OVERVIEW – RISK: BENEFIT OF OTC COUGH AND COLD MEDICINES IN CHILDREN 1. INTRODUCTION Following concerns about the safety of over-the-counter (OTC) cough and cold medicines in young children which were initially raised in the USA, the purpose of this review is to evaluate all available evidence on risk:benefit relevant to UK use. There are four main categories of pharmacological
Patient information form – gastroscoopies (egd)PATIENT INFORMATION FORM – GASTROSCOPIES (EGD)
DATE OF PROCEDURE: ________________________________________________
Please arrive 30 minutes before your scheduled time
Preparation for a procedure is very important. Proper preparation will reduce the risks of the
procedure and will assist in obtaining proper results.
PLEASE NOTE: YOU MAY REQUIRE SEDATION DURING YOUR PROCEDURE. IF
SO, YOU SHOULD NOT DRIVE FOR TWENTY FOUR (24) HOURS OR OPERATE
ANY MOTORIZED EQUIPMENT (IE–LAWN MOWER) AFTERWARDS AND YOU
MUST ARRANGE FOR SOMEONE TO ACCOMPANY YOU FROM THE CLINIC TO
GENERAL PREPARATION INSTRUCTIONS
You will be having a test called EGD, which simply means looking into the esophagus (swallowing tube), stomach and duodenum.
Please check with your family doctor before stopping any of these medications.
ALL OTHER MEDICATIONS YOU MAY TAKE.
Containing medications should be stopped 7 days prior to the procedure (including ASA 81 mg and Entrophen) Should be stopped 5 days prior to the procedure Should be stopped 1 week prior to the procedure. Ticlopidine (Ticlid), Clopidogrel (Plavix) Should be stopped 3 days prior to the procedure. IMPORTANT: IF YOU ARE INSULIN DEPENDANT, CONSULT YOUR FAMILY
DOCTOR. STOP ALL MEDICATIONS THAT CONTAIN ASPRIN OR ASA 7 DAYS
BEFORE THE TEST.
You should have NOTHING to EAT after 7:00 pm the day before your procedure and NOTHING TO DRINK AFTER MIDNIGHT, NOT EVEN SIPS OF WATER, until after your procedure. REFRAIN FROM GUM AND CANDIES, if your mouth is dry you can swish water in your mouth and then spit it out. AFTERNOON PREPARATIONS
You may have a light breakfast such as toast (refrain from eggs, bacon, and sausage) BEFORE
6:00 am and CLEAR liquids (no milk products) up to 6 hours prior to the time of your procedure,
then NOTHING TO EAT OR DRINK, NOT EVEN SIPS OF WATER, until after your
procedure. REFRAIN FROM GUM AND CANDIES, if your mouth is dry you can swish water
in your mouth and then spit it out.
PLEASE REFRAIN FROM USING PERFUMES, COLOGNES OR SCENTED SOAPS
BEFORE YOUR TEST, AS SOME PATIENTS AND STAFF MEMBERS MAY SUFFER
Description of the Test
Your throat will be sprayed with a local anaesthetic spray. If the spray is not sufficient, then sedation will
be used intravenously. The tube will be passed into the back of your mouth and it will be guided into the
back of the throat. You will be asked to swallow the tube as it will be passed down. At this point a plastic
guard will be placed between your teeth to protect the delicate tube. The test will take no more than five
minutes or so. If a narrow spot is found in the esophagus, it will be necessary to pass a rubber tube to
stretch out the narrow spot. This is called dilatation. If a growth or unusual area is seen, biopsies may be
required, but this is completely painless.
After the test
You will be given the results and instructions regarding treatment before you leave the Clinic. If you have
a sedative, a responsible adult must accompany you from the Clinic to your home after an initial rest at
our Clinic for up to an hour. You must not drive after sedation.
Directions to our clinic
We are located at 267 O’Connor Street, between MacLaren Street to the north and Gilmour Street to the
south. If you take the Queensway from the west, exit at Kent Street and proceed north to Somerset Street.
