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#352374 - 06/07/06 07:58 AM PM dr "noted" my wieght gain
Lisa1967 Offline
Veteran


Registered: 10/29/02
Posts: 724
So,I go into my dr's office yesterday,and he asks me the usual questions-how's my pain, my mood,my anxiety,etc. Then,he says "I've noticed you've put on a lot of weight-what's that about??"
UMMM, well,FIRST of all, I just had joint replacement surgery a few mos ago,which had me laid up, unable to do many things. I am STILL "laid up" with chronic pain,or did he forget that's why I see him in the 1st place??
Second,that STUPID fantanyl patch he had me on gave me a sweet tooth like you've never seen! ALL I wanted was sugar!
Now that I am off of that,I have stopped eating at night,and started losing wieght already.
3rd,I am not as stressed as I have been, now that my hubby's found sobriety and isnt making our lives a living nitemare!
4th-wtf is it HIS biznez that I gained weight?? I'd think it would be better than the 95lbs I WAS when my marriage started falling apart. If he'd seen me then,he'd probly accuse me of being a crackhead I am 140lbs now,and plan on getting down to 120 in the next few mos. My hubby says I look just fine to HIM
Ugh-my hubby has gained weight too-he's 210lbs from his usual 185. But nobody says anything about men gaining,do they??

Just had to vent-thanks for listening
Lisa

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#352375 - 06/07/06 08:10 AM Re: PM dr "noted" my wieght gain
expatinuk Offline
Pooh-Bah


Registered: 10/07/05
Posts: 1350
What an insensitive remark. Obviously it was off the cuff and not thought out. Best for you to let it go and chalk it up to your doc being a *jerk*.
Sorry about that : (
_________________________
" Once in a while you get shone the light, in the strangest of places, if you look at it right " GD

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#352376 - 06/07/06 08:48 AM Re: PM dr "noted" my wieght gain
DaveMatrix Offline
Banned: too many disturbing off topic posts


Registered: 03/05/06
Posts: 1576
Loc: Zeta Reticuli
I think its a Dr's job to notice things like weight gain. Since being over-weight is unhealthy this seems to be a normal thing to comment on, especially from your doc. Maybe he could have been more understanding, but women are often very touchy about the subject, no matter how it is handled. Many people(docs included) do comment about men that are over-weight, however men dont seem to be as sensitive about it, JMHO. I'm not trying to be unkind, it just seems you may be overly sensitive about this.
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#352377 - 06/07/06 09:00 AM Re: PM dr "noted" my wieght gain
Fiver Offline
Pooh-Bah


Registered: 10/02/03
Posts: 1117
Loc: Detroit-ish
Marked weight fluctuations in either direction can be symptomatic of many physical or psychological problems, and it would be irresponsible for a physician to NOT notice it. My guess, though, is that a female doc would have been more tactful with her words (yes, we women *are* kinda sensitive about these things..)
_________________________
"Lousy Smarch weather!" -- Homer Simpson

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#352378 - 06/07/06 09:05 AM Re: PM dr "noted" my wieght gain
OldandWorn Offline
GRAND Pooh-Bah


Registered: 09/21/03
Posts: 7036
Loc: Norco, CA
I wouldn't take offense. That is part of their job. Funny, meds make me eat less.
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#352379 - 06/07/06 09:07 AM Re: PM dr "noted" my wieght gain
malcolm Offline
Member


Registered: 05/08/06
Posts: 133
Quote:

