Dr. Diet – A True Case History

Dear Dr. Diet,

Ask Dr. Diet American Association of Bariatric CounselorsA True Case History

This is how I remember Norma telling me her story in her initial visits with me. From my detailed and copious notes I have summarized her struggles and saga in her voice.




Transcript below:

It is hard to believe I was a beautiful and joyful child. I was chosen from thousands of little girls to be the face of a national brand laundry soap and posed for all their promotions. I am an only child and until the age of 7, I was doted on by my very trim-prim and proper mother and even my German born father, a very strict, authoritarian, expressed his love for me.

They both were very proud and very protective of me and would not allow me to play outdoors with neighborhood kids, for fear I would get hurt or bruised and would be not able to pose for pictures. I had one friend, Jo Ann, who lived next door and she was permitted to play with me, in our house only, and we were always supervised. I was special.

It all abruptly changed when the ad agency told my father that I gained too much weight and they could not renew the contract until I lost weight.

My father was angry and outraged with my mother and she cried. Even at 7 years old I knew it was my fault and I lived with the shame. My mother put me on my first diet. I vividly remember it because my mother baked a red-velvet cake for my birthday and had me blow out the candles, cut the cake, they took pictures, but would not allow me to have a piece. I cried myself to sleep. That was the turning point of my life…I was no longer special and no longer happy.

I began sneaking all the food I was not allowed to have. Furiously, my father weighed me each week and could not understand why I was not losing weight. The more food I was not allowed to have, the more I would steal. The more bitter my life was, the more sweets I wanted. The ad agency never renewed the contract.

Elementary school was a nightmare for me. Like my father I was very tall, a head taller and fatter than the other girls. And as a result of not being able to play with them after school…I was always the outsider.

Even my only friend Jo Ann would no longer sit next to me on the school bus. When choosing up sides in the school yard or gym…I would hear whispers of I don’t want her.

My worst grade school memories were when the school nurse would bring the scale into the classroom each year. I was always the heaviest and the tallest. Every year she would give me a note that notified my parents that I was overweight, and the note required a parent signature. I still shiver at that memory.

Middle school and high school were worse than elementary school. I was called thunder thighs, the fattest and tallest girl in the school. Nobody was ever fatter, all through high school.

My father never stopped taunting me about my weight and never forgot about losing the contract. Even when I went to the dentist and had some cavities, he told the dentist it was from all the candy I ate and not to give me Novocain. I was fat and not deserving. To this day I avoid the dentist and have many missing teeth, that I am sure you have noticed.

My mother was a piano teacher and we had a baby grand in the living room, where she gave lessons to the neighborhood kids. The same kids that tortured me every day came to my home after school. My only refuge in my whole world was my bedroom where I could eat and hide the food that I would steal while my mother was teaching. As long as I heard the piano, it was safe.  My father died when I was in High school. On the same day as my father’s funeral I bought a dozen Duncan Donuts and snuck them into the house in my book bag and ate them, in spite of him.

When life was bitter all I ever wanted was sweet.

With every diet I tried, my mother would encourage me and say, “Do it in your fathers’ memory,” that same memory that still haunts me.

When I finished high school, my mother told me I should become a teacher or a nurse. Not too many options back then. I figured if I became a teacher the students would make fun of me every day but if I became a nurse, patients in pain would not care what I looked like. I became an RN.

I am an ER nurse and always work the graveyard shift. I never got my driver’s license for fear that I would not fit behind the wheel of some driving school car. So take buses. Buses are empty at night and I always get a seat alone so I don’t have to worry about the looks I would get when I would spill-over to the other passenger’s space. ER patients are in and out, so I didn’t have to worry about personal contact.

Every day of my live I have had to carefully plan on how to avoid the punishment of humiliation. When I leave for work each night all I want is to return to my room, the only comfort and refuge I have known, alone with my secrets.

The other nurses were pleasant to me but kept their distance, especially when they would gossip about their love lives or how they avoided some of the doctor’s sexual advances…if they only knew how I would have welcomed that. I am proud of my nursing. You know I am very good at pleasing people.

My mother was always vigilant with her health and her morning constitutional walk…that I always refused to join in. She was especially holier than though with her perfect diet, even loved Brussel Sprouts. “Norma, if you just eat like me you can lose the weight”.

