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ET BT /F22 1 Tf 14 0 0 14 72 298.4054 Tm -0.0112 Tc 0.0278 Tw (What operation are you recommending?)Tj ET BT /F18 1 Tf 12 0 0 12 72 274.4054 Tm 0 Tc 0.025 Tw [(Ask y)6(our surgeon to explain the surger)-18(y and ho)12(w it is done. )15(Y)94(our)]TJ 0 -1.25 TD [(surgeon can draw a pictur)10(e or a diagram and explain the steps in the)]TJ T* 0 Tw [(surger)-18(y)85(.)]TJ 0 -1.7 TD (I)Tj 0.32007 0 TD -0.0001 Tc 0.025 Tw (s ther)Tj 2.1378 0 TD (e mor)Tj 2.26572 0 TD 0 Tc [(e than one way of doing the operation? O)6(ne way may)]TJ -4.72358 -1.25001 TD (r)Tj 0.32203 0 TD -0.0001 Tc (equir)Tj 1.98364 0 TD (e mor)Tj 2.26573 0 TD (e extensiv)Tj 3.73252 0 TD (e surger)Tj 3.02915 0 TD (y than another)Tj 5.64278 0 TD (. 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Ask why)]TJ 0 -1.25001 TD [(y)6(our surgeon wants to do the operation one way o)16(v)6(er another)59(.)]TJ ET /CS0 cs 0.5 scn -8.167 306 53.167 35.589 re f BT /F21 1 Tf 14 0 0 14 18.1215 319.8984 Tm 0 0 0 1 k (2)Tj ET /CS0 cs 1 scn -18.941 -4.5 898 59 re f /GS0 gs q 74 397.5 140 176.5 re W n q 140.18829 0 0 176.6821 73.89 397.4319 cm /Im4 Do Q Q /GS2 gs 4 w /CS0 CS 1 SCN 74 397.5 140 176.5 re s /GS0 gs BT /F7 1 Tf -1000 1648 TD 1 g 0 Tw ( )Tj /F11 1 Tf 0.27795 0 Td ( )Tj /F8 1 Tf 0.27795 0 Td ( )Tj /F11 1 Tf ( )Tj /F8 1 Tf 0.52795 0 Td ( )Tj /F6 1 Tf 0.24994 0 Td ( )Tj ET Q endstream endobj 15 0 obj<>stream /GS0 gs 1 g 0 648 0 0 re f /GS2 gs q BT /F22 1 Tf 14 0 0 14 36 367.7025 Tm 0 0 0 1 k -0.011 Tc 0.028 Tw [(Are there alternati)-20(ves to surgery?)]TJ ET BT /F18 1 Tf 12 0 0 12 36 343.7025 Tm 0 Tc (S)Tj 0.47681 0 TD -0.0001 Tc 0.025 Tw (ometimes, surger)Tj 6.62143 0 TD 0 Tc [(y is not the only answ)6(er to a medical pr)6(oblem.)]TJ -7.09824 -1.25001 TD [(M)24(edicines or tr)10(eatments other than surger)-18(y)85(, such as a change in diet)]TJ 0 -1.25 TD [(or special ex)12(er)5(cises, might help y)6(ou just as w)6(ell\321or mor)10(e. Ask y)6(our)]TJ -0.0001 Tc (surgeon or primar)' 7.02266 0 TD 0 Tc [(y car)10(e doctor about the benefits and risks of these)]TJ -7.02266 -1.25 TD -0.0001 Tc (other choices. )Tj 5.59687 0 TD 0 Tc (Y)Tj 0.47998 0 TD -0.0001 Tc (ou need to kno)Tj 5.92193 0 TD (w as much as possible about these)Tj -11.99878 -1.25001 TD (benefits and risks to make the best decision.)Tj 0 -1.7 TD 0 Tc [(O)6(ne alternativ)6(e to surger)-18(y may be watchful waiting. D)12(uring a)]TJ 0 -1.25 TD -0.0001 Tc (watchful wait, y)Tj 6.19356 0 TD (our doctor and y)Tj 6.54327 0 TD 0 Tc [(ou check to see if y)6(our pr)5(oblem gets)]TJ -12.73683 -1.25001 TD [(better or worse o)16(v)6(er time. I)6(f