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Your Preoperative & Postoperative Roadmap

View a program about weight loss surgery 

 

Referral from Your PCP 

Record Review by Nursing Staff

Social Work Appointment

Nutrition Appointment

Support Groups

Meeting with the Surgeon

Surgical Scheduling

Pre-Admission Interview

Your Hospital Stay

Postoperative Follow-Up


Weight & Wellness Program Home

Surgical Services Home

 

 

Weight & Wellness Program
12 Andover Road
Portland, ME 04102
Map Directions

Phone: 207-761-5612
Toll Free: 1-866-268-9274
Fax: 207-253-6073
 
 
 

The information below may also be viewed as a visual flow chart (PDF).     

Information Session

Information sessions are held monthly and serve as a forum for potential patients to learn about the Weight & Wellness Program at Maine Medical Center.  At each information session, our surgeons will present information on our program, the procedures we offer and answer any questions you may have before proceeding with the program. 

All patients are required to attend an information session before entering our program. 

Information sessions will be held on the 3rd Tuesday of each month.  The session is held from 6:00-7:30 p.m. at the Wyndham Portland Airport Hotel (Previously the Sheraton Hotel).   Directions       


Information Session Dates for 2011

Click on a date below to register online.

January 18
February 15
March 15
April 19
May 17
June 21
July 19
August 16
September 20
October 18
November 15
December 20


Referral from your PCP

After attending the information session, call your primary care doctor for a referral to our program.  Ask your doctor to send all of your recent medical records to our office. 


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Record Review by Nursing Staff

Once we receive your referral and medical records, our program nurse will review the information to ensure each   patient is appropriate for surgery .  The nurse will then send you a letter outlining some tasks you must complete before surgery.  


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Social Work Appointment

Once you receive the letter from the nurse, she will instruct you to go ahead and schedule an appointment with a social worker for an Initial Social Work Assessment.  If you have Mainecare or Medicare, you must see our program social worker. 

If you have a private insurance company such as Anthem, Aetna, Cigna, etc. You are strongly encouraged to see one of our Approved Bariatric Social Workers.  Seeing an Approved Bariatric Social worker will significantly decrease your waiting time for an appointment.     >>>More 


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Nutrition Appointment

Once a patient has received clearance from the Social Worker, the patient will be scheduled for their first appointment with the Registered Dietitian.  The dietitian will complete a full assessment of each patient's dietary intake and educate each patient on the dietary requirements of the surgery they have chosen.  Each patient is required to pass a dietary quiz before meeting the surgeon. 


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Meeting with the Surgeon

After the patient is cleared by the social worker and dietitian, they will be sent to Casco Bay Surgery for evaluation by the bariatric surgeon (link to our surgeons).   The surgeon will do a brief physical exam and discuss the specifics of the surgery with the patient.  The surgeon will determine at this time if additional preoperative testing or weight loss is necessary.
 


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Surgical Scheduling

Once the patient has completed all the necessary tests required by the surgeon, the patient will sign a consent for surgery with the surgeon.    When this is complete, Casco Bay Surgery will schedule the patient for surgery.   

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Pre-Admission Interview


Maine Medical Center requires all patients to have an evaluation by an Anesthsiologist before any major operation.  At this time, we will obtain some blood tests and the patient will have the opportunity to discuss any concerns he or she may have before the day of surgery.


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Your Hospital Stay


You will receive notification from your surgeon where and when to arrive for surgery.  Upon your arrival to the hospital, you will be brought to a special area where you will change into a gown for surgery.  Your support person may accompany you if you desire. 

When the surgical team is  ready to go, you will be brought into the operating room for your surgery. Your support person can wait for you in the waiting area.
After your surgery is completed, you will be taken to the recovery room.  You may hear the recovery room referred to as the PACU (post anesthesia care unit). 

If you have your surgery at the main hospital Portland (Bramhall Campus), you will be taken up to your room.  Weight loss surgery patients are brought to either the short stay unit or the Richards Building 3rd floor. 

If you have your surgery at the Scarborough Surgery Center you will remain in the recovery area until you are discharged.  The nurses will have you up walking and sipping fluids as soon as they feel you are able
Once you meet all of the discharge criteria, you will be discharged from the hospital or surgery center.

You will typically check in 1-2 hours before your scheduled surgery time. 

Your surgery will be performed at one of two locations: 

Bramhall Campus
All gastric bypass operations and some Lap Band operations
   Directions 

Scarborough Surgery Center
Some Lap Band operations
   Directions


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Postoperative Follow-Up

Surgical Follow-up

Gastric Bypass
About 1 month after your gastric bypass surgery you will have an appointment with the surgeon that performed your surgery.  The surgeon will make sure your incisions are healing properly and ask you questions about how you have been feeling.     

Lap Band
About 4 weeks after your lap band surgery you will have an appointment with the surgeon that performed your surgery.  The surgeon will make sure your incisions are healing properly and ask you questions about how you have been feeling.  


Nursing Follow-Up

Gastric Bypass
Three months after your gastric bypass surgery you will check in with the nurse to discuss any questions or concerns you may have.  She will also check your incisions to make sure you are healing properly.  The visit with the nurse is usually coupled with your postoperative visit with the dietitian. 

Lap Band
About 4 weeks after your lap band surgery you will follow up with the nurse for adjustment of the lap band.  Our nurse will ask you a series of questions about how you are feeling and adjust your band accordingly.   


