Flexible Sigmoidoscopy

What is a flexible sigmoidoscopy?

Flexible sigmoidoscopy is a procedure that enables your physician to examine the lining of the rectum and a portion of the colon (large bowel) by inserting a flexible tube that is about the thickness of your finger into the anus and advancing it slowly into the rectum along the length of the lower part of the colon.

What preparation is required?

The rectum and lower colon must be completely empty of waste material for the procedure to be accurate and complete. Your physician will give you detailed instructions regarding the cleansing routine to be used. In general, preparation consists of one or two enemas prior to the procedure but may include laxatives or dietary modifications. In some circumstances, for example, if you have acute diarrhea or colitis, your physician may advise you to forego any special preparation before the examination.

What about my current medications?

Most medications can be continued as usual. You should inform you physician of all current medications as well as any allergies to medications or latex several days prior to the examination. However, drugs such as aspirin or anticoagulants (blood thinners) are examples of medications whose use should be discussed with your physician.

What can be expected during flexible sigmoidoscopy?

Flexible sigmoidoscopy is usually well tolerated. However, there is a feeling of pressure, bloating, or cramping during the procedure. In some cases your physician may give you medication through a vein to help you relax and better tolerate any discomfort from the procedure. You will be lying on your left side or on your back while the colonoscope is advanced slowly along the length of the rectum and sigmoid colon. As the instrument is withdrawn, the lining of the intestine is carefully examined. The procedure usually takes anywhere from 5 to 15 minutes.

What if the procedure shows something abnormal?

If the physician sees an area that needs evaluation in greater detail, a biopsy (sample of the colon lining) may be obtained and submitted to a laboratory for further analysis. If polyps (growths from the lining of the colon) are found, they may be biopsied but are generally not removed at the time of the sigmoidoscopy. Your physician will likely request that you have a colonoscopy (a complete examination of the colon) to remove any large polyps that are found, or any small polyps that are found to be adenomatous after biopsy analysis.

What happens after a flexible sigmoidoscopy?

After sigmoidoscopy, the physician will explain the results to you. You may have some mild cramping or bloating sensation because of the air that has been passed into the colon during the examination. This will disappear quickly with the passage of gas. You should be able to eat and resume your normal activities after leaving your physician’s office or the hospital.

What are the possible complications of a flexible sigmoidoscopy?

Flexible sigmoidoscopy and biopsy are generally safe when performed by physicians who have been specially trained and are experienced in these endoscopic procedures. Complications after flexible sigmoidoscopy are rare. It is important for you to recognize early signs of any possible complication. Immediately contact your physician if you notice any of the following symptoms: severe abdominal pain, fevers and/or chills, or rectal bleeding of more than 1/2 cup. It is important to note that rectal bleeding can occur even several days after the biopsy. Small amounts of bleeding are not unusual after sigmoidoscopy, especially if one or more biopsies are taken.

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What Our Patients Are Saying

