Division of Pediatrics
Metabolic Diseases Unit and
Surgical Day Care
Tel: 02-6779307
Fax: 02-6779018
At the request of Dr ……….….. , the patient ………… ………… I.D. # ……………….. has been scheduled for a muscle biopsy to be performed at the Hadassah Medical Center, Ein Karem, on Wednesday the ….. of ………………….., 200…
Please arrive at the Metabolic Diseases Unit on the 3rd floor no later than 11am on the preceding Monday, the …… of …………………, in order to be assessed by the anesthetist, to become acquainted with the treating personnel and to receive more detailed explanations and instructions.
You must bring with you the following documents:
1. A letter from the referring physician, including a cardiac examination and ECHO study. This letter must include a comprehensive history of the illness, details of all treatments and medications and any additional information that is relevant for the anesthetic procedure. Lack of these vital details will result in deferral of the biopsy.
2. Results of a blood count, electrolytes and liver function tests performed in the week preceding the examination by the anesthetist.
3. A referral for hospitalization.
Also, you must bring authorization for financial coverage of the following:
1. general anesthesia for ambulatory treatment, Health Ministry code # 01999 (Hadassah code # 12308)
2. muscle biopsy, Health Ministry code # 20206 (Hadassah code # 233030)
3. separation of cells and enzyme assay, Health Ministry code # L1015 (Hadassah code # 255024)
Please confirm receipt of this letter by telephone: 02-6776842 or 02-6776844
Note: alternatively, and subject to prior arrangement, fresh muscle tissue can be sent on ice with financial coverage only for # 3 above, provided that it arrives within two hours of the biopsy procedure.
With best wishes for a
speedy recovery!
The Metabolic Diseases Unit and Surgical Day Care Teams