So,I go into my dr's office yesterday,and he asks me the usual questions-how's my pain, my mood,my anxiety,etc. Then,he says "I've noticed you've put on a lot of weight-what's that about??"
UMMM, well,FIRST of all, I just had joint replacement surgery a few mos ago,which had me laid up, unable to do many things. I am STILL "laid up" with chronic pain,or did he forget that's why I see him in the 1st place??
Second,that STUPID fantanyl patch he had me on gave me a sweet tooth like you've never seen! ALL I wanted was sugar!
Now that I am off of that,I have stopped eating at night,and started losing wieght already.
3rd,I am not as stressed as I have been, now that my hubby's found sobriety and isnt making our lives a living nitemare!
4th-wtf is it HIS biznez that I gained weight?? I'd think it would be better than the 95lbs I WAS when my marriage started falling apart. If he'd seen me then,he'd probly accuse me of being a crackhead I am 140lbs now,and plan on getting down to 120 in the next few mos. My hubby says I look just fine to HIM
Ugh-my hubby has gained weight too-he's 210lbs from his usual 185. But nobody says anything about men gaining,do they??

Just had to vent-thanks for listening
Lisa



it also has to do with his tone of voice and general attitude. I grew up with three sisters and I NEVER mentioned weight - touchy subject. If he is a good doctor let him know that you had your feelings hurt. He may not even know he said something rude and you would be doing him a favor. jmo

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#352380 - 06/07/06 09:09 AM Re: PM dr "noted" my wieght gain
malcolm Offline
Member


Registered: 05/08/06
Posts: 133
Quote:

What an insensitive remark. Obviously it was off the cuff and not thought out. Best for you to let it go and chalk it up to your doc being a *jerk*.
Sorry about that : (



expat is my favorite human but let's not call the doc a jerk unless he has a british accent and goes to plays in london - then feel free!!

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#352381 - 06/07/06 09:24 AM Re: PM dr "noted" my wieght gain
pam70 Offline
Old Hand


Registered: 02/15/05
Posts: 448
Loc: Heartland
Quote:


4th-wtf is it HIS biznez that I gained weight??


Sorry that you felt offended, but doctors have valid reasons for noting weight gains and losses. Leaning toward diabetes and high cholesterol are just a few of them. Surely you would want to know if either of these were starting to present. Weight gains are a signal that something could be wrong. And even if nothing is wrong now, if not checked not with your 20lb weight gain could get out of control and cause serious problems down the road. I for example was put on a certain medication for high blood pressure. This particular med, metabolizes as a sugar. Over several years I put on a couple of lbs a month until I reached the point of borderline diabetes. Then my doctor really started getting onto me. I told him that I had changed my diet for the better, didn't eat nearly as much as I used to etc, I didn't know why I was gaining. He started looking at my meds, and commented that one might be the reason I was slowly gaining. He changed it, and over the last year I lost 25lbs without changing anything else. Doctors have many other valid medical reasons for noting weight gains. You should be happy that he noticed, because it could save you from serious problems down the road.
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#352382 - 06/07/06 09:26 AM Re: PM dr "noted" my wieght gain
SassyKitty Offline
Old Hand


Registered: 08/19/05
Posts: 498
Thyroid is another reason. Whenever anyone has significant weight gain that they can't pin-point, they usually test the Thyroid.

If he makes a comment you find insensitive & you don't feel comfortable saying so, just say "ouch". He'll realize he did something that has bothered you & most like apologize & you won't have to be confrontational.

_________________________
If you can't get rid of the skeleton in your closet, you'd best teach it to dance.

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#352383 - 06/07/06 10:19 AM Re: PM dr "noted" my wieght gain
bumpkin2001 Offline
Threadhead


Registered: 02/26/05
Posts: 924
Quote:

So,I go into my dr's office yesterday,and he asks me the usual questions-how's my pain, my mood,my anxiety,etc. Then,he says "I've noticed you've put on a lot of weight-what's that about??"
UMMM, well,FIRST of all, I just had joint replacement surgery a few mos ago,which had me laid up, unable to do many things. I am STILL "laid up" with chronic pain,or did he forget that's why I see him in the 1st place??
Second,that STUPID fantanyl patch he had me on gave me a sweet tooth like you've never seen! ALL I wanted was sugar!
Now that I am off of that,I have stopped eating at night,and started losing wieght already.
3rd,I am not as stressed as I have been, now that my hubby's found sobriety and isnt making our lives a living nitemare!
4th-wtf is it HIS biznez that I gained weight?? I'd think it would be better than the 95lbs I WAS when my marriage started falling apart. If he'd seen me then,he'd probly accuse me of being a crackhead I am 140lbs now,and plan on getting down to 120 in the next few mos. My hubby says I look just fine to HIM
Ugh-my hubby has gained weight too-he's 210lbs from his usual 185. But nobody says anything about men gaining,do they??

