when are RD's seeing patients

[Guest guest]

Just wanted to know at what point in the process are other dietitiansseeing bariatric patients? Currently I see them:1)  Preoperatively for 2-6 visits2)  1 week post op3)  6 weeks post op4)  any additional upon request/referral for weight regain I’d like to know if this is similar to others.Thanks in advance _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

[Guest guest]

Typically I see patients 1 month prior to surgery, 2 weeks prior, 1 week post op and 3-4 weeks after that Cohen MS, RD, CDNRegistered Dietitian & Nutritionist96 Engle StreetEnglewood, NJ 07631201-709-8909On Feb 14, 2012, at 11:12 AM, "Sorg, " <shannon.sorg@...> wrote:

Just wanted to know at what point in the process are other dietitians

seeing bariatric patients?

Currently I see them:

1) Preoperatively for 2-6 visits

2) 1 week post op

3) 6 weeks post op

4) any additional upon request/referral for weight regain

I’d like to know if this is similar to others.

Thanks in advance

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

[Guest guest]

Ours is fairly similar to how you see your patients:

1) Preoperatively for education weekly or monthly for 4 weeks, 3 months, or 6

months

2) 2 weeks post op (band, sleeve, bypass)

3) 4 weeks post op (sleeve only)

4) 8 weeks post op (sleeve, bypass)

5) Any additional visits upon request/referral based on patient needs

Hope this helps!

>

> Just wanted to know at what point in the process are other dietitians seeing

bariatric patients?

>

> Currently I see them:

> 1) Preoperatively for 2-6 visits

> 2) 1 week post op

> 3) 6 weeks post op

> 4) any additional upon request/referral for weight regain

>

> I’d like to know if this is similar to others.

> Thanks in advance

>

>

>

> _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

>

>

[Guest guest]

We see patientsPre-op 1-6 times individually or in group  (more usually due to insurance)1 “welcome group†and 1 pre-op class1 month post-op3 month 6 month9 month12 month18 month2 year and then annually.  We go over this schedule at pre-op appts.   Do we have 100% compliance – no but I find the longer term appts important as they may be starting to struggle and you can catch it earlier. From: [mailto: ] On Behalf Of Kellie WeinholdSent: Wednesday, February 15, 2012 5:22 AM Subject: Re: when are RD's seeing patients Ours is fairly similar to how you see your patients:1) Preoperatively for education weekly or monthly for 4 weeks, 3 months, or 6 months2) 2 weeks post op (band, sleeve, bypass)3) 4 weeks post op (sleeve only)4) 8 weeks post op (sleeve, bypass)5) Any additional visits upon request/referral based on patient needsHope this helps!>> Just wanted to know at what point in the process are other dietitians seeing bariatric patients?> > Currently I see them:> 1) Preoperatively for 2-6 visits> 2) 1 week post op> 3) 6 weeks post op> 4) any additional upon request/referral for weight regain> > I’d like to know if this is similar to others.> Thanks in advance> > > > _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _> >

[Guest guest]

Our plan is similar to 's:

Preop: 2-8 times (8 for the pts who need more education d/t insurance)

Post-op:

2-3 weeks

6-8 weeks

3 months

6 months

9 months

1 year

Every 6 months for rest of life

We definitely don't have everyone follow up for that long but we encourage pts

to check in regularly. Pts who do keep in touch generally do much better than

those who surface several years later without having seen the dietitian.

We charge a program fee that covers RD appts so pts don't have to go through

insurance, and we tell them at the beginning that they have unlimited RD appts

forever.

Tomczik

Brigham and Women's Hospital

> >

> > Just wanted to know at what point in the process are other dietitians seeing

bariatric patients?

> >

> > Currently I see them:

> > 1) Preoperatively for 2-6 visits

> > 2) 1 week post op

> > 3) 6 weeks post op

> > 4) any additional upon request/referral for weight regain

> >

> > I’d like to know if this is similar to others.

> > Thanks in advance

> >

> >

> >

> > _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

> >

> >

[Guest guest]

Are you also collecting the BOLD databaseinformation or does the patient have a separate visit with the nurse for that? From: [mailto: ] On Behalf Of Sent: Thursday, February 16, 20127:53 AMSubject: Re: when are RD's seeing patients Our plan is similar to 's:Preop: 2-8 times (8 for the pts who need more education d/t insurance)Post-op:2-3 weeks6-8 weeks3 months6 months9 months1 yearEvery 6 months for rest of lifeWe definitely don't have everyone follow up for that long but we encourage ptsto check in regularly. Pts who do keep in touch generally do much better thanthose who surface several years later without having seen the dietitian. We charge a program fee that covers RD appts so pts don't have to go throughinsurance, and we tell them at the beginning that they have unlimited RD apptsforever. TomczikBrigham and Women's Hospital> >> > Just wanted to know at what point in the process are other dietitiansseeing bariatric patients?> > > > Currently I see them:> > 1) Preoperatively for 2-6 visits> > 2) 1 week post op> > 3) 6 weeks post op> > 4) any additional upon request/referral for weight regain> > > > I’d like to know if this is similar to others.> > Thanks in advance> > > > > > > > _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _> > > >

[Guest guest]

I see patients at the initial surgical consultation, pre-operatively about 2 weeks before the surgery in a class setting and post-operatively for a year. I see the patient at each MD appt within the first year. We also have 2 extra pre-op classes each month for those that the MD feels need that extra education. And, of course, if the insurance company requires monthly visits for approval, I do those as well. Kate Rountree SIGN UP FOR MY MONTHLY E-NEWSLETTER AT WWW.ROUNTREEDIETETICS.COM!