#obsm Transcript
Healthcare social media transcript of the #obsm hashtag.
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See #obsm Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #obsm chat @obsmchat Welcome to the #obsm chat. Tonight we're discussing online connectedness and weight management efforts. Many thanks to @PsychoDietitian for drafting our blog and chat questions this month. |
 | Nina Crowley PhD RDN @PsychoDietitian Hope some of my #RD and integrated health friends are joining #obsm @eatrightPRO @WtMgmtDPG @ASMBSIH |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat My pleasure! I'm honored to be part of this #obsm community! |
| #obsm chat @obsmchat Please take a minute to introduce yourself. Even if only planning to "lurk" (read along without commenting) it’s helpful knowing the faces in the audience :-) Please note #obsm chats do not serve as medical advice. We will introduce the first question in a few minutes. |
 | Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: The #obsm blog site looks so great! kudos to the @obsmchat team! and thanks for letting me participate by asking some questions of our engaged group tonight! https://t.co/wzo0C8rBxo https://t.co/KNrfJTpZ3p |
 | Neil Floch MD @NeilFlochMD #obsm This is @NeilFlochMD @flochman the director of Bariatric Surgery at Western Connecticut Health Network @NorwalkHospital @obsmchat |
| #obsm chat @obsmchat Hi everyone! @pattynece from behind the @obsmchat handle! Looking forward to our chat tonight! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Hi! Arghavan Salles, bariatric surgeon. Curious to hear how people engage with online forums to support weight management. Thanks to @PsychoDietitian for writing our blog post this month! #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: @obsmchat My pleasure! I'm honored to be part of this #obsm community! |
 | Dr Theresa Cullen @DrTerriC Terri Cullen - RNY 2012 and revision 2018. @ObesityAction member in Oklahoma #obsm |
| #obsm chat @obsmchat RT @arghavan_salles: Hi! Arghavan Salles, bariatric surgeon. Curious to hear how people engage with online forums to support weight management. Thanks to @PsychoDietitian for writing our blog post this month! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat HI #obsm friends! I'm Nina Crowley aka @PsychoDietitian - a dietitian, phd in health psych and program coordinator for MUSC bariatric surgery program! |
| Arghavan Salles, MD, PhD @arghavan_salles Thanks to @pattynece for running the @obsmchat account tonight! #obsm |
 | Lab is my happy place @profbdcohen Hi #obsm! Glad to be able to join tonight. Biology professor, obesity researcher, and #RNY patient since 2013. |
| Nina Crowley PhD RDN @PsychoDietitian RT @arghavan_salles: Hi! Arghavan Salles, bariatric surgeon. Curious to hear how people engage with online forums to support weight management. Thanks to @PsychoDietitian for writing our blog post this month! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrTerriC @ObesityAction Welcome, Terri! #obsm |
| #obsm chat @obsmchat Thanks also to @TurnerandPage for handling all our tech!! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @profbdcohen Welcome back! #obsm |
| #obsm chat @obsmchat @PsychoDietitian Welcome Nina! #obsm |
 | Robyn Pashby, PhD (she/hers) @robynpashbyphd @obsmchat Hi Robyn Pashby @rpashbyphd here just for a bit but wanted to say hello! #obsm |
| #obsm chat @obsmchat @DrTerriC @ObesityAction So glad you're here and a proud @ObesityAction member! #obsm |
| #obsm chat @obsmchat Let's get the discussion going! Please remember to tag all tweets with #obsm so we can see them! Here's the first question. #obsm https://t.co/4eCIoIlE0u |
| Arghavan Salles, MD, PhD @arghavan_salles @obsmchat @TurnerandPage Absolutely! Couldn't do it without him. #obsm |
| #obsm chat @obsmchat @rpashbyphd Welcome Robyn! This one is right down your alley! Can't wait to hear about your new online program! #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: Please take a minute to introduce yourself. Even if only planning to "lurk" (read along without commenting) it’s helpful knowing the faces in the audience :-) Please note #obsm chats do not serve as medical advice. We will introduce the first question in a few minutes. |
| Arghavan Salles, MD, PhD @arghavan_salles @rpashbyphd @obsmchat Hi, Robyn! #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: The #obsm blog site looks so great! kudos to the @obsmchat team! and thanks for letting me participate by asking some questions of our engaged group tonight! https://t.co/wzo0C8rBxo https://t.co/KNrfJTpZ3p |
| #obsm chat @obsmchat @profbdcohen Thanks for joining! #obsm |
| #obsm chat @obsmchat So happy you could join! #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: Let's get the discussion going! Please remember to tag all tweets with #obsm so we can see them! Here's the first question. #obsm https://t.co/4eCIoIlE0u |
| Arghavan Salles, MD, PhD @arghavan_salles A1: Online forums can provide a virtual community for people who may not have access to strong support locally. #obsm |
| Lab is my happy place @profbdcohen I'm assuming there will be no #GoT spoilers on #OBSM tonight? |
 | Dr. Kasey Goodpaster @DrGoodpaster A1: Sometimes it can feel isolating when few social supports understand what it’s like living a bariatric lifestyle, so support groups are much needed. Particularly for those in rural areas, online forums are often much more accessible. #obsm |
| Dr Theresa Cullen @DrTerriC a1) Online forums can answer a lot of questions and also ease the isolation of being a bariatric patient. There are some role models present there too. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat One of the ways I find online forums to be supportive is in frequency – as we generally only have an in person #supportgroup once a month, but online forums offer #daily check in #obsm |
| Neil Floch MD @NeilFlochMD RT @profbdcohen: I'm assuming there will be no #GoT spoilers on #OBSM tonight? |
| #obsm chat @obsmchat @profbdcohen None coming from the official @obsmchat account for sure!!! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @profbdcohen Lol safe haven, I think! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: A1: A1: Sometimes it can feel isolating when few social supports understand what it’s like living a bariatric lifestyle, so support groups are much needed. Particularly for those in rural areas, online forums are often much more accessible. #obsm |
| Lab is my happy place @profbdcohen A1: Online forums can help you realize that what you are feeling is not just in your head. #OBSM |
| #obsm chat @obsmchat RT @DrTerriC: a1) Online forums can answer a lot of questions and also ease the isolation of being a bariatric patient. There are some role models present there too. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @PaulDavidsonPhD are you joining #obsm from your airplane?! |
| #obsm chat @obsmchat RT @DrGoodpaster: A1: A1: Sometimes it can feel isolating when few social supports understand what it’s like living a bariatric lifestyle, so support groups are much needed. Particularly for those in rural areas, online forums are often much more accessible. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrGoodpaster I think it can sometimes be easier to share with strangers than it is with people close to you. #obsm |
| Robyn Pashby, PhD (she/hers) @robynpashbyphd A1: online platforms can provide low cost (or even no cost) support. There is an important gap that we can attempt to fill by offering services to people in this cost effective way. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @lbsnutritionllc @obsmchat HI my friend! You have alot to offer on this discussion, so glad you are here #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: @obsmchat One of the ways I find online forums to be supportive is in frequency – as we generally only have an in person #supportgroup once a month, but online forums offer #daily check in #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @lbsnutritionllc @obsmchat @PsychoDietitian Welcome, Lauren! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @profbdcohen: A1: A1: Online forums can help you realize that what you are feeling is not just in your head. #OBSM |
| #obsm chat @obsmchat A1: Looks like helping people who are isolated geographically or emotionally is a big advantage. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Good point! as we move to trying to get more #telehealth to #rural areas, this is a good way to increase access #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrTerriC: a1) Online forums can answer a lot of questions and also ease the isolation of being a bariatric patient. There are some role models present there too. #obsm |
| Dr Theresa Cullen @DrTerriC @rpashbyphd I will wait for q2.. to respond to this.. :) but sometimes you get what you pay for. #obsm |
| #obsm chat @obsmchat @arghavan_salles @lbsnutritionllc @PsychoDietitian Happy you're here Lauren! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @rpashbyphd We're going to get to this in one of the questions, I think, but how do you think the content should be monitored? #obsm |
| #obsm chat @obsmchat RT @rpashbyphd: A1: A1: online platforms can provide low cost (or even no cost) support. There is an important gap that we can attempt to fill by offering services to people in this cost effective way. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @arghavan_salles @DrGoodpaster Agree! There is something about knowing you are in a safe place with people going through the same thing that unites a group! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @arghavan_salles Sometimes! I’ve heard from some of my patients that they hesitate to share struggles in the in-person support group when everyone else there is excited and positive. On the other hand, idk how much personal, mental health stuff is shared online. #obsm |
| #obsm chat @obsmchat @profbdcohen Do you mean in the sense of not feeling alone? That others share the same issues and concerns? #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrTerriC @rpashbyphd Ha. We can jump ahead--it's fluid! What do you think is the biggest drawback of online support? #obsm |
| Nina Crowley PhD RDN @PsychoDietitian A1 I’ve heard some people say in my #bariatricsurgery #supportgroup that they don’t feel as comfortable sharing (at the in person group), so I think some may be able to share more personal info when in an online format #obsm |
 | Deborah Greenhouse @greenhousemd @obsmchat pediatrician in SC. Working on a study combining Motivational Interviewing by pediatricians and dietitians to combat childhood obesity. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrGoodpaster Yeah, I could see it going both ways. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Yes 100% I hear that too - or when some start with everyone going around and sharing weight loss - those who are not comfortable or dont want to share are turned off #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: A1 I’ve heard some people say in my #bariatricsurgery #supportgroup that they don’t feel as comfortable sharing (at the in person group), so I think some may be able to share more personal info when in an online format #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian We’re trying to figure out how to use telehealth to broadcast in-person support group meetings for those far from our center. Unfortunately there’s lots of red tape 😕 #obsm |
 | jentodd1203 @jen4tri @obsmchat #obsm |
| #obsm chat @obsmchat @greenhousemd Happy you made it!! #obsm |
| Dr Theresa Cullen @DrTerriC There is a lot of crazy and drama there, a lot of "cheating" and a lot of misinformation. It was valuable to me early on. .but as an experienced bariatric patient who has had setbacks.. the newbies can be a bit much.. #weightlosshigh #obsm |
| Lab is my happy place @profbdcohen @obsmchat Shared issues and concerns are definitely a part of it. For example when I went through some buyer's remorse it was really helpful to see I wasn't the only one. #obsm |
| #obsm chat @obsmchat #obsm https://t.co/VTVlTve1vr |
 | Neil Floch MD @flochman @rpashbyphd Q1: #obsm I think that’s a great point. Online support groups are accessible to the many patients who cannot physically attend monthly support groups. |
