1. Home
  2. Healthcare Hashtags
  3. #obsm
  4. Transcript

#obsm Transcript

Healthcare social media transcript of the #obsm hashtag.
– ().
See #obsm Influencers/Analytics.

ProfileTweet
#obsm chat @obsmchat
Welcome to the #obsm chat. Tonight we're discussing safety and effectiveness of bariatric surgery for older patients. Many thanks to @bonuslife for drafting our blog and chat questions this month!
Dr. Rachel @AskDr_Rachel
RT @obsmchat: Welcome to the #obsm chat. Tonight we're discussing safety and effectiveness of bariatric surgery for older patients. Many thanks to @bonuslife for drafting our blog and chat questions this month!
#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.
Dr. Rachel @AskDr_Rachel
Hi! I'm happy to be able to join this evening. I'm a psychologist in NYC specializing in #obesity and #weightmanagement .
Nina Crowley PhD RDN @PsychoDietitian
Hi #obsm - Nina Crowley here, @PsychoDietitian.. bariatric dietitian and program coordinator at MUSC in Charleston SC!
#obsm chat @obsmchat
@PsychoDietitian Hi Nina! Glad you're here! #obsm
#obsm chat @obsmchat
@AskDr_Rachel Glad you made it Rachel! #obsm
Dr. Rachel @AskDr_Rachel
Hi #obsm! I'm a psychologist in NYC specializing in #obesity and #weightmanagement. I am happy to be able to join this evening and looking forward to the chat.
Marilyn Clark @OffThePlateMC
@obsmchat Hi all, this is Marilyn, Health Coach and Bariatric Patient. It's been a while since I was able to be here. #obsm
#obsm chat @obsmchat
@psoeldner Welcome Peggy! Happy you've joined us! #obsm
#obsm chat @obsmchat
@OffThePlateMC Hi Marilyn! Always good to have you here! #obsm
Michelle Vicari @Eggface
This month's #obsm is starting now. Follow @obsmchat for questions and join in the conversation, be sure to add the #obsm hashtag to your tweets.
Dr. Rachel @AskDr_Rachel
RT @Eggface: This month's #obsm is starting now. Follow @obsmchat for questions and join in the conversation, be sure to add the #obsm hashtag to your tweets.
#obsm chat @obsmchat
@Chenbariatrics1 Welcome! Glad you could join! #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/Y4K50Lp4Td
#obsm chat @obsmchat
@MollyJonesRD South Carolina is in the house! Yay! Thanks for joining! #obsm
iamabariatricpatient @JeanineMSherman
@obsmchat Hello Jeanine Sherman, bariatric patient and patient advocate from Michigan. #obsm
#obsm chat @obsmchat
@sarahkbingler We've gone international tonight! Happy you're here Sarah! #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
@obsmchat Hi! Robyn Pashby clinical health psychologist specializing in weight/obesity/eating and health behavior in Washington DC! #obsm
Bruce Y. Lee @bruce_y_lee
Hi #obsm chat @bruce_y_lee here https://t.co/otB3uXUFCB
Dr. Rachel @AskDr_Rachel
I think there are many older patients that could benefit from #bariatricsurgery and either dont realize it or just believe they are "too old" for surgery. #obsm
Perry Clanton @paclanton
Just observing. Good evening. SC here #obsm
Sara Stein MD @sarasteinmd
RT @pattynece: “We are much more than our bodies. Whether it’s body image, our choices to be moms or not, our career choices—we are more than our bodies...powerful beyond our wildest dreams.” Bravo! #obsm #obsmuk ⁦#SopWeightBias https://t.co/qJT9cjcTyj
Marilyn Clark @OffThePlateMC
@obsmchat Question - How are we defining older patient? #obsm
#obsm chat @obsmchat
@rpashbyphd Hi Robyn! Thanks for coming! #obsm
Michelle Vicari @Eggface
@obsmchat Michelle "Shelly" waving hello from sunny and too HOT California, #BariatricSurgery post-op, @ObesityAction board member, patient advocate. #obsm
#obsm chat @obsmchat
@JeanineMSherman Great to see you here, Jeanine. Glad you could join! #obsm
#obsm chat @obsmchat
@bruce_y_lee Hi Bruce! Good to see you! #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @AskDr_Rachel: I think there are many older patients that could benefit from #bariatricsurgery and either dont realize it or just believe they are "too old" for surgery. #obsm
#obsm chat @obsmchat
Special shout-out (again) to Dr. Walt Medlin for writing our blog and chat questions this month! #obsm
Dr. Rachel @AskDr_Rachel
RT @obsmchat: Special shout-out (again) to Dr. Walt Medlin for writing our blog and chat questions this month! #obsm
#obsm chat @obsmchat
@paclanton Lurk away! Just happy you're here! #obsm
iamabariatricpatient @JeanineMSherman
RT @obsmchat: Special shout-out (again) to Dr. Walt Medlin for writing our blog and chat questions this month! #obsm
#obsm chat @obsmchat
@Eggface @ObesityAction Hi Shelly! Hope you're in the air conditioning. You can work up a sweat during out chats! #obsm
iamabariatricpatient @JeanineMSherman
RT @AskDr_Rachel: I think there are many older patients that could benefit from #bariatricsurgery and either dont realize it or just believe they are "too old" for surgery. #obsm
Abdelrahman Ali Nimeri MD @Nimeri_MD
@obsmchat Bariatric Surgeon @CarolinasSurg @AtriumHealth Immediate Past president @IFSOMENAC #obsm #obsmchat Q1: As long as the QOL benefits outweigh the perioperative risk of #bariatricSurgery then it is worth it. For some patients #sleevegastrectomy is the procedure of choice.
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
@obsmchat Thanks - with awesome editing! @pattynece @arghavan_salles and team #obsm
Dr. Rachel @AskDr_Rachel
I agree, these individuals would definitely benefit from #bariatricsurgery. #obsm #diabetes #qol
#obsm chat @obsmchat
@PamelaMawby1 Yet another country heard from! Glad you could join us Pamela. What time is it there?? #obsm
#obsm chat @obsmchat
@Nimeri_MD @CarolinasSurg @AtriumHealth @IFSOMENAC Welcome! So glad you could join us tonight! #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
@obsmchat One thing I hear from patients over 55-60 is that they worry about the risks of surgery given other health complications. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
Hello! Sorry to be late. Arghavan Salles, bariatric surgeon in St. Louis. #obsm
Dr. Rachel @AskDr_Rachel
What a great reminder! #obsm
#obsm chat @obsmchat
@arghavan_salles Yay! You made it! We're only on Q1 so no worries. #obsm
#obsm chat @obsmchat
RT @AskDr_Rachel: What a great reminder! #obsm
Michelle Vicari @Eggface
@obsmchat I was off 8 medications and had way less Dr. co-pays post #bariatricsurgery which would be a benefit to older adults on limited or fixed incomes. Resolution of something like T2 #diabetes, for example, would be a great cost saving #obsm
#obsm chat @obsmchat
#obsm https://t.co/zPixeoyFh5
Dr. Rachel @AskDr_Rachel
RT @PamelaMawby1:
Dr. Rachel @AskDr_Rachel
RT @obsmchat: #obsm https://t.co/zPixeoyFh5
GeekyGrouch @grouchy_geek
@obsmchat Hello obsmchatters. Sorry I’m late but someone had to cook dinner. #obsm
Patty Nece @pattynece
@rpashbyphd @obsmchat This is definitely something I think about - especially now that I’ve reached Level 61 in life! #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
@obsmchat And I also wonder if the historical notion of “stomach stapling” as a last resort treatment creates a bias that’s hard to get past. I hear older patients refer to that at times. #obsm
#obsm chat @obsmchat
RT @Eggface: @obsmchat I was off 8 medications and had way less Dr. co-pays post #bariatricsurgery which would be a benefit to older adults on limited or fixed incomes. Resolution of something like T2 #diabetes, for example, would be a great cost saving #obsm
Arghavan Salles, MD, PhD @arghavan_salles
A1: I think the question is always about the risk/benefit ratio. I don't think age is the only contributor to risk. There are 80-year-olds who are healthier than 65-year-olds. We have to look at the big picture. #obsm
Dr. Rachel @AskDr_Rachel
RT @rpashbyphd: @obsmchat And I also wonder if the historical notion of “stomach stapling” as a last resort treatment creates a bias that’s hard to get past. I hear older patients refer to that at times. #obsm
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: A1: A1: I think the question is always about the risk/benefit ratio. I don't think age is the only contributor to risk. There are 80-year-olds who are healthier than 65-year-olds. We have to look at the big picture. #obsm
#obsm chat @obsmchat
@txkyleharris LOL! Glad you made it ... and hope dinner was good! #obsm
Marilyn Clark @OffThePlateMC
RT @obsmchat: #obsm https://t.co/zPixeoyFh5
Abdelrahman Ali Nimeri MD @Nimeri_MD
@obsmchat @CarolinasSurg @AtriumHealth @IFSOMENAC My pleasure and privilege to be part of #obsmchat and #obsm
Dr. Rachel @AskDr_Rachel
@arghavan_salles I think looking at the big picture is so important. So many individuals could benefit and could improve their health and quality of life. Definitely looking at risk/benefit ratio is key. #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
RT @arghavan_salles: A1: A1: I think the question is always about the risk/benefit ratio. I don't think age is the only contributor to risk. There are 80-year-olds who are healthier than 65-year-olds. We have to look at the big picture. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
A2: I think the barriers are mostly psychological. Both physicians and patients might think someone who is older will benefit less from surgery than someone who is younger. But it's more than that. There are people who aren't good candidates regardless of age. #obsm
Marilyn Clark @OffThePlateMC
Q2 I'm guessing that many of the barriers for older folks are self-imposed. https://t.co/tbk1YW4AJe
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @arghavan_salles: A1: A1: I think the question is always about the risk/benefit ratio. I don't think age is the only contributor to risk. There are 80-year-olds who are healthier than 65-year-olds. We have to look at the big picture. #obsm
#obsm chat @obsmchat
RT @arghavan_salles: A2: A2: I think the barriers are mostly psychological. Both physicians and patients might think someone who is older will benefit less from surgery than someone who is younger. But it's more than that. There are people who aren't good candidates regardless of age. #obsm
Dr. Rachel @AskDr_Rachel
It's unfortunate but we hear these stories often. It takes year to lose this amount of weight and then it is so difficult to maintain it. #bariatricsurgery is a good option for many. #obsm
Michelle Vicari @Eggface
@obsmchat Fear of change is one for sure (true for all ages) but... and pardon the Hallmarky-ness (new word) of this... without change, there would be no butterflies... so many of the changes post #bariatricsurgery are awesome and positive ones. #obsm https://t.co/NbJmsFee1A
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: A2: A2: I think the barriers are mostly psychological. Both physicians and patients might think someone who is older will benefit less from surgery than someone who is younger. But it's more than that. There are people who aren't good candidates regardless of age. #obsm
Nina Crowley PhD RDN @PsychoDietitian
A2: #obsm I have many patients ask about an 'age limit' - do many programs have a cut off of age, and if so, what evidence for the weight limit?
Patty Nece @pattynece
I suspect a lot of folks on Medicare don’t know that #bariatricsurgery and intense behavioral therapy for #obesity are even available. #Obsm
Dr. Rachel @AskDr_Rachel
RT @Eggface: @obsmchat Fear of change is one for sure (true for all ages) but... and pardon the Hallmarky-ness (new word) of this... without change, there would be no butterflies... so many of the changes post #bariatricsurgery are awesome and positive ones. #obsm https://t.co/NbJmsFee1A
Abdelrahman Ali Nimeri MD @Nimeri_MD
@obsmchat Q2 #obsm #obsmchat In addition to usual barriers, It is possible that #bariatricsurgery is not even offered to many older patients or certain procedures like RYGB are considered high risk! Please take a look at the recent #metaanalysis by @janik_md et al from @Casesurgery https://t.co/F1IzCKGMyf
Dr. Rachel @AskDr_Rachel
@Eggface @obsmchat This is so true! And change is overwhelming for anyone, but especially the older we get, it becomes even more difficult and overwhelming. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @Eggface: @obsmchat Fear of change is one for sure (true for all ages) but... and pardon the Hallmarky-ness (new word) of this... without change, there would be no butterflies... so many of the changes post #bariatricsurgery are awesome and positive ones. #obsm https://t.co/NbJmsFee1A
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @AskDr_Rachel: It's unfortunate but we hear these stories often. It takes year to lose this amount of weight and then it is so difficult to maintain it. #bariatricsurgery is a good option for many. #obsm
Dr. Rachel @AskDr_Rachel
RT @PsychoDietitian: A2: A2: #obsm I have many patients ask about an 'age limit' - do many programs have a cut off of age, and if so, what evidence for the weight limit?
#obsm chat @obsmchat
RT @Nimeri_MD: @obsmchat Q2 #obsm #obsmchat In addition to usual barriers, It is possible that #bariatricsurgery is not even offered to many older patients or certain procedures like RYGB are considered high risk! Please take a look at the recent #metaanalysis by @janik_md et al from @Casesurgery https://t.co/F1IzCKGMyf
Dr. Rachel @AskDr_Rachel
RT @pattynece: I suspect a lot of folks on Medicare don’t know that #bariatricsurgery and intense behavioral therapy for #obesity are even available. #Obsm
Innovative by nature @Rosie_C_Cares
RT @pattynece: I suspect a lot of folks on Medicare don’t know that #bariatricsurgery and intense behavioral therapy for #obesity are even available. #Obsm
Arghavan Salles, MD, PhD @arghavan_salles
@PsychoDietitian The NIH consensus criteria are for ages 18-70. So I think some practices might use those cut-offs. At our program we have a little more flexibility and look at cases one-by-one outside of that range. #obsm
#obsm chat @obsmchat
#obsm q3 https://t.co/BhcE27dd50
GeekyGrouch @grouchy_geek
A2 - I think this also goes back to PCP. How many of them would recommend bariatric surgery? And to an elderly patient on top of that? #obsm
#obsm chat @obsmchat
RT @arghavan_salles: @PsychoDietitian The NIH consensus criteria are for ages 18-70. So I think some practices might use those cut-offs. At our program we have a little more flexibility and look at cases one-by-one outside of that range. #obsm
#obsm chat @obsmchat
RT @AskDr_Rachel: @Eggface @obsmchat This is so true! And change is overwhelming for anyone, but especially the older we get, it becomes even more difficult and overwhelming. #obsm
#obsm chat @obsmchat
RT @txkyleharris: A2 - I think this also goes back to PCP. How many of them would recommend bariatric surgery? And to an elderly patient on top of that? #obsm
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: @PsychoDietitian The NIH consensus criteria are for ages 18-70. So I think some practices might use those cut-offs. At our program we have a little more flexibility and look at cases one-by-one outside of that range. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@txkyleharris Yes, and they might not based on 1) lack of awareness of recent data showing the safety of bariatric surgery and 2) thinking it's not safe especially for older patients, even without data on that. #obsm
Dr. Rachel @AskDr_Rachel
RT @obsmchat: #obsm q3 https://t.co/BhcE27dd50
Darwin @EquationForLife
@obsmchat Stumbled on this neat #obsm chat. I'm an informatics person who is doing a little side project with a bariatric surgery cohort. Very curious about the type of questions in the field.
Patty Nece @pattynece
Q3: One way to help educate the public and older patients is to support the Treat and Reduce Obesity Act (#TROA), which will open more treatment options and FDA-approved #obesity medications to patients on Medicare. Learn more and take acton here: https://t.co/kLzPJBrFDF #obsm https://t.co/oab9ILhBad
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Eggface: @obsmchat Fear of change is one for sure (true for all ages) but... and pardon the Hallmarky-ness (new word) of this... without change, there would be no butterflies... so many of the changes post #bariatricsurgery are awesome and positive ones. #obsm https://t.co/NbJmsFee1A
Dr. Rachel @AskDr_Rachel
This is definitely an issue. We need to increase the knowledge and education so more PCPs have a better understanding of #bariatricsurgery. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
A3: We have to intentionally change the messaging around this. This chat is one way to do that, and doing research, advocacy, and communicating with physicians is important. #obsm
Amy Dumont @Dumont75A
@txkyleharris @obsmchat At times I am concerned that PCPs are not well informed about bariatric surgery and may not know to offer/discuss this as an option to one of their older clients who may benefit. #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
@txkyleharris I’m curious to hear how the awesome PCPs recommend surgery in a gentle and non-shaming way. I imagine that’s a hard line to walk in such a short visit. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @pattynece: I suspect a lot of folks on Medicare don’t know that #bariatricsurgery and intense behavioral therapy for #obesity are even available. #Obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @pattynece: Q3: Q3: One way to help educate the public and older patients is to support the Treat and Reduce Obesity Act (#TROA), which will open more treatment options and FDA-approved #obesity medications to patients on Medicare. Learn more and take acton here: https://t.co/kLzPJBrFDF #obsm https://t.co/oab9ILhBad
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: @txkyleharris Yes, and they might not based on 1) lack of awareness of recent data showing the safety of bariatric surgery and 2) thinking it's not safe especially for older patients, even without data on that. #obsm
#obsm chat @obsmchat
@EquationForLife Glad you tripped over us! Welcome! Feel free to lurk or participate -- just tag your tweets #obsm
Dr. Rachel @AskDr_Rachel
RT @pattynece: Q3: Q3: One way to help educate the public and older patients is to support the Treat and Reduce Obesity Act (#TROA), which will open more treatment options and FDA-approved #obesity medications to patients on Medicare. Learn more and take acton here: https://t.co/kLzPJBrFDF #obsm https://t.co/oab9ILhBad
Marilyn Clark @OffThePlateMC
I think that is true in general, not just for this age group. #obsm https://t.co/8cNICOScfe
#obsm chat @obsmchat
Great question for the group! #obsm
STOPObesityAlliance @STOPObesity
RT @pattynece: I suspect a lot of folks on Medicare don’t know that #bariatricsurgery and intense behavioral therapy for #obesity are even available. #Obsm
Abdelrahman Ali Nimeri MD @Nimeri_MD
#obsm #obsmchat Q1: In a recent study by Oma Reges et al with median follow up of 4.3 years there was a lower all cause mortality after LAGB, SG & RYGB compared to usual care. So perhaps the benefits to #bariatric surgery in older patients is not only quality of life only https://t.co/pc2cxAfe8Z
#obsm chat @obsmchat
RT @arghavan_salles: A3: A3: We have to intentionally change the messaging around this. This chat is one way to do that, and doing research, advocacy, and communicating with physicians is important. #obsm
STOPObesityAlliance @STOPObesity
RT @pattynece: Q3: Q3: One way to help educate the public and older patients is to support the Treat and Reduce Obesity Act (#TROA), which will open more treatment options and FDA-approved #obesity medications to patients on Medicare. Learn more and take acton here: https://t.co/kLzPJBrFDF #obsm https://t.co/oab9ILhBad
Innovative by nature @Rosie_C_Cares
RT @pattynece: Q3: Q3: One way to help educate the public and older patients is to support the Treat and Reduce Obesity Act (#TROA), which will open more treatment options and FDA-approved #obesity medications to patients on Medicare. Learn more and take acton here: https://t.co/kLzPJBrFDF #obsm https://t.co/oab9ILhBad
Dr. Rachel @AskDr_Rachel
@Dumont75A @txkyleharris @obsmchat I agree and think many PCPs are not well informed about #bariatricsurgery. I think we discuss this in many #obsm chats. We need to find a way to change this!
