All he did wrong was neglecting to explain which Earl Sunderhaus was doing the talking. He should have said something like,
"Dr. Sunderhaus suggests you try to lose some weight for both your general health as well as the potential damage to your eyes due to diabetes. Private Citizen Sunderhaus suggests you could lose weight by getting off your lazy a$$, getting a job or two to support yourself, and keeping your legs together until you can support your own offspring. That is all."