Sure, it's so simple (workrant) So, my mother in law is in the hospital, at 80 km from my hospital, and today she felt very low, so I asked my chief to leave early, to go see her, and he stuck me in the outpatient clinic, with all the weirdos coming with the most extravagant ideas (I had an 87 years old patient complaining from impotence. At 87.).   One of the patients was a 45 years old mother of three, with a "oh, so sad life story", actually a normal life story, with regular problems and ups and downs.   She fooled me for a minute, since she had a thin face, a "just" fat upper body, and sat down before I had he chance of having a good look at her legs. She complained of lower limbs edema and pain in her ankles. I told her to undress and then I saw her legs: they were huge, gianormous, monstruous, with horrible limphoedema in her ankles and feet. I took a meter and measured them: each leg was 120 cm at the upper thigh. She said that she had been on an on/off diet for years, that she tried to exercise, that she went to a nutritionist, that she knew all about bariatric surgery, but was too scared of the side effects, having three children she could not afford to eat small, healthy food every few hours  and go to the bathroom every few hours as well. I checked (I am a vascular surgeon), and her venous and arterial systems were fine (surprisingly). So, I told her that the reason she was experiencing pain was the fat on her body and legs. I explained all the mechanisms, and was even quite sympathetic, since, after all, I had asked for that job today, and so I felt compelled not to shitlord much on her. Bottom up, she listened to me for a while, and then she kept repeating "oh, yes, I have tried, but in the end, when I am hungry, I got to eat". And on to the same line, "bla bla normal life stress, usual things that happen in life, everyday occurrences that normal people face continually, I GOT TO EAT WHEN I AM HUNGRY".   Mind you, I had just finished explaining the insulin ups and downs that make her feel hungrier, and the hormons that her fat produces that alter her sense of hunger and her ability to feel satisfied with a meal. Not to mention all the terrible scenarios that I painted for her future, diabetes, ulcers, enlarged heart unable to properly function, and so on.   But no, she had a terrible life, she had to eat, she could not not eat, and, hear hear, "you must help me, I tried everything".  At that point I said: "No, you haven't tried everything, you have never tried the only thing that works, STOP (FUCKING) EATING SO MUCH!". And " I just helped you, I told you the truth, what you do with that is up to you".  She thanked me and went away, but I am sure she will go home and eat a ton of chocolate because the bad skinny doctor hurt "her feeeeeeelings". I am disgusted, these people are a cancer to society. She actually took the place of someone that might have had a real need of a visit, and wasted it, like she wasted her life, and her health, and everything else, since she is a waste of space. They don't even invoke anymore "muh cundishions", they just admit "I got to eat", the unbelievable thing is  what follows, "you MUST help me". Sure, I will lock you in my basement, chain you to a tapis roulant, and give you only fluids for 14 days, than half a lean steak, and then IV fluids again. Let's see how you like my help.