“I was referred to Dr. Valdivia for hip replacement surgery by medical professionals who have worked with him in different positions in the hospital. They didn't steer me wrong... and all spoke very highly of him. I must also have my knee and other hip done and it WILL be done by Dr. Valdivia.”
“I had my rotator cuff remade by this doctor... I was in intense pain until the day of surgery. Since that day I have had no pain, fully recovered and using my arm as if nothing had ever happened. This doctor is one of the greatest... I recommend him whenever I can.”
“Dr. Valdivia did a complete knee replacement for me and I was back in the gym on the treadmill even sooner than I expected. My entire surgical experience was good. I have had not one bit of pain.”
“Dr. O'Brien performed surgery on my frozen shoulder. That procedure was completely successful. I was satisfied enough with the experience that I plan to return for pain that is now occurring in my other shoulder.”
"5 stars are not enough for Dr. Valdivia and his staff. Everyone is kind and compassionate. He operated on my shoulder and I no longer have the pain I had before. You will not regret choosing him for your procedure."
How early should I arrive for my appointment?
If you registered and provided your medical information online you only need to come to the office 10 minutes prior to your scheduled appointment. The same is true if you downloaded the registration forms and have completed them in advance.
However, if you were unable to do the preregistration or complete the forms in advance you will need to arrive at least 25 minutes before your scheduled appointment time to fill out the required paperwork.
How long should I allow for my appointment?
Our providers and staff work hard to treat each patient as close to their scheduled appointment time as possible. However, orthopedic surgeons often have emergency situations that need immediate attention. Our doctors will do everything possible to handle these emergencies in a timely fashion and return to their scheduled clinic patients.
On the other hand, chiropractic and physical therapy patients have a more structure schedule and they can expect to be seen within their schedule time.
What information should I bring with me?
1. You will need to bring your insurance card and complete billing information, including claim number and address of responsible party.
2. Bring photo ID and/or your Driver’s license.
3. If you have received treatment for this condition from another office, please bring all records, test reports and images (x-rays, MRI, CT scan, etc).
4. Bring a list of all medications you are currently taking including over-the-counter medications and supplements.
5. Bring a list of all your allergies.
What type of clothing should I wear?
Will you need to wear clothing that will allow access to the body part you are being seen for (example: shorts for a knee injury, sleeveless shirt for a shoulder injury). If this is not possible due to your work dress code, we have shorts and gowns you can change into for your exam.
Will I need to make payment at the time of my office visit?
If your insurance company requires an office co-payment, you will be required to make that payment at the time of your visit.
Do you accept my insurance?
Insurances We Accept*
* We may accept additional plans not listed here. Call or email our office for more information. Please Verify your eligibility for services with your insurance company. If your insurance coverage has changed since your last visit, please inform the front office.
I have a total joint replacement and have a dentist appointment. I have heard that I should take an antibiotic before my appointment. Is this true?
You won’t need to get preventive antibiotics for most dental procedures. But because you have an artificial joint, your risk of contracting a blood-borne infection is higher than normal. So preventive treatment is advised if the dental procedure involves high levels of bacteria.
What procedures require preventive antibiotics?
- Dental extractions
- Periodontal (gum disease) procedures
- Dental implant placement and reimplantation of teeth that were knocked out
- Endodontic (root canal) instrumentation or surgery
- Initial placement of orthodontic bands (not brackets)
- Injection of a local anesthetic into the gums near the jaw
- Regular cleaning of teeth or implants where bleeding is anticipated
Are there any conditions that make it necessary to take preventive antibiotics if I have a joint replacement?
You should get preventive antibiotics before dental procedures if:
- You had a joint replacement less than two years ago
- You have an inflammatory type of arthritis such as rheumatoid arthritis or systemic lupus erythematosus
- Your immune system has been weakened by disease, drugs, or radiation
- You have insulin-dependent (Type I) diabetes
- You have poorly-controlled non-insulin-dependent (Type II) diabetes
- You’ve had previous infections in your artificial joint
- You are undernourished or malnourished
- You have hemophilia.
How long I will stay in the hospital after surgery?
Hospital stay after major joint replacement surgery has rapidly changed in the last few years. Thanks to improved pre-operative preparation and education, most patients are only staying overnight and some even going home the same day. Your particular condition will ultimately dictate how quicky you can return home. Our goal is to allow you to return home as quickly and as safely as possible.
Will I have to go to a rehabilitation center or nursing home after surgery?
More than 95% of our patients are able, and infact encouraged, to go home after surgery. It has become clear the your home environment is not only familiar to you, but also safer and more conducive to a prompt recovery. If necessary, nursing and physical therapy services will be provided at home.
I recently had surgery, why did I recieve a bill from a different doctor or provider?
Many procedures require the use of a surgical assistant. This is medically necessary to ensure that you receive the best possible results.
I received a bill from Jeffrey T. O'Brien MD, Inc., but I was seen and treated by someone else. Why?
The name of our practice is The Orthopedic Center. However, the legal name of our practice is “Jeffrey T. O’Brien, MD Inc.” All the providers in the practice work under that umbrella. For billing purposes we must use the legal name of the company. Therefore your billing statement will have it. Rest assured that this is perfectly fine and your claim will be appropriately processed.
I have a question about my bill. Who do I talk to?
The Orthopedic Center works closely with an outside billing agency, REP Medical, to ensure prompt and accurate claims processing. Any questions or concerns regarding billing should be directed to REP Medical.
To contact them, please call REP Medical at 321-848-0930.
I received a statement from my insurance company for a surgical procedure at the time of my last office visit. What is this charge for?
This would be for a procedure called arthrocentesis. The physician inserts a needle through the skin and into a joint, bursa, tendon sheath or fascia. He may aspirate (take a fluid sample) and /or inject medication for lavage or drug therapy. The needle is then removed, and pressure is applied to stop any bleeding.
Because the needle placed into the joint, bursa, tendon sheath or fascia requires exact placement, it is considered by insurance companies to be a surgical procedure. It is much more than a standard injection. Although they consider this a surgical procedure, insurance companies do not require additional pre-authorization for the procedure itself. Some medications, however, may require pre-authorization and our staff will take care of obtaining it prior to the arthrocentesis, as needed.
When can I remove my bandages?
Because each surgery is different, please refer to the instructions given to you at the facility where you had your surgery. In general, the physical therapist will remove the dressing for the first time. Otherwise, your dressing will be removed at the first postoperative visit.
When can I take a shower?
If you have had an arthroscopy, you can shower once your initial bandages have been removed and you have covered the incisions with waterproof bandaids.
If you have had another procedure, it is advisible that you keep your wound and dressing clean and dry until your stitches have been removed and the wound(s) is(are) healed.