it gets worse, y)5(ou may need surger)-18(y)]TJ 0 -1.25 TD [(right away)85(. I)6(f it gets better)59(, y)6(ou may be able to wait to hav)6(e surger)-18(y)]TJ -0.0001 Tc (or not hav)' 4.02998 0 TD (e it at all.)Tj ET BT /F22 1 Tf 14 0 0 14 36 161.3025 Tm -0.011 Tc 0.028 Tw [(How muc)50(h will the operation cost?)]TJ ET BT /F18 1 Tf 12 0 0 12 36 137.3025 Tm 0 Tc (E)Tj 0.5542 0 TD (v)Tj 0.42603 0 TD 0.025 Tw [(en if y)6(ou hav)6(e health insurance, ther)9(e may be some costs for y)6(ou)]TJ -0.98023 -1.25001 TD [(to pay)85(. )45(This may depend on y)6(our choice of surgeon or hospital. Ask)]TJ 0 -1.25 TD [(what y)6(our surgeon)6980(s fee is and what it co)16(v)6(ers. S)24(urgical fees often also)]TJ T* [(include some visits after the operation. )15(Y)94(ou also will get a bill fr)6(om)]TJ ET /CS0 cs 0.5 scn 385.833 305.667 55.167 36 re f BT /F21 1 Tf 14 0 0 14 405.7882 319.8984 Tm 0 0 0 1 k (3)Tj ET /CS0 cs 1 scn -450.941 -4.5 898 59 re f /GS0 gs 0.5 scn 37 393.809 322 181.191 re f /GS2 gs BT /F22 1 Tf 14 0 0 14 48 553.8931 Tm 0 0 0 1 k -0.0112 Tc 0.0278 Tw (Laparoscopic surgery)Tj ET BT /F18 1 Tf 12 0 0 12 48 529.8931 Tm 0 Tc 0.025 Tw [(S)12(ome surgeries that used to need a large incision can no)12(w be)]TJ 0 -1.25 TD [(done using a fe)-6(w small cuts. I)12(nstead of a large scar)60(, y)5(ou will)]TJ T* [(hav)6(e only a fe)-6(w small scars. U)29(sually)85(, y)6(ou will r)10(eco)15(v)6(er fr)6(om this)]TJ T* [(type of surger)-18(y mor)10(e quickly)85(. )45(These incisions let doctors inser)-8(t a)]TJ T* [(thin tube with a camera \(a lapar)6(oscope\) into the body to help)]TJ T* [(them see. )45(Then they use small tools to do the surger)-18(y)85(. )45(This type)]TJ T* [(of surger)-18(y is called lapar)6(oscopic surger)-18(y)85(. R)12(emo)15(ving the)]TJ T* [(gallbladder)60(, for example, is no)11(w mostly done with this type of)]TJ T* 0 Tw [(surger)-18(y)85(.)]TJ ET 2 w /CS0 CS 1 SCN 37 393.809 322 181.191 re s /GS0 gs BT /F11 1 Tf -1000 1648 TD 1 g ( )Tj /F8 1 Tf 0.27795 0 Td ( )Tj /F11 1 Tf ( )Tj /F8 1 Tf 0.52795 0 Td ( )Tj /F6 1 Tf 0.24994 0 Td ( )Tj /F11 1 Tf ( )Tj /F8 1 Tf 0.56696 0 Td ( )Tj ET Q endstream endobj 16 0 obj<>stream /GS0 gs 1 g 0 648 0 0 re f /GS2 gs 0 0 0 0 k 72 78.225 324 497.775 re f q BT /F18 1 Tf 12 0 0 12 72 567.3574 Tm 0 0 0 1 k 0.025 Tw [(the hospital for y)6(our car)9(e and fr)6(om the other doctors who gav)6(e y)6(ou)]TJ 0 -1.25 TD [(car)10(e during y)5(our surger)-18(y)85(.)]TJ 0 -1.7 TD [(B)6(efor)9(e y)6(ou hav)6(e the operation, call y)6(our insurance company)85(. )45(They)]TJ 0 -1.25 TD [(can tell y)6(ou ho)12(w much of the costs y)5(our insurance will pay and what)]TJ T* [(shar)10(e y)5(ou will hav)6(e to pay)85(. I)6(f y)6(ou ar)9(e co)16(v)6(er)10(ed b)5(y M)24(edicar)10(e, call 1-)]TJ T* [(800-MEDICARE (1-800-633-4227) to find out y)6(our shar)9(e of)]TJ T* [(surger)-18(y costs. )]TJ ET BT /F14 1 Tf 18 0 0 18 72 439.1574 Tm 0.028 Tw [(Lear)40(n )79(About the Benefits and Risks)]TJ ET BT /F22 1 Tf 14 0 0 14 72 408.5574 Tm -0.0113 Tc 0.0278 Tw (What are the benefits of having the operation?)Tj ET BT /F18 1 Tf 12 0 0 12 72 384.5574 Tm -0.0001 Tc 0.025 Tw (Ask y)Tj 2.13487 0 TD 0 Tc [(our surgeon what y)6(ou will gain b)6(y having the operation. F)35(or)]TJ -2.13487 -1.25 TD [(example, a hip r)10(eplacement may mean that y)5(ou can walk again with)]TJ (ease. )' 0 -1.7 TD -0.0001 Tc (Ask ho)Tj 2.69151 0 TD (w long the benefits will last. F)Tj 11.66734 0 TD (or some pr)Tj 4.19209 0 TD (ocedur)Tj 2.62451 0 TD (es, it is not)Tj -21.17545 -1.25001 TD 0 Tc [(unusual for the benefits to last for a shor)-8(t time only)85(. )15(Y)94(ou may need a)]TJ 0 -1.25 TD -0.0001 Tc (second operation at a later date. F)Tj 13.1544 0 TD (or other pr)Tj 4.2358 0 TD (ocedur)Tj 2.62451 0 TD (es, the benefits)Tj -20.01471 -1.25001 TD (may last a lifetime.)Tj 0 -1.7 TD 0 Tc [(When finding out about the benefits of the operation, be r)10(ealistic.)]TJ 0 -1.25 TD [(S)12(ometimes patients expect too much and ar)10(e disappointed with the)]TJ -0.0001 Tc (outcome or r)' 5.06294 0 TD (esults. Ask y)Tj 4.76753 0 TD (our doctor if ther)Tj 6.76007 0 TD (e is anything y)Tj 5.64898 0 TD 0 Tc [(ou can r)10(ead)]TJ -22.23952 -1.25001 TD [(to help y)6(ou understand the pr)6(ocedur)9(e and its likely r)10(esults.)]TJ ET BT /F22 1 Tf 14 0 0 14 72 196.7574 Tm -0.0113 Tc 0.0278 Tw (What are the risks of having the operation?)Tj ET BT /F18 1 Tf 12 0 0 12 72 172.7574 Tm 0 Tc 0.025 Tw [(All operations hav)6(e some risk. )45(This is why y)5(ou need to w)6(eigh the)]TJ 0 -1.25 TD -0.0001 Tc (benefits of the operation against the risks of complications or side)Tj (effects.)' 0 -1.7 TD 0 Tc [(Complications ar)10(e unplanned ev)5(ents linked to the operation. )45(T)110(ypical)]TJ 0 -1.25 TD [(complications ar)10(e infection, too much bleeding, r)9(eaction to)]TJ -0.0001 Tc (anesthesia, or accidental injur)' 11.48565 0 TD 0 Tc (y)Tj 0.35302 0 TD -0.0001 Tc (. S)Tj 1.00181 0 TD (ome people hav)Tj 6.10176 0 TD 0 Tc [(e a gr)10(eater risk of)]TJ ET /CS0 cs 0.5 scn -8.167 306 53.167 35.589 re f BT /F21 1 Tf 14 0 0 14 18.1215 319.8984 Tm 0 0 0 1 k (4)Tj ET /CS0 cs 1 scn -18.941 -4.5 898 59 re f BT /F8 1 Tf -1000 1648 TD 1 g 0 Tw ( )Tj /F7 1 Tf 0.24994 0 Td ( )Tj /F11 1 Tf 0.27802 0 Td ( )Tj /F8 1 Tf 0.27795 0 Td ( )Tj /F11 1 Tf 0.24994 0 Td ( )Tj /F8 1 Tf 0.27795 0 Td ( )Tj /F6 1 Tf ( )Tj ET Q endstream endobj 17 0 obj<>stream XexT[C{=3+qwwwwWH{[ X-kB9{LIoZ{um?