DAY OF YOUR PROCEDURE • Do not drink anything for four hours before your ARRIVAL time or your procedure may be rescheduled or delayed. • Take your blood pressure and heart medications the day of the procedure with a small sip of water. Diabetics – Do NOT take your insulin or diabetic pills the day of the procedure. • Use your inhaler as prescribed for respiratory conditions such as asthma or COPD. • Do not take any herbal supplements or vitamins. • Do not smoke or vape on the day of your procedure. • Do not use any lotions, sprays, perfume/cologne, or deodorant the day of your procedure. • Bring glasses, hearing aids, and dentures (no Fixodent or glue), insurance card, photo ID, and medication list with you to the procedure. You may wear contact lenses. • Do not bring any jewelry or other valuables with you. • Wear warm, loose-fitting comfortable clothing. • You must arrive at the Surgery Center 60 minutes prior to your scheduled appointment time. • You must have a responsible adult known to you drive you home. This cannot be a taxi, Uber, or bus unless there is a known responsible adult to accompany you. Pre Procedure Medication Instructions Blood Thinners If you take blood thinners, you may be at an increased risk of bleeding if tissue is removed. You may continue aspirin unless instructed by your doctor. The risk of stopping your blood thinner must be individualized for each patient. If you had a stent placement within the past 12 months or have a history of TIA's, talk to your physician before stopping these medications. Please remind staff at the Endoscopy unit that you are taking blood thinners. Please resume your medication after the procedure is completed or as directed by the doctor. Diabetic Instructions (oral or insulin) - Recommend Powerade Zero instead of Gatorade You will need to only take one half (1/2) of your morning and evening dose. DO NOT take your diabetic medications the morning of the procedure. Once the procedure has been completed and you have eaten a meal you will need to take one half (1/2) of your morning dosage. Resume your normal dosage regime after this. Monitor your blood glucose level and if becomes low take a glucose tablet. If you are seeing: Dr. Fernandez, Dr. Harris, Dr. Keith, or Dr. Trope, please go to: Cape Health Surgery Center (Across the street from Cape Coral Hospital ER) 665 Del Prado Blvd. S, Cape Coral, FL 33990 (239) 424-6000 Dr. Barth or Dr. Rajca, please go to: Fort Myers Surgery Center (Entrance is in back of building) 13051 University Dr., Suite 102 Fort Myers, FL 33907 (239) 887-3608