Welcome to America – hospitals are having to increasingly deal with morbidly obese patients:

Today Henk helps Barnes-Jewish Hospital in St. Louis find better ways to deal with the growing number of very obese patients, an issue for many U.S. hospitals. Barnes-Jewish is replacing beds and wheelchairs with bigger models, widening doorways, buying larger CT scan machines, even replacing slippers and gowns.

Last year, patient care director Colleen Becker decided to check the numbers. She looked at a daily hospital census – about one-third of the 900 patients weighed 350 pounds or more.

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  • Anonymous

    I had to get rid of my regular hospital gowns and resort to a one-size-fits-all paper sheet when examining my patients.

  • Gasman

    And yet the media persists in perpetuating the ‘controversy’ as to whether obesity leads to health problems.

    Sure, our patient population in the St. Louis area is among the heaviest in the country, it is nowhere near as fat as the patients in the hospital. That the rate of morbid obesity is >50% within the hospital is telling us that these people do get sicker at far higher rates than their non-obese and less obese counterparts.

    At the attached children’s hospital it is relatively common to see 8 year olds who weigh more than I do, and teens over 300 pounds are a sadly common event.

  • Anonymous

    “I believe in dignity for whomever you are,” Henk said. “It can be scary, too. If people are trying to lift you up and somebody doesn’t have the strength, it’s very scary.”

    Not much dignity in being so damn fat really.

  • Anonymous

    I love a good challenge, like trying to do an LP with a foot long needle, or put in a central line in a 550 pounder while someone is jumping up and down on the chest doing CPR, or explaining to a 300# teenager why I won’t refill her vicodin for “foot pain”.

  • Anonymous

    I saw a Five year old tonight who weighed 150 Pounds. He’ll be diabetic by 13.

  • Anonymous

    Let me guess. The chief complaint was “vomiting (or vomiking), not keeping anything down”

    Particularly those of hispanic background feel compelled to bring their 40 pound one year old with rolls of fat into the ER after one episode of vomiting.

  • Anonymous

    These parents should be charged with child abuse.

  • Anonymous

    “These parents should be charged with child abuse.”

    Should. But all you would get is a nasty letter to hospital administration and be threatened with your job.

  • Anonymous

    Particularly those of hispanic background feel compelled to bring their 40 pound one year old with rolls of fat into the ER after one episode of vomiting.
    How do you get a 1-year old to be so fat? Don’t babies instinctively control how much the eat? Just curious because I’ve always thought babies stop eating when they are no longer hungry at least until they get to 3 or so… .
    I saw a really fat woman with 2 daughters on a cruise. The teenage daughter was very fat, but the little one was still slim. Not for long considering how much they ate – I couldn’t figure out how you can stuff that much into you, I felt nausea just looking at it.

  • Anonymous

    “How do you get a 1-year old to be so fat? Don’t babies instinctively control how much the eat? Just curious because I’ve always thought babies stop eating when they are no longer hungry at least until they get to 3 or so… . “

    They constantly shove a bottle in their mouth. If the poor little sucker takes in so much that he regurgitates some of it they think that is “vomiting” and rush him off to the emergency room.

    After they are eating table foods the parents constantly give them candy, donuts, chips, and soda. it is disgusting to see morbidly obese 3 and 4 year olds waddling around eating cheetohs.

  • Anonymous

    And with all the chubby vomiting kids (who are dragged to the ER in the middle of the night!) it’s no wonder docs can miss an intussusception. Please keep your fat babies at home, at least until the third episode of vomiting!

  • Anonymous

    o/~ Mommaaaaas don’t let your babies grow up to bve fatties…o/~

  • Anonymous

    Do you just make fun of fat children when they come to see you or do you try to educate their parents? Do you do the doctorly thing and advise them about HBP and diabetes or are you also happy that these children will get those things? Just like you wish all adults would fall off the face of the earth?

  • Anonymous

    Anon 4:54, these parents would have to live under a rock to not know they are endangering their kids’ health. They need to have their children taken away from them if they continue abusing them. I have a lot of sympathy for these kids, I have zero sympathy for these abusive parents.

  • Anonymous

    I saw a 293 pound 9 year old last week. I am completely serious. Chief complaint was abdominal pain and vomiting. Blood sugar was 280. Yes, now he is diabetic. The future of America is very fat and very sad.

    marathon doc

  • Anonymous

    Maybe us doctors should get paid by the pound.

