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Urgent Physician Referrals

At Oklahoma Joint Reconstruction Institute, new prescriptions and refills are only issued during our normal business hours, 8:00 a.m. to 3:30 p.m.,Monday through Friday. As dictated by state government policies, refills and new prescription pain medication will not be fulfilled after business hours. You can request a prescription by calling during the days and hours listed above. Do not use the after-hours answering service for refill requests. Your will be prompted to leave a voicemail on the refill request line. The voicemail is checked daily at the end of each day and the refills are typically sent in each AM.

After Hours Information

At Oklahoma Joint Reconstruction Institute, our doctors are available 24 hours a day, 7 days a week. If you need to reach one of the OJRI doctors on weekends or after regular office hours, please feel free to call our main number at .

Our answering service will contact the on-call doctor, and he or she will return your call. Please note, calls after office hours and on weekends should be reserved only for real emergencies and not for routine questions or medication prescription refills. We appreciate your cooperation.


If you have a serious medical problem and are seen in the emergency room, the hospital emergency room doctors are well-trained and able to perform appropriate initial care. They will make a referral to Oklahoma Joint Reconstruction Institute's offices for follow-up care if you choose a specialist in our practice. If the orthopedic injury is complicated or severe, we are available and will respond to the emergency room doctor's request.

You may be seen by one of our orthopedic specialists or staff during our office hours:

Monday - Friday, 8:00 a.m. - 4:00 p.m.

To schedule an appointment, please call or request an appointment online.

You will wake up in the recovery room with a number of monitors to record your vitals (blood pressure, pulse, oxygen saturation, temperature, etc.). You will have a dressing on your incision.

Post-operative InstructionsPost-operative X-rays will be performed in recovery.Once you are stable and comfortable you will be taken to the regular nursing floor. You will have an intravenous line in your arm for fluid and pain relief. Your anesthesiologist will explain this to you. You will also receive a nerve block prior to surgery issued by your anesthesiologist. Dr. Jacob will inject Exparel (a long acting numbing medication) during your procedure as well. The nerve blocks take 3-6 hours to take full effect. The goal of the nerve block is to have you up and walking within a few hours of your surgery.

On the day following surgery, you will usually receive two physical therapy sessions.You will begin working on walking and getting your range of motion back. The therapists will instruct you on how to safely perform your activities of daily living (walking, stair climbing....).

Your pain will be well controlled with the blocks, however, there will be pain medication ordered by Dr. Jacob that you can request as well.You will be able to put all your weight on your hip or knee (in most circumstances) and your physical therapist will help you with the post-op exercises.

You will be discharged to go home or a rehabilitation hospital after 1-2 nights depending on your pain and help at home. In most circumstances Dr. Jacob does not use sutures or staples that are exposed to the outside world. There will (in most cases) be no sutures or staples to remove in the office.

A post-operative visit will be arranged prior to your surgery.

You will be advised about how to walk with a walker for one to two weeks following surgery and then using walking aids for another four to six weeks as needed. You will be discharged with a set if discharge instructions and the nurses will review them in detail prior to your discharge.

To help you recover from surgery, please download and review the instructions below:

Dental Prophylaxis

Paul B. Jacob, DO - Total Hip Arthroplasty

Paul B. Jacob, DO - Total Hip Arthroplasty Coumadin

Paul B. Jacob, DO - Total Knee Arthroplasty

Paul B. Jacob, DO - Total Knee Arthroplasty Coumadin

PICO Wound VAC Patient Guide

Nutrition to Aid Your Recovery

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This nutrition program is created to bridge the gap between postoperative nutritional stress and faster, healthier recovery. We strive to change the way the medical industry looks at post-operative nutrition routine and holistic outcomes by providing nutritionist designed and physician inspired nutrition program for patients. We are devoted to fit each patient's unique post-op nutrition and calorie needs.

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