Frequently Asked Questions
How do I make an appointment?
Our patients come to Pediatric Surgery at the University of Michigan from referrals by their pediatricians, other physicians, through their own research or by personal recommendations. The University of Michigan C.S. Mott Children's Hospital Patient Advisors are just a phone call away to answer your questions or to assist you in making an appointment. Our highly trained patient care representatives are waiting to serve you in any way we can.
- Treatment options
- Information about our doctors and other care providers
- Assistance in arranging appointments
- Clinical research trials
- Services for family members and other loved ones
- Support services
To schedule an appointment or for more information, please give us a call today.
Scheduling a new patient appointment:
FOR PATIENTS MOTT LINE: 1-877-475-6688 (1-877-475-MOTT)
FOR REFERRING PHYSICIANS M-LINE: (800-962-3555)
CLINIC FAX: (734) 936-9784
How do I prepare for my appointment?
Thank you for requesting an appointment with Pediatric Surgery, part of the University of Michigan Health System. To make the most of your appointment, please review the steps below.
- Gather your medical records. Please bring any medical records from outside the University of Michigan Health System with you to your visit.
- Confirm your Insurance coverage. Please have your insurance information with you during your appointment. If you have any questions about whether we participate with your insurance carrier, or if office visits are a covered benefit, please contact the Billing Office for the Department of Surgery at (734) 647-5225 or (800) 914-8561 prior to your visit.
- Confirm your referral information. If you have been referred to us by another physician, please make sure our office has received the correct information from the referring physician.
- Register or update your information at the University of Michigan. Every patient must be registered as a University of Michigan Health System patient. If your child is not registered, we recommend that you pre-register by calling the Registration Office toll-free at (866) 452-9896 or locally at (734) 936-4990 to expedite this process. You should have your insurance card(s) handy when you call. Alternatively, you may register your child at the Registration Desk located on the 2nd floor of the Taubman Center. If your child already has a current University of Michigan registration card (blue hospital card), you may proceed directly to our clinic (see a map).
How do I register or update my patient information?
Every patient must be registered as a University of Michigan Health System patient. If your child is not registered, we recommend that you pre-register by calling the Registration Office toll-free at (866) 452-9896 or locally at (734) 936-4990 to expedite this process. You should have your insurance card(s) handy when you call. Alternatively, you may register your child at the Registration Desk located on the 2nd floor of the Taubman Center. If your child already has a current University of Michigan registration card (blue hospital card), you may proceed directly to our clinic (see a map).
How can I confirm my insurance coverage?
If you have managed care insurance or your health insurance plan requires an insurance referral, YOU are ultimately responsible for obtaining the referral from your Primary Care Physician's office. Insurance referrals are required for all visit types: New Patient, Return Visit, Urgent, or Add-on appointments.
NOTE: If you do not have a valid insurance referral and/or authorization to be seen in the Pediatric Surgery clinic, you will be asked to sign a waiver (agreement to pay for services), or your appointment will be rescheduled to a later date. We will not be able to schedule surgery until we have received the managed care insurance referral from your primary care physician's office - Your insurance company will not authorize surgery if they have not authorized your visit with us!
We recommend that you have your Primary Care Physician's office fax the insurance referral to us at (734) 936-9784 to expedite this process.
If you do not see your insurance plan listed under the Participating Insurance Plans we accept, it does not mean that you cannot receive care at from us. Please call us at (800) 914-8561 or (800) 992-9475 if you need assistance understanding your coverage. In general:
- Patients with traditional insurance have no restrictions and may be seen at UMHS.
- Patients with PPO coverage are free to see providers outside their preferred network, but may have higher out-of-pocket costs.
- Patients with HMO coverage may be seen at UMHS, provided we have permission from the health plan prior to your appointment.
If you are unsure whether or not your insurance requires a referral, please call your health insurance plan to inquire about it.
If you have a question about a specific insurance, you may call our Billing department at (800) 914-8561 or (800) 992-9475 for assistance, or check directly with your insurance plan regarding benefit coverage and out-of-pocket costs.
How do I prepare for my child's surgery?
Having an empty stomach for anesthesia is extremely important to your child's safety. Your child should have NOTHING by mouth including gum, mints, water, etc.
- No solids 6 hours before procedure
- No bottle milk 6 hours before procedure
- No breast milk 4 hours before procedure
- No water, Pedialyte or apple juice 2 hours before procedure
- NOTHING BY MOUTH 2 hours before procedure
The following symptoms or illnesses (current or within the past 6 weeks) should be reported to the Mott Outpatient Surgery Nurse at the time of the preoperative phone call: Croup, bronchitis, bronchiolitis, or pneumonia (all may cancel surgery for 4 - 6 weeks).
