"Wow. I mean, holy fuck. I mean, the referring clinician told me you had a weight problem, but I wasn't expecting it was as bad as this. You are fucking enormous, man. Say, you and I must be about the same age, right? And about the same height? But Jesus, we are certainly not the same size, are we? Yeah. I'm a big guy but this body is rock solid, bro. Dude, I do fitness shows with all these muscles. Shame there's no such things as fatness shows, 'cause you would waddle off stage with first place every damn time. God, you are fucking huge! No, actually I think this is a perfectly fine place to have this conversation: out here where everyone can hear me talk about how fucking obese you are. Maybe we can put some shame into that fat head of yours about how disgusting it is to be the size you are. You've always been overweight haven't you? You were the chubby toddler that morphed into the fattest kid in your school district. Your parents tried to control your eating but eventually just gave up and left you wallowing in gluttony. Then you went off to college - probably weighing a good 450 lbs and, with no one to stop you, you just gave in and went on a four-year binge of beer and fast-food. As much as you wanted, whenever you wanted it. Eating until you puked some times, but you didn't care. All you cared about was the next meal and the next; you couldn't think of anything except filling your gigantic stomach with as much food as it could take and more. And you got so fat you had to drop out of school. Probably took some job in a fast-food joint, right? Eating through your shift, secretly gorging down all the leftovers then home to flop on the couch and start speed-dialling for pizza. And here you are in my office: all - what? - 800 lbs. So fucking fat. Super-morbidly obese and getting fatter by the day. Okay, piggy, waddle into my office and haul your fat ass onto the examining table. Thank fuck it's reinforced. And then take of your shirt so I can take a closer look at all those rolls of excess lard just bulging out, spilling over the sides of that extra-wide table. Ugh, I hate my job some days. Come on fatso, waddle on in there."
