#obsm Transcript
Healthcare social media transcript of the #obsm hashtag.
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See #obsm Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Dr. Kasey Goodpaster @DrGoodpaster Thank you! I agree, we need more mental health professionals embedded in bariatric programs. Our role is about so much more than “evaluation,” as is often referred out. Give this feedback to bariatric programs! #obsm |
 | Heather 🇺🇸 @ZHeatherChamp Hi #obsm! Busy Sunday night but I’m checking in. I had #VSG 10/2017, about 20 lbs regain. Down 72 lbs still tho! Struggling. Trying. Motivated. |
 | #obsm chat @obsmchat Welcome to the #obsm chat. Tonight we're discussing anti-diet approaches integrated with weight-loss. Many thanks to @MollyJonesRD for drafting our blog and chat questions this month. |
 | Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: Thank you! I agree, we need more mental health professionals embedded in bariatric programs. Our role is about so much more than “evaluation,” as is often referred out. Give this feedback to bariatric programs! #obsm |
 | Neil Floch MD @NeilFlochMD RT @obsmchat: Welcome to the #obsm chat. Tonight we're discussing anti-diet approaches integrated with weight-loss. Many thanks to @MollyJonesRD for drafting our blog and chat questions this month. |
 | Michelle Vicari @Eggface This month's #obsm chat is starting now. Join the conversation 💭 by following @obsmchat. Type #obsm into the Twitter search box (click on latest) to see what everyone is sharing and be sure to add the #obsm hashtag to your tweets so all chatters can see them. |
 | Renee Hilton, M.D. @reneehilton30 RT @obsmchat: Welcome to the #obsm chat. Tonight we're discussing anti-diet approaches integrated with weight-loss. Many thanks to @MollyJonesRD 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 So excited for tonight's #obsm chat and I am happy that I can join this month. @obsmchat #bariatricsurgery #weightloss #behavioralchange #wls |
 | Molly Jones Mills @MollyJonesRD @obsmchat Thanks for the opportunity! I’m looking forward to a productive and respectful conversation with everyone tonight. #obsm |
 | Nina Crowley PhD RDN @PsychoDietitian @obsmchat @MollyJonesRD Thanks @MollyJonesRD for getting a much needed discussion started! This is Nina Crowley, MUSC program coordinator, dietitian/psychologist here! Excited to join this #obsm chat! |
| Nina Crowley PhD RDN @PsychoDietitian RT @MollyJonesRD: @obsmchat Thanks for the opportunity! I’m looking forward to a productive and respectful conversation with everyone tonight. #obsm |
 | walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @obsmchat Walt Medlin- sleeve patient, bariatric surgeon. #obsm |
| Neil Floch MD @NeilFlochMD Neil Floch MD here the Director of #BariatricSurgery at @NorwalkHospital @DanburyHospital and @fcbariatrics #obsm |
| Michelle Vicari @Eggface @obsmchat Michelle "Shelly" waving hello to my #obsm pals from sunny Southern California, #BariatricSurgery post-op (2006), @ObesityAction board member, #OACAction taker, patient advocate. |
 | iamabariatricpatient @JeanineMSherman @obsmchat Good evening everyone, Jeanine Sherman patient advocate from Michigan. Looking forward to chatting this evening. #obsm #iamabariatricpatient |
 | Marilyn Clark @OffThePlateMC Hi all, Marilyn here. I'm a health coach and a bariatric patient all in one :) #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @obsmchat Good evening everyone! 👋 I’m Kasey Goodpaster, bariatric psychologist at @ClevelandClinic. I’m really excited to chat about this topic tonight! #obsm |
 | Christy Nyakana, LCSW @cjoLCSW @obsmchat Hi--I'm Christy Nyakana, LCSW specializing in bariatric therapy and am also a bariatric patient. #obsm |
 | Abdelrahman Ali Nimeri MD @Nimeri_MD Welcome to everyone #obsmchat #obsm Bariatric Surgeon @CarolinasSurg @AtriumHealth Past President @IFSOMENAC & @pasmbs I am not very familiar with anti dieting, here to learn :) |
 | Faith Anne Heeren @faithhh_anne Excited to join tonights #obsm chat! My name is Faith Newsome and I'm a rising senior at UNC-Chapel Hill. I'm also 5 years out from WLS and founder of @oceanslifestyle (a support and advocacy group for teens living with obesity). |
| Nina Crowley PhD RDN @PsychoDietitian @DrGoodpaster Glad you could be here tonight - looking forward to your perspective! #obsm |
 | GeekyGrouch @grouchy_geek @obsmchat Hello #obsm chatters. Checking in for tonight’s go round |
| Heather 🇺🇸 @ZHeatherChamp @DrGoodpaster 7 minutes?! Really?! #obsm |
 | Mary L @Macskakat7 @obsmchat #obsm hi from ohio |
 | Ge-Anne @gabowdoin RT @DrGoodpaster: Thank you! I agree, we need more mental health professionals embedded in bariatric programs. Our role is about so much more than “evaluation,” as is often referred out. Give this feedback to bariatric programs! #obsm |
| Dr. Rachel @AskDr_Rachel Hi everyone! I am a psychologist in NYC specializing in health behavior change and specifically #obesity #bariatricsurgery and #weightmanagement. Excited to be here! #obsm @obsmchat |
| Nina Crowley PhD RDN @PsychoDietitian RT @obsmchat: This month’s #obsm chat begins in 1 hour! |
| Dr. Rachel @AskDr_Rachel @faithhh_anne @oceanslifestyle I am so glad you could join this evening Faith! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @faithhh_anne @oceanslifestyle hi faith anne :) #obsm |
| #obsm chat @obsmchat All opinions are we, we ask that all #obsm chatters engage one another respectfully. |
| Dr. Rachel @AskDr_Rachel @JeanineMSherman @obsmchat Hi Jeanine! Glad to see you could join this evening! #obsm |
 | Dr Theresa Cullen @DrTerriC Hi.. Terri Cullen - bariactic patient from Oklahoma and a University professor in Education. #obsm |
 | reallyrosy @reallyrosie @MollyJonesRD @obsmchat #obsm uh oh, respectful? Maybe I should just watch grantchester on PBS, instead |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian Thanks for putting it on my radar! 😃 #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/LHNlM9Qmd0 |
| Heather 🇺🇸 @ZHeatherChamp @reallyrosie @MollyJonesRD @obsmchat Has it ever been non-respectful though? 🤨😬 💕 #obsm |
| GeekyGrouch @grouchy_geek @obsmchat A1) Graphs and other visual aids including but not limited 2 the following -Progression of weight, BP, blood sugar, etc -Complications of obesity. -Results of diff weight loss methods -Benefits of weight loss, exercise, diet #obsm |
| Dr Theresa Cullen @DrTerriC a1) it is often the cause of all problems..weight can be a barrier for productive conversations about other issues. #obsm |
| Heather 🇺🇸 @ZHeatherChamp @bonuslife Oh my! How are you? #obsm |
 | Anita @ams8174 @obsmchat I think doctors/ professionals may want to discuss obesity as the disease it is and offer some help and resources rather then say “eat less, move more” it’s not that easy! Include behavior modification, therapy, working with dietician and NSV. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster ✔️ Discuss only when relevant & with permission (“Is it OK if we talk about how your weight might be contributing?”) ✔️ Use compassion & curiosity w/out making assumptions re behaviors or health based only on weight ✔️ Give individualized advice #obsm https://t.co/CGItmF05ni |
| Dr. Rachel @AskDr_Rachel I think this is such a difficult question (and really requires more than one tweet). I think weight can be addressed in many ways, but perhaps we can start by discussing other things, such as QOL, pain, functioning etc. #obsm |
| Marilyn Clark @OffThePlateMC @bonuslife Glad you are okay! That's a good lens to put on it - #menu #obsm |
| Mary L @Macskakat7 @obsmchat respectfully ask: Are you concerned or have you worked on weight issues? Then LISTEN. If the answer is yes, ask how. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @ZHeatherChamp Great really - just half throttle #obsm |
| Dr Theresa Cullen @DrTerriC @bonuslife Hope you are healing well.. I hear amazing things about you from @amberhuett .. Stay healthy you are good a advocate for all of us! #obsm |
| Faith Anne Heeren @faithhh_anne Discussing your weight with health care professionals is critical. It's also important that HCPs approach and treat obesity as a diagnosis and are willing to discuss treatment plans with patients. Meet patients where they are! #obsm #motivationalinterviewing |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat #A1: This one comes back to #patientcenteredcare for me, and the power of #individualized care, knowing your patient, and respect! Starting to discuss how patients feel about their health and what they are looking to the provider for.. for starters ;) #obsm |
| Michelle Vicari @Eggface @obsmchat First & foremost, I want my initial reason for going to the doctor to be addressed. For many years, I'd have Dr's writing Rx's before I even finished sharing my symptoms, a form of weight bias I wasn't fully aware of till I lost weight and no longer experienced it #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @ams8174: @obsmchat I think doctors/ professionals may want to discuss obesity as the disease it is and offer some help and resources rather then say “eat less, move more” it’s not that easy! Include behavior modification, therapy, working with dietician and NSV. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @LudwigMaryellen: @obsmchat respectfully ask: @obsmchat respectfully ask: Are you concerned or have you worked on weight issues? Then LISTEN. If the answer is yes, ask how. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster “Menu!” I love it! It does not have the same negative connotations as “diet.” #obsm |
| Michelle Vicari @Eggface @obsmchat I recently had a doctor's office ask in pre-visit paperwork if I'd like to discuss a variety of potentially sensitive topics, weight management was one of the checkbox options. It was an interesting way to handle it I'd never experienced before. #obsm |
| Molly Jones Mills @MollyJonesRD @reallyrosie @obsmchat All opinions are welcomed, but hoping no one feels the need to bring out the boxing gloves. #obsm |
| Dr. Rachel @AskDr_Rachel @ams8174 @obsmchat This is SO important! Health professionals need to understand that obesity IS a disease and communicate this to patients. #obsm |
| Heather 🇺🇸 @ZHeatherChamp @obsmchat PS here’s how I’m participating in tonight’s chat. @liveowyn protein drink and @NakedAndAfraid. #obsm #vsg #protein https://t.co/mhzEA2cnKB |
| Nina Crowley PhD RDN @PsychoDietitian Love this - yes times 3!!!! #Obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: ✔️ Discuss only when relevant & with permission (“Is it OK if we talk about how your weight might be contributing?”) ✔️ Use compassion & curiosity w/out making assumptions re behaviors or health based only on weight ✔️ Give individualized advice #obsm https://t.co/CGItmF05ni |
| Nina Crowley PhD RDN @PsychoDietitian RT @AskDr_Rachel: I think this is such a difficult question (and really requires more than one tweet). I think weight can be addressed in many ways, but perhaps we can start by discussing other things, such as QOL, pain, functioning etc. #obsm |
| Dr Theresa Cullen @DrTerriC @faithhh_anne to be honest, the discussions about weight have kept me away from my Doctor sometimes. I like who I have now, but at times, I just avoided taking ownership of health because i felt it was not a discussion but a shaming. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @PsychoDietitian: @obsmchat #A1: @obsmchat #A1: This one comes back to #patientcenteredcare for me, and the power of #individualized care, knowing your patient, and respect! Starting to discuss how patients feel about their health and what they are looking to the provider for.. for starters ;) #obsm |
| Mary L @Macskakat7 @Eggface @obsmchat #obsm great idea |
| Marilyn Clark @OffThePlateMC @DrGoodpaster It's fascinating how much language matters. Simple words can be big triggers. #obsm |
| Neil Floch MD @NeilFlochMD I let the patient mention it first and then a discussion begins. If there is no mention, I may politely say, “I am a weight loss surgeon and I don’t want to be disrespectful but if you have an questions about weight loss I would be happy to answer them” #obsm |
| Molly Jones Mills @MollyJonesRD That's a great idea! This is a great way to ask permission without judgement. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @DrGoodpaster: “Menu!” I love it! It does not have the same negative connotations as “diet.” #obsm |
| Neil Floch MD @NeilFlochMD RT @ams8174: @obsmchat I think doctors/ professionals may want to discuss obesity as the disease it is and offer some help and resources rather then say “eat less, move more” it’s not that easy! Include behavior modification, therapy, working with dietician and NSV. #obsm |
| Dr. Rachel @AskDr_Rachel Weight can be a very sensitive topic so I think the patient needs to be ready to discuss it and it shuldnt just be "you need to lose weight." It requires a conversation. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I agree - and #menu kind of implies that it will change from day to day and that is OK and expected! #obsm |
| #obsm chat @obsmchat RT @Eggface: @obsmchat First & foremost, I want my initial reason for going to the doctor to be addressed. For many years, I'd have Dr's writing Rx's before I even finished sharing my symptoms, a form of weight bias I wasn't fully aware of till I lost weight and no longer experienced it #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @PsychoDietitian: Love this - yes times 3!!!! #Obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: ✔️ Discuss only when relevant & with permission (“Is it OK if we talk about how your weight might be contributing?”) ✔️ Use compassion & curiosity w/out making assumptions re behaviors or health based only on weight ✔️ Give individualized advice #obsm https://t.co/CGItmF05ni |
| Heather 🇺🇸 @ZHeatherChamp @obsmchat A1: I’m here to help and support you if you need or want to talk about anything with your weight. #obsm |
| GeekyGrouch @grouchy_geek This, all day long. QOL was a big factor for me. |
| #obsm chat @obsmchat RT @PsychoDietitian: @obsmchat #A1: @obsmchat #A1: This one comes back to #patientcenteredcare for me, and the power of #individualized care, knowing your patient, and respect! Starting to discuss how patients feel about their health and what they are looking to the provider for.. for starters ;) #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: I think this is such a difficult question (and really requires more than one tweet). I think weight can be addressed in many ways, but perhaps we can start by discussing other things, such as QOL, pain, functioning etc. #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: @ams8174 @obsmchat This is SO important! Health professionals need to understand that obesity IS a disease and communicate this to patients. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: @obsmchat #A1: @obsmchat #A1: This one comes back to #patientcenteredcare for me, and the power of #individualized care, knowing your patient, and respect! Starting to discuss how patients feel about their health and what they are looking to the provider for.. for starters ;) #obsm |
| Neil Floch MD @NeilFlochMD RT @LudwigMaryellen: @obsmchat respectfully ask: @obsmchat respectfully ask: Are you concerned or have you worked on weight issues? Then LISTEN. If the answer is yes, ask how. #obsm |
| Dr. Rachel @AskDr_Rachel RT @faithhh_anne: Discussing your weight with health care professionals is critical. It's also important that HCPs approach and treat obesity as a diagnosis and are willing to discuss treatment plans with patients. Meet patients where they are! #obsm #motivationalinterviewing |
| Neil Floch MD @NeilFlochMD RT @faithhh_anne: Discussing your weight with health care professionals is critical. It's also important that HCPs approach and treat obesity as a diagnosis and are willing to discuss treatment plans with patients. Meet patients where they are! #obsm #motivationalinterviewing |
