RN in the house. We see people like Clotso more and more everyday at an alarming rate, younger and younger with relatively the same issues almost all super fatties share. In my experience, I would venture to guess that she also has a condition called metabolic syndrome. There’s a clinical criteria that needs to be met to have this condition and she ticks every box and then some. 1) elevated blood pressure 2) elevated blood sugar 3) elevated total cholesterol and triglycerides and last but not least (drumroll) large waist/abdominal circumference. Yup. Score. She meets them all. Metabolic syndrome is the premiere precursor to type 2 diabetes and cardiac disease. Metabolic syndrome is your body’s last warning and chance to turn things around. Metabolic syndrome, like fatty liver disease...CANNOT be reversed. No matter what anyone tells you. It can definitely be treated to prolong life with a good quality and live relatively norma, but never reversed because liver damage cannot be reversed. The patients I see every day with these significant obesity related issues are ALWAYS frequent fliers to my unit. Given my medical experience what I can say is at least 95% of people like Clotso who are literally facing death head on...continue to live an unhealthy lifestyle until the day they die. In fact, when we stop seeing them, we know they’ve died. Sadly, it doesn’t surprise us any longer when you read a medical chart and the list of diagnoses and medications you would expect that’s the chart of someone 85 years old, not under 30. Some of the diagnoses are as follows: diabetes, high blood pressure, asthma, pressure ulcers and related chronic skin issues, COPD, CHF, oxygen dependent, coronary artery disease, liver disease, kidney failure, arthritis, muscle atrophy, circulatory and visual problems, anxiety, depression, and a whole slew of other ailments not yet named. Clotso thinks when she dies it will be this quick, painless event that she will at least “die happy doing what I love” however it generally doesn’t happen like that. If you simply have a major heart attack and keel over, ok, maybe so. Those are the lucky ones though. But nope. Generally before they die, they go through years of declining, debilitating, painful, depressing health while costing the tax payers an enormous amount to maintaining these fatties as they continue to somehow carry on their destructive ways to the bitter end. One would think that a person would change in the face of a life altering event of even the potential of death, and saddly they don’t. Not because they can’t. But because they truly don’t want to.