| #obsm chat @obsmchat @jen4tri Hi Jen! Welcome! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian Totally. 💯 I’ve started asking patients to avoid sharing weight loss and instead share one non-scale goal or victory instead, for that very reason. #obsm |
| #obsm chat @obsmchat @DrTerriC Could you explain what you mean by "cheating"? Does that refer to eating off plan? #obsm |
| Neil Floch MD @flochman @arghavan_salles @DrGoodpaster Yes. But many patients feel awkward in a physically present support group. The option to lurk and listen is one that is not possible when you are present #obsm |
| Nina Crowley PhD RDN @PsychoDietitian A2: #Obsm I’ve found many of my patients begin to #compare themselves to others as far as #weight loss in online forums, and the constant focus on weight in not helpful |
| Neil Floch MD @flochman RT @DrGoodpaster: @arghavan_salles Sometimes! I’ve heard from some of my patients that they hesitate to share struggles in the in-person support group when everyone else there is excited and positive. On the other hand, idk how much personal, mental health stuff is shared online. #obsm |
| Dr Theresa Cullen @DrTerriC @obsmchat a2) There is a lot of repeating in online forums.. it is hard to get the advanced and more complicated issues. #obsm https://t.co/gjq9RbLbor |
| Deborah Greenhouse @greenhousemd A1: Online forums can be an outlet for adolescents who are not comfortable discussing issues dealing with weight and body image with their real-world peers or family. Then again, that can also be a negative. #obsm |
| Dr Theresa Cullen @DrTerriC @obsmchat Oh I know your doctor said no popcorn.. but I eat it all the time I am fine.. etc.. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrTerriC By cheating do you mean people admitting to "cheating" on diets? Or is there another kind of cheating? Do you think there should be separate forums for those who had surgery more recently compared to those who are further out? #obsm |
| Neil Floch MD @flochman RT @flochman: @arghavan_salles @DrGoodpaster Yes. But many patients feel awkward in a physically present support group. The option to lurk and listen is one that is not possible when you are present #obsm |
| Neil Floch MD @flochman RT @flochman: @rpashbyphd Q1: @rpashbyphd Q1: #obsm I think that’s a great point. Online support groups are accessible to the many patients who cannot physically attend monthly support groups. |
| Dr. Kasey Goodpaster @DrGoodpaster A2: It’s hard to form genuine relationships in large online groups, & privacy concerns may prevent some patients from sharing about more sensitive but important topics (such as mental heath). #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrGoodpaster I think thats a challenge and something many are looking to do - my question is, do you think just 'lurking' at an in person group will be helpful? I always think there is something just so valuable about being there.. #obsm |
 | Bruce Y. Lee @bruce_y_lee Hi #obsm @bruce_y_lee here. Looking forward to the @obsmchat https://t.co/Ottny5CU7Z |
| Lab is my happy place @profbdcohen @obsmchat A2: The loudest voices are usually the ones who have had struggles with their #WLS. They can sometimes give a distorted view for prospective patients and be discouraging. #obsm |
| #obsm chat @obsmchat @PsychoDietitian Does starting a group by sharing weight loss numbers place too much emphasis on the scale and not enough on health? #obsm |
| Dr Theresa Cullen @DrTerriC @arghavan_salles 100% There should be groups for more than 2 years out.. those experiencing regain.. etc.. those with medical complications. #obsm https://t.co/OZB6j3vNCs |
| Neil Floch MD @flochman @arghavan_salles @DrTerriC Q1: do think it’s best to have early and late groups but that usually not possible #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @flochman @arghavan_salles @DrGoodpaster good point! and there are alot of barriers to getting to some, like ours is downtown charleston which people hate to drive to and deal with parking! #obsm |
| Neil Floch MD @flochman RT @greenhousemd: A1: A1: Online forums can be an outlet for adolescents who are not comfortable discussing issues dealing with weight and body image with their real-world peers or family. Then again, that can also be a negative. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles A2: One of the things I worry about is the quality of the content and minimizing misinformation. It seems like a lot of forums are not running by clinicians so it might be heard to tell what's good advice vs what is not. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian I think so. Those who “lurk” in person have the option of pulling aside the group facilitator afterward. It helps to stay connected to the program. #obsm |
| Neil Floch MD @flochman RT @DrTerriC: @obsmchat a2) There is a lot of repeating in online forums.. it is hard to get the advanced and more complicated issues. #obsm https://t.co/gjq9RbLbor |
| Lab is my happy place @profbdcohen @obsmchat @PsychoDietitian This was an issue in our surgeons' office FB group. People who were not progressing as quickly took umbrage with people sharing numbers or before/after pictures. #obsm |
| Neil Floch MD @flochman RT @PsychoDietitian: A2: A2: #Obsm I’ve found many of my patients begin to #compare themselves to others as far as #weight loss in online forums, and the constant focus on weight in not helpful |
| jentodd1203 @jen4tri @obsmchat I keep forgetting to tag #obsm |
| Deborah Greenhouse @greenhousemd @PsychoDietitian @obsmchat Pediatricians trained in Motivational Interviewing combined with dietitians also doing MI over 2 years. Hoping to impact BMI in kids age 3-11. @AmerAcadPeds PROS research network #obsm |
 | Ian Patton, PHD @IanPatton55 RT @DrTerriC: @arghavan_salles 100% There should be groups for more than 2 years out.. those experiencing regain.. etc.. those with medical complications. #obsm https://t.co/OZB6j3vNCs |
 | John David Scott MD @jdscottmd A1: social media allows us to reach those patients who live to far away or who have odd work hours to attend our support groups. It’s changed our practice. #obsm |
| #obsm chat @obsmchat Excellent idea! Moving away from the scale numbers and celebrating other victories! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat I think so. I've tried to get away from it, but sometimes its an old habit from the group - We always say to introduce what you feel like sharing, and sometimes the group tends to focus on that... #obsm |
| Neil Floch MD @flochman @PsychoDietitian It’s easier to remain anonymous and not become involved #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: A2: A2: #Obsm I’ve found many of my patients begin to #compare themselves to others as far as #weight loss in online forums, and the constant focus on weight in not helpful |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian @flochman @arghavan_salles Oh yes, same with downtown Cleveland!! #obsm |
| #obsm chat @obsmchat @ams8174 Welcome Anita! Thank you so much for sharing your experiences! #obsm |
| Neil Floch MD @flochman RT @DrGoodpaster: @PsychoDietitian Totally. 💯 I’ve started asking patients to avoid sharing weight loss and instead share one non-scale goal or victory instead, for that very reason. #obsm |
| Dr Theresa Cullen @DrTerriC @profbdcohen @obsmchat I totally agree with you but I also think that those that are losing quickly need to hear that it won't always be so "easy" #obsm I get the value of mixing alums with new patients - but it should not be the support for the alums.. its more of a volunteer role. |
| Neil Floch MD @flochman RT @obsmchat: #obsm https://t.co/VTVlTve1vr |
| Neil Floch MD @flochman RT @profbdcohen: @obsmchat Shared issues and concerns are definitely a part of it. For example when I went through some buyer's remorse it was really helpful to see I wasn't the only one. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Agree and there is such a focus on people jumping in to give "advice" when the concept is support... there is a big difference! #obsm |
| Neil Floch MD @flochman RT @DrTerriC: There is a lot of crazy and drama there, a lot of "cheating" and a lot of misinformation. It was valuable to me early on. .but as an experienced bariatric patient who has had setbacks.. the newbies can be a bit much.. #weightlosshigh #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @lbsnutritionllc Yes, I wish there were less of an emphasis on weight loss and more of an emphasis on healthy patterns of behavior. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian We should all be doing this! @lbsnutritionllc an idea for the @asmbsih #supportgroup committee! #obsm |
| #obsm chat @obsmchat @bruce_y_lee Hi Bruce! Glad you're here! #obsm |
| Dr Theresa Cullen @DrTerriC @DrGoodpaster @PsychoDietitian that sounds like a great idea.. you control the culture towards the group goals. #obsm |
| Neil Floch MD @flochman RT @obsmchat: @PsychoDietitian Does starting a group by sharing weight loss numbers place too much emphasis on the scale and not enough on health? #obsm |
| Neil Floch MD @flochman RT @DrTerriC: @arghavan_salles 100% There should be groups for more than 2 years out.. those experiencing regain.. etc.. those with medical complications. #obsm https://t.co/OZB6j3vNCs |
| Deborah Greenhouse @greenhousemd A2- Online forums can create a false sense of reality for teens (or for anyone). That could increase risk for eating disorders or worsen already poor self esteem. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrGoodpaster And, online forums are not a substitute for medical care. #obsm |
| Ian Patton, PHD @IanPatton55 @obsmchat @PsychoDietitian Weight is a terrible measure of health and success, I almost never talk numbers and redirect others, ask about other successes to highlight for my peers in support groups #obsm |
| Neil Floch MD @flochman RT @PsychoDietitian: @flochman @arghavan_salles @DrGoodpaster good point! and there are alot of barriers to getting to some, like ours is downtown charleston which people hate to drive to and deal with parking! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian We've gone back and forth with the groupings and some love being amongst same time point peers and others love the mentoring aspect! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian Yes! The advice-giving is a challenge I see both in person and online. It can be information overload. #obsm |
| jentodd1203 @jen4tri @PsychoDietitian @DrGoodpaster #obsm |
| Neil Floch MD @flochman RT @arghavan_salles: A2: A2: One of the things I worry about is the quality of the content and minimizing misinformation. It seems like a lot of forums are not running by clinicians so it might be heard to tell what's good advice vs what is not. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @jdscottmd hey there! #obsm |
| Neil Floch MD @flochman RT @profbdcohen: @obsmchat @PsychoDietitian This was an issue in our surgeons' office FB group. People who were not progressing as quickly took umbrage with people sharing numbers or before/after pictures. #obsm |
| #obsm chat @obsmchat @jen4tri Don't worry - you're not alone! #obsm |
| Neil Floch MD @flochman RT @DrGoodpaster: @PsychoDietitian I think so. Those who “lurk” in person have the option of pulling aside the group facilitator afterward. It helps to stay connected to the program. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @bruce_y_lee @obsmchat Welcome, Bruce! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @IanPatton55: @obsmchat @PsychoDietitian Weight is a terrible measure of health and success, I almost never talk numbers and redirect others, ask about other successes to highlight for my peers in support groups #obsm |
| #obsm chat @obsmchat RT @greenhousemd: @PsychoDietitian @obsmchat Pediatricians trained in Motivational Interviewing combined with dietitians also doing MI over 2 years. Hoping to impact BMI in kids age 3-11. @AmerAcadPeds PROS research network #obsm |
| #obsm chat @obsmchat @jdscottmd Welcome to the #obsm chat! |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrTerriC: @arghavan_salles 100% There should be groups for more than 2 years out.. those experiencing regain.. etc.. those with medical complications. #obsm https://t.co/OZB6j3vNCs |
| Neil Floch MD @flochman @jen4tri @obsmchat Retag all your tweets with #obsm so we can see them 👍 |
| Neil Floch MD @flochman RT @greenhousemd: @PsychoDietitian @obsmchat Pediatricians trained in Motivational Interviewing combined with dietitians also doing MI over 2 years. Hoping to impact BMI in kids age 3-11. @AmerAcadPeds PROS research network #obsm |