| Dr. Kasey Goodpaster @DrGoodpaster I like that they communicate it is a sensitive topic! 👍#obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: “Menu!” I love it! It does not have the same negative connotations as “diet.” #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @MollyJonesRD @reallyrosie @obsmchat I’ll fight you again!!!! #obsm #ywm2019 https://t.co/KqwbEN0Z5I |
| #obsm chat @obsmchat RT @faithhh_anne: Discussing your weight with health care professionals is critical. It's also important that HCPs approach and treat obesity as a diagnosis and are willing to discuss treatment plans with patients. Meet patients where they are! #obsm #motivationalinterviewing |
| Neil Floch MD @NeilFlochMD RT @Eggface: @obsmchat First & foremost, I want my initial reason for going to the doctor to be addressed. For many years, I'd have Dr's writing Rx's before I even finished sharing my symptoms, a form of weight bias I wasn't fully aware of till I lost weight and no longer experienced it #obsm |
| Dr Theresa Cullen @DrTerriC from the responses I am seeing, I would say, this might be preaching to the choir.. it is a certain kind of health professional in #OBSM chat https://t.co/BcOssNtmpP |
| Faith Anne Heeren @faithhh_anne @DrTerriC All convos I had before going to a weight management clinic were not the best. But we, as patients, also have the power to change the dialogue and do our best to have productive convos w/ HCPs now that we're empowered w/ knowledge from places like the OAC and #obsm chats! |
| Nina Crowley PhD RDN @PsychoDietitian RT @AskDr_Rachel: @ams8174 @obsmchat This is SO important! Health professionals need to understand that obesity IS a disease and communicate this to patients. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: “Menu!” I love it! It does not have the same negative connotations as “diet.” #obsm |
| Dr. Rachel @AskDr_Rachel @Eggface @obsmchat I like that! It is an interesting approach but I think it is best to know if it is a topic that the patient wants to discuss. #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: @obsmchat I recently had a doctor's office ask in pre-visit paperwork if I'd like to discuss a variety of potentially sensitive topics, weight management was one of the checkbox options. It was an interesting way to handle it I'd never experienced before. #obsm |
| Mary L @Macskakat7 @obsmchat #obsm It's very important not to talk down to me. Meet me at my level. I know a LOT about weight issues. I close down if you start talking diet101 at me! |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @ams8174 @obsmchat This is SO important! Health professionals need to understand that obesity IS a disease and communicate this to patients. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @OffThePlateMC @DrGoodpaster I'm obsessed with how important language is and communication matters! #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: Love this - yes times 3!!!! #Obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: Weight can be a very sensitive topic so I think the patient needs to be ready to discuss it and it shuldnt just be "you need to lose weight." It requires a conversation. #obsm |
| #obsm chat @obsmchat RT @MollyJonesRD: That's a great idea! This is a great way to ask permission without judgement. #obsm |
| #obsm chat @obsmchat RT @NeilFlochMD: I let the patient mention it first and then a discussion begins. If there is no mention, I may politely say, “I am a weight loss surgeon and I don’t want to be disrespectful but if you have an questions about weight loss I would be happy to answer them” #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @PsychoDietitian: I agree - and #menu kind of implies that it will change from day to day and that is OK and expected! #obsm |
| #obsm chat @obsmchat RT @DrTerriC: @faithhh_anne to be honest, the discussions about weight have kept me away from my Doctor sometimes. I like who I have now, but at times, I just avoided taking ownership of health because i felt it was not a discussion but a shaming. #obsm |
| Heather 🇺🇸 @ZHeatherChamp @DrTerriC @faithhh_anne Same. As one of my endos years ago told me, “Just lose weight you’ll be fine.” I had un dx #thyca but yeah. 🤨🙄 #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: Love this - yes times 3!!!! #Obsm |
| Dr. Rachel @AskDr_Rachel @DrTerriC @faithhh_anne I have heard this a lot. Many people avoid going to the doctor because of the "weight" conversation and the fear of stepping on the scale #obsm |
| Heather 🇺🇸 @ZHeatherChamp @PsychoDietitian @MollyJonesRD @reallyrosie @obsmchat LOL #OBSM |
| #obsm chat @obsmchat #obsm https://t.co/MWGRNSqDaw |
| Dr. Kasey Goodpaster @DrGoodpaster @DrTerriC @faithhh_anne This is all too common 🙁 Weight shaming by doctors leads to avoidance of healthcare, which in turn worsens health. It’s a viscous cycle. #obsm |
| Dr. Rachel @AskDr_Rachel RT @MollyJonesRD: That's a great idea! This is a great way to ask permission without judgement. #obsm |
| Dr Theresa Cullen @DrTerriC @LudwigMaryellen @obsmchat I found it interesting on my last visit to my . bariatrician she corrected my defeatest speech.. It really helped to get the real issues. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: I agree - and #menu kind of implies that it will change from day to day and that is OK and expected! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @MollyJonesRD: That's a great idea! This is a great way to ask permission without judgement. #obsm |
| Neil Floch MD @NeilFlochMD RT @faithhh_anne: @DrTerriC All convos I had before going to a weight management clinic were not the best. But we, as patients, also have the power to change the dialogue and do our best to have productive convos w/ HCPs now that we're empowered w/ knowledge from places like the OAC and #obsm chats! |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: I like that they communicate it is a sensitive topic! 👍#obsm |
| Dr. Rachel @AskDr_Rachel RT @faithhh_anne: @DrTerriC All convos I had before going to a weight management clinic were not the best. But we, as patients, also have the power to change the dialogue and do our best to have productive convos w/ HCPs now that we're empowered w/ knowledge from places like the OAC and #obsm chats! |
 | -III-----III- @tripleplates RT @AskDr_Rachel: So excited for tonight's #obsm chat and I am happy that I can join this month. @obsmchat #bariatricsurgery #weightloss #behavioralchange #wls |
| Faith Anne Heeren @faithhh_anne Treat adolescents just as you would an adult patient. They want to be talked to like adults! Teens should also be actively engaged in deciding which treatment option is the best for them. Their increasing independence is a critical part of their care! #obsmchat |
| Molly Jones Mills @MollyJonesRD @PsychoDietitian @reallyrosie @obsmchat When #SummerSlam meets #YWM2019 and #obsm |
| GeekyGrouch @grouchy_geek @obsmchat A2) except for including parental unit(s), the conversation should be the same. #obsm |
| Dr. Rachel @AskDr_Rachel @PsychoDietitian @OffThePlateMC @DrGoodpaster Same!!! The language we speak to each other (and to ourselves) is so important! #obsm |
| Heather 🇺🇸 @ZHeatherChamp @DrTerriC @LudwigMaryellen @obsmchat What did they say to you? Good pep talk? #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster Children don’t have full control over their food intake & activity, & weight shaming causes lasting damage to body image & eating behaviors. Rather than singling out children for their weight, aim to help make healthy eating & movement part of the fabric of family life. #obsm |
| Michelle Vicari @Eggface @obsmchat Be careful. Words can have lasting effects. I remember my brother and his girlfriend commenting about my weight after I stepped on our new digital scale when I was 13 years old. The next day I started what would be a lifetime of weight loss attempts (many dangerous ones) #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC @LudwigMaryellen @obsmchat I hear that alot - many patients use the most unkind words about themselves - it helps to ask if they would use those same words to describe their -friend/child/parent, etc.. #obsm |
| Renee Hilton, M.D. @reneehilton30 A1 This depends on the clinical setting for me- if I’m in my bariatric surgery clinic then the patients are usually eager to discuss weight. For hernia clinic and foregut clinic it can be a sensitive topic. Open ended questions are a good place to start. #obsm |
| Dr Theresa Cullen @DrTerriC a2) With children we have to be careful to not transfer our negative talk and personal weight issues to them. #obsm |
| Dr. Rachel @AskDr_Rachel The conversation should be similar-- we should be mindful of the language we use, but we should involve parents and families as well. #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: #obsm https://t.co/MWGRNSqDaw |
| Marilyn Clark @OffThePlateMC @AskDr_Rachel @PsychoDietitian @DrGoodpaster Absolutely. That's why I'm in that "reframing" mode now...switch the language, switch the mindset. #obsm |
| Michelle Vicari @Eggface @obsmchat In this rather large study https://t.co/uLSvMxeFZ1 being labeled “too fat” in childhood was associated with higher odds of having a BMI in the obese category nearly a decade later. #obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: @DrTerriC @faithhh_anne This is all too common 🙁 Weight shaming by doctors leads to avoidance of healthcare, which in turn worsens health. It’s a viscous cycle. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @DrTerriC: @LudwigMaryellen @obsmchat I found it interesting on my last visit to my . bariatrician she corrected my defeatest speech.. It really helped to get the real issues. #obsm |
| Neil Floch MD @NeilFlochMD Treat the patient with respect as they have a tremendous amount of experience with #dieting - #obesity #Obama |
| #obsm chat @obsmchat RT @faithhh_anne: @DrTerriC All convos I had before going to a weight management clinic were not the best. But we, as patients, also have the power to change the dialogue and do our best to have productive convos w/ HCPs now that we're empowered w/ knowledge from places like the OAC and #obsm chats! |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @DrTerriC @faithhh_anne I have heard this a lot. Many people avoid going to the doctor because of the "weight" conversation and the fear of stepping on the scale #obsm |
| Faith Anne Heeren @faithhh_anne Also connection, for teens, is key. Obesity is an isolating experience. Sometimes it feels like you are the ONLY one in your friend group that has to be consistently mindful of your weight. Keeping that in mind is important as well. #obsmchat |
| Anita @ams8174 @obsmchat This is a delicate topic for most, but I think it’s even trickier for children due to bullying & teasing. Instead of focusing on weight, doctors may discuss activities/ sports/ behaviors and nutrition. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Eggface: @obsmchat In this rather large study https://t.co/uLSvMxeFZ1 being labeled “too fat” in childhood was associated with higher odds of having a BMI in the obese category nearly a decade later. #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: @OffThePlateMC @DrGoodpaster I'm obsessed with how important language is and communication matters! #obsm |
 | FGvW @FatGirlvsWorld Doctors and other professionals need to develop a language to talk about health with their patients and it is very much on a case-by-case basis. As obesity is a mental issue as much as it is physical, some people just aren't ready to take on the weighty subject. #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: @DrTerriC @faithhh_anne I have heard this a lot. Many people avoid going to the doctor because of the "weight" conversation and the fear of stepping on the scale #obsm |
 | Chunk Yolk @PeteyFinger RT @Eggface: @obsmchat Be careful. Words can have lasting effects. I remember my brother and his girlfriend commenting about my weight after I stepped on our new digital scale when I was 13 years old. The next day I started what would be a lifetime of weight loss attempts (many dangerous ones) #obsm |
| Dr Theresa Cullen @DrTerriC @Eggface @obsmchat not shocked by this at all.. As a child I was 125 lbs in kindergarten, I had a lot of intervention, I have often wondered if the conversation had been different, if it would have played out differently. #obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: Children don’t have full control over their food intake & activity, & weight shaming causes lasting damage to body image & eating behaviors. Rather than singling out children for their weight, aim to help make healthy eating & movement part of the fabric of family life. #obsm |
| Molly Jones Mills @MollyJonesRD A2) My biggest challenge is when the child/teen is not interested in discussing habits/behaviors because they don’t view them as a problem, but their parent is concerned. Should you have the conversation with the parent only or include the child? #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @OffThePlateMC @AskDr_Rachel @PsychoDietitian Switching the mindset should have a domino effect into other areas 👍 #obsm |
| #obsm chat @obsmchat RT @Eggface: @obsmchat Be careful. Words can have lasting effects. I remember my brother and his girlfriend commenting about my weight after I stepped on our new digital scale when I was 13 years old. The next day I started what would be a lifetime of weight loss attempts (many dangerous ones) #obsm |
| #obsm chat @obsmchat RT @DrGoodpaster: Children don’t have full control over their food intake & activity, & weight shaming causes lasting damage to body image & eating behaviors. Rather than singling out children for their weight, aim to help make healthy eating & movement part of the fabric of family life. #obsm |
| Dr. Rachel @AskDr_Rachel @OffThePlateMC @PsychoDietitian @DrGoodpaster It's so important and can make such a big difference! #obsm |
| Dr Theresa Cullen @DrTerriC @bonuslife @obsmchat I think that power issues play into it a lot for kids too.. Do they have choice about what they eat? what they do? Its important to activate agency without making it about Willpower etc.. #obsm |
| Abdelrahman Ali Nimeri MD @Nimeri_MD Q1 #obsm #obsmchat Many patients come to our clinic to talk about Obesity as a quality of life issue & they are embarrassed as they feel they are the culprit. We shift the discussion from Quality of life & shame to Improvement of health and treating a disease not a social issue. |
| Marilyn Clark @OffThePlateMC @DrGoodpaster @AskDr_Rachel @PsychoDietitian This is why I love what I do #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: @obsmchat In this rather large study https://t.co/uLSvMxeFZ1 being labeled “too fat” in childhood was associated with higher odds of having a BMI in the obese category nearly a decade later. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat A2 #obsm - I've really disliked the focus of pointing out weight and BMI to younger patients and think this is a group that really requires even more sensitive communication, and a focus on eating for energy and strength, etc. |
| Dr. Rachel @AskDr_Rachel RT @ams8174: @obsmchat This is a delicate topic for most, but I think it’s even trickier for children due to bullying & teasing. Instead of focusing on weight, doctors may discuss activities/ sports/ behaviors and nutrition. #obsm |
| Molly Jones Mills @MollyJonesRD Agreed... Children deal with a lot of social pressure. Discussing activities/sports can really connect with some. #obsm |
| FGvW @FatGirlvsWorld And sometimes a doctor should get a therapist and dietitian on board so that when the patient is ready to act on their weight/health, there is support ready to go. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Nimeri_MD: Q1 #obsm #obsmchat Many patients come to our clinic to talk about Obesity as a quality of life issue & they are embarrassed as they feel they are the culprit. We shift the discussion from Quality of life & shame to Improvement of health and treating a disease not a social issue. |
