FIRST STEP:

You surgical weight loss journey is best started with gathering information and educating yourself on pros and cons of bariatric surgery. While you might have met patients who had surgery before and reviewed some information on line, it is strongly recommended that before you see a surgeon in consultation you attend our practice live seminar at the Saint Agnes hospital or view a website seminar. A lot of additional information on bariatric surgery and life after it is presented throughout our website and at the linked webpages from other sources.

Please write down all your questions so you can further discuss it with your surgeon.

SCHEDULE AN APPOINTMENT WITH A SURGEON:

Once you have made the decision to proceed with surgical consultation and made your appointment, you will be mailed a patient packet outlining information we shall need to make best possibly clinical decisions related to you care. Alternatively, you can print patient packet that can be found on “patients Information page. Please take time to meticulously fill in patient questionnaire, obtain copy of your most recent History & Physical, labs, clinical notes from other treating physicians.

PSYCHOLOGICAL EVALUATION:

You may schedule psychological evaluation at any time before and after surgical consultation. If you elect to see psychologist not affiliated with our program, please ask this professional to prepare their evaluation based on requirements for psychological evaluation for bariatric surgery. These requirement are included in “New bariatric patient packet” or can be found on Bariatric Psychological Evaluation” page of this website.

SURGICAL CONSULTATION:

During initial consultation with the surgeon you will have an ample opportunity to ask questions and discuss available surgical option. Based on your previous history and reported symptoms, your surgeon will recommend a work up required for selection of best surgical options tailored to your needs, tests and therapy needed to decrease risks of undergoing surgery.

After surgical consultation, our office would verify with your insurance company benefits and requirements for bariatric surgery mandated by your particular insurance plan. Within a week after consultation our insurance specialist will call back to advise on what must be completed in order to obtain coverage for bariatric surgery. Same specialists would be coordinating collection of needed documents for approval during preoperative process.

BARIATRIC DIETICIAN:

Consultation by our bariatric dietician should be scheduled after you see a surgeon who must determine the extent of preoperative education you might need. It varies between primary bariatric surgery patients and those who are seeking revision bariatric surgery.

NON-SURGICAL WEIGHT LOSS PROGRAM FOR INSURANCE COVERAGE:

Majority of the patients will have to complete non-surgical weight loss program of 3-6 months duration mandated by their insurance plan. It is important that this program is supervised by licensed professional and is documented with monthly visits. Also, you should avoid weight gain during this period of time, since medical insurance companies will consider that as evidence of non-compliance with treatment and might deny coverage for surgery.

GROUP SUPPORT MEETINGS:

Please join our Group support meetings to meet other patients and get better understanding of changes that bariatric surgery will bring into you daily life. You will find that extremely helpful.

PREOPERATIVE FOLLOW UP CONSULTATION WITH SURGEON:

Your follow up visit with the surgeon will be scheduled close to completion of work up and non-surgical weight loss program. By that time, you probably would be well prepared, but again wright down all questions you might have to discuss with your surgeon. A this appointment results of all test would be reviewed with you and final decision would be made about type of proposed bariatric procedure and any associated recommended surgery (hiatal hernia repair, gall bladder removal and etc.) In order to minimize your risks and to facilitate laparoscopic approach, you might be recommended to do Preoperative Liquid Protein diet for 2-4 weeks prior to surgery.

LAST STEPS IMMEDIATELY BEFORE SURGERY:

You will also receive Preoperative patient packet containing instructions on how to prepare for surgery and what medication to stop or continue taking through the day of surgery, informed consent and prescriptions for postoperative blood clots prophylaxis. You also will be scheduled for Preoperative surgical class (different from bariatric dietician class) taught by Bariatric nurse coordinators about one week before your scheduled surgery. This class covers variety of topics in preparation for surgery, what happens on the day of surgery and during your stay in the hospital as well as important steps you will be making immediately after discharge from the hospital.

Have a safe and rewarding surgical journey!

 

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For more than 150 years, Saint Agnes Hospital has been dedicated to the art of healing by providing exceptional care to the greater Baltimore area. Built on a strong foundation of excellent medical care and compassion, Saint Agnes is committed to providing the best care for our patients for many years to come.