| Nina Crowley PhD RDN @PsychoDietitian A2: For some, the online format for weight management support tends to focus a lot on asking for food and nutrition advice from others, which sometimes replaces going in to see their #dietitian who is better suited for #individualized #nutrition #counseling #obsm |
| Neil Floch MD @flochman RT @jdscottmd: A1: A1: social media allows us to reach those patients who live to far away or who have odd work hours to attend our support groups. It’s changed our practice. #obsm |
| Neil Floch MD @flochman RT @DrTerriC: @profbdcohen @obsmchat I totally agree with you but I also think that those that are losing quickly need to hear that it won't always be so "easy" #obsm I get the value of mixing alums with new patients - but it should not be the support for the alums.. its more of a volunteer role. |
| Deborah Greenhouse @greenhousemd @PsychoDietitian @obsmchat Interesting. I try to start visits by saying "it's not about numbers on the scale. It's about being healthy and feeling good about yourself.". Not sure that online forums necessarily take that approach. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @flochman @DrTerriC I think she's talking about online. Seems like that should be doable? #obsm |
| Dr Theresa Cullen @DrTerriC @flochman @arghavan_salles I know many late people who leave support due to the frustration of focus on beginners and preops. #obsm The culture of a group (esp focused on numbers) can bring frustration and shame and people drop out. #obsm |
| Robyn Pashby, PhD (she/hers) @robynpashbyphd RT @arghavan_salles: @lbsnutritionllc Yes, I wish there were less of an emphasis on weight loss and more of an emphasis on healthy patterns of behavior. #obsm |
| Neil Floch MD @flochman RT @PsychoDietitian: Agree and there is such a focus on people jumping in to give "advice" when the concept is support... there is a big difference! #obsm |
 | Heather 🇺🇸 @ZHeatherChamp @obsmchat A1: Connecting with someone who’s walked the road before you. That’s a huge KEY TO SUCCESS imo. #obsm |
| Bruce Y. Lee @bruce_y_lee @obsmchat Whenever you get a group of ppl together that aren't necessarily connected with each other, weird social dynamics can emerge. Cliques can form & ppl can start playing politics #obsm |
| #obsm chat @obsmchat #obsm https://t.co/C5sqU53ad1 |
| Ian Patton, PHD @IanPatton55 @profbdcohen @obsmchat I hear what you are saying but in my experience the loudest voices are the ones who are in the Honeyman stage and cheering every 1/2 lb lost. The “strugglers” tend to disappear because they feel alone #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: Agree and there is such a focus on people jumping in to give "advice" when the concept is support... there is a big difference! #obsm |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: @profbdcohen @obsmchat I totally agree with you but I also think that those that are losing quickly need to hear that it won't always be so "easy" #obsm I get the value of mixing alums with new patients - but it should not be the support for the alums.. its more of a volunteer role. |
| Neil Floch MD @NeilFlochMD RT @jdscottmd: A1: A1: social media allows us to reach those patients who live to far away or who have odd work hours to attend our support groups. It’s changed our practice. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @arghavan_salles Yes, that’s probably my biggest concern with it. A lot of the questions are about medical issues. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @profbdcohen @obsmchat @PsychoDietitian Another question that comes up is whether these groups should be open or closed. Thoughts? #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @PsychoDietitian @obsmchat Pediatricians trained in Motivational Interviewing combined with dietitians also doing MI over 2 years. Hoping to impact BMI in kids age 3-11. @AmerAcadPeds PROS research network #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: @PsychoDietitian I think so. Those who “lurk” in person have the option of pulling aside the group facilitator afterward. It helps to stay connected to the program. #obsm |
| Neil Floch MD @NeilFlochMD RT @profbdcohen: @obsmchat @PsychoDietitian This was an issue in our surgeons' office FB group. People who were not progressing as quickly took umbrage with people sharing numbers or before/after pictures. #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: A2: A2: One of the things I worry about is the quality of the content and minimizing misinformation. It seems like a lot of forums are not running by clinicians so it might be heard to tell what's good advice vs what is not. #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: @flochman @arghavan_salles @DrGoodpaster good point! and there are alot of barriers to getting to some, like ours is downtown charleston which people hate to drive to and deal with parking! #obsm |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: @arghavan_salles 100% There should be groups for more than 2 years out.. those experiencing regain.. etc.. those with medical complications. #obsm https://t.co/OZB6j3vNCs |
| Dr Theresa Cullen @DrTerriC @PsychoDietitian I think you got the key.. choice if possible.. safe space differs depending on the challenges. Two choices sounds great and responsive. #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @PsychoDietitian Does starting a group by sharing weight loss numbers place too much emphasis on the scale and not enough on health? #obsm |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: There is a lot of crazy and drama there, a lot of "cheating" and a lot of misinformation. It was valuable to me early on. .but as an experienced bariatric patient who has had setbacks.. the newbies can be a bit much.. #weightlosshigh #obsm |
| Neil Floch MD @NeilFlochMD RT @profbdcohen: @obsmchat Shared issues and concerns are definitely a part of it. For example when I went through some buyer's remorse it was really helpful to see I wasn't the only one. #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/VTVlTve1vr |
| Nina Crowley PhD RDN @PsychoDietitian Yes!!!! #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: @PsychoDietitian Totally. 💯 I’ve started asking patients to avoid sharing weight loss and instead share one non-scale goal or victory instead, for that very reason. #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: A2: A2: #Obsm I’ve found many of my patients begin to #compare themselves to others as far as #weight loss in online forums, and the constant focus on weight in not helpful |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: @obsmchat a2) There is a lot of repeating in online forums.. it is hard to get the advanced and more complicated issues. #obsm https://t.co/gjq9RbLbor |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: A1: A1: Online forums can be an outlet for adolescents who are not comfortable discussing issues dealing with weight and body image with their real-world peers or family. Then again, that can also be a negative. #obsm |
| Neil Floch MD @NeilFlochMD RT @flochman: @rpashbyphd Q1: @rpashbyphd Q1: #obsm I think that’s a great point. Online support groups are accessible to the many patients who cannot physically attend monthly support groups. |
| Neil Floch MD @NeilFlochMD RT @flochman: @arghavan_salles @DrGoodpaster Yes. But many patients feel awkward in a physically present support group. The option to lurk and listen is one that is not possible when you are present #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @greenhousemd: @PsychoDietitian @obsmchat Interesting. I try to start visits by saying "it's not about numbers on the scale. It's about being healthy and feeling good about yourself.". Not sure that online forums necessarily take that approach. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: @arghavan_salles Sometimes! I’ve heard from some of my patients that they hesitate to share struggles in the in-person support group when everyone else there is excited and positive. On the other hand, idk how much personal, mental health stuff is shared online. #obsm |
| Bruce Y. Lee @bruce_y_lee @lbsnutritionllc @PsychoDietitian Some ppl with agendas can also pose as "experts" #obsm |
| Neil Floch MD @NeilFlochMD RT @flochman: @jen4tri @obsmchat Retag all your tweets with #obsm so we can see them 👍 |
| #obsm chat @obsmchat @greenhousemd Do you think this issue could arise with adults as well? #obsm |
| Neil Floch MD @NeilFlochMD RT @flochman: @PsychoDietitian It’s easier to remain anonymous and not become involved #obsm |
| Deborah Greenhouse @greenhousemd @arghavan_salles @DrGoodpaster Totally agree. Some of the advice given in an online forum may be factually inaccurate. But the group members may not realize it. Potentially dangerous. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster A3: It depends on the person and group. Some of my patients tell me online groups are reassuring, normalizing, & inspiring. Others say they feel anxious when they see their symptoms, weight loss, ability to tolerate certain foods, etc differs from others who are posting. #obsm |
| Neil Floch MD @NeilFlochMD RT @flochman: @arghavan_salles @DrTerriC Q1: @arghavan_salles @DrTerriC Q1: do think it’s best to have early and late groups but that usually not possible #obsm |
| Lab is my happy place @profbdcohen @IanPatton55 @obsmchat That's an excellent point. People can be quickly discouraged by hearing how well everyone else is doing. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @jdscottmd Do you have an online community on FB or some other plafform? Or do you stream things like support groups and info sessions? #obsm |
| jentodd1203 @jen4tri @DrGoodpaster I could go on about this all day. I was a part of several groups on Facebook. I ended up leaving due to the bad advice and the attitude of "my way is correct and you are doing it wrong" #obsm |
 | Prisma Health–Upstate Dept. of Surgery @PH_Surgery #obsm watching along. Heat answers today. |
 | NormaJean Bertrand @JeannieBee61 RT @flochman: @rpashbyphd Q1: @rpashbyphd Q1: #obsm I think that’s a great point. Online support groups are accessible to the many patients who cannot physically attend monthly support groups. |
| Nina Crowley PhD RDN @PsychoDietitian We've always done open, but we've definately seen a decline in participation in #supportgroup in the past few years, as more are moving to online forums I think #obsm |
| Dr Theresa Cullen @DrTerriC Free groups online often don't have professionals (mental health, nutritionists, nurses, etc..) present. it can breed misinformation #obsm |
| Deborah Greenhouse @greenhousemd @obsmchat I would certainly think so. Self esteem issues don't end with adolescence. Nor does risk for eating disorders. #obsm |
| Neil Floch MD @NeilFlochMD RT @jen4tri: @DrGoodpaster I could go on about this all day. I was a part of several groups on Facebook. I ended up leaving due to the bad advice and the attitude of "my way is correct and you are doing it wrong" #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrTerriC @profbdcohen @obsmchat That makes sense. People who are further out would naturally mentor those who have had surgery more recently. That doesn't leave much support for those who are further out, though. #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @jdscottmd Do you have an online community on FB or some other plafform? Or do you stream things like support groups and info sessions? #obsm |
 | LifeScan Diabetes Institute @LifeScanDiabInt RT @DrGoodpaster: @PsychoDietitian Yes! The advice-giving is a challenge I see both in person and online. It can be information overload. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: Agree and there is such a focus on people jumping in to give "advice" when the concept is support... there is a big difference! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @jen4tri @DrGoodpaster I do want to hear more, as this is why I wanted to post the question about more and more online connectedness... thanks for sharing! #obsm |
| Dr Theresa Cullen @DrTerriC a3) .. The just in time aspect can be really great.. but sometimes there are serious problems I see in the large online groups.. where a doctor would be better. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian Agree completely--not everyone wants their problem "fixed." They may just want to be heard. #obsm |