Just had to vent-thanks for listening
Lisa




I wouldn't take offense. it's pretty much a standard question asked even by PCPs to monitor your overall health. Plus he might have to modify your meds. based on your weight.

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#352384 - 06/07/06 11:19 AM Re: PM dr "noted" my wieght gain
CeeBee Offline
Pooh-Bah


Registered: 08/09/03
Posts: 1368
Loc: garden state
Lisa I am very sensitive about my weight too, but I do think it is the Doc's job to ask about anything different about you. I have to lose weight too!
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#352385 - 06/07/06 11:44 AM Re: PM dr "noted" my wieght gain
lextech Offline
Threadhead


Registered: 07/26/05
Posts: 836
That is a doctors job and they are getting a lil more aware of peoples weight and health becasue it is healthcare matter, and could be the root to current and future problems I wish my doctor would be that aware at least open to disscus that issue. Dont take it to hard its there job and at least he is paying attention to your health
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#352386 - 06/07/06 11:49 AM Re: PM dr "noted" my wieght gain
signmeup Offline
Veteran


Registered: 02/21/06
Posts: 519
It's just the doc doing his job. There are many reasons he could have asked for.

Heck, it is good that you have a doctor that cares about you. Be thankful, and try not to be so sensitive.

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#352387 - 06/07/06 12:05 PM Re: PM dr "noted" my wieght gain
snuffcore Offline
Board Addict


Registered: 02/06/06
Posts: 302
Loc: Mobtown, USA
If I gained some 40 odd pounds since seeing my PCP last, and he didn't ask about it; frankly, I'd wonder why he didn't. It, as others have pointed out, is his job; plain and simple. Some just have a better bedside manner than others, and unfortunately it just sounds like your doctor's isn't all that it should be. Just don't take it too personally, be glad he's looking out for you, and next time he says something that bothers you or you find rude, or questionable in some way, let him know about it. Communication is one of the keys to a good doctor patient relationship and if you aren't happy with how he talks to you, he has to know. And, hopefully next time he'll be a bit more careful in how he addresses you and your concerns.
JMTC
_________________________
"Everything in moderation (Especially moderation)."

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#352388 - 06/07/06 12:05 PM Re: PM dr "noted" my wieght gain
Foxglove Offline
Member


Registered: 10/25/03
Posts: 178
Loc: Lone Star State
I think the doc could have worded that better. All that education and you forget how to be professional? I don't think that was too cool, but maybe he is just trying to speak to you like he knows you, not that I am saying I would ever say that to my friends, okay I am screwing up, see how easy it is when you have to tip-toes around the tulips with people? Anyhow what I hope to convey is he is doing his job, maybe he meant nothing by it, but if you feel insulted you should not feel to bad to let him know right then and there.
Also the fact he forgot (as you put) would suggest maybe you should find another more attentive docotor. This is obvioulsy your call, but I would want a doctor to remember these things.
Docs do see alto of people so it gets hard to remember, but thats why they keep files!
_________________________
"May my last breath be drawn through a pipe, and exhaled in a jest." -Charles Lamb (1775 - 1834)

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#352389 - 06/07/06 12:10 PM Re: PM dr "noted" my wieght gain
angto725 Offline
Pooh-Bah


Registered: 01/18/05
Posts: 1325
Loc: NY, USA
Actually, I would have been offended too. The thing is, there is no polite way to inquire about weight gain. Usually, if you gain weight (especially women) you're already crucifying yourself about it and for someone (even a Dr.) to "notice" makes it all the worse. In fairness, it is a responsible thing for a doctor to do to inquire about weight fluctuations. If you haven't changed eating or excercise habits, and your weight changes, usually it's a sign that there may be a problem.

