June 28th, 2005
As I ate my sandwich of pastrami, cole slaw, and Russian dressing on a sub roll with a side of Cheetos and a Diet Coke, I read the Washington Post story about John Keitz, the 39-year-old man from Dundalk, Maryland, who has been bed-ridden for about seven years. Keitz weighs 625 pounds.
The profile, by David Montgomery, is, well, engrossing. Keitz had always been a big guy, weighing 100 pounds even in first grade and 250 pounds at age 18. (He believes his morbid obesity stems from a bad metabolism and not simply large portions.) As Montgomery explains it:
He lies on his front, because if he were to lie on his back, rolls of flesh would press on his windpipe and suffocate him. His head never touches sheet or pillow. At night, his left cheek nestles upon a soft white pile of shoulder and breast meat.
The last time Keitz stood, he was in the midst of preparing a mac ‘n’ cheese dinner for himself and his wife Gina. Just as he was slicing the Velveeta, it happened.
Keitz knows what people think: “How could someone get so fat? How could someone allow himself to be bedridden for seven years? How is it someone his size has sex?” (Okay, that last question was mine. And based on a friend’s account of an obese couple she knows well, I do know how it works, the details of which are not suitable for publication under any circumstance.)
The story of John Keitz is a sad one. Yes, he has lost some weight–he once weighed 781 pounds–and he is trying to literally get back on his feet. But he still has a long way to go, and must simultaneously battle diabetes, arthritis, and sleep apnea. Let’s hope David Montgomery does a follow-up next year.
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There is a guy here in Nebraska (Valentine, Neb.) who lost 573 lbs. in one year! This guy was 1,073 lbs one year ago, now he is 500 lbs. This is almost 400 lbs. more than the Maryland guy (that is like adding another fat guy).
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What do you get when you cross Alfred Hitchcock with Vic Matus?The Birds And The Obese.
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This is wrong. When I began outting on the weight, I began eating better and exercizing. This is a disgrace. And metabolism changes with one’s level of activity. Lift some of that “chest meat” for exercize until you can walk. Egad!
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What I never understand in cases like these is, once the person is bed-ridden, in order for them to maintain the weight, someone has to be providing them with enough calories – otherwise, he would lose weight. It seems to me that if someone I knew became bed ridden b/c of weight, I would put them on a diet. At that point, there is not much the person could do about it, as they can’t get out of bed.
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I’m with Anonymous. I always had the same question. But perhaps Vic has the answer. The guy in the bed trades something for the food. Uggh!
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its amazing how judgemental people can be when they don’t have the whole story. the story Mr Montgomery wrote was a wonderful, heart-wrenching story that obviously couldn’t publish everything. the paper likely gave a certain amount of space. other medical professionals didn’t think he could do any physical therapy, even as recently as April 2005. it took a different set of people to even try. I am sure he, his wife and his sister are thankful to the latest doctors etc for their assistance. do you honestly think a person would be HAPPY living like he has been. I know there are many more people like him in the world. I pray that they find a group of people like these to help them.
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“its amazing how judgemental people can be when they don’t have the whole story”What part of the story don’t I have? There is a man who is too obese to even get out of bed. That means someone has to be bringing him food. If the person bringing him food brought him less quantity, and better quality, the obese man would lose weight. No, he would not become skinny, but he would certainly drop to a weight that would allow him to get out of bed. So, it is clear that someone is enabling him by bringing him either the quantity and/or the quality of food that maintains his current bed-ridden weight.Now, this might be heart wrenching, but this is also a case of people being totally responsible for their condition, which condition, I’m sure, costs society in disability benefits, welfare, and medical costs.
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do you honestly think a person would be HAPPY living like he has been.I really hate it when people bring this up. Come on, people have free will and they make choices. Choices have consequences. Do you think most people who have unprotected sex with multiple partners are happy when they catch an STD? Hell no, but that really is beside the point. Perhaps Mr. Montgomery’s situation is based on medical reasons and therefore he is an innocent victim; however, it sounds like he made some lifestyle choices and this resulted in the situation he is in.
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“Perhaps Mr. Montgomery’s situation is based on medical reasons and therefore he is an innocent victim;”Mr Montgomery was the reporter. Mr Keitz is the obese man.No matter what anyone personally feels about the situation, I am thrilled he is finally get some help. ALL of us eat some stuff we shouldn’t and none of us are perfect… at least, he isn’t claiming to be…I am sure there is more to his story that fit into the article…Medical situations and circumstances that not everyone knows about…I feel bad for his family. What they must go through being homeless in one part of the state while he is in a rehab center 45 minutes away…
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“I feel bad for his family. What they must go through being homeless in one part of the state while he is in a rehab center 45 minutes away…”Perhaps they’re thinking that if they just refused to keep overfeeding him while he was confined to the bed, they wouldn’t be in this situation. So much for personal responsibility for anyone in this story. And, unfortunately, based on some of the comments here, so much for people in our society being able to hold people accountable for their own behaivour.
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I agree, people should take responsibility for their actions. However, I also believe that no one person should judge another. What the article didn’t say was that Mr Keitz was following the instruction of his doctor. They only wanted him to lose an average of 2 pounds per week. Any dietician will tell you, if you lose weight too fast, it can send your body into shock and cause you to have a heart attack. I know Mrs Keitz and know she was stuck between doing what she thought was best and what the doctors wanted.
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Just want to point some stuff out:1) 2 pounds of loss a week is perfectly safe for most men and some women who are atleast 20 pounds or so over their ideal weight. In a case like this fellow he could lose 5 or 8 pounds a week and still be safe. The fatter you are, the more weight you can lose faster (and safer). So, this guy is not being very ambitious actually.2) People like this have mental problems. The ones who succesfully manage to get down to more normal sizes are almost always the ones who recieve mental help from a professional. From reading the article I think this man is going to fail unless he manages to see a shrink (no pun intended).I know its hard for most people to understand, but this type of extreme obesity isn’t gluttony or greed, its a mental disease that leads the victim to self destruction. It’s a very insideous addiction because for these people its chemically much how a drug addiction would be for someone else. The insideous part of it that while you don’t need drugs to live, you absolutely have to eat. Imagine being an alcoholic who had to drink only 1 beer a day – most people would tell you it wouldn’t work. It’s a pretty fucked up situtation.
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He was 200 pounds at 16, 781 at 39. Thats a 581 pound or 2,033,500 calories gain over 8,395 days. In theory you need only eat 242.2 extra calories a day to gain that weight. Thats only an extra 2.5 slices of bread each day. The bigger he got the less mobile he was so his weight just kept going up. His needs a lot of help to get to a normal weight and stay there(most regain the weight). People this size are a growing problem for fire fighters when they have to be moved.


Al June 28, 2005 at 10:06 pm
Where’s Jared when we need him???