#24: Curbside Round Table: Pondering Obesity

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 [email protected]   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.