I had a patient come in with his wife for a physical a couple of weeks ago. I have been taking care of him and three generations of his family for the past ten years.
That day, however, I could barely recognize him.
He had lost almost 70 pounds with diet and exercise alone. No meds. No surgery.
I gave him, and his wife, a high five and lots of praise.
But there was something else there, too, something in his eye that I have seen before elsewhere. A hunger.
Inside I knew, even if he didn’t say it out loud, and it made me terribly sad.