˷o߾~ϟ>W/_>O"¼} h^>QzT& G΃{@˷nNXX KLl eEyۋM w͂cy['A_˗/2idy5<~'_a[޹}sC O-(- 1sX}0?sn+sSxfI1l2]O4rX?0>n^ ,kH{lE ۇdgk1X#3 ?Mztb5rLˣ#t5G߾|{k| ,OA6%3;N'd p, t5-dyꋱCX[?n?:sr{du/u? AU?jk-ɀ* 3;-aM@SYbb*Ӷݻ-RǏp94?/okAȰ6I2'> eޭT\x"`,b闞Ƣm t؊?h '~ԉH\,?nҽ0g/#[=CgOFq9T4߾X@d3Eޗ&#ZC0N(wcÓs 7u-FB:%دES"{^JBaF8%˥H$՚yF PVܻs։ ~)HT$.IJOE@l4i#r@-(ɑ5]4eY/,뗲Ⅼ) Re }o693Ar D5O"QTIjjq\]l;m߾闟Zn4ɡ Cbf^7/ d]dyx,K _/;>+5!*ÊϤ4@3Ɵ.۬q@,M5YM`d"k['@Yɺ;K.,\xBv^~#. 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I)6(f y)5(ou consult another doctor)60(,)]TJ -6.17256 -1.25001 TD [(make sur)10(e to get y)5(our r)10(ecor)14(ds fr)6(om the first doctor so that y)5(our tests)]TJ 0 -1.25 TD [(do not hav)6(e to be r)9(epeated.)]TJ ET /CS0 cs 0.5 scn 385.833 305.667 55.167 36 re f BT /F21 1 Tf 14 0 0 14 405.7882 319.8984 Tm 0 0 0 1 k (5)Tj ET /CS0 cs 1 scn -450.941 -4.5 898 59 re f /GS0 gs q 218 397.5 140 176.5 re W n q 139.78889 0 0 176.8107 217.849 397.3234 cm /Im5 Do Q Q /GS2 gs 4 w /CS0 CS 1 SCN 218 397.5 140 176.5 re s /GS0 gs BT /F8 1 Tf -1000 1648 TD 1 g 0 Tw ( )Tj /F11 1 Tf 0.24994 0 Td ( )Tj /F8 1 Tf 0.27802 0 Td ( )Tj /F7 1 Tf 0.24994 0 Td ( )Tj /F11 1 Tf 0.27795 0 Td ( )Tj /F8 1 Tf 0.27795 0 Td ( )Tj /F6 1 Tf ( )Tj ET Q endstream endobj 19 0 obj<>stream Xm[[YP*BqJ!!B\ PN;sί^;yֵׯ_O>/}͛7_~+x|qxdϟ?OO5ˏ!~ ([=@'4/byZ X^x~^z "@Qhuz_ů?~Ǐ߿L]$@rt4Gb 9g1O9EpǏ``y@4IJ<:PūOHPx/ÓĂoW>L$ qlc 4bűCL)#q$y㧉k8пwD$9:8<A(?o"|bAca/짘bAW;u:q_aHCC@Π!(]ވu=ED0@:ƀz~x_؁2r" X/^~}}X4 m"=c@}"G, , Q "& .,aOW(\uyVa`D01"X0GD>[a'LI%ϟnRhiijhhiXުZ[$oVl#v&H IvC p_z}}ֳg  H tsJjJ׮k_5to+tػ$zsT"&!x^ P @$_ Lp=qTc$e3nj(Kkji?=,_2X~X$hNj#HX^Ht)| <**)*()*)+)+i_Vx颮Y-1&'s`$w:fOP7]UY^QVVFFAQQAQYQEKW.dnY=ⷡ04z   ~qpF'}Q@T^TTPRPWSSQSTVzACGUð5|28y,& b6+ r=q) bC }AS#}C]Y[[&X* H tl L ` 9IHaĉҕj_3ys"Q'$]08;+[_@8x ,bX$BTAԔ唕TeU!ȫi_һxZֳ%{0@b]0Ӏ`዗$,HuMR ?1TedddeeΩj;y {c~r'] je 1^AEN^INIU^ZVAA^QQ^A `kh(_Ѹp֥WJ)5tF1 hvY:N#*`$IG/Q4'I#2XFF^EFENZAYAI^Y^KU]M]璚:ל,v㣇x].~ Te$N:gϗ/))*Hɂʲ2ryxQQո|9g?CI0caIS䧋 փus?05eeBVN]VZ^^^AAV^NFNFVQEIQIC뚚E~qt!A)b+>I&r0#''%%# 8r @))()SVUQUTGFI$mv=cFB?l`A,n}+5nܥ*iUT:%ey!u-T1Y痓6A"e 0&~&]"V4唴tU4Ht%K/7}`0$8;8񙣗0φ9~ ӗdմ nj*X>`&,d%-m- P;G"vK`Hl9#Cliӽm{ಎ"$\[xRi F:ښX?V%SL&HG?I5y:kԻedrCCI4c)8$ujҏ]!IՈ8!@q-/@g⡏Kjй@(*))`RYE]SEC]Sn=J$S{=4b&_b4A'0j^ЧHƣ}C"#"/^| m$`%5sjjQh]#iP 4f=YyF&Łg rpd=< r2p8TUTR"e ȼ4EP*bo9u"Ld#lr^8xix*!<<<%uueCV^AY󜆚ΥKqY`(hՁ4+?KQa^&zZ4Ԕ ˫^м~N-Bw I;DWBD0I)VL6Y Mo?9|q/HzI ww]cLhL9s4khk_d)bhʼn:`,0hBN<;zKs/\DxtX}ë/TWRb`bgp]0qTuά92F'ÈcG''I !A\;5Ӈ6Va~H.w.h?cL-'({%T8*pAi`DY*Y `g'&DG]xNC$oC]-mm -;UuE‚8 !9RSx# sQtD_@e]V>iYɡ6zWnj;Nja^1čWBjnmk.)i*K?laOq {pIG`݇)>QٙM=qo"VGB#gcy57-'m`J%T ,(N33 P\t]݃" p}P/ ZKbm" +oj>R qww粶wHh__}sPtzQiiyO|cLj7(xl)Hx+kl&S݃KOHhA IyodLDXg`tgxLZAmmU};XϺXAUX8nQR(!) 