Protocol for Oxford Out of Town Patients

It is easy to come to Houston for an Oxford. Dr. Likover can have you come in on Tuesday and be leaving for home on Friday or Saturday. Travel after an Oxford is not a problem, either by air or motor vehicle. An Oxford is a much smaller operation than total knee replacement. Dr. Likover has had numerous patients come from outside the Houston area. This instruction sheet will explain how our office cares for these patients.

Dr. Likover performs Oxford surgeries on Tuesday and Wednesday. Dr. Likover will have seen the xrays of the patient sent by mail or the internet. Dr. Likover needs to meet the patient in the office for an appointment the day before surgery. Patients usually fly in or drive in for an appointment on Monday or Tuesday, with their surgery scheduled for the following day. A measurement x-ray is usually taken at that appointment. The patient then stays overnight at a motel or relatives home. On surgery day the patient arrives at MemorialHermann Memorial City Hospital or the outpatient surgery center Special Surgery of Houston at 6:30 a.m. The surgery is performed sometime that day with no guarantee of the time of surgery. The patient then goes back to the motel or stays in the hospital for two to four days. Most patients return home on Friday or Saturday depending on how far they have to travel.

The primary instruction to the patient after surgery is to get his or her knee fully straight and fully bent following surgery. Crutches may be discontinued as soon as possible. The patient will be given Vicodin or Darvocet-N 100 for pain. All patients will be given a blood thinner, either, Arixtra or Lovenox for ten days following surgery to prevent blood clots in the legs. A continuous passive motion machine (CPM) will be used postoperatively for a week, and is provided locally by a rental company Therapeutic Solutions. The recovery from this surgery is not that difficult, especially compared to a total knee replacement. You may wish to go to physical therapy in your hometown and Dr. Likover will give you a prescription to take to your local therapist.

Insurance Issues: Medicare covers the Oxford procedure as an inpatient procedure at the hospital. Certain PPO's and indemnity plans cover it as an outpatient or inpatient procedure. Dr. Likover participates in numerous insurance plans; however, as an "out of towner" Dr. Likover may not be in your network. Dr. Likover is happy to treat patients who have "out of network" benefits within their insurance plan, and will make sure the "out of network" cost is not a burden to the patient. The patient may also pay cash for the Dr. Likover's bill and use insurance for the hospital bill. We must have your insurance information prior to coming in for an appointment and scheduling surgery so we get surgery pre-certified. Do NOT come to Houston until you are sure you pre-certification for surgery is approved!!! You may fax a photocopy of you insurance card to 713 465-7334 or scan it and e-mail it to either Marsha or Glenda at the office. Please call either to get her e-mail address. Marsha or Glenda will answer questions over the phone at 713 465- 0696

Hotels and Motels

Closest to the Hospital and Office (Four Miles)

Omni Hotel                   281 558-8338
Courtyard by Marriott   281 496-9090

Further, but maybe less expensive (Nine Miles)

La Quinta Inn                        713 932-0808
Quality Inn                            713 675-2711
Red Roof Inn                         281 579-7200
Hyatt Summer Field Suites   281 646-9990
Extended Stay Delux             281 398-6500
Super 8                                   281 646-7800
Drury Inn                               281 558-7007
Holiday Inn                            800 470-3431

All Hotels and Motels are along I-10 the Katy Freeway.  The Hospital
(Memorial Hermann Memorial City) and the outpatient surgery center
(Special Surgery of Houston), and Dr. Likover’s office are all along the
Katy Freeway.