Turn right onto Somerset and go two traffic lights to O’Connor. Turn right onto O’Connor and proceed
one block to the Doctors Building on your left. Coming from the east, exit the Queensway at Metcalfe
Street and proceed north on Metcalfe to MacLaren Street. Turn left on MacLaren and go to O’Connor
Street. At O’Connor Street the building is on your left. There is a parking lot immediately adjacent to the
PLEASE NOTE AGAIN: YOU MAY REQUIRE SEDATION DURING YOUR PROCEDURE. IF
SO, YOU SHOULD NOT DRIVE FOR TWENTY FOUR (24) HOURS OR OPERATE ANY
MOTORIZED EQUIPMENT (IE–LAWN MOWER) AFTERWARDS AND YOU MUST
ARRANGE FOR SOMEONE TO ACCOMPANY YOU HOME FROM THE CLINIC.
Please make sure to bring a valid OHIP card with you.
You will be asked to fill out a Medical History and Consent to Treatment form. If you have any questions
about the information you are required to provide please ask our staff.
If you are not comfortable speaking or reading English you should bring an interpreter with you to the
Once you arrive and are registered at the Clinic you should expect to be here for an average of 60–
90 minutes. Because of the use of sedation during the procedure you will not be allowed to drive for
Fees: please read the following carefully
Arriving late or the sudden cancellation of your appointment causes inconvenience for other patients and
our staff. If you need to cancel or reschedule your appointment we require 4 business days’ notice
before the scheduled time of your appointment, or you will be charged a cancellation fee of $150.00.
Consultations, colonoscopies, gastroscopies (EGD), and day surgery procedures are OHIP insured
services. Please bring a valid OHIP card with you to your appointment. There is however an additional
annual uninsured services fee of $80.00 (payable to the clinic by cash, cheque, debit card, VISA, or
MasterCard) to cover the cost of any additional uninsured services that you may require. You will
be given a receipt for the payment which you may submit to your private health insurer for reimbursement
or to file with your income tax return. If this proves to be an issue with you or you have any questions
about these services please speak to the staff at the time of booking or at your appointment. You will not
be denied the procedure if you don’t pay the fee.
AFTER THE PROCEDURE
As soon as the procedure is done you will be taken to the recovery area in the Clinic. Recovery time
varies with each patient, but typically it ranges from 30 to 60 minutes. Once you are ready, you may leave
with the person that accompanied you. You will be instructed not to drink or eat anything for at least 1
hour after your throat has been sprayed.
If sedated, you should not go to work for the rest of the day. Do not drive or operate machinery or drink
alcoholic beverages for 24 hours following the procedure.
You may resume your regular medications.
If an esophageal dilatation is required because of food getting stuck at a tight spot on the way down, then
perforation of the esophagus or putting a tear in the swallowing tube is a possible but rare complication. If
it ever occurred, an operation would be required to repair it. A second less severe complication that can
occur is a phlebitis or inflammation of the vein in the arm at the site of injection of the sedative. This is
rare, but not as severe as phlebitis in the legs, and generally heals without treatment.
Although complications are rare gastroscopies are medical procedures that do carry with them possible risks and complications including but not limited to pain and bleeding. If the bleeding continues or increases after 24 hours contact your doctor or go to the nearest hospital emergency department.
Radiation safety in the treatment of patients with thyroid diseases by radioiodine 131i: practice recommendations of the american thyroid association
Volume 21, Number 4, 2011ª Mary Ann Liebert, Inc. DOI: 10.1089/thy.2010.0403Radiation Safety in the Treatment of Patientswith Thyroid Diseases by Radioiodine 131I: PracticeRecommendations of the American Thyroid AssociationThe American Thyroid Association Taskforce on Radioiodine SafetyJames C. Sisson,1 John Freitas,2 Iain Ross McDougall,3 Lawrence T. Dauer,4 James R. Hurley,5James D. Brier