  • Anonymous

    Clearly, physicians should only have to treat healthy people.

  • Anonymous

    I’m not a physician but I’m with them 100% on this issue. When I read these posts about a 5 year old who weighs 150 pounds, or a 9 year old who weighs 293 it makes me livid. I just want to punch their parents in the mouth. What people choose to do to themselves is their own business, but with children it’s different. Children do not purchase and prepare the food. It just makes me furious to see a parent put their child through that.

  • Anonymous

    “Clearly, physicians should only have to treat healthy people.”

    Clearly, patients should bear no responsibility for there health.

  • Anonymous

    Of course not and when a hypertensive, diabetic, smoker who is taking Vioxx has an MI whose fault is it. Certainly not the patient at all. It’s all Vioxx’s fault. The sad fact is the a jury of 12 moron’s has already fallen for that one.

  • Anonymous

    Just wanted to give you folks a heads-up. Apparently, this blog is being stalked by some “fat activists” (LOL) who, if you have personal information in your profile, are tracking down your place of employment to complain about your postings here.

  • Anonymous

    “That the rate of morbid obesity is >50% within the hospital is telling us that these people do get sicker at far higher rates than their non-obese and less obese counterparts.”

    Or perhaps is it that people who are very large tend to wait until they have no choice but to be seen. Having to be treated by people who have contempt for them would be a challenge.

    I don’t know if you guys are real doctors or just trolls. I sure hope the latter. The vicious comments I have read here are very enlightening.

  • Anonymous

    I am one of your fat patients. I endure glares and snotty treatment – from medical staff – because of it. The people who are supposed to be supportive of my efforts to lose weight and be healthier are ignoring that because all they see is an obese woman. I take responsibility for being fat. But don’t treat me like shit. Help me.

    Yes, it’s horribly sad that there are such obese children out there. Stop bitching about it and help them. Help their parents. Teach them about nutrition and health. Don’t just let them go because they’re just going to end up diabetic and dead at too early an age.

    If you don’t want to deal with fat patients, get out of the business. You’re there to help people.

  • Anonymous

    “Just wanted to give you folks a heads-up. Apparently, this blog is being stalked by some “fat activists” (LOL) who, if you have personal information in your profile, are tracking down your place of employment to complain about your postings here.”

    Yes, John C. Coupal, chairperson of the Radioactive Drug Research Committee at the University of Kentucky, we are. Watch your back. Seriously

  • VioletYoshi

    Hmm, I have a theory. Maybe obese patients get sicker than thin patients, because when a thin patient is sick a doctor treats it. When a obese patient is sick, the doctor blames it on their weight, tells them to diet, and then when inevitably the illness gets worse, then they take care of it.

    Not only are you size-biased, you also are racists. Who says that Hispanic parents are any worse parents than other parents. They bring their child into the ER, that must mean they care about their child right?

    I mean really, I’ve never seen such unethical doctors in one place. Maybe the owner of this blog should know that he’s hosting a blog for rogue doctors who like to come here and discuss how they like to treat fat patients like the Nazis treated the Jews.

    Oh and John C Coupal, I would suggest in the future if you want to state a message and still look like a professional, don’t post a message that looks like it was posted by a 13 year old blogger. “This blog is being stalked by fat activists (lol)” did you forget to throw in some OMGs too. Do you titter at your board meetings too like a little girl?

  • Kunoichi

    Maybe obese patients get sicker than thin patients, because when a thin patient is sick a doctor treats it. When a obese patient is sick, the doctor blames it on their weight, tells them to diet, and then when inevitably the illness gets worse, then they take care of it.

    A friend of mind had been told for years that she needed to loose weight. She was a very healthy eater and maintained above average activity levels, but still couldn’t loose the weight.

    Then they removed the football sized tumour in her stomach that no doctor “noticed” before.

    Go figure.

  • Anonymous

    I worked in the medical field for 6 years and showed the highest respect to ALL of my patients, including the fat ones.

    I am a fat woman. I weight 265 pounds and I’m covered in “blubber” that poor doctors have to shove their hands into in order to feel my organs or search for a baby. I hike 10 miles up mountains, ride horses, mountain bike and live on a farm. I worked six years as a firefighter/EMT and did a good job saving lives with these fat hands of mine many a time. These fat legs hauled many a 300 pound fire hose and this fat frame easly hauled 100 pounds of fire gear every time those fire alarms went off. My fat fingers insterted IVs and gently soothed a sobbing patient in the back of an ambulance. Never once did I laugh at a fat person or consider them, let alone treated them, sub human.

