Bariatric Times

FEB 2018

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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22 Bariatric Center Spotlight B a r i a t r i c T i m e s • F e b r u a r y 2 0 1 8 increased access to coverage for bariatric services and encourage patients to be outspoken as well. PATIENT PROCESS All of our patients attend a free informational seminar or view an online seminar prior to coming to the office for a consultation. These seminars are offered in different hospitals and other venues across the state. Our online seminar provides access for patients to learn about morbid obesity, bariatric surgery, and the various procedures available, all in the comfort of their own home. We collect insurance information and basic demographic information at the seminar, and then our team then calls each individual's insurance plan to verify coverage and get details on benefit plans for the patients prior to scheduling an appointment. If a p atient does not have coverage, our team will work with the patient and his or her employer to find a solution to any coverage issues that might prevent the patient from accessing p roper treatment. All first consultation appointments are one- on-one visits with the surgeon. An individualized work-up is outlined and discussed. The full medical h istory of the patient is reviewed, and there is an opportunity for questions and concerns to be discussed with the physician directly. We guide patients through a full medical, n utritional, and psychological work- up in preparation for bariatric surgery. Our staff is easily accessible and is in touch with patients throughout the work-up. We are a vailable to assist with referrals, surveillance of appointments, and clearance. Once the work-up is complete, we open a case and submit the patient's file to the insurance c ompany for approval. When approvals are received, our surgical coordinator contacts the patient and schedules an appointment for a preoperative visit with the surgeon, as well as a surgery date and the first two postoperative visits. The first postoperative visit is with the surgeon 7 to 10 days following the procedure, and the second postoperative visit is with our physician assistant approximately five weeks after the surgery. Preoperative visits take place approximately 2 to 3 weeks prior to surgery. At the preoperative visit, questions are answered, work-up and clearance is reviewed in detail, and consents are signed. We encourage all patients to attend support groups on a regular basis. These meetings are available at all facilities where we provide care. We take great pride in our surgeons being available to always answer the calls, nights, weekends, and all holidays. A member of our clinical team is available 24 hours a day, seven days a week, 365 days a year. NEW TECHNOLOGIES We perform the Orbera Intragastric Balloon (Apollo EndoSurgery, San Diego, California) and the Obalon Balloon System (Carlsbad, California). Dr. Fridman was the first surgeon to perform the procedure in the state. We offer our patients endoscopic revisions of LRYGB with the Overstitch device from Apollo (San Diego, California) to help patients who struggle after their primary procedure. Our practice offers medical weight loss options for patients who do not qualify for surgery or who might not be ready for surgery. We follow the patient regularly with nutritional counseling, weight loss medication, and regular visits, as needed. We believe that bariatric surgery, IS YOUR BARIATRIC CENTER ACCREDITED? UNIQUE? The Bariatric Times Bariatric Center Spotlight is dedicated to featuring accredited bariatric centers around the world, with a focus on their facilities, staff, statistics, processes, technology, and patient care. Highlight your center today and share your best practices, unique programs, and more with the bariatric community. Reprints with customization available—perfect for waiting rooms or office display! Program must be accredited through The American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP ® ) in order to be considered for publication. Contact Angela Saba at for information on how to be featured in an upcoming installment of the Bariatric Center Spotlight.

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