Nutrition Follow Up

Gastric Bypass
You will see the Registered Dietitian after your gastric bypass surgery at: 1month, 3 months, 6 months, 12 months and annually thereafter.  During this visit, the dietitian will assess your eating and guide you through any dietary challenges you may be having.  Bring your food record with you to get the most out of your visit with the dietitian.  Your dietitian will also check your blood for any vitamin deficiencies you may currently be experiencing.  

Lap Band
You will see the Registered Dietitian after your Lap Band surgery at: 6weeks, 6 months, at your adjustments (if needed), 12 months and annually thereafter.  During this visit, the dietitian will assess your eating and guide you through any dietary challenges you may be having.  Bring your food record with you to get the most out of your visit with the dietitian.  Your dietitian may also check your blood for any vitamin deficiencies you may currently be experiencing. 


Social Worker Follow-Up

Weight loss surgery is a big step and requires a great deal of adjustment and life change. Our therapist is here to help patients deal with issues that may have led to their obesity and help develop positive coping skills and new behaviors that are important after surgery to maintain long-term success with weight control.
 

You will have scheduled appointments with the social worker at 6 months and 12 months after surgery.  .Our Social worker remains involved in long-term follow-up by coordinating a support group for patients who are 3-24 months out from surgery and a separate support group for those who are over 2 years out from surgery. These groups are directed toward long-term issues of self-esteem, social interactions and relationship with food.


Lap Band Adjustments

Our registered nurse will adjust your lap band on an as needed basis.  Lap Band adjustments are typically done approximately 4 weeks apart.  The adjustment is a simple office procedure where our nurse will access your port with a needle and inject saline solution into the band to create more restriction.  Our nurse will spend about 20 minutes with you to assess the amount of fluid to add.  The actual adjustment takes approximately 5 minutes.  Most patients describe an adjustment as a small pinch that does not cause pain. 

We will adjust your band as often as it makes sense.  If you are hungry all the time, able to eat normally and not losing weight, it's probably time to tighten your band.  On the other hand, if you are losing weight too quickly, having heartburn, trouble eating and vomiting, it makes sense to loosen your band.  


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Initial Social Work Assessment

In an effort to provide you with the best, most efficient care possible, the Maine Medical Center Bariatric Program has a new and faster way for you to complete the social work assessment component of our program.  After you have received a letter from our nurse, please directly contact one of the Approved Outside Social Workers listed below to schedule your Initial Bariatric Social Work Assessment.  You must contact your insurance company for a referral to see these social workers.  
 

These Approved Outside Social Workers do not accept Medicare or Medicaid.  If you have Medicare or Medicaid, there is no need to contact us.  We will arrange for your social work assessment internally.

  
Approved Outside Social Workers

Peter Comstock, LCPC
74 Woodford Street (office address)
P.O. Box 634 (mail address)
Augusta, ME 04332-0634
Phone: 207-621-8048
Handicap Accessible: Yes
Insurance: Private Insurance, Mainecare

Mandie Lasselle, LCSW
153 US Route 1, Suite 26
Scarborough, ME  04074
Phone 207-756-5425
Handicap Accessible: No (patient must climb stairs)

Mary McManus-Richter, RN, LCPC
67 Shaker Road, #10
P.O. Box 440
Gray, ME  04039
Phone: 207-712-6131
Handicap Accessible: Yes
Insurance: Private Insurance, Mainecare

Laura Olken, LCSW
31 Main Street
Gorham, ME 04038
Phone: 207-839-9142
Handicap Accessible: Yes

Faith Sheehan, LCSW, CCS
205 Ocean Avenue
Portland, ME  04103
Phone: 207-773-7993 x30
Handicap Accessible: Yes

Sharon Ash Tancredi, LCSW
56 William Street
Portland, ME  04103
Phone: 207-879-8909
Handicap Accessible: No (patient must climb stairs)


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Directions to the Wyndham Portland Airport Hotel for Information Sessions

Get Directions

From the North
Maine Turnpike.  Take I-95 South to Exit 45 toward I-295/ MAINE MALL RD./ ME-114/ PAYNE RD./ US-1.  Take the MAINE MALL RD exit toward AIRPORT. Turn SLIGHT RIGHT onto MAINE MALL RD. End at 363 Maine Mall Rd South

From I-295
Take I-295 South. Take EXIT 1 toward I-95/ MAINE MALL RD/ MAINE TPKE NORTH. Merge onto MAINE TURNPIKE AUTHORITY APPROACH RD. Take the MAINE MALL RD exit toward RT-114/ AIRPORT. Take the ramp toward AIRPORT. Turn RIGHT onto MAINE MALL RD. 0.2 End at 363 Maine Mall Rd

From the South
Take I-95 N/ GOLD STAR MEMORIAL HWY/ MAINE TURNPIKE toward PORTLAND/ AUGUSTA. Take EXIT 45 toward I-295/ MAINE MALL RD./ ME-114/ PAYNE RD./ US-1. Take the MAINE MALL RD exit toward AIRPORT. Turn SLIGHT RIGHT onto MAINE MALL RD. End at 363 Maine Mall Rd

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(the hotel can be identified by it's two round towers)

363 Maine Mall Road
South Portland, ME 04106