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Summit
Ancillary Services Facilities
Summit
has three conveniently located Ancillary Services Facilities in
Knoxville:
| Wellington
Ancillary |
Cedar
Bluff Ancillary |
Fountain
City Ancillary |
Greeneville Ancillary |
7211
Wellington Drive
Suite 101
Knoxville, TN 37919 |
9333
Parkwest Blvd.
Suite 102
Knoxville, TN 37923 |
103
Midlake Drive
Lower Level
Knoxville, TN 37918 |
1404
Tusculum Blvd.
MOB 3, Suite 3200
Greeneville, TN 37745 |
| 8:00am
- 5:00pm Mon-Fri |
8:00am
- 5:00pm Mon-Fri |
8:00am
- 5:00pm Mon-Fri |
8:00am
- 5:00pm Mon-Fri |
|
Maps / Directions |
Maps
/ Directions |
Maps
/ Directions |
Maps
/ Directions |
*For
Knox area ancillary services/central scheduling telephone: 865-588-8005
*For Greeneville ancillary services telephone: 423-636-2651
Our
facilities allow our physicians and technical support staff to
provide the most sophisticated quality of ancillary and diagnostic
services available for our patients, while containing costs at
the same time. They have been specially designed with the latest
equipment and technology in order to provide our patients the
very best in diagnostic procedures, delivered with compassion
and respect for each individual patient as well as his or her
family. Our facilities are accredited by local and national agencies
and staffed by highly trained specialists, including cardiologists
and radiologists.
In
order to obtain the best diagnostic information during the examination,
the Ancillary Services will need your cooperation in adhering
to certain patient preparation protocols prior to the procedure.
The nurse at your physician's office will provide you with the
information or you can go to ancillary patient
preparations below. If you know you have had prior studies
in other diagnostic facilities, please inform the nurse at your
physician's office and together we will try to retrieve them prior
to your examination for comparison.
Procedures
performed at the Ancillary Services Facilities may require prior
authorization or pre-certification from your insurance company.
If this is required by your plan, please let the nurse at your
physician's office know when your test is scheduled.
Ancillary
Patient Preparations
NUCLEAR
MEDICINE
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1.
Cardiolite / Thallium / Myoview with Treadmill, or Persantine,
or Adenosine or Dobutamine (Time Required : 4.5 hrs.)
2.
Hepatobiliary "HIDA" studies or Gastric Emptying studies
(Time Required : 90 minutes)
- Please
do not eat, drink or take pain medications 4-6 hours prior
to exam
- If
you are pregnant, or think you might be, please inform the
technologist
3.
Renal Scan w/ Captopril (Time Required : 90 minutes)
- Please
discontinue diuretics 48 hours before scan.
- Stop
ACE inhibitors, Vasotec and Captopril 2 days and Angiotensin
blockers 2 days prior to exam.
- NPO
4 hours (*NPO = Do Not Eat or Drink)
- BETA
blockers and Calcium channel blockers do not need to be withheld.
- If
needed, contact the appropriate ancillary facility for a detailed
list of medication that must be withheld.
4.
Bone Scan (Time Required: 2 hours 45 minutes)
-
If you are pregnant, or think you might be, please inform
the technologist
- It
is important that you drink a lot of fluids (32 oz) prior
to the test to improve image quality
- You
may take your medications and eat before the test
5.
Liver Scan (Time Required: 60 minutes)
-
If you are pregnant, or think you might be, please inform
the technologist
- No
prep
6.
Lung Scan (Time Required: 60 minutes)
-
If you are pregnant, or think you might be, please inform
the technologist
- If
you have a recent chest x-ray, please bring this with you
- No
prep
7.
Thyroid Scan (Time Required: 60 minutes)
-
If you are pregnant, or think you might be, please inform
the technologist
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You should not take Synthroid for 7 days prior to test, unless
otherwise directed by your physician.
- You
should not take Cytomel for 3 days prior to test, unless otherwise
directed by your physician.
-
You should not have had contrast from an IVP, CAT Scan, myelogram,
or angiogram for 3 weeks prior to test
8.
Gastric Emptying Scan (Time Required: 90 minutes)
-
If you are pregnant, or think you might be, please inform
the technologist
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Do not eat or drink after midnight
9.