    I eat good healthy meals three times a day with normal portion sizes. I eat loads of veggies, willingly!, each day. I get moderate to really moderate (depending if the cows got loose…) exercise every single day. And guess what I weigh?

    I **STILL** weigh 265 lovely pounds of nice fat healthy active life-saving loving BLUBBER.

    And no thanks to any of you men and women who spend years learning how to take care of your fellow HUMAN BEINGS. I have been seriously neglected by all medical professionals that I have encountered because you are a bunch of racist and predjudiced ninnies who think that any fat person is fat because they sit around cramming junk food down their throats while perched on the sofa watching TV. Any on-going medical problems that I have had are not due to my size but due to the NEGLECT I have endured at the hands of people like you. For example: broken leg. Yep, broken but untreated because “the only reason your leg is hurting you is because you are fat.” Sinus infection. Yep, raging fever and INFECTION but no treatment because: “The only reason that you are sick is because you are fat.”

    Listen carefully “Doctors”, I’m going to share a bit of Firefighter Advice: “If you can’t stand the heat, get OUT of the fire!”

    If fat people are so disgusting and so deserving of your nasty unprofessional behavior AND NEGLECT then please leave the medical profession and go sell granola at some health-nut store where you can enjoy and endless stream of thin-only people with whom you can whine and rant about us evil Fat People.

    “Fat activists LOL”? You bet your skinny little butt I am a fat activist! I’m sick and tired of the rampant discrimination I must endure at the hands of predjudiced jerks like you. And all because you refuse to open your eyes and look beyond the fat.

    I bet every one of those cute and perfect fat kids is sick FOR SOME OTHER REASON that you refuse to acknowledge because all you can do is see the fat. “Child Abuse”??? Who are any of you to cry “child abuse” when you yourselves abuse children by putting them on starvation diets AND IGNORING all of the possible underlying causes for their health problems?? Dieting has a 90% failure rate causes all sorts of serious health and mental health effects on the very children you claim WE FAT PEOPLE are abusing! Get a grip on reality! If causing perfectly normal beautiful children to spend their entire childhoods hating themselves and feeling like crap and torturing themselves because YOU cannot accept them for who and what they are isn’t considered “child abuse” then I don’t know what is!!

    Do yourselves and all of the rest of us Fatsos a favor: read the freaking medical reports, the studies and the acctual tests done for fat its link to and disease and see what they REALLY say. For some of the most educated people on the earth you really are dumb when it comes to the truth about fat. Downright ignorant!! Stop blinding yourselves and acting like White Men did towards Black Men back in the 1950′s!

    You are nothing more then a bunch of children giggling and snorting at those who are different. GROW UP and quit punishing your patients because you need someone to help you to feel superior. “First, do no harm…”

  • Anonymous

    “Particularly those of hispanic background feel compelled to bring their 40 pound one year old with rolls of fat into the ER after one episode of vomiting.”

    You poor skinny white man. I feel ever so sorry for you because you have to put your racist hands on a fat hispanic kid who’s “vomiking.” It’s amazing to think you would charge the parents of fat kids with child abuse – but then turn around and whine because these same people, who are obviously very concerned about their child’s health, bring them to see you in the ER after **sniffle!** one episode of vomiting. This comment begs the question: what if the child was thin and white and his/her thin pretty white mom brought them in after one episode of vomiting. Would you feel like such a martyr then?

    “They constantly shove a bottle in their mouth…After they are eating table foods the parents constantly give them candy, donuts, chips, and soda…”

    “They” as in HISPANIC parents? Or just They [parents of fat kids]??? Let me ask you a very logical question here, Ye Gods of Medicine who think you know it all: Do you live with these fat kids? Are you in their houses on an hourly and daily basis? Do you acctually observe what goes into these kids mouths at meal times, or how often “They” shove a bottle into “the little suckers” mouths?? Or are you just a racist prejudice pig who thinks he/she knows all and sees all and can say with absolutely authority what exactly is going on in the homes of fat children? Fat HISPANIC children most of all?? I don’t think so. Please, spare us your omnipresent and omnipotent additudes. If you’re really any kind of medical professional you’d be out there trying to find the REAL cause of diabetes and heart disease, not playing God with fat folk.