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @arghavan_salles: @PsychoDietitian The NIH consensus criteria are for ages 18-70. So I think some practices might use those cut-offs. At our program we have a little more flexibility and look at cases one-by-one outside of that range. #obsm
sarahkbingler @sarahkbingler
Some older adults may have lower functional levels or may experience greater functional decline post operatively. Important to assess if pre have to maximize strength prior to surgery. #obsm chat
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @txkyleharris: A2 - I think this also goes back to PCP. How many of them would recommend bariatric surgery? And to an elderly patient on top of that? #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@OffThePlateMC Agree! #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @obsmchat: #obsm q3 https://t.co/BhcE27dd50
Dr. Rachel @AskDr_Rachel
RT @OffThePlateMC: I think that is true in general, not just for this age group. #obsm https://t.co/8cNICOScfe
Nina Crowley PhD RDN @PsychoDietitian
A3: #obsm - we need to consider what gets to insurance companies too. in SC, medicare's LCD for sleeve has more requirements for >61 yo...
Arghavan Salles, MD, PhD @arghavan_salles
RT @Nimeri_MD: #obsm #obsmchat Q1: In a recent study by Oma Reges et al with median follow up of 4.3 years there was a lower all cause mortality after LAGB, SG & RYGB compared to usual care. So perhaps the benefits to #bariatric surgery in older patients is not only quality of life only https://t.co/pc2cxAfe8Z
Patty Nece @pattynece
@PamelaMawby1 @obsmchat Now that I do have additional issues, I'm more concerned about having any type of surgery. Sometimes regret not doing it when I was younger. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @arghavan_salles: @txkyleharris Yes, and they might not based on 1) lack of awareness of recent data showing the safety of bariatric surgery and 2) thinking it's not safe especially for older patients, even without data on that. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@sarahkbingler Agree--age is just a number. Overall health is most likely to determine potential benefit vs risks. #obsm
Marilyn Clark @OffThePlateMC
RT @pattynece: @PamelaMawby1 @obsmchat Now that I do have additional issues, I'm more concerned about having any type of surgery. Sometimes regret not doing it when I was younger. #obsm
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: @sarahkbingler Agree--age is just a number. Overall health is most likely to determine potential benefit vs risks. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@pattynece @PamelaMawby1 @obsmchat There's still time! :) #obsm
#obsm chat @obsmchat
RT @AskDr_Rachel: @Dumont75A @txkyleharris @obsmchat I agree and think many PCPs are not well informed about #bariatricsurgery. I think we discuss this in many #obsm chats. We need to find a way to change this!
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
Oops - though #obsm was at 9:30! Hello!
GeekyGrouch @grouchy_geek
@rpashbyphd Mine didn’t. After I told him I was having it he said that was probably a good idea. If only he would have recommended it... years earlier. #obsm
#obsm chat @obsmchat
@twirlandswirl No problem! Glad you're here! #obsm
Dr. Rachel @AskDr_Rachel
@PamelaMawby1 @Eggface @obsmchat I'm glad you were able to do that. As change can be overwhelming, it doesnt mean it is impossible AND sometimes just have to do it! #obsm
Abdelrahman Ali Nimeri MD @Nimeri_MD
#Obsm #obsmchat A1: In 2019, it is acceptable for an 82 year old with HTN, DM & OSA to have a hip replacement But I t is not OK for a 70 year old to have #bariatricsurgery even though the perioperative risk is similar to hip replacement & it also improves HTN, DM & OSA
#obsm chat @obsmchat
RT @txkyleharris: @rpashbyphd Mine didn’t. After I told him I was having it he said that was probably a good idea. If only he would have recommended it... years earlier. #obsm
Marilyn Clark @OffThePlateMC
I often hear from older patients in my support group is that their only regret is not doing it sooner. #obsm https://t.co/XBekbI1fmM
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Nimeri_MD: #obsm #obsmchat Q1: In a recent study by Oma Reges et al with median follow up of 4.3 years there was a lower all cause mortality after LAGB, SG & RYGB compared to usual care. So perhaps the benefits to #bariatric surgery in older patients is not only quality of life only https://t.co/pc2cxAfe8Z
Arghavan Salles, MD, PhD @arghavan_salles
@tassynicole @PsychoDietitian Yes! Lots of data out there on benefits for adolescents. @KimSteeleMD is an expert on this. #obsm
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: I think there are many older patients that could benefit from #bariatricsurgery and either dont realize it or just believe they are "too old" for surgery. #obsm
Neil Floch MD @NeilFlochMD
RT @pattynece: Q3: Q3: One way to help educate the public and older patients is to support the Treat and Reduce Obesity Act (#TROA), which will open more treatment options and FDA-approved #obesity medications to patients on Medicare. Learn more and take acton here: https://t.co/kLzPJBrFDF #obsm https://t.co/oab9ILhBad
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/Y4K50Lp4Td
Heather 🇺🇸 @ZHeatherChamp
Hi #OBSM! Late here oops! Had #VSG 10/2017 and struggling STILL with all the chocolate! @obsmchat
Michelle Vicari @Eggface
@obsmchat Some fear is normal but I think we live with the weight/related health issues for so long we can forget that #obesity is a leading cause and contributing factor to many of the top 10 causes of death. That's scary too. #obsm
Dr. Rachel @AskDr_Rachel
@OffThePlateMC I also hear this! @pattynece #obsm It isn't too late!
Dr. Rachel @AskDr_Rachel
RT @OffThePlateMC: I often hear from older patients in my support group is that their only regret is not doing it sooner. #obsm https://t.co/XBekbI1fmM
Neil Floch MD @NeilFlochMD
RT @txkyleharris: A2 - I think this also goes back to PCP. How many of them would recommend bariatric surgery? And to an elderly patient on top of that? #obsm
Neil Floch MD @NeilFlochMD
RT @pattynece: I suspect a lot of folks on Medicare don’t know that #bariatricsurgery and intense behavioral therapy for #obesity are even available. #Obsm
Dr. Rachel @AskDr_Rachel
RT @Eggface: @obsmchat Some fear is normal but I think we live with the weight/related health issues for so long we can forget that #obesity is a leading cause and contributing factor to many of the top 10 causes of death. That's scary too. #obsm
Neil Floch MD @NeilFlochMD
RT @Nimeri_MD: @obsmchat Q2 #obsm #obsmchat In addition to usual barriers, It is possible that #bariatricsurgery is not even offered to many older patients or certain procedures like RYGB are considered high risk! Please take a look at the recent #metaanalysis by @janik_md et al from @Casesurgery https://t.co/F1IzCKGMyf
Neil Floch MD @NeilFlochMD
RT @OffThePlateMC: I think that is true in general, not just for this age group. #obsm https://t.co/8cNICOScfe
Chris Memering @zsquaredmama
#obsm missing the chat tonight do to attending the #ADA2019 Scientific Sessions.
Neil Floch MD @NeilFlochMD
RT @Dumont75A: @txkyleharris @obsmchat At times I am concerned that PCPs are not well informed about bariatric surgery and may not know to offer/discuss this as an option to one of their older clients who may benefit. #obsm
Neil Floch MD @NeilFlochMD
RT @arghavan_salles: A1: A1: I think the question is always about the risk/benefit ratio. I don't think age is the only contributor to risk. There are 80-year-olds who are healthier than 65-year-olds. We have to look at the big picture. #obsm
Neil Floch MD @NeilFlochMD
RT @Eggface: @obsmchat Fear of change is one for sure (true for all ages) but... and pardon the Hallmarky-ness (new word) of this... without change, there would be no butterflies... so many of the changes post #bariatricsurgery are awesome and positive ones. #obsm https://t.co/NbJmsFee1A
#obsm chat @obsmchat
#obsm q4 https://t.co/CTM5jV3EBy
Neil Floch MD @NeilFlochMD
RT @PsychoDietitian: A2: A2: #obsm I have many patients ask about an 'age limit' - do many programs have a cut off of age, and if so, what evidence for the weight limit?