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M)12(any surgeons hav)6(e taken)]TJ T* [(special training and passed exams giv)6(en b)6(y a national boar)13(d of)]TJ T* [(surgeons. Ask if y)6(our surgeon is \322boar)14(d cer)-8(tified)11(\323 in surger)-18(y)85(.)]TJ T* [(S)12(ome surgeons also hav)6(e the letters F)140(.A.C.S. after their name.)]TJ -0.0001 Tc (This means they ar)' 7.39581 0 TD (e F)Tj 1.17295 0 TD -0.0002 Tc (ello)Tj 1.36352 0 TD -0.0001 Tc (ws of the American College of)Tj -9.93228 -1.12501 TD 0 Tc (S)Tj 0.46484 0 TD -0.0001 Tc (urgeons and hav)Tj 6.35152 0 TD (e passed another r)Tj 6.96856 0 TD (evie)Tj 1.48657 0 TD 0 Tc (w b)Tj 1.42906 0 TD -0.0001 Tc (y surgeons of their)Tj -16.70055 -1.12501 TD (surgical skills.)Tj ET BT /F23 1 Tf 12 0 0 12 82 249.893 Tm 0 Tc (H)Tj 0.75391 0 TD (o)Tj 0.45581 0 TD 0.026 Tw [(w much e)-6(xperience do y)6(ou hav)5(e doing this oper)12(ation?)]TJ ET BT /F18 1 Tf 12 0 0 12 82 230.993 Tm 0.025 Tw [(O)6(ne way to r)10(educe the risks of surger)-18(y is to choose a surgeon)]TJ 0 -1.125 TD [(who has been w)6(ell trained to do the surger)-18(y and has plenty of)]TJ T* [(experience doing it. )15(Y)94(ou can ask y)6(our surgeon about his or her)]TJ T* [(r)10(ecent r)10(ecor)13(d of successes and complications with this surger)-18(y)85(. I)6(f)]TJ T* [(it is easier for y)6(ou, y)6(ou can discuss the surgeon)6980(s qualifications)]TJ T* [(with y)6(our primar)-18(y car)9(e doctor)60(. \(F)36(or mor)9(e information about)]TJ T* [(finding out surgeons)40(\325 qualifications, go to page 10\))]TJ ET 2 w /CS0 CS 1 SCN 73 73 322 502 re s /CS0 cs 0.5 scn -8.167 306 53.167 35.589 re f BT /F21 1 Tf 14 0 0 14 18.1215 319.8984 Tm 0 0 0 1 k (8)Tj ET /CS0 cs 1 scn -18.941 -4.5 898 59 re f /GS0 gs 72 428.4 m 396 428.4 l S BT /F11 1 Tf -1000 1648 TD 1 g 0 Tw ( )Tj /F8 1 Tf 0.27795 0 Td ( )Tj /F9 1 Tf ( )Tj /F12 1 Tf 0.51001 0 Td ( )Tj /F8 1 Tf 0.26007 0 Td ( )Tj /F12 1 Tf 0.24994 0 Td ( )Tj /F8 1 Tf 0.26001 0 Td ( )Tj /F6 1 Tf ( )Tj ET Q endstream endobj 23 0 obj<>stream /GS0 gs 1 g 0 648 0 0 re f /CS0 cs 0.5 scn 37 73.002 322 501.998 re f /GS2 gs q BT /F23 1 Tf 12 0 0 12 46 557.3574 Tm 0 0 0 1 k 0.026 Tw [(A)6(t which hospital will the oper)12(ation be done?)]TJ ET BT /F18 1 Tf 12 0 0 12 46 538.4574 Tm 0.025 Tw [(M)24(ost surgeons wor)6(k at one or two local hospitals. F)34(ind out)]TJ 0 -1.125 TD [(wher)10(e y)5(our surger)-17(y will be done and ho)11(w often the same)]TJ T* [(operation is done ther)10(e. R)12(esear)5(ch sho)12(ws