However, you'd be amazed at how many docs in the US don't give a crap that their patients eat like shit and use insulin to balance it out. I had a family member who did that. She ate like shit, her doc just kept upping her insulin.
Personally, I wouldn't be amazed. I imagine that, at some point, a physician has to stop giving a shit, knowing that a lot of patients are just unable or unwilling to do the best they can for themselves.
Kelly Lenza, another deathfat with a thread here (who has gone radio silent recently) is one of them. She's a massively obese Type 2 who eats whatever she wants, and relies entirely on insulin to manage her BG, because restricting her food intake to any degree, or recognizing that certain foods are bad for her and avoiding them, is triggering, or fatphobic, or some other such shit. She's a pain in the ass as a patient because she refuses to discuss weight, or weight loss, at all. Her health is falling apart because fat (and diabetic), and she blames Long Covid for that, while complaining that fatphobic doctors don't take it, or her, seriously.
So if you're a physician, what do you even
do with a patient like this, who not only doesn't want to do the things that would improve their overall quality of life and better manage their health conditions, but is actively hostile to it, and anybody who dares suggest it?
At some point, you'd have to detach, knowing that you've met your obligations to them by providing the proper standard of care, but that you're ultimately not responsible for what they do with it. Leading a horse to water, and all that.
What I couldn't understand is how she has been able to continually be let back into Kuwait on a tourist visa every three months for going on two years now. I did some research, and it looks like she's getting by on a loophole. The only stipulations are that you have to leave the country after 90 days and will be fined if you don't. You can apply for an extension or get a multi-entry visa that last six months, but the latter requires a sponsor. There's nothing about how many times you can re-enter the country on a new tourist visa.
So I guess what she's doing is technically legal, but it defeats the whole purpose of a tourist visa, which is to get your ass out of the country after a specified time period.
A tourist visa is only in part about restricting the time spent in a country as it is defining a visitor's legal status—setting the parameters for what rights, privileges, and opportunities that visitor has while there, and what happens if they break the laws. That Kuwait has a 90-day limit on a tourist visa is kind of arbitrary; they could just as easily set it at 30 days, or 45, or 60, or six months, or a year.
A tourist visa means that you cannot work while there, or access certain social benefits intended for citizens or resident aliens (such as health care), and that you'll be dealt with through specific channels, should you fuck up. It can also deny you the ability to buy or lease property, open bank accounts, or start a business.
Chantal is not taking employment away from a Kuwaiti citizen or resident alien; she's not utilizing their health care or other social services; and she's not participating in illegal activities. She's also adequately self-funded, paying her own way to stay there, and so far has reliably obeyed the law by leaving the country every 90 days.
So, to Kuwaiti immigration, she's not a problem, and as long as she remains not-a-problem, they're okay with letting her renew her visa every 90 days. And if they ever do decide she's a problem, she'll be dealt with according to the terms of her visa.
The longest she's been out of Kuwait between visas was a month, when she was in Thailand. I would think that it would raise major red flags with authorities that she's gaming the system.
I don't think she's gaming it; I think the system allows for cases like Chantal's, where she doesn't qualify for residency, and doesn't want to become a citizen, but has a compelling, non-work reason to stay for an extended period of time. There have got to be plenty of cases like that, and the system seems to be generous in accommodating them.
