Patient Info cont.

Preparation for procedures

We provide detailed written instructions for each procedure that Dr. Harary performs. Make sure that you have received and read the instructions sheet at least 5 days before your colonoscopy and as least 2 days before your upper endoscopy, esophageal manometry, esophageal reflux pH monitoring, or wireless capsule endoscopy.

Please provide our office with a complete list of all medications (both prescription and over the counter) and any supplements so that we can give you the proper instructions. If you have diabetes, sleep apnea, lung disease, or are taking anticoagulants (blood thinners), make sure that you inform our office staff when you make your procedure appointment.

If you have a pacemaker, stent, coronary bypass or defibrillator, make sure that you inform our office staff when you make your procedure appointment. We must get clearance from your cardiologist before performing the procedure.

Please inform us of any changes in your insurance or medication and any new medical conditions or operations.

Preparing for your office visit

Being well prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. Bring blood test results, X-ray reports, CT scans, endoscopy and colonoscopy reports, and any pathology or biopsy reports. You can have these results faxed to 212-392-5255212-392-5255.

If you have internet access, we will provide you with an activation code when you make an appointment and you will be able to log in the Patient Portal in advance of your appointment and enter all personal contact, insurance and medical information online.

Make sure you have a referral from your primary care physician if required by your insurance. Please bring your health insurance card and credit card or personal check.

Office visits before procedures

If you have not seen Dr. Harary for more than 12 months, it is beneficial to see him in the office for a visit before having your procedure. This allows the doctor to make sure that the procedure is still necessary, adjust your medications and provide the correct instructions to prepare for your procedure.

A pre-procedure office visit is required for patients over 70 years of age, anyone with diabetes, heart, lung, liver, or kidney disease, and for new patients who need an upper endoscopy, wireless capsule endoscopy, esophageal manometry or ambulatory esophageal monitoring study.

Telephone Call Policy

Please feel free to call or use the Patient Portal with questions about preparing for your procedure, prescription refills, test results or billing questions. We can respond to questions for the doctor that can be answered briefly through his staff. However, more complex or sensitive questions that require a direct conversation with Dr. Harary should be handled during a face-to-face office visit.

If your call is for an urgent medical problem, please make that clear to our office staff. If your call is for urgent medical symptoms, please call again if you have not received a response within one hour. Non-urgent phone inquiries will be answered within two business days.

If you are having a problem tolerating the laxatives for a colonoscopy, please contact the doctor (page him if necessary) so that he can make recommendations that will help you.

*EMERGENCIES – If your medical problem is an emergency, you should call 911 and go to a nearby hospital Emergency Department. Please immediately inform us of any Emergency Department visits. You should also get a copy of all the labs, x-ray results and treatment reports before you leave the Emergency Department or hospital.

Manhattan Endoscopy Center

Dr. Harary performs most of his colonoscopy and upper GI endoscopy procedures at the Manhattan Endoscopy Center (MEC) located at 535 5th Avenue on East 44th Street between Fifth Avenue and Madison Avenue, near Grand Central Station. This is a state-of-the-art outpatient facility that is dedicated to optimizing patient safety, comfort and convenience. Feel free to visit the Manhattan Endoscopy Center website to learn more infomation.

Your appointment will be made through Dr. Harary’s office, not through the MEC office. The center charges a separate fee from Dr. Harary’s fees for facility use and anesthesia. The center is in-network with all major insurance companies (see Manhattan Endoscopy Center website) , but you may be responsible for paying deductibles, copays and coinsurance depending on the specific provisions of your insurance policy.