At forty years old I weighed 280 lbs., and still lived with my mother in the same bedroom I grew up in. I never had a true friend or a boyfriend or any kind of romance or sex life. The only sensual thing I have ever known are sweets. I still hide them in the very same spots I did when my father was alive.

My healthy mother went for her annual check-up and they discovered a cardiac blockage and she needed a bi-pass. The cardiologist said, that because of her health, she was an excellent candidate for the surgery. She had it done in the hospital I work in. They took her from the OR to surgical recovery where I sat vigil at her bedside. When she awoke, she stared into my eyes and tearfully said, “I only hope to live long enough to see you thin”. She died the next morning.

Many of the doctors in the hospital have sent their obese patients to see you and I thought I would use some of the money my mother left me and see if you could help me.

Writers Comments

This is how I remember Norma telling me her story in her initial visits with me. From my detailed and copious notes I have summarized her struggles and saga using her voice. Norma died some years ago but gratefully I still hear her voice, it is that voice that continues to inspire me and has helped shape more than three decades of counseling

If was a reader I probably would want to know if Norma succeeded in losing the weight ..but then of course I would be among all her tormentors that judged her solely on her size

What Norma needed to lose was the undeserved and unearned shame that shaped and riddled her entire life. Success for Norma was not a number on a scale but rather finally winning her own approval and perhaps some love and approval from you and me. Whether someone is thick or thin or different than us, in mind or body wehave a responsibility to celebrate their lives and decisions. They are no more or no less human and deserve our humanity without judgement. 


If Fat Shaming Worked Nobody Would Be Obese

“Ask Dr.Diet” is a pseudonym for Stephen Phillips, a Board Certified Bariatric Counselor and public health director for the American Association of Bariatric Counselors (AABC).

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A Waist of Effort

Ask Dr. Diet American Association of Bariatric CounselorsDear Dr. Diet,

I’ve lost the same 30 pounds…10 times! When I feel strangled by my waistband I go back to my keto diet.

Dear “A Waist Is A Terrible Thing to Mind”,

Veteran dieters are experts at the all-or-nothing, stuff/starve syndrome…one day broccoli, the next day is ice cream. (Perhaps Ben & Jerry should consider a broccoli flavored ice cream.)
It appears that your body has a weight settling point, that’s higher than your mind approves of.  If I can’t convince you to accept your nature…let me offer some suggestions. Continue reading


Dr. Diet AABC blog

Dear Dr. Diet

There are so many detox weight loss products to choose from. Could recommend the best one?




Dear Pandora’s Box aka Detox,


Fast talking health hucksters continue to earn millions by robbing millions of their hopes and dreams. Weight loss detox products are the new magic bullets currently being hustled by these charlatans. Literally hundreds of these products pop-up on an Amazon search for detox weight-loss products.

Millions of Americans are desperate to lose weight and desperate people do desperate things


Cashing in on this desperation are hundreds of unethical companies using the medical jargon detoxification to prop up their wares …Our advice beware …because detox stuff is everywhere…even on our Facebook pages. You can buy detox, tinctures, tea bags, coffees, pills, bath salts, colon cleanses, shampoos, body gels and even hair straighteners. You can go to a detox diet retreat and lose weight, but that will have nothing to do with toxins or colon sludge, it is simply because you have consumed less calories then you expended


Let’s be clear,” says Edzard Ernst, emeritus professor of complementary medicine at Exeter University, “there are two types of detox: one is respectable and the other isn’t.” The respectable one, he says, is the medical treatment of people with life-threatening drug addictions. “The other is the word being hijacked by entrepreneurs, quacks and charlatans to sell a bogus treatment that allegedly detoxifies your body of toxins you’re supposed to have accumulated.”


Bariatric Science a timely emerging body of science. And nowhere in that empirical science is there any kind of detoxification agent that promotes weight-loss. As boring as it sounds, weight loss can only be accomplished by consuming less calories then you expend. Calories in and calories out. If any detox company can prove otherwise…we will be first on that long line.

However if you want to detoxify yourself of the viral and bacterial toxins that are found on paper money just hand it over to the quacks that hawk these bogus detox products.

From Science- Based Medicine read; Detox: What “They” Don’t Want You To Know


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“Dr. Diet” is a tongue and cheek pseudonym for the health professionals that are contributing writers to this Q&A blog. We recommend readers use our advice much like salt, some may use it in moderation, some in abundance and some will abstain.