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Email: [email protected]          ​FAX​855-882-4479

For more direct response try texting :  214-942-3740

Anna Toker, MD

For MedSpa Services, Compassionate Use Consultation, and Medical Weight Loss

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skandii medspa Clean Start

Pelvic Floor Physical Therapy

A Convenient Procedure to

Screen and Prevent Cancer

Furthermore, it lessens painful reactions and complications, shortens hospital stays, and speeds up recovery.


If you are over 45, have a family history of cancer or a personal history of polyps and have NO GI symtpoms, consider a direct access colonoscopy

Direct Access Colonoscopy: Steps to scheduling

  1. Please call 214-942-3740 and leave your name and request with the auto-attendant
  2. Our staff will call you back, get your personal information, including your email address, and invite you to a patient portal
  3. You will be given an appointment for "Portal Access" this is not a true appointment, you will not be billed. It simply helps you access all forms
  4. Within 7 days of the "portal access" appointment, Log on to the patient portal, checkin online for your "appointment", and sign the consent forms and answer the questions as described in this video (Let us know if you struggle, we will call you to help)
  5. Once the self-checkin process is completed, our staff will call to confirm the information and get you a date and time for the procedure
  6. Watch the videos below about the bowel prep and the procedure itself
  7. Pick up your prescription at the pharmacy (or do the miralax prep as described below)
  8. Avoid aspirin or blood thinning medications for one week prior to the procedure unless directed otherwise by your primary care doctor
  9. Follow the prep instructions as described in the video below
  10. Arrive when the facility tells you to arrive- the OR schedule does change sometimes without Dr. Toker's input

If you have a medical symptom, you should make an appointment with Dr. Toker and not go through the direct access process

Cologuard vs Colonoscopy

In this video, I discuss how Cologuard is a pre-screening colon cancer test. It counts as your cancer screening test for most insurances, so, if your test is positive (30% chance it will be) then you need a diagnostic colonoscopy to find the potential polyp or tumor. Consult with your insurance company regarding costs. It may be more cost effective to you to have a screening colonoscopy. 

Colonoscopy bowel prep and procedure information

Bowel Prep for colonoscopy

The worst part of a colonoscopy is the bowel prep. In this video I explain the process of a bowel prep.

If your insurance does not cover the bowel prep, or if your portion of the cost is prohibitive, you can use miralax as a prep. You will need 2 large bottles of miralax powder. Beginning at 3 PM you will mix 1 capful of powder into 8 ounces of a clear liquid of your choice (not red) and drink the entire glass. Repeat drinking a glass of miralax mixture every 15 minutes until your stool turns clear like apple juice. This will take typically 1 1/2- 2 bottles of powder in 3-4 liters of fluid to accomplish.

Colonscopy procedure details

In this video I explain the nature of a colonscopy, how to prepare for it, the risks, and the benefits.

To schedule a colonoscopy, we need to know your medical history to make sure we schedule the procedure properly as a normal risk colonoscopy or a high risk colonoscopy (personal history of polyps or cancer, family history of cancer). This procedure requires anesthesia, so we will need to know your height, weight, medications, and anesthesia risk factors. Finally, we need accurate insurance information. The insurance reimbursement for this procedure is based on your personal history and your insurance contract. Please contract your insurer to get details about what they will and will not cover. In some instances, based on the above information, we can schedule this procedure from history alone without a doctors visit. All diagnostic procedures require a meeting in person or by telemed prior to the procedure.

Lets get those assets checked!

Colorectal Colonoscopy for Cancer Screening and Prevention 

I also offer colorectal colonoscopy here at Anna Toker, MD in Mansfield, Texas. This procedure screens for cancer at an early stage and prevents it from spreading further. 

Watch the above videos for details on the preparation- but if you want the abbreviated version:

Step 1) day before surgery you may eat a small breakfast, then start a clear liquid diet at 9 AM. You will stay on this clear liquid diet until 4 hours prior to your procedure (please discuss your routine medications with Dr. Toker in regards to how to take those)

Step 2) the day before the procedure you will drink your prep with the first dose at 3 PM and the second dose at 7 PM (this is different than what the published instructions on the box tell you to do)

Step 3) nothing by mouth for 4 hours before the procedure

Step 4) come to facility 2 hours early and someone will have to drive you home

Step 5) after the procedure you may resume a normal diet but can not operate machinery or drive for 24 hours

Learn More About Anorectal Surgery