Tennessee, USA, The Candidate for Obesity Surgery
Name: Rick Bumgardner, former school bus driver
Age: 54; Height: 5' 9"; Weight: 468 pounds
Caloric value of food this day: 1600 calories
BREAKFAST: 12-grain bagel, 1.5 oz., with Jennie-O Breakfast Lover's turkey sausage, 1.6 oz., and Smart Beat nondairy cheese substitute, American cheese flavored, 0.7 oz. Quaker Simple Harvest granola bar, chocolate chunk, 1.2 oz. Iced tea, 12 fl. oz., with Splenda sweetener, 1 tsp.
LUNCH: Lean Pockets stuffed sandwich, Philly steak and cheese, 4.5 oz. Green Giant broccoli and carrots with Italian seasoning, 3.5 oz. Iced tea, 12 fl. oz., with Splenda sweetener, 1 tsp.
DINNER: Chicken leg coated with light Italian dressing, baked, 4.7 oz. Ronzoni Healthy Harvest whole wheat blend, yolk-free pasta, with Ragu Double Cheddar cheese sauce and steamed broccoli, 8.6 oz. Jello-O sugar-free pudding snack, dulce de leche, 3.7 oz. Iced tea, 12 fl. oz., with Splenda sweetener, 1 tsp.
SNACKS AND OTHER: Quaker Simple Harvest granola bar, roasted nut, 1.2 oz. Nabisco 100 Calorie Packs, Planters Peanut Butter Cookie Crisps, 0.8 oz. Baby carrots, 2.5 oz. Grape tomatoes, 2.4 oz. Cauliflower, 1.4 oz. Green onion, 0.4 oz. Radishes, 0.3 oz. V8 100% Vegetable Juice, low-sodium, 5.5 fl. oz. Crystal Clear bottled water, 1.1 qt. Supplements: cranberry caplet; vitamin B12; multivitamin; Medications: allopurinol, aspirin, calcitrIol, diltiazem, exenatide, glyburide, losartan. Other medications (not in picture, and only taken when needed): alprazolam, colchicine, fexofenadine, gabapentin, naproxen, simvastatin
Rick Bumgardener admitted to lapses of willpower and some days ate much more. Since this photograph was taken he qualified for, and received, the surgery. He is recovering at home and is losing weight.