Michelle F. ★★★★★ From pre-op information provided via phone and electronically to the nurse escort to my vehicle (driven by my husband), my experience was exemplary. Every person and every interaction very positive and professional.Mark S. ★★★★★ Dr. Yusuf is a terrific physician, providing excellent specialty care. The office itself is a little cramped and dated, but the staff is efficient and I’ve never waited too long to be seen. Recommend this group and especially Dr. Yusuf.Edita H. ★★★★★ Very positive and pleasant. Nice staff and very pleased with Dr. Julien.leanne M. ★★★★★ Have been extremely Blessed!! Had major surgery in 2020. Dr. Coffey and his team plus All of the office staff were wonderful. I have beeb released from Dr. Coffey's care unless of course problems arrive in the future. The 7N unit @ Sparrow where I stayed have an Amazing team of RN's as well. Thank you AllCynthia D. ★★★★★ Dr Opreanu and staff are great! Professional and caring and helpful.Happy Y. ★★★★★ The receptionist was exceptionally fun and polite. The preop nurse was available and efficient. The phlebotomist was friendly and great. Dr Walling and my CNRA were kind achieved maximum productivity with minimum wasted effort or expense. Overall, great experience!Bob M. ★★★★★ Dr. Julien and Dr. Opreanu are the best. They literally saved my life. Only great things to say about them and the practice.mrwill2722 ★★★★★ Great experience. Prep was the hardest part as always but the hospital part was great.steve M. ★★★★★ To the point and direct. Your in and out a very professional group.Connie A. ★★★★★ I had a wonderful experience at lansing surgery center. The Dr and staff were so polite and caring. I would highly recommend this place to anyone.Ray H. ★★★★★ Staff very friendly, communication good, procedures quickly done.Mary D. ★★★★★ I had worried myself to the point of being very anxious. Dr. Oprenau and his staff calmed me and very gently and efficiently took care of my problem. I’m so grateful.Mitch I. ★★★★★ Very professional administrative staff and medical providers. Doctors and nurses were friendly and most competent. They make an unpleasant medical procedure pleasant😊Bob C. ★★★★★ Phenomenal, extremely competent, honest and caring Doctor.Mark T. ★★★★★ Dr Julien's office is always efficient and professional just like the Doctor.Kristine C. ★★★★★ Speedy at registration. Kind staff. Excellent surgery with Jannel Lee-Allen. Grateful and thankful for such caring staff. Vernor's was my end of surgery reward! 😁Diane M. ★★★★★ Dr. Julien and his staff at Lansing Colorectal were so kind, compassionate, and very professional and knowledgeable. I felt at ease right away and would definitely recommend them for anyone who needs GI care.Richard W. ★★★★★ Very friendly, extremely professionalRebecca T. ★★★★★ From check in to exit, everyone was amazingly helpful and friendly. I felt like a human and not a number which is refreshing now days. The doctor was amazing and the nurses were great. Thank you for a wonderful experience.Brenda H. ★★★★★ Very friendly environment. They meet every need and listen to what your concerns are. Thorough, courteous, and excellent staff.Anita S. ★★★★★ Everyone there is so nice and the Dr. Is very thorough. I highly recommend them.Canda F. ★★★★★ Excellent experience from the time I walked in to the time I walked out. Thank you!!Susan P. ★★★★★ Dr.j Thelen has been caring for me for around 7 years he's always taken very good care of me he shows he is really cares any problem I've had he has always taken care of it right away I have recommended him to friends and family because I believe he is one of the best out there any problem I've had no matter how small he is always concerned and ready to find out the problem will continue to go to him until he retires and he's young so he will be around for quite awhile.Mike E. ★★★★★ The staff is very friendly and professional. Dr Plahne is serious and gives me honest opinions and suggestions. Thank youJennifer A. ★★★★★ I would like to thank everyone. You all are so helpful, take time to answer questions and made me fell very welcome. I wish I would of found you first before I had my operation. If I need another operation this is where I would come. Thank you.Brian F. ★★★★★ Staff is extremely professional and friendly. Plan to return for future needs.Julia S. ★★★★★ Everyone very nice and Donald very informativeSandy D. ★★★★★ Staff was friendly, helpfull and professional.Alan W. ★★★★★ Arrived at scheduled time. Prompt checkin. Taken back within minutes to prepare for the procedure. They were running ahead of schedule. performed the procedure and was complete and walking out the door