Management of Patient Co-morbidities and Obesity

Reset Diabesity

In this broad ranging episode we discuss with Dr. Michel Murr the many co-morbidities associated with obesity, the impact of obesity on orthopedic conditions and the multidisciplinary approach to helping patients manage morbid obesity.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Michel M Murr, MD, FACS

Medical Director, WFD Digestive Health Institute

Medical Director, WFD Bariatric & Metabolic Institute

Professor of Surgery, University of Central Florida

Tampa, FL

Useful resources

ASMBS

https://asmbs.org/search/

The Obesity Society

https://www.obesity.org/

American College of Surgeons

https://www.facs.org/

Obesity Medicine Association

https://obesitymedicine.org/

American Board of Obesity Medicine

https://www.abom.org/

About Rob Johnston

Dr. Rob Johnston is a computational social scientist and applied ethnographer specializing in technology and political-national security. Rob is the Chief Scientist at Johnston Analytics, Inc., a data science, machine learning, and national security consultancy. He is a Distinguished Visiting Scholar in the School for Public and International Affairs at North Carolina State University. Rob is also a Research Scholar at the Laboratory for Analytic Sciences (a National Security Agency partner Laboratory) at North Carolina State University focused on the intersection of Artificial Intelligence, Machine Learning, and Social Science.

Prior to this Rob was the Deputy Chief of Globalization and Workforce Modernization at the Central Intelligence Agency supervising over hundreds of staff and contractors, he served as Program Manager for Business and Workforce Modernization, he was the founder and first Chief of the Lessons Learned Program at CIA, was the Director of the Lessons Learned Program at the Office of the Director of National Intelligence, and was a research scientist in the Center for the Study of Intelligence and the Office of the Chief Scientist at CIA.

Rob is a former Associate of the National Intelligence Council for both Warning and Transnational Threats. He served as a team lead and member of several global crisis task forces that monitored, prepared, and responded to emerging threats, forced migration, ethnic violence, and political crises. Rob is a former Visiting Scholar at the Sherman Kent Center, a CIA Postdoctoral Research Fellow, the author of “Analytic Culture in the US Intelligence Community: An Ethnographic Study” published by CIA and producer of the award-winning Intelligence Community 2011 Best Documentary “Extraordinary Fidelity.”

Rob was a research analyst at the Institute for Defense Analyses where he conducted research for the White House Office of Science and Technology Policy, the Department of Defense, and the Intelligence Community. He has worked on science and technology policy with the JASONS, the Intelligence Science Board, and the Defense Science Board. Rob served at NASA during graduate school where he conducted research for the Virtual Environment Research Institute at the Johnson Space Center to support the Space Flight Training Division for manned missions: STS-82 Hubble Space Telescope Servicing, STS-88 International Space Station Assembly, STS-96 International Space Station Supply, and STS-103 Hubble Space Telescope Servicing.

Rob is a former Fellow of the Royal Anthropological Institute, the Society for Applied Anthropology, and the Inter-University Seminar on Armed Forces and Society. He has been a Lecturer at Yale University, an adjunct instructor at the University of California San Francisco, and the Baylor College of Medicine. Rob has conducted fieldwork in North and Central America, China, Europe, Eurasia, the Caucasus, East and South Asia, Africa, and the Middle East. He has published over 50 articles, book chapters, and books, and has been a guest speaker at over 200 national and international conferences and events.

About Dr. Murr

Michel Murr, MD is certified by the American Board of Surgery and specializes in bariatric surgery. For over 30 years, he has been dedicated to helping individuals regain their health by providing cutting edge treatment in a caring and nurturing environment. Through a comprehensive, interdisciplinary approach, Dr. Murr and his team focus on the whole health of each person and apply a customized approach for improved well-being.

As a pioneer of bariatric surgery, Dr. Murr has served in leadership roles in many national scientific organizations. He maintains an active role in education and research. Founder of the American Society for Metabolic and Bariatric Surgery (ASMBS) Florida State Chapter, Dr. Murr has been instrumental in working with Florida Legislature, encouraging insurance companies and employers to support comprehensive obesity management.

Voted by his peers as the Top Bariatric Surgeon in Tampa, Dr. Murr is embedded in the community and has lived in Tampa for the last 20 years.

Hardware / Software Requirements

•An internet connection speed of at least 4Mbps and a modern browser

•Modern browsers have a built in PDF reader which would be necessary for you to view your completion certificates.

Release Date: 7/15/24

Expiration Date: 7/15/27

Target Audience

This activity is designed for internal medicine physicians and supporting staff who treat patients with obesity and associated co-morbid conditions.

Learning Objectives

At the completion of this activity, learners should be able to:

• Recognize patient risk factors for negative outcomes associated with obesity.
• Identify treatment options for obesity, including but not limited to medications, dietary changes, exercise and surgery.
• Describe the team approach to managing patients with obesity.
• Discuss dietary and exercise changes that can be beneficial to patients with obesity.
• Identify indications and contraindications for bariatric surgery for the treatment of obesity.
• Discuss relationship between weight loss and orthopedic patients.

Activity Goal

This activity is designed to address the following core and team competencies:

Patient Care, Medical Knowledge, Professionalism, Employ evidence-based practice, Value & Ethics, Team & Teamwork, Interprofessional Collaboration, and Interprofessional Communication.

