Neil Floch MD @NeilFlochMD
Associate Professor @Yalemed #Obesity #SoMe Editor @soard_journal / bariatric surgery @MayoClinic trained - Tweets are my views and not my employer @yalesurgery drneilfloch.com Connecticut Joined October 2013-
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Typical American insurance behavior: Insurance says MRI billed rate is $1500 Insurance allows $750 (says discount of $750) Deductible $2500 so pt pays full $750 But cash pay MRI is $500 at same facility. How is discount rate $250 more expensive than cash pay? 🤔
Ever wonder why your insurer charges a copay for statins (and other high-value meds)? Don’t they want to prevent heart attacks, strokes, etc? Copays never made sense to me. In this new paper in @QJEHarvard, we show copays kill. 🧵 tinyurl.com/nhk4v93f
Effect of Isocaloric, Time-Restricted Eating on Body Weight in Adults With Obesity: A Randomized Controlled Trial: Annals of Internal Medicine acpjournals.org/doi/10.7326/M2…
Today we learned...that our gut has a mind of its own and that progress in treating #obesity can come from messing with our mind – in our gut. HT: @seeleyrj conscienhealth.org/2024/05/messin…
The ACA was instrumental in expanding Medicaid to the uninsured and lower middle class. The health exchanges did not provide an opportunity to the middle class and the expense of healthcare to the middle class climbed. The deal created by President Obama to pass the ACA afforded…
The ACA was instrumental in expanding Medicaid to the uninsured and lower middle class. The health exchanges did not provide an opportunity to the middle class and the expense of healthcare to the middle class climbed. The deal created by President Obama to pass the ACA afforded…
Vertical Healthcare Systems are NOT monopolies by definition but they essentially break all the Stark Laws that were created against physicians to prevent them from having such business advantages. Medical Insurance created a system of businesses that self-refer for profit 3/
Listen to this exchange between Sen Warren and Andrew Witty, CEO of United. He states that the 90,000 employed (or “controlled”) doctors “choose to work with us” implying they have a choice. That’s an incredible manipulation of facts. 1) In order to meet the IRS definition of…
Listen to this exchange between Sen Warren and Andrew Witty, CEO of United. He states that the 90,000 employed (or “controlled”) doctors “choose to work with us” implying they have a choice. That’s an incredible manipulation of facts. 1) In order to meet the IRS definition of…
It took this great post to allow me to see how frickin' cool it is that surgery and medicine intertwine to foster understanding and innovation to manage obesity. 💪🔥 @arghavan_salles @NeilFlochMD @ZaherToumi Messing with Your Mind – in Your Gut - ConscienHealth…
New insight into the importance of the hypothalamus of the brain and its role in common childhood #obesity. CHoP researchers identify a causal genetic variant strongly associated with childhood obesity - HT @NeilFlochMD @mnt cell.com/cell-genomics/…
@realdocspeaks @etasjim Absolutely. I am just old enough to remember the tail end of the “before times” prior to EHR. It was sold to us that EHR was going to benefit us, be more efficient, take less time and allow more time with actual patient care. The opp has been true, by a large multiple.
The Necessary Scale for Obesity Care and Population Health - @ConscienHealth conscienhealth.org/2024/05/the-ne…
Obesity is a complex chronic disease state that impacts over 42% of Americans and requires access to comprehensive care options. We demand @WhiteHouse recognize its authority to provide coverage of a variety of treatment options for obesity. Learn more: bit.ly/4aoQRci
Sweedish Obesity Subject Study SOS @Ifsoec in Vienna Metabolic/Bariatric surgery prevents cancer especially in patients with type II Diabetes, Hyperinsulinemia & mutations predisposing to cancer, leads to durable weight loss, lowering cardiac events & obesity complications
“The goal of #obesity treatment is NOT to lose #weight. It’s to decrease the defended fat mass ‘set point’” @AniaJastreboff #CCOM2024
On Ozempic: “My professional opinion is that the potential benefits in a medically eligible patient greatly outweigh the potential risks, and so it’s been a really positive change,” said Aaron Kelly. Read about UMN researchers' take on weight loss drugs: bit.ly/3Woavko.
