Tuesday, November 7, 2017

Wilcox Farms Introduction

Doctor Henry Wilcox had abandoned the historic family occupation of dairy farming and gone into medicine. Specifically bariatrics. As Doctor Wilcox had proceeded through his medical career he'd discovered a market niche.

Super morbidly obese people, one's who could barely walk, were immobile, or needed nursing support, were residing either at home, dependent on family with no medical training, or nursing facilities with limited bariatric experience and equipment. This resulted in increased hospitalizations of super obese patients. So Dr. Wilcox decided to open his own Residence and Nursing Facility specializing in morbidly obese patients. For insurance purposes, and because there needed to be quite a few medical professionals on site a standard Skilled Nursing Facility would never have, it was opened and classified as a subacute hospital. He could get away with it because the Center for Disease Control classified Obesity as a disease.

Since it had opened in 2005 it had done exceedingly well. Dr. Wilcox had focused his efforts on making it easier for his patients to live their day to day lives, rather then straight weight loss. In an effort to avoid patients, who'd been used to large quantities of unhealthy food for years, bringing unhealthy food in from the outside out of desperation he provided good tasting healthy food, in large quantities at first, then scaled back the amount of food slowly over time. Delicious, healthy snacks were also provided. Calories, carbs, and fats were tracked for record keeping purposes only and the diet was only incidental. Physical therapy played a huge role in his facility too. It was not unheard of for a 500lbs patient to enter his facility bed confined and leave, only 100lbs lighter but walking out.

He'd built the facility from the ground up on a corner of the family property, overlooking woods, hills, and dairy cows peacefully grazing.  He was also only 20 miles from the city limits of the fattest city in his state. It started as a 50 bed facility but was soon upgraded and expanded, year after year, till he had almost 200 beds. He also had a specialized 50 bed ventilator unit (located in the original building) for bariatric vent patients, an in house operating room, ambulance bay with EMT office, and cafeteria for visitors and ambulatory patients. It also featured the largest and best bariatric showering room, a research and development office for the development of bariatric mobility devices, and outpatient services, including psychiatric, life coaching, personal finance training, and healthy cooking classes. Wilcox had realized that for many of his patients the first months or even years of their residences at his facility would be spent confined by their weight to the rooms so the rooms were comfortable, large and airy, yet warm in the winter and cool in the summer. Windows could be opened onto individual porches so the fresh country air could permiate the rooms and visitors, or ambulatory patients could step outside.

Wilcox had a secret though, a secret that only his wife (More on her later) knew. Wilcox was an FA. It was a secret because if it had been known the rising star in the American Society for Metabolic and Bariatric Surgery had been attracted to fat men and women (Wilcox is bisexual) it would have been a disaster, not only for Wilcox but for the society and all the doctors and healthcare professionals that sang his praises to their obese patients. For Wilcox his entire treatment plan, emphasising what he called "Living Large" over dramatic weight loss, was the result of his fetish.

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