Services

DCOM ANCILLARY SERVICES

DCOM ANCILLARY SERVICES Our facilities allow our physicians and technical support staff to provide the most sophisticated quality of ancillary diagnostic services available for our patientsOur facilities allow our physicians and technical support staff to provide the most sophisticated quality of ancillary diagnostic services available for our patients, while containing costs at the same time. They have been specially designed with the latest equipment and technology in order to provide our patients with the very best in diagnostic procedures delivered with compassion and respect for each individual patient as well as his or her family.

In order to obtain the best diagnostic information during the examination, we will need your cooperation in adhering to certain patient preparation protocols prior to the procedure. Your doctor’s office will provide you with the information or you can go to the information concerning ancillary services listed below. If you know you have had prior studies in other diagnostic facilities, please inform the nurse at your physician’s office and together we will work to retrieve them prior to your examination for comparison.

Ancillary procedures may require authorization or pre-certification from your insurance company. If this is required by your plan, please let the nurse at your physician’s office know when you are scheduled.

ANCILLARY PATIENT PREPARATIONS

Please click on a service below for more information:

Cardiolite/Myoview Stress Test, with Persantine or Adenosine

An IV will be started upon arrival to provide access for two injections of a radioisotope that exposes you to minimal radiation and allows us to image your heart muscle using a Nuclear Medicine Gamma Camera. This camera is not enclosed, but if you are claustrophobic, please speak to your physician prior to the appointment.

After a waiting period we will scan you for about 15 minutes. Next we will attach EKG leads and administer the Adenosine over a 4 minute period through the IV port. The Adenosine is a vasodialator, which will mimic the changes that occur during normal exercise. We will review these changes with you during your appointment. During this time we will be monitoring your heart rate and blood pressure and inject a second does of radioisotope. After a waiting period of 20-30 minutes we will rescan you for about 10 minutes. The total time for the exam, with waiting periods is 2 hours. There are no restrictions on your activity after the exam is finished.

Preparation

No caffeine products 24 hours prior – Coffee, tea, cola, chocolate
No food 4 hours prior to test – Liquids – water or juice are ok
Diabetic medication may be taken as normal with a light meal 2 hours prior
Medications – Bring a list of all medicines you have taken 24 hours prior to your appointment or bring the bottles with you. Please go over the attached medication list to halt any medicines that will interfere 24 hours prior to exam.
Clothing – Wear comfortable clothing and shoes and tops that will allow access to your upper arms for IV and Blood Pressure monitoring.

Medications to Avoid for 24 Hours

Aminophyline Slo-Phylline
Aerolate Synalgos-DC
Aerobid Inhaler Sustaire
Any Aspirin with Caffeine (Anacin/Excedrine) Theo-24
Adenocard (Adenosine) Theobid
Atrovent Inhaler/Machine Theo-Dur
Bronkodyl Theo-Sav
Cafergot Theo-Stat
Constant-T Theo-X
Darvon/Darvocet Compounds T-Phyl
Dipridimole (Persantine) Tedral-SA
Elixophylline SR Theochron
Esgic Theoclear LA
Fiorinal Theoclair-SR
Niropatch Theophylline
Niytroglycerine Theospan-SR
No-Doz Theovent
Norgesic/Norgesic Forte Uniphyl
Primatene Inhaler/Pills Soma
Quibron-T/SR Wigraine
Respbid Theo-Organidin
Slo-Bid Penbutolol (Levatol)

Cardiolite Treadmill Stress Test

An IV will be started upon arrival to provide access for two injections of a radioisotope that exposes you to minimal radiation and allows us to image your heart muscle using a Nuclear Medicine Gamma Camera. This camera is not enclosed, but if you are claustrophobic, please speak to your physician prior to the appointment.

After a waiting period we will scan you for about 15 minutes. Next we will attach EKG leads and have you walk briefly on a treadmill while we monitor your heart rate and blood pressure. At the desired heart rate we will give you another Cardiolite injection through the IV port. At this point you will have another waiting period of 20 – 30 minutes, than another camera image of about 10 minutes. The total time for the exam with waiting periods is 2 hours. There are no restrictions on your activity after the exam is finished.

Preparation

No caffeine products 24 hours prior – Coffee, tea, cola, chocolate
No food 4 hours prior to test – Liquids – water or juice are ok and encouraged
Diabetic medication may be taken as normal with a light meal 2 hours prior
Medications – Bring a list of all medicines you have taken 24 hours prior to your appointment or bring the bottles with you. Please go over the attached medication list to halt any medicines that will interfere 24 hours prior to exam.
Clothing – Wear comfortable clothing and shoes appropriate for the Treadmill and tops that will allow access to your upper arms for IV and Blood Pressure monitoring. Minimize metal snaps or zippers in chest area. No underwire bras.

PLEASE CHECK YOUR MEDICATION CAREFULLY FOR GENERIC FORMS ON BOTTLES AND CALL US WITH ANY QUESTIONS.

Medications to Avoid for 24 Hours

ALL BETA BLOCKERS INCLUDING:

Acebutolol (Sectral)
Atenolol (Tenormin, Teneretic, Atenolol HCTZ)
Betaxolol (Kerlone)
Bisoprolol (Zebeta, Ziac, Biosoprolol (HCTZ)
Carteolol (Cartrol)
Carvedilol (Coreg)
Labetalol (Normodyne, Trandate)
Metoprolol (Lopressor, Lopressor HCT, Toprol, Toprol XL)
Nadolol (Corgard, Corzide)
Penbutolol (Levatol)
Pindolol (Visken)
Propanolol (Inderal, Inderal LA, Inderide, Inderide LA)
Timolol (Blocadren, Timolide, Timolol HCTZ)
Nitroglycerine
Nitro Patch
Sotalol (Betapace)
Verapamil (Calan)
Also Aspirin products with Caffeine – Anacin, Excedrin, No-Doz

PLEASE CHECK YOUR MEDICATIONS CAREFULLY FOR GENERIC FORMS ON BOTTLES AND CALL US WITH ANY QUESTIONS.

