Colonoscopy - LOHMAN Endoscopy Center
Colonoscopy – Preparation for procedure scheduled in the AMDr. Jean-Pierre Reinhold, M.D.Patient Name: __________________________ Date of Procedure: _________________Arrival Time: ___________________________ Procedure Time: ___________________O Lohman Endoscopy Center at: 4381 E. Lohman Ave, STE A O Memorial Medical Center at: 2450 S. Telshor BLVD Las Cruces, NM 88011 Las Cruces, NM 88011 575-522-3220 575-522-8641 Rescheduling ProcedurePlease notify our office at (575-522-7697) at least 2 days prior to your appointment if you need to reschedule in order to avoid a $50.00 No-Show- fee. Important Reminders* You must have someone to drive you home after the procedure.* You cannot drive for the rest of the day following your procedure.* Remove all nail polish on either pointing finger in order to allow monitoring of oxygen status during the procedure.* Wear comfortable, easily removed clothing.* Day of procedure, you need to bring your current Insurance Card, List of Medications, this form and your co-pay.* Please follow all instructions carefully and finish all of the preparation. Only a well-prepared colon will allow us to find all potential abnormalities, improve safety of the procedure and prevent the potential need to repeat the procedure. Preparing for your ColonoscopyMedicationsDietPlease follow the instructions provided by your doctorat the time of your office visit.If you have questions on specific directions related toyour medications, please call (575) 522-7697 for assistance.2 Days before your procedure:Avoid fruits, vegetables (including corn) and nutsThe Day before your procedure:Breakfast - eat a regular breakfastAfter Breakfast – clear liquids only such as: Broth Bouillon Jell-O Tea Kool-aide 7-Up or Sprite Black Coffee * You should consume at least 2 liters of clear liquids the day before the colonoscopy ** Avoid liquids that are red in color *Day of procedure:You must have an empty stomach prior to the procedure, though water is allowed up to 3 hours before the scheduled time of your procedure.Laxative and Bowel Preparation InstructionsDay before the ColonoscopyStart drinking the prescribed laxative at 4 PM and finish ? by around 8 PM. If you get nauseated at any time, take a break and slow down. It may take you longer but that is OK. * You may drink it chilled, use a straw for easier intake and don’t drink it too rapidlyDay of the ColonoscopyStart drinking the remaining ? laxative starting at 4 AM * it must be finished at least 2 hours before the procedure ................
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