Our Comprehensive Program

The CRMC Lifestyle Management Program is a multidisciplinary approach to weight loss surgery. Please read about what makes our comprehensive program unique: the CRMC Lifestyle Management Program.  

Our weight loss surgery program is based on the philosophy that providing the best possible surgical services is only one important aspect of the CRMC Lifestyles Management comprehensive program.   We understand that surgery alone does not produce success. It takes a commitment from the patient to use the surgical "tool" that weight loss surgery provides. It takes a program of education and support you will find through the CRMC Lifestyle Management Program.  

We recognize that long-term patient success requires:

1. Effective pre-operative patient education and resources.
2. State-of-the-art minimally invasive surgery.
3. Safety. Providing surgery as safely as possible, recognizing that the program must educate and help the patient understand that they have a significant role in helping to avoid complications.
4. Availability and expertise of our team members including the surgeons.
5. Genuinely accessible and practical long-term patient resources and support.

We do not consider you a success until you are a long-term success.

Rocky Mountain Weight Loss Surgery, LLC (Drs Fermelia and Parnell) and the CRMC Lifestyle Management Program are rock solid partners with you in your success.

We offer much more than a weight loss surgery procedure:

• Opportunity to explore whether weight loss surgery is right for you.
  
  
• Detailed information and discussion about choosing the appropriate weight loss surgery procedure for you.
  
  
• Pre-operative patient education, communicated a number of ways to assure effectiveness, so you are ready to “use the anatomical tool” that weight loss surgery provides
  
  
  • Monthly free lectures in Cheyenne and Casper the patient, their friends, and family. Support Group & Free Lectures
  • Website. The patient, your friends and family and encouraged to completely explore this website, www.RockyMountainWeightLossSurgery.com
  • Web based education program called EMMI. We have EMMI modules for the Gastric Bypass and the Lap Band.You have to see this to believe this amazing weight loss surgery education tool.
  • Nurse Practioner. Personal consultation with our full time bariatric Nurse Practitioner, Shala Swarm, NP.
  • Personal consultation with a weight loss surgeon, Dr Fermelia or Dr. Parnell. We will perform a meticulous medical evaluation in conjunction with your physicians to assure the safest surgery possible.
  • Registered Dietitian. Specific weight loss surgery Nutritional counseling and education by our full time bariatric registered dietitian, Kate Merkle, RD, to prepare you for the new life you'll enjoy as you lose weight. Kate will continue to personally follow up with you after your surgery. We have extensive nutritional resources to help aid your recovery and reinforce new eating habits, and Kate runs our Cheyenne and Casper Support Groups.
  • CRMC Lifestyles Management Program Specific Support Groups. Kate Merkle, our full time bariatric dietitian runs both our Cheyenne and our Casper monthly support groups.You are encouraged to speak to a number of patients who have weight loss surgery BEFORE your surgery and our support groups are an excellent way to do this. Support Group & Free Lectures
  • Patient Manual. Comprehensive information and literature including our extensive Patient Manual, which includes a number of resources and information you will use for years to come.
  • A Patient Follow-up manual. This will help you keep track with your expected visits and necessary laboratory, as the surgeons and the CRMC Lifestyles Management Program is making a commitment to follow-up with you after your surgery for life.
  • Patient Immediate Pre-op Education Session, including strategies that the patient (and their personal support people) can participate in to increase the safety of surgery.
  • Immediate pre-op Surgeon Visit. A specific visit with your surgeon just before surgery to answer your, your friend's, and family's concerns and prepare you for surgery.
    
    
• Insurance and Payment Counseling. Discussion and outlining options regarding insurance and payment issues by experienced insurance counselors. When you and your information is ready we will communicate with your insurance company for weight loss surgery benefits and will assist you in finding appropriate financing for your procedure.
  
  
• Psychological Evaluation. Expert weight loss surgery oriented psychological evaluation, so you are sure you are an appropriate candidate for surgery and it is the right time for you, personally, to make this profound change in your life.
  
  
• Exercise Resources. United Medical Center Health and fitness in Cheyenne has a free program exclusively for our weight loss surgery patients. Patients are encouraged to have a preoperative consultation with a personal trainer before the surgery and on an ongoing basis after the surgery. We plan to further develop these resources in not only Cheyenne and Casper, but our region.
  
  
• Surgery performed by Doctors Fermelia and Parnell along with the specially trained program specific CRMC operative team, bariatric equipment and facilities.
  
  
• Peri-operative care provided by multidisciplinary medical, nursing, and ancillary services team specifically trained to care for the special needs and concerns of weight loss surgery patients.
  
  
• Post-operative recovery care in a private, caring environment designed for weight loss surgery patients:
  
  
  • A beautiful brand new state of the art Inpatient Care tower with a guaranteed private room for every patient.
  • A beautiful brand new state of the art Surgery Center (Yellowstone Surgery Center)
    
    
• Surgeon Availability. Trained Expert Bariatric Surgeons (Doctors Fermelia, Parnell, and Pullos) are available literally 24 hours a day, 7 days a week, 365 days a year as you recover and for the long term as a resource for patients, their families, their primary care providers, their medical specialists, and if you are seen in any emergency department.
  
  
• Lifetime Follow-up. Ongoing medical check-ups by your surgeon, who will work with your primary care provider and personal specialists to monitor your health and weight-loss success. Everyone at the CRMC Lifestyles Management Program: from the surgeon, to the Nurse Practioner, to the dietitian (our support group leader), will help you maintain good health and success for the rest of your life.

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