This episode discusses high-risk patients with advanced co-morbid conditions of obesity, mechanism of action of medications recently coming to market for diabetes and weight loss, and a discussion of obesity as a chronic disease.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Ragui Sadek MD FACS

Chief of Bariatric Surgery service line RWJ Barnabas Healthcare System

Somerset, NJ

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...

This episode engages an endocrinologist, often an important part of an obese patient's regimen of care, and delves into medical management of obesity and comorbid conditions not addressed by weight loss surgery alone.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Daniel N. Berger MD

Department Head Endocrinology

Sansum Clinic (Now part of Sutter Health)

Santa Barbara, CA

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...

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...

In a compelling discussion, Dr. Anthony Gonzalez, Chief of Surgery at Baptist Hospital and Medical Director of Bariatric Surgery at South Miami Hospital, shares insightsfrom his illustrious career and his dedication to advancing bariatric care. Dr. Gonzalez delves into the critical milestones post-surgery, the complexities of obesity as an addiction, and the promising future of robotic surgery.

Key Discussion Points:

• Significance of the Five-Year Post-Surgery Milestone: Dr. Gonzalez stresses the five-year mark as pivotal for long-term success, highlighting challenges between years two and four, advocating for sustained support.
• Understanding Obesity as an Addiction: Comparing obesity to other addictions, Dr. Gonzalez highlights the challenge of food as essential for survival, cautioning against extreme dietary restrictions for sustainable habits.
• Innovations in Bariatric Surgery: Excitement over GLP-1 agonists and robotic advancements, noting benefits like improved outcomes and cost-effectiveness, sharing his journey into robotic surgery.
• Interdisciplinary Collaboration for Better Outcomes: Primary care, endocrinologists, orthopedists, and cardiologists play roles in recognizing obesity, with bariatric surgery offering health improvements beyond weight loss.
• Future of Patient Monitoring and Technological Integration: Vision for continuous, remote monitoring through advanced tech, exploring AI's potential in enhancing surgical practices and decision-making.
• Finding Qualified Bariatric Surgeons: Encouraging ASMBS website use, stressing education and acceptance among healthcare providers and patients for better outcomes.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Anthony Gonzalez, MD

Baptist Health Medical Group

Miami, FL

Learn more about Reset Diabesity

https://cine-med.com/diabesity-education

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...

Join us as we delve into an enlightening conversation with Dr. Anthony Gonzalez, the esteemed Chief of Surgery at Baptist Hospital and Medical Director of Bariatric Surgery at South Miami Hospital. With a remarkable career spanning general and bariatric surgery, Dr. Gonzalez offers a deep insight into the evolution of surgical techniques, and the holistic approach required for better patient outcomes.

Key Discussion Points:

• Obesity Epidemic and Contributing Factors: Examination reveals various causes like lifestyle, diet, socioeconomics, and environment, advocating for a comprehensive approach.
• Patient Journey and Preparation: Patients undergo years of consideration, seminars, and rigorous prep, emphasizing the importance of preoperative measures for better outcomes.
• Insurance Challenges: Variability in coverage and financial hurdles often deter surgery, reflecting insurers' short-term focus over long-term savings.
• Patient Outcomes and Surgical Procedures: Modern techniques like sleeve gastrectomy show lower failure rates, considering factors such as BMI and comorbidities in procedure choice.
• Mental Health and Behavioral Support: Mental evaluations pre/post-surgery are vital, while family support ensures compliance and success.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Anthony Gonzalez, MD

Baptist Health Medical Group

Miami, FL

Learn more about Reset Diabesity

https://cine-med.com/diabesity-education

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...

We get Dr. Roslin’s thoughts on ongoing obesity patient issues, pediatric obesity, post-surgery success factors, socio-cultural issues, economic and environmental issues, and ideas to help Primary Care Providers refer and manage obese patients.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Mitchell Roslin, MD, FACS

Chief of Bariatric Surgery

Lenox Hill Hospital

New York, NY

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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,...

We discuss the state of underlying mechanisms of obesity, the US and global obesity epidemic, and a variety of treatments available for managing metabolic disease.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Mitchell Roslin, MD, FACS

Chief of Bariatric Surgery

Lenox Hill Hospital

New York, NY

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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...

We will get Dr. Mattar’s thoughts on ongoing obesity patient issues, socio-cultural issues, economic and environmental issues, and ideas to help Primary Care Providers refer and manage obese patients.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Samer Gamil Mattar, MD, FACS

Professor and Chief, Division of Metabolic and Bariatric Surgery

Baylor College of Medicine

Houston, TX

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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,...