| Bruce Y. Lee @bruce_y_lee @arghavan_salles @profbdcohen @obsmchat @PsychoDietitian Timely question. In a recent journalist meeting, someone was wondering whether it is right for a journalist to join what groups #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @jen4tri Right, unfortunately the anonymity online can result in people coming off harsher or more judgmental in their comments. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: We should all be doing this! @lbsnutritionllc an idea for the @asmbsih #supportgroup committee! #obsm |
| Ian Patton, PHD @IanPatton55 @obsmchat It depends on the group, and how it is managed, I have left groups because of the culture and others have been a lifeline, you need to find the one that fits your needs #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrTerriC: Free groups online often don't have professionals (mental health, nutritionists, nurses, etc..) present. it can breed misinformation #obsm |
| #obsm chat @obsmchat @ghs_surgery Glad you're here! #obsm |
| John David Scott MD @jdscottmd RT @arghavan_salles: @jdscottmd Do you have an online community on FB or some other plafform? Or do you stream things like support groups and info sessions? #obsm |
| Dr Theresa Cullen @DrTerriC @lbsnutritionllc Good point.. there are a lot of "discussions" of right way.. and if your doctor has given other advice it can be difficult. #obsm |
| jentodd1203 @jen4tri @DrGoodpaster Yes, it does. When you have always compared yourself to others. You start to question, why. Why am I not losing like... or other negative thoughts. #obsm |
 | Nola Ernest @AlabamaKidDoc RT @greenhousemd: A2- Online forums can create a false sense of reality for teens (or for anyone). That could increase risk for eating disorders or worsen already poor self esteem. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I hear that too. And i know that the bariatric surgery support teams are non-judgmental and patient centered, and I dont know if that can be offered from non-professionals #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @greenhousemd That's fair. It can be tempting to only talk about things that are going well, creating a false sense that everyone is doing really well even though likely everyone is struggling (even if they don't have the same struggles). #obsm |
| Ian Patton, PHD @IanPatton55 @ams8174 @obsmchat This happens so much it is scary, constantly having to cut in on a thread to tell people that this is not a question for faceless Facebook friends but a health professional #obsm |
| #obsm chat @obsmchat Any ideas for tackling these problems in an online group? #obsm |
| Neil Floch MD @NeilFlochMD #obsm I find that patients ask me questions about #diets and eating behavior based upon what they have heard on the internet or a group - much false or based on opinion and usually the recommendations of someone on a #facebook group |
| Arghavan Salles, MD, PhD @arghavan_salles RT @IanPatton55: @obsmchat @PsychoDietitian Weight is a terrible measure of health and success, I almost never talk numbers and redirect others, ask about other successes to highlight for my peers in support groups #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @IanPatton55 @obsmchat There are so many groups out there, it’s great you can be discerning about which ones are helpful and which to leave. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Know yourself! Yes! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: @jen4tri Right, unfortunately the anonymity online can result in people coming off harsher or more judgmental in their comments. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @arghavan_salles: @PsychoDietitian Agree completely--not everyone wants their problem "fixed." They may just want to be heard. #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: Know yourself! Yes! #obsm |
| Neil Floch MD @NeilFlochMD RT @IanPatton55: @obsmchat It depends on the group, and how it is managed, I have left groups because of the culture and others have been a lifeline, you need to find the one that fits your needs #obsm |
| Lab is my happy place @profbdcohen @arghavan_salles @obsmchat @PsychoDietitian I think that there needs to be some accountability; if someone is in a group giving false/misleading/bad advice there should be a mechanism for removing them from the group. On the other hand, it should be a welcoming place. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat A3: #obsm I’ve seen patients really develop a sense of community with some of their friends made in online forums, and on #SoMe – where they may not have this same support network in person |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: @IanPatton55 @obsmchat There are so many groups out there, it’s great you can be discerning about which ones are helpful and which to leave. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian I can see how it would be confusing for people to know when they should see a clinician rather than trying to address a problem within a support group. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @lbsnutritionllc True! They are a great place to go for ideas when getting “burned out” with a particular way of eating. #obsm |
| Deborah Greenhouse @greenhousemd A3: Adolescents largely live online. That affects their mental health in every possible way. When it comes to weight and health issues, the impact can be very positive, or very negative, on their mental health. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I think having some agreed upon guidelines for group online behavior can help, and a moderator to keep accoutability! #Obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @profbdcohen: @arghavan_salles @obsmchat @PsychoDietitian I think that there needs to be some accountability; if someone is in a group giving false/misleading/bad advice there should be a mechanism for removing them from the group. On the other hand, it should be a welcoming place. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @greenhousemd @PsychoDietitian @obsmchat Without a moderator constantly reinforcing that message I could see how the discussion would drift back to being about weight. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @jen4tri Those thoughts can be so self-defeating 😔 #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrTerriC @flochman What do you think is the biggest need for people who are further out? Maintenance? Regain? #obsm |
| Robyn Pashby, PhD (she/hers) @robynpashbyphd Know yourself. Yes! And also set your own limits. Ask for what you need. Love this! |
| Dr Theresa Cullen @DrTerriC I still think there is value in Real life to online.. Since attending two @ObesityAction conferences, I have "friends" that I met in person that I can reach out to online. National participation can help create a larger view #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I'd say again it comes back to defining #support versus #advice and really knowing that the support group is to hear you and provide support... #obsm |
| Neil Floch MD @NeilFlochMD #obsm @BetsyDovec_MD has developed a #Facebook group for her own practice. Although time consuming- this is the best way to monitor and control accurate information on a group that your patients are participating- I encourage all programs to do the same |
| #obsm chat @obsmchat How do you monitor your patients' mental health when they're participating in unmonitored support groups online? #obsm |
| Neil Floch MD @NeilFlochMD RT @profbdcohen: @arghavan_salles @obsmchat @PsychoDietitian I think that there needs to be some accountability; if someone is in a group giving false/misleading/bad advice there should be a mechanism for removing them from the group. On the other hand, it should be a welcoming place. #obsm |
| jentodd1203 @jen4tri @PsychoDietitian So very true. When I was working 8n the Bariatric clinic one of the first things I would do is to tell the patient to get out of the support group and only do the one that was set up by the office and monitor by the dietitian. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @greenhousemd: A3: A3: Adolescents largely live online. That affects their mental health in every possible way. When it comes to weight and health issues, the impact can be very positive, or very negative, on their mental health. #obsm |
 | Nate Sann, FNP-BC @nate_sann I have patients that start comparing unrealistic expectations and can’t see their success because they are focused on others #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: @obsmchat A3: @obsmchat A3: #obsm I’ve seen patients really develop a sense of community with some of their friends made in online forums, and on #SoMe – where they may not have this same support network in person |
| #obsm chat @obsmchat #obsm https://t.co/HU6Xz2v4tZ |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @PsychoDietitian I can see how it would be confusing for people to know when they should see a clinician rather than trying to address a problem within a support group. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: @lbsnutritionllc True! They are a great place to go for ideas when getting “burned out” with a particular way of eating. #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: A3: A3: Adolescents largely live online. That affects their mental health in every possible way. When it comes to weight and health issues, the impact can be very positive, or very negative, on their mental health. #obsm |
| Deborah Greenhouse @greenhousemd @arghavan_salles Agreed. And it can go both ways for teens. They may choose to present either their most positive, or most negative image online. And the image may change from day to day. That can create confusion for both the person posting and the person reading the post. #obsm |
| #obsm chat @obsmchat @DrGoodpaster @jen4tri #TRUTH! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian @jen4tri @DrGoodpaster How could you identify when advice was bad? #obsm |
| #obsm chat @obsmchat RT @greenhousemd: A3: A3: Adolescents largely live online. That affects their mental health in every possible way. When it comes to weight and health issues, the impact can be very positive, or very negative, on their mental health. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I guess it mirrors the general trend of what we all do on instagram, pinterest, etc - social comparison, but disguised as support! My point - how do we know if this online presense helps or hurts #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @bruce_y_lee @profbdcohen @obsmchat @PsychoDietitian Interesting question. What was the consensus? #obsm |
| Ian Patton, PHD @IanPatton55 @profbdcohen @arghavan_salles @obsmchat @PsychoDietitian Problem is most of the groups are monitored and managed by the same people sharing the misinformation, I think the best bet is to encourage people to elevate their health literacy so they can filter out the goop #obsm |
| Neil Floch MD @NeilFlochMD @PsychoDietitian It is important to have a list of participant ground rules that should be agreed upon and people who do not follow should be removed - they should be listed at the front of every site #obsm |
| Dr Theresa Cullen @DrTerriC @arghavan_salles @flochman Regain but more research on expectations (bounceback is somewhat expected) and celebrating wins and not losing all success by chasing a number of the past #obsm . I have seen so many successful patients lose all success by chasing one-derland for example. |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @DrTerriC @flochman What do you think is the biggest need for people who are further out? Maintenance? Regain? #obsm |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: I still think there is value in Real life to online.. Since attending two @ObesityAction conferences, I have "friends" that I met in person that I can reach out to online. National participation can help create a larger view #obsm |
| Nina Crowley PhD RDN @PsychoDietitian That's right on - its so hard to know how we can best support our patients! #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: I'd say again it comes back to defining #support versus #advice and really knowing that the support group is to hear you and provide support... #obsm |
| #obsm chat @obsmchat If anyone is interested in @ObesityAction's Your Weight Matters Convention, check out https://t.co/qzpU9YIQX1! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @IanPatton55 @profbdcohen @arghavan_salles @obsmchat @PsychoDietitian “Goop” - what a fitting word choice for misinformation 😂👍 #obsm |
