WEST GTA ENDOSCOPY PH: (905)823-0223
Client’s Appointment
TO: / Procedure:Date: / Day: / Time:
Please:
· Follow Preparation/Medication Instructions enclosed.
· Bring all your medications with you.
· Take a complete day off for the procedure.
· Give yourself extra time as delays are unavoidable. Bring a book to read while waiting.
· Wear loose comfortable clothing.
· Bring your OHIP health card to the clinic on every visit. Failure to present it, will lead to denial of any medical services.
· Have a responsible adult to drive you home after the procedure (as you will be given sedation prior to the procedure).
· Call to confirm your appointment after receiving this information package: 905-823-0223.
· We are located inside the mall-Sheridan Centre-below the food court.
· If cancelling (preferably 4 business days before the procedure date)-please call us from 8:00 am to 4:00 pm Monday to Friday and take note of our cancellation policy/fee as stated below.
Cancellation Policy
When we book your procedure, you can be assured that on your procedure date, there will be a team of proficient health care professionals (doctor, nurses, instrument technician and support staff) specifically waiting for you.
Cancellation with less than 4 day notice will result to a charge of $200.00. (Subject to change without notice)
With such cancellation, it is very difficult to find patients at the last minute to take your spot.
Note: The Cancellation fee is in accordance with the Guidelines for Uninsured Services as expressed by the Canada Health Act.· Please see map/directions to the clinic on the next page.
JUN15-08
West GTA Endoscopy Clinic Location
We are located inside the mall-Sheridan Centre (formerly known as Eaton Sheridan Mall) along the east side of Erin Mills Parkway, between Dundas Street West and QEW. You can access the clinic via any of these directions:
From the Front parking area of the mall:
Enter Scotiabank Mall Entrance- go straight to the Food Court
and take the escalator down. Clinic is just on the left side at the
foot of the escalator.
From Fowler Drive:
Enter Entrance Door #8 (next to Sheridan Library) and trail along
the leftmost side of corridor. Clinic is on the right side after Light
Speed Physiotherapy.
(2225 Erin Mills Parkway, Unit 183 B1/B2, Mississauga, ON L5K 1T9)
MEDICATION INSTRUCTION
· Coumadin/Plavix/Ticlid/Aspirin (ASA)
These medications MUST be STOPPED 5 days before the procedure- Check with your Family Doctor if it is alright for you to do so, and if not, please call us.
· Diabetic Medications (oral tablets or injection)
Take 1/2 the usual dose on the day of bowel preparation.
Do NOT take any on the day of your appointment until after the procedure.
Check Blood Sugar Level and get the reading on the day of the procedure.
· Do not take iron medication 2 days before the procedure
· High Blood Pressure Pills
Do NOT take on the day of procedure.
· If you need antibiotic Prophylaxis for any reason
Ask your Family Doctor for a prescription and take it an hour before the procedure with a little sip of water.
Suggestions:
· AMOXICILLIN 2 gms OR
· CLARITHROMYCIN 500 mg
On completion of procedure- resume all medications as per schedule, unless instructed otherwise after the procedure.
REMINDER: BRING ALL YOUR MEDICATIONS WITH YOU
PREPARATION INSTRUCTIONS
Good preparation ensures good visualization of the bowel. The value of the procedure is only as good as your bowel preparation.
GASTROSCOPY· 8 HOURS BEFORE THE PROCEDURE TIME..... DO NOT EAT SOLIDS
· 4 HOURS BEFORE THE PROCEDURE TIME….. NOTHING BY MOUTH
HEMORRHOID TREATMENT & FLEXIBLE SIGMOIDOSCOPYOn the night before the procedure day………. 1 Fleet Enema 2 hours after dinner.
On the procedure day………………. 1 Fleet Enema 4 hours before procedure.
Note:
· Fleet Enema is available over- the- counter at any drug store.
· Fleet Enema is administered through the anus.
· Fleet Enema’s action necessitates access to washroom.
COLONOSCOPY and GASTROSCOPYIf you are having both procedures done on the same date- please follow the preparation instructions for Colonoscopy.
Preparation Instructions: COLONOSCOPY
Two important Aspects:
1. Bowel Cleansing: Without a proper bowel preparation, important findings such as polyps and tumors can be missed. So please do not compromise the preparation and follow all the instructions carefully.
2. Preventing Dehydration: DRINK large amounts of clear fluids to prevent dehydration. You may also take fluid replacements like Gatorade G2 or similar substitutes.
3. Klean Prep and Dulcolax are over the counter medication can get it from any pharmacy. No Prescription required.
IF YOUR COLONOSCOPY IS BOOKED BEFORE 12 NOON
THE DAY BEFORE THE COLONOSCOPY:
1. Eat a regular breakfast before 8 am, and take 2 Dulcolax tab with your breakfast.
2. After breakfast, and until the procedure is finished, YOU MUST REMAIN ON A DIET OF CLEAR FLUIDS, such as: clear soups, broth, pop, Kool-aid, Popsicles, fruit juices (no pulp), Jello, tea or coffee (no cream, no milk). Note: No red and purple coloured fluid please.
3. At 1:00 p.m.: Start to drink the Klean-PrepTM solution. Dissolve the contents of one sachet in 1000 ml (one litre) of cold water (or Gatorade G2 or Diet Ginger Ale). Drink 250 ml of this solution every 15 minutes. Repeat above procedure with second sachet at 3 p.m. and third at 5 p.m.
4. About one hour after you begin to drink the Klean-PrepTM you will start to experience a diarrhea-type of bowel movement.
5. Take the fourth sachet at 9 p.m.
THE DAY OF YOUR COLONOSCOPY:
1. Report to the Clinic at the assigned time and place.
2. While waiting for your procedure at the clinic, please bring some reading material.
3. Arrange to have someone drive you home after the colonoscopy as you will receive sedating/calming medication prior to the procedure.
STOP DRINKING ANY FLUIDS 4 HOURS BEFORE YOUR PROCEDURE TIME..!IF YOUR COLONOSCOPY IS BOOKED FOR 12 NOON & AFTER
THE DAY BEFORE THE COLONOSCOPY:
1. Eat a regular breakfast before 8 am, and take 2 Dulcolax tab with your breakfast.
2. After breakfast, and until the procedure is finished, YOU MUST REMAIN ON A DIET OF CLEAR FLUIDS, such as: clear soups, broth, pop, Kool-aid, Popsicles, fruit juices (no pulp), Jello, tea or coffee ( no cream, no milk). Note: No red and purple coloured fluid please.
3. At 5:00 p.m.: Start to drink the Klean-PrepTM solution. Dissolve the contents of one sachet in 1000 ml (one litre) of cold water (or Gatorade G2 or Diet Ginger Ale). Drink 250 ml of this solution every 15 minutes. Repeat above procedure with second sachet at 7 p.m. and third at 9 p.m.
4. About one hour after you begin to drink the Klean-PrepTM you will start to experience a diarrhea-type of bowel movement.
THE DAY OF YOUR COLONOSCOPY:
1. Take fourth sachet at 5 a.m. on the morning of the procedure.
2. Report to the Clinic at the assigned time and place.
3. While waiting for your procedure at the clinic, please bring some reading material.
4. Arrange to have someone drive you home after the colonoscopy as you will receive sedating/calming medication prior to the procedure.
STOP DRINKING ANY FLUIDS 4 HOURS BEFORE YOUR PROCEDURE TIME..!