Gallium Scan (Time Required: 60 minutes)
-
If you are pregnant, or think you might be, please inform
the technologist
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Do not take any medications containing bismuth, such as Pepto
Bismol, 4 days prior to test.
- You
may need to take a laxative during the 48 hours after the
injection to prevent the gallium in your colon from interfering
with the images of your abdomen.
MAMMOGRAPHY
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For
all Mammograms - Please do not wear deodorant, talcum powder,
body powder, or lotion in the breast or underarm area on the
day of your exam. Please wear a 2 piece outfit. If you have
had a mammogram at another facility, it is helpful for the radiologist
if you are able to bring those films with you for comparison.
To
reduce any pain you may experience during the mammogram, you
should abstain from drinking caffeine for a week prior to your
appointment. We also recommend that you take Tylenol one hour
in advance of your appointment, pending your physician’s
approval.
1.
Routine Mammography (Time Required: 45 minutes)
2.
Breast Implant (Time Required : 60 minutes)
Please inform the scheduler when scheduling your mammogram that
you have implants. This is very important!
3.
Palpable Lump (Time Required : 60 minutes)
Please inform scheduler of any lumps or bloody discharge.
ULTRASOUND
/ ECHOCARDIOGRAM
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1.
Abdomen - Complete or Limited, or Gallbladder Ultrasound
(Time Required: 30 minutes)
-
Please do not eat or drink at least 8 hours prior to exam
- You
may take your medications with a small amount of water
2.
Pelvic (Time Required : 60 minutes)
- Please
drink at least 32 ounces of fluid, beginning 2 hours before
your exam time.
- Do
not empty your bladder during this time
3.
Abdomen/Pelvic Ultrasound Combined (Time Required : 90 minutes)
- Do
not eat 8 hours prior to exam
-
Drink 32 oz of water 2 hrs before exam time
- Do
not empty your bladder prior to the test
4.
The Following Ultrasound Exams Have No Special Preparations
(Time Required : Check with Scheduler)
- Echocardiogram
-
Thyroid
-
Carotid Arteries
-
Testicular
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Breast Unilateral/Bilateral (wear 2 piece outfit)
- Extremities
- Kidneys
AMBULATORY
CARDIOLOGY
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Do not apply creams, oils, or powder to your chest before
the test.
Wear
loose, comfortable clothing.
1.
Routine Treadmill (Time Required : 30 minutes)
- Please
do not eat the morning of the exam.
-
If test is scheduled to begin after 12pm, you may eat a light
breakfast prior to 7:00am (toast, juice)
-
Bring list of current medications
-
No caffeine for 24 hrs. (includes Cokes, Coffee, Chocolate)
- Take
blood pressure medicines prior to exam
You
may drink a little water with medicines
-
Diabetics:
Unless otherwise directed by
your physician, take 1/2 insulin dose and eat a light breakfast.
-
Wear comfortable clothing and walking shoes
2.
Holter Monitor (Time Required : 15 minutes)
3.Event
Monitor (Time Required : 15 minutes)
BONE
DENSITOMETRY or DEXA (Time Required: 30 minutes)
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- If
you are pregnant, or think you might be, please inform the technologist
- No
Nuclear Medicine exam or Barium X-rays 7 days prior to exam.
- Please
do not take Tums or calcium 24 hours prior to your test
- Please
wear clothing that does not include metal, i.e. zippers, metal
snaps etc
- If
you have had surgery on either of your hips or on your lower
back, please inform the technologist.
CAT
SCAN (for
specific and detailed instructions, ask nurse for CT prep sheet)
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If you are required to drink contrast:
If
you are scheduled for a procedure prior to 1:00 p.m., drink
oral contrast at 10:00 p.m. the night before the exam.
If
you are scheduled for a procedure at or later than 1:00 p.m,
drink oral contrast at 7:00 a.m. the day of the exam.
1.
ABDOMEN (Time Required : 90 minutes)
- If
you are pregnant, or think you might be, please inform the
technologist
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Notify the receptionist if you are allergic to iodine.
- Arrive
1hour prior to exam time to drink additional contrast.
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Nothing to eat or drink 4 hours prior to exam
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You may take your medications with a small amount of water.
-
Check with your physician to determine if you need lab work
if you are diabetic, over the age of 65, have had a kidney
disease, or have had chemotheraphy.
