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ENDOSCOPIC SURGICAL CENTRE OF MARYLAND - NORTH, LLC
15005 Shady Grove Road, Suite 300 Rockville, MD 20850
Phone: (301) 762-1280 Fax: (301) 762-5678
If you have any questions, please call us between 8:00 a.m. and 3:00 p.m.
Your procedure is scheduled for ___________________________. Please be here at _____________.
Due to cancellations or physician emergencies, your procedure time
may change. You will be called the day before to confirm all
appointment instructions. PLEASE ALLOW ABOUT 2 HOURS TOTAL TIME FOR ALL ASPECTS OF YOUR PROCEDURE.
PLEASE REVIEW THESE INTRUCTIONS CAREFULLY AT LEAST SEVEN (7) DAYS BEFORE YOUR PROCEDURE.
ABOUT YOUR PROCEDURE
THE DAY BEFORE YOUR PROCEDURE (cont.)
You need to receive a prescription from your physician to
If you are taking any medications (prescription or
obtain HalfLytely and Bisacodyl tablets Bowel Prep
nonprescription) for any reason, please check with the doctor to
your local pharmacy. Mix according to directions.
determine whether or not to take your medications on the day
You will be sedated with an intravenous medication, and that
of your procedure. Please take all heart and blood pressure
will impair your judgment and perception. After the
medications up to and including the day of your procedure.
procedure you will have time to rest, however, you must
If you are diabetic, do not take Metformin/Glucophage for 24
make arrangements for transportation home
hours prior to your procedure. Hold all other oral diabetic
lingering effects of the medication will make operating a
medications the morning of your procedure. Please bring to
motor vehicle hazardous for 24 hours after the procedure. If
your appointment all inhalers that you may have.
these arrangements are not made before you come to the
facility, your procedure will be cancelled
. No one will be
allowed to leave in a taxi without a responsible person to
AKING YOUR PREP
The day before
your procedures at 2:00pm
SEVEN (7) DAYS BEFORE YOUR PROCEDURE
1. Take 2 bisacodyl tablets with water.
Do not take any aspirin
(including Ecotrin, Bufferin, and
Anacin) as well as, iron
or iron-containing vitamins; or
2. Mix HalfLytely solution
. Tear open Flavor Packet of
herbal supplements like Ginseng, Gingko and Garlic. If you
choice and pour into HalfLytely bottle. Discard unused
take Plavix, Coumadin, Heparin and Lovenox, consult with
packs. Solution can be used with or without flavor packs.
your physician to know when they should be stopped.
Add drinking water to top line of bottle. Cap bottle and shake to dissolve.
FOUR (4) DAYS BEFORE YOUR PROCEDURE
3. Four hours after taking the bisacodyl tablets
Do not take anti-inflammatories
(e.g., ibuprofen, Advil,
the solution as described below.
Motrin, Aleve, etc.). However, Celebrex may be continued
up to the day of the procedure. You can take
4. Drink 1 (8oz) glass every 10 minutes. A watery
bowel movement should begin in about 1 hour. Stop
drinking when HALF of the solution is finished.
Save the remaining HALF for the next step
WO (2) DAYS BEFORE YOUR PROCEDURE
Do not eat any foods containing seeds such as tomatoes,
5. Six hours prior to your scheduled procedure
cucumbers, rye bread, corn, celery, popcorn and nuts.
finish the remaining half by drinking 1 (8oz) glass
THE DAY BEFORE YOUR PROCEDURE
Do not eat any solid foods or dairy products. Drink
You may continue drinking clear liquids up to four hours
only clear liquids for breakfast, lunch and dinner.
before the procedure. During the 4 hours before your
Clear liquids include clear juices such as apple, grape and
procedure, take nothing by mouth, not even water.
cranberry, clear broth or bouillon, tea and coffee (without
However, you may still brush your teeth prior to the
milk or creamer), Jell-O, Italian ices, sodas, Gatorade, Kool
Aid and water. Drink plenty of fluids throughout the day.
Jell-O, ices or any drinks with artificial red, purple or orange
: Individual response to laxatives may vary. Please
remain within easy reach of bathroom facilities.
RINGWORM OF THE SCALP (TINEA CAPITIS) DEFINITION DIAGNOSTIC FINDINGS • Round patches of hair loss that slowly increase in size • A black-dot, stubbed appearance of the scalp from hair shafts that are broken off at the surface • Ringworm of the face may also be present • Usually occurs in children age 2 to 10 years • This diagnosis requires a positive microscope test C
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