Sounds about right. The doctor was probably running behind all day, and this blimp was the last patient after staying an hour late to catch up. She waddles in, complaining that he's late to see her. She's sporting orange and red hair with her roots starting to show. She has multiple face piercings that would make any interviewing employer cringe at. She has  exposed tattoos, and is wearing too short of a top. She smells like 4 days of sweat and yeast. The too-small clothing and refusing to be weighed confirms to the doctor that she is one of those creatures. It's the end of a long day, and her blood work shows all normal levels. His choices are: Bring up her weight, get an earful of someone who will fill the room with words strung together in spectacularly stupid order who will badmouth you to everyone she can, or tell her "Your bloodwork looks good" so he isn't lying and get both him and her out of that office with only a tiny piece of his soul lost.