TWO DAY PREP
YOU CANNOT DRIVE OR USE A TAXI SERVICE AFTER THE PROCEDURE! IF YOU DO NOT HAVE
A RESPONSIBLE ADULT DRIVER TO TAKE YOU HOME, YOUR PROCEDURE WILL BE
PURCHASE AT THE PHARMACY:
Eight (8) Dulcolax laxative
tablets; One (1) bottle of Miralax (238 or
255 grams); One 64oz bottle of Gatorade, or any clear (no pulp) liquid of your choice. Baby wipes
(optional) FIVE DAYS PRIOR TO THE PROCEDURE:
Discontinue any of the following medications:
Blood thinning medications such as Coumadin, Plavix, Aggrenox, Ticlid, Aspirin, Ibuprofen, (Advil, Motrin,
Excedrin IB), Naproxen (Naprosyn, Anaprox, Aleve). Please discuss stopping these medications with your doctor.
Anti-arthritis medications (Voltaren, Lodine, Indocin, Orudis, Daypro, Feldene)
Fish Oil and Vitamin E
It is fine to take Acetaminophen (Tylenol)
Please avoid foods with many small seeds, and foods that contain the artificial fat "Olestra" prior to your
procedure. TWO DAYS PRIOR TO THE PROCEDURE:
Light breakfast: eggs, english muffin, or low fiber plain cereal (Cheerios, cornflakes, Cream of Wheat,
CLEAR LIQUIDS FOR THE REST OF THE DAY - AS MUCH AS DESIRED! Drink at least 8oz of clear
liquids (any color except blue, red, or purple) every hour you are awake.
At 3:00pm, take four (4) Dulcolax tablets with 8-oz of clear liquid.
Continue clear liquids hourly until bedtime. **CLEAR LIQUID DIET -- ONLY THESE FOODS ARE ALLOWED THE DAY BEFORE THE PROCEDURE:
DO NOT DRINK LIQUIDS OR EAT JELLO OR POPSICLES THAT HAVE RED OR BLUE DYE.
ANY JUICE YOU CAN SEE
THROUGH AND HAS NO PULP IS ACCEPTABLE. Soups:
Clear bouillon, broth, or consomme (chicken, beef or vegetable) Beverages
: Tea, Coffee (without cream/milk), Kool-Aid, Carbonated beverages, Gatorade, Crystal Light,
All Sport, vitamin water, flavored water Juices
: White Cranberry, Apple, White Grape, Strained Lemonade, Limeade, and Orange Drink (all
Water Ices, Italian ices, Popsicles, Jell-O NOT ALLOWED:
Tomato juice, orange juice, milk or any dairy products, any juice containing pulp, canned soups,
alcoholic beverages, nothing in or on Jell-O. ONE DAY PRIOR TO THE PROCEDURE:
Clear liquid diet all day. Drink 8 oz of clear liquid once every hour during the day. If you have an afternoon
procedure, you may have a light breakfast (egg, english muffin)
At 3:00pm, take 4 Dulcolax tablets At 5:00pm mix the bottle of Miralax in 64oz of Gatorade, All Sport, or the clear liquid of your choice.
Shake the solution until the Miralax is dissolved. Drink 8 oz every 10 - 15 minutes until the entire solution is gone (within 3 hours)
Continue clear liquids hourly until bedtime. ON THE DAY OF THE PROCEDURE:
For an AM (morning) procedure time: Do not eat or drink anything after midnight!
For a PM (afternoon) procedure time: You may continue to have clear liquids until 3 hours before your
If you take blood pressure or heart medicine, take it with a sip of water. If you take insulin, take 1/2 of
Arrive at the scheduled time. NO DRIVING.
You will be given sedation medicine for this procedure and you must have a responsible
The preparation is very important! An adequate clean out allows for the best evaluation of
your entire colon. During the prep, using baby wipes may ease some of your discomfort. If you have any questions, please do not hesitate to call Sandy at 978-744-4295. THANK YOU!
C ITY C O UNC IL MINUTES SEPTEMB ER 3, 2013 T he meeting was called to order at 7:00 p.m. Persons present were Paul Hoff, Bert Kinzler and Marilyn Olson. Jim Erpelding and Rick Jacobson were absent. Also present were Anna Kiser and Anita Guests were: Matt Dreschel, Richard Pachel, Dave and Linda Lerfald, Stan & Betty Klug, Michelle Jevne, Greg Blum, Susan Barrett and T ed T rochman.
PROGRAM BENEFITS By signing this form, I am giving consent to receive dental treatment. All patients will receive an oral health 1) I understand that dental treatment may include any or all of the following: Dental Some patients may need to be scheduled for Instruction, Fillings, Other Restorative further dental treatment and will be referred Dentistry, Prosthetic