The Elephant in the Room by Tommy Tomlinson

Flying on an airplane also presented problems. He recalls that the first time he flew, he found that the seatbelt didn’t fit. Since he didn’t know then that he could ask for a seatbelt extender, he settled for just clutching the armrests for dear life while covering his lap with a blanket so no one else would see. Tomlinson lived with these challenges (and more) for years. He would sometimes lose significant amounts of weight only to gain it back. What drove him to his most recent quest was the realization of how much it would hurt his family and friends to lose him.

A Winning Recipe

As a journalist — he’s written for ESPN, Esquire and Forbes, among others — Tomlinson is aware of weight loss fads. Rather than waste his time and money on miracle drugs or diets, he took the slow, methodical approach: eating less and exercising more. (In the book, he presents a year’s worth of his monthly statistics.)

You’ll have to read the book to find the payoff for yourself, but I was rooting for him from the start. Tomlinson is a completely engaging Southern storyteller (which I offer as the highest form of praise!) and I enjoyed every single page.

His account is sometimes heart-wrenching as well as funny, as Tomlinson explores the way he has used overeating to compensate for emotional wounds, only to find himself trapped in a cycle of weight gain and self-loathing. Breaking that loop has been a vital part of his journey, just as much as finding diet and exercise habits he can live with.

For nurses, this book is an important reminder that we need to treat the whole patient, not just their symptoms. What may seem to us to be a straightforward health issue may be only the tip of a more complex iceberg that patients must come to grips with in order to effect real change, even if that change is ultimately positive.  The Elephant in the Room is a delightful and eye-opening book, and I hope you enjoy it as much as I did.

The Elephant in the Room: One Fat Man’s Quest to Get Smaller in a Growing America by Tommy Tomlinson (Simon and Schuster, 2019)

Christine Contillo, RN, BSN, PHN, is a nurse with more than 40 years of experience, ranging from infants to geriatrics. A graduate of Cornell University and The Catholic University of America, nursing has taken her from inner cities to Central America.

In this Article: Self-Care and Wellness