Neil Floch MD @NeilFlochMD
RT @arghavan_salles: @PsychoDietitian The NIH consensus criteria are for ages 18-70. So I think some practices might use those cut-offs. At our program we have a little more flexibility and look at cases one-by-one outside of that range. #obsm
Neil Floch MD @NeilFlochMD
RT @arghavan_salles: A2: A2: I think the barriers are mostly psychological. Both physicians and patients might think someone who is older will benefit less from surgery than someone who is younger. But it's more than that. There are people who aren't good candidates regardless of age. #obsm
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: What a great reminder! #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@AskDr_Rachel @OffThePlateMC @pattynece I hear this, too! #obsm
Neil Floch MD @NeilFlochMD
RT @arghavan_salles: @txkyleharris Yes, and they might not based on 1) lack of awareness of recent data showing the safety of bariatric surgery and 2) thinking it's not safe especially for older patients, even without data on that. #obsm
Dr. Rachel @AskDr_Rachel
@zsquaredmama Feel free to catch up when you can. Retweet, comment, tag #obsm etc.
Neil Floch MD @NeilFlochMD
RT @PsychoDietitian: A3: A3: #obsm - we need to consider what gets to insurance companies too. in SC, medicare's LCD for sleeve has more requirements for >61 yo...
Neil Floch MD @NeilFlochMD
RT @OffThePlateMC: @obsmchat Hi all, this is Marilyn, Health Coach and Bariatric Patient. It's been a while since I was able to be here. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @PsychoDietitian: A3: A3: #obsm - we need to consider what gets to insurance companies too. in SC, medicare's LCD for sleeve has more requirements for >61 yo...
Neil Floch MD @NeilFlochMD
RT @Nimeri_MD: #obsm #obsmchat Q1: In a recent study by Oma Reges et al with median follow up of 4.3 years there was a lower all cause mortality after LAGB, SG & RYGB compared to usual care. So perhaps the benefits to #bariatric surgery in older patients is not only quality of life only https://t.co/pc2cxAfe8Z
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: It's unfortunate but we hear these stories often. It takes year to lose this amount of weight and then it is so difficult to maintain it. #bariatricsurgery is a good option for many. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @pattynece: @PamelaMawby1 @obsmchat Now that I do have additional issues, I'm more concerned about having any type of surgery. Sometimes regret not doing it when I was younger. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @Eggface: @obsmchat Some fear is normal but I think we live with the weight/related health issues for so long we can forget that #obesity is a leading cause and contributing factor to many of the top 10 causes of death. That's scary too. #obsm
#obsm chat @obsmchat
@ZHeatherChamp Glad you made it! Welcome! #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @OffThePlateMC: I often hear from older patients in my support group is that their only regret is not doing it sooner. #obsm https://t.co/XBekbI1fmM
Neil Floch MD @NeilFlochMD
RT @bruce_y_lee: Hi #obsm chat @bruce_y_lee here https://t.co/otB3uXUFCB
Neil Floch MD @NeilFlochMD
RT @arghavan_salles: A3: A3: We have to intentionally change the messaging around this. This chat is one way to do that, and doing research, advocacy, and communicating with physicians is important. #obsm
Marilyn Clark @OffThePlateMC
I am curious about the behavioral aspects of this. Are older patients evaluated differently in terms of their willingness to make lifestyle changes? #obsm https://t.co/qRMSb0hMvW
Neil Floch MD @NeilFlochMD
RT @rpashbyphd: @obsmchat One thing I hear from patients over 55-60 is that they worry about the risks of surgery given other health complications. #obsm
Neil Floch MD @NeilFlochMD
RT @rpashbyphd: @obsmchat And I also wonder if the historical notion of “stomach stapling” as a last resort treatment creates a bias that’s hard to get past. I hear older patients refer to that at times. #obsm
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: @Eggface @obsmchat This is so true! And change is overwhelming for anyone, but especially the older we get, it becomes even more difficult and overwhelming. #obsm
Neil Floch MD @NeilFlochMD
RT @Eggface: This month's #obsm is starting now. Follow @obsmchat for questions and join in the conversation, be sure to add the #obsm hashtag to your tweets.
Neil Floch MD @NeilFlochMD
RT @OffThePlateMC: I am curious about the behavioral aspects of this. Are older patients evaluated differently in terms of their willingness to make lifestyle changes? #obsm https://t.co/qRMSb0hMvW
Neil Floch MD @NeilFlochMD
RT @obsmchat: #obsm q4 https://t.co/CTM5jV3EBy
Neil Floch MD @NeilFlochMD
RT @Eggface: @obsmchat Some fear is normal but I think we live with the weight/related health issues for so long we can forget that #obesity is a leading cause and contributing factor to many of the top 10 causes of death. That's scary too. #obsm
Neil Floch MD @NeilFlochMD
RT @arghavan_salles: @tassynicole @PsychoDietitian Yes! Lots of data out there on benefits for adolescents. @KimSteeleMD is an expert on this. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @PamelaMawby1:
Neil Floch MD @NeilFlochMD
RT @OffThePlateMC: I often hear from older patients in my support group is that their only regret is not doing it sooner. #obsm https://t.co/XBekbI1fmM
Neil Floch MD @NeilFlochMD
RT @Nimeri_MD: #Obsm #obsmchat A1: In 2019, it is acceptable for an 82 year old with HTN, DM & OSA to have a hip replacement But I t is not OK for a 70 year old to have #bariatricsurgery even though the perioperative risk is similar to hip replacement & it also improves HTN, DM & OSA
Heather 🇺🇸 @ZHeatherChamp
@obsmchat A2: I’m prob one of them! I was 45, not once was surgery mentioned to me as an option/tool. I got there myself luckily in talking to a friend. #obsm
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: @PamelaMawby1 @Eggface @obsmchat I'm glad you were able to do that. As change can be overwhelming, it doesnt mean it is impossible AND sometimes just have to do it! #obsm
Neil Floch MD @NeilFlochMD
RT @txkyleharris: @rpashbyphd Mine didn’t. After I told him I was having it he said that was probably a good idea. If only he would have recommended it... years earlier. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @txkyleharris: @rpashbyphd Mine didn’t. After I told him I was having it he said that was probably a good idea. If only he would have recommended it... years earlier. #obsm
Neil Floch MD @NeilFlochMD
RT @pattynece: @PamelaMawby1 @obsmchat Now that I do have additional issues, I'm more concerned about having any type of surgery. Sometimes regret not doing it when I was younger. #obsm
Ryan Flinn @RS_Flinn
RT @pattynece: Q3: Q3: One way to help educate the public and older patients is to support the Treat and Reduce Obesity Act (#TROA), which will open more treatment options and FDA-approved #obesity medications to patients on Medicare. Learn more and take acton here: https://t.co/kLzPJBrFDF #obsm https://t.co/oab9ILhBad
Neil Floch MD @NeilFlochMD
RT @sarahkbingler: Some older adults may have lower functional levels or may experience greater functional decline post operatively. Important to assess if pre have to maximize strength prior to surgery. #obsm chat
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: @Dumont75A @txkyleharris @obsmchat I agree and think many PCPs are not well informed about #bariatricsurgery. I think we discuss this in many #obsm chats. We need to find a way to change this!
