A&l miller referral pads

Dr. Ashley Miller MBBS, PhD, FRACP
Referral
Gastroenterologist and Endoscopist
All correspondance:
Also at:
Williamstown Specialist Centre, Williamstown All appointments: Phone 9417 1811 Fax 9415 7419
Request please tick box(es): Gastroscopy
Colonoscopy
Consultation
Capsule Endoscopy (Pillcam)
Patient details
Referring doctor details/stamp
Referrals for open access gastroscopy and colonoscopy welcomed.
Information and instructions will be forwarded to the patient. Patients over 80 years of age or those with serious medical illnesses
including those on warfarin should be referred for consultation before colonoscopy or discussed with Dr. Miller on 9387 1000.

Dr. Ashley Miller MBBS, PhD, FRACP
Referral
Gastroenterologist and Endoscopist
All correspondance:
Also at:
Williamstown Specialist Centre, Williamstown All appointments: Phone 9417 1811 Fax 9415 7419
Request please tick box(es): Gastroscopy
Colonoscopy
Consultation
Capsule Endoscopy (Pillcam)
Patient details
Referring doctor details/stamp
Referrals for open access gastroscopy and colonoscopy welcomed.
Information and instructions will be forwarded to the patient. Patients over 80 years of age or those with serious medical illnesses
including those on warfarin should be referred for consultation before colonoscopy or discussed with Dr. Miller on 9387 1000.

Gastroscopy
Gastroscopy involves the use of a flexible tube to examine the upper gastrointestinal tract. The procedure is commonly undertaken if your
doctor suspects that you have an ulcer, inflammation or other abnormalities of the oesophagus (gullet), stomach or duodenum. Tissue
samples (biopsies) may be taken during the procedure. You must not eat or drink for at least 6 hours before the test. Just before the test
you will be given sedation by injection into a vein to make you sleepy. The procedure will take about 15 minutes and you will be sleepy for
about half an hour afterwards. Gastroscopy is not painful and it is uncommon for patients to recall having the test. You will need a relative or
friend to accompany you home. Do not drive or operate dangerous machinery for 24 hours. Safety and risks: Gastroscopy is usually simple
and safe. Rare complications such as damage to the oesophagus (perforation) or reactions to sedation occur in approximately 1 in 10,000
cases. If you have any questions concerning the risks of the procedure please contact Dr Miller prior to the test.
Colonoscopy
Colonoscopy involves the use of a flexible tube to examine the large intestine. Tissue samples (biopsies) may be taken or polyps removed
during the procedure. The day before the procedure you will need to take a special preparation to clean out the bowel. This will enable the
lining of the bowel to be clearly seen. The bowel preparation will induce diarrhoea for a short time. Full instructions concerning the bowel
preparation will be provided when your appointment is made. You must not eat or drink for at least 6 hours before the test. Just before
the test you will be given sedation by injection into a vein to make you sleepy and you will be sleepy for about half an hour afterwards. It is
uncommon for patients to recall having the test. You will need a relative or friend to accompany you home. Safety and risks: Complications
with colonoscopy are uncommon. Most surveys report serious complications of about 1 in 1,000 examinations or less. These usually include
intolerance to the bowel preparation or reaction to sedatives. Perforation (making a hole in the bowel) or major bleeding is extremely rare,
but if it occurs may require surgery. In the unlikely event of major bleeding, a blood transfusion may be required. The risk of these
complications is slightly higher if polyps are removed. A complete examination of the colon may be limited in some patients (usually less
than 5%) including those with poor bowel preparation, patients with long colons, patients with tight bends in their colon, patients with severe
inflammation or other pathology. It is possible that a barium enema may be recommended to complete examination of the colon. Whilst
colonoscopy is an excellent procedure to examine the colon, there is a small risk that a polyp, cancer or other pathology is not detected by the
procedure. If you have any questions concerning the risks of the procedure please contact Dr Miller prior to the test. After the procedure
there may be a mild, temporary abdominal discomfort and you may pass a small amount of blood. If you have severe pain or pass a large
amount of blood you should contact your local doctor, Dr. Miller, or go to the nearest hospital emergency department.
Gastroscopy
Gastroscopy involves the use of a flexible tube to examine the upper gastrointestinal tract. The procedure is commonly undertaken if your
doctor suspects that you have an ulcer, inflammation or other abnormalities of the oesophagus (gullet), stomach or duodenum. Tissue
samples (biopsies) may be taken during the procedure. You must not eat or drink for at least 6 hours before the test. Just before the test
you will be given sedation by injection into a vein to make you sleepy. The procedure will take about 15 minutes and you will be sleepy for
about half an hour afterwards. Gastroscopy is not painful and it is uncommon for patients to recall having the test. You will need a relative or
friend to accompany you home. Do not drive or operate dangerous machinery for 24 hours. Safety and risks: Gastroscopy is usually simple
and safe. Rare complications such as damage to the oesophagus (perforation) or reactions to sedation occur in approximately 1 in 10,000
cases. If you have any questions concerning the risks of the procedure please contact Dr Miller prior to the test.
Colonoscopy
Colonoscopy involves the use of a flexible tube to examine the large intestine. Tissue samples (biopsies) may be taken or polyps removed
during the procedure. The day before the procedure you will need to take a special preparation to clean out the bowel. This will enable the
lining of the bowel to be clearly seen. The bowel preparation will induce diarrhoea for a short time. Full instructions concerning the bowel
preparation will be provided when your appointment is made. You must not eat or drink for at least 6 hours before the test. Just before
the test you will be given sedation by injection into a vein to make you sleepy and you will be sleepy for about half an hour afterwards. It is
uncommon for patients to recall having the test. You will need a relative or friend to accompany you home. Safety and risks: Complications
with colonoscopy are uncommon. Most surveys report serious complications of about 1 in 1,000 examinations or less. These usually include
intolerance to the bowel preparation or reaction to sedatives. Perforation (making a hole in the bowel) or major bleeding is extremely rare,
but if it occurs may require surgery. In the unlikely event of major bleeding, a blood transfusion may be required. The risk of these
complications is slightly higher if polyps are removed. A complete examination of the colon may be limited in some patients (usually less
than 5%) including those with poor bowel preparation, patients with long colons, patients with tight bends in their colon, patients with severe
inflammation or other pathology. It is possible that a barium enema may be recommended to complete examination of the colon. Whilst
colonoscopy is an excellent procedure to examine the colon, there is a small risk that a polyp, cancer or other pathology is not detected by the
procedure. If you have any questions concerning the risks of the procedure please contact Dr Miller prior to the test. After the procedure
there may be a mild, temporary abdominal discomfort and you may pass a small amount of blood. If you have severe pain or pass a large
amount of blood you should contact your local doctor, Dr. Miller, or go to the nearest hospital emergency department.

Source: http://www.melbournedaysurgery.com.au/pdfs/al_miller_referral_pads.pdf

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Microsoft word - medication deferral list

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