Re: programs before and after surgery

[Guest guest]

Hello ,

I think that this is a great question. I am a bit confused by the second half. Are they requesting you create something for post op patients, or pre op patients which would be the "preparation for the surgery and life after surgery."

I think there are parts of the LEARN program that are apprpriate for post operative patients, especially the mindful eating, increased movement, self monitoring, looking at relationships and social activitites that may contribue to maladaptive eating and/or self defeating behaviors. The parts that I would change are the ones that focus on eating grains/carbs, the calorie calculations etc. I work with patients more on listening to what the pouch is signaling to them about hunger, portion and appetite vs. trying to get in specific meal sizes, calories. I have found that when you give someone specific details about what they must eat(vs general guidelines), it overrides the natural signal that the proceudres are designed to give a patient to assist with weight loss. People will just eat to get it in because we told them so vs. they are really hungry. I hope this makes sense. Plaase feel free to contact me if you want to discuss.

I also have a pre-op program that I can discuss about prepping patients for surgery and to meet insurance requirements.

Tina Musselman RD, CCN St. Hospital, Olympia Fields, IL Bariatric Surgery Program Coordinator Registered Dietitian/Certified Clinical Nutritionist (708) 679-2717 (p) (708) 679-2418 (f) tina.musselman@... www.stjameshospital.org/services/bariatricsurgery

From: [mailto: ] On Behalf Of melissa miceliSent: Thursday, September 09, 2010 11:16 AM Cc: alesha; amy hall; Amy Hall; anita nash; ashley rogers; becky severns; carol lim; colleen sevin; Dana Pearson; emily sturgis; erin vanstaveren; Heatheur Doby; Helen McNabb; Jana Wieser; jennifer warren; jennifer dewitt; Warren; jodi wellner; Kamesha Burrell; Kasie L Bono; Priore; Kutra; Liz Cabrera; margaret jones; perbhjot; Rose Guidry; roya parsons; shannon robertson; Srinivasa Pidikiti; sue ourySubject: programs before and after surgery

i would like a pole of how many dietitians feel that the LEARN program is NOT appropriate for post op bariatric patients?

i think it is but i was recently told that (not from my hospital) the program is not appropriate for the post op group

that they want something that is for the "preparation for surgery and life after surgery"

i would love some feedback on what is being used currently

from those involved with this population or at your facility

thanks

Miceli MA, RD, LDNSlidell, La985-445-7282 (cell)985-661-2146 (work)

The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you.

[Guest guest]

thank you very much! the classes will be for pre op patients

i have used the learn program in the past and am currently in the processes of working through the intuitive eating program

but wondered what most individuals were doing out there

also do you charge for the pre op classes??

we are a hospital but we are one of the few places that the bariatric group does their surgeries at

they would like for us to offer some pre op classes but as of right now we dont offer out patient services- i dont have my provider number since i work directly for the hospital i wondered how would we handle charging patients or if we would just have this a free service

thanks

Miceli MA, RD, LDNSouthern Surgical HospitalSlidell, La985-445-7282 (cell)985-661-2146 (work)

From: Musselman Tina <tina.musselman@...>" " < >Cc: alesha <akelleher2@...>; amy hall <z_hallak@...>; Amy Hall <ahall@...>; anita nash <acnash@...>; ashley rogers <ashleyrogers79@...>; becky severns <beckyseverns@...>; carol lim <clim2002@...>; colleen sevin <sevin106@...>; Dana Pearson <dancindrpea@...>; emily sturgis <emilysturgis@...>; erin vanstaveren <vanstaveren@...>; Heatheur Doby <doby1279@...>; Helen McNabb <parisnola@...>; Jana Wieser <jlwieser@...>; jennifer warren <jennsilverfish@...>; jennifer dewitt

<jldewitt1@...>; Warren <jennifer.warren@...>; jodi wellner <jodirdld@...>; Kamesha Burrell <vitaminknb@...>; Kasie L Bono <Kasie.Bono@...>; Priore <kristen.priore@...>; Kutra <ldkutra@...>; Liz Cabrera <elizabeth.cabrera@...>; margaret jones <mmj1254@...>; perbhjot <perbhjotsran@...>; Rose Guidry <guidryrose@...>; roya parsons <royaann@...>; shannon robertson <shaneliz93@...>; Srinivasa Pidikiti <spidikiti@...>; sue oury <lsjmoury@...>Sent: Thu, September 9, 2010 11:44:04 AMSubject: RE: programs before and after surgery

Hello ,

I think that this is a great question. I am a bit confused by the second half. Are they requesting you create something for post op patients, or pre op patients which would be the "preparation for the surgery and life after surgery."

I think there are parts of the LEARN program that are apprpriate for post operative patients, especially the mindful eating, increased movement, self monitoring, looking at relationships and social activitites that may contribue to maladaptive eating and/or self defeating behaviors. The parts that I would change are the ones that focus on eating grains/carbs, the calorie calculations etc. I work with patients more on listening to what the pouch is signaling to them about hunger, portion and appetite vs. trying to get in specific meal sizes, calories. I have found that when you give someone specific details about what they must eat(vs general guidelines), it overrides the natural signal that the proceudres are designed to give a patient to assist with weight loss. People will just eat to get it in because we told them so vs. they are

really hungry. I hope this makes sense. Plaase feel free to contact me if you want to discuss.

I also have a pre-op program that I can discuss about prepping patients for surgery and to meet insurance requirements.

Tina Musselman RD, CCN St. Hospital, Olympia Fields, IL Bariatric Surgery Program Coordinator Registered Dietitian/Certified Clinical Nutritionist (708) 679-2717 (p) (708) 679-2418 (f) tina.musselman@... www.stjameshospital.org/services/bariatricsurgery

From: [mailto: ] On Behalf Of melissa miceliSent: Thursday, September 09, 2010 11:16 AM Cc: alesha; amy hall; Amy Hall; anita nash; ashley rogers; becky severns; carol lim; colleen sevin; Dana Pearson; emily sturgis; erin vanstaveren; Heatheur Doby; Helen McNabb; Jana Wieser; jennifer warren; jennifer dewitt; Warren; jodi wellner; Kamesha Burrell; Kasie L Bono; Priore; Kutra; Liz Cabrera; margaret jones; perbhjot; Rose Guidry; roya parsons; shannon robertson; Srinivasa Pidikiti; sue ourySubject: programs before and after surgery

i would like a pole of how many dietitians feel that the LEARN program is NOT appropriate for post op bariatric patients?

i think it is but i was recently told that (not from my hospital) the program is not appropriate for the post op group

that they want something that is for the "preparation for surgery and life after surgery"

i would love some feedback on what is being used currently

from those involved with this population or at your facility

thanks

Miceli MA, RD, LDNSlidell, La985-445-7282 (cell)985-661-2146 (work)

The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you.