| Faith Anne Heeren @faithhh_anne @Nimeri_MD Love that you frame it as a disease. If I could change one thing about the way HCP's talk about obesity it would be to treat it and talk about it as a DIAGNOSIS #obsm |
| Neil Floch MD @NeilFlochMD RT @appetite_doctor: |
| Abdelrahman Ali Nimeri MD @Nimeri_MD RT @faithhh_anne: @Nimeri_MD Love that you frame it as a disease. If I could change one thing about the way HCP's talk about obesity it would be to treat it and talk about it as a DIAGNOSIS #obsm |
| Dr. Rachel @AskDr_Rachel @MollyJonesRD This is definitely tricky and I think it depends on the specific case and the family dynamic. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @MollyJonesRD: A2) My biggest challenge is when the child/teen is not interested in discussing habits/behaviors because they don’t view them as a problem, but their parent is concerned. Should you have the conversation with the parent only or include the child? #obsm |
| Neil Floch MD @NeilFlochMD RT @Nimeri_MD: Q1 #obsm #obsmchat Many patients come to our clinic to talk about Obesity as a quality of life issue & they are embarrassed as they feel they are the culprit. We shift the discussion from Quality of life & shame to Improvement of health and treating a disease not a social issue. |
| Michelle Vicari @Eggface @obsmchat Leading by example is always best. Little eyes are watching and learning, they see what you value, what you dread, they hear -/+ comments. As a mom, dad, aunt, uncle, teacher, family physician, etc. focus on living the healthiest life possible. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @FatGirlvsWorld: Doctors and other professionals need to develop a language to talk about health with their patients and it is very much on a case-by-case basis. As obesity is a mental issue as much as it is physical, some people just aren't ready to take on the weighty subject. #obsm |
| Abdelrahman Ali Nimeri MD @Nimeri_MD RT @PsychoDietitian: @obsmchat A2 #obsm - I've really disliked the focus of pointing out weight and BMI to younger patients and think this is a group that really requires even more sensitive communication, and a focus on eating for energy and strength, etc. |
| GeekyGrouch @grouchy_geek @MollyJonesRD With the child. They may not want to acknowledge but they hear it. Just my $0.02 #obsm |
 | LutherLiz (she/her) @Lutherliz @obsmchat Late to the party but here now! Liz here #obsm |
| Neil Floch MD @NeilFlochMD RT @MollyJonesRD: A2) My biggest challenge is when the child/teen is not interested in discussing habits/behaviors because they don’t view them as a problem, but their parent is concerned. Should you have the conversation with the parent only or include the child? #obsm |
| FGvW @FatGirlvsWorld I defer to @ScritchfieldRD on this one as she has kids. My only input is that parents have to have healthy attitudes about their bodies, food, and health. Way too easy to impart the wrong attitude and info. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: @obsmchat A2 #obsm - I've really disliked the focus of pointing out weight and BMI to younger patients and think this is a group that really requires even more sensitive communication, and a focus on eating for energy and strength, etc. |
| Nina Crowley PhD RDN @PsychoDietitian RT @FatGirlvsWorld: And sometimes a doctor should get a therapist and dietitian on board so that when the patient is ready to act on their weight/health, there is support ready to go. #obsm |
| iamabariatricpatient @JeanineMSherman RT @faithhh_anne: @DrTerriC All convos I had before going to a weight management clinic were not the best. But we, as patients, also have the power to change the dialogue and do our best to have productive convos w/ HCPs now that we're empowered w/ knowledge from places like the OAC and #obsm chats! |
| Neil Floch MD @NeilFlochMD RT @FatGirlvsWorld: Doctors and other professionals need to develop a language to talk about health with their patients and it is very much on a case-by-case basis. As obesity is a mental issue as much as it is physical, some people just aren't ready to take on the weighty subject. #obsm |
| iamabariatricpatient @JeanineMSherman RT @DrGoodpaster: ✔️ Discuss only when relevant & with permission (“Is it OK if we talk about how your weight might be contributing?”) ✔️ Use compassion & curiosity w/out making assumptions re behaviors or health based only on weight ✔️ Give individualized advice #obsm https://t.co/CGItmF05ni |
| Renee Hilton, M.D. @reneehilton30 Be sensitive. I start by asking children/teens if they know why they are in my clinic/ what they hope to get out of the visit. Most are very educated. Most understand they need to lose weight to be healthier and want to be there. Don’t assume you should be speaking to mom/dad. |
| Nina Crowley PhD RDN @PsychoDietitian @Lutherliz @obsmchat Hi there! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster Yes, modeling by adults is the most important tool for weight management (and healthy body image) in kids! #obsm |
| Neil Floch MD @NeilFlochMD RT @ams8174: @obsmchat This is a delicate topic for most, but I think it’s even trickier for children due to bullying & teasing. Instead of focusing on weight, doctors may discuss activities/ sports/ behaviors and nutrition. #obsm |
| Molly Jones Mills @MollyJonesRD @faithhh_anne @Nimeri_MD I couldn't agree more, but this is where the "anti-diet" divide comes into play. Most who follow the "anti-diet" principles don't believe obesity should be recognized as a disease. #obsm |
| Dr. Rachel @AskDr_Rachel Ideally it should be a team of multipdiscipline professionals working together with the individual and/or family, including a dietitian and psychologist #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: @obsmchat In this rather large study https://t.co/uLSvMxeFZ1 being labeled “too fat” in childhood was associated with higher odds of having a BMI in the obese category nearly a decade later. #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: @obsmchat A2 #obsm - I've really disliked the focus of pointing out weight and BMI to younger patients and think this is a group that really requires even more sensitive communication, and a focus on eating for energy and strength, etc. |
| Dr. Rachel @AskDr_Rachel RT @faithhh_anne: @Nimeri_MD Love that you frame it as a disease. If I could change one thing about the way HCP's talk about obesity it would be to treat it and talk about it as a DIAGNOSIS #obsm |
| LutherLiz (she/her) @Lutherliz Open ended questions help a lot for me. “What have you tried...” vs “you SHOULD...” It acknowledges that we are not lazy. Also I think “Are you happy with your current weight?” Might be good. Not everyone is ready to lose #obsm |
| Molly Jones Mills @MollyJonesRD @Lutherliz @obsmchat Hi! Thanks for joining. #obsm |
| #obsm chat @obsmchat RT @Eggface: @obsmchat In this rather large study https://t.co/uLSvMxeFZ1 being labeled “too fat” in childhood was associated with higher odds of having a BMI in the obese category nearly a decade later. #obsm |
| Heather 🇺🇸 @ZHeatherChamp @obsmchat Did I miss Q3? #obsm |
| LutherLiz (she/her) @Lutherliz RT @PsychoDietitian: Love this - yes times 3!!!! #Obsm |
| #obsm chat @obsmchat #obsm https://t.co/RFk5nIFYqP |
| Faith Anne Heeren @faithhh_anne @MollyJonesRD @Nimeri_MD Unfortunately. I do have to say, based on my own experience, that the moment I started seeing obesity as a disease, there was a shift in my thinking. Suddenly, healthy eating and physical activity were ways to treat my condition, not punishment bc I lacked self-restraint #obsm |
| Nina Crowley PhD RDN @PsychoDietitian This is where I feel the patient/person who is affected is the most important in the conversation. If a patient is coming to seek help for improving their health/conditions, does telling them you don't believe they have a 'disease' help or hurt?? #obsm |
| Faith Anne Heeren @faithhh_anne @MollyJonesRD @Nimeri_MD So I wish more people saw it that way #obsm |
| FGvW @FatGirlvsWorld Hi, I am Robby from DC. I actually started this Twitter to discuss fat stigma. Somewhere along the line it became about chronic pain/illness, #celiac, dating, cats, and otters. But yeah, still invested in weight stigma and radical body kindness. #Obsm |
| Renee Hilton, M.D. @reneehilton30 @PsychoDietitian @obsmchat Agree with not focusing on BMI and numbers with kids- I spend the visit talking about SMART goals and feeling better. I seldom use the words weight loss. Never the word diet- instead we discuss healthy fun foods and activities. #obsm |
| LutherLiz (she/her) @Lutherliz @obsmchat Even more delicately. In fact in these instances I’d prefer a focus on what exercise they enjoy and what healthy eating looks like. Society already has a lot to say to them about their weight it doesn’t need to be exacerbated by the healthcare system #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster 👎Diet mentality: Weight is bad, so I’M bad ➡️ I need to fix it fast ➡️ Go on unsustainable diet, trying to be “perfect” at it ➡️ Short-term weight loss ➡️Regain ➡️Feel like a failure & try to be even more harsh & controlling of food intake in the future. 1/2 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian This is what I have heard from so many people. Thank you for sharing this! YES! #obsm |
| Anita @ams8174 @obsmchat I absolutely believe it’s possible to follow a non-diet approach and still achieve weight loss. And my health psychologist, @rpashby has taught me this. Focusing on my behavior, moods, sleep, movement and logging my food and drink has been extremely helpful to me. #obsm |
| Dr. Rachel @AskDr_Rachel @MollyJonesRD @faithhh_anne @Nimeri_MD It's tough b/c that divide does not need to be there. We can agree to be anti-diet in the sense that diets dont work, but still understand & acknowledge that obesity is a disease. The "anti diet" folks also believe a "healthy lifestyle" is a diet :/ #obsm |
 | Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: 👎Diet mentality: 👎Diet mentality: Weight is bad, so I’M bad ➡️ I need to fix it fast ➡️ Go on unsustainable diet, trying to be “perfect” at it ➡️ Short-term weight loss ➡️Regain ➡️Feel like a failure & try to be even more harsh & controlling of food intake in the future. 1/2 #obsm |
| FGvW @FatGirlvsWorld @AskDr_Rachel I agree 100%. As a patient it sucks to have a doctor say "you're fat" and then have no plan or resources. I have done it alone and with help. And with help is so much better. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster 👍Non-diet mentality: I’m already wonderful ➡️ Bc I ❤️myself, I want to improve my health & QOL➡️Explore new ways of eating & moving that are enjoyable & sustainable using curiosity & self-compassion ➡️ Healthier relationship w/ food & body long-term. 2/2 #obsm |
| Marilyn Clark @OffThePlateMC @MollyJonesRD @faithhh_anne @Nimeri_MD I'm here tonight so I can learn how to respectfully engage in those exact discussions. With an open mind #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @reneehilton30: @PsychoDietitian @obsmchat Agree with not focusing on BMI and numbers with kids- I spend the visit talking about SMART goals and feeling better. I seldom use the words weight loss. Never the word diet- instead we discuss healthy fun foods and activities. #obsm |
| Molly Jones Mills @MollyJonesRD @faithhh_anne @Nimeri_MD I can definitely appreciate that perspective. All good points for HCPs to consider. #obsm |
| #obsm chat @obsmchat RT @ams8174: @obsmchat I absolutely believe it’s possible to follow a non-diet approach and still achieve weight loss. And my health psychologist, @rpashby has taught me this. Focusing on my behavior, moods, sleep, movement and logging my food and drink has been extremely helpful to me. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: 👎Diet mentality: 👎Diet mentality: Weight is bad, so I’M bad ➡️ I need to fix it fast ➡️ Go on unsustainable diet, trying to be “perfect” at it ➡️ Short-term weight loss ➡️Regain ➡️Feel like a failure & try to be even more harsh & controlling of food intake in the future. 1/2 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: 👍Non-diet mentality: I’m already wonderful ➡️ Bc I ❤️myself, I want to improve my health & QOL➡️Explore new ways of eating & moving that are enjoyable & sustainable using curiosity & self-compassion ➡️ Healthier relationship w/ food & body long-term. 2/2 #obsm |
| Dr. Rachel @AskDr_Rachel @Lutherliz These are great! Open ended questions and asking what you have tried, what has worked for you, etc. is a great approach and one I think more professionals need to use! #obsm |
| Faith Anne Heeren @faithhh_anne Focusing on dieting approaches can be exhausting. "Can I eat this?" "If I eat that does it mean I messed up?" etc. For some, it might work but, in my experience focusing on behaviors resulted in more weight loss because I wasn't nearly as stressed about rules #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @ams8174: @obsmchat I absolutely believe it’s possible to follow a non-diet approach and still achieve weight loss. And my health psychologist, @rpashby has taught me this. Focusing on my behavior, moods, sleep, movement and logging my food and drink has been extremely helpful to me. #obsm |
| #obsm chat @obsmchat RT @reneehilton30: @PsychoDietitian @obsmchat Agree with not focusing on BMI and numbers with kids- I spend the visit talking about SMART goals and feeling better. I seldom use the words weight loss. Never the word diet- instead we discuss healthy fun foods and activities. #obsm |
| Marilyn Clark @OffThePlateMC @AskDr_Rachel @MollyJonesRD @faithhh_anne @Nimeri_MD It's getting very hard to discuss successes without offending people. Seems like a delicate balance. #obsm |
| Dr Theresa Cullen @DrTerriC A3) I think so... but you need to pair that with counseling. Most people have been on so many diets they have internalized a lot of misinformation without maybe even realizing it. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian I agree, we have to respect patients’ autonomy in decision-making about what they want to do about their weight and health. #obsm |
| Heather 🇺🇸 @ZHeatherChamp @obsmchat A3: Sure, most anything is possible. Many other things are involved and should be considered if that’s the agreed approach. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @reneehilton30 @PsychoDietitian @obsmchat Love that you make it fun! #obsm |
| FGvW @FatGirlvsWorld Diet = the fuel you put in your body So much of the deconditioning/reconditioning is about attitudes and education about food. A big part of it, for me, was putting food in its place. It wasn't relationships, it wasn't comfort or love. It is fuel that I can enjoy. #obsm |
| GeekyGrouch @grouchy_geek @obsmchat A3) It needs to be a combination of behaviors, healthy diet/choices, & exercise program. #obsm |
| iamabariatricpatient @JeanineMSherman RT @ams8174: @obsmchat I absolutely believe it’s possible to follow a non-diet approach and still achieve weight loss. And my health psychologist, @rpashby has taught me this. Focusing on my behavior, moods, sleep, movement and logging my food and drink has been extremely helpful to me. #obsm |
| Abdelrahman Ali Nimeri MD @Nimeri_MD #Obsm #obsmchat Involve the parents. Include Pediatric specialists (endocrinologist, dietitian & psychologist) Decrease screen time. Increase play time outside 77% of Obese adolescents become obese adults |
| Michelle Vicari @Eggface Obesity is complex and multifactorial so IMHO no one approach works for everyone. Build your team of health care professionals based on your health, needs, goals, add team members as needed. Your personal "special ops" team. #obsm |
| Heather 🇺🇸 @ZHeatherChamp @ams8174 @obsmchat @RPashby Gah. Why oh why is logging my food so hard for me?! #obsm |
