Your consultation

Consultation with surgeon

We only give consultations by appointment, from 8.00 to 19.00 in our offices located in the new building next to the Union clinic..

Secretary’s office

On your arrival, our secretaries will be there to welcome you, and provide you with guidance and information.
During the first interview, they will gather the administrative and medical details necessary to establish your medical file, which you can access by simple request.
These details allow us to communicate with your usual practitioner(s) to establish the most suitable treatment for you.

Consultation

Don’t forget to bring your medical tests with you the day of the consultation.
Our consultations are tailored to your condition and usually last from 15 to 20 minutes.

Medical information and informed consent

At the end of your consultation, you will be given a copy of the mail that is sent to your regular general and specialist practitioners.
Besides, you can access your medical records by making a simple request.
If we consider that surgery is justified in your situation, your surgeon will give you a medical information document relating to your condition and its surgical treatment.
In addition to this medical information document your surgeon will give you an informed consent form to complete, sign and return on the day of the surgery.
In no way does this document relieve me of liability if complication occurs; it simply states that you have understood the risks inherent to any type of surgery.
To guarantee your safety, I am member of the operative risk prevention association and undergo ongoing training in this capacity.

Moreover all the surgeons follow the recommendations of the CLIN, a committee whose focus is the fight against hospital-acquired infections (nosocomial diseases).

Fees

I am authorized to charge additional fees (sector 2 of agreement between health professionals and French health insurance organizations.
This additional fee, which applies even in the case of direct payment by the insurer, may vary based on the procedure and its repetition. It comes in addition to the national statutory fees set by the sector 1 agreement, on which refunds are based.
It is always shown on medical expenses claim forms and is covered by some private health insurance companies, in full or in part.
This additional fee is used to fund the peri-operative services, which are delivered by dedicated, qualified staff.
Fees vary based on the type of procedure. The amount for the pre-operative consultation ranges from 23 to 70 euros.
You can inquire about the consultation fees that will apply beforehand.
For each surgical procedure, you will be given a quote with a clear breakdown of the fee.
I am member of a registered accounting group, payments by check or credit card are accepted.

Consultation with anaesthetist

Please make sure you bring all your personal medical documents (recent prescriptions, blood tests, recent reports from your cardiologist…)..
Please report any known allergy to drugs or other.
The anaesthetic consultation is mandatory for any scheduled surgical procedure except for some local types of anaesthesia and it should be arranged several days before surgery to ensure maximum safety.
During the consultation, the considered type of anaesthesia will be explained to you and the anaesthetist will answer your questions.
This consultation is also used as an opportunity to explain the practical aspects of your hospitalization.
Loco-regional anaesthesia makes it possible to put a part of the body to sleep and be insensitive to pain during the operation but also for a few hours afterwards.

In anaesthesia as in surgery, there is no such thing as "zero risk": no type of anaesthesia whether regional or loco-regional is devoid of possible complications.
However our strong experience in the procedures utilized, the use of equipment recommended by the International association of anaesthetists-resuscitators (echograph, nerve neurostimulator, specific needles, cardiorespiratory monitoring during the surgery), combined with rigorous performance of the various techniques ensure your surgery takes place in an environment where your safety and comfort are paramount.
The various loco-regional anaesthesia techniques used cause very little pain so they can be used as easily for children (from young age) as for adults.
At the end of the consultation, the anaesthetist will give you the instructions you must follow.

A document will remind you of the following points:

  • changes in regular medication that may be necessary; 
  • hygienic measures to observe:take pre-operative shower, cut nails (no varnish or artificial nails), brush hands, no jewels or piercing.You will be given instructions for pre-operative fasting; you must not drink, eat or smoke.
  • A person must be available to look after you after your outpatient surgery.Instructions for clothing to be worn on day of surgery (full sleeves, no corset).

Pain management 

Peri-operative pain

You will systematically see the anaesthetist before the surgery to ensure the best peri-operative and post-operative pain management.
In the pre-operative phase, you may be prescribed anxiolytics.
For the operative and post-operative phases, your anaesthetist may prescribe you painkillers to complement the local anaesthetics that may have been used.
To prolong analgesia, you will sometimes return home with your arm still asleep, in a sling.

Post-operative pain

For the days that follow your surgery, I will prescribe a pain-killing treatment that is suited to your situation.
It is important that you take this treatment and follow the prescription.

Pain management consultation, algology

To best meet the patients’ pain management needs, the clinic has a pain management consultation where health professionals specialized in pain management can help you.
These specialized and qualified professionals can set up a pluridisciplinary pain treatment strategy that is adapted to individual requirements.

Rules to follow

  • Remember to bring all your medical documents to the consultation with the surgeon or anaesthetist: mail, tests, test reports.
  • Try to be as specific as possible with your surgeon during the interview and when answering his secretary's questions.
  • For a child, the presence of one of the parents is mandatory.
  • It is essential that you follow pre-operative fasting. Fasting means that you must not drink, eat or smoke in the hours before your surgery.
    Failure to follow the fasting instructions may lead the anaesthetist, supported by your surgeon to cancel your surgery, even for emergencies, to guarantee your safety.
    You should follow the post-operative instructions that I and anaesthetist will give you.

Emergencies

The consultation centre is open from 8.00 to 19.00 Monday to Friday.

Outside these normal consultation hours, we provide on-call hand and upper limb emergency surgery service.

The Union clinic is part of the European Federation of Hand Emergency Services (FESUM) which means that whatever time you phone, you will be directed to a hand and upper limb specialist surgeon.The details you give us on the phone allow us to best prepare your admission.