“Is every kid I see today going to be obese?” a frustrated colleague asks me. “I feel like that’s all I’m seeing in the office!” Whatever your specialty and wherever your practice, whether you see children or their grandparents, chances are you’re seeing your patients get heavier. In Chula Vista as in other communities, underserved patients present to their doctors not only with high rates of obesity, but also shouldering the highest burden of preventable diseases such as diabetes and hypertension.