Yes, I am talking to you Patient BMI 79

Seriously, lose weight. Yes, for the women, having extra fat cells increases your chance of getting cancer of the breast or endometrium... and for the men, you could get breast cancer, or worse, you will end up with boobs.

All jokes aside, I have really felt frustrated with dealing with obese patients. Could you really just take care of yourself, just a tiny bit? Why let yourself go and get yourself categorized as obese or morbidly obese (yes, that's a BMI of 40+) and with that categorization, all the health problems that come with it?! Just imagine... a 5 foot 7 inches person weighing TWO HUNDRED AND FIFTY FIVE POUNDS. That's like me, but DOUBLE my weight.

Sadly enough, most patients in the hospital are these patients. They are obese patients with X number of medical issues, and they go into surgery for Y, go home and resume the vicious cycle until something happens where the medical system can no longer prolong their life. I have seen a few rare instances where patients make a complete 180 and change their lifestyle and are now living better than ever. And that makes me feel like I am doing something. But for everything else, you either become jaded, or your paycheck is big enough where you don't care, or you are just really optimistic and truly care despite the fact.

Assessment:
1. Obesity is a big contributing factor to MANY medical problems
2. Healthcare isn't about saving lives, it's about prolonging a life that should have technically ended
3. Losing weight would save yourself so much in the long run
4. Healthcare dollars are being wasted on those who depended on the system because they are unable to look after themselves

Plan:
1. Somehow get people to lose weight, or let darwinism handle it
2. Create a practice that takes care of people who take care of themselves, or seek practice in a setting where medical care is appreciated
3. For the health care reform, create caps on health insurance coverages BASED on the effort of the patient (i.e. patient gets treatment, but then still does not work for a healthier lifestyle, then coverage will eventually run out)
4. Create a big hole and......