U.S. President Barack Obama (bottom) excuses himself at the end of a family photo to start an East Asia Summit (EAS) meeting in Kuala Lumpur, Malaysia November 22, 2015. Also pictured are Australian Prime Minister Malcolm Turnbull (top, L-R), Laos Prime Minister Thongsing Thammavong, Chinese Premier Li Keqiang, Malaysian Prime Minister Najib Razak and Sultan of Brunei Hassanal Bolkiah. REUTERS/Jonathan Ernst