before my scheduled procedure time. Staff was friendly and effecient. Best colonoscopy I ever had.Jaclyn S. ★★★★★ I had a great experienceJim W. ★★★★★ Very professional, friendly, and competent staff. Would very much recommend them.gena G. ★★★★★ Jonathan Thelen, PA, is a very thorough and compassionate provider. He takes time to know his patients history and has their best interest with their care.Terri H. ★★★★★ Everyone at this office from the front office staff, to the clinic assistant, to the scheduler, to the physicians are professional, friendly and helpful.SANDRA L. ★★★★★ Best experience here, perfect!Gary R. ★★★★★ Very good everything explainedGeorge T. ★★★★★ Excellent customer service. No delays for service.Roxanne P. ★★★★★ Everyone knew their job and things went very smoothly and quickly. Everybody was polite and when I need to go back, that’s where I will go.Ruth G. ★★★★★ Johnathan gives personal care. Thank you. He is a definite asset to your Staffcharlene P. ★★★★★ The staff is very friendly, efficient, and show concern for their patients. I appreciate that Dr. Julien is attentive, thorough, and knowledgeable in his field as he cares for my medical needs.Karen P. ★★★★★ Dr. Janke is very knowledgeable and a great listener. I really appreciate that.Tracy M. ★★★★★ so far i like him a lot . takes things seriously and cares. he doesn’t mess around when he thinks something is wrong unlike the many many Dr’s i have seen in the past .. 10 stars!Antoinette S. ★★★★★ I am thoroughly impressed by my doctor Dr. Julian Lucas and the staff that were so attentive to making sure my needs are met.David F. ★★★★★ Staff at the DHI's Grand Ledge Office were very nice and worked together to come up with a treatment plan that would work best for me. They listened and answered all my questions which made me feel better regarding my health concerns. I would highly recommend this office to anyone seeking help with their digestive issues.Kenneth F. ★★★★★ My experience was positive from the front office staff to my medical interaction with Ms Kelly Heart, PA.Susan D. ★★★★★ From the scheduling process of my colonoscopy through discharge, everyone was great! No issues once returned home. Definitely recommend LSC!don K. ★★★★★ very professionaledna B. ★★★★★ Awesome experiencep S. ★★★★★ Friendly, courteous staff. Quick processing with minimal waiting time for appointment. Friendly, personable, professional Physician and assistant. Very good experience at DHI/CS.E C. ★★★★★ Dr. Plaehn was great. Stopped in before the procedure and answered any questions. The staff, from Ann at reception, Joey checking me in, Jami and Jackie helped getting ready, and Beth handled making me comfortable in the OR. They were all terrific! Dr. Plaehn arrived after I woke up and gave us a run down of everything he found and what happens next. So great to have such a wonderful group of professionals. Michelle gave us our checkout instructions and saw that I was comfortable and safely on our way home.Jane M. ★★★★★ The doctor was considerate and friendly. Service at the clinic was prompt and efficient. All in all, a very professional groupWillow R. ★★★★★ I didn’t wait long, at all, for health professionals to see me.I liked the how organized and efficient they are. Everyone was friendly and attentive.Steve S. ★★★★★ Dr. Coffey is amazing pretty much a pain free experience. Thank you!Hope H. ★★★★★ All the staff were polite they explained everything. They made me feel comfortable. The procedure went well. The doctor was so nice. I thank them for making me feel confident in there abilities. I recommend the digestive Health InstituteDavid L. ★★★★★ I was referred to the Digestive Health Institute (Capital Colorectal) by my primary care physician and have been very happy with the care and expertise of the doctor I am seeing there (Lucas Julien). The support staff are also very nice.Brandon H. ★★★★★ John Walling Jr. was professional and knowledgeable. I felt comfortable with his service. If having a colonoscopy done I would highly recommend him and his staff at the Lansing Surgical Center. Thanks John!Faye N. ★★★★★ I was very apprehensive about having a colonoscopy but Allison was so knowledgeable, personable and friendly in scheduling my procedure. Dr. Opreanu was so patient and respectful in listening and answering my questions. He was very skillful in removing 2 pre-cancerous polyps. Thank you for an excellent experience.Mrgf D. ★★★★★ Dr Jones has a great demeanor and he's willing to investigate and give you peace of mind regarding your concerns. Family members were also very happy with his explanations after procedureJohn C ★★★★★ I've have had three, if I