that patients often do)]TJ T* [(better when they hav)6(e surger)-18(y in hospitals with mor)10(e experience)]TJ T* [(in the operation. Ask y)6(our doctor about the success rate at the)]TJ T* [(hospitals y)6(ou can choose betw)6(een. )44(The success rate is the)]TJ T* [(number of patients who impr)6(o)16(v)6(e divided b)6(y all patients having)]TJ T* [(that operation at a hospital. I)6(f y)5(our surgeon suggests using a)]TJ T* [(hospital with a lo)12(w)6(er success rate for y)6(our surger)-18(y)85(, find out why)84(.)]TJ ET BT /F19 1 Tf 12 0 0 12 46 406.1574 Tm 0.026 Tw [(A)-6(sk the surgeon ho)18(w long y)36(ou will be in the hospital.)]TJ ET BT /F18 1 Tf 12 0 0 12 46 387.2574 Tm 0.025 Tw [(U)36(ntil r)10(ecently)85(, most patients who had surger)-18(y stay)5(ed in the)]TJ 0 -1.125 TD [(hospital o)16(v)6(ernight for 1 or mor)9(e days. )45(T)120(oday)85(, many patients hav)6(e)]TJ T* [(surger)-18(y done as an outpatient in a doctor)2080(s office, a special)]TJ T* [(surgical center)60(, or a day surger)-18(y unit of a hospital. )45(These patients)]TJ -0.0002 Tc (hav)' 1.34472 0 TD -0.0001 Tc (e an operation and go home the same day)Tj 16.16925 0 TD 0 Tc (. O)Tj 1.31407 0 TD -0.0001 Tc (utpatient)Tj -18.82804 -1.12501 TD (surger)Tj 2.35815 0 TD (y is less expensiv)Tj 6.39313 0 TD 0 Tc (e because y)Tj 4.30879 0 TD -0.0001 Tc (ou do not hav)Tj 5.47979 0 TD (e to pay for)Tj -18.53986 -1.12501 TD (staying in a hospital r)Tj 8.35563 0 TD -0.0002 Tc (oom.)Tj -8.35563 -1.575 TD -0.0001 Tc (Ask whether y)Tj 5.53023 0 TD (our operation will be done in the hospital or in an)Tj -5.53023 -1.125 TD (outpatient setting, and ask which of these is the usual way the)Tj (surger)' 2.35815 0 TD (y is done. I)Tj 4.34039 0 TD 0 Tc [(f y)6(our doctor r)9(ecommends that y)6(ou stay)]TJ -6.69854 -1.12501 TD (o)Tj 0.46997 0 TD (v)Tj 0.42602 0 TD [(ernight in the hospital \(hav)6(e inpatient surger)-18(y\) for an)]TJ -0.89599 -1.12501 TD -0.0001 Tc (operation that is usually done as outpatient surger)Tj 19.42574 0 TD (y\321or)Tj -19.42574 -1.125 TD 0 Tc (r)Tj 0.32203 0 TD [(ecommends outpatient surger)-18(y that is usually done as inpatient)]TJ -0.32203 -1.125 TD -0.0001 Tc (surger)Tj 2.35815 0 TD 0 Tc [(y\321ask why)85(. )15(Y)94(ou want to be in the right place for y)6(our)]TJ -2.35815 -1.125 TD -0.0001 Tc (operation.)Tj ET BT /F19 1 Tf 12 0 0 12 46 173.9574 Tm 0 Tc (H)Tj 0.79394 0 TD 0.026 Tw [(av)29(e the surgeon mar)6(k the site he or she will operate on. )]TJ ET BT /F18 1 Tf 12 0 0 12 46 155.0574 Tm 0.025 Tw [(Rar)9(ely)85(, surgeons will make a mistake and operate on the wr)6(ong)]TJ 0 -1.125 TD [(par)-8(t of the body)85(. A