Am I Medically-Suitable for a Procedure at the Pezim Clinic?

The Pezim Clinic is accredited as a Non-Hospital Medical/Surgical Facility by the College of Physicians & Surgeons of British Columbia.  As part of meeting the criteria for accreditation and maintaining the highest possible safety standards, the Clinic Medical Director very carefully considers each patient’s suitability for a procedure in an out-of-hospital setting.  In some cases, additional information may be required before a decision can be made.  For example, a patient may have to undergo a cardiology consultation or a stress test or obtain a letter of clearance from a specialist physician before the Medical Director will feel comfortable enough to book your procedure at the Pezim Clinic.  The following health issues, if present, would identify a patient who would be better off being managed in a hospital setting:

  • Age greater than 75
  • A history of heart attack, angina, unexplained chest pain, coronary artery stents, angioplasty, arrhythmia, poorly-controlled high blood pressure, significant EKG abnormalities, and congestive heart failure
  • Patients who are taking blood thinners (Coumadin/Warfarin) may require special planning and are usually not suitable for out-of-hospital colonoscopy
  • Aortic aneurysm, peripheral vascular disease or disease of the carotid arteries
  • Chronic bronchitis, emphysema, smoking, or significant lung surgery
  • Patients with allergies to Morphine, Demerol, Fentanyl, or Codeine need further assessment.  A history of anaphylactic reaction to any substance will usually disqualify a patient from an out-of-hospital procedure
  • Insulin-dependant diabetes unless particularly well-controlled.  Most diabetics that require only oral medications are suitable for an out-of-hospital procedure unless they have other medical issues
  • A history of stroke, TIA or RIND
  • Obesity or short neck
  • Significant weight loss, frailty, anemia
  • Epilepsy unless well-controlled
  • Psychiatric problems of significance
  • Inability to manage bowel preparation
  • Dementia
  • An infectious disease including HIV, Hepatitis C. We are not permitted to perform procedures on these patients based on College of Physicians and Surgeons restrictions.
  • untreated intestinal parasites or pathological bacteria strains.

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