Hepatobiliary "HIDA" studies or Gastric Emptying Studies

  • Please do not eat or drink 6-8 hours prior to exam, except water
  • If you are pregnant, or think you might be, please inform the technologist

Renal Scan with Captopril

  • Ok to eat.
  • Please discontinue diuretics 48 hours before scan
  • Stop ACE inhibitors, Vasotec and Captopril 2 days and Angiotensin blockers 2 days prior to exam
  • BETA blockers and Calcium channel blockers do not need to be withheld
  • Push fluids the day of the test
  • PLEASE CHECK YOUR MEDICATION CAREFULLY FOR GENERIC FORMS ON BOTTLES AND CALL US WITH ANY QUESTIONS.

ACE INHIBITORS – HOLD 72 HOURS

Generic Trade Name
Benazepril Lotensin, Lotrel
Captopril Capoten, Capozide
Enalapril Vasotec, Vaseretic, Lexxel
Fosinopril Monopril
Quinapril Accupril
Ramipril Altace
Lisinopril Prinivil, Prinzide, Zestril, Zestoretic
Perindopril Aceon
Moexipril Univasc, Uniretic
Trandolapril Mavik, Tarka

 

ANGIOTENSIN RECEPTOR ANTAGONIST – HOLD 48 HOURS

Valsartan Diovan, Diovan HCT
Losartan Cozaar, Hyzaar
Irbesartan Avapro, Avalide
Candesartan Atacand
Telmisartan Micardis

 

CALCIUM CHANNEL BLOCKERS – HOLD 48 HOURS

Bepridil Vascor
Diltiazem Cardizem, Cartia
Tiazac Dilacor, Diltia
Nifedipine Procardia, Adalat, Nifedical
Verapamil Calan, Isoptin, Verelan, Covera
Nicardipine Cardene, Carden SR
Isradipine Dynacirc
Amlodipine Norvasc, Lotril
Felodipine Plendil, Lexxel
Nimodipine Nimotop
Nisolipine Sular
Nitrendipine Cardif, Nitrepin
Lercanidipine Zandip

Bone Scan

  • If you are pregnant, or think you might be, please inform the technologist
  • It is important that you drink plenty of fluids prior to the test to improve image quality
  • You may take medications and eat before the test

Liver Scan

  • If you are pregnant, or think you might be, please inform the technologist
  • No preparation

Thyroid Scan

  • If you are pregnant, or think you might be, please inform the technologist.
  • No seafood, shellfish or oriental food 5 days prior to exam.
  • No CT Scans or X-Ray Exams with Iodine contrast 6 weeks prior to exam.
  • Synthroid, Levothyroxine, Levoxyl, methimazole hold 4 weeks prior to exam.
  • Tapazole, Propylthiouricil, (PTU) hold 1 week prior to exam.
  • Cytomel, Triiodothyronine (T3) hold 2 weeks prior to exam.
  • Vitamins/supplements/Kelp tablets/Fish Oil with Iodine hold 1 week.
  • PLEASE CHECK YOUR MEDICATION CAREFULLY FOR GENERIC FORMS ON BOTTLES AND CALL US WITH ANY QUESTIONS.

Gastric Emptying Scan

  • If you are pregnant, or think you might be, please inform the technologist
  • Do not eat or drink after midnight

Ultrasound / Echocardiogram

1. Abdomen, Aorta, or Gallbladder Ultrasound

  • Please do not eat or drink at least 8 hours prior to exam
  • You may take your mediations with a small amount of water

2. Pelvic

  • Please drink at least 32 ounces of fluid, beginning 2 hours before your exam time
  • Do not empty your bladder prior to the test

3. Abdomen/Pelvic Ultrasound Combined

  • Do not eat 8 hours prior to exam
  • Drink 32 oz of water 2 hours before exam time
  • Do not empty your bladder prior to the test

4. Kidney/Bladder

  • Do not eat 8 hours prior to exam
  • Drink 32 oz of water 2 hours before exam time
  • Do not empty your bladder prior to the test

5. The following Ultrasound Exams have NO special preparations

  • Echocardiogram
  • Thyroid
  • Carotid Arteries
  • Testicular
  • Breast unilateral/bilateral (wear 2 piece outfit)
  • Extremities

Treadmill

Do not apply creams, oils, or powder to your chest before the test
Wear loose, comfortable clothing and appropriate shoes for treadmill

1. Routine Treadmill

  • Please do not eat the morning of the exam
  • Bring list of current medications
  • No caffeine for 24 hours (includes sodas, coffee, tea, chocolate)
  • Take blood pressure medicines prior to exam
  • You may drink a little water with medicines
  • Diabetics
    Wear comfortable clothing and walking shoes
    Take meds as normal, with light meal
  • Kidneys

2. Holter Monitor – NO PREP

Bone Densitometry or DEXA

  • If you are pregnant, or think you might be, please inform the technologist
  • No Nuclear Medicine or Barium X-rays 7 days prior to test
  • Please do not take Tums or calcium 24 hours prior to your test
  • Please wear clothing that does not include metal, i.e. zippers, metal snaps, etc.
  • If you have had surgery on either of your hips or on your lower back, please inform the technologist

X-Rays - No special preparations are needed

  • If you are pregnant, or think you might be, please inform the technologist
  • NO PREP

Spirometry - NO PREP

  • NO PREP