To schedule a colonoscopy, we need to know your medical history to make sure we schedule the procedure properly as a normal risk colonoscopy or a high risk colonoscopy (personal history of polyps or cancer, family history of cancer). This procedure requires anesthesia, so we will need to know your height, weight, medications, and anesthesia risk factors. Finally, we need accurate insurance information. The insurance reimbursement for this procedure is based on your personal history and your insurance contract. Please contract your insurer to get details about what they will and will not cover. In some instances, based on the above information, we can schedule this procedure from history alone without a doctors visit. All diagnostic procedures require a meeting in person or by telemed prior to the procedure.
Lets get those assets checked!
In this video, I discuss how Cologuard is a pre-screening colon cancer test. It counts as your cancer screening test for most insurances, so, if your test is positive (30% chance it will be) then you need a diagnostic colonoscopy to find the potential polyp or tumor. Consult with your insurance company regarding costs. It may be more cost effective to you to have a screening colonoscopy.
The worst part of a colonoscopy is the bowel prep. In this video I explain the process of a bowel prep.
* Please NOTE: If your insurance does not cover the bowel prep, or if your portion of the cost is prohibitive, you can use miralax as a prep. You will need 2 large bottles of miralax powder. Beginning at 3 PM you will mix 1 capful of powder into 8 ounces of gatorade (not red) and drink the entire glass. Repeat drinking a glass of miralax mixture every 15 minutes until your stool turns clear like apple juice. This will take typically 1 1/2- 2 bottles of powder in 3-4 liters of fluid to accomplish.
In this video I explain the nature of a colonscopy, how to prepare for it, the risks, and the benefits.
Watch the above videos for details on the preparation- but if you want the abbreviated version:
Step 1) day before surgery you may eat a small breakfast, then start a clear liquid diet at 9 AM. You will stay on this clear liquid diet until 4 hours prior to your procedure (please discuss your routine medications with Dr. Toker in regards to how to take those)
Step 2) the day before the procedure you will take your prep. Each prep dose consists of 12 pills which should be consumed with water over a 30 minute period of time by taking 2 pills at a time with 4 ounces of water every five minutes until the bottle of pills is empty. Take the first dose of 12 pills at 3 PM and the second dose at 7 PM (this is different than what the published instructions on the box tell you to do)
Step 3) nothing by mouth for 4 hours before the procedure
Step 4) come to facility 2 hours early and someone will have to drive you home
Step 5) after the procedure you may resume a normal diet but can not operate machinery or drive for 24 hours