Adding a humorous twist, our family doctor when I was growing up was Chinese. One day my dad had to go for a physical and I was with him. My dad is Italian (Sicilian) and has always been built like a football player. (5'10" and averaged around 210 lbs I guess, but never looked fat...just big in an intimidating kind of way.) Anyway, our tall, slim Chinese Dr. had him step on the scale and loudly exclaimed "Oh, big a fat! You hundred ninety five pound! Eat a vegetable, no eat cake!)

His accent made it really funny but at the time I was about 10 and I remember thinking "HEY! Don't call my dad fat!)


Edited by angto725 (06/07/06 12:13 PM)
_________________________
Diplomacy is...the art of letting someone have your way.

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#352390 - 06/07/06 12:36 PM Re: PM dr "noted" my wieght gain
voyager Offline
Pooh-Bah


Registered: 04/17/03
Posts: 1090
Loc: United States Virgin Islands
If the doc didn't care that you were getting "fat" then he wouldn't be doing his job. Part of my responsibility as a patient is to keep my weight down as part of my pain management. He gives me the drugs, but I HAVE to exercise, use my TENS unit, keep my weight down, eat good.

It all works together.

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#352391 - 06/07/06 01:09 PM Re: PM dr "noted" my wieght gain
SassyKitty Offline
Old Hand


Registered: 08/19/05
Posts: 498
Quote:

If the doc didn't care that you were getting "fat" then he wouldn't be doing his job. Part of my responsibility as a patient is to keep my weight down as part of my pain management. He gives me the drugs, but I HAVE to exercise, use my TENS unit, keep my weight down, eat good.

It all works together.




That is the 2nd down right insensitive remark I've heard from you in the past 2 days. You semm to do this when somebody posts looking for support (you yelled your whole post yesterday), WTF?? Her dr. NEVER used the word "fat" YOU did! I would NEVER say 140lbs is fat... never!

I think you need to start re-reading what you write before you hit the post button. If your post hurts the person, why even do that when they're obviously looking for support?
_________________________
If you can't get rid of the skeleton in your closet, you'd best teach it to dance.

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#352392 - 06/07/06 01:16 PM Re: PM dr "noted" my wieght gain
kserah Offline

GRAND Pooh-Bah


Registered: 10/05/04
Posts: 5075
Loc: In the moment
An almost 40% weight gain IS significant and could mean a couple of different things. For instance, your thyroid could be out of whack. Like the other poster said, If he didn't mention it, he wouldn't be doing his job. Lucky for you that you're still within a fairly normal range (don't know your height, bone structure, etc.)

Don't be offended. He's a body mechanic. It goes with the territory.
_________________________
If at first you don't succeed, then skydiving definitely is not for you.


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#352393 - 06/07/06 01:29 PM Re: PM dr "noted" my wieght gain
angto725 Offline
Pooh-Bah


Registered: 01/18/05
Posts: 1325
Loc: NY, USA
Quote:

Quote:

If the doc didn't care that you were getting "fat" then he wouldn't be doing his job. Part of my responsibility as a patient is to keep my weight down as part of my pain management. He gives me the drugs, but I HAVE to exercise, use my TENS unit, keep my weight down, eat good.

It all works together.




That is the 2nd down right insensitive remark I've heard from you in the past 2 days. You semm to do this when somebody posts looking for support (you yelled your whole post yesterday), WTF?? Her dr. NEVER used to word "fat" YOU DID! I would NEVER say 140lbs is fat... never!

I think you need to start re-reading what you write before you hit the post button. If your post hurts the person, why even do that when they're obviously looking for support?