| Dr Theresa Cullen @DrTerriC @appetite_doctor Gosh.. it would be better if you would like to participate in the discussion rather than blasting the discussion using automated tweets to promote your products and blog. #obsm |
| Dr. Rachel @AskDr_Rachel I believe it is possible. Diets dont work, but lifestyle change and behavior change can. It doesnt mean you are "on" a diet if you make #behavioralchanges. To me a diet= something you cant sustain. You can make changes and lose weight, and not be on a #diet. #obsm #antidiet |
| #obsm chat @obsmchat RT @AskDr_Rachel: @Lutherliz These are great! Open ended questions and asking what you have tried, what has worked for you, etc. is a great approach and one I think more professionals need to use! #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: #obsm https://t.co/RFk5nIFYqP |
| #obsm chat @obsmchat RT @faithhh_anne: Focusing on dieting approaches can be exhausting. "Can I eat this?" "If I eat that does it mean I messed up?" etc. For some, it might work but, in my experience focusing on behaviors resulted in more weight loss because I wasn't nearly as stressed about rules #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: I believe it is possible. Diets dont work, but lifestyle change and behavior change can. It doesnt mean you are "on" a diet if you make #behavioralchanges. To me a diet= something you cant sustain. You can make changes and lose weight, and not be on a #diet. #obsm #antidiet |
| Dr. Rachel @AskDr_Rachel @FatGirlvsWorld The help and support is necessary! #obsm |
| LutherLiz (she/her) @Lutherliz Maybe? 🤷🏼♀️ I’ve tried this as well as diet attempts and have not yet found the balance between attention to and obsession with eating. |
| #obsm chat @obsmchat RT @DrGoodpaster: @PsychoDietitian I agree, we have to respect patients’ autonomy in decision-making about what they want to do about their weight and health. #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: Obesity is complex and multifactorial so IMHO no one approach works for everyone. Build your team of health care professionals based on your health, needs, goals, add team members as needed. Your personal "special ops" team. #obsm |
| Neil Floch MD @NeilFlochMD RT @Nimeri_MD: #Obsm #obsmchat Involve the parents. Include Pediatric specialists (endocrinologist, dietitian & psychologist) Decrease screen time. Increase play time outside 77% of Obese adolescents become obese adults |
| Dr. Rachel @AskDr_Rachel @OffThePlateMC @MollyJonesRD @faithhh_anne @Nimeri_MD It's also important to understand what "success" means to the patient. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @AskDr_Rachel @MollyJonesRD @faithhh_anne @Nimeri_MD I wish that we could bridge the divide between both “sides” and work together, because both perspectives are valuable and have a lot to offer the other! #obsm |
| Dr Theresa Cullen @DrTerriC @reneehilton30 I love the agency there.. give them power to participate in the conversation when they might feel powerless. #obsm |
| Faith Anne Heeren @faithhh_anne @DrTerriC Patients are also constantly seeing new diets and ways to eat on social media. A trusting relationship between a patient and a HCPs allows for productive discussions on healthy diets, not turning to the internet for the 'latest and greatest' #obsm |
| Dr. Rachel @AskDr_Rachel RT @faithhh_anne: @MollyJonesRD @Nimeri_MD Unfortunately. I do have to say, based on my own experience, that the moment I started seeing obesity as a disease, there was a shift in my thinking. Suddenly, healthy eating and physical activity were ways to treat my condition, not punishment bc I lacked self-restraint #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat A3 #OBSM - I think many providers based in #psychology #behavior have incorporated #counseling techniques to combat the 'diet mentality' that patients have endured, but only recently has it seemed to be so divided and the point of 'treating obesity' is the point of contention |
| Neil Floch MD @NeilFlochMD RT @FatGirlvsWorld: Diet = the fuel you put in your body So much of the deconditioning/reconditioning is about attitudes and education about food. A big part of it, for me, was putting food in its place. It wasn't relationships, it wasn't comfort or love. It is fuel that I can enjoy. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: This is where I feel the patient/person who is affected is the most important in the conversation. If a patient is coming to seek help for improving their health/conditions, does telling them you don't believe they have a 'disease' help or hurt?? #obsm |
| Marilyn Clark @OffThePlateMC Q3. As a coach I try to get people to shift from outcome based goals and focus on behaviors and habits. Thank you #pn1 #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: @PsychoDietitian I agree, we have to respect patients’ autonomy in decision-making about what they want to do about their weight and health. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrTerriC: A3) I think so... but you need to pair that with counseling. Most people have been on so many diets they have internalized a lot of misinformation without maybe even realizing it. #obsm |
| FGvW @FatGirlvsWorld @AskDr_Rachel I don't think people would look at an alcohol or addict and tell them they need to fix things without any outside help. We need the objective outside voice to help reshape the internal subjective voice. #obsm |
| Molly Jones Mills @MollyJonesRD In my life, I often refer to them as my personal "board of directors", but "special ops" sounds a lot more fun! #obms #interdisciplinarycare |
| Dr. Rachel @AskDr_Rachel @FatGirlvsWorld Glad you could join! #obsm |
| Dr. Rachel @AskDr_Rachel RT @reneehilton30: @PsychoDietitian @obsmchat Agree with not focusing on BMI and numbers with kids- I spend the visit talking about SMART goals and feeling better. I seldom use the words weight loss. Never the word diet- instead we discuss healthy fun foods and activities. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @faithhh_anne: @MollyJonesRD @Nimeri_MD Unfortunately. I do have to say, based on my own experience, that the moment I started seeing obesity as a disease, there was a shift in my thinking. Suddenly, healthy eating and physical activity were ways to treat my condition, not punishment bc I lacked self-restraint #obsm |
| Neil Floch MD @NeilFlochMD RT @faithhh_anne: Focusing on dieting approaches can be exhausting. "Can I eat this?" "If I eat that does it mean I messed up?" etc. For some, it might work but, in my experience focusing on behaviors resulted in more weight loss because I wasn't nearly as stressed about rules #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster RT @Eggface: Obesity is complex and multifactorial so IMHO no one approach works for everyone. Build your team of health care professionals based on your health, needs, goals, add team members as needed. Your personal "special ops" team. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Nimeri_MD: #Obsm #obsmchat Involve the parents. Include Pediatric specialists (endocrinologist, dietitian & psychologist) Decrease screen time. Increase play time outside 77% of Obese adolescents become obese adults |
 | hrdlckwmn @hrdlckwmn @DrGoodpaster ‘s response is spot on with me. |
| Heather 🇺🇸 @ZHeatherChamp @FatGirlvsWorld Love this. #obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: 👎Diet mentality: 👎Diet mentality: Weight is bad, so I’M bad ➡️ I need to fix it fast ➡️ Go on unsustainable diet, trying to be “perfect” at it ➡️ Short-term weight loss ➡️Regain ➡️Feel like a failure & try to be even more harsh & controlling of food intake in the future. 1/2 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Eggface: Obesity is complex and multifactorial so IMHO no one approach works for everyone. Build your team of health care professionals based on your health, needs, goals, add team members as needed. Your personal "special ops" team. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: This is what I have heard from so many people. Thank you for sharing this! YES! #obsm |
| Marilyn Clark @OffThePlateMC @AskDr_Rachel @MollyJonesRD @faithhh_anne @Nimeri_MD Yes, that’s why I let the clients lead and I work with where they are. Everyone’s view and definition of healthy is different #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Tips on how to address obesity with patients here! #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: I believe it is possible. Diets dont work, but lifestyle change and behavior change can. It doesnt mean you are "on" a diet if you make #behavioralchanges. To me a diet= something you cant sustain. You can make changes and lose weight, and not be on a #diet. #obsm #antidiet |
| Nina Crowley PhD RDN @PsychoDietitian RT @AskDr_Rachel: I believe it is possible. Diets dont work, but lifestyle change and behavior change can. It doesnt mean you are "on" a diet if you make #behavioralchanges. To me a diet= something you cant sustain. You can make changes and lose weight, and not be on a #diet. #obsm #antidiet |
| #obsm chat @obsmchat #obsm https://t.co/zlcMdZH9Pj |
| Dr. Rachel @AskDr_Rachel @ams8174 @obsmchat @RPashby I love hearing this! I do similar work and also believe it is possible! #obsm |
| Dr. Rachel @AskDr_Rachel RT @ams8174: @obsmchat I absolutely believe it’s possible to follow a non-diet approach and still achieve weight loss. And my health psychologist, @rpashby has taught me this. Focusing on my behavior, moods, sleep, movement and logging my food and drink has been extremely helpful to me. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian I agree 100%! #OBSM |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: 👍Non-diet mentality: I’m already wonderful ➡️ Bc I ❤️myself, I want to improve my health & QOL➡️Explore new ways of eating & moving that are enjoyable & sustainable using curiosity & self-compassion ➡️ Healthier relationship w/ food & body long-term. 2/2 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @faithhh_anne: @DrTerriC Patients are also constantly seeing new diets and ways to eat on social media. A trusting relationship between a patient and a HCPs allows for productive discussions on healthy diets, not turning to the internet for the 'latest and greatest' #obsm |
| Renee Hilton, M.D. @reneehilton30 I focus more on behavior and goals than any “diet” but I do believe nutrition is important to discuss. Food should be a fun and enjoyable part of the journey- discussing nutrition does not have to restrictive and imply a diet. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster Intuitive eating in bariatric pts can help: 1️⃣Focus on non-scale goals 2️⃣Eschew the harmful diet mentality 3️⃣Foster self-compassion & reduce shame 4️⃣Improve body image 5️⃣Become more attuned to hunger/fullness levels 6️⃣Enjoy food mindfully 7️⃣Find joy in movement 1/5 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @arghavan_salles: Tips on how to address obesity with patients here! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @obsmchat Bariatric patients often worry they will not be able to enjoy food after surgery. By thinking of the pouch as “prime real estate,” filling it w/ nourishing foods that taste the best, slowing down, & removing distractions (all IE principles) food can be MORE enjoyable. 2/5 #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @ams8174: @obsmchat This is a delicate topic for most, but I think it’s even trickier for children due to bullying & teasing. Instead of focusing on weight, doctors may discuss activities/ sports/ behaviors and nutrition. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @obsmchat Whereas diets encourage “checking out” of the body (e.g. ignoring & staving off hunger), IE encourages checking in w/ the body & honoring hunger. Increasing this attuned time helps bariatric pts who need to learn new sensations of hunger & fullness. 3/5 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian What she said 👇!!!! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: @obsmchat Bariatric patients often worry they will not be able to enjoy food after surgery. By thinking of the pouch as “prime real estate,” filling it w/ nourishing foods that taste the best, slowing down, & removing distractions (all IE principles) food can be MORE enjoyable. 2/5 #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @obsmchat Bariatric pts often struggle w/ perfectionistic thinking (foods are “good” or “bad,” & “I’m on a diet” or “I blew it so I’m off the diet”), a mentality lingering from years of diets that encourage this. IE encourages balance, flexibility, & self-compassion. 4/5 #obsm |
| Dr. Rachel @AskDr_Rachel @DrGoodpaster @MollyJonesRD @faithhh_anne @Nimeri_MD I absolutely agree, but how do we do that when one side does not believe #obesity is a disease and if we want to lose weight we dont love ourselves for how we are? (referring to #haes) I think b/c people love themselves they want to get healthy! #obsm |
| Anita @ams8174 @AskDr_Rachel @obsmchat @RPashby We created a log that captures my sleep hours, quality, meals, drinks, mood, physical health and medication /vitamins. #obsm |
| Dr. Rachel @AskDr_Rachel RT @FatGirlvsWorld: @AskDr_Rachel I don't think people would look at an alcohol or addict and tell them they need to fix things without any outside help. We need the objective outside voice to help reshape the internal subjective voice. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Hey @MollyJonesRD - thats what we say! #YOUDOYOU #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @obsmchat It’s definitely possible & beneficial to infuse #intuitiveeating into bariatrics. More resources here, & be on the lookout for a paper I am working (spoiler alert: data supports this approach!)🙌5/5 #obsm https://t.co/c18Gr3aa07 https://t.co/MHVVr1Ld2X https://t.co/iGWxGmN6L3 |
| GeekyGrouch @grouchy_geek @obsmchat A4) I agree with l learning to listen to & being in tune with your body. I disagree with choosing ‘pleasurable’ foods. Not against a cheat meal now and again. I even plan for cheat meals. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: @DrTerriC @faithhh_anne This is all too common 🙁 Weight shaming by doctors leads to avoidance of healthcare, which in turn worsens health. It’s a viscous cycle. #obsm |
| Neil Floch MD @NeilFlochMD As I listen and learn about tonight’s #OBSM chat - I believe it is an incredible opportunity to have patients engage with so many incredible professionals and experienced patients- #obesity #weightlosstransformation #weightlossjourney #weightlosstips #wls #diet #dieting |
| Michelle Vicari @Eggface @obsmchat Post #bariatricsurgery I was able to incorporate intuitive eating principles more, eating slowly, savoring each bite, learning my bodies soft cues letting me know I'm getting full. Those cues were not happening prior to having #bariatricsurgery #obsm |
| Dr Theresa Cullen @DrTerriC a4).. I got to do an Am I Hungry Workshop as part of @ObesityAction #YWM a few years ago.. It really resonated with me.. and I find myself checking my emotions and thirst in a more meaningful way. #obsm It does not work every time but it is a good use of my time and energy. |
| Molly Jones Mills @MollyJonesRD @DrGoodpaster @AskDr_Rachel @faithhh_anne @Nimeri_MD Couldn't agree more. We can all be more powerful if we work together! Unfortunately, as we've seen, polarizing views tend to gain more momentum and the middle ground isn't as "sexy". #obsm |
| Faith Anne Heeren @faithhh_anne This is an interesting question because I, as a patient, have struggled with this. Being 5 years post-op there are times when I'm not necessarily hungry but still stick to eating 3 small meals, 2 small snacks regardless of whether or not I'm hungry. #obsm |
| Renee Hilton, M.D. @reneehilton30 I like the concept of intuitive eating particularly postop. I don’t believe any food should ever be “off limits” but rather about moderation. #obsm |
