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Medication safety

Medication and supplement planning around hip or knee replacement.

Medication planning should be clear before surgery week. Patients need to know what to bring, what to ask, and why they should not make medication changes on their own.

Build a complete medication and supplement listDiscuss blood thinners, diabetes medications, anti-inflammatories, pain medication, and allergiesUnderstand the post-op pain planAvoid unsafe supplement or medication changes

Recovery principles

A clear plan beats a crowded packet.

The PBJ Rapid Recovery System gives patients a practical way to prepare before surgery, understand the early recovery window, and know when to call for help.

01

Accuracy: the team knows what the patient actually takes

02

Coordination: prescribing clinicians and surgery instructions are aligned

03

Safety: no unsupervised stopping, starting, or mixing

Chapter guidance

What patients need to understand.

01

Bring the full list

Include prescriptions, over-the-counter medications, vitamins, supplements, injections, patches, and allergies. Dose and timing matter.

  • Include blood thinners and aspirin
  • Include diabetes and weight-loss medications
  • Include sleep aids, pain medications, and herbal supplements

02

Pain control is multi-layered

Comfort and inflammation control may include medications, ice, compression, elevation, movement, and rest when appropriate.

  • Comfort supports walking and sleep
  • Non-medication tools matter
  • Medication choices depend on medical history

03

What not to do

Do not stop blood thinners, start supplements, increase pain medicine, or combine sedating medications without explicit instructions.

  • Call before changing timing
  • Ask about alcohol, driving, and sedating medicines
  • Keep one current set of instructions from your care team

Patient checklist

Make the next step concrete.

A patient should finish each chapter knowing what to do next, what is normal, and what should prompt a call to the office.

1

Prepare a complete medication, supplement, and allergy list

2

Ask which medications to take or hold before surgery

3

Ask how pain, swelling, constipation, and blood clot prevention will be handled

4

Confirm who to call with medication questions

5

Do not change medications without guidance

Common questions

Fast answers, careful claims.

Does this replace my office instructions?+

No. These chapters explain the recovery process in plain language. Follow the written instructions from Dr. Morton and the care team.

Should I call if I am unsure?+

Yes. If symptoms are worsening, confusing, or listed as warning signs, call the office or seek urgent care based on the situation.

Will every patient recover on the same timeline?+

No. Recovery depends on diagnosis, procedure, health, support, travel, and complications. Use the timeline as guidance, not a guarantee.

Ready for a plan?

Start with a focused orthopedic consultation.

Bring your symptoms, imaging, records, medication list, and goals. The first win is understanding what is causing the pain and what path is realistic.

Recognition

Awards, focused training, and Hawaii-specific care planning help patients compare trust before they schedule.

US News High Performing in Hip and Knee Replacement
2025 Top Doctors
Best of West 2023
40 Under 40
First Hawaii orthopedic surgeon fellowship-trained in robotic joint replacement
ACGME-accredited fellowship training in hip and knee replacements
Minimally invasive, muscle-sparing approaches when appropriate
Concierge-style coordination for travel and neighbor island patients
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