Lebanon: Steps Before Bariatric Surgery

一旦你参加了一个 介绍会议, you can begin the next steps before surgery:

  • Worksheets, registration, medical records and required education: There are necessary tasks and paperwork to complete such as medical records, 保险形式, 测试结果及登记.
  • 任命: There are two appointments before surgery where you will have an opportunity to meet with your surgeon and care team to ask questions.
  • 准备手术确定你的手术日期, attending pre-surgery class and learning about the day before and day of surgery

Worksheets, registration and education

Complete initial medical and insurance worksheets

Your primary care provider will need to complete a "Start Weight" form for you. You will need to complete a sleep apnea form and insurance worksheet. All of these forms can be found in the folder you receive at the 介绍会议.

Checklist for medical records and your requirements

Your care providers will need to complete:

  • 医疗记录: From your providers including a physical exam, a letter from your PCP and two psychological evaluations (at least 30 days apart)
  • 测试结果: Blood tests, sleep apnea evaluation, any other tests you have had recently
  • 其他测试(根据需要): May include a sleep study, stress test, upper endoscopy or cardiac echogram. Your care team will determine which test will be needed for your individual plan

您需要完成:

  • 7天食物日志
  • 饮食的历史
  • 药物治疗日志
  • 签署患者协议
  • 体重表

教育视频

We highly encourage you to watch these educational videos as part of your introduction to the bariatric surgery process.

任命

新病人预约: Your first new patient appointment will be 2 hours long. You will be scheduled with either the surgeon or the nurse practitioner and the dietician. 你以前的节食史, 当前饮食和生活方式的改变, as well as your medical and surgical history, 将被审查. Additional testing will be recommended if needed.

Second appointment (shared medical appointment): Your second clinical appointment will be with the bariatric nurse practitioner and dietician. This will be a shared medical appointment where you and your support person will be here for approximately 2 hours. You and up to 8 other patients will learn about the pre- and post-surgical diet as well as the 风险 and benefits of your surgical options.

准备手术

术前

手术日期: After your first shared medical appointment, most people will schedule a surgery date.

DHMC Patient Access Department will contact your insurance company to obtain insurance authorization for your surgery. They will contact you if there is a problem or a denial from your insurance company.

术前的类: Once your surgery is scheduled, you will attend a 2-hour pre-surgery class. 在这个课堂上, 你检查补充剂, 术后饮食, and what to expect during your hospital stay. You must attend a pre-surgery class within 30 days but not less than 14 days prior to surgery.

手术前一天在你手术的前一天晚上, you will need to stop eating and drinking completely as instructed by the preoperative nurse that calls you the evening before surgery. This is to make sure your stomach is empty. If you take either prescription or over-the-counter medications, including vitamins and natural supplements, you may need to stop taking your pills before your operation.

手术日期: You will meet with your surgeon and anesthesia provider and one of the nurses that will be with you during your bariatric procedure. We will start an intravenous (IV) so that it’s ready to deliver sedation during your operation. You can have a friend or family member keep you company in the pre-op area.

Afterwards, you will be escorted to the surgical suite where your procedure will take place. You can expect to spend about one to three hours in surgery. 你大部分时间都在睡觉.

手术后

我们有 支持团体 that meet regularly to discuss all aspects of life after surgery.