| Abdelrahman Ali Nimeri MD @Nimeri_MD #obsm #obsmchat Q4 I tell patients to listen to their new stomach. Many times before they are full they might feel hiccups, burping, pressure, runny nose etc... that is a sign that their stomach is full. Drinking water like they are used to doing prior to surgery will not work |
| Arghavan Salles, MD, PhD @arghavan_salles RT @FatGirlvsWorld: Diet = the fuel you put in your body So much of the deconditioning/reconditioning is about attitudes and education about food. A big part of it, for me, was putting food in its place. It wasn't relationships, it wasn't comfort or love. It is fuel that I can enjoy. #obsm |
| FGvW @FatGirlvsWorld #obsm I firmly believe that obesity results from the breakdown of the mind-body relationship. Part of re-connecting is learning the pleasure of quality versus the pleasure of quantity. IE is all about the pleasure of quality fuel because we value our engine. |
| Faith Anne Heeren @faithhh_anne Because I want to make sure i'm eating enough! It's a balance! #obsm |
| Michelle Vicari @Eggface @obsmchat I like the basic concepts of intuitive eating/mindfulness but not sure it takes into account fully that our physiology is driving our behavior (not vice-versa) so relying on satiety and hunger cues when those signals don't necessarily function typically can be a problem #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @Eggface @obsmchat I think the IE principles work very well for many people who have bariatric surgery! #obsm |
| Dr Theresa Cullen @DrTerriC @Eggface @obsmchat I recently started Contrave and am finding that that is what it is doing for me.. quieting my mind and helping me ask those questions. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: 👎Diet mentality: 👎Diet mentality: Weight is bad, so I’M bad ➡️ I need to fix it fast ➡️ Go on unsustainable diet, trying to be “perfect” at it ➡️ Short-term weight loss ➡️Regain ➡️Feel like a failure & try to be even more harsh & controlling of food intake in the future. 1/2 #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @DrTerriC: @reneehilton30 I love the agency there.. give them power to participate in the conversation when they might feel powerless. #obsm |
| Neil Floch MD @NeilFlochMD RT @reneehilton30: @PsychoDietitian @obsmchat Agree with not focusing on BMI and numbers with kids- I spend the visit talking about SMART goals and feeling better. I seldom use the words weight loss. Never the word diet- instead we discuss healthy fun foods and activities. #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @Nimeri_MD: #Obsm #obsmchat Involve the parents. Include Pediatric specialists (endocrinologist, dietitian & psychologist) Decrease screen time. Increase play time outside 77% of Obese adolescents become obese adults |
| Arghavan Salles, MD, PhD @arghavan_salles RT @AskDr_Rachel: I believe it is possible. Diets dont work, but lifestyle change and behavior change can. It doesnt mean you are "on" a diet if you make #behavioralchanges. To me a diet= something you cant sustain. You can make changes and lose weight, and not be on a #diet. #obsm #antidiet |
| Dr. Rachel @AskDr_Rachel @faithhh_anne I completely agree! The "rules" of what one can and cant eat is a "diet" and becomes stressful and exhausting. Plus restriction doesnt necessarily work either and can backfire for many. #disorderedeating #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @txkyleharris @obsmchat I just dont love the word or concept of "cheat" anything.. implies "on and off" a diet... #obsm |
| Dr. Rachel @AskDr_Rachel RT @faithhh_anne: Focusing on dieting approaches can be exhausting. "Can I eat this?" "If I eat that does it mean I messed up?" etc. For some, it might work but, in my experience focusing on behaviors resulted in more weight loss because I wasn't nearly as stressed about rules #obsm |
| LutherLiz (she/her) @Lutherliz Q4: I think the surgical reset can help make intuitive eating easier, not having surgery myself I struggle to listen to my body’s actual needs vs it’s expectations #obsm |
| hrdlckwmn @hrdlckwmn RT @Eggface: @obsmchat Be careful. Words can have lasting effects. I remember my brother and his girlfriend commenting about my weight after I stepped on our new digital scale when I was 13 years old. The next day I started what would be a lifetime of weight loss attempts (many dangerous ones) #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: @faithhh_anne I completely agree! The "rules" of what one can and cant eat is a "diet" and becomes stressful and exhausting. Plus restriction doesnt necessarily work either and can backfire for many. #disorderedeating #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @faithhh_anne: Focusing on dieting approaches can be exhausting. "Can I eat this?" "If I eat that does it mean I messed up?" etc. For some, it might work but, in my experience focusing on behaviors resulted in more weight loss because I wasn't nearly as stressed about rules #obsm |
| hrdlckwmn @hrdlckwmn I confess that I still engage in this behavior |
| Dr. Rachel @AskDr_Rachel @ams8174 @obsmchat @RPashby That's exactly what I do with my clients too! All of those health behaviors are important! #cbt #obsm #behaviorchange |
| FGvW @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC @faithhh_anne And so much of the weight shaming really comes from a place of the doctor being out of their wheelhouse. So they push the shame and responsibility/failure onto the patient. #obsm |
| Dr. Rachel @AskDr_Rachel RT @MollyJonesRD: @DrGoodpaster @AskDr_Rachel @faithhh_anne @Nimeri_MD Couldn't agree more. We can all be more powerful if we work together! Unfortunately, as we've seen, polarizing views tend to gain more momentum and the middle ground isn't as "sexy". #obsm |
| Neil Floch MD @NeilFlochMD RT @faithhh_anne: @MollyJonesRD @Nimeri_MD Unfortunately. I do have to say, based on my own experience, that the moment I started seeing obesity as a disease, there was a shift in my thinking. Suddenly, healthy eating and physical activity were ways to treat my condition, not punishment bc I lacked self-restraint #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Ooh @DrGoodpaster I havent seen this in @SOARD_JOURNAL - emailing to myself to read tomorrow! Thanks! #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @MollyJonesRD @faithhh_anne @Nimeri_MD It's tough b/c that divide does not need to be there. We can agree to be anti-diet in the sense that diets dont work, but still understand & acknowledge that obesity is a disease. The "anti diet" folks also believe a "healthy lifestyle" is a diet :/ #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @Eggface: @obsmchat Post #bariatricsurgery I was able to incorporate intuitive eating principles more, eating slowly, savoring each bite, learning my bodies soft cues letting me know I'm getting full. Those cues were not happening prior to having #bariatricsurgery #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @AskDr_Rachel: I believe it is possible. Diets dont work, but lifestyle change and behavior change can. It doesnt mean you are "on" a diet if you make #behavioralchanges. To me a diet= something you cant sustain. You can make changes and lose weight, and not be on a #diet. #obsm #antidiet |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: Intuitive eating in bariatric pts can help: 1️⃣Focus on non-scale goals 2️⃣Eschew the harmful diet mentality 3️⃣Foster self-compassion & reduce shame 4️⃣Improve body image 5️⃣Become more attuned to hunger/fullness levels 6️⃣Enjoy food mindfully 7️⃣Find joy in movement 1/5 #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @faithhh_anne I think of that situation as your “gas gauge” being broken and constantly saying “full,” even though you need the fuel to keep going. It’s great you’re honoring your body’s need for nutrition by eating regularly throughout the day 👍 #obsm |
| #obsm chat @obsmchat RT @DrTerriC: a4).. I got to do an Am I Hungry Workshop as part of @ObesityAction #YWM a few years ago.. It really resonated with me.. and I find myself checking my emotions and thirst in a more meaningful way. #obsm It does not work every time but it is a good use of my time and energy. |
| #obsm chat @obsmchat RT @Eggface: @obsmchat Post #bariatricsurgery I was able to incorporate intuitive eating principles more, eating slowly, savoring each bite, learning my bodies soft cues letting me know I'm getting full. Those cues were not happening prior to having #bariatricsurgery #obsm |
| Faith Anne Heeren @faithhh_anne @AskDr_Rachel @DrGoodpaster @MollyJonesRD @Nimeri_MD Part of the problem might be that most view weight loss as a means of social acceptance or "looking better." Not as improvements to QOL (I can run farther, not out of breath as easily, able to play with my kids, etc.) #obsm |
| Anita @ams8174 @Eggface @obsmchat I agree with @Eggface and share your experience. #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @DrTerriC: a4).. I got to do an Am I Hungry Workshop as part of @ObesityAction #YWM a few years ago.. It really resonated with me.. and I find myself checking my emotions and thirst in a more meaningful way. #obsm It does not work every time but it is a good use of my time and energy. |
| Dr. Rachel @AskDr_Rachel @organiclemon Exactly! I tell my pts that if we focus on health behaviors (including water, food intake, movement, sleep and stress reduction) then the weight loss will follow! #obsm #cbt #healthbehaviorchange #behaviorchange |
| Dr. Rachel @AskDr_Rachel RT @Eggface: Obesity is complex and multifactorial so IMHO no one approach works for everyone. Build your team of health care professionals based on your health, needs, goals, add team members as needed. Your personal "special ops" team. #obsm |
| #obsm chat @obsmchat RT @DrGoodpaster: @obsmchat Bariatric pts often struggle w/ perfectionistic thinking (foods are “good” or “bad,” & “I’m on a diet” or “I blew it so I’m off the diet”), a mentality lingering from years of diets that encourage this. IE encourages balance, flexibility, & self-compassion. 4/5 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @ilivemindful Glad you're getting involved in these #obsm conversations they really are the best way to learn! |
| Christy Nyakana, LCSW @cjoLCSW @obsmchat So much of the shame of obesity is the belief that one's mind and body is unruly and not to be trusted. Learning that you can actually listen to and trust your body by recognizing it's signals can be revolutionary for pts. #obsm |
| Faith Anne Heeren @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC we need more education and training for HCPs regarding obesity! #obsm |
| Molly Jones Mills @MollyJonesRD Arbitrary "rules" about eating are the worst! #Dietitians are not the #foodpolice and should never just TELL you what to eat. #obsm |
| Dr. Rachel @AskDr_Rachel @hrdlckwmn It's tough when you had a previous bad experience and/or anticipate a bad visit. #obsm |
| LutherLiz (she/her) @Lutherliz RT @cjoLCSW: @obsmchat So much of the shame of obesity is the belief that one's mind and body is unruly and not to be trusted. Learning that you can actually listen to and trust your body by recognizing it's signals can be revolutionary for pts. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @Lutherliz I really respect and hear this perspective alot from postop patients - thank you! #obsm |
| Renee Hilton, M.D. @reneehilton30 @DrTerriC @obsmchat @ObesityAction That’s awesome. I would love to know the details of the workshop...I would love to do something similar maybe as a support group option for my postop patients. #obsm |
| FGvW @FatGirlvsWorld So much of intuitive eating is actually slowing down the process... enjoying shopping, enjoying prep/mis en place, enjoying cooking, plating. Enjoyment of learning what flavors/textures we like. It isn't just about eating and physical fullness. It is a full experience. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: @faithhh_anne I think of that situation as your “gas gauge” being broken and constantly saying “full,” even though you need the fuel to keep going. It’s great you’re honoring your body’s need for nutrition by eating regularly throughout the day 👍 #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @PsychoDietitian: Ooh @DrGoodpaster I havent seen this in @SOARD_JOURNAL - emailing to myself to read tomorrow! Thanks! #obsm |
| #obsm chat @obsmchat RT @cjoLCSW: @obsmchat So much of the shame of obesity is the belief that one's mind and body is unruly and not to be trusted. Learning that you can actually listen to and trust your body by recognizing it's signals can be revolutionary for pts. #obsm |
| Neil Floch MD @NeilFlochMD I believe we should simply choose foods which are #healthy that we like to eat. #diet is restrictive in that others have created a regimen to follow. There must be a freedom to enjoy what you want along healthy guidelines. #obsm #obesity |
| Nina Crowley PhD RDN @PsychoDietitian RT @faithhh_anne: @AskDr_Rachel @DrGoodpaster @MollyJonesRD @Nimeri_MD Part of the problem might be that most view weight loss as a means of social acceptance or "looking better." Not as improvements to QOL (I can run farther, not out of breath as easily, able to play with my kids, etc.) #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @cjoLCSW: @obsmchat So much of the shame of obesity is the belief that one's mind and body is unruly and not to be trusted. Learning that you can actually listen to and trust your body by recognizing it's signals can be revolutionary for pts. #obsm |
| Dr Theresa Cullen @DrTerriC @MollyJonesRD Some of the bariatric rules are about being scared of food.. Food should nourish not be fearful. #obsm |
| Dr. Rachel @AskDr_Rachel @faithhh_anne @DrGoodpaster @MollyJonesRD @Nimeri_MD You are right! How can we get society to shift the focus and be more on functional ability as opposed to appearance driven? #obsm |
| #obsm chat @obsmchat #obsm https://t.co/ComjtUUiv6 |
| Renee Hilton, M.D. @reneehilton30 RT @NeilFlochMD: I believe we should simply choose foods which are #healthy that we like to eat. #diet is restrictive in that others have created a regimen to follow. There must be a freedom to enjoy what you want along healthy guidelines. #obsm #obesity |
| Heather 🇺🇸 @ZHeatherChamp @DrGoodpaster But how do you do it tho? The IE? #obsm |
| GeekyGrouch @grouchy_geek @PsychoDietitian @obsmchat You don’t use pleasurable food and I won’t use cheat meal. Deal?? #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Preach! #obsm |
| #obsm chat @obsmchat RT @FatGirlvsWorld: So much of intuitive eating is actually slowing down the process... enjoying shopping, enjoying prep/mis en place, enjoying cooking, plating. Enjoyment of learning what flavors/textures we like. It isn't just about eating and physical fullness. It is a full experience. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @FatGirlvsWorld: So much of intuitive eating is actually slowing down the process... enjoying shopping, enjoying prep/mis en place, enjoying cooking, plating. Enjoyment of learning what flavors/textures we like. It isn't just about eating and physical fullness. It is a full experience. #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @PsychoDietitian: What she said 👇!!!! #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: @obsmchat It’s definitely possible & beneficial to infuse #intuitiveeating into bariatrics. More resources here, & be on the lookout for a paper I am working (spoiler alert: data supports this approach!)🙌5/5 #obsm https://t.co/c18Gr3aa07 https://t.co/MHVVr1Ld2X https://t.co/iGWxGmN6L3 |