| Neil Floch MD @NeilFlochMD RT @jen4tri: @PsychoDietitian So very true. When I was working 8n the Bariatric clinic one of the first things I would do is to tell the patient to get out of the support group and only do the one that was set up by the office and monitor by the dietitian. #obsm |
 | Covfefe and Crudités lover Chuck Musholt @cmusholt RT @PsychoDietitian: A2: A2: #Obsm I’ve found many of my patients begin to #compare themselves to others as far as #weight loss in online forums, and the constant focus on weight in not helpful |
| #obsm chat @obsmchat RT @nate_sann: I have patients that start comparing unrealistic expectations and can’t see their success because they are focused on others #obsm |
| Neil Floch MD @NeilFlochMD RT @nate_sann: I have patients that start comparing unrealistic expectations and can’t see their success because they are focused on others #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/HU6Xz2v4tZ |
| #obsm chat @obsmchat @nate_sann Welcome to the chat! #obsm |
| Nate Sann, FNP-BC @nate_sann RT @PsychoDietitian: The #obsm blog site looks so great! kudos to the @obsmchat team! and thanks for letting me participate by asking some questions of our engaged group tonight! https://t.co/wzo0C8rBxo https://t.co/KNrfJTpZ3p |
| Dr. Kasey Goodpaster @DrGoodpaster A4: Generally not reliable, & unfortunately that is where patients go for a lot of medical/nutritional info 😳If bariatric programs have their own groups, it’s a good idea for someone in the program to be monitoring & directing those questions to the appropritate providers. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrTerriC: I still think there is value in Real life to online.. Since attending two @ObesityAction conferences, I have "friends" that I met in person that I can reach out to online. National participation can help create a larger view #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @arghavan_salles Agreed. And it can go both ways for teens. They may choose to present either their most positive, or most negative image online. And the image may change from day to day. That can create confusion for both the person posting and the person reading the post. #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: I guess it mirrors the general trend of what we all do on instagram, pinterest, etc - social comparison, but disguised as support! My point - how do we know if this online presense helps or hurts #obsm |
| Deborah Greenhouse @greenhousemd A4:Medical and Nutritional advice online is probably equivalent to political news and advice on line. Some really, really good and a lot really, really bad. Caveat emptor. #obsm |
| #obsm chat @obsmchat @organiclemon Welcome!! #obsm |
| Ian Patton, PHD @IanPatton55 @DrTerriC @ObesityAction Absolutely, real connections make the best social support online or otherwise. My biggest non family support is on the other side of the country #obsm |
| Neil Floch MD @NeilFlochMD RT @IanPatton55: @profbdcohen @arghavan_salles @obsmchat @PsychoDietitian Problem is most of the groups are monitored and managed by the same people sharing the misinformation, I think the best bet is to encourage people to elevate their health literacy so they can filter out the goop #obsm |
| Nina Crowley PhD RDN @PsychoDietitian That is a good point - and a different concept of 'online forum' - so you meet in real live, but connect and keep in touch online! I think that would work well for many others too! Hope to meet you this year in Tampa!? #obsm #oacaction |
| Arghavan Salles, MD, PhD @arghavan_salles @DrGoodpaster @IanPatton55 @profbdcohen @obsmchat @PsychoDietitian Hahahaha. @DrJenGunter would probably love to hear us referring to medical misinformation as goop! #obsm |
| Bruce Y. Lee @bruce_y_lee @obsmchat They vary wildly & widely, based on the questions I get from ppl who have seen things on online forums #obsm |
| Nate Sann, FNP-BC @nate_sann @lbsnutritionllc Great point. They let others define them and lose focus on how they have truly transformed #obsm |
| Neil Floch MD @NeilFlochMD RT @NeilFlochMD: @PsychoDietitian It is important to have a list of participant ground rules that should be agreed upon and people who do not follow should be removed - they should be listed at the front of every site #obsm |
| Neil Floch MD @NeilFlochMD RT @NeilFlochMD: #obsm @BetsyDovec_MD has developed a #Facebook group for her own practice. Although time consuming- this is the best way to monitor and control accurate information on a group that your patients are participating- I encourage all programs to do the same |
| Nina Crowley PhD RDN @PsychoDietitian So how do we move away from the concept of online groups being used for information - when they are really about support! #obsm |
| Dr Theresa Cullen @DrTerriC @greenhousemd there can be a normative value to it though.. people talking about eating a half a cup the norm.. etc.. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @IanPatton55: @DrTerriC @ObesityAction Absolutely, real connections make the best social support online or otherwise. My biggest non family support is on the other side of the country #obsm |
| Neil Floch MD @flochman RT @bruce_y_lee: @obsmchat They vary wildly & widely, based on the questions I get from ppl who have seen things on online forums #obsm |
| Neil Floch MD @flochman RT @nate_sann: @lbsnutritionllc Great point. They let others define them and lose focus on how they have truly transformed #obsm |
| Neil Floch MD @flochman RT @arghavan_salles: @DrGoodpaster @IanPatton55 @profbdcohen @obsmchat @PsychoDietitian Hahahaha. @DrJenGunter would probably love to hear us referring to medical misinformation as goop! #obsm |
| Neil Floch MD @flochman RT @PsychoDietitian: That is a good point - and a different concept of 'online forum' - so you meet in real live, but connect and keep in touch online! I think that would work well for many others too! Hope to meet you this year in Tampa!? #obsm #oacaction |
| Nate Sann, FNP-BC @nate_sann @arghavan_salles @DrGoodpaster Fear of failure or being judged? #obsm |
| Neil Floch MD @flochman RT @IanPatton55: @DrTerriC @ObesityAction Absolutely, real connections make the best social support online or otherwise. My biggest non family support is on the other side of the country #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: I'd say again it comes back to defining #support versus #advice and really knowing that the support group is to hear you and provide support... #obsm |
| Neil Floch MD @flochman RT @greenhousemd: A4:Medical and Nutritional advice online is probably equivalent to political news and advice on line. Some really, really good and a lot really, really bad. Caveat emptor. #obsm |
| Lab is my happy place @profbdcohen @obsmchat Much like the rest of the internet I don't trust anything in a support group that I can't verify with my docs or an article in a medical journal. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian #obsm side question for the group - we know from studies that what people are flocking to online forums for is INFORMATION and ADVICE, but that is best to go to medical program/clinicians for.. and what patients NEED is SUPPORT... how do we turn that around! |
| Arghavan Salles, MD, PhD @arghavan_salles RT @nate_sann: I have patients that start comparing unrealistic expectations and can’t see their success because they are focused on others #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster RT @greenhousemd: A4:Medical and Nutritional advice online is probably equivalent to political news and advice on line. Some really, really good and a lot really, really bad. Caveat emptor. #obsm |
| Neil Floch MD @flochman RT @DrGoodpaster: A4: A4: Generally not reliable, & unfortunately that is where patients go for a lot of medical/nutritional info 😳If bariatric programs have their own groups, it’s a good idea for someone in the program to be monitoring & directing those questions to the appropritate providers. #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: So how do we move away from the concept of online groups being used for information - when they are really about support! #obsm |
| Neil Floch MD @flochman RT @PsychoDietitian: So how do we move away from the concept of online groups being used for information - when they are really about support! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @profbdcohen: @obsmchat Much like the rest of the internet I don't trust anything in a support group that I can't verify with my docs or an article in a medical journal. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @nate_sann Competition can certainly be harmful in this context. I wonder how much of the content in these groups is monitored. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @nate_sann: @arghavan_salles @DrGoodpaster Fear of failure or being judged? #obsm |
| Dr Theresa Cullen @DrTerriC @PsychoDietitian smaller groupings? Two examples: in f2f world - someone poached me from a F2F group for a personal support group . 2) I use Apple Watch challenges app to keep me active - it has us in groups of 4. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster RT @DrTerriC: @flochman @arghavan_salles I know many late people who leave support due to the frustration of focus on beginners and preops. #obsm The culture of a group (esp focused on numbers) can bring frustration and shame and people drop out. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrTerriC: @PsychoDietitian smaller groupings? Two examples: @PsychoDietitian smaller groupings? Two examples: in f2f world - someone poached me from a F2F group for a personal support group . 2) I use Apple Watch challenges app to keep me active - it has us in groups of 4. #obsm |
| #obsm chat @obsmchat We've mainly chatted about bariatric surgery support groups so far. Are there any differences with online groups for patients who haven't had surgery and are trying to manage weight? #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @greenhousemd I would imagine teens might have a stronger tendency to post falsely positive views than might some older people although I'm sure it happens commonly regardless of age. #obsm |
| Neil Floch MD @flochman #obsm #healthcare professionals must be the monitors of accurate #medicalinformation on #some #social media and the internet - we ensure accuracy in our practices, in our journals and we should ensure accuracy online as well @NeilFlochMD |
| #obsm chat @obsmchat #obsm https://t.co/zWkJmdlfbd |
| Neil Floch MD @flochman RT @PsychoDietitian: #obsm side question for the group - we know from studies that what people are flocking to online forums for is INFORMATION and ADVICE, but that is best to go to medical program/clinicians for.. and what patients NEED is SUPPORT... how do we turn that around! |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian Great question! Has anyone studied patients who are on these forums vs those who aren't? #obsm |
| Nina Crowley PhD RDN @PsychoDietitian A3: #OBSM Another concept that I believe can be a negative form some - I’ve also seen patients who spend hours a day in #online forums, which takes them away from the health promoting behaviors they have intentions to do |
| Bruce Y. Lee @bruce_y_lee @PsychoDietitian This is an important point. Online groups should be about support or directing ppl towards legitimate sources of information. It should not be the primary source of medical information #obsm |
| Neil Floch MD @flochman RT @profbdcohen: @obsmchat Much like the rest of the internet I don't trust anything in a support group that I can't verify with my docs or an article in a medical journal. #obsm |
| #obsm chat @obsmchat Any thoughts? #obsm |
| Neil Floch MD @flochman RT @nate_sann: @arghavan_salles @DrGoodpaster Fear of failure or being judged? #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster A5: Being bombarded with others’ reports of their weight loss, or “before and after” photos, can increase anxiety, fear of failure, and discouragement, which can in turn lead to disengagement from the group or low motivation for healthy behaviors. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @DrTerriC @flochman That makes sense. #obsm |
| Dr Theresa Cullen @DrTerriC @PsychoDietitian People experiences regain can be fragile.. disappointed,.. ashamed.. that has everything to do how they are handled when they first reach out. Could some be driven to online forums? Medical professionals probably only get one shot.. online get multiple - lots of options. #obsm |