    “Please keep your fat babies at home, at least until the third episode of vomiting!”

    Does this also aply to thin white babies?

    “these parents would have to live under a rock to not know they are endangering their kids’ health. They need to have their children taken away from them if they continue abusing them. I have a lot of sympathy for these kids, I have zero sympathy for these abusive parents.”

    And this kind of hatred for fat ISN’T abusive? Do you somehow honestly believe that subjecting said children to a LIFETIME of self-hatred and self-abuse (i.e. dieting) because you want them to believe they are BAD for being fat, isn’t abusive?? Do you think that making the Fat Kid in the family sit at the table eating carrot sticks and celery while his/her siblings dine of real food ISN’T abusive? Dieting has a 90% failure rate. Want to know why? BECAUSE MOST OF US ARE GENETICALLY FAT. We are made to be fat and nothing you or any other person does can make us be thin unless we are abused, or we abuse ourselves or we are physically mutilated!!

    Clearly the FAT is not the health problem here – the fat HATRED, the blatant racisim and the medical neglect is what is causing so much pain and suffering for fat people in this country. This entire situation sickens me.

  • Anonymous

    “That the rate of morbid obesity is >50% within the hospital is telling us that these people do get sicker at far higher rates than their non-obese and less obese counterparts.”

    Or maybe…the population of fat people in America is >50%? Ever think of that?

  • Anonymous

    “How do you get a 1-year old to be so fat?” Hmmmm. Genetics? Oh wait, that’s not possible. Because, as we all seem to know, evil fat people cram food down their kids throats like sadistic pigs. “Eat! Eat ya little sucker! Eat even more! Open wide!!! Mama’s gonna cram even MORE into ya!”

    “I couldn’t figure out how you can stuff that much into you, I felt nausea just looking at it.” What kind of freak are you, watching folk eat? Is this a fettish of yours?
    “o/~ Mommaaaaas don’t let your babies grow up to bve fatties…o/~” Let them be doctors who hate fatties instead!
    “I saw a Five year old tonight who weighed 150 Pounds. He’ll be diabetic by 13.” Because I, his doctor, am a god and I know everything.
    “Not much dignity in being so damn fat really.” Not in our sick twisted culture where, somehow, what we look like has become a medical and moral issue. GO US!

  • ShortDave

    Diets have a 90% failure rate because people are weak.
    Notice I didn’t say fat people are weak, people in general are weak.
    If a person is dedicated to a diet as a lifestyle change and not a lose weight quick scheme, it will work, if the person is a quitter, then it won’t work.
    If a person is trying to gain weight but won’t eat enough food or stay in the gym, it is again, not the diets/training programs fault, but the persons fault.

    A diet is an inanimate object that in itself can not possibly fail. The onus is alway on the person, for we and wea lone decide what we will and will not do.

    -SDave

  • Brian

    What a bunch of whiners and liars. Ohhh yes, ‘I’m eating salad three times a day and getting moderate exercise, but still can’t lose weight.’
    Crap. My mother used to waffle on with this nonsense until I decided I was sick listening to her and set out a healthy eating and exercise plan…that I did side by side with her. And guess what? This 58 year old lady who ‘couldn’t lose weight’ suddenly lost three stone in four months and has never looked or felt better.
    Bullshit whingers, get a life and stop lying. You do yourselves no favours.

  • Anonymous

    I’ve been wanting to share a little nugget of wisdom with BFBers for years now but have resisted as not only will my negative (and sensible) comments be deleted and branded hate speech, but there’s a fairly good chance my home and office will be tracked down and branded with pro fat slogans; my children don’t need to be brainwashed into thinking fat is good.

    You may exercise regularly and eat “healthy” foods, but if your breakfast of granola, skim milk, fruit and toast is in supersized portions (and you probably don’t even realise this, being so used to American sizes) then you will be eating far more calories than you can possibly burn.

    A small box of granola should have 15 servings, not five. Four pieces of toast is not an acceptable serving. Do not fill a standard American dinner plate up with pasta or rice. 100g of animal protein is the perfect dinner sized serving.

    See what I’m getting at? Portion control.

    Yes, portion control.

    Thankyou.