| Dr. Rachel @AskDr_Rachel @faithhh_anne @DrTerriC Social media and it's influence on weight, body image etc can be another whole discussion (smh)! #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @DrGoodpaster: Intuitive eating in bariatric pts can help: 1️⃣Focus on non-scale goals 2️⃣Eschew the harmful diet mentality 3️⃣Foster self-compassion & reduce shame 4️⃣Improve body image 5️⃣Become more attuned to hunger/fullness levels 6️⃣Enjoy food mindfully 7️⃣Find joy in movement 1/5 #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @PsychoDietitian @SOARD_JOURNAL The first link was just a presentation at OW, but I’m working on an actual paper now, and the last link is a very recently published paper I just found🙂 #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/zlcMdZH9Pj |
| LutherLiz (she/her) @Lutherliz @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC And not a every visit needs a weight conversation. If I am there because of an ear infection treat my infection instead of giving me a weight loss lecture! #obsm #reallifeexample |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: @obsmchat A3 #OBSM - I think many providers based in #psychology #behavior have incorporated #counseling techniques to combat the 'diet mentality' that patients have endured, but only recently has it seemed to be so divided and the point of 'treating obesity' is the point of contention |
| Arghavan Salles, MD, PhD @arghavan_salles This is such an important point! Thinking of obesity as cosmetic is part of what enables insurance companies to not cover treatments such as #bariatricsurgery and medications. It's ridiculous. #obesity is a disease, and people who have it deserve access to treatment. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: @obsmchat Bariatric patients often worry they will not be able to enjoy food after surgery. By thinking of the pouch as “prime real estate,” filling it w/ nourishing foods that taste the best, slowing down, & removing distractions (all IE principles) food can be MORE enjoyable. 2/5 #obsm |
| FGvW @FatGirlvsWorld @faithhh_anne @DrGoodpaster @arghavan_salles @DrTerriC Not just obesity. Most doctors have a pitiful amount of training regarding nutrition. Docs don't look at a fat person and assume #Celiac and vitamin malabsorption. But here I am. #obsm |
| Dr Theresa Cullen @DrTerriC a5) Doing things you could not before and saving money on medication and other co-morbidities. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster RT @cjoLCSW: @obsmchat So much of the shame of obesity is the belief that one's mind and body is unruly and not to be trusted. Learning that you can actually listen to and trust your body by recognizing it's signals can be revolutionary for pts. #obsm |
| Dr. Rachel @AskDr_Rachel @OffThePlateMC @MollyJonesRD @faithhh_anne @Nimeri_MD you are right! Everyone's view and definition of healthy and success is different. Everyone's individual goals are also different. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC @MollyJonesRD I agree, there are some in the field who are not hearing these messages, and may perpetuate some problematic thinking #obsm |
| #obsm chat @obsmchat RT @arghavan_salles: This is such an important point! Thinking of obesity as cosmetic is part of what enables insurance companies to not cover treatments such as #bariatricsurgery and medications. It's ridiculous. #obesity is a disease, and people who have it deserve access to treatment. #obsm |
| Dr. Rachel @AskDr_Rachel RT @MollyJonesRD: Arbitrary "rules" about eating are the worst! #Dietitians are not the #foodpolice and should never just TELL you what to eat. #obsm |
| Mary L @Macskakat7 @obsmchat #obsm Having more energy. Clothing fitting better. Feeling more comfortable in social situations. |
| Faith Anne Heeren @faithhh_anne RT @arghavan_salles: This is such an important point! Thinking of obesity as cosmetic is part of what enables insurance companies to not cover treatments such as #bariatricsurgery and medications. It's ridiculous. #obesity is a disease, and people who have it deserve access to treatment. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster I ask,”If scales didn’t exist, how would you know you were where you wanted to be?” From this, we create a “bucket list” of non-scale goals, followed by behaviors that will help them get there. We have more control over behaviors than weight. SMART goals are key! #obsm |
| FGvW @FatGirlvsWorld @DrTerriC @DrGoodpaster @arghavan_salles @faithhh_anne Doctors or patients? Do obese patients need medical sherpas at their appointments? #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @txkyleharris @obsmchat 👍#obsm |
| Michelle Vicari @Eggface FYI: An awesome resource for people wanting to start a conversation about their weight and health is @ObesityAction's Your Weight Matters Campaign https://t.co/3BDXj5Dsg9 the cool free nutrition guide they send you alone is worth signing up. #obsm #OACAction |
| Dr. Rachel @AskDr_Rachel @faithhh_anne @DrGoodpaster @MollyJonesRD @Nimeri_MD I think you are right! We know obesity is a disease but unfortunately all of society does not accept that yet. I think getting more HCPs to talk about it as a disease and diagnosis is a great place to start. #obsm |
| Renee Hilton, M.D. @reneehilton30 Being able to participate in activities with family and friends. Tying shoes. Driving without pedal extenders. Being off meds. No more finger sticks. Amusement parks. Water park slides. Walking into work without shortness of breath. NO MORE CPAP! #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @faithhh_anne @DrGoodpaster @MollyJonesRD @Nimeri_MD I think you are right! We know obesity is a disease but unfortunately all of society does not accept that yet. I think getting more HCPs to talk about it as a disease and diagnosis is a great place to start. #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: FYI: FYI: An awesome resource for people wanting to start a conversation about their weight and health is @ObesityAction's Your Weight Matters Campaign https://t.co/3BDXj5Dsg9 the cool free nutrition guide they send you alone is worth signing up. #obsm #OACAction |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: Tips on how to address obesity with patients here! #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: I ask,”If scales didn’t exist, how would you know you were where you wanted to be?” From this, we create a “bucket list” of non-scale goals, followed by behaviors that will help them get there. We have more control over behaviors than weight. SMART goals are key! #obsm |
| GeekyGrouch @grouchy_geek @obsmchat A5) The way my clothes fit My energy level Being able to enjoy life again. #obsm |
| Molly Jones Mills @MollyJonesRD @DrTerriC Yes, that probably plays into the importance of creating a positive relationship with food... something that is important to remember to foster with kids. #obsm |
| Neil Floch MD @NeilFlochMD RT @FatGirlvsWorld: @faithhh_anne @DrGoodpaster @arghavan_salles @DrTerriC Not just obesity. Most doctors have a pitiful amount of training regarding nutrition. Docs don't look at a fat person and assume #Celiac and vitamin malabsorption. But here I am. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @_CFHJ Thats a great question! I know if I don't know their cultural prefs, I approach from curiosity and questions, to help them find out what they want.. without imposing my ideas/thoughts... #obsm |
| FGvW @FatGirlvsWorld I always encourage self-care rewards for hitting non-scale goals (I like to measure consistency of behavior vs results). #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @NeilFlochMD: As I listen and learn about tonight’s #OBSM chat - I believe it is an incredible opportunity to have patients engage with so many incredible professionals and experienced patients- #obesity #weightlosstransformation #weightlossjourney #weightlosstips #wls #diet #dieting |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: This is such an important point! Thinking of obesity as cosmetic is part of what enables insurance companies to not cover treatments such as #bariatricsurgery and medications. It's ridiculous. #obesity is a disease, and people who have it deserve access to treatment. #obsm |
| Anita @ams8174 @obsmchat I need to read this each day as a reminder. #obsm https://t.co/WypwZGRWEo |
| Nina Crowley PhD RDN @PsychoDietitian RT @arghavan_salles: This is such an important point! Thinking of obesity as cosmetic is part of what enables insurance companies to not cover treatments such as #bariatricsurgery and medications. It's ridiculous. #obesity is a disease, and people who have it deserve access to treatment. #obsm |
| Dr Theresa Cullen @DrTerriC @FatGirlvsWorld @DrGoodpaster @arghavan_salles @faithhh_anne The visual cracks me up.. #obsm I do think preparing for visit (notes, questions) is great for a patient to get what they need out of a visit and not get waylaid. https://t.co/FRj29lHFyA |
| Faith Anne Heeren @faithhh_anne Cardiovascular health has been my biggest motivator. Can I run 5ks with my friends? Can I play school sports and keep up with other kids? Do I feel comfortable and confident in my body's capabilities? All of this means WAY more to me than the # on the scale #obsm |
| Marilyn Clark @OffThePlateMC RT @arghavan_salles: This is such an important point! Thinking of obesity as cosmetic is part of what enables insurance companies to not cover treatments such as #bariatricsurgery and medications. It's ridiculous. #obesity is a disease, and people who have it deserve access to treatment. #obsm |
| Abdelrahman Ali Nimeri MD @Nimeri_MD RT @AskDr_Rachel: @faithhh_anne @DrGoodpaster @MollyJonesRD @Nimeri_MD I think you are right! We know obesity is a disease but unfortunately all of society does not accept that yet. I think getting more HCPs to talk about it as a disease and diagnosis is a great place to start. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @LudwigMaryellen: @obsmchat #obsm Having more energy. Clothing fitting better. Feeling more comfortable in social situations. |
| Dr. Rachel @AskDr_Rachel I think this is so important! I think slowing down our eating (and slowing down at life in general), becoming more mindful and being more in tune to our body's needs is important for a healthy mind and body. I work with pts pre-operatively on this as well. #obsm |
| Abdelrahman Ali Nimeri MD @Nimeri_MD RT @AskDr_Rachel: @OffThePlateMC @MollyJonesRD @faithhh_anne @Nimeri_MD you are right! Everyone's view and definition of healthy and success is different. Everyone's individual goals are also different. #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: #obsm https://t.co/zlcMdZH9Pj |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrGoodpaster: I ask,”If scales didn’t exist, how would you know you were where you wanted to be?” From this, we create a “bucket list” of non-scale goals, followed by behaviors that will help them get there. We have more control over behaviors than weight. SMART goals are key! #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: I think this is so important! I think slowing down our eating (and slowing down at life in general), becoming more mindful and being more in tune to our body's needs is important for a healthy mind and body. I work with pts pre-operatively on this as well. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Eggface: FYI: FYI: An awesome resource for people wanting to start a conversation about their weight and health is @ObesityAction's Your Weight Matters Campaign https://t.co/3BDXj5Dsg9 the cool free nutrition guide they send you alone is worth signing up. #obsm #OACAction |
| Michelle Vicari @Eggface Some of my favorite NSV: Resolution of some pretty bad health issues (severe GERD, sleep apnea, High BP), more energy, walking without needing to stop, walking without pain. #obsm |
| Molly Jones Mills @MollyJonesRD Love all of your #nonscale #goals!! This reminds me of @DrJasonLillis's discussion at #YWM2019 on the importance of identifying your values and using those values to set your health-related goals. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @reneehilton30: Being able to participate in activities with family and friends. Tying shoes. Driving without pedal extenders. Being off meds. No more finger sticks. Amusement parks. Water park slides. Walking into work without shortness of breath. NO MORE CPAP! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: I ask,”If scales didn’t exist, how would you know you were where you wanted to be?” From this, we create a “bucket list” of non-scale goals, followed by behaviors that will help them get there. We have more control over behaviors than weight. SMART goals are key! #obsm |
| Marilyn Clark @OffThePlateMC @reneehilton30 And the airplane seat belt test! #obsm |
| Dr. Rachel @AskDr_Rachel @Lutherliz Surgery can definitely help some with this but I think many people still struggle with it and too many people continue to eat quickly. I think slowing down one's eating really helps. #obsm |
| Renee Hilton, M.D. @reneehilton30 We have a hashtag #NSV on our #bariatricsurgery patient Facebook support group page for what we call “nonscale victories” and they are always my favorite to read. It’s not about the numbers! It’s about quality of life. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @Eggface: FYI: FYI: An awesome resource for people wanting to start a conversation about their weight and health is @ObesityAction's Your Weight Matters Campaign https://t.co/3BDXj5Dsg9 the cool free nutrition guide they send you alone is worth signing up. #obsm #OACAction |
| Nina Crowley PhD RDN @PsychoDietitian RT @MollyJonesRD: Love all of your #nonscale #goals!! This reminds me of @DrJasonLillis's discussion at #YWM2019 on the importance of identifying your values and using those values to set your health-related goals. #obsm |
| Neil Floch MD @NeilFlochMD RT @reneehilton30: Being able to participate in activities with family and friends. Tying shoes. Driving without pedal extenders. Being off meds. No more finger sticks. Amusement parks. Water park slides. Walking into work without shortness of breath. NO MORE CPAP! #obsm |
| #obsm chat @obsmchat RT @faithhh_anne: Cardiovascular health has been my biggest motivator. Can I run 5ks with my friends? Can I play school sports and keep up with other kids? Do I feel comfortable and confident in my body's capabilities? All of this means WAY more to me than the # on the scale #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @MollyJonesRD: Love all of your #nonscale #goals!! This reminds me of @DrJasonLillis's discussion at #YWM2019 on the importance of identifying your values and using those values to set your health-related goals. #obsm |
| #obsm chat @obsmchat RT @ams8174: @obsmchat I need to read this each day as a reminder. #obsm https://t.co/WypwZGRWEo |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: Ooh @DrGoodpaster I havent seen this in @SOARD_JOURNAL - emailing to myself to read tomorrow! Thanks! #obsm |
| Neil Floch MD @NeilFlochMD RT @reneehilton30: We have a hashtag #NSV on our #bariatricsurgery patient Facebook support group page for what we call “nonscale victories” and they are always my favorite to read. It’s not about the numbers! It’s about quality of life. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @ams8174: @obsmchat I need to read this each day as a reminder. #obsm https://t.co/WypwZGRWEo |
| LutherLiz (she/her) @Lutherliz #obsm my energy, how clothes fit, how in shape I feel, the effect my old injuries have on me, and compliments never hurt |
| #obsm chat @obsmchat RT @Eggface: FYI: FYI: An awesome resource for people wanting to start a conversation about their weight and health is @ObesityAction's Your Weight Matters Campaign https://t.co/3BDXj5Dsg9 the cool free nutrition guide they send you alone is worth signing up. #obsm #OACAction |
 | Bruce Y. Lee @bruce_y_lee Diet and medical advice from someone who is not doctor or a nutritionist. Brazil's President said to help the environment people should eat less, and it’s enough to poop every other day #obsm @obsmchat https://t.co/Wbt8eXjwAj |
| Arghavan Salles, MD, PhD @arghavan_salles RT @Eggface: Some of my favorite NSV: Some of my favorite NSV: Resolution of some pretty bad health issues (severe GERD, sleep apnea, High BP), more energy, walking without needing to stop, walking without pain. #obsm |
