The Third Clinic Visit

This visit begins at 7:45 a.m. and takes about half a day.

When you register, you will be required to pay a second psychology fee of $250 that will cover four group sessions with the psychologists (a preoperative session, and one each at three weeks, three months, and six months following surgery). Again, although we will provide you with the necessary documentation to submit to your insurance company to seek some reimbursement, insurance plans may or may not reimburse for all or a portion of these fees.

On this third visit, you will meet with Patrick Mahaney, RD, to discuss dietary changes just before surgery and during the first three weeks after surgery; and with one of the surgeons in a group with other patients for an in-depth discussion of the operative procedure and associated risks.

After the session you will sign a request form for the surgical procedure. You will also be given instructions to prepare for surgery (see next page) and an outline of your postoperative diet. After the above meetings, you will have a one-hour group session with the psychologists, discussing appetite cues and ways to plan for the variety of changes that may occur after surgery. All these meetings will give you the opportunity to meet others undergoing surgery at about the same time.

You will then be sent to Durham Regional Hospital to have an interview concerning administration of anesthesia and performance of final laboratory tests in preparation for surgery. All arrangements for your surgery and admission to the hospital will be completed after this third visit.

Patient Manual Index

• Introduction

• Questions to Ask Your Insurance Company

• Your Health Care Team

• Roux-en-Y Gastric Bypass

• Lap-Band Procedure

• Path to Surgery

• The First Clinic Visit

• The Second Clinic Visit

• The Third Clinic Visit

• Preparation Instructions for Surgery
• Day of Surgery and Postoperative Stay
• Hospital Course Following a Roux-en-Y Gastric Bypass
• Hospital Course Following a Lap-Band Procedure
• Post Surgery Follow-up Care
• Potential Complications of Roux-en-Y Bypass Surgery