  • Anonymous

    God! I can’t believe some of you people are actually medical personnel. You can’t treat people like that, or call names just because they weigh more than you. I’m assuming most of you are adults so sct like adults! Genetics play a role in this as well.
    And don’t you dare use disparaging words when you speak about children? So what if they’re fat?! They’re kids and your grownups. Show some maturity.
    —Margarita

  • Anonymous

    I gained weight from psychiatric drugs. Without them I would have stayed thin, and died twenty years ago. Obviously, any doctor will tell you that dead is better than fat and I made the wrong choice.

  • Anonymous

    I just wanted to comment to the Doctors who read this that it took me ten years (five years spent basically bleeding everyday) to be diagnosed with Poly-Cystic Ovarian Syndrome; a condition where android weight gain, sugar cravings, insulin resistance, and infertility are all symptoms.
    All these things were passed over for years as I was told to “just loose weight” to solve my symptoms.
    I am someone’s daughter and someones sister and someones wife. I have a master’s degree. I deeply want to trust doctors and be treated gently by healthcare professionals when I seek help.

    Please have compassion for us; we did’nt get here because there is something wrong with us or we are inherently bad.
    To have adults yell insults at us while trying to exercise..to have doctors look at us with digust is too much.
    Look to the Hippocratic Oath please.

  • Anonymous

    Hi, I see a lot of anonymous doctors come here and post so maybe one of you could give me some advice.

    I am 33 and overweight right now, I weigh 195 today August 12th but when I last saw the doctor at the end of May I weighed 276.

    Since my early 20s this was the third time I went to the doctor for stomach problems. I have also been to the ER three additional times for real vomiting that would not stop, not just regurgitation. I mean vomiting coupled with forceful diarrhea that lasted over 3 days and progressed to forceful vomiting every 15 minutes or so that would not stop until I was in the hospital with an IV of fluids and drugs to stop the vomiting. I had to have my gallbladder removed when I was 24 and it was critical, they wrote STAT on my forms. I also currently have skin inflammation, stomach cramping and pain in my right side. The last time I went to the hospital for vomiting they did a CT for appendicitis because of the tenderness and pain in my right side above my pelvis.

    I seldom have solid stool even when I feel better than right now and I always have a very urgent need to go to the bathroom. I go through periods of time where I lose my appetite I can’t eat for a couple of days. This may happen once or twice a month. I tend to overeat for a few days after a couple of days of not being able to eat without extreme pain. I know this contributes to my weight gains. But feeling so bad and having such urgent bathroom problems also keeps me less active. It’s a cycle that makes it hard for me to maintain a healthy weight and sets me up for defeat.

    In times that were critical I’ve just been sent home after IV. Even though I’ve asked for a referral I was told I didn’t need to follow up with a doctor. When I’ve gone to the doctor’s office in the past at a weight that yo-yos between 230 and 260 I’ve been told that overeating will make me feel this way and I’ve just got to control myself. I believed it for a long time. The last time I went to the doctor I asked what the problem could be with more conviction because of my enduring pain. I asked if I might have some sort of IBD that was impairing my life. My PA rolled her eyes and me and said “oh please” and “do you really want to go through a barium enema? Just stop overeating”.

    Since then it’s only gotten worse. I bleed from my ass every day. Tonight I shit out blood clots that look similar to menstrual clots. My ass is dripping blood even when I’m not using the restroom and it’s seeping through my clothing unless I keep some paper there. I have heartburn that is so bad I sometimes have trouble breathing. I started keeping a caloric diary because I noticed right before and since going to the doctors office that I could hardly eat. I try really hard but since May I notice I can rarely eat over 800 calories. Some days I can hardly stand up. It’s been less than three months and I’ve really lost 80 pounds however not from diet, but from pain and discomfort that is only getting worse, not improving with the weight loss.

    My question is what can I do to make a doctor listen to me, to touch me, to look inside of me and help me discover what could be doing this to me after all these years. The last PA put on two pairs of gloves and winced as she touched my stomach only after I insisted that she examine a large lump I have in my groin. It’s really large and she kept not touching near it and saying she didn’t feel anything. I could tell my body was really grossing her out. I can’t bear the emotional turmoil of going through this humiliation another time.

