Patient: I have battled with my weight all my life, doctor. It's my major health issue.
Doctor: What does that mean, Susan?
Patient: (irritated) It means, doctor, that I have been fat since I was a kid.
Doctor: I see. Are other family members overweight too?
Patient: The word is fat. F.A.T. Let's call it what it is. And no, they aren't. I was adopted.
Doctor: In that case, Susan, it seems reasonable to assume that your weight problem is not a result of anything you did or did not do, but rather something that you inherited from your biological relatives.
Patient: What?! No, I'm sure it is my fault. I could never diet when I should have. Also, even though I exercise like crazy at the gym, all it does is increase my appetite. And I don't even eat junk food or have desserts like my sisters...adoptive sisters, I mean. Food just sticks to me.
Doctor: That's what I mean. It seems likely there is something different about your metabolism. It's not your fault.
Patient: That's easy for you to say, you're thin. I would do anything to be thin like you.
Doctor: I wasn't always this weight.
Patient: Really? You lost weight? (leaning forward eagerly) How? Please help me do it too...being fat is the worst thing in the world. How did you do it?
Doctor: Susan, I got cancer.