Fat in the Liver

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Years ago my girlfriend was told she had fatty liver & the doc suggested she'd take vitamin E supplements. Her docs haven't said much else about it. Cass has been taking E since & her fatty liver might of gotten worse according to her medical chart. Cass has been overweight her whole life & has gained a bit in the last 10 years. She has lots of various medical issues & her docs are kinda lost about what to do or don't really care.

Do the docs not care or do they just focus their efforts and energies on things they can change? Basically, is it Cass that doesn’t care?

I don’t know her but I have spoken with a few medical doctors who have similar views, that patients tend not to care.. patients don’t have the will, desire, or drive/motivation to take decisive action and do the work to get themselves healthier via diet, exercise, water, sunshine & sleep. One doctor I spoke with started out as a GP and switched to emergency because dealing with regular patients was depressing as everyone just wanted a pill to manage their chronic pain or diseases and no one wanted to make an effort to get healthier with the advice and support of their doctor.. but switching to emergency medicine meant his work had real value; when he does everything right people LIVE and that feels good compared to just watching people neglect their health and take pills until they die.

And I live in one of the fittest places on the continent - we’re apparently the fittest Province in Canada and I still feel out of shape myself and that there are far too many Very out of shape people here.. and the rest of the continent is in worse and Far Worse physical health. So, it’s possible doctors all over are just as “checked out,” on the physical fitness of their patients just to save their own sanity as there’s next to nothing they can do to help anyone that refuses to help themselves.

I’m not super religious, but there’s a reason the phrase “God helps those who help themselves,” exists.


Again, I don’t know Cass. Maybe she has some medical issues that prevent her from losing weight, but the Vast Majority of unhealthily overweight people Can do something about it if they Choose to and then Do it.

I hate the phrase God helps those who help themselves because it's often used in a context that God favors the rich and that the poor should suffer.

^^^I get what you mean GF. Cass cares but it's very easy for her to become discouraged. She's had pain & asthma probably her whole life but her parents never took her to docs for that or much else. Her younger brother had worse asthma & other various health issues that were more sever so their parents were burnt out dealing with his health. Cass felt guilty when she complained about things so her health fell through the cracks. She only went to docs when she was majorly sick. Her health got worse after she moved out of her parents due to the stress of independent living & executive function problems. She didn't see docs till after moving out till I moved in with her cuz of my insistence & because her health had gradually gotten a lot worse.

Her docs tend to think her issues are due to her weight but she's had pain & some problems breathing since she was little & she was more active & less overweight then. Docs act like they think she's drug seeking if she mentions pain but she's NOT wanting narcotics.

A few years ago Cass went to the ER because of stones lodged in her gallbladder. She spent two nights in the hospital & had gallbladder removal surgery the next day. She remembers waking up screaming in pain after the surgery. When they discharged her the day after surgery, they prescribed Cass only 5 pills of Hydrocodone. Her sister had her gallbladder removed a year later & her sis says the surgery went well & she did not experience a lot of pain. They also sent her home with 10 days worth of Hydrocodone.

There's sometimes a night & day difference between how docs treat Cass & how docs treat me. I'm probably drug seeking aLOT more than she is & I tend to have an easyish time getting meds, alot easier than she does. 7/8 years ago I had surgery on my nose to correct a deviated septum that I probably had my whole life. I was hoping the surgery would help my sinuses a little & there was alittle improvement after. It was an outpatient procedure & they sent me home with two weeks worth of Oxycodone. When I had my followup appointment two weeks after my surgery, I mentioned I was still experiencing a bit of pain & the doc prescribed me another weeks worth. My pain was not bad at that point but I wanted to have some pills on hand just in case since I was able to get them The doc mentioned there was still lots of swelling so I started taking prescription Aleve the day after that followup that I had leftover from some occasional leg pain I was getting for a bit & quit having. I took the Aleve till the pills ran out a week later & I still have the Oxycodone.

I gained a lot of weight after I moved in with Cass 10 years ago partly due to adjusting to more independent living & stress contributing to me binge-eating. A year & a half ago my GP put me on a diabetes med partly because my psych started prescribing me an antipsychotic that can cause weight gain & increase blood-sugar. My blood-sugar had been in the median-high range for a few years, thou the year before it had actually went down despite my weight still increasing or staying the same. My weight started going down after I was put on the diabetes med & losing weight is another reason my doc prescribed it to me. Since then I started trying harder to cut down on snacking some & started trying to be more active. A month ago I asked about adding a med to help with my binge-eating & I had no problem getting it. Cass's chart says her blood-sugar is in the median-high range & she has problems with binge-eating as well but her GP type docs want her to be more active instead of putting her on more meds. I'm prescribed just as many meds as she is not counting those two but my docs haven't been that concerned about how many I'm on

Cass has better social skills than me & she has a desire to be more outgoing & have more friends & such things. Unlike me she's tried to become more outgoing & active within the community but she quickly got burnt-out. She needs lots of time to recover before & after going out & being active. She feels guilty about not having a job & not being active whereas I'm aLOT more apathetic about such things. She tends to be passive & shuts down when there's confrontation whereas I'm a lot better at asserting myself than she is. I have more experience dealing with docs than she does & things went a lot better for me after I started taking a more proactive role with my health.

In positive news, Cass started seeing an allergist about a month or so ago & her asthma is a little better due to him changing her inhaler. More change might could be very helpful but at least me & her are noticing a little improvement. Yesterday her psych upped a dose of a med that might help her feel a little better & focus more. We both like her psych. He doesn't understand certain things about her that well but he listens & is open to input. Unfortunately it's a trail & error process & there seems to be alot more error for Cass but there is some positive improvement as well.

The context is very important here.

How do you figure that?

I’ve never thought of that phrase favouring the rich. It’s about people taking personal responsibility and taking action to make their best effort to help themselves and solve their problems. When people are making an honest effort, it’s very easy to offer support and help them do better. When they’re not doing jack s**t, or are doing things that make their situation worse, then no one wants to help them because their efforts are wasted when someone isn’t even trying to help themselves.

I have these exact frustrations with drug addict friends and family whenever they’re not making an effort to improve. But when they’re working on themselves I can help them as well. But I can’t just solve all their problems while they’re actively working against their own best interests. At that point it’s just frustrating trying to help people.

The phrase has nothing to do with someone’s net worth and everything to do with their behaviours and actions.