Hopefully it's just a case of the doctors talking among themselves:

Dr. 1: "You say this guy did all of the purging and fasting, right?"

Dr. 2: "Yup. Guy's good a following directions. Gets a little carried away with detail at times, but I'm sure he did it right."

Dr. 1: "Then we have one for the record books. This guy really is full of sh*t!"

Nurse: "You ladies haven't been reading that MOAB thread, have you, or you'd know that without looking up this guy's backside."