Once the decision for surgery is made, there needs to be the pre-op visit for surgical clearance so it's possible that another visit is needed. I'm wondering here though, if the decision was made one week before surgery, why wasn't the pre-op exam done then? Maybe there wasn't enough time allotted at that visit? If that was the case, I guess I can see it but I wouldn't make a practice of having the patient come back for an additional pre-op visit just to get them back in for another visit.
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