GeekyGrouch @grouchy_geek
@obsmchat We need more exposure. Public figures who have had success with WLS to step up and speak up. And the biggest one, not being afraid to tell people your story of success with WLS. #obsm
#obsm chat @obsmchat
RT @AskDr_Rachel: I think there are many older patients that could benefit from #bariatricsurgery and either dont realize it or just believe they are "too old" for surgery. #obsm
Ryan Flinn @RS_Flinn
RT @AskDr_Rachel: I think there are many older patients that could benefit from #bariatricsurgery and either dont realize it or just believe they are "too old" for surgery. #obsm
Dr. Rachel @AskDr_Rachel
This can definitely be difficult for people, especially as people have their established behaviors, but it's still about weighting the risks and benefits. With the support of one's #bariatricsurgery team, #mentalhealth providers, family members, etc. nothing is impossible. #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @OffThePlateMC: I am curious about the behavioral aspects of this. Are older patients evaluated differently in terms of their willingness to make lifestyle changes? #obsm https://t.co/qRMSb0hMvW
Dr. Rachel @AskDr_Rachel
RT @obsmchat: #obsm q4 https://t.co/CTM5jV3EBy
Amy Dumont @Dumont75A
@obsmchat Education is a key component to normalizing bariatric surgery and the disease of obesity! Education in whatever way possible because often many are misinformed or just simply don't know.! I am a huge proponent of Education! #obsm
#obsm chat @obsmchat
RT @txkyleharris: @obsmchat We need more exposure. Public figures who have had success with WLS to step up and speak up. And the biggest one, not being afraid to tell people your story of success with WLS. #obsm
#obsm chat @obsmchat
RT @AskDr_Rachel: This can definitely be difficult for people, especially as people have their established behaviors, but it's still about weighting the risks and benefits. With the support of one's #bariatricsurgery team, #mentalhealth providers, family members, etc. nothing is impossible. #obsm
#obsm chat @obsmchat
RT @Dumont75A: @obsmchat Education is a key component to normalizing bariatric surgery and the disease of obesity! Education in whatever way possible because often many are misinformed or just simply don't know.! I am a huge proponent of Education! #obsm
Dr. Rachel @AskDr_Rachel
@OffThePlateMC Personally, I do not evaluate older patients differently. I discuss every patient's daily routine, behaviors, stressors, etc. #obsm #psychologists
Heather 🇺🇸 @ZHeatherChamp
A1: I think EVERYONE can benefit from #WLS, - who NEED it - but for us OLDER crew it’s prob even more critical because of our heart age, etc. #obsm
👩🏻‍⚕️Judy Chen, MD 🩺 @Chenbariatrics1
@obsmchat Q3 improving support and education for patients, physicians and policy makers. There’s fear in how to take care of #obesity AND post #Bariatric surgery patients. #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @AskDr_Rachel: This can definitely be difficult for people, especially as people have their established behaviors, but it's still about weighting the risks and benefits. With the support of one's #bariatricsurgery team, #mentalhealth providers, family members, etc. nothing is impossible. #obsm
iamabariatricpatient @JeanineMSherman
RT @AskDr_Rachel: This can definitely be difficult for people, especially as people have their established behaviors, but it's still about weighting the risks and benefits. With the support of one's #bariatricsurgery team, #mentalhealth providers, family members, etc. nothing is impossible. #obsm
Abdelrahman Ali Nimeri MD @Nimeri_MD
#obsm A3: Some #bariatricsurgery programs have an upper age limit to #bariatricsurgery. A starting point is to have no barriers based on age alone. If an 80 year old can have a colectomy for cancer because it is medically necessary why can’t they have #bariatric surgery
Marilyn Clark @OffThePlateMC
See, I knew I was onto something with my question! As a health coach, I primarily work with people on lifestyle changes and accountability. I think readiness for change can happen at any age. #obsm https://t.co/u5CwF43703
Neil Floch MD @NeilFlochMD
RT @PsychoDietitian: Hi #obsm - Nina Crowley here, @PsychoDietitian.. bariatric dietitian and program coordinator at MUSC in Charleston SC!
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: I agree, these individuals would definitely benefit from #bariatricsurgery. #obsm #diabetes #qol
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: Hi #obsm! I'm a psychologist in NYC specializing in #obesity and #weightmanagement. I am happy to be able to join this evening and looking forward to the chat.
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: This can definitely be difficult for people, especially as people have their established behaviors, but it's still about weighting the risks and benefits. With the support of one's #bariatricsurgery team, #mentalhealth providers, family members, etc. nothing is impossible. #obsm
Neil Floch MD @NeilFlochMD
RT @Eggface: @obsmchat Some fear is normal but I think we live with the weight/related health issues for so long we can forget that #obesity is a leading cause and contributing factor to many of the top 10 causes of death. That's scary too. #obsm
Neil Floch MD @NeilFlochMD
RT @Eggface: @obsmchat I was off 8 medications and had way less Dr. co-pays post #bariatricsurgery which would be a benefit to older adults on limited or fixed incomes. Resolution of something like T2 #diabetes, for example, would be a great cost saving #obsm
iamabariatricpatient @JeanineMSherman
RT @Eggface: @obsmchat Some fear is normal but I think we live with the weight/related health issues for so long we can forget that #obesity is a leading cause and contributing factor to many of the top 10 causes of death. That's scary too. #obsm
Neil Floch MD @NeilFlochMD
RT @PamelaMawby1:
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: @arghavan_salles I think looking at the big picture is so important. So many individuals could benefit and could improve their health and quality of life. Definitely looking at risk/benefit ratio is key. #obsm
Dr. Rachel @AskDr_Rachel
@PamelaMawby1 @Eggface @obsmchat I agree and think that others may have more to say than the patient themselves. I always hear patients say that they had to convince their family members it was the best thing for them. I think more education in general is still needed around #obesity and #bariatricsurgery .#obsm
Neil Floch MD @NeilFlochMD
RT @AskDr_Rachel: This is definitely an issue. We need to increase the knowledge and education so more PCPs have a better understanding of #bariatricsurgery. #obsm
Heather 🇺🇸 @ZHeatherChamp
@txkyleharris @obsmchat Someone I know in a support group calls herself a Secret Sleever. As more time passes I’m finding my voice and BEING PROUD to say what I decided to do! #obsm #vsg
Neil Floch MD @NeilFlochMD
RT @Eggface: @obsmchat Michelle "Shelly" waving hello from sunny and too HOT California, #BariatricSurgery post-op, @ObesityAction board member, patient advocate. #obsm
Neil Floch MD @NeilFlochMD
RT @Nimeri_MD: @obsmchat Bariatric Surgeon @CarolinasSurg @AtriumHealth Immediate Past president @IFSOMENAC #obsm #obsmchat Q1: As long as the QOL benefits outweigh the perioperative risk of #bariatricSurgery then it is worth it. For some patients #sleevegastrectomy is the procedure of choice.
Neil Floch MD @NeilFlochMD
RT @Dumont75A: @obsmchat Education is a key component to normalizing bariatric surgery and the disease of obesity! Education in whatever way possible because often many are misinformed or just simply don't know.! I am a huge proponent of Education! #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
@obsmchat Isolation may be a risk factor for some elderly patients (not all of course). Probably important to assess social support for those who are more isolated. #obsm
sarahkbingler @sarahkbingler
I don’t know if behaviour change is harder in older adults. In general I think it’s important to have a personalized approach to activity prescription and coaching. The key is finding the right activity for the individual. Walking works for many but not everyone.
Marilyn Clark @OffThePlateMC
Thanks for that. And that's good to hear :) #obsm https://t.co/hjfrL0T9P4
Michelle Vicari @Eggface
@obsmchat For someone considering surgical #obesity treatments, I think it's super helpful and important to chat with others who have been there, done that. @ObesityAction has an event https://t.co/PP03Q9bL1N and a great new forum https://t.co/fJ99bGJfCF to have those conversations #obsm
Dr. Rachel @AskDr_Rachel
@ZHeatherChamp @obsmchat This is why we need more people talking about surgery, their experiences, etc. So many patients learn about it from other patients! #obsm
Patty Nece @pattynece
My behaviors are entrenched and difficult to change. But what was more entrenched was the #weighbias I suffered for decades, making it virtually impossible to change those behaviors. #obsm
Heather 🇺🇸 @ZHeatherChamp
@OffThePlateMC YUP! That’s exactly what my friend told me - who had it and is 10 years older than me. SHE is the one who opened my mind and heart to #vsg. #obsm
Amy Dumont @Dumont75A
@obsmchat A frank and open conversation about 'WHY' they wish to pursue surgery as an option. I discuss with all of my clients young and old about having a WHY that will make you cry-grandchildren, improved quality of life, lessened dependency on medication and the list goes on #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@rpashbyphd @obsmchat Social support is key for everyone having #bariatricsurgery! It's such a major change. Very hard to do alone. #obsm
#obsm chat @obsmchat
RT @OffThePlateMC: See, I knew I was onto something with my question! As a health coach, I primarily work with people on lifestyle changes and accountability. I think readiness for change can happen at any age. #obsm https://t.co/u5CwF43703
Dr. Rachel @AskDr_Rachel
Yes! I just had this conversation with @surgery_RD as we are currently looking for someone like that to be our keynote speaker at the NY @WalkfromObesity . #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @AskDr_Rachel: @ZHeatherChamp @obsmchat This is why we need more people talking about surgery, their experiences, etc. So many patients learn about it from other patients! #obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @Eggface: @obsmchat For someone considering surgical #obesity treatments, I think it's super helpful and important to chat with others who have been there, done that. @ObesityAction has an event https://t.co/PP03Q9bL1N and a great new forum https://t.co/fJ99bGJfCF to have those conversations #obsm
iamabariatricpatient @JeanineMSherman
RT @AskDr_Rachel: @PamelaMawby1 @Eggface @obsmchat I agree and think that others may have more to say than the patient themselves. I always hear patients say that they had to convince their family members it was the best thing for them. I think more education in general is still needed around #obesity and #bariatricsurgery .#obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
RT @arghavan_salles: @rpashbyphd @obsmchat Social support is key for everyone having #bariatricsurgery! It's such a major change. Very hard to do alone. #obsm
Nina Crowley PhD RDN @PsychoDietitian
#obsm yes check this out @ObesityAction
#obsm chat @obsmchat
RT @Eggface: @obsmchat For someone considering surgical #obesity treatments, I think it's super helpful and important to chat with others who have been there, done that. @ObesityAction has an event https://t.co/PP03Q9bL1N and a great new forum https://t.co/fJ99bGJfCF to have those conversations #obsm
Dr. Rachel @AskDr_Rachel
RT @Dumont75A: @obsmchat Education is a key component to normalizing bariatric surgery and the disease of obesity! Education in whatever way possible because often many are misinformed or just simply don't know.! I am a huge proponent of Education! #obsm
Heather 🇺🇸 @ZHeatherChamp
@obsmchat PS - what age are we talking about for “older adults”? #obsm
iamabariatricpatient @JeanineMSherman
RT @Dumont75A: @obsmchat Education is a key component to normalizing bariatric surgery and the disease of obesity! Education in whatever way possible because often many are misinformed or just simply don't know.! I am a huge proponent of Education! #obsm
Abdelrahman Ali Nimeri MD @Nimeri_MD
#obsm A4: It is true, but many older patients are retired and quality of life is a major concern. In addition, to the improvement in obesity related co morbid conditions and lower cost of medications. Education, education & more education.
