The test results were strewn out

She’d already seen them – mostly the ones in red

She didn’t want to hear anything I said

Her green eyes were lasers, set in a plump face

She started, “You didn’t prescribe me that drug, and that’s why my numbers are bad”

My heart started to race. She was mad.

But I’d been there before so I did my best to sit up straight

“Have you ever been on Metformin, the…” I asked

She interrupted: “I can’t lose this weight!

Zepbound helped my family members lose pounds

And Ozempic made my sister look like an athlete out of the Olympics”

Her cholesterol, her blood sugar, her blood pressure were all high – now her voice too

“Can I finish?” I asked

She looked at me and said “no”

I was instantly at a crossroad

That darn computer screen between us, patient-provider behind a closed door

On a Friday afternoon, after 15 reps of this, I was done – prescribing weight loss drugs wouldn’t be what I’d be known for

I told her, “Then you can go”

No one wants to hear about muscle-building or diet (as in what you consume)

Obesity and drugs will be America’s doom

I’m tired of fitting into a 15 minute office visit

This time around I missed it

The patient refused to go without her GLP1 script

I walked out of the room, threw off my white coat, said, “to hell with it”

At some point there was a call from Corporate

But didn’t care because I wasn’t there – to answer it

Every prescription is a contradiction

Maybe I’m judgmental or poorly informed because I’m “little”

A moral dilemma

I’m exhausted from the unsolvable enigma

Exercise is medicine

Real food, a friend

Sunlight does the soul right

I never had so much fun

Walking out of that office, saying “no” to GLP1s