Pacific Cascade Center for Surgical Weight Loss and Wellness Bariatric Center




Very good Dr..... but oh, so busy, that I really had very little contact with him, prior to surgery. I was afraid that he would have no time for me, post-op, but that isn't the case. (he is so dedicated to his patients, which was the reason that he is so busy!) My impression has changed.... the more that I have gotten to know him. He believes what he teaches us, to the point that he, himself, lives it. His office staff is so knowledgeable, and helpful, as well. Dr. Merande makes himself very available, to his patients... and even gives us his pager number. He emphasizes exercise, eating healthy, water, and aftercare support, in the form of support from he and his office staff, as well as a strong support group, which meets every month. All the risks of the surgery were addressed, prior to surgery. I was given the choice of which type of surgery that I got, as well. I would recommend him as a Dr, to anyone who is thinking about obesity surgery. I would rate him at an 11, on the scale of 1-10. His bedside manor was excellent. This Dr. has won over a skeptic!

My first impression of Dr. Mirande was that he was a straight-ahead man who is committed to the cause of helping bariatric patients.
My impression has not changed except for the fact that I find him to be a warmer, more compassionate person than I thought at first.
His staff is awesome; not judmental in the least, and very supportive.
What I like least about Dr. Mirande is that he is 6 hours away from me and it's difficult to schedule a last-minute appointment if I need to.
Future patients need to know he is a no-nonsense surgeon. You need to do what he tells you to do for success.
Aftecare is scheduled regularly and he provides his pager number for emergencies. I'm not sure if that is considered structured or not; my aftercare appointments are scheduled well in advance.
He routinely addressed risks in the seminars he presents and answers any questions relating to risks when you have your one-on-one with him.
Dr. Mirande is wonderful and I highly recommend him. I work with 4 other people who all drove 6 hours to be treated by him.
Surgical competence is mandatory, of course, because you are risking your life. However, bedside manner is nearly as importance because of the nature of the surgery. One tends to feel scared about the future and the knowledge that life has completely changed. Some nuturing is a must.

My first impression of Dr. Mirande was at his seminar in my home town. This seminar was crowded and Dr.Mirande went to the pool and brought in chairs for people, because it was raining he wiped them off. What Doctor do you know that would do that?
My impression has never changed. He has a great staff that is very helpful. There is nothing I can honestly say that I disliked about him other than I had a 2 month wait for a surgery date, which is a postive thing for future patients.
For future patients, having Dr. Mirande do your surgery is well worth the wait. He has the best bedside manner. He is there with you all the way. He has a great program that you go through before and after surgery. He encourages the support group mtgs and even attends once in a while.
I rate him overall as the greatest. His surgical competence and bedside manner are both great.

Dr Mirande seemed very compationet.And honest I the fact that he would not perform the surgery that you wanted but only the surgery that you and he agreed upon. Not all procegers are right for everyone.His staff is very informative. and very ready to answer all questions. If the answer is unknown they will find it for you. Aftercare is a life time not just a year or two down the road. If I move I will have another Doctor wating to take over my case. He has stressed this is a lifetime comittment. Dr. covered all the riskes and made us sign a paper with all of the riskes listed on it. going through all the riskes one by one.I would rate Dr. Mirande a 1 at this point but I have not as yet had the surgery.

I found Dr. Mirande to be very personable, smart & caring from the first time I met him. He was very informative about every detail and that was very helpful. He spent time with my husband discussing concerns he had and afterwards my husband felt much better about the surgery. His office staff, especially Mary is WONDERFUL also, she is always very nice and helpful. Dr. Mirande also takes time out at his seminars to always stay over and talk to his patients, which is nice, we can have some one on one time with him. His seminars are always very thorough and he covers as much as he possibly can, he definitely goes the extra mile to explain everything. Let me tell you how good he is, when I was to get my tube & staples out, I was scared to death, I thought I would pass out from the pain, he took me in the hallway of a banquet room,(I was attending one of his seminars) had me lay on the floor (he thought I was serious about passing out) told me exactly what I was going to feel when he pulled my tube out and it was exactly what he said, a few seconds later I was all done and up on my feet, giving him a HUGE hug.. When I had my 1 month appointment, he was great, very encouraging, went over everything with me, answered all my questions and just spent time with me, not many surgeons will do that. In my opinion Dr. Mirande is the ONLY ONE!! Debi Troutman

Dr Mirande will be a man I remember for the rest of my life.
He may forget me one day but I shall not.
His expertise in just nutrition alone has helped not only me but dozens of othrs that I share this special knowledge with.
His staff is great, not great at follow up you have to call them if you want help but very supportive.
Dr Mirande totally stresses the importance of the issues that you HAVe to follow, don't expect him to be sweet and kind if you disobey the rules and guidlines. It is that simple.
He does have excellent aftercare and he even comes to his own support group meets a few times a year, he e-mails me, he calls me and he is just excellent with encouragement and what I need.
He is not always that way to everyone they say BUT>>>>My feeling is this...if you are following rules to the letter you will get far more positive responce from him.
I would rate him as EXCELLENT in my opinion and I have worked with many physicians in health care and the hospital is awesome.
This program is by far the best I checked out.
Dr Mirande is a man who care and EDUCATES.
Thats what this is all about, being infomred and following rules.
Donna Burroughs

Dr. Mirande was the best surgeon that I have ever had. He is very knowledgeable and caring, and so is his office staff. He walked me through all the procedures and made sure that I was educated and thoroughly Understood what was going to happen and how I would feel after the surgery. If I have a question he is always there to answer it. I have strongly recommended him to other people who are interested in having the surgery.

My first impression of my surgeron was that he was very compassionate and cared so much about his patients. This never changed but I did also gain a lot of respect for him. He has a wonderful staff and his office shows how personal he and his staff are with their patients. His after care goes beyond the normal. This is one of the things that really impressed me the most. His surgical competence and bedside manner are both great and finding a surgeon better would take a person to the ends of this earth.

Every one I have spoken to, who's met Dr. Mirande - loves him. He is so caring, so sensitive and so honest. He recently moved into a new office and it's gorgeous. His primary office person, Mary, is a sweetheart as well.
I would highly recommend Dr. Mirande and Merle West Hosptital to anyone wishing to pursue this surgery.

My first impression of DR Mirande via a internet picture of him was he had suce a impersonal look to him. I thought he was going to be one of those Dr that have no warmth or bed side manner to them. Boy was I wrong! I went to one of his seminars to just get the jest of the procedures in person.With my first live look at him I know I was wrong with my picture perseption of him. As he spoke I and a few others very quickly felt the warmth and compassion in him at his work. My second meeting with Dr Mirande just finalized that he was the Dr for me.
The office staff is very friendly and helpful.
Dr Mirande emphasize aftercare over and over and over again and has a after care program that is easy to understand.
I am very comfortable around him and am sure his competence and bedside manner will be great even thought I have not had my surgery yet. These comments are mine and not to be constrewed as anything else. mona