- 6319 Castle Pl #2c, Falls Church, VA 22044
Your surgeon requires medical clearance before your procedure — and the quality of that clearance matters. At Millennium Medical Center, pre-operative evaluations are conducted by Dr. Shayma, MD, a board-certified internist who goes beyond a checkbox physical to provide a complete medical assessment of your surgical risk. Fast turnaround. Direct surgeon communication.
A proper clearance is not a rubber stamp. It involves a thorough history and physical examination, risk stratification using validated tools (RCRI), appropriate laboratory testing, ECG when indicated, and a careful review of all medications — including anticoagulants, diabetes medications, antihypertensives, and supplements — with guidance on which to hold, continue, or bridge around your surgical date.
Pre-operative clearance at Millennium means Dr. Shayma thoroughly evaluates your health before surgery, assesses your cardiac and pulmonary risk, reviews every medication, orders the labs your surgeon and anesthesiologist need, and sends a complete clearance letter — typically the same day. Your surgery stays on schedule.
Primary care clearances are sometimes rushed or incomplete. Anesthesiologists frequently flag patients who arrive without adequate workup, causing day-of cancellations. A board-certified internist with experience in perioperative medicine provides the depth of evaluation that prevents last-minute problems and keeps your surgical date intact.
Dr. Shayma evaluates your complete perioperative medical picture — not just a brief exam and a signature — covering every clinical dimension that determines your surgical and anesthetic risk.
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Systematic evaluation of cardiac risk using RCRI and ACC/AHA guidelines. ECG ordered when indicated. Referral for further cardiac workup when necessary to avoid day-of cancellation. Complete review of all prescription drugs, OTCs, and supplements — with written guidance on which to hold, continue, or bridge, including anticoagulants, diabetes medications, and antihypertensives.
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CBC, basic or comprehensive metabolic panel, coagulation studies, HbA1c for diabetics, type and screen if required — ordered based on your procedure type, age, and medical history. Assessment of pulmonary risk in patients with COPD, asthma, OSA, or obesity — with recommendations for optimization before surgery.
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Evaluation of blood pressure control, glucose management, electrolytes, and renal function — ensuring metabolic parameters are optimized. Complete written clearance documentation tailored to your surgeon’s and facility’s requirements — sent directly to your surgical team the same day.
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Assessment of pulmonary risk in patients with COPD, asthma, OSA, or obesity — with recommendations for optimization before surgery and post-op respiratory precautions.
Pre-Operative Medical Clearance at Millennium is performed by Dr. Shayma, MD — board-certified internal medicine physician — following a thorough clinical assessment. Safety protocols and conservative treatment principles are applied to every case.
Pre-Operative Medical Clearance at Millennium is performed by Dr. Shayma, MD — board-certified internal medicine physician — following a thorough clinical assessment. Safety protocols and conservative treatment principles are applied to every case.
A thorough history and physical exam, cardiac and pulmonary risk stratification, complete medication review with written bridging guidance, and same-day laboratory results and clearance documentation sent to your surgical team. Approximately 45–60 minutes.
Every pre-operative clearance at Millennium is conducted by Dr. Shayma personally — not a rushed checkbox physical. Clearance documentation is sent to your surgeon the same day as your appointment.
Most hospitals, surgical centers, and surgeons require clearance for patients with medical comorbidities, patients over 45, and for procedures under general or regional anesthesia. Millennium can typically schedule clearance appointments within 1–3 business days.
Most hospitals, surgical centers, and surgeons require clearance for patients with medical comorbidities, patients over 45, and for procedures under general or regional anesthesia. Millennium can typically schedule clearance appointments within 1–3 business days.
Patients on anticoagulants, with cardiac history, with diabetes, or with multiple comorbidities benefit most from internist-led clearance that properly addresses the perioperative management of their conditions.
Patients experiencing active acute illness should be stabilized before pre-operative clearance. Patients with very high surgical risk may require additional cardiac or specialty workup before clearance can be completed — Dr. Shayma will communicate this directly.
Call or request online. Let us know your surgical date and procedure type so we can prioritize your appointment and prepare for the appropriate level of evaluation. Priority scheduling for pre-operative clearance.
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Call or request online. Let us know your surgical date and procedure type so we can prioritize your appointment and prepare for the appropriate level of evaluation. Priority scheduling for pre-operative clearance.
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Dr. Shayma conducts a thorough history and physical exam, reviews all medications, and performs cardiac and pulmonary risk stratification using validated perioperative assessment tools. 45–60 min.
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Any required pre-operative labs are ordered and processed the same day. ECG is performed in-office when indicated. Results are interpreted by Dr. Shayma — not simply flagged by reference ranges.
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A complete clearance letter is prepared and sent directly to your surgeon and surgical facility — typically the same day as your appointment. Dr. Shayma is available to speak directly with your anesthesiologist if needed.
The four pillars of medical credibility — and why physician-led Pre-Operative Medical Clearance produces better outcomes than delegated or unmonitored alternatives.
Dr. Shayma has performed pre-operative clearances for patients undergoing orthopedic, general, plastic, cardiac, and GYN surgeries — across the full spectrum of medical complexity, from healthy adults to patients with multiple chronic conditions and complex medication regimens.
Board certification in internal medicine means deep expertise in the cardiovascular, pulmonary, metabolic, and hematological assessments that constitute a complete perioperative evaluation — not a checkbox physical that misses the nuances that matter to your anesthesiologist.
Millennium Medical Center works directly with surgical teams across Northern Virginia and the DC metro area. Dr. Shayma understands the documentation requirements of major hospital systems, ambulatory surgery centers, and private surgical practices.
Dr. Shayma provides honest risk assessment — including clear communication when a patient needs further workup before surgery can safely proceed. Surgical teams rely on Millennium’s clearances because they are thorough, accurate, and clinically sound.
The most common questions patients ask about pre-operative medical clearance at Millennium Medical Center.
Millennium Medical Center prioritizes pre-operative clearance appointments for patients with upcoming surgical dates. In most cases we can see you within 1–3 business days and send clearance documentation to your surgeon the same day as your visit.
A thorough history and physical exam, cardiac risk stratification using the Revised Cardiac Risk Index, ECG if indicated, laboratory workup (CBC, BMP, coagulation studies, HbA1c for diabetics), complete medication review with bridging guidance, and written clearance documentation sent to your surgical team.
Many medications need to be held or adjusted around surgery — including anticoagulants (warfarin, Eliquis, Xarelto), metformin, SGLT-2 inhibitors, and certain supplements. Dr. Shayma will provide written guidance on every medication you take, tailored to your specific procedure and medical history.
Having a heart condition doesn’t automatically prevent clearance. Dr. Shayma will evaluate your specific cardiac history, current functional status, and the risk of your planned procedure using ACC/AHA perioperative guidelines. In some cases additional cardiac workup is recommended; in others, patients with cardiac history are appropriately cleared without further testing.
Yes. Clearance documentation is sent directly to your surgeon and surgical facility. Dr. Shayma is available to speak directly with your anesthesiologist by phone when needed — particularly for patients with complex medical histories.
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Whether you are coming in for internal medicine, aesthetic care, or to explore a physician-led treatment plan built around your health — Millennium Medical Center is ready to see you. Book your consultation today and experience care that starts from within.