Due to the effect on bleeding, aspirin, ibuprofen or other nonsteroidal medicines such as Advil, Aleve, Motrin or Pediaprofen should NOT be taken for 2 weeks before surgery unless you are told otherwise. It is okay for most children to take acetaminophen (Tylenol).
Shower or bathe your child the evening before surgery. Makeup, nail polish, contact lenses, earrings or other jewelry, and tampons should be removed before your child arrives at the hospital.
What happens the day of my child's surgery?
Dress your child in loose clothing. Tight clothing (like jeans or shirts that slip over the head) may be uncomfortable or difficult to wear after some procedures. An extra pair of underwear may come in handy. If your child has long hair, we recommend that it be worn up or away from the face. Remember to bring your child's favorite toy, book, blanket, pacifier or special comfort item. They can take this with them into the operating room. If your child uses a special formula, Playtex bottle, nipple or sippy cup, bring these with you for your trip home.
Because your child having surgery will need your full attention, we request that you do not bring siblings or your children with you. Young children will not be permitted to enter Phase I recovery but will be allowed in Phase II (if indicated).
Preop Reception and Waiting Room/ Check-In
Please sign in at the 4th floor information desk (frog desk). Once you have signed in, your child will be asked to put on a hospital gown. (Yes, they do open in the back!) A staff member will check your child's weight, temperature, blood pressure, pulse and breathing.
Please! No eating or drinking in the Pre-op Reception and Waiting Room out of respect for our patients who are unable to eat or drink before surgery.
You will meet your child's anesthesia doctor or nurse anesthetist before surgery. You will have the chance to talk about the medicines that will be used during surgery and for comfort after surgery. You can also discuss concerns you may have about how your child will separate when going into the operating room.
Most children who have surgery receive a general anesthetic. This means the child sleeps deeply enough to not move or feel any pain. Infants and younger children usually fall asleep by breathing the anesthetic through a facemask. (They can choose a flavor for the mask!). Older children may prefer to fall asleep by getting the anesthetic through an intravenous (IV) line. If an IV is used, cream may be applied to numb their skin so it doesn't hurt to start the IV.
After your child is asleep, a breathing tube is usually placed in the airway. This is done to protect the airway, control breathing and maintain sleep during surgery. The tube is removed at the end of surgery and before your child wakes up. An IV may also be inserted during surgery. This will remain in place after surgery for as long as necessary. Fluids and medications can be given through the IV.
Parents or caregivers remain with their child until the time of surgery. The anesthesia doctor or nurse will walk or carry your child into the operating room. Younger children may ride in a wagon.
What happens after my child's surgery?
After surgery, your child will be transported to the Phase I Recovery Room for close observation and care. (Some children are directly admitted from the operating room to the intensive care unit). Your child may awaken quickly or sleep for what seems a long time. As soon as your child is awake, you will be able to visit and stay with him or her in Phase I (only 2 adult visitors at a time in Phase I).
Some children continue to need small amounts of oxygen while in Phase I. This is provided by a facemask, nasal tubing (cannula) or by blowing the moisturized oxygen through tubing by the child's mouth and nose. An oxygen monitor will be wrapped around a finger or toe. An IV and blood pressure cuff may be in place. Any special needs from surgery (such as a cast or dressing) will also be present. Some pain can be expected after surgery. Doctors and nurses will try to keep your child as comfortable as possible. For more information please see our pain management section.
Phase II: Outpatients
Children going home the same day of surgery (outpatients) are moved from Phase I into Phase II. Clear liquids will be offered and they can watch TV. Discharge instructions will be reviewed with you. Plan on your child being in the Recovery Room (Phase I and II) at least one hour or more.
Children are discharged from Phase II and should be transported to their vehicle in a wheelchair. Younger children and infants may be carried or ride in a stroller.
Children must be accompanied by a parent at all times. Whenever possible, please do not bring siblings with you on the day of surgery.
Phase II: Patients for Admission
Children who will be admitted to the hospital after surgery can have parents or caregivers visit in the Phase I Recovery Room. Parents accompany their child as they are moved from Phase I to their hospital room. In Mott Children's Hospital, patient care is family focused so you will be encouraged to help with many aspects of your child's care. Each general care unit offers flexible visiting hours. Some parents choose to "room in" with their child. (This option is not available for moderate or intensive care areas.) Please note that only one person can be accommodated to sleep in the room.
Where will my child's surgery be performed?
To best serve our patients and their families, our physicians offer services at different locations including our new, state-of-the-art C.S. Mott Children's hospital. Learn more about C.S. Mott and our other sites of practice.