| Neil Floch MD @flochman RT @DrTerriC: @PsychoDietitian smaller groupings? Two examples: @PsychoDietitian smaller groupings? Two examples: in f2f world - someone poached me from a F2F group for a personal support group . 2) I use Apple Watch challenges app to keep me active - it has us in groups of 4. #obsm |
| #obsm chat @obsmchat RT @bruce_y_lee: @PsychoDietitian This is an important point. Online groups should be about support or directing ppl towards legitimate sources of information. It should not be the primary source of medical information #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: A4: A4: Generally not reliable, & unfortunately that is where patients go for a lot of medical/nutritional info 😳If bariatric programs have their own groups, it’s a good idea for someone in the program to be monitoring & directing those questions to the appropritate providers. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @bruce_y_lee Right!!! But that’s not the case. I think we need to meet patients where they are and find a way to support them the way they are asking for! How!? #obsm |
| Neil Floch MD @flochman @organiclemon @obsmchat @beatED You deserve a trophy. Thanks so much for joining the @obsmchat #obsm twitterchat and glad you love it. |
| Neil Floch MD @flochman RT @obsmchat: We've mainly chatted about bariatric surgery support groups so far. Are there any differences with online groups for patients who haven't had surgery and are trying to manage weight? #obsm |
| Neil Floch MD @flochman RT @arghavan_salles: @greenhousemd I would imagine teens might have a stronger tendency to post falsely positive views than might some older people although I'm sure it happens commonly regardless of age. #obsm |
| #obsm chat @obsmchat From @obsmchat central -- apologies for the similarity between this question and question no. 3 before. Just keep the lively discussion going! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @bruce_y_lee: @PsychoDietitian This is an important point. Online groups should be about support or directing ppl towards legitimate sources of information. It should not be the primary source of medical information #obsm |
| Neil Floch MD @flochman RT @obsmchat: #obsm https://t.co/zWkJmdlfbd |
| Neil Floch MD @flochman RT @arghavan_salles: @PsychoDietitian Great question! Has anyone studied patients who are on these forums vs those who aren't? #obsm |
| Neil Floch MD @flochman RT @PsychoDietitian: A3: A3: #OBSM Another concept that I believe can be a negative form some - I’ve also seen patients who spend hours a day in #online forums, which takes them away from the health promoting behaviors they have intentions to do |
| Neil Floch MD @flochman RT @bruce_y_lee: @PsychoDietitian This is an important point. Online groups should be about support or directing ppl towards legitimate sources of information. It should not be the primary source of medical information #obsm |
| Ian Patton, PHD @IanPatton55 @PsychoDietitian For me, it has been being able to open up and talk about ups and downs, find out I am not alone and to give that same to others, I avoid advice, it takes an active leader I. The group to encourage that support over advice #obsm |
| jentodd1203 @jen4tri @arghavan_salles @NeilFlochMD @DrTerriC @flochman Personally for me, I need to be able to connect with someone who has been where I am at right now with weight gain, possible stretch of my sleeve and the need for a revision. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @flochman @NeilFlochMD LOL #obsm https://t.co/39r7cK6Vk0 |
| #obsm chat @obsmchat @RonnieHasty Happy you made it! #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: @flochman @NeilFlochMD LOL #obsm https://t.co/39r7cK6Vk0 |
| Arghavan Salles, MD, PhD @arghavan_salles @bruce_y_lee @obsmchat That seems like the biggest drawback to me. If I were a patient I would want to know what I was reading was accurate. But doesn't seem like there's any way to know that in these forums. #obsm |
| Neil Floch MD @NeilFlochMD RT @jen4tri: @arghavan_salles @NeilFlochMD @DrTerriC @flochman Personally for me, I need to be able to connect with someone who has been where I am at right now with weight gain, possible stretch of my sleeve and the need for a revision. #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: @bruce_y_lee Right!!! But that’s not the case. I think we need to meet patients where they are and find a way to support them the way they are asking for! How!? #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrGoodpaster 100% that sums it up and how do we get others to help move away from that! #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: A3: A3: #OBSM Another concept that I believe can be a negative form some - I’ve also seen patients who spend hours a day in #online forums, which takes them away from the health promoting behaviors they have intentions to do |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @PsychoDietitian Great question! Has anyone studied patients who are on these forums vs those who aren't? #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/zWkJmdlfbd |
| Arghavan Salles, MD, PhD @arghavan_salles @nate_sann @DrGoodpaster Yes, and vulnerability. Some may not want people in their life to know they are feeling vulnerable or have concerns. #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @greenhousemd I would imagine teens might have a stronger tendency to post falsely positive views than might some older people although I'm sure it happens commonly regardless of age. #obsm |
| #obsm chat @obsmchat RT @IanPatton55: @PsychoDietitian For me, it has been being able to open up and talk about ups and downs, find out I am not alone and to give that same to others, I avoid advice, it takes an active leader I. The group to encourage that support over advice #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: We've mainly chatted about bariatric surgery support groups so far. Are there any differences with online groups for patients who haven't had surgery and are trying to manage weight? #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @profbdcohen: @obsmchat Much like the rest of the internet I don't trust anything in a support group that I can't verify with my docs or an article in a medical journal. #obsm |
| Neil Floch MD @NeilFlochMD RT @flochman: @organiclemon @obsmchat @beatED You deserve a trophy. Thanks so much for joining the @obsmchat #obsm twitterchat and glad you love it. |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: @PsychoDietitian smaller groupings? Two examples: @PsychoDietitian smaller groupings? Two examples: in f2f world - someone poached me from a F2F group for a personal support group . 2) I use Apple Watch challenges app to keep me active - it has us in groups of 4. #obsm |
| Neil Floch MD @NeilFlochMD RT @nate_sann: @arghavan_salles @DrGoodpaster Fear of failure or being judged? #obsm |
| Neil Floch MD @NeilFlochMD RT @profbdcohen: @obsmchat Much like the rest of the internet I don't trust anything in a support group that I can't verify with my docs or an article in a medical journal. #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: #obsm side question for the group - we know from studies that what people are flocking to online forums for is INFORMATION and ADVICE, but that is best to go to medical program/clinicians for.. and what patients NEED is SUPPORT... how do we turn that around! |
| Neil Floch MD @NeilFlochMD RT @flochman: #obsm #healthcare professionals must be the monitors of accurate #medicalinformation on #some #social media and the internet - we ensure accuracy in our practices, in our journals and we should ensure accuracy online as well @NeilFlochMD |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: So how do we move away from the concept of online groups being used for information - when they are really about support! #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: A4: A4: Generally not reliable, & unfortunately that is where patients go for a lot of medical/nutritional info 😳If bariatric programs have their own groups, it’s a good idea for someone in the program to be monitoring & directing those questions to the appropritate providers. #obsm |
| Dr Theresa Cullen @DrTerriC @RonnieHasty @DrGoodpaster Very true.. and also when you are doing well, you don't want to hear about the challenges and struggles. #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: A4:Medical and Nutritional advice online is probably equivalent to political news and advice on line. Some really, really good and a lot really, really bad. Caveat emptor. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I think you said it perfectly - connect with someone where you are - and I guess however you find that person/people doesn't matter, as long as you find them!!! #Obsm |
| Neil Floch MD @NeilFlochMD RT @IanPatton55: @DrTerriC @ObesityAction Absolutely, real connections make the best social support online or otherwise. My biggest non family support is on the other side of the country #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: That is a good point - and a different concept of 'online forum' - so you meet in real live, but connect and keep in touch online! I think that would work well for many others too! Hope to meet you this year in Tampa!? #obsm #oacaction |
| #obsm chat @obsmchat @ams8174 @PsychoDietitian That's a huge group! #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @DrGoodpaster @IanPatton55 @profbdcohen @obsmchat @PsychoDietitian Hahahaha. @DrJenGunter would probably love to hear us referring to medical misinformation as goop! #obsm |
| Neil Floch MD @NeilFlochMD RT @nate_sann: @lbsnutritionllc Great point. They let others define them and lose focus on how they have truly transformed #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian This is a great question. I think the problem is it is difficult and expensive to access health professionals. If it were easier to access health professionals, people would do that and leave the emotional support to these forums. #obsm |
| Neil Floch MD @NeilFlochMD RT @bruce_y_lee: @obsmchat They vary wildly & widely, based on the questions I get from ppl who have seen things on online forums #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @PsychoDietitian This is a great question. I think the problem is it is difficult and expensive to access health professionals. If it were easier to access health professionals, people would do that and leave the emotional support to these forums. #obsm |
| #obsm chat @obsmchat @RonnieHasty @DrGoodpaster Have you found any alternatives? #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @RonnieHasty Welcome! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian This goes to my point of why somehow some way we need to realize that patients want/need online support, and they are going to seek it! I'd bet all our programs collectively dont have 40k in attendance at support group, right! So how do we meet the need! #Obsm |
| Dr Theresa Cullen @DrTerriC @lbsnutritionllc I will say that fitness groups, fitbit, apple watch etc.. has been more useful for me in long post stage.. I want someone to cheer when I close a ring.. no numbers. #obsm Everyone is different though. https://t.co/tsDTQ8BWP6 |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: A5: A5: Being bombarded with others’ reports of their weight loss, or “before and after” photos, can increase anxiety, fear of failure, and discouragement, which can in turn lead to disengagement from the group or low motivation for healthy behaviors. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian I’ve been collaborating with an RD from another bariatric program who is an admin for their program-specific FB support group with an intuitive eating focus. She’s very clear about the group guidelines & gently steers people away from the weight focus. #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: I think you said it perfectly - connect with someone where you are - and I guess however you find that person/people doesn't matter, as long as you find them!!! #Obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian @bruce_y_lee I think what they want is easier access to health professionals. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian That's it exactly! I just see this as such an opportunity for us to do things differenlty than we've done - and meet patients where they are, but it will take us putting our heads together and asking for change! #obsm |
