So this one had to get passed along......
This morning I saw a patient I will call "Keg Meg", a name she had given to her when she was in high school. When I first saw her almost two years ago, she was 26. She was on 8 medications, had NIDDM, PCOS, borderline hypertension, anxiety, Vit D deficiency (some of the worst I've ever seen), fibromyalgia (she claimed), and was severely depressed. She came to me because she needed a basic eye exam, something I almost never do, but had been strongly referred to me by a co-worker. Seeing as it usually takes an act of God or retinas gushing blood for me to take a new consulting patient (I.E. Not a surgery and see ya later patient), I took her on kind of reluctantly.
We started with the normal battery of tests, and she had some of the worst metabolic disease I had ever seen. I also noticed her thyroid was having some pretty severe numbers as well, so an endocrine exam ended up adding these treatments as well....then she started the dieting/exercise regimen.
I bought a poster, which I had to order from a custom printing shop, of Russell Crow in Gladiator right at the famous scene. I have it hanging up in one of the consult rooms (I.E. desk and chairs) where it says "On my signal.....unleash hell". I spent the time to get it because that is the mentality I want my patients to take on getting out of this nastiness. I do not want reluctant robots. I want berserkers
Today I saw her again, and she gave me a Christmas card. Her weight went from 244 to 132 in 23 months. She is now off all of her medications but her thyroid stuff, most importantly the analgesics and depression meds. She runs races. She has a gainfully employed boyfriend (she had been single, absolutely zero dates, in 8 years prior). She is happy, engaging, a totally different person than the woman I first saw.
When she left she gave me the card. Inside it says, after a few paragraphs stuffed onto one card: "You have given me many more happy Christmases to come. I will always be grateful to you."
THAT makes me smile.
For all of the pointless discussion that can be found on here, the 65 page threads on carbs vs fats, a stranger explaining the Krebs cycle he doesn't understand, or any of the other malarkey that comes with writing about this stuff, it is people like that that give this its true power.....
"They now look to a single and splendid government of an aristocracy, founded on banking institutions, and moneyed incorporations under the guise and cloak of their favored branches of manufactures, commerce and navigation, riding and ruling over the plundered ploughman and beggared yeomanry." - Thomas Jefferson, 1826