Clinic visit story. I had a patient refuse to be weighed... We see this crap all the time online, but I finally had a cow do this to me in person.  She insisted that she didn't need to be weighed because she knew how much she weighed, and didn't want to stand up because her knees hurt.  This beast was in a wheelchair (barely), with folds spilling out in every direction.  Her back fat spilled over onto the handles, hiding them completely.  Her side fat was hanging onto the wheels and had to be held up so the wheelchair could roll.  Naturally, her fupa was hanging down to the middle of her shins.  I've seen cankles before, but holy shit, there were no fucking feet to be found under the leg lard. She reported her weight as 202 pounds.  This is the exact weight she claimed during her last visit, when she also refused to be weighed.  Bull.  Fucking.  Shit.  A single one of her ass cheeks weighs more than that. It gets better.  She was there for a checkup because she was recently diagnosed as diabetic three months ago.  Her A1c was 6.6% at the time of diagnosis (cutoff for diabetes is 6.5%).  Today it was 13.2%.  That's organ failure and amputation territory if not corrected immediately.  It means that over the last few months, her average blood sugar has roughly been 400.  For all non medical people out there, that is incredibly bad and normally results in hospitalization the instant someone sees it. We tried to explain the gravity of the situation (pun intended), and stressed the importance of a healthy diet and exercise.  Of course she immediately started with "muh knees" and claimed it was impossible to exercise.  She followed up with the incredibly stupid claim that she barely ate anything, but everything she did eat was healthy.  She even told us that she didn't like to eat anything sweet and she mostly ate fresh vegetables.  We went over a healthy diet anyways and gave her a personalized diet plan that limited her to 1800 calories a day.  Of course, she immediately claimed that was so much more than what she was eating now. Seriously, how stupid do these creatures think we are?  Do they think we believe these outrageous lies?  Well, they can spit out that outrageous offal all they want, but it isn't fooling us and it definitely won't fool Lord Beetus.