remember correctly, Colonoscopies and an endoscopy in the last 20 years with Dr. Yusuf. I found him to be very nice and the procedures went without a problem. In addition he prescribed Omeprazole when it was first coming out, before it could be found over the counter. My esophagus was pitted and damaged from GERD. His prescription was life changing for me. At last it didn't feel like I was burping lava all day long.Anita ★★★★★ Everyone from the beginning to the end of my procedure were professional and very nice. The facility was clean and I felt comfortable while in their care.Krista Jo L. ★★★★★ Dr. Yusuf was very thorough and made me confident that he was checking my gastro system completely so I could relax about this area of my health.Diane O. ★★★★★ Very good experience! The staff was very friendly, efficient and professional.Annette F. ★★★★★ A very welcoming environment.The receptionist was pleasant, professional & thorough. She pointed me to a waiting area & told me I will be called shortly.The nurse was friendly & reassuring. The Doctor examined everything as he was examining me which helped me to understand my condition and I could ask any question pertaining the condition & he patiently explained. Privacy was paramount. I have a fruitful, relaxing visit.Barry G. ★★★★★ Communication was excellent. I was able to ask questions without interruptions and received the information that I needed in detail.lori K. ★★★★★ He is the most caring physician and pays great attention to detail. He listens to the patient and makes sure they get the best care possible. He is one of a kind for sureMalvin B. ★★★★★ I had a clearly outstanding experience with digestive health systems. Everyone was courteous and kind and was very relaxing to me. I was nervous coming in and was at ease and just a few minutes was in and out and less than an hour thank you for a clearly outstanding experience in the medical profession.Julie T. ★★★★★ Dr. Coffey and his staff, in my experience, are the best in the business of Colorectal Surgery. I would not hesitate to share what I've been through with anyone who required these specific surgical procedures.Ron L ★★★★★ Lansing Surgery Center is very professional, effiecient, and on time. My procedure required 15 minutes in the OR (under sedation). The total time (door in to door out) was 1 hour and 20 minutes.Yvonne M. ★★★★★ Very friendly and professional staff. Dr. Opreanu was timely and informative both before and after my procedure. Incredibly clean facility. I recommend Dr. Opreanu and the Lansing Surgery Center to anyone looking for a positive experience and outcome.Candace A. ★★★★★ Very thorough staff. Well explained medical info.Sirpong K. ★★★★★ Dr. Lee Alen is very good Doctor including her staffs. Throughly explains step-by-step of procedure and follow up her care to patients.moustafa H. ★★★★★ Outstanding physician clinically and ethicallyEloise ★★★★★ Very nice Patient with me and understandingMalina S. ★★★★★ The staff were great! Joking around so it wasn't so nerve wrecking. Over all I would say this is the place to go if you have to go.Christina F. ★★★★★ Everyone was extremely professional and kind. The process was very efficient, and the center was well run. I was told what to expect and everything happened as expected.Catherine L. ★★★★★ The PA, Grace, listened intently as I explained my health concerns. Grace is an active listener and she gave me viable suggestions and reasons for what she was recommending to me. The time in the waiting room was maybe 1 minute. The time waiting to be seen in the exam room was under 5 minutes. Checkout was prompt and efficient. Well done everyone!Brian ★★★★★ Aesome!Josh D. ★★★★★ Excellent!Mary Lou P. ★★★★★ Excellent care by professionals. Everyone is friendly and helpful. It is apparent that they care about their individual patients. I would highly recommend them.Cherrye Marchelle M. ★★★★★ He has been my doctor since 1995 when he first started his business inmuch smaller office.I have 3 other family members that also go to him now that I referred them to Dr.Ross. Everyone one of us loves him.I refuse family members to see him for their troubles like I have. He is the best in the Lansing area.Alvin C. ★★★★★ Great staff all the nurses are caring always willing to help.Dt Jullen very skilled in performing colonoscopy no post procedure issues.Tom CRNA explained the process of anesthesia. Facility is very clean and overall GREAT STAFF.