The effects of dietary macronutrient composition on resting energy expenditure following active weight loss: A systematic review and meta‐analysis - Ho - Obesity Reviews - Wiley Online Library onlinelibrary.wiley.com/doi/10.1111/ob…
A sum greater than its parts: Time-restricted eating and high-intensity exercise work together to improve health medicalxpress.com/news/2024-05-s…
Researchers identify causal genetic variant linked to common childhood obesity medicalxpress.com/news/2024-05-c…
So, you've lost weight using Wegovy. Does that mean you can stop taking it? medicalxpress.com/news/2024-05-y…
Steven D Wexner MD, P.. @SWexner
38K Followers 2K Following Leadership: Academic Surgery @CleveClinicFL; @ASCRS_1; @SAGES_Updates; EIC @SurgJournal; @AmColSurgCancer; @AmCollSurgeons; Video Host: https://t.co/10bRowQ24LSAGES is in Long Beac.. @SAGES_Updates
42K Followers 2K Following Society American Gastrointestinal and Endoscopic Surgeons. Leading minimally invasive surgical society. Likes and RTs are amplification, not endorsement.MISIRG @MISIRG1
21K Followers 471 Following Minimally Invasive Surgery Independent Research Group #MISIRGlobalSurgeryMichael "Mike" Albert.. @MichaelAlbertMD
12K Followers 1K Following Co-Founder, Chief Medical Officer @accomplishhlth | Obesity & Cardiometabolic Medicine | Clinical Incretinology | Healthcare FuturistEASO @EASOobesity
18K Followers 3K Following The European Association for the Study of Obesity represents 36 European nations dedicated to understanding and addressing obesity to improve public health.Omar M Ghanem @OMGhanemMD
7K Followers 1K Following Division Chair, Metabolic & Abdominal Wall Reconstructive Surgery l Associate Professor @Mayoclinic I Interested in research & innovation I Views my ownSyed A. Ahmad @SyedAAhmad5
11K Followers 697 Following Director University of Cincinnati Cancer Center, Chief Surgical Oncology University of Cincinnati, All things Duke Basketball. Tweets and retweets are my own.Ted Kyle @ConscienHealth
11K Followers 6K Following Noted advocate for more rational health and obesity policies. Advisor to the Obesity Society and past Chair of the Obesity Action Coalition.Scott Isaacs @scottisaacsmd
13K Followers 2K Following President-Elect @theaace, endocrinologist, obesity medicine, #MASLD, Emory Med School adjunct faculty. Posts are my own.BehindTheKnife @BehindTheKnife
32K Followers 1K Following Behind the Knife is a comprehensive surgery education platform for healthcare providers at all stages of their training & career. For educational purposes onlyBJS @BJSurgery
47K Followers 8K Following BJS (formerly the British Journal of Surgery) is the premier peer-reviewed surgical journal in Europe, with an Impact Factor of 9.6. #LeadingSurgicalEducationEric Knauer @EricKnauerMD
5K Followers 527 Following Assistant Professor of Surgery-Emory University. General Surgeon, educator. My tweets are my own. How I do anything is how I do everything. PGY25+ @emorysurgeryDCRjournal @DCRjournal
16K Followers 661 Following Diseases of the Colon & Rectum is the world's leading publication in colorectal surgery, ranking in top 17% of all peer-reviewed surgery journals. #DCRJournalVahagn C. Nikolian, M.. @VNikolian
6K Followers 2K Following Assistant Professor @OHSUSurgery Hernia & Abdominal Wall Center. #HerniaRounds All medical content with patient consent.Beverly G. Tchang, MD @BevTchangMD
5K Followers 2K Following #Endocrinologist. Passionate about #obesity as a medical disease and a social misunderstanding. Tweets are my own. | #health #medtwitter #weightloss #medicine |Elliott R Haut, MD, P.. @elliotthaut
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15K Followers 3K Following Chief of Surgery, University of Chicago. Posts are my own and do not reflect or represent UChicago. #Surgery #vinylrecords #puppies #DocsWhoRock #DocsWhoReadColorectal Disease @ColorectalDis
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671 Followers 4K FollowingHarry J. Wong MD MS @HWongMD
48 Followers 116 Following MIS and Bariatric Surgeon in Southern California | Cedars-Sinai | University of ChicagoAlice Monroe @alicemoroe
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40 Followers 61 Following Medica Egresada en la Universidad de Buenos Aires. Especialista en Clínica Medica y Nutrición. Obesidad y enf. asociadas Cirugia Bariatrica- MetabólicaElon musk @EMusk51664