| Deborah Greenhouse @greenhousemd @arghavan_salles @PsychoDietitian Potentially a great opportunity for a telemedicine initiative. Increase access to health professionals via telemedicine to ensure accurate information, and have forums available for support. Would love to see this type of project for adolescents. #obsm |
| Neil Floch MD @NeilFlochMD #obsm @obsmchat is a fantastic opportunity to access a large group of clinicians and experienced patients online and in fact patients can ask questions at any time by adding #obsm - we cannot however give specific advice. #wls #wlssupport #wlscommunity #wlstransformation |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrTerriC: @lbsnutritionllc I will say that fitness groups, fitbit, apple watch etc.. has been more useful for me in long post stage.. I want someone to cheer when I close a ring.. no numbers. #obsm Everyone is different though. https://t.co/tsDTQ8BWP6 |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @PsychoDietitian This is a great question. I think the problem is it is difficult and expensive to access health professionals. If it were easier to access health professionals, people would do that and leave the emotional support to these forums. #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @ams8174 @PsychoDietitian That's a huge group! #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: I think you said it perfectly - connect with someone where you are - and I guess however you find that person/people doesn't matter, as long as you find them!!! #Obsm |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: @RonnieHasty @DrGoodpaster Very true.. and also when you are doing well, you don't want to hear about the challenges and struggles. #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @nate_sann @DrGoodpaster Yes, and vulnerability. Some may not want people in their life to know they are feeling vulnerable or have concerns. #obsm |
| #obsm chat @obsmchat #obsm https://t.co/dgb0a89eAA |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @bruce_y_lee @obsmchat That seems like the biggest drawback to me. If I were a patient I would want to know what I was reading was accurate. But doesn't seem like there's any way to know that in these forums. #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: That's it exactly! I just see this as such an opportunity for us to do things differenlty than we've done - and meet patients where they are, but it will take us putting our heads together and asking for change! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Deborah! I have some ideas - lets connect in real life about this soon for SC! @MollyJonesRD #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @arghavan_salles @PsychoDietitian Potentially a great opportunity for a telemedicine initiative. Increase access to health professionals via telemedicine to ensure accurate information, and have forums available for support. Would love to see this type of project for adolescents. #obsm |
| Neil Floch MD @NeilFlochMD RT @NeilFlochMD: #obsm @obsmchat is a fantastic opportunity to access a large group of clinicians and experienced patients online and in fact patients can ask questions at any time by adding #obsm - we cannot however give specific advice. #wls #wlssupport #wlscommunity #wlstransformation |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/dgb0a89eAA |
| Ian Patton, PHD @IanPatton55 @PsychoDietitian I don’t think you can replace, and it might not be the responsibility of programs to provide this support but I think that along with all the other education and training we can teach the patients how to spot the junk info and seek out the support aspect #obsm |
| Bruce Y. Lee @bruce_y_lee @ams8174 @PsychoDietitian I think ppl easily forget that being in an online forum can be like walking into a subway, a department store, a bar, or a library and shouting out that you need medical advice. #obsm |
| Lab is my happy place @profbdcohen #obsm Almost as if on cue, my wife pointed out this post that was made tonight to the group we belong to. It's a classic example of my point from A2 about some posts being about scaring people off who really need #wls. https://t.co/ZzqSxMEyJM |
| Dr Theresa Cullen @DrTerriC a6) early on I did use the Bariatric Bad Girls but too much drama now.. I do use the Vegan/ vegetarian bariatric group but mainly for recipes (hubs is veg) #obsm |
| #obsm chat @obsmchat The power of bringing people together through #obsm! |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian Our online group for our program is closed. We wanted our patients to have a community free of bias and nasty commentary from outsiders. But that prevents it from being very big. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @lbsnutritionllc That diet mentality is SO HARD to de-program and does easily overtake online forums (and sometimes in person groups too) 😔 #obsm |
| #obsm chat @obsmchat This is something that MUST change! #obsm |
| Neil Floch MD @NeilFlochMD @obsmchat .@bandedwendy runs a fantastic online support group - I send many patients to become involved in this group and I always get great feedback #obsm |
| Dr Theresa Cullen @DrTerriC @greenhousemd @arghavan_salles @PsychoDietitian that would be huge.. lots of problems happen after hours or on the weekend.. Telemedicine might fill a gap. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I really think you have a great perspective on all of this!!! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @arghavan_salles: @PsychoDietitian Our online group for our program is closed. We wanted our patients to have a community free of bias and nasty commentary from outsiders. But that prevents it from being very big. #obsm |
| Neil Floch MD @NeilFlochMD RT @NeilFlochMD: @obsmchat .@bandedwendy runs a fantastic online support group - I send many patients to become involved in this group and I always get great feedback #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: I really think you have a great perspective on all of this!!! #obsm |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: @greenhousemd @arghavan_salles @PsychoDietitian that would be huge.. lots of problems happen after hours or on the weekend.. Telemedicine might fill a gap. #obsm |
| Deborah Greenhouse @greenhousemd @PsychoDietitian @MollyJonesRD Always happy to chat. Wondering if there might be an opportunity for collaboration with the SC Pediatric Practice Research Network on this. Dr. Jimmy Roberts at MUSC would be the contact. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian Agree completely. If we could figure out how to do this in a safe way without huge legal implications (and some mechanism for paying for that time) it would be fantastic. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @arghavan_salles @PsychoDietitian Does someone from your program moderate it? #obsm |
| Ian Patton, PHD @IanPatton55 @obsmchat I tend to stick to smaller local online forums through Facebook etc, closed groups. The bigger ones are too much noise for me, and with local ones I can actually grab a coffee with someone #obsm |
 | Dr. Asha Subramanian @DrAshaSub RT @rpashbyphd: A1: A1: online platforms can provide low cost (or even no cost) support. There is an important gap that we can attempt to fill by offering services to people in this cost effective way. #obsm |
| #obsm chat @obsmchat RT @IanPatton55: @PsychoDietitian I don’t think you can replace, and it might not be the responsibility of programs to provide this support but I think that along with all the other education and training we can teach the patients how to spot the junk info and seek out the support aspect #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @RonnieHasty Are the responses to those questions typically reasonably well-informed? #obsm |
| Dr Theresa Cullen @DrTerriC btw.. shame on twitter.. all of my ads this hour . Coca cola, fast food, junk food.. just saying. #obsm |
| Bruce Y. Lee @bruce_y_lee @arghavan_salles @PsychoDietitian The health care system is failing many patients. It's not allowing health professionals enough time to spend w/ patients & really talk to them & get to know them. #obsm All of this have to change, beginning with the ridiculously short 15-minute visits https://t.co/WTJEVDOhNr |
| Arghavan Salles, MD, PhD @arghavan_salles @profbdcohen Eek. Thanks for sharing. I can see how that would be disturbing to someone who is just about to have or has just had surgery. #obsm |
| Neil Floch MD @NeilFlochMD Medical education for patients is very important preppier and postop - there are some great programs to educate patients @BetsyDovec_MD I believe in live preoperative seminars as online seminars leave to much for patients to sign up but not actually learn @obsm |
| #obsm chat @obsmchat RT @bruce_y_lee: @arghavan_salles @PsychoDietitian The health care system is failing many patients. It's not allowing health professionals enough time to spend w/ patients & really talk to them & get to know them. #obsm All of this have to change, beginning with the ridiculously short 15-minute visits https://t.co/WTJEVDOhNr |
| Nina Crowley PhD RDN @PsychoDietitian #OBSM Koball (2017) analzyed of 6800 Facebook posts - questions asked and recommendations given most frequently were about nutritional/medical content, progress, weight loss and functional improvements in health, and expressing support or encouragement. |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @PsychoDietitian @MollyJonesRD Always happy to chat. Wondering if there might be an opportunity for collaboration with the SC Pediatric Practice Research Network on this. Dr. Jimmy Roberts at MUSC would be the contact. #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @PsychoDietitian Agree completely. If we could figure out how to do this in a safe way without huge legal implications (and some mechanism for paying for that time) it would be fantastic. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian #obsm (part 2) From the Koball (2017) article - there was little discussion about mental health, alcohol, or other stigmatized issues that might represent an area where people need the most support....! |
| Neil Floch MD @NeilFlochMD RT @IanPatton55: @obsmchat I tend to stick to smaller local online forums through Facebook etc, closed groups. The bigger ones are too much noise for me, and with local ones I can actually grab a coffee with someone #obsm |
| Neil Floch MD @NeilFlochMD @DrTerriC I am not seeing any ads #obsm |
| Neil Floch MD @NeilFlochMD RT @bruce_y_lee: @arghavan_salles @PsychoDietitian The health care system is failing many patients. It's not allowing health professionals enough time to spend w/ patients & really talk to them & get to know them. #obsm All of this have to change, beginning with the ridiculously short 15-minute visits https://t.co/WTJEVDOhNr |
| Arghavan Salles, MD, PhD @arghavan_salles @DrGoodpaster @PsychoDietitian Yes, but I don't know if that person would be able to keep up if we made it an open group. Do you guys have an open group? #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: #OBSM Koball (2017) analzyed of 6800 Facebook posts - questions asked and recommendations given most frequently were about nutritional/medical content, progress, weight loss and functional improvements in health, and expressing support or encouragement. |
| Neil Floch MD @NeilFlochMD RT @obsmchat: This is something that MUST change! #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: #obsm (part 2) From the Koball (2017) article - there was little discussion about mental health, alcohol, or other stigmatized issues that might represent an area where people need the most support....! |
| #obsm chat @obsmchat RT @PsychoDietitian: Know yourself! Yes! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian This was an enlightening article for me to see what our patients are doing, not just what we think they want.. a good starting point for next steps https://t.co/Inf2P8JzKR #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @RonnieHasty Who runs that? A medical practice or a patient or someone else? #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @bruce_y_lee: @arghavan_salles @PsychoDietitian The health care system is failing many patients. It's not allowing health professionals enough time to spend w/ patients & really talk to them & get to know them. #obsm All of this have to change, beginning with the ridiculously short 15-minute visits https://t.co/WTJEVDOhNr |
