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Brunno Ristow, M.D., F.A.C.S
2100 Webster Street, Suite 501
San Francisco, CA 94115
Tel: (415) 202-1507
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Plastic and Reconstructive Surgery at the Pacific Clinic in San Francisco, CA
Below is the sequence of events surrounding plastic surgery in our private clinic.
The Plastic Surgery Consultation
Within 24 hours of securing a consultation appointment, we will mail you a complimentary, informative DVD and book, written by Dr. Ristow entitled "Modern Plastic Surgery." You will have much pertinent information by the time we meet.
On the occasion of the personal interview, Dr. Ristow will listen attentively to what you wish to achieve. He will examine the specific issues and show you to the best of his ability, the results you can expect. He will formulate a surgical plan, explain it to you and discuss a pertinent informed consent. He will answer questions you may have. His head nurse, his physicianıs assistant and his patient care coordinator will also be at your disposition to give you additional answers if you so desire. After your meeting, you will have the opportunity to visit with the patient care coordinator and, if you wish, schedule your surgery. This visit to our office may take approximately one hour.
Click here for special information regarding our out of town surgery patients.
Visit Prior To Surgery Date
This office visit, conducted by office personnel, will be scheduled approximately two to three weeks prior to your surgical date. At that time, we will take your photographs and do laboratory work. We will also review your arrangements for rides home, hotel accommodations and homecare. The head nurse will also give instructions for your recovery period. On the day of surgery, prior to any sedation, Doctor Ristow will go over the photographs and the plan with you once again.
The Pacific Professional Building
The Pacific Clinic is located at the Pacific Professional Building. Our offices and clinic connect directly with the California Pacific Medical Center, a major San Francisco Medical Center. We have access to more than 150 specialists who have their offices in the same building. This provides additional security to our patients.
The Pacific Clinic - A Private Surgicenter
The Pacific Clinic is composed of a preoperative room, an operating room, a recovery and overnight staying room and a suture removal/treatment room. It is connected to the general medical office, and it occupies, in our professional life, the position previously held by the hospital. It hires specialized personnel and pays all their salaries. Three surgical assistants (two RNs and one PA), a circulating and recovery room RN, and two overnight personnel, of which at least one is an RN. The clinic also provides medications and supplies to the patient. Just as the hospital, it is an entity on its own. The scheduling of surgery, admission, registration, required tests, such as blood tests and, when appropriate, electrocardiograms, are now all done in privacy.
As a separate entity, the Pacific Clinic charges for its services separately from the professional surgical fees (as a hospital does). The business office will provide each patient with a statement of the Pacific Clinic expenses. These expenses are a direct function of the salaries of all specialized personnel, usage of the supplies and the time (in hours) necessary for each procedure. Recovery room charges, as well as medications for the post-operative recovery, are included in the Clinic's payment.
Unlike a hospital, were many different priorities exist, you and your aesthetic surgery results are the only relevant issue to the Pacific Clinic staff. The Clinic's capable and experienced nurses provide complete instructions before and after surgery. In addition, since a considerable number of our patients come from afar, special local arrangements can be made for them. Many patients remain in the Clinic recovery area overnight under the care of a nurse specifically trained in postoperative aesthetic surgery care. Our patients have appreciated this arrangement immensely. The special staff will provide competent and supportive care during the first postoperative night. Also, the small, intimate setting of a private office and clinic makes it efficient in preserving the confidentiality of the consultations and procedures.
Board Certified Anesthesiologists
Each of our Board Certified anesthesiologists has had a vast experience of more than ten thousand anesthetics for patients in all states of health and for all types of surgeries. Over the last two decades, both our anesthesiologists have concentrated exclusively on anesthesia for aesthetic or reconstructive plastic surgery, the field of their exclusive interest.
During surgery, the anesthesiologist carefully monitors the patientıs condition with a continuous electrocardiograph to check the status of the heart from beat-to-beat. Automatic blood pressure measurements to keep us informed of moment-to-moment changes in circulation, and continuous oximetry ensures that adequate amounts of oxygen are delivered to the lungs. In addition, pulse oximetry continually measures the amount of oxygen in the blood by a device that slips over the finger and infrared capnography monitors the adequacy of breathing. A skilled California Pacific Medical Center technician services this advanced equipment weekly. What all this means is that no effort has been spared to bring to the Pacific Clinic the most modern technology available to ensure patient security and comfort.
Operating and Recovery Rooms
These precautions continue into the recovery area that is adjacent to the operating room for safety, convenience and comfort. Here, essential monitoring equipment continues to be used as long as needed to detect any changes in the patients' status as they awaken from anesthesia.
This modern, private, comfortable operating recovery suite meets the highest standards of safety required by the American Association for Accreditation of Ambulatory Plastic Surgery Facilities (AAAAPSF) which has certified the Clinic as a surgicenter.
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