Dr Medlin goes to ObesityWeek2017

by reeger on December 4, 2017


In this latest episode we have a special guest-host, Dr Walter Medlin. Dr Medlin takes us along with him has a experiences ObesityWeek2017. ObesityWeek is an annual conference hosted by the American Society for Metabolic and Bariatric Surgery (ASMBS) and The Obesity Society (TOS).  If you are not familiar with Dr Medlin, he is a bariatric surgeon in practice in Salt Lake City, Utah. Additionally, he is a bariatric surgery patient, having had sleeve gastrectomy. From this dual vantage point he has interesting perspectives and knowledge to share.

Reeger’s Preamble: Dr Medlin and I will co-host a Q&A podcast in the near future. Email your questions to me at reeger@weightlosssurgerypodcast.com. Sorry this episode is late- I have been very busy. Thank you to my new patrons at Patreon!!

Dr Medlin discusses in this episode:

  • If you should and how you might to talk to people you do not know about their obesity.
  • The importance of self-care, even, or especially when you are really busy.
  • ASMBS committees Dr Medlin is involved with.
  • Challenges to get new information out in the world using social media and why many practices are reluctant to do so.
  • The importance of delivering value in medicine.
  • The truth that even though surgeons can seem stuffy or intimidating, really they are genuine in their desire to make the world a better place.
  • The future of mathematical modeling to help make predictions of outcomes and response to surgery.
  • The ongoing role of expectation management.
  • Fear of Missing Out (FOMO) and how conferences can sometimes feel like being back in high school and trying to figure out where you fit in.
  • Dr Manoel Galvao Neto – the “everywhere guy” for all things endoscopy-related for the treatment of obesity.
  • Dr Medlin shares a story caused by eating too much meatloaf.
  • The importance of sometimes letting experiences come to you rather than feeling like you have to always chase them down. But at the same time, be willing to take risks and step out of your comfort zone.
  • The future of bariatric surgery might not include as many Roux-en-Y gastric bypasses.
  • The future will include more sleeve gastrectomies.
  • Duodenal Switch has become a much safer operation than in the past and we will probably be seeing it used more in the future.
  • The change in language from “failure” to “non-responders” or “regainers” speaks to the important evolution of both patient-centered care and our understanding of obesity as a complicated, chronic disease.
  • Medicine should move slow in a careful way, but not slow in a “reluctant to change” way.
  • The frustration surgeons feel regarding insurance companies role in dictating what can be offered to patients.
  • A new therapy to help treat sleeve gastrectomy leaks: Endoluminal Vacuum Therapy.
  • The growing trend of looking at second-line therapies, which may or may not include surgery, in recognition that obesity is a complicated chronic disease and that one surgery might not be the only treatment a person needs.
  • Dr Medlin’s analogy between car engines and trying to understand what causes of obesity.
  • The predicted role of Loop Duodenal Switch in the future for sleeve gastrectomy non-responders or regainers.
  • In the era of patient-centered care, we don’t define what a patient needs. We define what is reasonable to offer.
  • Reeger’s concluding thoughts.

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