Yes, your knees hurt because you are fat

I remember many years ago when a patient who weighed 380 pounds, walked and asked me "My knees really hurt, do you think it's my weight?"

"Yes. I do"

"That's what I've been thinking, I know it's my weight."

"Well, even if you lose a few pounds, you will feel better. I highly recommend it."

We need to always talk to patients about weight loss and smoking cessation. EVERY VISIT! THEY NEED IT! AND IT WORKS!!!!!!!!!!!!!!!

Of course, we can always replace knees. But come on people, why get to this stage? Just lose some weight!