number of gr)6(oups of surgeons no)11(w urge their)]TJ T* [(members to use a mar)6(king pen to sho)12(w the place that they will)]TJ T* [(operate on. )45(The surgeons do this b)6(y writing dir)9(ectly on the)]TJ T* [(patient)1880(s skin on the day of surger)-18(y)85(. D)12(on)6980(t be afraid to ask y)6(our)]TJ T* [(surgeon to do this to make y)6(our surger)-18(y safer)60(.)]TJ ET 2 w /CS0 CS 1 SCN 37 73.002 322 501.998 re s /CS0 cs 0.5 scn 385.833 305.667 55.167 36 re f BT /F21 1 Tf 14 0 0 14 405.7882 319.8984 Tm 0 0 0 1 k (9)Tj ET /CS0 cs 1 scn -450.941 -4.5 898 59 re f /GS0 gs 36 420.4 m 360 420.4 l S BT /F12 1 Tf -1000 1648 TD 1 g 0 Tw ( )Tj /F8 1 Tf 0.26001 0 Td ( )Tj /F9 1 Tf ( )Tj /F8 1 Tf 0.51001 0 Td ( )Tj /F9 1 Tf ( )Tj /F8 1 Tf 0.51001 0 Td ( )Tj /F6 1 Tf ( )Tj ET Q endstream endobj 24 0 obj<>stream /GS0 gs 1 g 0 648 0 0 re f /GS2 gs 0 0 0 0 k 72 65.294 324 510.706 re f q BT /F14 1 Tf 18 0 0 18 72 563.0054 Tm 0 0 0 1 k 0.028 Tw [(F)20(or Mor)29(e Inf)20(or)40(mation)]TJ ET BT /F22 1 Tf 14 0 0 14 72 534.2054 Tm -0.0112 Tc 0.0278 Tw (Here are some places you can get more)Tj 0 -1.28571 TD -0.0113 Tc (information.)Tj ET BT /F19 1 Tf 12 0 0 12 72 492.2054 Tm 0 Tc 0 Tw [(S)18(urger)-18(y)]TJ ET BT /F18 1 Tf 12 0 0 12 109.9102 492.2054 Tm 0.025 Tw [(. )45(The American College of S)24(urgeons \(A)12(CS\) has fr)9(ee)]TJ -3.15918 -1.25 TD [(pamphlets on )15(When )15(Y)94(ou N)29(eed an O)6(peration. F)36(or copies, write to)]TJ T* [(the A)12(CS, O)6(ffice of P)29(ublic I)12(nformation, 633 N. S)24(t. Clair S)24(tr)9(eet,)]TJ T* [(Chicago, IL 60611, or call 312-202-5000 \(toll fr)10(ee: 1-800-621-)]TJ T* [(4111\). )45(This gr)6(oup has pamphlets that giv)5(e general information about)]TJ T* [(surger)-18(y and other pamphlets that describe specific surgical)]TJ T* [(pr)5(ocedur)10(es. )45(These pamphlets ar)10(e also av)5(ailable on the A)12(CS )15(W)78(eb site)]TJ -0.0001 Tc (at http://www)' 5.42978 0 TD (.facs.org/public_info/ppser)Tj 10.39576 0 TD 0 Tc (v)Tj 0.35693 0 TD -0.0001 Tc (.html .)Tj ET BT /F19 1 Tf 12 0 0 12 72 366.8054 Tm 0 Tc 0.026 Tw [(S)12(econd O)6(pinion.)]TJ ET BT /F18 1 Tf 12 0 0 12 159.1782 366.8054 Tm 0.025 Tw [(F)36(or the fr)10(ee br)5(ochur)10(e G)6(etting a S)12(econd O)5(pinion)]TJ -7.26485 -1.25 TD [(B)6(efor)9(e S)24(urger)-18(y: )15(Y)94(our Choices and M)24(edicar)10(e Co)15(v)6(erage, write to)]TJ -0.0001 Tc (Centers for M)' 5.51973 0 TD -0.0002 Tc (edicar)Tj 2.28735 0 TD -0.0001 Tc (e & M)Tj 2.65181 0 TD 0 Tc [(edicaid S)12(er)-18(vices, R)12(oom 555, East H)17(igh)]TJ -10.45889 -1.25001 TD [(Rise B)12(uilding, 6325 S)12(ecurity Boulev)6(ar)13(d, B)12(altimor)9(e, MD 