

A famous My 600-Pound Life nurse, halfway to looking like that creepy puppet Lady Elaine Fairchilde from Mr. Rogersโ Neighborhood, opens the door of the waiting room and calls out, โShelby Grace.โ
Shelby Grace struggles to get out of the chair almost as much as she struggled to get into the chair. โHelp me, Lawrence,โ she says. He yanked on her arm and there was a friction-fueled pop sound. โLordy, they need to make these chairs bigger,โ Shelby Grace said.
They followed the nurse into the room where they weigh the patients.
โPlease wait while I reset the scale,โ the nurse says. Moments later. โGo on and step up on the scale.
Dramatic and impatient music plays in Lawrenceโs head as he watches the digital display on the scale blink.
Then โฆ โYouโre weight is 540.โ
Lawrence releases a shocked sigh. โDamn, Shelby Grace.โ
โWeโre going to room 5,โ the nurse says.
Once inside the examination room, Shelby Grace begins to cry. โI just canโt believe it. How did I let this happen?โ
โHow?โ Lawrence says. โI should have videotaped you on this road trip. Eating like a damn hippopotamus with wooden teeth, thatโs how.โ
There is a light knocking and Dr. Now walks in. โHello, how are you all doing?โ
โGood,โ they say in unison.
โWhere you all coming from today?โ
โCharlie Brown, Tennessee,โ Lawrence proudly boasts.
โCharlie Brown, Tennessee, huh. Do you have towns there in Tennessee called Peppermint Patty and Pigpen.โ
Lawrence chuckles. โNo, but we got plenty of towns that look like pigpens.โ
Dr. Now doesnโt think itโs funny and turns his attention to his patient. โOkay. So, you must be Shelby Grace.โ
โYe, sir.โ
โSays here you are 540 pounds today.โ He moves his head around as he and looks her up and down. โSeems like most of that is in your rear-end. How did you let this happen?โ
Shelby Grace wipes a tear away with a finger, sniffles. โI donโt know. I just love to eat. I suppose it fills some sort of void in my life.โ
โSo, youโre an emotional eater,โ Dr. Now says.
โI guess I am.โ
โOkay, so what are your eating habits like?โ
โToo much junk,โ Lawrence blurts out. โShe eats like a hippopotamus with wooden teeth.โ
Dr. Now looks at him, displeased with the answer. โI donโt think hippopotamus has wooden teeth, but I do wonder who brings her the food. Is it youโฆโ
โThis is my cousin Lawrence, Shelby Grace says. โDonโt listen to what he says, heโs an idiot.โ
โOkay, okay,โ Dr. Now begins. โWe are not going to get anywhere with your weight problem by calling each other names. I sense a very dysfunctional dynamic here. But letโs get back to your eating habits. What do you usually have for breakfast, Shelby Grace.โ
โWell, mostly some yogurt with fruit.โ
Lawrence bursts out laughing. โBullshit! You donโt even have yogurt in your house. Itโs more like a platter of eggs, bacon, biscuits, hash browns, breakfast burritos, ham steaks, sometimes regular steak, cheese puffsโฆโ
โOkay, okay. I get the picture,โ Dr. Now says. โAnd who is bringing you all this food?โ
โI live alone, except for my dog Testicles.โ
Dr. Now holds up an aged hand. โHold on. You have a dog named Testicles?โ
โYes.โ
โI think that is gross and suggest you name him something else,โ Dr. Now says. โIโm going to set up an appointment with a therapist while you are here in Houston to help you work through your emotional problems that lead you to eat too much.โ
โOkay.โ
โSo, who brings you the food?โ
โI usually cook it myself or have Door Dash bringing me something.โ
โOkay, obviously you are obsessed with fast food. That has to stop starting today. You are killing yourself with foodโฆ So, what is your daily routine?โ
โI get up, shower, cook myself breakfast. Then I go to work.โ
โWhere do you work?โ
โIโm a pharmacy technician at a hospital.โ
โSo, you must be up on your feet all day running around.โ
Shelby Grace shrugs. โNot really. Iโm no Jennifer.โ
โIs Jennifer a friend of yours?โ
โYes.โ
Lawrence chuckles. โShe has no friends.โ
โHush up, Lawrence,โ Shelby Grace snaps. โI do so have friends. You donโt know everything about my life.โ
โI know you donโt have any friends.โ
โOkay,โ Dr. Now steps in. โLawrence, you need to settle down or Iโm going to have to ask you to leave the room.โ
โIโm sorry. But she shouldnโt be lying.โ
โIโm notโฆโ
โThatโs enough you twoโฆ Now listen to me. Iโm going to give you some materials that I want you to read every day. It will have information about proper diet and exercise. Over the next three months I want you to lose 90 pounds. If you can do that, I will consider you for weight loss surgery, and you can start making plans to move to Houston. All right? And in the meantime, if you need anything just give me a call.โ
The therapistโs waiting room smelled like disinfected brains. Shelby Grace sat alone, spread out over two chairs. Lawrence was waiting in the car. A door opened and a little man with glasses and a nice gray sweater came out. โShelby Grace?โ
โYes.โ
He extended his hand. โHi. Iโm Dr. Paradise. Come on in.โ
Shelby Grace went into his office and sat down on a comfortable rich manโs couch.
โSo, tell me about Shelby Grace,โ Dr. Paradise began. โWhy are you here?โ
โThereโs not much to tell?โ
Dr. Paradise glances at her body. โWell, you are obviously here for a reason. Why donโt you tell me why you think you eat so much?โ
Shelby Grace shrugged. She looked all around his impeccable office, and then back to him, the small man in the chair. She thought it was all very weird. She was uncomfortable. โI think I eat so much because Iโm trying to fill a void in my life.โ
โOkay. Describe this void youโre talking about.โ
โIโm not married, obviously. Why would anyone want to marry me? I donโt have a boyfriend.โ
โDo you have any close friends or family in your life?โ
โMy family all live in Alabama. We donโt see each other much. But thereโs my good friend Jennifer. We work together at the hospital. Weโre always cutting up and laughing. Sheโs so much fun.โ
Dr. Paradise smiles and nods his head. โOkay. So, youโre working. You have a good friend at work. Those are two very positive things in your life. And those are the things I really want you to focus on. Look away from the food, and look at the good things in your lifeโฆ What else.โ
โI have a nice little apartment where I live with my dog Testicles.โ
โWait a minute,โ Dr. Paradise says, holding up a small hand. He smiles out loud. โYou have a dog named Testicles?โ
โYes.โ
โOkay, well. Obviously you are able to support yourself and maintain a home and care for a pet. Those are three more positive things. But the name of the dog.โ He laughs. โYou should probably change that.โ
โI donโt want to.โ
โFair enough.โ
โAre we almost done?โ
โSure. But my homework for you is to keep a running list of all the good things about your life. I want you to hang it up somewhere and every time you are down and want to reach for some junk food, look at the list. Tell yourself you are worth it, tell yourself you are better than having a rear end the size of a dumpster.โ
Shelby Grace stood up as he did, and they shook hands. His hand felt so tiny in hers. It gave her the timber shivers. โIt was good meeting you, Shelby Grace.โ
โYou too, Dr. Paradise. Thank you for the five-minute therapy session that will end up costing me 400 dollars.โ
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