#obsm chat @obsmchat
RT @Dumont75A: @obsmchat A frank and open conversation about 'WHY' they wish to pursue surgery as an option. I discuss with all of my clients young and old about having a WHY that will make you cry-grandchildren, improved quality of life, lessened dependency on medication and the list goes on #obsm
Heather 🇺🇸 @ZHeatherChamp
@Dumont75A @obsmchat OOOOOOOH, love this! A why that’ll make me cry! Thanks for this! #obsm
Ivan Mendoza @mencardio
RT @Eggface: @obsmchat Fear of change is one for sure (true for all ages) but... and pardon the Hallmarky-ness (new word) of this... without change, there would be no butterflies... so many of the changes post #bariatricsurgery are awesome and positive ones. #obsm https://t.co/NbJmsFee1A
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Nimeri_MD: #Obsm #obsmchat A1: In 2019, it is acceptable for an 82 year old with HTN, DM & OSA to have a hip replacement But I t is not OK for a 70 year old to have #bariatricsurgery even though the perioperative risk is similar to hip replacement & it also improves HTN, DM & OSA
GeekyGrouch @grouchy_geek
@obsmchat Honestly, I would like to see prospective patients interact with patients in a support group before or soon after they have their initial consult. Talk to people who have had the surgery. Tell the good, the bad, and what was done to prepare for lifestyle change. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @OffThePlateMC: I often hear from older patients in my support group is that their only regret is not doing it sooner. #obsm https://t.co/XBekbI1fmM
#obsm chat @obsmchat
#obsm q5 https://t.co/34xsNO6gwN
Marilyn Clark @OffThePlateMC
Same here Patty! After years of trying & failing I was sure surgery wouldn't work for me. I learned from other patients how much I would need to change and now I have weird healthy behavior patterns that I am learning to be more flexible about. LOL #obsm https://t.co/YVGrK3wvY4
Dr. Rachel @AskDr_Rachel
RT @OffThePlateMC: See, I knew I was onto something with my question! As a health coach, I primarily work with people on lifestyle changes and accountability. I think readiness for change can happen at any age. #obsm https://t.co/u5CwF43703
Marilyn Clark @OffThePlateMC
I wish I was going this year! It's my retirement party weekend! LOL. #obsm https://t.co/BvbCbfmOwS
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Eggface: @obsmchat Some fear is normal but I think we live with the weight/related health issues for so long we can forget that #obesity is a leading cause and contributing factor to many of the top 10 causes of death. That's scary too. #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @Dumont75A: @obsmchat A frank and open conversation about 'WHY' they wish to pursue surgery as an option. I discuss with all of my clients young and old about having a WHY that will make you cry-grandchildren, improved quality of life, lessened dependency on medication and the list goes on #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @AskDr_Rachel: @OffThePlateMC I also hear this! @pattynece #obsm It isn't too late!
Michelle Vicari @Eggface
@obsmchat I love to cook, I was afraid I would have to give up something I loved post #bariatricsurgery but I get to be even more creative in the kitchen making healthier versions of pre-op favs. I even blog my healthier recipes & enter cooking contests still https://t.co/Kgs99VsKm7 #obsm https://t.co/7Pd2GFsT6a
Dr. Rachel @AskDr_Rachel
RT @Eggface: @obsmchat For someone considering surgical #obesity treatments, I think it's super helpful and important to chat with others who have been there, done that. @ObesityAction has an event https://t.co/PP03Q9bL1N and a great new forum https://t.co/fJ99bGJfCF to have those conversations #obsm
iamabariatricpatient @JeanineMSherman
RT @arghavan_salles: A1: A1: I think the question is always about the risk/benefit ratio. I don't think age is the only contributor to risk. There are 80-year-olds who are healthier than 65-year-olds. We have to look at the big picture. #obsm
Dr. Rachel @AskDr_Rachel
RT @pattynece: My behaviors are entrenched and difficult to change. But what was more entrenched was the #weighbias I suffered for decades, making it virtually impossible to change those behaviors. #obsm
Heather 🇺🇸 @ZHeatherChamp
A5: TALK with them! Somehow, somewhere! SM May be a great place to find those who aren’t talking about #WLS IRL. If we have done it, so can they and offer to help! #obsm
iamabariatricpatient @JeanineMSherman
RT @Eggface: @obsmchat For someone considering surgical #obesity treatments, I think it's super helpful and important to chat with others who have been there, done that. @ObesityAction has an event https://t.co/PP03Q9bL1N and a great new forum https://t.co/fJ99bGJfCF to have those conversations #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@ZHeatherChamp @obsmchat No specific age, but maybe >65 yrs old or so. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @ZHeatherChamp: @txkyleharris @obsmchat Someone I know in a support group calls herself a Secret Sleever. As more time passes I’m finding my voice and BEING PROUD to say what I decided to do! #obsm #vsg
Abdelrahman Ali Nimeri MD @Nimeri_MD
RT @obsmchat: Join us for the next #OBSM Chat, Sunday, June 9 at 9:00 pm EST!! Think you're too old to manage your weight? Then this chat is for you! We'll be talking about #BariatricSurgery and treating #obesity in older adults. Blog and chat questions at https://t.co/9Wc6vVESdj. Join us! https://t.co/hAggGNR3xf
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Eggface: @obsmchat For someone considering surgical #obesity treatments, I think it's super helpful and important to chat with others who have been there, done that. @ObesityAction has an event https://t.co/PP03Q9bL1N and a great new forum https://t.co/fJ99bGJfCF to have those conversations #obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @Eggface: @obsmchat I love to cook, I was afraid I would have to give up something I loved post #bariatricsurgery but I get to be even more creative in the kitchen making healthier versions of pre-op favs. I even blog my healthier recipes & enter cooking contests still https://t.co/Kgs99VsKm7 #obsm https://t.co/7Pd2GFsT6a
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @AskDr_Rachel: @ZHeatherChamp @obsmchat This is why we need more people talking about surgery, their experiences, etc. So many patients learn about it from other patients! #obsm
Dr. Rachel @AskDr_Rachel
@Dumont75A @obsmchat That WHY is so important! And that why is what will keep people motivated! #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @Eggface: @obsmchat I love to cook, I was afraid I would have to give up something I loved post #bariatricsurgery but I get to be even more creative in the kitchen making healthier versions of pre-op favs. I even blog my healthier recipes & enter cooking contests still https://t.co/Kgs99VsKm7 #obsm https://t.co/7Pd2GFsT6a
Dr. Rachel @AskDr_Rachel
RT @Dumont75A: @obsmchat A frank and open conversation about 'WHY' they wish to pursue surgery as an option. I discuss with all of my clients young and old about having a WHY that will make you cry-grandchildren, improved quality of life, lessened dependency on medication and the list goes on #obsm
iamabariatricpatient @JeanineMSherman
12 yr after #bariatricsurgery Amy maintains 185 lb weightloss. Go Amy!! #iamabariatricpatient #obsm
Heather 🇺🇸 @ZHeatherChamp
@arghavan_salles Oooooh, OK. I’m not quite there yet! LOL Thx! #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@southernredhed @txkyleharris I think this is why many PCPs don't bring this up. Any tips on how to bring it up without offending? #obsm
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: @rpashbyphd @obsmchat Social support is key for everyone having #bariatricsurgery! It's such a major change. Very hard to do alone. #obsm
Marilyn Clark @OffThePlateMC
The most powerful thing for me was talking to other patients who had reservations at first. Letting someone considering surgery into a support group where they can hear others' experiences. #obsm https://t.co/yEqylSexrM
iamabariatricpatient @JeanineMSherman
RT @pattynece: I suspect a lot of folks on Medicare don’t know that #bariatricsurgery and intense behavioral therapy for #obesity are even available. #Obsm
Marilyn Clark @OffThePlateMC
My OWN why makes me cry! #obsm https://t.co/tF47JO369U
sarahkbingler @sarahkbingler
Patient defined goals, small sustainable changes, frequent coaching and feedback. A respectful, genuine patient-provider relationship is important too. #obsm
Dr. Rachel @AskDr_Rachel
It's unfortunate but many people still dont realize #bariatricsurgery is an option. I hear this from clients all the time saying they didnt realize it was an option until now! #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
@pattynece That is why I get so strongly about question 3 - you really only have to make SMALL changes! ❤️❤️❤️. #obsm yeah - that’s a donut https://t.co/XsVM9uWWqV
#obsm chat @obsmchat
That could be the result depending on how the topic is approached. Health care pros need to approach patients in an empathetic, non-judgmental fashion. #obsm
Marilyn Clark @OffThePlateMC
And now you are a household name for bariatric patients everywhere! I got my courage to really learn how to cook from you! #obsm https://t.co/fMemtCFbmX
Arghavan Salles, MD, PhD @arghavan_salles
@JeanineMSherman Amazing! #obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @JeanineMSherman: 12 yr after #bariatricsurgery Amy maintains 185 lb weightloss. Go Amy!! #iamabariatricpatient #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @ZHeatherChamp: @OffThePlateMC YUP! That’s exactly what my friend told me - who had it and is 10 years older than me. SHE is the one who opened my mind and heart to #vsg. #obsm
Michelle Vicari @Eggface
@obsmchat We need to 🛑with the failure talk. Obesity is a chronic disease and chronic diseases require lifelong treatment in some form. It's like any other chronic disease... if you stopped taking blood pressure meds your BP would go up... we don't say we failed hypertension. #obsm
Amy Dumont @Dumont75A
@obsmchat Again, goes back to education and empowering them with the research and data that's out there to show them that they have not failed... there are just other options available that they may have not thought of to help them them improve their quality of life #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
Yes!