115 Followers 3K Following Entrepreneur🚀| Space X • CEO & CTO 🚀| TESLA • CEO and product Architect 📐| Hyperloop • Founder 💡| OpenAI • Co-Founderelon musk private acc.. @MuskElon16229
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4 Followers 317 FollowingBringing You The Mast.. @bringingyouthem
10 Followers 73 Following At Bringing You The Masters, we are passionate about advancing the field of surgery through world-class education and training.lilly55234 @lilly55234475
158 Followers 3K Following Dedicated to fostering meaningful connections. Join us in enhancing your social strategy! Proficient in creating compelling and engaging content🚀🪐Khaled Elsayes @ElsayesKhaled
7K Followers 1K Following Khaled Elsayes Professor of Diagnostic Radiology, the University of Texas MD Anderson Cancer Center (Tweets are my own).nippun @drnippun
296 Followers 2K Following laparoscopic surgeon, dancer, physical trainer, counsellor, aspiring model, humanitarian, marathon runner....Steven D Wexner MD, P.. @SWexner
38K Followers 2K Following Leadership: Academic Surgery @CleveClinicFL; @ASCRS_1; @SAGES_Updates; EIC @SurgJournal; @AmColSurgCancer; @AmCollSurgeons; Video Host: https://t.co/10bRowQ24LSAGES is in Long Beac.. @SAGES_Updates
42K Followers 2K Following Society American Gastrointestinal and Endoscopic Surgeons. Leading minimally invasive surgical society. Likes and RTs are amplification, not endorsement.MISIRG @MISIRG1
21K Followers 471 Following Minimally Invasive Surgery Independent Research Group #MISIRGlobalSurgeryMichael "Mike" Albert.. @MichaelAlbertMD
12K Followers 1K Following Co-Founder, Chief Medical Officer @accomplishhlth | Obesity & Cardiometabolic Medicine | Clinical Incretinology | Healthcare FuturistEASO @EASOobesity
18K Followers 3K Following The European Association for the Study of Obesity represents 36 European nations dedicated to understanding and addressing obesity to improve public health.Omar M Ghanem @OMGhanemMD
7K Followers 1K Following Division Chair, Metabolic & Abdominal Wall Reconstructive Surgery l Associate Professor @Mayoclinic I Interested in research & innovation I Views my ownSyed A. Ahmad @SyedAAhmad5
11K Followers 697 Following Director University of Cincinnati Cancer Center, Chief Surgical Oncology University of Cincinnati, All things Duke Basketball. Tweets and retweets are my own.Ted Kyle @ConscienHealth
11K Followers 6K Following Noted advocate for more rational health and obesity policies. Advisor to the Obesity Society and past Chair of the Obesity Action Coalition.Scott Isaacs @scottisaacsmd
13K Followers 2K Following President-Elect @theaace, endocrinologist, obesity medicine, #MASLD, Emory Med School adjunct faculty. Posts are my own.BehindTheKnife @BehindTheKnife
32K Followers 1K Following Behind the Knife is a comprehensive surgery education platform for healthcare providers at all stages of their training & career. For educational purposes onlyBJS @BJSurgery
47K Followers 8K Following BJS (formerly the British Journal of Surgery) is the premier peer-reviewed surgical journal in Europe, with an Impact Factor of 9.6. #LeadingSurgicalEducationDr Luis Felipe Cabrer.. @PipeCabreraV
16K Followers 2 Following Vascular Surgeon @FSFB_Salud @futuroscirascol Prd @UniJaveriana @U_ElBosque Prof Ass Edit @SurgJournal @AmJSurgery @Cirbosque @MISIRG1 @Grincircar @AISChannelEric Knauer @EricKnauerMD
5K Followers 527 Following Assistant Professor of Surgery-Emory University. General Surgeon, educator. My tweets are my own. How I do anything is how I do everything. PGY25+ @emorysurgeryDCRjournal @DCRjournal
16K Followers 661 Following Diseases of the Colon & Rectum is the world's leading publication in colorectal surgery, ranking in top 17% of all peer-reviewed surgery journals. #DCRJournalVahagn C. Nikolian, M.. @VNikolian
6K Followers 2K Following Assistant Professor @OHSUSurgery Hernia & Abdominal Wall Center. #HerniaRounds All medical content with patient consent.Beverly G. Tchang, MD @BevTchangMD
5K Followers 2K Following #Endocrinologist. Passionate about #obesity as a medical disease and a social misunderstanding. Tweets are my own. | #health #medtwitter #weightloss #medicine |Elliott R Haut, MD, P.. @elliotthaut
20K Followers 2K Following Trauma Surgeon, Quality/Safety @HopkinsSurgery @HopkinsMedicine, Research @JohnsHopkinsSPH, @EAST_TRAUMA Past-Prez, @NatTrauma @StopTheClot @TSACO_AAST EditorKevin Hall @KevinH_PhD
