#24: Curbside Round Table: Pondering Obesity
Published January 30, 2017
30 min
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    More tools, tips, and tricks so you can master obesity in clinic. On this first roundtable episode, The Curbsiders give their take on the management of obesity, and offer their own practice changing tips. Also, Paul announces his goal to watch 365 movies in 365 days, and the guys give more great book, movie, and TV recommendations.

    Got feedback? Email thecurbsiders@gmail.com  

    Picks of the week

    1. Matt’s pick - Never Eat Alone by Keith Ferrazzi
    2. Paul’s pick - Sing Street (film)
    3. Stuart’s pick - Lemony Snicket's: A series of unfortunate events

    Clinical pearls (from Recap and response OR Brief topic review)

    1. Obesity is a DISEASE. Not a lifestyle choice.
    2. Percent weight loss by intervention
      • Diet and lifestyle 5-10%
      • Medications >10%
      • Bariatric surgery >30%
    3. Utilize specialist referral to gain resources e.g. dietician, and psychologist through bariatric surgery referral
    4. Put faith in your patients ability to change and they will hold themselves accountable

    Coding tips

    1. If BMI >35 then code “morbid obesity” to increase medical decision making
    2. Code “BMI” in addition “Morbid obesity”
    3. Be sure to code comorbid conditions e.g. hypertension, diabetes, hyperlipidemia, OSA

    Time Stamps

    00:00 Intro

    01:29 Picks of the week

    06:07 Recap and responses to our obesity interview with Dr. Garvey

    08:55 Mechanisms of obesity

    10:15 Discussion of relapse rates, weight gain

    11:23 Percent weight loss per therapy

    14:35 Treating obesity on a budget

    18:51 Coding tips

    20:43 Diet, lifestyle counseling and how to leverage resources

    26:38 Closing remarks

    28:40 Outro


    The Curbsiders report no relevant financial disclosures, but as always hope to have lots of them in the future.

    Links from the show:

    1. Tomlinson, S et al. Mechanisms, Pathophysiology, and Management of Obesity. NEJM 2016; 376(3) http://www.nejm.org/doi/full/10.1056/NEJMra1514009
    2. E&M University website http://emuniversity.com
    3. ICD10Data.com http://www.icd10data.com
    4. Matt’s pick - Never Eat Alone by Keith Ferrazzi
    5. Paul’s pick - Sing Street (film)
    6. Stuart’s pick - Lemony Snicket's: A series of unfortunate events


    Tags: care, doctor, family, health, hospitalist, hospital, internal, internist, medicine, medical, obesity, primary, physician, student, resident


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