Jan J. Shim, M.D. 4 East 88th Street New York, NY 10128 Tel. (212) 535-5020 COLONOSCOPY W/ HALFLYTELY Day Before Examination You may have a LIGHT BREAKFAST. For LUNCH AND DINNER, LIQUIDS ONLY(such as clear juice, tea, clear broth, soda, sorbet, clear Jello), on the DAY BEFORE the procedure. No red liquids/ Jello or milk products. You should NOT have any more food or liquid after midnight.
Step 1 Take 2 Tablets Take two (2) tablets of bisacodyl delayed-release tablets with water. DO NOT chew or crush the bisacodyl tablets. Do not take the bisacodyl tablets within 1 hour of taking an antacid. Take the tablets at 12:00 pm. noon Step 2 Mix Halflytely Solution Add lukewarm drinking water to top of line on bottle. Cap the bottle and shake to dissolve the powder. The mixed solution will be clear and colorless. Add flavoring pack to the solution if desired. Step 3 Wait for a Bowel Movement After a bowel movement occurs (usually in 1-6 hours after taking the bisacodyl), begin to drink the solution. Even if no bowel movement occurs after 6 hours, begin to drink the solution. Step 4 Drink All the Solution Drink 1 (8oz) glass of the solution every 10-15 minutes (about 8 glasses). Drink each glass quickly (if possible) rather than drinking small amounts continuously. A watery bowel movement should begin approximately within 1 hour. BE SURE TO DRINK ALL THE SOLUTION. You will still have loose bowel movements for about 1-2 hours after you finish drinking the solution. Remember: If you are on INSULIN or ORAL DIABETES MEDICATION or COUMADIN, please inform Dr. Shim and obtain specific instructions with regard to these medications. DO NOT TAKE ANY IRON TABLETS, ASPIRIN OR MEDICATIONS THAT CONTAIN ASPIRIN (such as ALKA-SELTZER, EXCEDRIN); or non-steroidal, anti- inflammatory medications (such as MOTRIN or INDOCIN) for one week prior to your procedure. If you are on MEDICATION FOR HYPERTENSION OR HEART DISEASE, you should take your medications at least 2 hours prior to your scheduled appointment. Because you will receive intravenous sedation, you should have someone to escort you home. Commonly asked Questions: How do I know if my prep is adequate? -
The stool should be watery in consistency. It does not have to be clear in color like water since digestive juices will continue to tint the stool yellow & small flecks of debris are not a problem as long as the stool is not muddy or thick.
Will the prep interfere with my other medications? -
Medications taken at least an hour before beginning the prep should be adequately absorbed, but thereafter, they are likely to be washed away by the prep.
If you have any questions about this procedure, please call Carmen at (212) 535-5020. Your colonoscopy will take place on: Date: ________________ Time: _____________ Please arrive 10 minutes before your appointment at: Jan J. Shim, MD 4 E 88th Street, New York NY 10128
AMENDED VERSION HANNIBAL VIEW DEVELOPMENT PROTECTIVE COVENANTS WHEREAS, Beatrice Land Investments, L.L.C., a Nebraska limited liability corporation (hereinafter referred to as the “Owner”), is the owner of Lots 1 – 9, Block 1; Lots 1-15, Block 2; Lot 1, Block 3; Lots 1 – 13, Block 4; all located in Sunridge Second Addition Development, Beatrice, Gage County, Nebraska (hereinaf
Findings in the Medical Journals This month there are so many just plain interesting finding s in the medical journals I wan ted to give you a summary of several rather than my longer narrative on one or two points. I believe they are all of use and certainly counter-intuitive for many of you. • Wel known and part of the principle on which Tempus was founded is the insulin sensitizing