| Neil Floch MD @NeilFlochMD Our practice is currently developing a group which is “secret” invitation only on #Facebook |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @DrGoodpaster @PsychoDietitian Yes, but I don't know if that person would be able to keep up if we made it an open group. Do you guys have an open group? #obsm |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: This was an enlightening article for me to see what our patients are doing, not just what we think they want.. a good starting point for next steps https://t.co/Inf2P8JzKR #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @arghavan_salles @PsychoDietitian We don’t currently have a group devoted to our program. Some patients from our in-person support group formed their own online FB group, but that’s all right now. It’s worth exploring doing our own. #obsm |
| Neil Floch MD @flochman RT @DrGoodpaster: @arghavan_salles @PsychoDietitian We don’t currently have a group devoted to our program. Some patients from our in-person support group formed their own online FB group, but that’s all right now. It’s worth exploring doing our own. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC Koball, A. M., Jester, D. J., Domoff, S. E., Kallies, K. J., Grothe, K. B., & Kothari, S. N. (2017). Examination of Bariatric Surgery Facebook Support Groups: A Content Analysis. Surgery for Obesity and Related Diseases. https://t.co/Inf2P8JzKR #obsm |
| #obsm chat @obsmchat That’s a wrap! Thanks for another great #obsm chat! Special thanks to patients who shared their experiences and expertise. Hope you join us for the next #obsm chat Sunday, May 19th, at 9pm EDT. REMEMBER this will be the third Sunday in May, as the second Sunday is Mother's Day. |
| Neil Floch MD @flochman RT @PsychoDietitian: This was an enlightening article for me to see what our patients are doing, not just what we think they want.. a good starting point for next steps https://t.co/Inf2P8JzKR #obsm |
| Neil Floch MD @flochman RT @arghavan_salles: @DrGoodpaster @PsychoDietitian Yes, but I don't know if that person would be able to keep up if we made it an open group. Do you guys have an open group? #obsm |
| Neil Floch MD @flochman RT @PsychoDietitian: #obsm (part 2) From the Koball (2017) article - there was little discussion about mental health, alcohol, or other stigmatized issues that might represent an area where people need the most support....! |
| Neil Floch MD @flochman RT @PsychoDietitian: #OBSM Koball (2017) analzyed of 6800 Facebook posts - questions asked and recommendations given most frequently were about nutritional/medical content, progress, weight loss and functional improvements in health, and expressing support or encouragement. |
| Neil Floch MD @flochman RT @bruce_y_lee: @arghavan_salles @PsychoDietitian The health care system is failing many patients. It's not allowing health professionals enough time to spend w/ patients & really talk to them & get to know them. #obsm All of this have to change, beginning with the ridiculously short 15-minute visits https://t.co/WTJEVDOhNr |
| Neil Floch MD @flochman RT @arghavan_salles: @PsychoDietitian Our online group for our program is closed. We wanted our patients to have a community free of bias and nasty commentary from outsiders. But that prevents it from being very big. #obsm |
| Neil Floch MD @flochman RT @profbdcohen: #obsm Almost as if on cue, my wife pointed out this post that was made tonight to the group we belong to. It's a classic example of my point from A2 about some posts being about scaring people off who really need #wls. https://t.co/ZzqSxMEyJM |
| Neil Floch MD @flochman RT @bruce_y_lee: @ams8174 @PsychoDietitian I think ppl easily forget that being in an online forum can be like walking into a subway, a department store, a bar, or a library and shouting out that you need medical advice. #obsm |
| #obsm chat @obsmchat PLEASE be sure to note the date change for the May chat!! #obsm |
| Neil Floch MD @flochman RT @IanPatton55: @PsychoDietitian I don’t think you can replace, and it might not be the responsibility of programs to provide this support but I think that along with all the other education and training we can teach the patients how to spot the junk info and seek out the support aspect #obsm |
| Neil Floch MD @flochman RT @obsmchat: #obsm https://t.co/dgb0a89eAA |
| Neil Floch MD @flochman RT @PsychoDietitian: Deborah! I have some ideas - lets connect in real life about this soon for SC! @MollyJonesRD #obsm |
| #obsm chat @obsmchat Thank you again @PsychoDietitian for leading our chat today! #obsm |
 | Turner & Page @TurnerandPage #obsm Tonight's transcript will be posted in a few minutes. As soon as I can corral all these tweets into their box, @obsmchat will tweet the link. |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: This was an enlightening article for me to see what our patients are doing, not just what we think they want.. a good starting point for next steps https://t.co/Inf2P8JzKR #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Thank you - Ill check it out! Nice chatting with you tonight! #obsm |
| #obsm chat @obsmchat In case you missed any of the action, we'll tweet the transcript from this account! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC Got it - thank you! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster RT @bruce_y_lee: @arghavan_salles @PsychoDietitian The health care system is failing many patients. It's not allowing health professionals enough time to spend w/ patients & really talk to them & get to know them. #obsm All of this have to change, beginning with the ridiculously short 15-minute visits https://t.co/WTJEVDOhNr |
| Arghavan Salles, MD, PhD @arghavan_salles @DrGoodpaster @PsychoDietitian Probably worth doing but then the account has to be monitored which can be time-consuming. The nice thing is then you have a pretty consistent message about what people should/shouldn't do since they're all getting care at the same place. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC Findings (1 of 2): Professionals who encounter this group should be aware of their need for support throughout the process, and investigate the possibility of both pre- and postoperative support groups, either online or face-to-face. #obsm |
| Bruce Y. Lee @bruce_y_lee @arghavan_salles @obsmchat There are also ppl w/ agendas who prowl these online forums, planting misinformation. #obsm That's what happening with vaccine & vaccine-preventable disease forums: https://t.co/x2TwYLmPYd |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC Findings (2 of 2): Posters on the forum had very high, and often unrealistic, expectations on how the surgery would change their lives. It is important to be aware of this tendency and to take measures to ensure that patients undergo surgery with realistic expectations. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Great to see everyone tonight! Thanks for sacrificing GoT or multi-tasking :). #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @arghavan_salles @PsychoDietitian Right, so many guidelines vary between programs, and when patients are getting a lot of their info online, they can be confused about the mixed messages. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster RT @PsychoDietitian: @DrTerriC Findings (2 of 2): @DrTerriC Findings (2 of 2): Posters on the forum had very high, and often unrealistic, expectations on how the surgery would change their lives. It is important to be aware of this tendency and to take measures to ensure that patients undergo surgery with realistic expectations. #obsm |
 | ❤Ronnie❤ @Ronnie_524 Well said. That was a problem for me at one time. I have discontinued association with too many groups. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Ronnie_524: Well said. That was a problem for me at one time. I have discontinued association with too many groups. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: @arghavan_salles @PsychoDietitian Right, so many guidelines vary between programs, and when patients are getting a lot of their info online, they can be confused about the mixed messages. #obsm |
 | Dr. Rachel @AskDr_Rachel I’m sad I missed this but if you did too, you can go back through, comment, share and retweet - just as I will now! Please join me and do the same! #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: In case you missed any of the action, we'll tweet the transcript from this account! #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: PLEASE be sure to note the date change for the May chat!! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @lbsnutritionllc Thanks ;) Lets chat soon - miss you! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PsychoDietitian: Hope to chat with many of my #obesity #bariatricsurgery #weightmanagement #colleagues tonight on the #obsm chat! Thanks to @arghavan_salles and @pattynece for asking me to contribute! #blog @asmbs @asmbsih @WtMgmtDPG @eatrightpro @EatRightSC https://t.co/wzo0C8rBxo |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: That’s a wrap! Thanks for another great #obsm chat! Special thanks to patients who shared their experiences and expertise. Hope you join us for the next #obsm chat Sunday, May 19th, at 9pm EDT. REMEMBER this will be the third Sunday in May, as the second Sunday is Mother's Day. |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: Know yourself! Yes! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @PsychoDietitian @pattynece @asmbs @ASMBSIH @WtMgmtDPG @eatrightPRO @EatRightSC Thanks so much for sharing your time and expertise! #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: I’m sad I missed this but if you did too, you can go back through, comment, share and retweet - just as I will now! Please join me and do the same! #obsm |
| Ian Patton, PHD @IanPatton55 RT @AskDr_Rachel: I’m sad I missed this but if you did too, you can go back through, comment, share and retweet - just as I will now! Please join me and do the same! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @arghavan_salles @pattynece @asmbs @ASMBSIH @WtMgmtDPG @eatrightPRO @EatRightSC Of course! Thank you all for having this forum! it was a fast one - Ill have to go back to see all the comments! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @rpashbyphd What’s the difference between a group and a forum? #obsm |
| Bruce Y. Lee @bruce_y_lee RT @arghavan_salles: @bruce_y_lee @obsmchat That seems like the biggest drawback to me. If I were a patient I would want to know what I was reading was accurate. But doesn't seem like there's any way to know that in these forums. #obsm |
| Bruce Y. Lee @bruce_y_lee RT @PsychoDietitian: @bruce_y_lee Right!!! But that’s not the case. I think we need to meet patients where they are and find a way to support them the way they are asking for! How!? #obsm |
| #obsm chat @obsmchat The numbers from tonight's #obsm chat. https://t.co/gacHPfwals |
| Arghavan Salles, MD, PhD @arghavan_salles @greenhousemd @DrGoodpaster That’s my biggest concern about it. How do people know what they’re being told is true? #obsm |
| Dr. Rachel @AskDr_Rachel This is so true! I always encourage my clients to find positive and supportive people (and groups) that will lift them up. If it’s causing more stress, then it’s not worth it! #findyourpeople #obsm #support |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: The numbers from tonight's #obsm chat. https://t.co/gacHPfwals |
| Dr. Rachel @AskDr_Rachel RT @IanPatton55: @PsychoDietitian I don’t think you can replace, and it might not be the responsibility of programs to provide this support but I think that along with all the other education and training we can teach the patients how to spot the junk info and seek out the support aspect #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: The power of bringing people together through #obsm! |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: I think you said it perfectly - connect with someone where you are - and I guess however you find that person/people doesn't matter, as long as you find them!!! #Obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @CarlosCgalvani I think sometimes people don’t know where the boundary is between support and advice. #obsm |
#obsm content from Twitter.