Nuclear Medicine

TRICARE Online

TOL is a web-based system that allows TRICARE beneficiaries to make medical appointments on-line, anytime, 24/7. It also provides a variety of other helpful medical information and services.

Appointments
By Phone
719-526-2273
866-422-7391
Prescriptions
By Phone
719-524-4081
888-745-6427
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Secure Messaging

Our office is online!

You can now send a secure email to your care team through TRICARE Online Secure Messaging!

To get started, give your Email address to our staff then click the Secure Messaging link below to Sign In or to Create an account.

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Nurse Advice Line

Need professional medical advice after hours? Call TRICARE’s Nurse Advice line for help 24 hours a day, seven days a week. The Nurse Advice Line can provide health care advice, make appointments with your PCM at Evans and get referrals for urgent care, 24 hours a day, seven days a week.

By Phone
800-874-2273 Option 1
719-526-2273 Option 3
719-524-2273 Option 3
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Locations

Evans Army Community Hospital

Address

Nuclear Medicine
Evans Army Community Hospital
1650 Cochrane Cir
BLDG 7500 , First Floor
Fort Carson, Colorado 80913

Contact
  • Phone: 719-526-7350
Business Hours
Directions

Nuclear Medicine is located on the ground floor level in the radiology department, which is next to the emergency department. Patients can park in parking lot F Monday – Friday (just past the emergency room entrance), enter through glass doors at the central entrance, and turn right into Evans Hospital. Take another right and you will see radiology is near. Follow the hallway past the Radiology check-in desk and the Nuclear Medicine desk is located on your right.

About

The Nuclear Medicine Department offers a full complement of nuclear medicine exams and imaging procedures to patients of all ages. These imaging services range from simple bone scans to myocardial perfusion imaging as well as thyroid ablations.

Appointment Information

Please arrange for childcare before your appointment due to the possibility of radiation exposure while in nuclear medicine.

Services

Appointment
  • Bone Scans
  • Hepatobiliary/HIDA Scans
  • Thyroid Uptake and Scans
  • Myocardial Perfusion Imaging
  • Gastric Emptying Study
  • Lung Scans
  • Parathyroid Scans
  • Bone Densitometry
  • Thyroid Ablation/Therapy

Who Can Be Seen Here

  • Active Duty Military
  • TRICARE Prime
  • TRICARE Plus: Ages 3 and over

Exam Preparation

Below are some of the exams performed here and their required preparation. If your exam is not listed or you have further questions please contact us for guidance.

This exam is protocoled by our radiologist before being scheduled. Depending on the radiologist's recommendations this exam could consist of 1 early morning appointment that lasts 3-4 hours or 2 appointments on 2 consecutive days that last 2-3 hours each. Upon your arrival an IV will be started on you so we can administer our tracers and possibly a pharmaceutical later in the morning that will simulate your heart being stressed.

Some rules that should be followed before your exam are listed below. Failure to follow these rules could result in your appointment being rescheduled or a non-diagnostic study.

  • Do not consume food or beverages containing caffeine or nicotine for at least 24 hours before your exam.
  • Do not eat or drink anything after midnight the night before your exam.
  • If you are diabetic please inform the technologist.
  • Per the Department of Internal Medicine, do not take any over the counter drugs or prescription medications containing caffeine, theophylline or beta blockers at least 24 hours before your exam.
  • If you have any concerns about your medications please check with the physician that ordered your study.

This exam consists of 2 appointments. At the first appointment you will be injected with a small amount of tracer that will go to all of your bones. This appointment takes approximately 15 minutes.

After the first appointment, you will be asked to return 3-4 hours later to have more pictures taken. The return time is dependent on what part of the body we are scanning. This second appointment lasts 1-1.5 hours.

There is no preparation for this exam but we will ask you to drink lots of fluids (48 ounces) and use the restroom as often as possible between your first and second appointment.

This appointment lasts approximately 15-20 minutes and does not require an injection. We will be taking pictures of your lower back and your hip. If we are unable to take a picture of one of these body parts then we might substitute it with your forearm.

Please do not wear any pants with zippers or metal buttons. Your shirt should also be absent of any metal buttons or zippers.

This exam lasts approximately 2-2.5 hours. You are allowed to bring something to listen to music on during your exam.

When you arrive for your exam we will start an IV in your arm so we can inject the necessary medications to help us determine the function of your hepatobiliary system.

