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Wow you’ve really let yourself go since I last saw you. The scale read a hefty three seventy nine and now you’ve ballooned even bigger at five forty! Five hundred and forty pounds in two years. Do you remember what I said to you the last time?

If you keep overeating you’re going to end up six hundred pounds! Now look at what you’ve done to yourself! You’re horrendously obese and it seems my warnings have fallen on deaf ears. If you keep eating too many calories you’re going to be stuck on numerous medications. Your body wasn't meant to carry this much weight and it will soon catch up with you. Your blood pressure is already rising to borderline hypertension and your joints are going to start aching badly if they aren't already. I’m going to suggest this diet of eighteen hundred calories a day and a tight fitness regimen. I want you in shape next time I see you. 

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I’m not shocked you didn’t follow my directions but I am shocked you managed to pack on another two hundred pounds in less than two years. Your nurse had to walk you to the industrial sized scale I see. You’re suffering from hypertension, your glucose is high now, and you’re complaining about constant aches and pains… Well I’m not surprised. You say you were working out? Doing what? Lifting a fork to your mouth every waking moment of being conscious? How does one blow up this huge in such little time? 

Your belly is hanging over your knees now and your face is flushed from sitting there! You’re out of control and need to make a change now or you’re going to end up too big to walk and will need constant round the clock care just to be kept alive. It's a miracle you’ve gotten this far but you’re too young to be this big. I’d say another fifty pounds added to your already taxed frame and you’ll be considered too extremely obese to roll over or even walk. Here, let me examine you.

My my…you’re really struggling to breathe under all of this weight. Lay down and just take it easy while I check you over. Your belly is like a pendulous sack. You need to make sure you clean between every crevice or you’ll get sores and rashes. When you walk and move the excess sweat and friction will make that worse. I'm sure if you keep guzzling down sweets and junk there will no longer be any friction since you will not be able to walk, do you hear me? You need to be physically active and eat less. NOT more. I’m going to prescribe you insulin, blood pressure medication, oxygen, a C-PAP machine, and you need to eat less than fifteen hundred calories a day to lose all of this excess body fat. 

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Tsk tsk…

And here we are again. Me visiting you since you can no longer walk. I’ve got to hand it to you…you’ve really outdone yourself with how big you’ve gotten. You’re huge! Your bariatric bed looks small compared to you! Your labs are all awful to look at and so are you! How much did you eat per day to bloat yourself to this size? Twelve…twelve thousand calories a day? How did you manage that? You just kept eating and eating non stop?? Of course you did… 

Well your blood pressure is a ticking time bomb. Any slight physical activity is a gamble. You’re basically bed bound until we can fix one problem at a time. You’re losing circulation in your extremities thanks to your ridiculously high blood glucose. That's only fueling your voracious appetite by the way… You eat and eat more and your sugar spikes then you crave more and then the cycle continues while your body swells up like a calorie soaking sponge. Your organs are struggling to keep up and function under the sheer mass and you’re just waiting for the next health scare.

I need to examine you.

Your belly is simply massive! Did you JUST get done eating? It's so engorged and tight! There is no give at all. How much did you just eat? Two foot longs, two large supreme pizzas AND an entire two litre of Coke? Oh...of course can't forget the brownies. Let me guess, that's just lunch, right?

Spread your legs please. You can't? Not surprised. Each one probably weighs as much as I do. Let me help you. I need to wipe down and powder the rolls between your thighs, belly, and pubic mound to help with the friction. You're not doing anything and you're sweating. That's just how big you are.

I'll be honest with you, patients of your immense size don't make it past thirty. You're twenty five and already incredibly obese. You've fattened up to this size and can no longer function without assistance. I can't see you living to thirty if you keep guzzling down sweets and treats at the rate you do. But you may have options.

We could just remove all of this blubber with lipo but that would be too risky and you still have no self control. You would simply be thinner for a short while and glut yourself right back to where you started. You can also do the right thing and diet and exersice. Or...simply keep living the same lifestyle until the inevitable happens. I'm not sure what will come first...your oversized heart bursting, your other organs giving out, or your stomach exploding from the massive amounts of garbage you fill it with.

So with that being said...

What will you choose, my precious feedee?

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