32K Followers 756 Following Nutrition & metabolism scientist. Brady & Cameron’s dad. Tweets are my personal views.Jeff Matthews MD @JBMatthews
15K Followers 3K Following Chief of Surgery, University of Chicago. Posts are my own and do not reflect or represent UChicago. #Surgery #vinylrecords #puppies #DocsWhoRock #DocsWhoReadMadelaine Feldman @MattieRheumMD
3K Followers 2K Following All opinions are my own and do not reflect those of CSRO-Rheumatologist, Lecture on PBMs, & their part in drug access & pricing-Passion still ahead of cynicismSolome Tibebu @SolomeTibebu
5K Followers 1K Following Behavioral health strategist passionate about innovation, tech & health equity. Founder & Host of @GoingDigitalBHT, join us at #BHT2024Mark Miller @MarkMiller_DC
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2K Followers 823 Following Epidemiologist-Lawyer; Assistant Professor of Medicine, Brigham and Women's Hospital/Harvard Medical School; JD-MPH Director, Harvard School of Public HealthBob Herman @bobjherman
21K Followers 4K Following Health care business reporter for @statnews and its Health Care Inc. newsletter. Contact: [email protected] or DM.McBilly Sy @McBilly
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152K Followers 1K Following @WashingtonPost reporter who investigates policy, politics and public health. I always have time for a daylight saving story. Find me on Threads: ddiamond_dcDr. Justin Cikomola @CCikomola
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388 Followers 442 Following Clinical Asst Prof at Dept of Med, University of Hong Kong @hkumed | Endocrinologist at Queen Mary Hospital 🇭🇰 | Interests in #osteoporosis #lipid & #diabetesKimberly DelBianco @MissDelBianco
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369 Followers 590 Following @CMRSurgical U.K. company, manufacturer of Versius Surgical Robotic Systems in Cambridge and exported to countries around the globe!Prof. Prokar Dasgupta.. @prokarurol
7K Followers 746 Following King’s Health Partners Professor of Surgery. Prostate diseases. Robotic radical prostatectomy. AI. 10th Editor in Chief BJUI. Padma Shri awardee. RT#endorsementFeras Al Jaafari @ferasjaafari
3K Followers 580 Following Consultant Urologist|NHS Fife| Univ. of StAndrews|21st century lithotomist|Jedi Surgeon| MedEd|ScotGEM| Honorary Physician| Karateka 🥋🏌️♂️Abdullah Erdem Canda @erdemcanda
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1K Followers 634 Following Professor of Urological Oncology @UofGlasgow @CRUK_SI Urological & Robotic Surgeon @NHSGGCRami Issa @Issarami
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2K Followers 1K Following Professor and Chair of Robotic Surgery @UniofHerts /Consultant Urological + Robotic Surgeon &AMD-Cancer @enherts /Section Editor-Gary’s Surgical Anatomy🇬🇧🇮🇳Society of Robotic Su.. @socroboticsurg
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3K Followers 518 Following Professor of Surgery at NewYork Presbyterian Columbia University Medical Center. Specializes in valve surgery and robotic mitral valve repairPauli Ohukainen, PhD .. @POhukainen
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487 Followers 888 Following Final Year PhD Candidate in Nutrition, Health & Exercise Sciences. Views my own. @SHEResearch_TUS 🔗https://t.co/5u77BtGng2Robert M Anthony @RobertMAnthony1
157K Followers 148K Following Friend, father, entrepreneur, founder, business strategist, lifestyle expert, creator and bon vivantMCW Pediatric Surgery @MCWPedSurg
1K Followers 400 Following Pediatric surgery at @MCWSurgery and @childrenswi. Outstanding research, education, and surgical care for the children of Wisconsin and beyond.Debra Ford @DHFord1986
942 Followers 647 Following Wife, Mother, Grandmother, medical/surgical educator, Academic Dean, Simulationist and Colorectal Surgeon. DST, Howard AlumKathie Joseph, MD, MP.. @Kathie_JosephMD
849 Followers 1K Following Vice Chair for Diversity and Health Equity, Prof Surgery and Pop Health, NYU Langone Health, Breast Surgeon, from Brooklyn, tennis fan, and AKA 💕💚💕 🇯🇲 🇺🇸Typical American insurance behavior: Insurance says MRI billed rate is $1500 Insurance allows $750 (says discount of $750) Deductible $2500 so pt pays full $750 But cash pay MRI is $500 at same facility. How is discount rate $250 more expensive than cash pay? 🤔
