Awhile back, I had something weird happen.
I was at work and a patient comes up that I need to see. I read through the chart a little bit and I see something about childhood obesity, but it just didn't phase me as important in the scheme of things. Sometimes I miss things.
I walk to go see the patient, thinking only about the problem at hand, not, "How big is this middle schooler?" I look through a couple notes, and weirdly, phrases like "severely obese" and "elephant sized" are missing, in my defense.
When I get there, I usually stop at the nurse's station to say hello and learn what is actually going on with the patient if time allows. I am so fond of a nurse who works in this department. She was there, and she asked if I was there to see the kid I'll now call Big Boss. This nurse wasn't born in this country, and she can be very direct. She tells me, "You will not believe how big he is, Dud. It is not right to live like that. Those parents should be jailed." Because she's foreign and sometimes dramatic (although a delightful person and excellent nurse, as far as I can tell), I laugh and assume he's thirty lbs. overweight.
Big Boss was less than 5' 4" and over 600 lbs. You don't understand the sheer size until you see it in person. Seeing a young person who wasn't significantly intellectually disabled at baseline grow to that size is stunning. Moving him was exhausting. His legs were crusty and decaying and this is on a guy who hadn't even finished puberty. He's just so young he barely has leg hair, but you can already see CHF hair loss on his legs.
At one point, I put my hand on where his collar bone should be. The weird, unhealthy yield of the meat in his shoulder just felt so unhealthy and I had to reach in to grasp this tiny, birdlike bone. I feel like Foodie Beauty doing a food review with my lack of vocabulary, but I don't know any other way to describe it. (CREAMY. UNHEALTHY.)
Leaving out the sad parts, but the whole thing was nuts.