What are the Physicians Schedules?
Dr. Warren Kramer III/Carolyn Perry MS, PA-C
Office Hours:
Monday and Tuesday 8:30 – 5:00 pm
Wednesday and Friday 8:30 – 12:00 pm

Surgery Hours:
Wednesday and Friday beginning at 11:30 am
Thursday beginning at 6:30 am

Dr. Sten Kramer/Robin Ray MS, PA-C
Office Hours:
Monday through Friday: 8am – 5pm

Surgery Hours:
Tuesday & Friday: 1:30pm – 5pm

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What are their specialties?
Dr. Warren Kramer III
Board Certified in Orthopaedic Surgery
Board Certified in Sports Medicine
Arthroscopy, Shoulder, Hip and Knee Specialist

Dr. Sten Kramer
Board Certified in Interventional Pain Management
Board Certified Spine Specialist
Board Certified in Sports Medicine

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Where does Dr. Warren Kramer III do his surgeries?
Newport Center Surgical
17 Corporate Plaza, Suite 120
Newport Beach, CA 92663
949-706-6300
www.NewportCenterSurgical.com

Hoag Surgicare (Fashion Island)
1441 Avocado Ave, Suite 101
Newport Beach, CA 92660
949-760-1205
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Where does Dr. Sten Kramer do his procedures?
Newport Coast Surgery Center
1441 Avocado Ave. Suite 103
Newport Beach, CA 92660
949-718-3600
Scheduling: 949-990-3600 x309
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What kind of sedation are the procedures/surgeries performed under?
Dr. Warren Kramer’s surgeries are performed under general anesthesia under the direct supervision of an anesthesiologist.

Dr. Sten Kramer’s procedures are performed under light IV sedation/conscious sedation under the direct supervion of an anesthesiologist.
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How long have the Physicians been in practice?
Dr. Warren Kramer III has been in practice for over 18 years. Dr. Sten Kramer has been in practice for over 15 years.
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Do I need to bring my MRI/CT/XRAY films/CD’s to my appointment?
If your films have not yet been reviewed by the Physician or Physician Assistant you are seeing, you should bring them to your appointment. This will avoid any delay in your care.
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What is cold therapy and what time period is it used for?
Cold therapy is a product that consists of a fluid circulating pad that is placed on the patient post-operatively and covers the surgical site. The cold therapy acts as an anti-inflammatory, pain reducer and decreases swelling.

The cold therapy machine is typically used for a period of 3-10 days. Please keep in mind, depending on your insurance coverage, the time period in which the equipment is supplied to you may vary. Please keep a clean t-shirt, paper barrier or thin towel between your skin and the cold therapy pad at all times to avoid thermal burns.

www.MakenaMedical.com
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What is a CPM machine and what time period is it used for?
A Continuous Passive Motion (CPM) is a postoperative treatment method that is utilized to assist in the recovery of a joint after surgery. Passive range of motion means that the joint is moved without the muscles in the area being engaged. The CPM machine prevents the tissue around the joint from becoming stiff and decreases scar tissue to form, allowing the joint to maintain its mobility. In surgeries where microfracture or osteoplasty is done it is also used to promote new fibro-cartilage to grow.

A CPM is used when a knee ligament reconstruction is done. The CPM is typically used for a period of 1 to 6 weeks depending on the surgery performed. www.MakenaMedical.com
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What is arthroscopic surgery?
http://orthoinfo.aaos.org/topic.cfm?topic=A00109
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What is an intra-articular injection?
A joint is the site of union between bones, generally one that allows motion of the bones. An intra-articular injection is a shot that is administered in between this union.
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What are the risks of surgery?
Bleeding, infection, nerve and vessel damage, stiffness, late arthritis, and the need for further surgery.
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What are hyaluronic acid injections?
Hyaluronic Acid (HA) is a viscosupplementation injection. Hyaluronate is a natural chemical found in high amounts in joint tissue and the fluid that fills the joint. HA (like hyaluronate) acts as a lubricant and a shock absorber in the joint, thereby decreasing inflammation. The shots are administered in a series of 3 to 5 shots depending on the severity of symptoms and the brand chosen. They are given 7 to 10 days apart and the patient is instructed to rest for 24-48 hours after the injection. HA injections can be given every six months but it is important to note that not all insurance companies will approve them at this time increment. As with anything, there are risks that are involved but are rare. These risks include: pain at the injection site, infection, swelling, allergic reaction and bleeding. Please let your health care provider now if you have an allergy to products from birds such as feathers, eggs, and poultry.
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What is microfracture?
This is a procedure done to promote marrow production in areas where articular defects (areas of bare bone) are present. The procedure is accomplished by utilizing a small pick to break through the subchondral bone. This allows for the potential of stem cells to produce a new fibro-cartilage to grow. Typically patients are non-weight bearing for a period of 1 to 8 weeks depending on the area treated.
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What is a MRI Arthrogram?
An MRI arthrogram is an imaging technique that allows visualization of an internal joint that has been injected with a contrast material. This allows better visualization of the structures and tissues within the joint.
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How do I prepare for my NCS-EMG (nerve conduction) study appointment?
Please note that it takes about 20-30 minutes for the study to be completed. Please wear loose fitting clothes for easy exposure to all limbs. Please do not use any lotion prior to the appointment.
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Information/Websites on Spinal Cord Stimulators:
http://www.poweroveryourpain.com/sb
http://www.bostonscientific.com/procedure/ProcedureLanding.bsci
http://www.medtronic.com/our-therapies/neurostimulators-pain-conditions
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What special instructions do I need to follow prior to my procedure with Dr. Sten Kramer?
• Do not eat for 6 hours prior to procedure
• Do not drink for 3 hours prior to procedure
• You must have a driver (due to IV sedation)

• Discontinue the following medications:
- Discontinue Plavix 7 days before procedure
- Discontinue Coumadin 5 days before procedure
- Discontinue NSAIDs (prescription strength anti-inflammatories) 4 days before procedure
- Discontinue Advil or Aleve 4 days before procedure
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When can I start physical therapy (PT) after an epidural or spinal injection?
You may begin PT 2-3 days after your procedure.
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When can I resume medications after an epidural?
You may begin your medication immediately following the epidural.
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How will I find out the time for my surgery?
The surgery center will call you the day before your surgery to notify you of your surgery time and go over any questions or concerns you have.
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Does the office check benefits prior to the patient being seen?
No, the office does not check benefits to verify coverage prior to you being seen by the health care provider. It is advised that you verify your health care benefits prior to your appointment to avoid any unexpected charges.
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What if I need a refill on a prescription?
If you need a prescription refill please have the pharmacy fax our office a refill request. Please note, opioid medications are used for pain management. The patient is to request refills from this office only, and understands that early requests for refills might not be honored. Opioid medications are not refilled on the weekend or after hours.
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THIS MATERIAL DOES NOT CONSTITUTE MEDICAL ADVICE. IT IS INTENDED FOR INFORMATIONAL PURPOSES ONLY.
PLEASE CONSULT A PHYSICIAN FOR SPECIFIC TREATMENT RECOMMENDATIONS.