MASLD/MASH x Weight/Lifestyle ▪️Wt loss improves hepatic steatosis, MASH, & hepatic fibrosis in a dose-dependent manner ▪️Coffee consumption of ≥ 3 cups / day is associated with less liver disease ▪️Improvements in hepatic steatosis are related to exercise dose and intensity
Longterm results of bariatric surgery will be presented at #EASLCongress 2024. @EASLnews @AlkhouriNaim @DrLoomba @ArunJSanyalVCU
Late-breaking abstract submission for #EASLCongress 2024 is OPEN! 🌟 Showcase your latest research and groundbreaking studies to global hepatology experts. Don't miss this chance to contribute to the scientific programme! Deadline: 10 April 2024 easlcongress.eu/2024-abstract-…
Ever wonder why your insurer charges a copay for statins (and other high-value meds)? Don’t they want to prevent heart attacks, strokes, etc? Copays never made sense to me. In this new paper in @QJEHarvard, we show copays kill. 🧵 tinyurl.com/nhk4v93f
Effect of Isocaloric, Time-Restricted Eating on Body Weight in Adults With Obesity: A Randomized Controlled Trial: Annals of Internal Medicine acpjournals.org/doi/10.7326/M2…
Today we learned...that our gut has a mind of its own and that progress in treating #obesity can come from messing with our mind – in our gut. HT: @seeleyrj conscienhealth.org/2024/05/messin…
👇🏽👇🏽👇🏽
The ACA was instrumental in expanding Medicaid to the uninsured and lower middle class. The health exchanges did not provide an opportunity to the middle class and the expense of healthcare to the middle class climbed. The deal created by President Obama to pass the ACA afforded…
@NeilFlochMD Thanks for sharing this explanation, Neil
Listen to this exchange between Sen Warren and Andrew Witty, CEO of United. He states that the 90,000 employed (or “controlled”) doctors “choose to work with us” implying they have a choice. That’s an incredible manipulation of facts. 1) In order to meet the IRS definition of…
I still can't get over this exchange between Elizabeth Warren and Andrew Witty. Semantics aside, UnitedHealth still has 90,000 physicians who have a financial incentive to work with, and look out for, UnitedHealth. That is no small thing.
It took this great post to allow me to see how frickin' cool it is that surgery and medicine intertwine to foster understanding and innovation to manage obesity. 💪🔥 @arghavan_salles @NeilFlochMD @ZaherToumi Messing with Your Mind – in Your Gut - ConscienHealth…
New insight into the importance of the hypothalamus of the brain and its role in common childhood #obesity. CHoP researchers identify a causal genetic variant strongly associated with childhood obesity - HT @NeilFlochMD @mnt cell.com/cell-genomics/…
@realdocspeaks @etasjim Absolutely. I am just old enough to remember the tail end of the “before times” prior to EHR. It was sold to us that EHR was going to benefit us, be more efficient, take less time and allow more time with actual patient care. The opp has been true, by a large multiple.
Obesity is a complex chronic disease state that impacts over 42% of Americans and requires access to comprehensive care options. We demand @WhiteHouse recognize its authority to provide coverage of a variety of treatment options for obesity. Learn more: bit.ly/4aoQRci
Sweedish Obesity Subject Study SOS @Ifsoec in Vienna Metabolic/Bariatric surgery prevents cancer especially in patients with type II Diabetes, Hyperinsulinemia & mutations predisposing to cancer, leads to durable weight loss, lowering cardiac events & obesity complications
“The goal of #obesity treatment is NOT to lose #weight. It’s to decrease the defended fat mass ‘set point’” @AniaJastreboff #CCOM2024
On Ozempic: “My professional opinion is that the potential benefits in a medically eligible patient greatly outweigh the potential risks, and so it’s been a really positive change,” said Aaron Kelly. Read about UMN researchers' take on weight loss drugs: bit.ly/3Woavko.
The most common answer I receive during new patient consultations: Q: Could you provide details of your discussion with your primary care physician (PCP) regarding your weight? A: They told me to cut out carbs. OR They told me to go low carb. Happens in >90% of new pt appts
🚨 1 in 5 adults worldwide are expected to have #obesity by 2025. 🆕 Our position paper with @worldheartfed summarises the relationship between obesity and cardiovascular disease (#CVD) mortality. 📝 Learn more: bit.ly/3THvOZa
Always love @ConscienHealth 's powerful insights into how #weightbias #weightstigma are affecting #health and #obesity care #CCOM2024 1/