I had a patient today in the clinic, she comes in, I'm taking her history, I ask her what medication she takes, and she names some bizarre diet drug. I Google it while I'm talking to her, and the first link is to some article saying it's a pyramid scheme. So I asked her, why are you taking this drug?
"It helps me lose weight."
"Oh. How much weight have you lost?"
"I used to be 165 pounds. I was down to 110 pounds."
I look at her. She isn't 110 pounds, or anything close. "What do you weigh now?"
I look at her chart. "The scale said you weigh 152 pounds."
"Yes, it is my clothing. It is heavy. At home, I weigh 115 pounds."
"I'm not sure your scale at home is working correctly. Your clothes don't weigh 40 pounds."
"Yes, I weigh 115 pounds."
"I'm not sure you do."
"Yes, I do."
I decided it was better to move on at that point....