First Sleeve Gastrectomy Operations at Billings Clinic!

Thanks so much to the dedicated OR and surgical floor teams that made yesterday's cases go so nicely! People are really pitching in to make things go smoothly - from the RN team lead who came in on her day off, to our Physician Assistant who stayed to back up Dr Murray, and did such a great job driving the laparoscope, to our great questions from nursing staff, and the equipment vendors who are making real cutting edge tools available to us here!

Thanks also to our patients for being extra patient with new processes and materials, and for giving us great feedback!

We have an information session tonight - always a treat!

Why not put in a picture just for fun - this will remind me to do more in the future.
Say Hi to my pill organizers!  One is for AM, the other for afternoon/evening.
I have been reading "The Power of Habit" and realize that a lot of our suggestions are to make easy to follow new habits...  This is the only way I can be even 80% compliant with meds/vitamins (and Devrom!)

Telemedicine - the future is here, Rules need to catch up!

Wow- I am at a great Eastern Montana Telemedicine Network annual Facilitator retreat.

Great talks so far from Jonathan Linkous, the CEO of American Telemedicine Association and Paula Guy RN CEO of Georgia Partnership for Telehealth - THANKS SO MUCH!


Brace yourself for a 4G revolution!

First Billings Clinic Gastric Bypass - thanks to TEAM!

I want to send a major note of gratitude to the many people who made today's case a success.

There have been so many dedicated workers giving their best to Metabolic Care - inpatient, outpatient, support services.  Many run-throughs, pathways, new materials, etc.

This is how great care is delivered - thank you all!  We are just getting started...

Thanks to Billings-Montana Dietetic Association, and Montana Osteopathic Medical Association!

We had the opportunity to present to both groups in the past week.   What a great time to meet providers in multiple areas of practice!

Metabolic Disease and Obesity touch so many - and it's just a pleasure to share care as a team.  Medicine is going through difficult but necessary changes as we meet the challenge of incredibly complex care, and learn to do it more efficiently and effectively.

My hope is that we will build tools that keep the patient in the Driver's Seat...  Expect a lot of bumps in the road as that happens, but stay engaged - it really makes a difference.