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The Difference Between Excuses And Reasons
Sunday, June 01, 2014 12:40 pm Email this article
On the occasions when patients return having gained weight back, many feel compelled to offer an explanation. It’s always an excuse, seldom a reason. It is worthwhile to know the difference.
The hallmarks of an excuse is that it is stereotyped, unoriginal and irrational. The most common excuse is, “I ran out of medicine”. I won’t even comment on this canard. The best thing people get in my office is the Ten Doctor’s Orders. When people learn them, they never need me again. The pills are like Dumbo’s feather.
Some patients have told me their parents “taught them to always clean their plate”. The fact that so many people say this, and only fat people, and the same wording is used each time signals that this is an excuse, not a reason. Even if it were true, the plates were smaller back then. Even if it was true, does the person do everything else their parents taught them?
Then we have the Menopause Excuse, the Slow Metabolism Excuse and the Muscle-Weighs- More-Than-Fat Excuse. There are social excuses too such as the I-Buy-Cookies-For-My-Kids Excuse and My-Husband-Brings-In-Junk-Food Excuse. The No-Time-To-Exercise Excuse is particularly galling since that snacking people never lose weight with exercise, because their insulin level stays too high.
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