Big as a Barge

Three hundred eighty pounds fella, with new-onset Atrial Fib. Unsure how long he's had it, as his Left-atrium is enlarged, and his ejection fraction is only 40%. He thought the arrhythmia was due to stress at work..........a salesman / broker for multiple Nurseries. He did admit, that he and his wife, do love to eat (she's 200 pounds plus, herself). He was shocked (cardioverted) twice, and got back into Sinus Rhythm. He'll take some meds for a few months and see if he stays in rhythm. I'm betting he doesn't diet, but I'm the perpetual cynic, aren't I?

Big as a Barge

A BMI of forty-eight

Admit it now, that's too much weight,

To carry around on your skeletal frame

Regardless if you're a guy or a dame.

It's really such a case of denial

A thousand excuses in your personal file,

Categorically, ignoring the fact

You are obese, don't call it an act.

It's bad for your family

When you're as big as a barge,

If your kids eat like you

They too, will get large,

Adult-onset Diabetes?

There's a childhood rendition,

Thanks Mom and Dad

For promoting this condition.

Your sleep is disturbed

Because you snore all night long,

Fat throat, heavy tongue

Makes the apnea song,

Like a snorting Bull Moose

With his mating call of Spring,

A slew of comorbidities

Is the song you will sing.

Insulin resistance

And Atrial Fib,

Yeast infection colonies

Where you once had a rib,

At the seventeenth fat roll

Down south near your gut,

And you can't even speculate

What happened to your butt.

From the front, you're a bulldozer

From the back, a Mack Truck,

At a distance you're a blimp

And in the doorway you're stuck,

But once you were a baby

No more than 12 pounds,

Now you're three times my size

Which is out way of bounds.

So, today we shocked your heart

From A. Fib to Sinus,

But I guarantee it won't stick

Until your weight becomes a minus,

And your cardiomyopathy

Will only worsen, unless you change,

Curtail your gluttonous eating

Or drop dead on the driving range.

Fibril_late;

7/10/13