21207. Ask)]TJ 0 -1.25 TD [(for P)30(ublication N)29(o)16(. CMS 02173. )45(The br)6(ochur)10(e can also be found on)]TJ -0.0001 Tc (the CMS )' 3.84932 0 TD 0 Tc (W)Tj 0.88208 0 TD [(eb site at http://www)75(.medicar)9(e.go)16(v/)]TJ -4.7314 -1.25001 TD [(P)30(ublications/home.asp . )]TJ 0 -1.7 TD [(F)36(or the name of a specialist in y)6(our ar)9(ea who can giv)6(e y)6(ou a second)]TJ 0 -1.25 TD [(opinion, ask y)6(our primar)-18(y car)9(e doctor or surgeon, the local medical)]TJ T* [(society)85(, or y)6(our health insurance company)84(. M)24(edicar)10(e beneficiaries)]TJ T* [(may also obtain information fr)6(om the U.S. D)5(epar)-8(tment of H)18(ealth)]TJ T* [(and H)30(uman S)11(er)-18(vices)40(\325 M)24(edicar)9(e hotline; call toll-fr)10(ee 1-800-633-)]TJ (4227.)' ET BT /F19 1 Tf 12 0 0 12 72 161.0054 Tm -0.0001 Tc (Anesthesia.)Tj ET BT /F18 1 Tf 12 0 0 12 130.3518 161.0054 Tm 0 Tc (F)Tj 0.50195 0 TD (r)Tj 0.32203 0 TD [(ee booklets on what y)6(ou should kno)12(w about)]TJ -5.68663 -1.25001 TD [(anesthesia ar)10(e av)5(ailable fr)6(om the American S)12(ociety of)]TJ T* [(Anesthesiologists (ASA) or the American Association of N)30(urse)]TJ 0 -1.25 TD [(Anesthetists (AANA). F)36(or copies, write to ASA at 520 N)29(or)-8(th)]TJ T* [(N)30(or)-8(thw)5(est H)18(ighway)85(, P)42(ar)5(k Ridge, IL 60068, or call 847-825-5586; or)]TJ T* [(write to AANA at 222 S. P)30(r)6(ospect A)42(v)6(enue, P)42(ar)5(k Ridge, IL 60068-)]TJ -0.0001 Tc (4001, or call 708-692-7050.)' ET /CS0 cs 0.5 scn -8.167 306 53.167 35.589 re f BT /F21 1 Tf 14 0 0 14 14.0763 319.8984 Tm 0 0 0 1 k -0.0002 Tc (10)Tj ET /CS0 cs 1 scn -18.941 -4.5 898 59 re f BT /F7 1 Tf -1000 1648 TD 1 g 0 Tc 0 Tw ( )Tj /F11 1 Tf 0.27795 0 Td ( )Tj /F9 1 Tf 0.27795 0 Td ( )Tj /F8 1 Tf 0.26007 0 Td ( )Tj /F9 1 Tf 0.24994 0 Td ( )Tj /F8 1 Tf 0.26007 0 Td ( )Tj /F9 1 Tf 0.24994 0 Td ( )Tj /F8 1 Tf 0.26007 0 Td ( )Tj /F6 1 Tf 0.24994 0 Td ( )Tj ET Q endstream endobj 25 0 obj<>stream XgTٺ&?̚^ff͏YkftW߾gԹ'ܓ\U.]圱1$r%$B $"y?Idp=w{wvRÒ?>1" s@[+[A;tҙ1a||¶EJLc2sZUjө\Hu+ rT@]@u&@pJ< qYN@ /.)"9#!U^q E%Q2A a~WqZ%qw%^ͺ.; rt)[ eo2q#2q!+.=>8A8w(+՞PsXxMĀI,`~AlPHzAF{$CsJ/a[zzkz4=zmZ{O~݈ܫiQDI3Sr~t )3J}>[#i}ݻ䴨{7yQr|O)Nͻ!zVv5/7(TZAtooCcށwv  #ªht h;02?%B@'z >jeݩ<1_& g1qNfft߽7s>ۉ,!Pv0k4Zv +$m4c#!y@TLe8|J.(; Du@s 9#/3-=kl#IDDT(;uZ6 (!ځ\xLDB ۈ%BPcgc8*DK1JV{L0.1md غz=e6́c$EZ.L1> 8$Bx$1:7ڟDb&cL-Dv1?X<ށ~Pv0Gu@qDzrߍrwO[=zg5fh--$H$wg?  ] `j8? r*mNp 'A!092紁3 ^M}.{%^$bfL0xt6p¼<5Hj$=Gz nWC8^;<jJQEuc.lc) w,u~HÁogcXeVU5JD$¹g* ڟT@bfzZ p#/94AC4VK&`ݠ@((4U[`0sH)xXFfVpH$rqIJt`%E4h ;kd]9&ꦺ\"wiZ]5n2kۻlh15aܦ5M.~g@3o25 3(DVewBPd=Kg}K#G%Ĕ٤{һǔ@~W ipŝ? 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