The Curbsiders Internal Medicine Podcast

#24: Curbside Round Table: Pondering Obesity


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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.

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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
  4. 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%
      • 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

        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
        4. 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. 

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