Non-Endorsement

The accredited provider verifies that sound education principles have been demonstrated in the development of this educational offering as evidenced by the review of its objectives, teaching plan, faculty, and activity evaluation process. The accredited provider does not endorse or support the actual opinions or material content as presented by the speaker(s) and/or sponsoring organization.

Disclosures

The accredited provider adheres to accreditation requirements regarding industry support of continuing medical education.

Disclosure of the planning committee and faculty's commercial relationships will be made known at the activity. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations. - All employees in control of content have no relevant financial relationships to disclose.

All relevant financial relationships have been mitigated.

Michel Murr, MD has no relevant financial relationships to disclose.

Accreditation

In support of improving patient care, Cine-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Cine-Med designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses / Physician Assistants

All other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for activities designated for AMA PRA Category 1 Credits™, consult your professional licensing board(s).

Other Healthcare Professionals

All other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for activities designated for AMA PRA Category 1 Credits™, consult your professional licensing board.

Certificates: To claim your CME/CE credits, complete the online Credit and Evaluation form using the following URL: https://cine-med.com/certificate.php?id=553

This is a one-time credit submission. Credits should be tracked at the completion of the activity. Participants will be able to download or print a certificate once the form has been submitted.

American Board of Surgery (ABS) Reporting: Successful completion of this CME activity enables the learner to earn credit toward the CME requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. Claimed credits will be reported to the ABS one-time, in December of the calendar year.

Support

This activity is being supported by an unrestricted educational grant from Medtronic.

Selected References

Gonzalez, Rodrigo, Michael G. Sarr, C. Daniel Smith, Mercedeh Baghai, Michael Kendrick, Samuel Szomstein, Raul Rosenthal, and Michel M. Murr. "Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity." Journal of the American College of Surgeons 204, no. 1 (2007): 47-55.

DeMaria, Eric J., Michel Murr, T. Karl Byrne, Robin Blackstone, John P. Grant, Amanda Budak, and Luke Wolfe. "Validation of the obesity surgery mortality risk score in a multicenter study proves it stratifies mortality risk in patients undergoing gastric bypass for morbid obesity." Annals of surgery 246, no. 4 (2007): 578-584.

Balsiger, Bruno M., Michel M. Murr, Juan Lucas Poggio, and Michael G. Sarr. "Bariatric surgery: surgery for weight control in patients with morbid obesity." Medical Clinics of North America 84, no. 2 (2000): 477-489.

Fakhry, Tannous K., Rahul Mhaskar, Theresa Schwitalla, Elnara Muradova, John Paul Gonzalvo, and Michel M. Murr. "Bariatric surgery improves nonalcoholic fatty liver disease: a contemporary systematic review and meta-analysis." Surgery for Obesity and Related Diseases 15, no. 3 (2019): 502-511.

Haines, Krista L., Lana G. Nelson, Rodrigo Gonzalez, Tracy Torrella, Taylor Martin, Ali Kandil, Robert Dragotti, William M. Anderson, Scott F. Gallagher, and Michel M. Murr. "Objective evidence that bariatric surgery improves obesity-related obstructive sleep apnea." Surgery 141, no. 3 (2007): 354-358.

Kaly, Perry, Susan Orellana, Tracy Torrella, Curtis Takagishi, Lisa Saff-Koche, and Michel M. Murr. "Unrealistic weight loss expectations in candidates for bariatric surgery." Surgery for Obesity and Related Diseases 4, no. 1 (2008): 6-10.

Rasheid, Sowsan, Magdalena Banasiak, Scott F. Gallagher, Anna Lipska, Shadi Kaba, Daniel Ventimiglia, W. McDowell Anderson, and Michel M. Murr. "Gastric bypass is an effective treatment for obstructive sleep apnea in patients with clinically significant obesity." Obesity surgery 13, no. 1 (2003): 58-61.

Nelson, Lana G., Rodrigo Gonzalez, Krista Haines, Scott F. Gallagher, and Michel M. Murr. "Amelioration of gastroesophageal reflux symptoms following Roux-en-Y gastric bypass for clinically significant obesity." The American Surgeon 71, no. 11 (2005): 950-954.

Taitano, Andrew A., Michael Markow, Jon E. Finan, Donald E. Wheeler, John Paul Gonzalvo, and Michel M. Murr. "Bariatric surgery improves histological features of nonalcoholic fatty liver disease and liver fibrosis." Journal of Gastrointestinal Surgery 19 (2015): 429-437.

Gonzalez, Rodrigo, Lana G. Nelson, Scott F. Gallagher, and Michel M. Murr. "Anastomotic leaks after laparoscopic gastric bypass." Obesity surgery 14, no. 10 (2004): 1299.

Shalhub, Sherene, Anna Parsee, Scott F. Gallagher, Krista L. Haines, Chris Willkomm, Stephen G. Brantley, Haim Pinkas, Lisa Saff-Koche, and Michel M. Murr. "The importance of routine liver biopsy in diagnosing nonalcoholic steatohepatitis in bariatric patients." Obesity Surgery 14, no. 1 (2004): 54-59.

Al-Bahri, Shadi, Tannous K. Fakhry, John Paul Gonzalvo, and Michel M. Murr. "Bariatric surgery as a bridge to renal transplantation in patients with end-stage renal disease." Obesity surgery 27 (2017): 2951-2955.