Doctor Joël MIRBEY

Tel: +33 (0)

Doctor Frédéric GIVRY

Tel: +33 (0)

Epaule douloureuse


The First Consultation

The patient will be received with an emphasis on confidentiality.
The secretary will elaborate a file including the letters, if any, from the referring practitioners.

1st Consultation :

1 - The surgeon does not deem it necessary to practise surgery: 
  • the general practitioner will be informed of the conclusions of the consultation and of the possible necessity of further exams.

2 - The surgeon deems it is necessary to practise surgery, the stages of the caretaking will be the following:


  • A comprehensive account on the Dictaphone with comments and mail to the practitioner (computer processing)
  • Information on the addresses of anaesthetists in order to make an appointment
  • Appointment for the day of surgical intervention
  • Signing the pre-entry document (documents for the clinic and for the surgeon)
  • Signing the letter of consent in duplicates
  • Signing the cost estimate in duplicates, mentioning the amount of the fees of surgical intervention

The secretarial staff answers all your questions, reassures you and provides you with all information concerning the surgical intervention. 

The stages of the surgical caretaking until the entry into clinic


  • The technical modalities of the operation to be undergone will be explained in detail to the patient (sketches, moulding of the skeleton, presentation of prosthetic implants)
  • The patient will receive all useful information about the possibilities and the limits of the operation to undergo (explanations concerning the document of consent handed over to the patient). 
  • The practitioner(s) will receive information concerning the choice of surgical treatment decided on for their patients. 
  • Explanations and definition concerning the pre-op anaesthetic consultation. The latter is legal. It must take place several days before the date of the operation. It aims at making the surgical gesture more secure thanks to a better knowledge of the patient’s history (medical history, allergies)
  • The secretary will elaborate the administrative file (confirmation of the operation date to the clinic, reservation of the room at the clinic and, if need be, of the stay in a reeducation centre).


What the patient can do to optimize the odds of success of the operation to come

Entry and stay in the clinic

  • Patients should have on them all additional examinations available, particularly radiological, scan or NMR results, even if such documents may seem too old.


  • Post-operation shoes and crutches for lower limb surgery. 


  • Ambulatory surgery: patients must not eat, drink or smoke 6 hours before surgery.


  • Patients should make sure they fill out the pre-admission file and send it to the clinic's administrative services.


  • The clinic may not be held responsible for any thefts. Patients are then advised to come for their operation without any cash or valuable objects.


  • The side to be operated on will be determined in collaboration with the patient and presented on a (right or left) panel, which shall be included in the medical file and displayed in the operating theatre. The side to be operated on will also be identified by the surgeon, on his last pre-operation visit, using an indelible marker.


Leaving the Clinic

  •  In cases of ambulatory surgery, the patient will leave the clinic on the day of the surgical intervention.
  • For surgery necessitating overnight stay, the patient may leave the clinic in the morning or the afternoon.


The exiting medical file will be given and explained to the patient the day before departure. The operation and hospitalisation reports will be sent to the attending physician at the same time the patient leaves the clinic.

For patients who need a convalescence period in a reeducation centre, the clinic will take care of administrative requirements and conditions of transfer to the centre.

The post-op follow-up

The appointment for the post-op consultation will be made according to the type of operation undergone.

Systematically, the practice will contact the patient one week after his return home to make sure of the good evolution, the good understanding and the execution of the post-op needs.

The Darcy Orthopedic practice recommends that the patients who have a prosthesis go for a clinical and radiological check-up on the anniversary date of the operation and then every three years (this check-up can be done by the family’s GP).