing for any patient that you feel may
have Keratoconus. If one of your patients visits us for a consultation you will receive a faxed
report detailing the exam and they will be sent back to your office for their pre-operative exam.
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CONTACT LENS REMOVAL
We recommend that all contact lenses be removed for at least 3 days prior to a LASIK
consultation or a pre-op exam. Before surgery we recommend that soft contact lenses be
removed for a minimum of 1 week (longer in the case of dry eye or refractive instability). Rigid
Gas Permeable/Ortho-K lenses should be discontinued at least one month per decade of wear.
DRY EYE TREATMENTS
In order to help keep the cornea well hydrated after surgery, a One Week Temporary Collagen
Punctal Plug will be inserted into the lower tear duct for each patient on surgery day. Patients
are educated with our “Dry Eye Form” that additional Temporary or Permanent Punctal Plugs
may be recommended in the recovery period and that the cost of these are not included in the
original price of surgery.
We often use mild steroids/Restasis/Xiidra for any patient who experiences significant dry eye
before surgery or is at a high risk for developing increased dry eye after surgery. Patients can
use Restasis/Xiidra up until surgery day and then resume treatment again at 1 week post-op.
SURGERY DAY
Surgeries are performed in our office on Tuesdays and Thursdays, morning and afternoon.
Patients are given an arrival time and can expect to be in our office for 2-3 hours total. We offer
a mild oral sedative before the procedure and patients will need a driver to take them home
after surgery. The Operative Report will be faxed to your office after your patient’s procedure
and our office will leave a message with your front desk if a Bandage Contact Lens is placed on
one of your patients for removal at their 1 Day post-op exam.
When a patient calls to schedule surgery they will be asked who their Co-Care Doctor is and be
instructed to schedule a pre-op exam if it has not already been completed. Patients will receive
a packet of information in the mail a few days before surgery that includes the consent forms,
surgery day instructions, and steroid prescriptions. We will provide the antibiotic eye drops for
all patients, but everyone will be given a prescription for 5ml Prednisolone and 10ml FML to fill
and use post-operatively. Patients will also be called the day before surgery to confirm arrival
time and review final surgery day instructions.
CO-CARE FEES
We request that co-care doctors collect their own pre and post-operative fees. This allows you
to receive immediate payment for your services and set your own fees based on what you feel
is appropriate for each patient. When patients call our office inquiring about surgery, we quote
the total fee listed on our pricing sheet, noting that this includes all pre and post-op care which
may vary slightly with each eye care provider. If you have a patient scheduled for surgery we
will send you a fax one week ahead of time as a reminder to confirm that the pre-op has been
completed and arrangements for collecting fees have been made.
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CANCELLATION POLICY
There is no down payment required to schedule surgery. Patients are also allowed to
reschedule surgery at any time with no fee. If a patient needs to cancel surgery, there is no fee
as long as it is done more than 7 days before the scheduled surgery date. If the surgery is
cancelled within 7 days and the patient does not want to reschedule, there is a cancellation fee
of $300.
FINANCING
Dishler Laser Institute participates in financing through Care Credit. Applications are available
at www.carecredit.com and through our website at www.dishler.com. Patients can also call our
office to get pre-approved before coming in for a consultation or surgery. If a patient has
difficulty getting approved we recommend that they call our office to have the application run
again, as there is a higher approval rate directly through our office.
ENHANCEMENTS
Our Enhancement Policy is included on a separate sheet in our Patient Information Packet for
each patient to review before surgery. With our newest laser technology our enhancement rate
is currently less than 2%. If you have a patient that you feel would benefit from an
enhancement, please fax the patient’s post-operative exams to our office to be reviewed by Dr.
Dishler. If the patient is approved they will be asked to complete a full pre-operative exam and
then schedule surgery. Enhancement procedures are performed the last Tuesday of every
month and we recommend doing one eye at a time in the rare case that an enhancement is
required on both eyes. A Bandage Contact Lens is inserted on all eyes following an
enhancement surgery and it can be removed at the 1 Day post-op visit.
The earliest an enhancement would be considered for LASIK is 4-6 months post-op, and for
PRK and SMILE is one year. When patients are scheduled for an enhancement, their final
candidacy is dependant upon testing completed in our office on surgery day. Dr. Dishler will
review the appearance of the flap edges and the post-operative corneal testing to make sure
that a second surgery is in the patient’s best interest. Patients are welcome to have the
enhancement evaluation completed at our office before surgery day to make sure they are a
candidate, or on the same day as surgery for convenience.
EMPLOYEE DISCOUNT
Any full-time employee at your office that works directly with potential surgery patients may be
eligible to have surgery at Dishler Laser Institute at a discounted Surgical Fee. All pre and
post-operative care must be done at your office at no charge. If you have an employee that is
interested, please fax their pre-operative examination to our office for Dr. Dishler to review for
candidacy. We encourage the Co-Care Doctor or other staff members to come along on their
employee’s surgery day to see what patient’s experience and also watch the procedure if
desired.
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PATIENT INFORMATION PACKETS
Patient Information Packets are available so that patients are well educated before having
surgery at Dishler Laser Institute.
Patients can also be directed to our website
www.dishler.com. If you need more Packets please contact your Dishler Representative, Joe
Smith, at 720-289-9495 or [email protected]. You can also call our front desk at 303-793-3000
and we can mail supplies to your office or to a particular patient.
HOTEL INFORMATION
We recommend the Hyatt Place Denver Tech Center (8300 E. Crescent Parkway, Greenwood
Village, CO 80111). They are located within walking distance of our office and offer a
complimentary shuttle for patients to and from our office on both surgery day and the 1 Day
post-op visit. Any patient is welcome to call the Hyatt Place directly at 303-804-0700 to make a
reservation and mention Dishler Laser Institute for discounted rates.
OUR OFFICE
Our office hours are Monday-Thursday 7:00am-4:00pm and Fridays from 7:30am-3:00pm. A
doctor is always available after hours for emergency patient calls at 303-793-3005.
Practice Information
8400 East Prentice Avenue; Suite 1200
Greenwood Village, CO 80111
Phone: 303-793-3000
Fax: 303-793-3008
Our Staff
Jon G. Dishler, M.D.
Kim Brownfield, O.D.
Meagan Petraitis, O.D.
Rachel Gomez, M.S.N. R.N.
Rhonda Tucker, C.O.A.
Judy Rotunda, C.O.T.
Joanna Gomez
Fionna Fitzgerald
Kelly Johnson
Adina Rinaldi
Owner, Surgeon
Clinical Director, Consultative Optometrist
Consultative Optometrist
Administrator, Surgical Center Coordinator, Marketing Director
Clinical/Laser Technician
Clinical Technician
Office Manager
Patient Counselor
Patient Coordinator, Study Coordinator
Patient Coordinator
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