Atta girl Sass! Also, a lot of pain patients are not physically capable of excercising. I would say that is even more likely of someone who just underwent a JOINT REPLACEMENT surgery! She obviously is not "fat" and intends to lose weight, she clearly has a handle on things. Besides, I think 140 is alot safer than 95lbs if she's on meds anyway.
_________________________
Diplomacy is...the art of letting someone have your way.

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#352394 - 06/07/06 01:39 PM Re: PM dr "noted" my wieght gain
voyager Offline
Pooh-Bah


Registered: 04/17/03
Posts: 1090
Loc: United States Virgin Islands
THE statement that those that undergo joint replacement surgery being unable to exercise is TOTALLY INCORRECT. They have to exercise MORE than anyone else. Just because your not burning 2000 calories per day running 8 miles doesn't mean you can't do your part.

We as pain patients have an OBLIGATION TO OURSELVES to keep our weight down. Its not easy but it can be done.

If we can't keep our weight down, how are we "ever" going to get this pain management thing under control???

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#352395 - 06/07/06 01:40 PM Re: PM dr "noted" my wieght gain
flowergirl1 Offline
GRAND Pooh-Bah


Registered: 09/21/05
Posts: 1651
Quote:

An almost 40% weight gain IS significant and could mean a couple of different things. For instance, your thyroid could be out of whack. Like the other poster said, If he didn't mention it, he wouldn't be doing his job. Lucky for you that you're still within a fairly normal range (don't know your height, bone structure, etc.)

Don't be offended. He's a body mechanic. It goes with the territory.


Excelent point... the doctor is just doing his jod thats about it However I think we are all a little sensetive when it comes to weight because society has made it such a big deal.

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#352396 - 06/07/06 01:42 PM Re: PM dr "noted" my wieght gain
pam70 Offline
Old Hand


Registered: 02/15/05
Posts: 448
Loc: Heartland
I love that!! "Body Mechanic". Never heard that before.
But seriously, I would rather hear something straight up from my doctor than for him to pussyfoot around. As long as he is willing to explain what is going on, the consequenses and help me find a solution, then I am fine with that.

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#352397 - 06/07/06 01:48 PM Re: PM dr "noted" my wieght gain
flowergirl1 Offline
GRAND Pooh-Bah


Registered: 09/21/05
Posts: 1651
"body mechanic" I liked that one too LOL.. I feel the same i would much rather have the doctors be forward with me. We all need to be informed about whats happening to our bodies. we may not Like what the Doctors have to say LOL But when do we ever always like what people say anyways??? Lol..
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#352398 - 06/07/06 01:58 PM Re: PM dr "noted" my wieght gain
SassyKitty Offline
Old Hand


Registered: 08/19/05
Posts: 498
Quote:

I am not trying to be insensitive but we as patients also have the burden of responsibility to keep our weight down.

If we can't keep our weight down, how are we "ever" going to get this pain management thing under control???






I'll have to take your word, that you're not "trying" to be insensitive. However, you should really go back to your post from yesterday in reply to "breaking the habit after 3 years of hell"(or something very similar to that). Go back & read how insensitive your remarks were.

You yelled your entire post to somebody who is doing the right thing, by trying to get themselves sober & break an addiction. All they were looking for was suppoort, advice, well wishes & good thoughts & prayers, certainly not a lecture about self medicating &. how we're all killing ourselves by doing it. Sorry, but isn't self medicating pretty much what this site is all about??

Go back to yesterday's post & read it again. Then read that almost every single post after yours, addressed your unecessary comments. You'll see the level of anger & shock that you created in everyone from your insensitive post. If you're "really" not trying to be insensitive, you'll edit or apologize for your posts then.

Sorry to hijack your thread Lis!
_________________________
If you can't get rid of the skeleton in your closet, you'd best teach it to dance.

