Follow Up Clinic

Gastric Bypass and Sleeve Gastrectomy

Follow Up Plan of Care

2 weeks	Physical exam, vital signs, weight and wound check; staple removal, evaluation by surgeon
4 weeks	Physical exam, vital signs, weight and wound check; advance diet, exercise program
2 months	Physical exam, vital signs, weight and wound check
3 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids
4 months	Physical exam, vital signs, weight and wound check
5 months	Physical exam, vital signs, weight and wound check
6 months	Physical exam, vital signs, weight and wound check; diet changes initiated, CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life
9 months	Physical exam, vital signs, weight
12 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, bone densitometry, Quality of Life
18 months	Physical exam, vital signs, weight and wound check CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids
24 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids bone densitometry, Quality of Life
36 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life
48 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, Quality of Life
60 months	Physical exam, vital signs, weight and wound check; CBC, Fe, TIBC, Saturation, Ferritin, B12, Folate, Ca, 25 (OH) vitamin D, PTH, Alb, Basic Chemistry, Hgb A1C, Lipids, bone densitometry, Quality of Life

Patients are evaluated by the nurse practitioner at every visit to include assessment of nutritional compliance, adherence to exercise program, hydration, medication requirements, and assessment for nutritional and metabolic complications. Educational needs are assessed, instructions provided, and referrals to our dietitian or psychologist are made if indicated. Repeat sleep study will be ordered when symptoms of sleep apnea resolve.

Date: Nov. 29, 2011

Online Editor(s): Richard Petre