Pissed off a patient's mother, and a child protection worker, today I'm a physician assistant who works for a large, Midwest healthcare provider. I was working with a family practice patient who is ten years old and now has a BMI of 40. Her weight has been an issue for months, and Mom has been told of the dangers, and that the child's weight is exacerbating another chronic health condition. We've offered multiple referrals and interventions, all of which Mom has obviously blown off since the child is still gaining weight. Today, I had enough and finally reported Mom to the state's child protection authorities. The woman on the other end of the phone actually said "none of this sounds like abuse." This Mom is literally feeding her kid to death! I lost my cool and said to the worker, who has that fat voice, "yeah, fatting a sick child to death probably does sound normal to another fatass. When's the last time you saw your toes?"  She says she's going to call my bosses and complain, but if she's too lazy to save a child that's being killed by her mother, she's probably too lazy to find out who my boss is.