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    What to Expect

    Please follow instructions below. Proper preparation is important for a good examination and your personal comfort. Please bring your referral form, photo ID, medical insurance, and a complete list of all current medications with you at the time of your examination.

    Barium Enema – Colon Exam

    • Eat a light lunch the day before the examination. Clear liquids for dinner.
      WATER ONLY AFTER DINNER.
    • Drink a large glass of water at 2, 4, 8 and 11 P.M.
    • At 7 P.M. take one 10 oz. bottle of Magnesium Citrate (better tasting when chilled) found at your local pharmacy.
    • At 8 P.M. take 4-6 Dulcolax Tablets found at your local pharmacy.
    • NOTHING TO EAT OR DRINK AFTER MIDNIGHT, INCLUDING NO GUM OR HARD CANDIES. The Bowel must be clean for a comfortable examination


    Bone Scan

    • No prep necessary.


    CT Scan – Abdomen and /or Pelvis


    If A.M. appointment:

    • Drink half of Readi-Cat at bedtime, the night before the exam.
    • Drink remaining half 2 hours prior to exam time.
    • After drinking the second half, do not eat or drink anything else.
    • Take all medications except diabetic meds containing metformin or glucophage.

    If P.M. appointment (12pm or after):

    • Drink half of Readi-Cat 6 hours before exam time.
    • Drink remaining half 2 hours prior to exam time.
    • After drinking the second half, do not eat or drink anything else.
    • Take all medications except diabetic meds containing metformin or glucophage.

    The Readi-Cat is better tasting when chilled. If you have any questions call (810) 732-1919. DO NOT USE IF SEAL IS BROKEN OR MISSING


    CT Scan – Head or Chest

    • Nothing to eat 2 hours prior to exam, but you can drink water up to the time of your appointment.
    • May take all medications


    CT Scan – Spine or Extremities

    • No prep necessary

    Hida/Hepatobilary Scan

    • Nothing to eat or drink four (4) hours prior to the exam, including water, gum or hard candies.
    • Do not take any form of medication for 4 hours prior to exam.


    IVP – Intravenous Pyelogram

    • Eat a light lunch. Only clear liquids for dinner.
    • Drink a large glass of water at 2, 4, 8, and 11 P.M. the day prior to the examination.
    • Drink one 10 oz. bottle of Magnesium Citratrate (cold) at 7 p.m.
    • Nothing to eat or drink after midnight, including water, gum or hard candies.
    • Take all medications except diabetic meds containing metformin or glucophage.


    MRI/MRA

    • Call us immediately if you have a pacemaker, defibrillator, aneurysm clips, or if you are pregnant, have a history of metal in your eyes, or have had brain, eye, ear, open heart surgery, or internal stimulation devices.
    • MRI ABDOMEN – Nothing to eat or drink 4 hours prior.
    • MRCP – Nothing to eat or drink 6 hours prior.
    • Our MRI scanner is specially designed to significantly decrease the problem of claustrophobia. Do not hesitate to discuss this issue with your doctor prior the examination.
    • It is suggested that you wear sweat suits and that women wear sports bras or similar comfortable clothing.


    Muga Scan

    • No prep Necessary

    Parathyroid Scan

    • No prep Necessary


    Pet/CT Scan

    A PET/CT scan uses very small amounts of glucose (sugar) to make images within the body. The foods you eat affect your blood sugar, which in return may affect the quality of the exam. We have enclosed this list of instructions to help ensure that you have the best possible blood sugar on the day of your scan.

    Food and Drink: (Diet is to be followed on day of the exam and day prior)

    • An all meat and vegetable diet would be best
    • Only drink water you must be well hydrated
    • Do not eat carbohydrates. This includes potatoes, pasta, rice, breads, chips and pretzels.
    • Do not eat cookies, candy, drink soda pop, alcoholic beverages, coffee or any other beverages containing caffeine.
    • Your blood sugar must be between 50-200 in order for us to complete your scan
    • Do not consume any food or drink 6 hours before your scan this includes candy, gum, mints, cough drops and all tobacco products.

    Readi-Cat:

    • One full bottle of Readi-Cat (Barium Sulfate) is to be consumed 2 hours prior to your arrival time.
    • Absolutely no food or drink after drinking the Readi-Cat.
    • We suggest chilling the Readi-Cat.

    Medications:

    • Patients taking steroids (i.e. Prednisone, Dexamethasone, Decadron) must discontinue this medication 24 hours prior to your appointment.
    • Insulin dependent patients must discontinue Insulin 4 hours prior to your appointment.
    • Patients taking Metformin must discontinue this medication 24 hours prior to your appointment
    • All other medications can be taken as prescribed by your physician.

    Restrictions:

    • Avoid all strenuous activities and exercise 24 hours prior to your exam.

    Clothing:

    • We suggest dressing comfortably and in layers to stay warm, exam rooms are kept cool.
    • Please avoid any clothing with large buttons, zippers or any other metal objects on them.

    What to expect

    After checking in, our staff will check your blood sugar level and you will be injected with a small amount of radioactive sugar. Then, you will be required to sit or lie down for 45-60 minutes. An interview process will take place to obtain your medical history. The actual scan will take about 30 minutes. Please plan on being at the office for approximately 2 hours.

    Failure to follow the instruction listed above will result in cancelation of your appointment at that time you will be responsible for a $175.00 cancelation fee. If you need to cancel or reschedule your appointment please contact us at 810-244-7100 no later than 24 hours in advance.

    Downloadable prep instructions (PDF)


    Renogram

    • No prep Necessary


    Thyroid Uptake & Scan

    • Withhold thyroid medication for 6 weeks (i.e. Synthroid, Levothyroid, Armour)
    • If you have had a recent IV contrast study in the past 6 weeks, please contact us 810-732-1919.


    Ultrasound Abdomen: Liver – Gallbladder-Pancreas – Aorta

    • Nothing to eat or drink after 10 pm the night before your exam (including no gum or hard candies)


    Ultrasound Pelvis or Fetal

    • Patient needs to come in with a full bladder.
    • Please drink 36 oz. of water and have it finished 1 hour prior to exam time.
    • DO NOT URINATE ONCE YOU HAVE STARTED DRINKING, UNTIL AFTER YOUR EXAM.


    Ultrasound Kidney

    • Nothing to eat 4 hours prior to exam.
    • Patient needs to come in with full bladder.
    • Please drink 36 oz. of water and have it finished 1 hour prior to exam time.

    CHILD’S PREP FOR PELVIS AND/OR KIDNEY:

    • Call for prep if patient is 15 years of age or under.


    Ultrasound Prostate

    • Take Fleet Enema (found at your local pharmacy) 1 hour prior to exam.


    Upper GI/ Small Bowel

    • Nothing to eat or drink after 10 P.M., including no gum or hard candies.
    • No breakfast on the day of the examination.

    For all other examination instructions or preparation for children under the age of 10 years, please call our office: 810-732-1919.