Dealing with fat patients

“I’d like a breast reduction” were the introductory words from Hannah, aged 35. Sure enough, her breasts were gargantuan, but not out of proportion to her mammoth like body. As I had done at least twenty times that week, I broached the possibility of weight loss as a cheaper, less invasive and more realistic option. “But I don’t really eat much” was the expected and promptly delivered response.

Bill, at 171cm weighs 132kg and is on massive insulin doses. According to him, he lives on salad and crackers.

Mike’s surgery is being postponed because he is too heavy for our