    Please help me, I am asking advice because I have tried to get help from my providers. If you are a doctor please advise me of some words I can say to help a doctor understand. I am part Hispanic and Jewish, but I don’t speak with an accent so I know I can make a doctor understand my words if I just knew the right ones. I have also had the experience of no doctor wanting to touch me and being sent away with a torn medial miniscus, shredded quad and ripped ligaments because the PA wouldn’t come near me and sent me home with a one day excuse note for my college teachers. For six weeks I walked on this until a different doctor sent me for an MRI. Please believe in my suffering despite the excess weight I carry.

    I just enrolled in a PPO. Is there a specific type of doctor I should try to see?

    I understand why you as professionals would come here after a 12-18 hour shift, tired, and complain about fat people. I even understand if this has led you to real hatred of fat people since my own life and experiences have led me to hate myself for being fat and hispanic, I can hardly blame you. But I know a lot obese people personally who don’t have half the trouble I do. Do any medical professionals that post to this blog believe that these problems could be something more than just overeating?

    By the way I used to be a diet tech at a university which is one reason I’m very aware of portion size and the calorie content of food. From August 2nd to August 9th I was only able to consume approximately 2665 calories.

  • Anonymous

    The ignorance about obesity is so outrageous in the medical profession.

    The forced diets and shame are FAILING. Why not do things that work? And what doesnt work is your constant, shame, blame and horror.
    There are fat people going undiagnosed with endocrine diseases slipping through the cracks because of these attitudes.

    Why cant you even concieve of the fact that fat people are dealing with HIGHER HUNGER LEVELS or that their bodies DO NOT WORK LIKE YOURS!

    Most of you arent even trying refusing to study saiety disorders, nutrition or why things are coming out the way they are.

    Who the hell would CHOOSE to become diabetic, and fat? GET A CLUE.

    You all are breaking the oaths you took as doctors if you refuse to see fat people as human beings. Consider yourself fortunate your body works properly.

    If any of you truly had scientific minds, you would know the true reasons behind the burgeoning obesity epidemic….

    BAD FOOD that has all the nutrients processed out of it and corporations that profit from it. Obtaining decent nutrient food is getting harder and harder especially for the lower classes. [For you English doctors, your food is LESS adulterated in England BY FAR]

    RESTRAINED LIFESTYLES where those who can afford exercise and leisure are the wealthiest. Lack of activity in a society where everyone is smooshed into little boxy apartments or out in the anti-social suburbs where you have to drive everywhere.

    ENDOCRINE DISRUPTERS

    INCREASED LEVELS OF CORTISOL due to STRESS OF MODERN LIFE…There is a huge connection proven between diabetes and stress.

    THE FACT THAT OTHER HEALTH PROBLEMS CAN CONTRIBUTE TO OBESITY. I know my weight got out of control not only from endocrine disease but the inability to breath properly from severe asthma. I became asthmatic before I became fat.

    SIDE EFFECT OF MEDICATIONS. I dont know how many clueless doctors told me I was crazy to tell them I gained untold amounts of weight on prednsione. A drug I know totally refuse unless I am on my death bed from respiratory problems.

    I almost died because doctors did not diagnosed me with severe Polycystic Ovarian Syndrome for TWENTY YEARS and I had a very SEVERE form of the disorder, showing virilization by a young age BEFORE I GOT FAT. I know if this disease had been caught when I was 13 years old and first showing signs of it or when I was 19 and lost my periods forever, I would have not had my weight get so out of control or end up with severe illnesses. It would take years to find out I was also dealing with high cortisol…pseudo-Cushings, and thyroid disease and severe lymphedema.

    I almost lost my life to the endless cadre of condemners who told me GO ON A DIET! I stopped gaining once I got medical help and lost a large chunk of the weight.

    I do not hold much hope in medical science in figuring out everything, but I am still alive today because I did eventually find a decent doctor who saw me as a human being instead of just a fat blob. He is from another culture, where they arent as brainwashed about fat people. Where media brainwashing doesnt take precedent over scientific thought. He is the best doctor Ive ever had in my entire life, and has compassion for people.

    I may have to move soon, economic forces, and I am scared to death of having to find a new doctor. I have to find that one that will see me as a person, instead of just FAT.

    I already know I will have to visit about 10 offices, or hopefully I will get lucky early. I know if they give me that look of disgust when I walk in the room, I am wasting my time.

    Why not instead of blaming all the fat people try and get a clue instead, you may actually actually SUCCEED in helping someone get to a better weight.

    Because RIGHT now guys THIS WAY IS FAILING. You are doing what DOES NOT WORK.

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