Pre & Post Operation Care

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Pre-Op Medical and Psychiatric Evaluation

Before any surgical procedure, a thorough pre-operative medical and psychiatric evaluation is conducted to assess the patient's suitability and minimize surgery-related risks. The evaluation process encompasses:

• Risk Assessment: Evaluating the patient's potential risks associated with surgery.
• Comprehensive Review: A provider reviews all relevant information and may request additional laboratory tests, diagnostic procedures, or consultations.
• Optimizing Medical Therapy: If necessary, recommendations may be made to optimize the patient's medical therapy to ensure they are in the best possible condition for surgery, thereby reducing potential risks.

Cost and Payment Information

• Evaluation Fee: $250 is charged for the combined psychiatric and medical pre-operative evaluation. Please note that insurance is accepted if we are in-network.
• Letter Writing: If a formal letter is required in addition to the evaluation, an additional $125 fee applies.
• Lab Tests and Diagnostics: The cost of laboratory tests and other diagnostic procedures is not included in the evaluation fee.

Post-Op Care: The Importance and Costs

Preferably, post-op care should be overseen by the surgeon. However, patients whose surgeons are located in a different state or country may need the expertise of a local licensed provider to ensure an optimal recovery experience and minimize the risk of complications.

Cost:

• Consultation: $125 per session.
• Wound Care and Diagnostic Tests: Additional charges may apply.
• Insurance: Acceptance depends on the type of service.

Understanding Seroma After Surgery

A seroma is a post-operative occurrence where a collection of straw-colored fluid forms under the skin. This can happen when tissue is removed during surgery, leaving a space that may fill with fluid.

In many instances, seromas naturally reabsorb. However, if a seroma becomes painful, an aspiration procedure can help relieve the discomfort. Moreover, when swelling from a seroma puts strain on surgical stitches, it may lead to wound complications, such as opening and leakage, if not aspirated.

Cost of Seroma Drainage:

• $250: This fee covers seroma drainage and includes additional drainages in case of fluid buildup after the initial procedure.

Essential Supplements After Bariatric Surgery

Bariatric surgery is a transformative procedure that demands special attention to post-operative nutrition. This surgery involves modifying the stomach or intestines to encourage weight loss, which can impact nutrient absorption in the body. The selection of appropriate supplements and vitamins is crucial for preventing nutrient deficiencies and promoting a successful recovery.

After bariatric surgery, patients typically require specific supplements to bolster their health and well-being. These essential supplements may comprise:

• Multivitamins: Vital for covering various nutritional needs post-surgery.
• Calcium: Essential for bone health and preventing deficiencies.
• Vitamin D: Aids in calcium absorption and overall health.
• Iron: Helps prevent anemia and maintain energy levels.
• B12: Critical for nerve function and preventing deficiencies.
• Protein Supplements: Vital for tissue repair and muscle maintenance.
• Omega-3 Fatty Acids: Support heart and brain health.
• Fiber Supplements: Aid in digestion and regular bowel movements.
• Probiotics: Help maintain a healthy gut.
• Vitamin C: Important for healing and overall health.

 When selecting the right supplements for your needs, it's important to take into account several factors:

• Recommendations Compliance: Ensure that the chosen supplement meets the recommended guidelines for your specific dietary requirements.
• Taste and Flavor: Consider the taste or flavor of the supplement, especially if it's essential for you to consume it regularly.
• Serving Size and Dosage: Pay attention to the number of tablets, chews, or the serving size of liquid required to reach the suggested dose, as this can vary among products.
• Price and Availability: Evaluate the cost of the supplement and its availability in your area. Compare options to find the most cost-effective choice.

It's worth noting that taking a bariatric multivitamin may help minimize the number of individual supplements you need to take.

Thiamine (Vitamin B1): A Vital Nutrient for Energy and Brain Health

Thiamine, also known as Vitamin B1, is an essential nutrient responsible for converting food into energy and maintaining crucial brain and nerve functionality. Deficiency in thiamine can lead to significant health consequences.

• Energy Conversion: Thiamine plays a critical role in the conversion of food into energy, supporting overall vitality.
• Brain and Nerve Function: Thiamine is vital for the proper functioning of the brain and nerves, influencing cognitive and neurological health.
• Deficiency Effects: Insufficient thiamine levels can result in a range of detrimental effects on physical and mental well-being.

Recommended Intake: It's advised to consume 3mg of thiamine per day to maintain optimal health.

The Importance of Vitamin B12 in Cellular Growth and Nervous System Function

Vitamin B12 plays a crucial role in the growth and replication of cells and is integral to the proper functioning of the nervous system. Adequate intake is vital for overall health.

Recommended Dosages:

• Oral (By mouth): 350-500mcg per day or 1,000mcg every other day.
• Injection: 1,000mcg once a month.
• Nasal Spray: 500mcg once a week.

Understanding Iron and Vitamin C for Red Blood Cell Production

The body's production of red blood cells relies on iron, an essential mineral. Here are key points to consider:

• Recommended Iron Intake: For most people, a daily intake of 36mg of iron is necessary to support red blood cell production.
• Special Considerations for Women: Females who are still menstruating may require an increased daily intake of 45-60mg of iron. This is particularly important for menstruating women and individuals with iron deficiency anemia.
• Enhancing Iron Absorption: To maximize iron absorption, it's advisable to take iron supplements with Vitamin C, which significantly aids absorption.
• The Role of Vitamin C: Vitamin C plays a crucial role in the body's recovery process, supporting overall health. The recommended daily intake of Vitamin C is 120mg.

Optimizing Calcium and Vitamin D Intake for Better Absorption

• Calcium Citrate: It is known to have better absorption compared to other types, such as calcium carbonate and gummy tricalcium phosphate.
• Recommended Daily Intake: Aim for a daily intake of 1,200-1,500 mg of calcium.
• Divided Doses: To enhance absorption, take your calcium in divided doses of 500-600 mg, 2-3 times a day, as your body can't absorb more than this at one time.
• Combine with Vitamin D: For improved calcium absorption, consider taking calcium supplements alongside Vitamin D.
• Vitamin D3: A daily dose of 3,000 units (IU) is recommended. It's best absorbed when taken with food.
• Timing is Important: To maximize absorption, take calcium and Vitamin D at least 2 hours apart from any multivitamin with iron or other iron supplements.