Surgical Planning

Regardless of what coast you plan to have surgery on ESSE Care will take the headache and stress out of it for you. Our team is accustomed to patients traveling from all over the world and providing them with world class concierge care.

ESSE Surgery

Our team is accustomed to patients traveling from all over the world and providing them with world class concierge care. Your surgical team including any necessary expert assists with colorectal/thoracic/urology will be pre-arranged as needed.

If subspecialists/other surgeons are needed for your case we are happy to arrange telehealth meetings with them ahead of time after we determine the date and which teams are necessary.

In house/hotel rounds can be provided by our team if within our preferred lists of hotels nearby.

We make it easy on you, your biggest task is to recover!

Begin your day with a filling meal.
Post-breakfast, stick to clear liquids like broths, sports drinks, and black coffee.
At 9 am take nausea medication provided (metoclopramide)
At 10 am possible insertion of vaginal tablet if instructed.
Bowel prep starts From 10 a.m. to 12 p.m., use prescribed products such as Miralax or prescription bowel prep ordered. The second dose will be around 4 pm. If you tend to have more difficulty passing stool then you may need to adjust and start this earlier in the morning.
We recommend the nausea medication 1 hour before starting bowel prep to lessen side effects!
Drink fluids to maintain electrolyte balance until midnight. Examples include coconut water, tea with honey, broth with salt in it, Gatorade of your choice, or other electrolyte-rich clear fluids.

Adhere to any additional guidance from Dr. Karli Provost Goldstein or the surgical team, including antibiotics if prescribed.

Before Surgery:

It is crucial not to eat or drink on the morning of the surgery unless recommended by the hospital for ERAS protocol. Your cooperation is essential for a safe and effective procedure and reduce the risk of complications under anesthesia.

After Surgery:

Take prescribed non-steroidal anti-inflammatory drugs for pain.
Use over-the-counter pain relievers and digestive aids as needed.
Take life extension magnesium supplements to kick start the bowel.
Drink clear liquids and broths to stay hydrated.
Follow a bland diet with foods like rice, mashed potatoes, and pasta.
Eat easy-to-digest foods such as eggs, toast, and soups.
Avoid spicy and dairy-rich foods.
Use carbonated drinks to help with gas pain, but consume in moderation.

We are dedicated to your care and recovery. If you have any questions or need clarity on the instructions, our team is here to support you every step of the way.

Post-op check with Dr. Karli Provost-Goldstein within 10 days. This can be local or telehealth if needed.
Once pathology results are in (typically 2 weeks) they will be reviewed by the doctor and then released to you.
Keep incisions clean and dry with STERI-strips for 1 week.
No band-aids or Neosporin for 3-4 weeks; use SPF 50 on incisions.
Light vaginal bleeding is normal; heavy or dizzying symptoms require a call to the office.
Nausea post-op may need medication; Benadryl 50mg at bedtime can help.
No heavy lifting or abdominal exercises for 6 weeks.
Walking is recommended after surgery.
Swimming is allowed after 3-4 weeks once incisions heal; avoid hot tubs for 6 weeks due to bacteria.
Gentle workouts like walking, yoga, and elliptical machines are okay after 3-4 weeks; build up slowly.

Each patient is unique and will have a customized plan depending on their case. Some patients may elect to go on birth control following. Many will have a break from this and let their body recover with acupuncture and low inflammatory diet. Others may need hormone replacement due to menopause or peri-menopause.

Dr. Karli Provost-Goldstein does not generalize and uses a set plan for every patient. This will be discussed on your visits with her according to your needs and desires.

Post-Operative Amazon Storefront

We recommend having a few essential items on hand for a smooth and comfortable postoperative recovery. These may include supportive pillows or wedge cushions to help with proper positioning and loose and breathable clothing for easy movement. These have all been used by Dr. Goldstein in her postoperative recoveries.

Real stories from real patients.

Dive into our patient stories which illuminate the struggles they have been on and their path to healing with ESSE Care. Discover touching tales, significant experiences, and instances of patients finally finding relief after years of feeling unheard, disbelieved, and misdiagnosed. These narratives beautifully demonstrate the life-changing impact of empathy and attentive care.