Achieving weight loss

When a patient needs to shed kilograms, a prescriptive approach is usually unhelpful

Greg flopped onto the chair in front of me with the expiratory wheeze of a chronic airway limitation (CAL) sufferer.


Scanning recent documents, I saw that he'd seen his cardiologist the week before.

Two years ago, Greg had been ‘stented'. I checked that the cardio had not made any changes to his meds.

I asked him how the visit had gone. "He told me I had to lose weight, doc," he exclaimed.

Later that day, June was sitting where Greg had been. She had also seen a specialist last week — a sleep expert.

Her now ex