| #obsm chat @obsmchat RT @DrGoodpaster: I ask,”If scales didn’t exist, how would you know you were where you wanted to be?” From this, we create a “bucket list” of non-scale goals, followed by behaviors that will help them get there. We have more control over behaviors than weight. SMART goals are key! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @FatGirlvsWorld @obsmchat Oh yes, there’s always a tendency to start over Monday... or January 1st... and that goes for a whole host of behaviors (not just weight management). #obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: @faithhh_anne I think of that situation as your “gas gauge” being broken and constantly saying “full,” even though you need the fuel to keep going. It’s great you’re honoring your body’s need for nutrition by eating regularly throughout the day 👍 #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @obsmchat A5 #obsm I've loved the exercise of writing a "what i miss" and "what i dont miss" list - which helps you see what matters.. the what i don't miss list is so impactful! |
| LutherLiz (she/her) @Lutherliz RT @Eggface: FYI: FYI: An awesome resource for people wanting to start a conversation about their weight and health is @ObesityAction's Your Weight Matters Campaign https://t.co/3BDXj5Dsg9 the cool free nutrition guide they send you alone is worth signing up. #obsm #OACAction |
| Renee Hilton, M.D. @reneehilton30 This is awesome. I may glue it to the wall in my clinic. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: @ilivemindful Glad you're getting involved in these #obsm conversations they really are the best way to learn! |
| Dr. Rachel @AskDr_Rachel RT @cjoLCSW: @obsmchat So much of the shame of obesity is the belief that one's mind and body is unruly and not to be trusted. Learning that you can actually listen to and trust your body by recognizing it's signals can be revolutionary for pts. #obsm |
| LutherLiz (she/her) @Lutherliz RT @reneehilton30: Being able to participate in activities with family and friends. Tying shoes. Driving without pedal extenders. Being off meds. No more finger sticks. Amusement parks. Water park slides. Walking into work without shortness of breath. NO MORE CPAP! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @bruce_y_lee @obsmchat I saw that! So crazy. Haven't read your piece yet, but I was blown away by his advice. (for the record it is not good medical advice). #obsm |
| #obsm chat @obsmchat #obsm https://t.co/lNKjN7Yjak |
| FGvW @FatGirlvsWorld RT @DrGoodpaster: @obsmchat Whereas diets encourage “checking out” of the body (e.g. ignoring & staving off hunger), IE encourages checking in w/ the body & honoring hunger. Increasing this attuned time helps bariatric pts who need to learn new sensations of hunger & fullness. 3/5 #obsm |
| Dr. Rachel @AskDr_Rachel @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC YES we do!!! We discussed this on a previous #obsm chat and need to get more HCPs involved! |
| Dr. Rachel @AskDr_Rachel RT @faithhh_anne: @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC we need more education and training for HCPs regarding obesity! #obsm |
| Mary L @Macskakat7 @PsychoDietitian @obsmchat #obsm Great idea! I love this! I plan to do this tonight! |
| Dr. Rachel @AskDr_Rachel RT @FatGirlvsWorld: So much of intuitive eating is actually slowing down the process... enjoying shopping, enjoying prep/mis en place, enjoying cooking, plating. Enjoyment of learning what flavors/textures we like. It isn't just about eating and physical fullness. It is a full experience. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster RT @PsychoDietitian: @obsmchat A5 #obsm I've loved the exercise of writing a "what i miss" and "what i dont miss" list - which helps you see what matters.. the what i don't miss list is so impactful! |
| Nina Crowley PhD RDN @PsychoDietitian For me the reason #NSV are important are because they are internal/intrinsic motivators, specific to the individual, and because they are salient/important way LONGER than the temporary thrill of the number on the scale, and they can keep building on the last goals! #obsm |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: I believe we should simply choose foods which are #healthy that we like to eat. #diet is restrictive in that others have created a regimen to follow. There must be a freedom to enjoy what you want along healthy guidelines. #obsm #obesity |
| LutherLiz (she/her) @Lutherliz RT @AskDr_Rachel: @Lutherliz Surgery can definitely help some with this but I think many people still struggle with it and too many people continue to eat quickly. I think slowing down one's eating really helps. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster Don’t make comments (➕or➖) re weight w/out knowing about health & behaviors. Shift weight loss from being a concrete goal to a possible outcome of healthy behavior change. Recognize & communicate: 🚨HEALTHY BEHAVIORS ARE HEALTHY REGARDLESS OF THE CHANGE ON THE SCALE.🚨#obsm |
| Dr. Rachel @AskDr_Rachel @DrTerriC @MollyJonesRD I hate hearing this but it is so true. Food is not scary. Food is also not "good" or "bad." Food is energy! #obsm |
| Michelle Vicari @Eggface Great read: I love these suggestions of how to incorporate mindful eating into our daily lives in this article by @ObesityAction Board Member @Dr_Dansun Dr. Sunil Daniel https://t.co/fFcvf8yuFR #obsm |
| Dr. Rachel @AskDr_Rachel @ilivemindful Glad you joined! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @bruce_y_lee @obsmchat 🤬#obsm |
| Michelle Vicari @Eggface @obsmchat I'd love to see "goal weights" ditched as they focus solely on weight loss outcomes, scale #'s and discount QOL gains: increased mobility, off Rx's, resolution of comorbidities, having a child, playing on the floor w/kids., etc. #bariatricsurgery #obsm |
| Anita @ams8174 @obsmchat I believe your mind plays a huge role in the journey of health, weight and BMI. Working with a knowledgeable team of dieticians and psychologists is greatly beneficial. Think mental/behavioral health should be an automatic screen by PCP’s. #obsm |
| Dr. Rachel @AskDr_Rachel I think this list could be endless and is unique to each individual. What motivates one person may not motivate another. I ask my pts what their WHY is. That why is going to keep them motivated #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: #obsm https://t.co/ComjtUUiv6 |
| Renee Hilton, M.D. @reneehilton30 By focusing the conversation on behavior and NSV from day 1 rather than weight. I also constantly tell other health care professionals that my job is not about making people skinny or weight loss. My job is preventing cancer, restoring self esteem, curing DM, HTN, and OSA. #obsm |
| Michelle Vicari @Eggface @obsmchat "Goal weights" also create a bar that if never reached or reached/regain occurs or as life/age/health changes happen then creates a benchmark in some patients minds that can lead to avoidance of continued care, shame/blame/internalized bias, unhealthy eating. #obsm |
| Marilyn Clark @OffThePlateMC RT @DrGoodpaster: Don’t make comments (➕or➖) re weight w/out knowing about health & behaviors. Shift weight loss from being a concrete goal to a possible outcome of healthy behavior change. Recognize & communicate: 🚨HEALTHY BEHAVIORS ARE HEALTHY REGARDLESS OF THE CHANGE ON THE SCALE.🚨#obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: Preach! #obsm |
| Marilyn Clark @OffThePlateMC RT @Eggface: Great read: Great read: I love these suggestions of how to incorporate mindful eating into our daily lives in this article by @ObesityAction Board Member @Dr_Dansun Dr. Sunil Daniel https://t.co/fFcvf8yuFR #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @AskDr_Rachel @DrTerriC @MollyJonesRD Food is food! #obsm |
| #obsm chat @obsmchat RT @reneehilton30: This is awesome. I may glue it to the wall in my clinic. #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @PsychoDietitian: For me the reason #NSV are important are because they are internal/intrinsic motivators, specific to the individual, and because they are salient/important way LONGER than the temporary thrill of the number on the scale, and they can keep building on the last goals! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Thank you - this is so great and helpful, we all need to embrace this! #obsm |
| Dr Theresa Cullen @DrTerriC a6) It would be great if it started with intake sheets.. after all the protein,water, surgery, medication questions. how about - what is something you are doing well in taking ownership of your weight? What successes do you feel? Gives a positive starting point. #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: @bruce_y_lee @obsmchat I saw that! So crazy. Haven't read your piece yet, but I was blown away by his advice. (for the record it is not good medical advice). #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Eggface: Great read: Great read: I love these suggestions of how to incorporate mindful eating into our daily lives in this article by @ObesityAction Board Member @Dr_Dansun Dr. Sunil Daniel https://t.co/fFcvf8yuFR #obsm |
 | Lab is my happy place @profbdcohen @obsmchat Sitting comfortably in a seat at a football game (which is why I haven’t been in the chat tonight- sorry!). #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/lNKjN7Yjak |
| Neil Floch MD @NeilFlochMD RT @PsychoDietitian: For me the reason #NSV are important are because they are internal/intrinsic motivators, specific to the individual, and because they are salient/important way LONGER than the temporary thrill of the number on the scale, and they can keep building on the last goals! #obsm |
| #obsm chat @obsmchat RT @DrGoodpaster: Don’t make comments (➕or➖) re weight w/out knowing about health & behaviors. Shift weight loss from being a concrete goal to a possible outcome of healthy behavior change. Recognize & communicate: 🚨HEALTHY BEHAVIORS ARE HEALTHY REGARDLESS OF THE CHANGE ON THE SCALE.🚨#obsm |
| Faith Anne Heeren @faithhh_anne @FatGirlvsWorld @Lutherliz @DrGoodpaster @arghavan_salles @DrTerriC I also had a chiropractor who said "Have you ever thought your back hurts because you're fat?" I was in sixth grade. There was an underlying issue but, to this day, I have never forgotten that. #obsm |
| Molly Jones Mills @MollyJonesRD A6- Is it possible for clinics to do away with weighing at each visit? ...Or do you feel that this is needed for reimbursement? #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrTerriC: a6) It would be great if it started with intake sheets.. after all the protein,water, surgery, medication questions. how about - what is something you are doing well in taking ownership of your weight? What successes do you feel? Gives a positive starting point. #obsm |
| #obsm chat @obsmchat RT @Eggface: Great read: Great read: I love these suggestions of how to incorporate mindful eating into our daily lives in this article by @ObesityAction Board Member @Dr_Dansun Dr. Sunil Daniel https://t.co/fFcvf8yuFR #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @DrTerriC @MollyJonesRD I hate hearing this but it is so true. Food is not scary. Food is also not "good" or "bad." Food is energy! #obsm |
| Dr. Rachel @AskDr_Rachel @Lutherliz @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC This is so important to remember as well, but I think if the conversation started during the last visit it could be discussed as a check in on certain behaviors as well--- it depends on the individual pt and the doctor. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: Don’t make comments (➕or➖) re weight w/out knowing about health & behaviors. Shift weight loss from being a concrete goal to a possible outcome of healthy behavior change. Recognize & communicate: 🚨HEALTHY BEHAVIORS ARE HEALTHY REGARDLESS OF THE CHANGE ON THE SCALE.🚨#obsm |
| LutherLiz (she/her) @Lutherliz @obsmchat Education of the medical field about obesity and weight stigma. Knowledge of science-based treatments and hopefully insurance providers that recognize them as well. #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: Great read: Great read: I love these suggestions of how to incorporate mindful eating into our daily lives in this article by @ObesityAction Board Member @Dr_Dansun Dr. Sunil Daniel https://t.co/fFcvf8yuFR #obsm |
| Marilyn Clark @OffThePlateMC @AskDr_Rachel I think the biggest mental shift for me was coming from a background where food is the reward...changing rewards to self-care made that shift happen for me. #obsm |
| Neil Floch MD @NeilFlochMD RT @ams8174: @obsmchat I believe your mind plays a huge role in the journey of health, weight and BMI. Working with a knowledgeable team of dieticians and psychologists is greatly beneficial. Think mental/behavioral health should be an automatic screen by PCP’s. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @Eggface @obsmchat AGREE and people usually say "my doctor/dietitian/etc. goal weight for me is X" ---- Goals are not GIVEN by others! They are only impactful if personally meaningful and chosen by YOU! #obsm |
| LutherLiz (she/her) @Lutherliz RT @ams8174: @obsmchat I believe your mind plays a huge role in the journey of health, weight and BMI. Working with a knowledgeable team of dieticians and psychologists is greatly beneficial. Think mental/behavioral health should be an automatic screen by PCP’s. #obsm |
| Dr. Rachel @AskDr_Rachel @organiclemon @BrownAdey I'm so happy to hear you have learned so much about this and that you are getting help regarding your behaviors with @BrownAdey #obsm |
 | Maria Altieri @altierim1 RT @ams8174: @obsmchat I need to read this each day as a reminder. #obsm https://t.co/WypwZGRWEo |
| Neil Floch MD @NeilFlochMD RT @reneehilton30: By focusing the conversation on behavior and NSV from day 1 rather than weight. I also constantly tell other health care professionals that my job is not about making people skinny or weight loss. My job is preventing cancer, restoring self esteem, curing DM, HTN, and OSA. #obsm |
| Faith Anne Heeren @faithhh_anne @MollyJonesRD or even doing blind weigh-ins. If my provider needs to weight me for reimbursement, that's fine, but ask me whether or not I want to know! It can be discouraging when we don't see what we expected to #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @AskDr_Rachel: I think this list could be endless and is unique to each individual. What motivates one person may not motivate another. I ask my pts what their WHY is. That why is going to keep them motivated #obsm |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: This is such an important point! Thinking of obesity as cosmetic is part of what enables insurance companies to not cover treatments such as #bariatricsurgery and medications. It's ridiculous. #obesity is a disease, and people who have it deserve access to treatment. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @DrTerriC We include that question on our food diaries 😊 #obsm |
| FGvW @FatGirlvsWorld 1. Stop using BMI and use any number of better, more accurate measurements (body composition!) 2. Talk about actual blood results and fitness rather than just comorbidity shock & awe #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Can we clone you!!!!??? #obsm |
| Dr. Rachel @AskDr_Rachel @FatGirlvsWorld @faithhh_anne @DrGoodpaster @arghavan_salles @DrTerriC This is unfortunate but true. #obsm |
