Colonoscopy Express is often referred to as Open Access Colonoscopy. It represents Dr. Cherner’s effort to have screening colonoscopy reach the broadest population possible, recognizing that doing away with the pre-colonoscopy doctor’s visit may make the difference between a busy person getting his screening colonoscopy, and putting it off another year – perhaps until it is too late. It is for those healthy persons who may not have the time for a precolonoscopy office consultation or who may wish to avoid its inconvenience and expense. Those patients who wish to come aboard the Colonoscopy Express, and are confident that they qualify for open access, should download and complete the Medical History Questionnaire for a Screening Colonoscopy, making certain to check the box marked “EXPRESS” on the first page of that form. After that medical history is reviewed by Dr. Cherner and his staff, it will be determined whether Colonoscopy Express is appropriate for you. If we agree that it is right for you, your colonoscopy will be scheduled over the phone. You will have your options for the bowel prep explained to you, and after you tell us which you choose, we will ask you to download the appropriate Colonoscopy Prep instructions and we will review them with you. All those on board the Colonoscopy Express are expected to view the video “Colonoscopy: What Patients Can Expect”.
What Patient Can Expect
Open Access (Colonoscopy Express) is available to patients exclusively for a routine screening colonoscopy or surveillance (“follow-up”) colonoscopy for the purpose of searching for and removing polyps and for the early detection of actual colon cancer before it causes any symptoms. It is not intended for individuals who are experiencing gastroenterological symptoms that have not previously been addressed. Importantly, it is not intended for patients who require special provisions in advance. Those for whom “the Express” cannot be offered are those:
- receiving anticoagulants , e.g. Coumadin, or antiplatelet drugs, such as Plavix if a stent has been inserted in a coronary artery within the past year, or if stents have been inserted to treat peripheral vascular disease
- who have had a stroke or TIA
- who have an implanted ICD(defibrillator) or pacemaker
- have significant breathing problems or heart problems
- have reduced kidney function
- are obese
- have had problems with sedation in the past
- have had unsatisfactory results or problems with the bowel prep in the past or who have a major constipation issue
- have a high level of anxiety, either in general, or in regard to the procedure in particular, or who have a significant psychiatric history.