What can I expect at my first visit?

A new patient visit will typically be approximately one hour and consist of a complete history and physical. At the end of the visit, you will have a clear plan of action. The first visit WILL NOT include any procedures or tests (lab tests may be performed). Your child can eat or drink normally prior to the appointment. If there are any medications your child is currently taking, no need to stop them. Also, a parent or guardian (if not a biological parent, please bring all paperwork, i.e. adoption, foster, etc) must accompany the child on this first visit.

What if I need to reschedule?

New Patient or Follow-up appointments to see Dr. Strobel
  – call office during office hours
Nutrition Patients (to see Jennifer only)
  – leave message with Jennifer during office hours
Endoscopies (EGD/Colonoscopy)- call office during regular office hours, UNLESS it is after hours the night before a scheduled procedure. Please alert us anytime you cannot make it to a scheduled procedure.
Radiology (X-ray, CT scan, MRI, Ultrasound, etc)- call ETCH radiology at 865-541-8116 to reschedule. Then call our office during regular office hours to alert us of the change so we can alert your insurance company.

How do I find out about lab or test results?

Per our office policy, you will not be notified if labs are normal or if the plan of care is not going to change based on the results. If the labs are abnormal or the plan of care is going to change, you will be contacted within 24 hours of Dr. Strobel reviewing the results. If you are curious about the results of a certain lab or test, you may call the office and a nurse will be happy to give you the results.

Why can’t I eat before a procedure?

To ensure the safety of your child and the accuracy of the test, we may ask that you not eat before a scheduled test or procedure. If scheduled for a procedure that requires sedation, it is EXTREMELY dangerous for your child to eat or drink less than 8 hours before the procedure. If your child has had anything to eat or drink, please alert one of the nurses.

Why is my child having accidents or “diarrhea” on Miralax?

This is a common result of Miralax initially. If your child has recently started Miralax and has not had one to two large bowel movements in order to clear out the old stool that has built up in their colon, your child is experiencing leakage. Leakage may appear like watery diarrhea that occurs in frequent, small amounts. We understand this can be frustrating for you and your child, but please DO NOT stop the Miralax. Stopping the Miralax can make the problem worse. Once the old stool has passed, your child should start to have mushy, applesauce consistency stool, which is our goal for them.

Why can’t I get my medicine from the pharmacy?

First, call the pharmacy to see why they haven’t filled your medication. If you have failed to follow-up with our office, we CANNOT call in medication. This is for the safety of your child as well as insurance compliance. If you schedule an appointment, we will be happy to call in 30 days of the medication ONCE so that your child will not go without. If your insurance company does not cover the medication, call your insurance company and ask which medication is “preferred” on your plan. If the medication requires a “Prior Authorization”, call the office so we can initiate an authorization with your insurance company. If your medication is very expensive, please call your insurance company. It may be that there is a similar medication that is cheaper.
*The on-call nurse CANNOT call in medications after-hours. Please call during office hours to resolve your medication needs.