Abdelrahman Ali Nimeri MD @Nimeri_MD
#Obsm A5: Avoid using the word “failed” & Educate older patients that: 1. They have higher risk but more to gain from #bariatricsurgery 2. #bariatricsurgery is not cosmetic surgery 3. #Obesity is a disease similar to DM, HTN 4. #bariatricsurgery is safe in older patients
Nina Crowley PhD RDN @PsychoDietitian
RT @obsmchat: That could be the result depending on how the topic is approached. Health care pros need to approach patients in an empathetic, non-judgmental fashion. #obsm
Dr. Rachel @AskDr_Rachel
I think the answer is the same with anyone. Regardless of age, we need to continue to raise awareness of #obesity, including that #obesity is a disease and what treatments are available. #bariatricsurgery #obsm
#obsm chat @obsmchat
RT @Nimeri_MD: #Obsm A5: Avoid using the word “failed” & Educate older patients that: 1. They have higher risk but more to gain from #bariatricsurgery 2. #bariatricsurgery is not cosmetic surgery 3. #Obesity is a disease similar to DM, HTN 4. #bariatricsurgery is safe in older patients
Nina Crowley PhD RDN @PsychoDietitian
RT @AskDr_Rachel: It's unfortunate but many people still dont realize #bariatricsurgery is an option. I hear this from clients all the time saying they didnt realize it was an option until now! #obsm
Michelle Vicari @Eggface
@OffThePlateMC Thank you for the lovely compliment... that made my day. Thank you xo #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @sarahkbingler: Patient defined goals, small sustainable changes, frequent coaching and feedback. A respectful, genuine patient-provider relationship is important too. #obsm
#obsm chat @obsmchat
#obsm q6 https://t.co/5pyGRyCC5O
Arghavan Salles, MD, PhD @arghavan_salles
This is such an important point--regaining weight after a diet or after surgery is not failure. It's part of the process. #obesity is a disease. #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @AskDr_Rachel: @Dumont75A @obsmchat That WHY is so important! And that why is what will keep people motivated! #obsm
GeekyGrouch @grouchy_geek
@obsmchat First, let’s remove older from this question. What do you do to empower any patient that feels they failed? Education, education, education. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @AskDr_Rachel: I think the answer is the same with anyone. Regardless of age, we need to continue to raise awareness of #obesity, including that #obesity is a disease and what treatments are available. #bariatricsurgery #obsm
#obsm chat @obsmchat
RT @Eggface: @obsmchat We need to 🛑with the failure talk. Obesity is a chronic disease and chronic diseases require lifelong treatment in some form. It's like any other chronic disease... if you stopped taking blood pressure meds your BP would go up... we don't say we failed hypertension. #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @Nimeri_MD: #Obsm A5: Avoid using the word “failed” & Educate older patients that: 1. They have higher risk but more to gain from #bariatricsurgery 2. #bariatricsurgery is not cosmetic surgery 3. #Obesity is a disease similar to DM, HTN 4. #bariatricsurgery is safe in older patients
#obsm chat @obsmchat
RT @arghavan_salles: This is such an important point--regaining weight after a diet or after surgery is not failure. It's part of the process. #obesity is a disease. #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
@arghavan_salles @obsmchat Yes!! It takes a village to raise ourselves (not just kids!) into our full potential. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@PamelaMawby1 @AskDr_Rachel @obsmchat @Dumont75A @txkyleharris This is an important point, too. Definitely there's room for improvement in med school curricula! #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @Eggface: @obsmchat We need to 🛑with the failure talk. Obesity is a chronic disease and chronic diseases require lifelong treatment in some form. It's like any other chronic disease... if you stopped taking blood pressure meds your BP would go up... we don't say we failed hypertension. #obsm
Dr. Rachel @AskDr_Rachel
@bonuslife @pattynece small changes make lasting changes :) #obsm
Marilyn Clark @OffThePlateMC
My brother just graduated from nursing school and it sounded like they spent a minute on bariatrics so he came to me with questions. LOL #obsm https://t.co/rhCIi1bUHC
#obsm chat @obsmchat
RT @txkyleharris: @obsmchat First, let’s remove older from this question. What do you do to empower any patient that feels they failed? Education, education, education. #obsm
Robyn Pashby, PhD (she/hers) @robynpashbyphd
This!
Arghavan Salles, MD, PhD @arghavan_salles
@txkyleharris @obsmchat Yes, and normalizing experiences is important too. #obsm
Marilyn Clark @OffThePlateMC
RT @Eggface: @obsmchat We need to 🛑with the failure talk. Obesity is a chronic disease and chronic diseases require lifelong treatment in some form. It's like any other chronic disease... if you stopped taking blood pressure meds your BP would go up... we don't say we failed hypertension. #obsm
Dr. Rachel @AskDr_Rachel
RT @Eggface: @obsmchat We need to 🛑with the failure talk. Obesity is a chronic disease and chronic diseases require lifelong treatment in some form. It's like any other chronic disease... if you stopped taking blood pressure meds your BP would go up... we don't say we failed hypertension. #obsm
Dr. Rachel @AskDr_Rachel
RT @Dumont75A: @obsmchat Again, goes back to education and empowering them with the research and data that's out there to show them that they have not failed... there are just other options available that they may have not thought of to help them them improve their quality of life #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @arghavan_salles: This is such an important point--regaining weight after a diet or after surgery is not failure. It's part of the process. #obesity is a disease. #obsm
Abdelrahman Ali Nimeri MD @Nimeri_MD
@bonuslife @obsmchat @janik_md @Casesurgery #obsm We evaluated #MBSAQIP (2015-17) for #bariatricsurgery outcomes of young adults (18-44) compared to 3 older age groups 45-54, 55-64 & >65 Once a patient is older than 45 morbidity & mortality is higher in each age group in both SG & RYGB. SG is a little safer than RYGB.
Dr. Rachel @AskDr_Rachel
RT @obsmchat: #obsm q6 https://t.co/5pyGRyCC5O
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: This is such an important point--regaining weight after a diet or after surgery is not failure. It's part of the process. #obesity is a disease. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @OffThePlateMC: Same here Patty! After years of trying & failing I was sure surgery wouldn't work for me. I learned from other patients how much I would need to change and now I have weird healthy behavior patterns that I am learning to be more flexible about. LOL #obsm https://t.co/YVGrK3wvY4
Abdelrahman Ali Nimeri MD @Nimeri_MD
RT @OffThePlateMC: I often hear from older patients in my support group is that their only regret is not doing it sooner. #obsm https://t.co/XBekbI1fmM
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @OffThePlateMC: And now you are a household name for bariatric patients everywhere! I got my courage to really learn how to cook from you! #obsm https://t.co/fMemtCFbmX
Dr. Rachel @AskDr_Rachel
@PamelaMawby1 @obsmchat @Dumont75A @txkyleharris I can only speak about my training and it was part of my training in #healthpsychology and behavioral treatment. #obsm
GeekyGrouch @grouchy_geek
@Eggface @obsmchat Same. Nowhere near your level of cooking expertise but do love playing with substitutions for fave B4 meals and trying new things. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@PamelaMawby1 @AskDr_Rachel Totally. #obsm
Marilyn Clark @OffThePlateMC
This is my favorite question. We shouldn't assume seniors are not tech savvy or afraid of social media. In my day job we do focus groups and user research with retirees and it's pretty spectacular how they are using technology. #obsm https://t.co/E9cfm4Pi5z
Amy Dumont @Dumont75A
@obsmchat Many of my older clients are not savvy with technology or SM. What I found that was helpful was to offer a bariatric support group as an opportunity to learn about all of the different technology that can support them on their Journey. There are some success stories! #obsm
Michelle Vicari @Eggface
@obsmchat I mentioned the @ObesityAction forum https://t.co/fJ99bGJfCF and this #obsm chat, of course... every second Sunday of the month.
