Preparing for my exam

 

    • Paperwork: All patients who are coming to VIVA for a procedure must have an order form or a prescription from their referring provider for the service requested. If you have insurance that requires an insurance referral, it is the patient’s responsibility to obtain one from your primary care physician. This applies to HMO insurances. A list of medications and allergies will also be needed.

 

    • Timing:We ask that all patients arrive 15 minutes prior to your appointment time.

 

    • Clothing: We recommend that you wear comfortable, loose fitting clothing if possible but we have gowns that you may change into if you prefer.

 

    • Diet: There are no dietary restrictions prior to your procedure unless you will be receiving sedation medications. You will receive detailed instructions at the time of your consultation if this is the case.

 

    • Medications:Please bring a list of your medications to your appointment. You should hold all blood thinners for 5 days prior to your procedure. (Aspirin, Coumadin, Warfarin, Plavix, Aggrenox, and/or Ticlid) If you are on Lovenox, please don’t take this for 12 hours prior to your procedure. Please inform the VIVA staff that you are on a blood thinner and the date that you stopped taking it.

 

  • Outside Imaging Studies: Any x-rays, CAT scans, or other imaging studies performed within the Mary Washington Healthcare System are immediately accessible by our staff. If you have any pertinent imaging studies from Pratt Medical, Spotsylvania Regional Medical Center, or other outside medical center, please bring those images (CD-ROM, hard copy films) and the paper reports to your appointment.

 

Biopsies:

  • It is recommended that you have a ride home but not required.

Joint Injections/Aspirations:

  • It is recommended that you have a ride home but not required.

Nerve Root Blocks:

  • You must have a ride home following the procedure.
  • You will need to recover with us following the procedure. This may be anywhere from 30 minutes to 2 hours.
  • We do not schedule this procedure after 1 p.m.

Epidural Injections

  • You must have a ride home following the procedure.
  • You will need to recover with us for approximately 1 hour following the procedure.
  • We do not schedule this procedure after 1 p.m.

PICC Line Central Venous Catheter Placement

  • It is recommended that you have a ride home but not required.
  • Your referring provider needs to arrange for a home health agency to care for your PICC line while it is in place and to provide you with the supplies you will need.
  • We do not do the medication infusions in our office. The infusions will be scheduled by your referring provider.

Endovenous Laser Therapy/Sclerotherapy/Ambulatory Phlebectomy

  • It is recommended that you have a ride home but not required.
  • If you are taking a medication to relax you for the procedure, you must have a ride home. This medication should have been prescribed at your previous appointment and you must bring this with you to take prior to the procedure. We do not dispense/administer any medications for relaxation purposes the day of the procedure.
  • You must bring your thigh high or pantyhose style compression hose the day of the procedure. If you don’t have them, we will not be able to do the procedure.

Paracentesis/Thoracentesis

  • It is strongly recommended that you have a ride home but not required.