Franks Big And Tall

After a long day of seeing patients at the community health clinic, Dr. Nick Yphantides (which is the Greek name is pronounced Eee-Fahn-t-Dees) liked to reward his drive through fast food favorite, In -N-Out Burger, and ordered a "4 by 4", large fries and a Coke.

"4 by 4"-four hamburgers and four slices of American cheese piled in a bun with all the sauces and toppings, chips and fries and coke 16 ounces contained 1,400 calories and 100 grams of fat, but that n did not bother Dr. Nick a Twit. In his mind, the incursions have been driving a simple snack, something to eat before dinner.

He was hungry - and fat. Dr. Nick had won heaps of weight from medical school, where he strengthened his study sessions late night with Ding-Dong and heaping bowls of ice cream Rocky Road. During endless changes of forty hours as a trainee, he has kept his power by raiding the canteen hospital where he had put a plate of sweets to be shared by healthcare staff.

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When he entered the arena of public health as a family doctor, it might be best described as "portly." He could not tell you how much he weighed, but because he had stopped weighing himself. Its expanding girth can turn into a blessing for work: his patients considered as a defenseman Nick larger than life for the poor, the big man with a big heart who cared for his community in a big way.

Overweight patients said Dr. Nick, because they knew they would receive tea and sympathy from someone who also shop at Mr. Big and Tall. From the perspective of a physician, he was always friendly with people who have struggled with their weight. More than a few times, he looked a big stocky man or woman in the eye and said with a smile, "Do as I say, not as I do."

Jolly St. Nick

Shortly after he turned 30, however, Dr. Nick began experiencing declining health and a host of unusual symptoms which led to the examination room of a doctor. A week later, he learned the bad news: he had testicular cancer.

Surgical excision of the right testicle and radiation aggressive 12 weeks saved his life and has caused a bit of introspection. The way Nick has seen, he had dodged the bullet cancer, but there was another round in the chamber: its gargantuan weight would cause incredible amounts of stress on the organs-heart, lungs and liver and his skeletal body. He wondered how much stress he put on his knees, which were fitted with a severe burden.

One day, Nick was standing on two scales, one for each foot. Each needle before settling on "233 1 / 2." A fourth grader can do the math: Dr. Nick Yphantides, doc joyful image of Santa Claus-like, weighed 467 pounds muscular. Nick was scared. His cancer had forced him to face his mortality, and now he was sure that every bite of an In-N-Out 4x4 led a swallow at the tomb.

Something should be done. Nick was tired of dressing in XXXXL T-shirts and athletic pants tent business, tired of the busy booking flights red eye, so he would not buy a second seat, tired of gawkers watching her monstrous abdomen restaurants. Before him was a future filled with hypertension, hypercholesterolemia and diabetes debilitating unless it made a change in lifestyle and radical lost a ton of weight. Well, maybe not a ton, but 200 pounds would be a good start, he figured.

In April 2000, Nick has given a one year notice of its withdrawal, leaving the Escondido Community Health Center. Then he began to formulate a game plan. As it was not goi.