Some days, I feel like I might as well have a conversation with the wall than tell my patients what they need to do to be healthy -- exercise, lose weight, watch what you eat, and take your pills. Because, when I tell them to do those things, I see them again in 3 months, they're 10 pounds heavier, their cholesterol numbers stink, and they haven't "had time" to start exercising.
Then, every so often, I do find a patient who follows my advice. I saw one such patient today in my clinic. I met him 2 years ago when he had his heart attack. He was overweight, smoking, sedentary, and ate horribly. I gave him my usual advice that I give to most patients. Since then, he lost about 30 pounds and is a normal healthy weight. He quit smoking. He changed his diet dramatically, cutting out a lot of meat and dairy.
To this day, his heart health is terrific. He probably has no idea how thrilled I am to see him do so well, but it absolutely brightens my day.