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Eggface: @obsmchat We need to 🛑with the failure talk. Obesity is a chronic disease and chronic diseases require lifelong treatment in some form. It's like any other chronic disease... if you stopped taking blood pressure meds your BP would go up... we don't say we failed hypertension. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Nimeri_MD: #Obsm A5: Avoid using the word “failed” & Educate older patients that: 1. They have higher risk but more to gain from #bariatricsurgery 2. #bariatricsurgery is not cosmetic surgery 3. #Obesity is a disease similar to DM, HTN 4. #bariatricsurgery is safe in older patients
#obsm chat @obsmchat
RT @Dumont75A: @obsmchat Many of my older clients are not savvy with technology or SM. What I found that was helpful was to offer a bariatric support group as an opportunity to learn about all of the different technology that can support them on their Journey. There are some success stories! #obsm
Arghavan Salles, MD, PhD @arghavan_salles
A5: I definitely don't think we should assume whether older people do or don't use technology. As with anything else, it's important to meet them where they are. #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @Eggface: @obsmchat I mentioned the @ObesityAction forum https://t.co/fJ99bGJfCF and this #obsm chat, of course... every second Sunday of the month.
Arghavan Salles, MD, PhD @arghavan_salles
RT @Eggface: @obsmchat I mentioned the @ObesityAction forum https://t.co/fJ99bGJfCF and this #obsm chat, of course... every second Sunday of the month.
Dr. Rachel @AskDr_Rachel
@OffThePlateMC I agree and we shouldnt assume this but I do find that many of my older clients do not use this technology, but they do tend to enjoy support groups and the in-person sessions/appointments #obsm.
Nina Crowley PhD RDN @PsychoDietitian
RT @Dumont75A: @obsmchat Many of my older clients are not savvy with technology or SM. What I found that was helpful was to offer a bariatric support group as an opportunity to learn about all of the different technology that can support them on their Journey. There are some success stories! #obsm
#obsm chat @obsmchat
RT @Eggface: @obsmchat I mentioned the @ObesityAction forum https://t.co/fJ99bGJfCF and this #obsm chat, of course... every second Sunday of the month.
Dr. Rachel @AskDr_Rachel
RT @Dumont75A: @obsmchat Many of my older clients are not savvy with technology or SM. What I found that was helpful was to offer a bariatric support group as an opportunity to learn about all of the different technology that can support them on their Journey. There are some success stories! #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @OffThePlateMC: This is my favorite question. We shouldn't assume seniors are not tech savvy or afraid of social media. In my day job we do focus groups and user research with retirees and it's pretty spectacular how they are using technology. #obsm https://t.co/E9cfm4Pi5z
Dr. Rachel @AskDr_Rachel
RT @Eggface: @obsmchat I mentioned the @ObesityAction forum https://t.co/fJ99bGJfCF and this #obsm chat, of course... every second Sunday of the month.
Dr. Rachel @AskDr_Rachel
RT @arghavan_salles: A5: A5: I definitely don't think we should assume whether older people do or don't use technology. As with anything else, it's important to meet them where they are. #obsm
Dr. Rachel @AskDr_Rachel
@PamelaMawby1 @obsmchat @Dumont75A @txkyleharris I think education is key and a good place to start is definitely in training, if that be graduate school or medical school. I also think it should be part of continuing education for physicians. #obsm
GeekyGrouch @grouchy_geek
@southernredhed But this could have been presentation also. Some PCPs are just too rushed to sit down and have an honest conversation. And they rarely have the education about the benefits of WLS. Would love to see a fellowship between bariatric surgeons and PCPs in local areas. #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @AskDr_Rachel: @bonuslife @pattynece small changes make lasting changes :) #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
@AskDr_Rachel @pattynece Agree! #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @OffThePlateMC: My brother just graduated from nursing school and it sounded like they spent a minute on bariatrics so he came to me with questions. LOL #obsm https://t.co/rhCIi1bUHC
Paul Davidson, PhD @PaulDavidsonPhD
Our oldest patients are close to 80 and ca do very well. Many of have Facebook and family members who help them access social media. #obsm
#obsm chat @obsmchat
Excellent idea! Do any of these fellowships or connections exist now? #obsm
#obsm chat @obsmchat
RT @PaulDavidsonPhD: Our oldest patients are close to 80 and ca do very well. Many of have Facebook and family members who help them access social media. #obsm
Marilyn Clark @OffThePlateMC
Our surgeon's Facebook group has been a great compliment to in-person support. And the younger folks help the older ones. Great community building :) #obsm https://t.co/VfajNOhTPS
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
RT @Dumont75A: @obsmchat Many of my older clients are not savvy with technology or SM. What I found that was helpful was to offer a bariatric support group as an opportunity to learn about all of the different technology that can support them on their Journey. There are some success stories! #obsm
Paul Davidson, PhD @PaulDavidsonPhD
I always tell my older patients that there are biological reasons for weight gain and a biological approach is the most effective treatment. Since they do surgery for health rather than appearance, they tend to take it seriously and do well. #obsm
Michelle Vicari @Eggface
@obsmchat Here's an article with some online resources from @ObesityAction https://t.co/rq4xQ5rmSk #obsm https://t.co/IYIk6Jj1Yy
#obsm chat @obsmchat
That’s a wrap! Thanks, everyone, for another great #obsm chat! Special thank you to the patients who shared their experiences and expertise. Hope you will join us for the next #obsm chat Sunday, July 14th, at 9pm EDT.
Dr. Rachel @AskDr_Rachel
@PamelaMawby1 @obsmchat @Dumont75A @txkyleharris That's unfortunate and another reason why we need to continue to educate everyone! #obsm
Nina Crowley PhD RDN @PsychoDietitian
RT @PaulDavidsonPhD: Our oldest patients are close to 80 and ca do very well. Many of have Facebook and family members who help them access social media. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
@obsmchat All I'm aware of are efforts from surgeons to give talks to local PCPs. But as far as I can tell this is not well-organized from a state or national perspective. #obsm
Dr. Rachel @AskDr_Rachel
RT @Eggface: @obsmchat Here's an article with some online resources from @ObesityAction https://t.co/rq4xQ5rmSk #obsm https://t.co/IYIk6Jj1Yy
Arghavan Salles, MD, PhD @arghavan_salles
@psoeldner @obsmchat Hang in there--try not to get down on yourself. Some regain is normal and expected. #obsm
Arghavan Salles, MD, PhD @arghavan_salles
RT @Eggface: @obsmchat Here's an article with some online resources from @ObesityAction https://t.co/rq4xQ5rmSk #obsm https://t.co/IYIk6Jj1Yy
Michelle Vicari @Eggface
@obsmchat Looking forward to scrolling through tweets I missed and following new #obsm chatters. Night everyone!
Marilyn Clark @OffThePlateMC
So glad I was able to tune in tonight! Interesting topic. #obsm https://t.co/EXHTeOHq9s
#obsm chat @obsmchat
We'll post the transcript from the chat soon. Feel free to linger now or come back tomorrow with new thoughts! #obsm
Dr. Rachel @AskDr_Rachel
What a great #obsm chat! Thank you to everyone for joining, contributing and sharing their stories and insight. A special thank you to the OBSM leadership team and @bonuslife for this month's blog.
Nina Crowley PhD RDN @PsychoDietitian
RT @Eggface: @obsmchat Here's an article with some online resources from @ObesityAction https://t.co/rq4xQ5rmSk #obsm https://t.co/IYIk6Jj1Yy
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
@obsmchat #obsm great fun - thanks!
GeekyGrouch @grouchy_geek
@OffThePlateMC I agree. I travel for work so my surgeons FB group is one of my support systems. I’ve never been to the in-person group meetings. #obsm
#obsm chat @obsmchat
RT @AskDr_Rachel: What a great #obsm chat! Thank you to everyone for joining, contributing and sharing their stories and insight. A special thank you to the OBSM leadership team and @bonuslife for this month's blog.
Dr. Rachel @AskDr_Rachel
RT @obsmchat: We'll post the transcript from the chat soon. Feel free to linger now or come back tomorrow with new thoughts! #obsm
Arghavan Salles, MD, PhD @arghavan_salles
Thanks to everyone who joined the chat! Everyone have a great week! #obsm
walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife
#obsm
Amy Dumont @Dumont75A
@obsmchat This was the first time I participated it was incredible! Thank you for the opportunity to interact with all these amazing professionals in the field as well as those patients whose shoes that I have walked in. #obsm
Dr. Rachel @AskDr_Rachel
@Dumont75A @obsmchat Loved having you! Please continue to join us and participate! #obsm
Dr. Rachel @AskDr_Rachel
RT @PamelaMawby1:
Faith Anne Heeren @faithhh_anne
RT @pattynece: “We are much more than our bodies. Whether it’s body image, our choices to be moms or not, our career choices—we are more than our bodies...powerful beyond our wildest dreams.” Bravo! #obsm #obsmuk ⁦#SopWeightBias https://t.co/qJT9cjcTyj
#obsm chat @obsmchat
Here's the transcript from the #OBSM June 9, 2019 Tweet Chat: https://t.co/wET0y7CsvA via @wakelet
#obsm content from Twitter.