Without being judgmental, but rather altruistic, and wishing as a physician, to be helpful... one cannot escape the irony of these two ladies sitting in a Pizzeria. While most Americans have a little more flab then ideal, there are those who go the extra mile to so far on one side of the bell curve that it causes the curve to lean. It is not possible to have this much extra weight without going out of your way to do it. Fat does not come from air.Years ago a guy came into my office and broke my exam table in the middle when he sat on it. We had the table repaired and doubly reinforced in case he ever came back. Fortunately he was not injured or somehow it would have been my fault or the fault of the table manufacturer. Are these potential "Biggest Loser" contestants able to be rescued by ordinary means? I doubt it. Perhaps we need to develop entirely new medical technology to deal with this level of obesity. Where do you start here? It's like asking me to climb Mount Everest. I see the end point, it's the getting there from the base camp that poses a problem.
A man keept praying to God to let him win the lottery. Every day for a year he prayed. One day, a deep voice talked to him and said "Bill, this is God, meet me half way...buy a ticket."
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