😀Chris Mac D. ★★★★★ Doctors and staff are super friendly and helpful.Cheri H. ★★★★★ From the minute I got registered to getting my colonoscopy, everyone was friendly and kind. The nurses were amazing and put me at ease. It was a good experience. Glad it's over though! Thanks to ALL of you,it went well.Carl G (. ★★★★★ Friendly. Professional and courteousPaula T. ★★★★★ This was my 2nd time needing to see a specialist at D.H.I., and highly recommend this professional office to anyone requiring their help.The Dr. and his staff have always been very kind, caring, detailed, and professional.My specialist, (who I'll call Dr. O. , ) is a very caring, smart, and through physician. He and his staff always do thier best to make me feel as comfortable as possible, and to take the stree out of the visit by being respwctful, considerate, and calm.Dr. O. recommended I get a specialized kind of physical therapy before I have any surgery.Thanks to him and his recommendation, the issue I had, has all but resolved itself. He gave me a choice to go ahead with surgery or not and see how things go. I chose to waylay surgery, and he agreed. That told me he actually does care about his patients, and is more concerened about me, than lining his practices pocket.I'm extremely grateful for having the Digestive Heath Instute in my line up of my personal physicians. Thank you again Dr.O., and all of your kind, caring staff.Heidi D. ★★★★★ Dr. Jones is very knowledgeable, intuitive, kind and a pleasure to work with. The staff are very complimentary of him, and I felt very well cared for.Denise D. ★★★★★ Wait time was short. And everyone I interacted with was pleasant and friendly.Irish F. ★★★★★ Obviously we wish we never would’ve had to have a visit here, but the staff made a terrible situation better through their expertise, kindness, empathy and honesty. My daughter and I particularly appreciated Nicole’s down to earth demeanor and kind heart. We appreciated Dr Coffey’s skill, honesty and approachability and thoroughness with our questions.Jennifer Kay D. ★★★★★ The office is very nice and very easy to access and the staff is very friendly and helpful extremely polite. Overall I had good experience.Daralee G. ★★★★★ I trust Johnathan with my life literally. I have been with this group for over 25 years Chrones IBS etc. A few months back hospitalized for 13 days after a very long remission. Every day one of the GI drs were there to see me.They continued daily to assess and answer all my concerns.I will continue to see Jonathan as needed as he is by far one of the most compassionate educated of any GI I've worked with on remaining healthy 😀Kathleen L. ★★★★★ They don’t give up even though the answers don’t magically appear. And they do it with care and hopefulnessQiana Green S. ★★★★★ Everyone is super nice and informative. Dr. Opreanu is fantastic!Kim F. ★★★★★ Office staff smiling and friendly. PA was very thorough and answered questions. Scheduling was very accommodating.Lois C. ★★★★★ This was my first visit to Dr. Julien’s office. The day before, the office called me to confirm information on my referral which was not correct. That was straightened out. On the day of the visit, the office staff was friendly and I did not wait long to be called back. DR. Julien was pleasant, and took his time answering my questions. I felt good about the appointment and left with confidence in him as my doctor.Laura M. ★★★★★ From scheduling to the procedure, everyone that I talked to/met were very friendly and professional. They were all willing to spend extra time to make sure that all of my questions were answered and that I was comfortable. Very organized and the facility is brand new (Next to the new McLaren hospital). Evelyn, my nurse, was especially helpful and went above and beyond to make sure that I was well taken care of. Thank you to all who had a part in my visit there. Highly recommend!Dan K. ★★★★★ Outstanding staff. Office runs smoothly. I would highly recommend Lansing Surgery Center to anyone needing surgery.Wilma R. ★★★★★ The quality of care is among the highest I have ever received .The staff is awesome and very pleasant. The doctors truly care about their patients and it shows in the care they give.Desiree Q. ★★★★★ I was treated with excellence! Thanks to everyoneLinda D. ★★★★★ Very helpful at reception. Nurse very responsive and explained all the process. Anathesia prep expert very professional. Appreciate Physician review and information.Rosie D. ★★★★★ I have the most wonderful experience with Dr. ALBERT Ross BEEN MY DOCTOR! He have brought me through so much. I have been under his care for about 20 years or longer. He is the most wonderful and caring DOCTOR and person. He take time time to explain to you what is going on with which make you feel comfortable. He have time for his patient. His patient always come first. Thank youROSIE DAVISJoy ★★★★★ Everyone was very pleasantDanielle D. ★★★★★ He is an amazing Doctor and is very caring. He listens and is genuine.Mike C. ★★★★★ My appointment was for an infusion to be administered. I was greeted by the receptionist who was pleasant and accommodating. After a brief wait I was called in for my infusion. The provider was most impressive. He was knowledgeable, professional and efficient. He was busy with multiple patients, but handled the workload competently and with proficiency.Kathy W. ★★★★★ The whole staff of nurses anesthesiologist and Dr Lee-Allen was the best. Very knowledgeable caring and polite.Jamie S. ★★★★★ I was sent for a referral for possible surgery on a lipoma in my intestine… After meeting with Dr Coffey and discussing my case and options I was relieved to know surgery wasn’t really a necessity at this time …I had many questions about my issues which he very professionally addressed in terms that were understandable to me … office and staff were warm friendly and professional…. I would give a high recommendation to this practice and Dr CoffeyTheRealOG ★★★★★ The office and medical staff were very professional. My procedure went 100% better than I anticipated.John B. ★★★★★ Professionalism is the one word that describes everything you folks do. Everyone i had contact with let me know they really cared. Dr. Walling has done my colonoscopies for decades. He REALLY does listen to your questions--and ANSWERS them!Anna F. ★★★★★ I need at least TEN stars to express how appreciative I am of DHI today!!! They went so over and beyond to help me; it was truly unbelievable and far exceeded my expectations! I had severe pain all through the night in my lower right groin area. I thought it might be a diverticulitis flare and tho my pain warranted a trip to the ER, I did not want to go there! So I presented to DHI on Ramblewood and said "I think I'm in a diverticulitis flare, I have a lot of pain, do you have any emergency fit-in appointments today?" Turns out they took me right back, even though I have not been seen there in over 10 years! Brooke Janke was SPECTACULAR! She explained everything, answered all my questions, devised an excellent treatment plan AND will see me back in 1 week! Less than 1 hour later, I was on my way with a treatment plan that was sure to reduce my pain and clear up the flare. This kind of skill, responsiveness, and compassion I thought was a thing of the past. I'm beyond grateful that the team at DHI proved me wrong. This whole experience today was exceptional! Thank you SOO much! I am feeling much better as I write this.Hanna J. ★★★★★ Was healed by Dr. Opreanu. He knew exactly what to do! I’m so glad that I was referred here. I also like that they have a bystander during observations. It makes me feel safe.Cherolyn S. ★★★★★ All the staff and Dr Julien were very kind and caring.Dale N. ★★★★★ Went greatRobert N. ★★★★★ A good experience all around.Mona D. ★★★★★ They were pretty quick, friendly and efficient.Joseph G. ★★★★★ From the moment I walked in the door, I was met with smiles and professionalism. The nursing staff were absolutely cheerful at 7 am. Crystal and Michelle are absolutely the best. Beth and her knock out drugs 😆 were very comforting. Doc Coffey, like the drink but not spelled the same!!! Was a spot on pleasant professional. I will go no where else for this procedure. Thank you all for a pleasant experience.Jonda W. ★★★★★ I had great service with Dr Plaehn.he explained everything very clear to me.so glad I found him for my drjs_loader

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, click their image or visit our providers page.

Dorian Jones, MD

Lucas Julien, MD

Razvan Opreanu, MD

Scott Plaehn, DO, FACOI

Albert Ross, MD

John Walling, Jr., DO, FACOI

Siaka Yusuf, MD

Our Locations

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?
An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If an Digestive Health Institute physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.
How do I get test results?
We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. You may call 517-332-1200 and press “8″ and your call will be directed to the triage nurse.
What insurances do you accept?
Digestive Health Institute accepts payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 517-332-1200 #6.

What if I need to contact the doctor?
To contact your doctor during business hours please call our main number 517-332-1200. If you have an urgent need to speak with the doctor after hours please call our answering service at 517-483-9124 and the doctor on call will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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