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having a family member fly across the country and help him out when the test is scheduled.
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I hope you don't have to resort to that since it'd be quite a lot of effort and expense to cover a simple ride home from a colonoscopy.
If nothing else maybe he can ask the doctor's office for suggestions on obtaining a ride home - they must have some patients who are 'stuck' for a ride in similar situations every now and then.
Even though they don't want you to drive on the day of the procedure, what about having it done early in the day, hanging around afterwards for 2-3 hours to let the sedative wear off, then taking a taxi home? After a couple or three hours the effects from the sedative are mostly worn off (at least it was for me) but he should probably check with the doctor on this point also.