because it's a blood thinner. The bleeding from the surgery will be worse if a patient takes asprin even just 12 hours before. (no idea on ibuprofen)

<Shrug> this one is a tough call for me. I'm assuming that the surgery is going to require more than local anathesia and that might explain the smoking aspect. (Note: the guy doesn't work because of smoking related chest problems)

That said, it does seem to indicate that this is a general attack on smoking rather than mere surgery. (Note: no one stated that the patient couldn't have smoked 2 weeks prior to surgery or whatever....they're demanding that he quit without a timeline.)

And while I hate smoking....looking at an ankle, it's hard to justify it.

Course, the guys an idiot. He refused the treatment the first time around. Frankly, I think it's probably that the bones have calcified together...meaning the surgury won't work this time either.