DIGESTIVE DISEASE CLINIC Fleets Phosphosoda Colon Preparation Date your procedure is scheduled _____________________________________________________________ .
Please check in at (time) ____________ am/pm. Your procedure is scheduled for (time) ____________ am/pm at:
_____ Tallahassee Endoscopy Center (DDC Building, 2nd floor)
_____Tallahassee Memorial Hospital (Central Registration)
_____ Capital Regional Medical Center (Admitting Office)
A Few Days Before Your Examination: You will need to purchase a 3 or 4 ounce bottle of Fleets Phosphosoda (a saline laxative) and Dulcolax tablets OR Milk of Magnesia. This may be found in the laxative section of your pharmacy.
Two days prior to your exam ___________________ take either 2 Tablespoons of Milk of Magnesia OR 2 Dulcolax tablets at bedtime. The Day Before Your Examination Date ____________________: You must maintain a clear liquid diet. Clear liquid diet includes: water, tea, Gatorade, black coffee, clear soda pop, clear juice (apple, grape), jello (lemon or lime without added fruit), bouillon, or popsicles. NO SOLID FOOD ALLOWED. AVOID RED COLORED LIQUID. DO NOT EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE THE EXAM.
At 8 am drink 3 Tablespoons of Fleet’s Phosphosoda laxative in a glass of water. Drink 4 eight-ounce glasses of water after the Fleet’s Phosphosoda. Continue to drink liquids throughout the day.
At 6 pm drink the other dose of the 3 Tablespoons of Fleet’s Phosphosoda in a glass of water. Drink 4 eight-ounce glasses of water after the second dose of Fleet’s Phosphosoda. Continue with clear liquids throughout the evening at a minimum of 6 eight-ounce glasses of plain water or clear juice. Do not eat or drink after midnight the night before the exam. If your procedure is after 12:00 noon you may have clear liquids until 8:00 a.m. the day of your procedure.
If you feel your colon is not adequately prepared please let the OUTPATIENT nurses know when you arrive at the hospital /outpatient facility.
If you are taking blood pressure, heart, asthma, anti-depressents, thyroid, cholesterol or seizure medication and generally take this medication in the morning, we DO want you to go ahead and take these medications the morning of your procedure with a sip of water.
Your procedure will be performed by:❐ Larry D. Taylor, M.D.
A well prepared colon is essential since stool in the colon may obscure lesions or block the channel of the scope. Failure to followthe instructions may result in an inadequate colon preparation, making it necessary to cancel your procedure. Additional Instructions:
If you take insulin please check with the physician managing your diabetes for instructions regarding management of your diabetes during this time period. Please bring your insulin, oral diabetes medications and your blood testing equipment with you on the day of the procedure.
If you take aspirin / NSAID / Coumadin, please consult with your MD regarding holding this medication. If you are taking coumadin make arrangements to have your blood drawn (for a PT) the day prior to your procedure. If you have any questions, please call 877-2105. You will be given instructions regarding your normal daily routine following the procedure at the time you are discharged from the facility. OUTPATIENT INSTRUCTIONS DON’TS 1. If applicable, D O follow your colon preparation instructions. If you have questions regarding your colon 1. D O N ’ T eat or drink after midnight prior to your
preparation, please call, (850) 877-2105 for instructions. 2. If you are taking Coumadin, aspirin, Advil, Motrin, Ibuprofen, or iron, DO hold these medications ____ days prior 2. D O N ’ T wear nail polish on at least one fingernail
to your procedure. Please resume your medications per your
physician’s instructions. Tylenol is o.k. to take. 3. DON”T bring unnecessary valuables. 3. If you are taking Coumadin DO make arrangements to have your blood drawn (for a PT) the day prior to your procedure. 4. DON’T drive or operate machinery the day of your 4. DO bring your medications the day of your procedure. DO
take your heart, blood pressure, seizure and asthma medications,if applicable, with a sip of water. 5. DON’T take herbal supplements or herbal medications 5. DO follow your insulin instructions per your primary care physician. Please discuss with him or her your preparation for the procedure, diet and time your procedure is scheduled. If applicable, DO check your blood sugar prior to leaving your house the morning of the procedure. Please bring your PLEASE BE ADVISED
glucometer, testing strips and insulin to the endoscopy center themorning of your procedure. 1. To provide care for all patients in a timely manner 6. DO wear casual clothes the day of procedure.
and maximize your physician’s time, please cancel your procedure as soon as possible and no later than
7. DO bring a copy of your insurance information and/or
4 days prior to your appointment. Call 877-2105 to
payment. If you have questions regarding payment, please
contact our billing specialist at (850) 942-4706. 8. DO make arrangements for someone to drive you home. It 2. To obtain biopsy results, you may call 1-866-436-6197.
is necessary to have a responsible adult available on discharge to
You will be asked for your unique ID, (your social
receive post-procedure instructions and to drive you home. If a
security number) and your PIN number, (your date of birth
responsible adult is not available to drive you home, sedation
entered as mm/dd/yy, for example 12/05/45). You may
also obtain results online at www.mytestresults.com. Youwill need to enter 8664366197 in the customer number
There is adequate waiting space for you and one responsible
field and your unique ID and PIN number as indicated
adult. To prepare for your procedure, please arrive and check in
3. Your procedure is scheduled at:
DATE: _________________________________________
2nd Floor of Digestive Disease Clinic
ARRIVAL TIME _________________________ AM/PM
Tallahassee Memorial HospitalCentral Registration
PROCEDURE TIME ______________________ AM/PM
Capital Regional Medical CenterOutpatient Registration
Some medications we use can have amnesiac affect, for that
reason, your responsible adult should be available uponcompletion of the exam for consultation with you and your
9. DO resume your normal daily routine the following day
unless specific instructions are given to you at the time of
10. If applicable: D O bring your implanted cardiac
defibulator/pacer identification card to the hospital on the day of
UNETHICAL PRACTICES OBSERVED AT YOUTH LIVESTOCK EXHIBITIONS BY OHIO SECONDARY AGRICULTURAL EDUCATORS James J. Connors, Assistant Professor Janice E. Dever, Extension Agent Abstract During the past decade, there have been numerous cases of youth who have been found to have engaged in unethical practices at livestock exhibitions in Ohio. The purpose of this study was to dete
T h e n e w e ng l a n d j o u r na l o f m e dic i n eunderstanding that the decrease in PSA level is the use of a drug that could be dangerous and only the result of shrinkage of benign prostatic costs $1,500 per year, if Dr. Klotz wishes to reduce tissue. For this reason, dutasteride may delay the the overdiagnosis and overtreatment of prostate diagnosis of prostate cancer until a pati