#24: Curbside Round Table: Pondering Obesity
Jan 30, 2017, 08:00 AM
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.
Picks of the week
- Matt’s pick - Never Eat Alone by Keith Ferrazzi
- Paul’s pick - Sing Street (film)
- Stuart’s pick - Lemony Snicket's: A series of unfortunate events
Clinical pearls (from Recap and response OR Brief topic review)
- Obesity is a DISEASE. Not a lifestyle choice.
- Percent weight loss by intervention
- Diet and lifestyle 5-10%
- Medications >10%
- Bariatric surgery >30%
- Utilize specialist referral to gain resources e.g. dietician, and psychologist through bariatric surgery referral
- Put faith in your patients ability to change and they will hold themselves accountable
Coding tips
- If BMI >35 then code “morbid obesity” to increase medical decision making
- Code “BMI” in addition “Morbid obesity”
- 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
Disclosures:
The Curbsiders report no relevant financial disclosures, but as always hope to have lots of them in the future.