An Outline of Your Journey

Orientation and preparation:
Initially, you will be educated about what to expect 以及如何为新生活做准备. To this effect, 你将会见几位专业人士 除了你的初级保健医生(PCP)和 surgeon. 这个小组可能包括一名营养师 心理学家/精神科医生和咨询师 根据你的医疗问题. The 代谢和减肥手术小组 成员将指导和协调你 with your insurance provider. Based on these 评估和你的医疗状况，检查 我们会安排一些程序让你做好准备 safe surgery.

Surgery:
当你准备好做手术时，团队 你的外科医生会帮你选择最合适的 这是适合你情况的程序. The aim is to select the most fitting procedure that addresses your 医学和社会学的需求和愿望. There 这里没有“一刀切”的方法吗. Most procedures 会要求你在那里住一两个晚上吗 hospital. 你需要休息一段时间 努力从手术中恢复过来，熟悉环境 with your new life. Throughout this period, our team will be there to help guide you as your diet and lifestyle changes.

Short term follow-up:
In the short term, you will be seen by your surgeon 和营养师在你手术后的两周内. Then again at six 术后几周和三个月. During these 遭遇战时，你会得到必要的指导 饮食和补充剂的变化，你的 lifestyle changes and the necessary changes in your 药物治疗，因为你的健康状况有所改善. Typically, you are also encouraged to follow up with your PCP and any specialists who follow your medical conditions. At the 3 months point, our team will coordinate with your PCP any tests or 你需要的药物的变化.

Long term follow-up:
我们希望能尽可能长时间地照顾我们的病人 因为他们愿意跟我们跟进! You will have scheduled visits with your surgeon at the six and 12 术后每月分，术后每年分. During these visits, we will ensure that you are still 和你的PCP协调，任何测试或 你可能需要的药物变化. Although 大多数病人不需要医生的常规帮助 dieticians at this point, the full services of the program are always at your disposal.

Support Groups:
定期支援小组将由 team. These groups are aimed at pre and 术后为患者提供支持和 education throughout your journey. They bring 有共同经历的人在一起 成为建议和指导的最佳来源 different issues you may encounter in your new life. 你可以选择让这些会议成为一个整体 part of your life or an occasional drop-in for advice.

In summary:
你正踏上一段改变人生的旅程 for the better. 我们的项目会为你提供一个 多学科的专业团队将 ensure that you are safely guided and will coordinate 与您的其他医疗保健提供者一起帮助您 achieve the best outcomes. Congratulations on 迈出迈向健康生活的第一步!

Expected Timeline

Educational/Informational Session
你将被登记参加至少一个 关于减肥手术的信息会议， 由团队组织(以确保您 have a full understanding of the procedures and the processes). 这在以前并不一定要做 your initial consultation.

Initial Consultation
On your initial consultation, you will meet with your surgeon and the program dietician. Your surgeon 会尽量充分了解你的需要和医疗 conditions. 在这次会议上，你的外科医生会 你知道如果你是这个项目的候选人 需要做些什么才能让你做好充分的准备 the surgery and thereafter. This will likely include 实验室检查，可能的话做个胃内窥镜检查 cancer screenings, consultations to other specialists if needed, psychological evaluation and any pre-op tests 这可能是安全麻醉所必需的. The dietician will outline healthy eating habits and make sure you 了解饮食要求吗 before and after surgery. Depending on your medical 你的身体状况和体重，你的外科医生和 营养师可能会要求你术前减肥 可能还会给你安排一个物理治疗师.

Follow-up Visit
这通常发生在最初的4-6周后 consultation. 在这次检查中，你的外科医生会检查 确保你的术前检查和会诊 that you have a full understanding of the surgery and 适合你的手术类型和你的坚持 to the preoperative plan. Some individuals may also need 在营养师的基础上跟进 decided on the initial visit. If your surgeon, dietician, 心理医生和医疗顾问已经通过了 you for surgery, you and your surgeon will agree on a surgical procedure and date.

Preoperative Visit
这通常是手术前几天. You will 见见你的外科医生和项目营养师. 你的外科医生会确保没有禁忌症 自你上次来访以来，有什么问题吗 回答任何关于手术的问题. 营养师会确保你有充足的 了解前两个孩子的饮食计划 weeks after surgery. You will also be seen by the anesthesia team for a preoperative visit and will be given all the necessary instructions for the day of surgery.

Surgery
On the day of surgery, you will come in at the predetermined time. The surgical procedure will take place and you will likely spend 24-48 hours in the hospital post-operatively. 在你住院期间你的外科医生 护理团队会定期给你检查 ensure that you are progressing as expected and free of complications. During your hospitalization, the program dietician will also visit you to make sure that 你对你的饮食计划有很好的了解 the first two weeks at home.

Post-Operative Visit
通常，这种访问是在手术后10-14天. The aim 是为了检查伤口愈合的情况吗. X-rays 可以获得袖胃切除术患者. Typically, this is when vitamin supplementation is also started. 期间你也会和营养师见面 这次约会是为了检查一下饮食计划.

Six-Week Visit
这次访问主要是为了确保你 are adapting well to the diet plan, that weight loss 是合适的，你已经开始锻炼了吗. 在此期间，您还将与营养师会面 我们约好了一起检查饮食计划.

Three-Month Visit
此时，大多数患者已经很好地适应了 他们的饮食，可以吃得很舒服. The aim of this visit is to ensure that weight loss is on track, you 运动是否适当，药物是否调整 基于医疗问题的改善 这个时候已经很明显了，这是必要的 生活方式正在改变. At this point, 酸还原药物通常停止使用 血液检查是为了检测某种维生素 levels and metabolic conditions. You will also meet with the dietitian during this appointment to go over the diet plan.

Six Month Visit
By this time, most patients are able to eat everything 他们想要控制食量. Weight loss is excellent, and starting to plateau, and significant 总体而言，改进是明显的 health. 这次访问的重点是检查一个宽 一组实验室测试来确保没有 deficiencies in vitamins or minerals and either reduce 或者调整补充方案. You will have the option to meet with the dietician if you wish during this visit.

One-Year Visit
The focus during these visits is to ensure that you have adjusted well to your new lifestyle, that you continue to maintain your weight loss and that you do not have any deficiencies that need to be addressed. 再来一组完整的实验室测试 be ordered during this visit. You will have the option to meet with the dietician if you wish during this visit. 以上是固定/计划的跟进计划. Of course, you are encouraged to follow up more closely if you feel the need or if you have pressing issues that need to be addressed.