In her case, again, it's a functional problem. I am allowing her to ambulate or walk and to be less dependent on her family members.

If she didn't get the surgery she would continue to have rashes and ulceration under the roll of skin.

I get a lot of satisfaction operating on patients who have lost a lot of weight such as Mary. I can see how it makes a great change in their lives.

We are trying to assist her by removing some excess skin and fat that is hanging over her thighs. I need to elevate the skin and fat and make an incision with a knife from one side of the hip to the other side of the hip ... elevating all the skin and then trim all that excess skin and fat out.

Criticism is easy, and art is difficult. [Fr., La critique est aisee, et l'art est difficile.]

The main problem with writing in verse is, if your fourth line doesn't come out right, you've got to throw four lines away and figure out a whole new way to attack the problem. So the mortality rate is terrific.