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#352399 - 06/07/06 02:01 PM Re: PM dr "noted" my wieght gain
SassyKitty Offline
Old Hand


Registered: 08/19/05
Posts: 498
Diabetic as well, a HUGE sign of diabetes is weight gain.
_________________________
If you can't get rid of the skeleton in your closet, you'd best teach it to dance.

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#352400 - 06/07/06 02:09 PM Re: PM dr "noted" my wieght gain
timetogo Offline
Pooh-Bah


Registered: 07/07/04
Posts: 1407
I think doctors have standard lines that they tell all patients:

1. quit smoking
2. exercise more
3. lose weight (if needed)

Maybe they learn this in medical school...tell all your patients these things no matter what the problem is, especially if the doctor can't easily diagnose the problem.

I wouldn't take it too personally either. I guess doctors feel like they are giving you your money's worth by telling you things you already know anyway. LOL

Time

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#352401 - 06/07/06 04:18 PM Re: PM dr "noted" my wieght gain
mrmchugh789 Offline
Enthusiast


Registered: 09/10/05
Posts: 225
I know exactly how you feel...I refuse to weigh at my regular Dr. She , yes She, always asks why I haven't lost( even if I lose some) or that I've gained etc etc. She is NEVER happy with me. So now I" just say NO! " I have alot of panic attacks also have severe arthritis. Maybe she should be more concerned about the pain I'm in ! I HATE going to see the DR. I also have a pacemaker and when I was pregneant... The cardiologist asked me angrily, Why did you gain weight!!! I said I'm pregneant! Give me a break. I need to lose maybe 40lbs. Like I am the leader in obesity.
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#352402 - 06/07/06 04:40 PM Re: PM dr "noted" my wieght gain
VAequestrian Offline
Banned: same as ArmaniBoy, painstruck2, UKmigraine


Registered: 03/28/06
Posts: 1416
Loc: Between a rock and a hard plac...
Ive always had a complex about my weight...i can be skinny as a rail and still think " oh i need to lose 5 more lbs. and ill be happy". Ive often wondered if pain meds make you gain weight? Esp if you dont take stool softener and other essentials to keep you regular. I know my weight fluxuates bad..and i hate it...my dr told me the last time i seen him he thought i should lose about 15 lbs...talk about a complex! But i hardly ever eat...which could be a reason too im aware of..but i just cant help but to wonder if pain meds make you swell or retain fluids...bc i can be ten lbs heavier/lighter in 2 days...
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#352403 - 06/07/06 05:04 PM Re: PM dr "noted" my wieght gain
Daeshay76 Offline
Banned: multiple ID's. Same user as My2Boyz.


Registered: 03/22/04
Posts: 2436
Quote:

Quote:

I am not trying to be insensitive but we as patients also have the burden of responsibility to keep our weight down.

If we can't keep our weight down, how are we "ever" going to get this pain management thing under control???






I'll have to take your word, that you're not "trying" to be insensitive. However, you should really go back to your post from yesterday in reply to "breaking the habit after 3 years of hell"(or something very similar to that). Go back & read how insensitive your remarks were.

You yelled your entire post to somebody who is doing the right thing, by trying to get themselves sober & break an addiction. All they were looking for was suppoort, advice, well wishes & good thoughts & prayers, certainly not a lecture about self medicating &. how we're all killing ourselves by doing it. Sorry, but isn't self medicating pretty much what this site is all about??

Go back to yesterday's post & read it again. Then read that almost every single post after yours, addressed your unecessary comments. You'll see the level of anger & shock that you created in everyone from your insensitive post. If you're "really" not trying to be insensitive, you'll edit or apologize for your posts then.

Sorry to hijack your thread Lis!





I am not trying to be a jacka$$ here or anything but this thread posted by the OP is not about the post from yesterday or the other day or whenever it was. It is about her doctor telling her and noting about her weight gain. Can you guys do this little fuss in a PM or something?? I just dont see how this pertains to the OP thread????
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Sin means to miss the mark; while if you miss the experience of learning, karma will make sure that it comes again.

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