概述 你的旅程

定位和准备:
最初，你会被告知会发生什么 and how to prepare for your new life. 为此， you will be meeting with several professionals in addition to your primary care physician (PCP) and 外科医生. This 团队 is likely to include a dietician and psychologist/psychiatrist and consultants as needed based on your medical problems. 的 代谢 and 减肥手术小组 members will guide you along and coordinate 和你的保险公司. 基于这些 assessments and your medical 条件, tests and procedures will be ordered to prepare you for 安全手术.

手术:
When you are ready for 手术, the 团队 and your 外科医生 will help you choose the most appropriate procedure for your situation. 目的是 选择最适合你的手术 medical and sociological needs and aspirations. 在那里 is no “one size fits all” approach here. 大多数程序 will require you to spend one or two nights in 医院. 你会 need to take some time off from work to recover from 手术 and get acquainted 你的新生活. 在此期间，我们的团队将帮助指导您的饮食 生活方式的改变.

短期随访:
In the short term, you will be seen by your 外科医生 and dietician within two weeks of your 手术. 然后在六点钟再来一次 weeks and three months postoperatively. 在这些 encounters, you will be guided as to the necessary changes in your diet and supplementation, your lifestyle changes and the necessary changes in your medications due to the improvement of your 健康. 通常，你还会被鼓励跟进 你的PCP和任何跟踪你病情的专家. 在3个月时，我们的团队将与您的PCP协调任何测试或 changes in medications that you need.

长期随访:
We want to see our patients for as long as they are willing to follow up with us! 你会有 和你的外科医生约好了六点和十二点的时间 months postoperative points and yearly thereafter. 在这些访问期间，我们将确保您仍然 on track and coordinate with your PCP any tests or changes in medications that you may need. 虽然 most patients do not need the routine help of the 此时，营养师提供全面的服务方案 随时听你支配.

支持组:
Regular support groups will be coordinated by the 团队. 这些团体的目标是前和 postoperative patients to provide support and 旅途中的教育. 他们带来 together 人 with shared experiences who tend to be the best source of advice and guidance for different issues you may encounter in your new life. You can choose to make these sessions an integral 是你生活的一部分，还是偶尔来征求意见.

总而言之:
You are embarking on a life-changing journey 往好处想. Our program will provide you with a multidisciplinary 团队 of professionals who will 确保你被安全引导，并将协调 with your other 健康care providers to help you 取得最好的结果. 祝贺 taking this first step towards a 健康ier life!

预期 时间轴

教育/信息会话
你会 be registered to attend at least one informational session about bariatric 手术, organized by the 团队 (to make sure that you have a full understanding of the procedures and the 流程). This will not always have to be done before 您的初次咨询.

最初的咨询
在您的初次咨询中，您将与您的 外科医生和项目营养师. 你的外科医生 会尽量充分了解你的需要和医疗 条件. At this meeting, your 外科医生 will let 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 手术和手术后. 这可能包括 lab tests, an endoscopy of your stomach, possible 癌症筛查，咨询其他专家，如果 需要心理评估和术前检查 that may be required for safe anesthesia. 的营养师 将概述健康的饮食习惯，并确保你 have an understanding of the dietary requirements 手术前后对比. 取决于你的医疗状况 condition and your weight, your 外科医生 and 营养师可能会要求你术前减肥 and may also set you up with a physical therapist.

后续的访问
This is typically about 4-6 weeks after the initial 咨询. At this visit, your 外科医生 will go over your preoperative workup and 咨询s, ensure 你对手术有充分的了解 type of 手术 suitable to you and your adherence 到术前计划. 有些人可能还需要 to follow up with the dietician based on what was 决定初次访问. 如果你的外科医生，营养师， psychologist and medical consultants have cleared 如果你想做手术，你和你的外科医生会同意 手术方式及日期.

术前访问
This is typically a few days before 手术. 你会 meet with your 外科医生和项目营养师. 你的外科医生 will ensure that no contraindications have arisen since your last visit, examine you and answer any questions you may have about 手术. 的营养师 will make sure that you have a full understanding of the meal plan for the first two 手术后几周. 你也会被 麻醉小组来做术前检查 given all the necessary instructions for the day of 手术.

手术
手术当天，你要在预定的时间来就诊. 手术将会进行，术后你可能会在医院呆24-48小时. During your 医院ization, your 外科医生 and the nursing 团队 will check on you regularly to 确保你的进展如预期的那样，没有并发症. 在你住院期间，项目营养师也会拜访你，以确保 you have a good understanding of your meal plan for 头两个星期在家.

手术后的访问
Typically, this visit is 10-14 days after 手术. 这样做的目的 is to check on how the healing process is going. x射线 may be obtained for Sleeve Gastrectomy patients. 通常情况下，维生素补充剂也 开始. 你也会遇见 with the dietitian during this appointment to go over 饮食计划.

六周的访问
这次访问主要是为了确保你 是否很好地适应了饮食计划，体重减轻了 是合适的，你已经开始锻炼了吗. 你也会遇见 with the dietitian during this appointment to go over 饮食计划.

三个月的访问
此时， most patients 有调整 well to their diets and can eat very comfortably. 的目的 这次拜访是为了确保你的减肥顺利进行 are exercising properly, medications are adjusted based on improvement in medical problems, that are already noticeable by this time, and that necessary lifestyle modifications are underway. 此时， acid reducing medications are typically stopped and blood tests are ordered to look at certain vitamin 水平和代谢状况. 你也会遇见 在这个预约期间和营养师一起去复查 饮食计划.

六个月访视
到这个时候，大多数病人都能吃任何东西了 they want to eat in controlled portions. 减肥 是优秀的，开始趋于平稳，并且意义重大吗 improvements are noticeable in terms of overall 健康. 的 focus of this visit is to check a wide panel of laboratory tests to make sure there are no 维生素或矿物质的缺乏 or adjust the supplementation regimen. 你会 如果你愿意，可以选择与营养师见面吗 访问期间.

为期一年的访问
期间的焦点 这些访问是为了 确保你 有调整 祝你的新朋友 生活方式, 你继续 保持你的 减肥和 你没有任何需要的缺陷 解决. A full panel of laboratory tests will again 在这次访问中要有秩序. 你可以选择 如果您愿意，可以在访问期间与营养师会面. 的 above is the fixed/ scheduled follow up plan. Of 当然，我们鼓励你更密切地跟进 如果你觉得有必要或者有紧迫的问题 需要解决.