A. OPTION FOR PATIENT HAVING MORNING PROCEDURES:

STOP TAKING ASPIRIN, IBUPROFEN (ADVIL/MOTRIN) 3-4 DAYS BEFORE THE PROCEDURE.

IF YOU ARE TAKING ANY NON-STEROIDAL MEDICATIONS (NSAIDS) FOR ARTHRITIS OR OTHER INFLAMMATORY CONDITIONS, DIABETES MEDICATION OR ANTICOAGULANTS SUCH AS COUMADIN, PLEASE MAKE THE DOCTOR AWARE OF THIS, YOU WILL REQUIRE INSTRUCTIONS ON HOW TO TAKE THESE MEDICATIONS PRIOR TO YOUR PROCEDURE. IF YOU NEED TO TAKE ANTIBIOTICS. PROPHYLACTICALLY BEFORE DENTAL WORK, PLEASE ALSO MAKE THE DOCTOR AWARE OF THIS.

CERTAIN INSURANCE COMPANIES REQUIRE "PRIOR AUTHORIZATION" OR "SECOND SURGICAL OPINION" FOR THIS PROCEDURE. PLEASE MAKE THE DOCTOR OR OFFICE STAFF AWARE OF YOUR INSURANCE STATUS PRIOR TO HAVING YOUR PROCEDURE TO AVOID A POSSIBLE PAYMENT PENALTY.

SINCE IV SEDATION WILL BE GIVEN FOR THIS PROCEDURE, IT IS VERY IMPORTANT THAT YOU ARRANGE FOR SOMEONE TO DRIVE YOU HOME. YOU MAY NOT LEAVE UNESCORTED OR BE ALLOWED TO TAKE PUBLIC TRANSPORTATION (TAXI, BUS, ETC.) TO YOUR HOME. IF YOU ARE EMPLOYED YOU SHOULD NOT EXPECT TO RETURN TO WORK AFTER YOUR PROCEDURE. DUE TO THE ADMINISTRATION OF LV.SEDATION, YOU WILL BE INSTRUCTED NOT TO DRIVE A MOTOR VEHICLE OR OPERATE HEAVY MACHINERY FOR AT LEAST 12 HOURS FOLLOWING THE PROCEDURE.

PREPARATION:

• THE NIGHT BEFORE THE PROCEDURE YOU MAY NOT HAVE ANYTHING TO EAT OR DRINK AFTER MIDNIGHT.

• PLEASE REMAIN FASTING ON THE MORNING OF YOUR PROCEDURE. YOU MAY RINSE YOUR MOUTH, BRUSH TEETH ETC., BUT DON'T SWALLOW ANY LIQUID.

• IF YOU ARE TAKING BLOOD PRESSURE MEDICATION, PLEASE MAKE THE DOCTOR AWARE OF THIS. YOU WILL BE INSTRUCTED ON HOW TO TAKE THIS MEDICATION ON THE MORNING OF YOUR PROCEDURE.

• AN INFORMED CONSENT WILL BE OBTAINED BEFORE THE PROCEDURE.
• PLEASE ALLOW YOURSELF 2 TO 3 HOURS FROM TIME OF REGISTRATION TO DISCHARGE.

AFTER THE PROCEDURE IS COMPLETED, THE DOCTOR WILL INFORM YOU OF ANY FINDINGS. A SEPARATE WRITTEN REPORT REGARDING YOUR PROCEDURE WILL BE SENT TO YOUR PRIMARY PHYSICIAN.

B. OPTION FOR PATIENTS HAVING LATE AFTERNOON PROCEDURES:

STOP TAKING ASPIRIN, IBUPROFEN (ADVIL/MOTRIN) 3-4 DAYS BEFORE THE PROCEDURE.

IF YOU ARE TAKING NON-STEROIDAL MEDICATIONS (NSAIDS) FOR ARTHRITIS OR OTHER INFLAMMATORY CONDITIONS, DIABETES MEDICATION OR ANTICOAGULANTS SUCH AS COUMADIN, PLEASE MAKE THE DOCTOR AWARE OF THIS, YOU WILL REQUIRE INSTRUCTIONS ON HOW TO TAKE THESE MEDICATIONS PRIOR TO YOUR PROCEDURE. IF YOU NEED TO TAKE ANTIBIOTICS PROPHYLACTICALLY BEFORE DENTAL WORK, PLEASE ALSO MAKE THE DOCTOR AWARE OF THIS.

CERTAIN INSURANCE COMPANIES REQUIRE "PRIOR AUTHORIZATION" OR "SECOND SURGICAL OPINION" FOR THIS PROCEDURE. PLEASE MAKE THE DOCTOR OR OFFICE STAFF AWARE OF YOUR INSURANCE STATUS PRIOR TO HAVING YOUR PROCEDURE TO AVOID A POSSIBLE PAYMENT PENALTY.

SINCE IV SEDATION WILL BE GIVEN FOR THIS PROCEDURE, IT IS VERY IMPORTANT THAT YOU ARRANGE FOR SOMEONE TO DRIVE YOU HOME. YOU MAY NOT LEAVE UNESCORTED OR BE ALLOWED TO TAKE PUBLIC TRANSPORTATION (TAXI, BUS, ETC.) TO YOUR HOME. IF YOU ARE EMPLOYED YOU SHOULD NOT EXPECT TO RETURN TO WORK AFTER YOUR PROCEDURE. DUE TO THE ADMINISTRATION OF LV.SEDATION, YOU WILL BE INSTRUCTED NOT TO DRIVE A MOTOR VEHICLE OR OPERATE HEAVY MACHINERY FOR AT LEAST 12 HOURS FOLLOWING THE PROCEDURE.

PREPARATION:

• YOU MAY EAT UP UNTIL__________ A.M./P.M. ON THE DAY OF YOUR PROCEDURE THEN ONLY LIQUIDS WILL BE ALLOWED UP UNTIL ___________ A.M./P.M. & THEN YOU MUST START TO FAST COMPLETELY.

• YOU MAY RINSE YOUR MOUTH, BRUSH TEETH ETC., BUT DON'T SWALLOW ANY LIQUID ANYTIME AFTER THE TIME STATED ABOVE.

• IF YOU ARE TAKING BLOOD PRESSURE MEDICATION, PLEASE MAKE THE DOCTOR AWARE OF THIS. YOU WILL BE INSTRUCTED ON HOW TO TAKE THIS MEDICATION ON THE MORNING OF YOUR PROCEDURE.

• PLEASE ALLOW YOURSELF 2 TO 3 HOURS FROM TIME OF REGISTRATION TO DISCHARGE.

AFTER THE PROCEDURE IS COMPLETED, THE DOCTOR WILL INFORM YOU OF ANY FINDINGS. A SEPARATE WRITTEN REPORT REGARDING YOUR PROCEDURE WILL BE SENT TO YOUR PRIMARY PHYSICIAN.

Westchester Gastroenterology Associates, P.C.
777 North Broadway, Suite 305
Sleepy Hollow, NY 10591
Tel: 914.366.6120
Fax: 914.366.4128
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