2.
PELVIS (Time Required : 90 minutes)
- If
you are pregnant, or think you might be, please inform the
technologist
-
Notify the receptionist if you are allergic to iodine.
- Arrive
1hour prior to exam time to drink additional contrast.
- Nothing
to eat or drink 4 hours prior to exam
- You
may take your medications with a small amount of water.
- Check
with your physician to determine if you need lab work if you
are diabetic, over the age of 65, have had a kidney disease,
or have had chemotheraphy.
3.
CHEST (Time Required : 30 minutes)
- If
you are pregnant, or think you might be, please inform the
technologist
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Notify the receptionist if you are allergic to iodine.
- Arrive
1hour prior to exam time to drink additional contrast.
- Nothing
to eat or drink 4 hours prior to exam
- You
may take your medications with a small amount of water.
- Check
with your physician to determine if you need lab work if you
are diabetic, over the age of 65, have had a kidney disease,
or have had chemotheraphy.
4.
Scan for Kidney Stone
- If
you are pregnant, or think you might be, please inform the
technologist
- NO
ADDITIONAL PREP
- You
do
not need to drink Contrast.
-
Check with your physician to determine if you need lab work
if you are diabetic, over the age of 65, have had a kidney
disease, or have had chemotheraphy.
5.
BRAIN/HEAD (Time Required : 30 minutes)
- If
you are pregnant, or think you might be, please inform the
technologist
- Nothing
to eat or drink 4 hours prior to exam
- You
may take your medications with a small amount of water.
- Check
with your physician to determine if you need lab work if you
are diabetic, over the age of 65, have had a kidney disease,
or have had chemotheraphy.
6.
SPINE (Time Required : 30 minutes)
- If
you are pregnant, or think you might be, please inform the
technologist
- NO
ADDITIONAL PREP
- You
do
not need to drink Contrast.
-
Check with your physician to determine if you need lab work
if you are diabetic, over the age of 65, have had a kidney
disease, or have had chemotheraphy.
X-Rays(No
special preparations needed for x-rays)
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- If
you are pregnant, or think you might be, please inform the technologist
- NO
PREP
MRI
SCAN
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Notify
the scheduler and/or the technologist if you have a pacemaker,
aneurysm
clips, or other metallic implants, as well as any work-related
metal shavings from working with sheet metal or welding.
If
possible, wear loose fitting clothing without metal snaps, buttons,
or zippers. Keep jewelry to a minimum. Female patients should
not wear eye make-up.
If
you are claustrophobic and will be requiring pre-medication please
check with your doctor. Your test will take approximately 2 hours.
You must have someone drive you to and from your appointment.
If you are pregnant or think you might be, please inform the technologist.
1.
ABDOMEN (Time Required : 90 minutes)
- Nothing
to eat or drink 8 hours prior to exam
- Check
with your physician to determine if you need lab work if you
are diabetic, older than 65 or have had kidney disease.
2.
BRAIN OR NECK (Time Required : 60 minutes)
- NO
PREP
- Check
with your physician to determine if you need lab work if you
are diabetic, older than 65 or have had kidney disease.
3.
SPINE (Time Required : 60 minutes)
- NO
PREP
- Check
with your physician to determine if you need lab work if you
are diabetic, older than 65 or have had kidney disease.
4.
EXTREMITY (Time Required : 60 minutes)
- NO
PREP
- Check
with your physician to determine if you need lab work if you
are diabetic, older than 65 or have had kidney disease.
5.MRA
ABDOMINAL REGION OR LOWER EXTREMITY RUN-OFF (Time Required
: 60 minutes)
- Nothing
to eat or drink 4 hours prior to exam
- Check
with your physician to determine if you need lab work if you
are diabetic, older than 65 or have had kidney disease.
Pulmonary
Function Test
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1.
SPIROMETRY (Time Required : 30 minutes)
2.
Histamine/Methacholine Challenge (Time Required : 30 minutes)
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You should not take bronchodilators 24 hours prior to test.
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No caffeine 48 hours prior to test
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No sinus medications for 4 days prior to the test
Ambulatory
Blood Pressure Monitoring (Time
Required : 30 minutes)
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NO PREP
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Wear a short-sleeved button up shirt or a blouse.
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