Some rules that should be followed before your exam are listed below. Failure to follow these rules could result in your appointment being rescheduled or a non-diagnostic study.

  • Do not consume food or beverages after midnight the night before your exam but at least within 18 hours before your exam.
  • If you have to take medications, please take them with minimal amounts of water and avoid dairy products.
  • When scheduling the exam please inform the technologist of any pain medications you might be taking. You might have to discontinue use for up to 6 hours before the exam or it could result in a non-diagnostic study.

There are no side effects from the tracer that we use for this exam. Sometimes there are side effects from the Kinevac (CCK) that we use to help in our diagnosis of the function of your hepatobiliary system. These side effects include abdominal discomfort or pain, nausea and vomiting but some patients do not experience any side effects at all.

This exam consists of 3 separate appointments. At the first appointment you will be required to swallow some pills that contain I-123. This is the tracer that our cameras will detect in your thyroid gland.

The second appointment is approximately 6 hours after your first appointment. We will take pictures to determine how much of the I-123 pills was actually absorbed by the thyroid gland. This appointment takes about 45 minutes.

The third appointment takes place 24 hours after you had swallowed the I-123 pills. We determine how much of the I-123 remains in your thyroid gland which only takes about 10-15 minutes.

The following is a list of general rules for this exam. You should also follow the instructions on the information sheet that was given to you when you made your appointment. Failure to follow these rules could result in your appointment being rescheduled or a non-diagnostic study.

  • 3-4 weeks before the first appointment: No x-ray procedures involving iodine contrast (CT, IVP, etc.)
  • 2 weeks before the first appointment: No oral iodines (Lugol's solution, vitamins containing iodine, etc.)
  • 2 weeks before the first appointment: No iodized salt, seafood, seaweed and kelp products, milk/dairy products, eggs and chocolate.
  • 3 days before the first appointment: No antithyroid meciations (Propylthiouracil, Methimazole, PTU, Carbimazole)
  • Day of first appointment: Nothing to eat or drink 1 hour before your first appointment and 1 hour after your first appointment.

This exam takes approximately 4 hours. You are allowed to bring a book to read or something to listen to music on during your exam. At your appointment you will be fed a small meal consisting of a hard boiled egg, 2 pieces of bread, jelly and some water. The egg contains a small amount of tracer that is detected by our cameras. If you have dietary restrictions due to food allergies (e.g. celiacs) please inform us when you make your appointment so we can address those issues before your exam.

  • You should have nothing to eat or drink after midnight the night before the exam.
  • The following medications should be stopped 2 days before your exam but this should be discussed with the ordering physician. These medications include but are not limited to: Reglan (metoclopramide), Pro-Banthine (Propantheline), Imodium (Loperamide), Lomotil (Diphenoxylate), Motilium (domperidone), Opioids (e.g. Demerol, Codeine, Morphine, Oxycontin, Percodan, Percocet), Erythromycin, Tranquilizers (e.g. Valium, Librax, Ativan, Thorazine) and Antispasmodics (e.g. Bentyl, Donnatal, Lavsin and Robinul). You should also not take any laxatives the day before your exam or the day of your exam.
  • Laxatives should be discontinued the day before your exam and any time during your exam.
  • Do not smoke or consume alcohol the morning of your exam.

If you are diabetic we ask that you bring your glucose monitoring equipment with you so you can check your glucose levels before, after and possibly during the exam. Also if you are taking insulin, please bring your regular morning dose of insulin with you.

This study consists of 2 separate appointments. At the first appointment you will be injected with a tracer and images of your parathyroid gland will be obtained. The injection is like us drawing blood but instead of us taking blood, we will be giving you a small amount of the tracer that will go to your parathyroid gland.

The second appointment takes place 3 hours after you were injected and lasts 1-1.5 hours.

There is no special prep required for this exam.

Frequently Asked Questions

Q. Can I bring my child to my Radiology Appointment?
A. No. Due to the ionizing radiation used in some exams, we suggest you try to find other accommodations for your children during your appointment time.

Q. Who will contact me with the results of my exam?
A. The physician that ordered your exam should contact you with the results if you haven't already scheduled a follow up appointment with them.

Q. How long does it take for my doctor to get the results of my exam?
A. The doctor that ordered the exam will normally have results within 48 hours of your exam's completion. If they have not received the results please contact us at 719-526-7300.

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