| Molly Jones Mills @MollyJonesRD @faithhh_anne @FatGirlvsWorld @Lutherliz @DrGoodpaster @arghavan_salles @DrTerriC That breaks my heart. I'm so happy to see you "making waves" now and advocating for others!! #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @Eggface: @obsmchat I'd love to see "goal weights" ditched as they focus solely on weight loss outcomes, scale #'s and discount QOL gains: increased mobility, off Rx's, resolution of comorbidities, having a child, playing on the floor w/kids., etc. #bariatricsurgery #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: @obsmchat Education of the medical field about obesity and weight stigma. Knowledge of science-based treatments and hopefully insurance providers that recognize them as well. #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @DrTerriC: a6) It would be great if it started with intake sheets.. after all the protein,water, surgery, medication questions. how about - what is something you are doing well in taking ownership of your weight? What successes do you feel? Gives a positive starting point. #obsm |
| Dr. Rachel @AskDr_Rachel @PsychoDietitian @DrTerriC @MollyJonesRD YES, you are right--- food is food! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @profbdcohen @obsmchat Love that! #obsm |
| Neil Floch MD @NeilFlochMD RT @OffThePlateMC: @AskDr_Rachel I think the biggest mental shift for me was coming from a background where food is the reward...changing rewards to self-care made that shift happen for me. #obsm |
| #obsm chat @obsmchat RT @DrTerriC: a6) It would be great if it started with intake sheets.. after all the protein,water, surgery, medication questions. how about - what is something you are doing well in taking ownership of your weight? What successes do you feel? Gives a positive starting point. #obsm |
| Dr. Rachel @AskDr_Rachel @OffThePlateMC This is so common. So many people look at food as a reward. That shift is a big one and can be life changing ! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @Lutherliz: @obsmchat Education of the medical field about obesity and weight stigma. Knowledge of science-based treatments and hopefully insurance providers that recognize them as well. #obsm |
| Molly Jones Mills @MollyJonesRD @faithhh_anne great idea! I know some US clinics that keep their scale in kilograms just to make it less of a focus for patients. #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @OffThePlateMC This is so common. So many people look at food as a reward. That shift is a big one and can be life changing ! #obsm |
| Marilyn Clark @OffThePlateMC @faithhh_anne @MollyJonesRD When I was treated at UCSF they asked me if I wanted to know my weight. I loved that approach. #obsm |
| Dr. Rachel @AskDr_Rachel So much YES to this! #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: FYI: FYI: An awesome resource for people wanting to start a conversation about their weight and health is @ObesityAction's Your Weight Matters Campaign https://t.co/3BDXj5Dsg9 the cool free nutrition guide they send you alone is worth signing up. #obsm #OACAction |
| Neil Floch MD @NeilFlochMD I learned a lot tonight by listening and reading #OBSM |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: So much YES to this! #obsm |
| LutherLiz (she/her) @Lutherliz RT @AskDr_Rachel: So much YES to this! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @OffThePlateMC @faithhh_anne @MollyJonesRD I think that is a core lesson for all of this, we dont have to know the 'best' way to do it, just the 'best' or most 'appropriate' way for YOU!!! #obsm |
| #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, September 8, at 9pm EDT. |
| Molly Jones Mills @MollyJonesRD @OffThePlateMC @faithhh_anne It all goes back to asking permission. That little bit of effort allows for a much more respectful experience. #obsm |
| LutherLiz (she/her) @Lutherliz RT @PsychoDietitian: Can we clone you!!!!??? #obsm |
| Renee Hilton, M.D. @reneehilton30 @MariaImmonen4 @KHBenjamin38 #obsm #programgoals |
| Dr. Rachel @AskDr_Rachel @reneehilton30 These are all such great #NSV's and non scale motivators! Thank you for sharing! #obsm |
| #obsm chat @obsmchat RT @PsychoDietitian: @OffThePlateMC @faithhh_anne @MollyJonesRD I think that is a core lesson for all of this, we dont have to know the 'best' way to do it, just the 'best' or most 'appropriate' way for YOU!!! #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: For me the reason #NSV are important are because they are internal/intrinsic motivators, specific to the individual, and because they are salient/important way LONGER than the temporary thrill of the number on the scale, and they can keep building on the last goals! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @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, September 8, at 9pm EDT. |
| Mary L @Macskakat7 @obsmchat #obsm Thanks! |
| Dr Theresa Cullen @DrTerriC @Lutherliz @AskDr_Rachel @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles Urgent care can be hit or miss.. I had a problem with one after a weekend knee injury, The specialist I saw after the weekend..Helped me to have the charges reversed with my insurance because they had provided such bad care. #obsm There are good doctors out there. |
| Renee Hilton, M.D. @reneehilton30 RT @DrGoodpaster: Children don’t have full control over their food intake & activity, & weight shaming causes lasting damage to body image & eating behaviors. Rather than singling out children for their weight, aim to help make healthy eating & movement part of the fabric of family life. #obsm |
| Mary L @Macskakat7 @MollyJonesRD @OffThePlateMC @faithhh_anne #obsm Respect is the key. |
| Marilyn Clark @OffThePlateMC @PsychoDietitian @faithhh_anne @MollyJonesRD Do you think there is still room in medicine for individuals? I still feel like I am treating with a checklist at my current provider (which is why I am leaving) #obsm |
| Nina Crowley PhD RDN @PsychoDietitian Yes - I am a firm believer that we should get the patient involved in every decision at every level! It's critical for us to get it 'right'! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @MollyJonesRD: @OffThePlateMC @faithhh_anne It all goes back to asking permission. That little bit of effort allows for a much more respectful experience. #obsm |
| Michelle Vicari @Eggface #obsm chats always fly by. Looking forward to scrolling thru tweets, keeping the convo going this week and following new chat friends. |
| FGvW @FatGirlvsWorld RT @ams8174: @obsmchat I need to read this each day as a reminder. #obsm https://t.co/WypwZGRWEo |
| Dr. Rachel @AskDr_Rachel @Lutherliz @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC That's unfortunate! I hate it when I hear stories like this, and when doctors dont treat the individual. Asking questions and getting to know your pt is so important. #obsm |
| FGvW @FatGirlvsWorld RT @DrGoodpaster: I ask,”If scales didn’t exist, how would you know you were where you wanted to be?” From this, we create a “bucket list” of non-scale goals, followed by behaviors that will help them get there. We have more control over behaviors than weight. SMART goals are key! #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @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, September 8, at 9pm EDT. |
| Faith Anne Heeren @faithhh_anne @OffThePlateMC @PsychoDietitian @MollyJonesRD I think personalized medicine is where the field is headed, based on the research related to obesity that I've seen #obsm |
| Dr. Rachel @AskDr_Rachel @organiclemon @BrownAdey @NeilFlochMD @ZaherToumi @AbdTahrani I am so happy to hear this! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC @Lutherliz @AskDr_Rachel @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles Which is why we have to work to educate all providers at every point of care, not just those working with patients with obesity! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @reneehilton30 @MariaImmonen4 @KHBenjamin38 Awesome! We’re spreading the gospel about NSVs! 🙌 #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: @obsmchat I'd love to see "goal weights" ditched as they focus solely on weight loss outcomes, scale #'s and discount QOL gains: increased mobility, off Rx's, resolution of comorbidities, having a child, playing on the floor w/kids., etc. #bariatricsurgery #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @OffThePlateMC: @PsychoDietitian @faithhh_anne @MollyJonesRD Do you think there is still room in medicine for individuals? I still feel like I am treating with a checklist at my current provider (which is why I am leaving) #obsm |
| Dr. Rachel @AskDr_Rachel RT @ams8174: @obsmchat I believe your mind plays a huge role in the journey of health, weight and BMI. Working with a knowledgeable team of dieticians and psychologists is greatly beneficial. Think mental/behavioral health should be an automatic screen by PCP’s. #obsm |
| Dr. Rachel @AskDr_Rachel RT @reneehilton30: By focusing the conversation on behavior and NSV from day 1 rather than weight. I also constantly tell other health care professionals that my job is not about making people skinny or weight loss. My job is preventing cancer, restoring self esteem, curing DM, HTN, and OSA. #obsm |
| Dr Theresa Cullen @DrTerriC One takeaway I have from tonight's chat: many of us battling obesity have a history of poor experiences with docs. We need to come with generosity and not expect the worst and docs need to acknowledge they are working against our prior experiences. #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: @obsmchat "Goal weights" also create a bar that if never reached or reached/regain occurs or as life/age/health changes happen then creates a benchmark in some patients minds that can lead to avoidance of continued care, shame/blame/internalized bias, unhealthy eating. #obsm |
| #obsm chat @obsmchat @ams8174 Absolutely. Thank you for sharing your thoughts #obsm |
| Renee Hilton, M.D. @reneehilton30 RT @Eggface: Great read: Great read: I love these suggestions of how to incorporate mindful eating into our daily lives in this article by @ObesityAction Board Member @Dr_Dansun Dr. Sunil Daniel https://t.co/fFcvf8yuFR #obsm |
| Nina Crowley PhD RDN @PsychoDietitian @DrTerriC I love to hear that! And it might take a few to find the right fit! Educating/advocacy along the way can help! #obsm |
| Mary L @Macskakat7 @DrTerriC #obsm Absolutely! |
| Dr. Kasey Goodpaster @DrGoodpaster RT @DrTerriC: One takeaway I have from tonight's chat: One takeaway I have from tonight's chat: many of us battling obesity have a history of poor experiences with docs. We need to come with generosity and not expect the worst and docs need to acknowledge they are working against our prior experiences. #obsm |
| #obsm chat @obsmchat @psoeldner Will be posted tomorrow. Perhaps sooner. #obsm |
| Molly Jones Mills @MollyJonesRD @OffThePlateMC @PsychoDietitian @faithhh_anne I completely know what you are saying. I think a lot of HCPs feel pressure due to lack of time/resources (hence checklists). Most HCPs got into medicine to help individuals- we need to bring it back to that! #obsm |
| Nina Crowley PhD RDN @PsychoDietitian RT @MollyJonesRD: @OffThePlateMC @PsychoDietitian @faithhh_anne I completely know what you are saying. I think a lot of HCPs feel pressure due to lack of time/resources (hence checklists). Most HCPs got into medicine to help individuals- we need to bring it back to that! #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: @DrTerriC @Lutherliz @AskDr_Rachel @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles Which is why we have to work to educate all providers at every point of care, not just those working with patients with obesity! #obsm |
| LutherLiz (she/her) @Lutherliz RT @PsychoDietitian: @DrTerriC @Lutherliz @AskDr_Rachel @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles Which is why we have to work to educate all providers at every point of care, not just those working with patients with obesity! #obsm |
| LutherLiz (she/her) @Lutherliz RT @AskDr_Rachel: @Lutherliz @faithhh_anne @FatGirlvsWorld @DrGoodpaster @arghavan_salles @DrTerriC That's unfortunate! I hate it when I hear stories like this, and when doctors dont treat the individual. Asking questions and getting to know your pt is so important. #obsm |
| Marilyn Clark @OffThePlateMC This!!! |
| Dr. Rachel @AskDr_Rachel @PsychoDietitian @Eggface @obsmchat I hate it when I hear that. So many of my pts say their goal weight, according to their dr, is..... Goals need to come from each individual and ideally NO goal weights, but rather behavioral goals (SMART Goals) #obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: Can we clone you!!!!??? #obsm |
| Dr. Rachel @AskDr_Rachel @OffThePlateMC @faithhh_anne @MollyJonesRD That's a great approach. When I was at the hospital and required to weigh my pts I would ask them that as well. I dont weight my pts now that I am in private practice...#obsm |
| Dr. Rachel @AskDr_Rachel RT @PsychoDietitian: @OffThePlateMC @faithhh_anne @MollyJonesRD I think that is a core lesson for all of this, we dont have to know the 'best' way to do it, just the 'best' or most 'appropriate' way for YOU!!! #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @psoeldner @obsmchat It is such a hard one to tackle! Keep working at talking to yourself as you would a friend ❤️ #obsm |
| Molly Jones Mills @MollyJonesRD @obsmchat Thanks so much! It was great to connect with everyone tonight and learn from different perspectives. #obsm chat |
| Dr. Rachel @AskDr_Rachel This was such a great chat. Thank you to everyone who participated. And if you missed it, please go through, read, comment, etc. Let's continue the discussion! #obsm |
| Dr. Rachel @AskDr_Rachel RT @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, September 8, at 9pm EDT. |
| #obsm chat @obsmchat RT @AskDr_Rachel: This was such a great chat. Thank you to everyone who participated. And if you missed it, please go through, read, comment, etc. Let's continue the discussion! #obsm |
| Dr. Rachel @AskDr_Rachel @OffThePlateMC @PsychoDietitian @faithhh_anne @MollyJonesRD I sure hope so! We need to treat the individual- it is just like I say I dont treat a diagnosis, but I treat the symptoms. Not everyone has the same symptoms, although they may have the same dx. #obsm |
| hrdlckwmn @hrdlckwmn RT @reneehilton30: By focusing the conversation on behavior and NSV from day 1 rather than weight. I also constantly tell other health care professionals that my job is not about making people skinny or weight loss. My job is preventing cancer, restoring self esteem, curing DM, HTN, and OSA. #obsm |
| Dr. Rachel @AskDr_Rachel RT @faithhh_anne: @OffThePlateMC @PsychoDietitian @MollyJonesRD I think personalized medicine is where the field is headed, based on the research related to obesity that I've seen #obsm |
| Marilyn Clark @OffThePlateMC @obsmchat Thank you to this community for including patient voices in these chats. It’s so helpful for me as a bariatric patient to engage with medical professionals so I can learn how to better support my clients as well. #obsm |
| #obsm chat @obsmchat RT @OffThePlateMC: @obsmchat Thank you to this community for including patient voices in these chats. It’s so helpful for me as a bariatric patient to engage with medical professionals so I can learn how to better support my clients as well. #obsm |
| FGvW @FatGirlvsWorld RT @Eggface: Obesity is complex and multifactorial so IMHO no one approach works for everyone. Build your team of health care professionals based on your health, needs, goals, add team members as needed. Your personal "special ops" team. #obsm |
| Dr. Rachel @AskDr_Rachel RT @OffThePlateMC: @obsmchat Thank you to this community for including patient voices in these chats. It’s so helpful for me as a bariatric patient to engage with medical professionals so I can learn how to better support my clients as well. #obsm |
| FGvW @FatGirlvsWorld @faithhh_anne I sometimes wonder what magazines would write about if they weren't allowed to publish food rules or to moralize food #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster @cjoLCSW Yes, those distorted cognitions come into play even when pts are very close to [often self-imposed & unrealistic] “goal weights. I ask, “would your life or health be different in any way if you lost 5 lbs, & is it worth the frustration of battling your body to get there?” #obsm |
#obsm content from Twitter.