Happy Birthday, and see you soon! xoxo, Cancer | PassiveAggressiveNotes.com

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Happy Birthday, and see you soon! xoxo, Cancer

January 11th, 2016 · 92 comments

Our submitter in North Dakota found this birthday card from the local health clinic a little…off-putting.

related: Dropping the Big C

FILED UNDER: birthday · hospitals & doctors · North Dakota

92 responses so far ↓

#1 nobody

Nice! Not sure they’ll get a lot of business that way…

Jan 11, 2016 at 8:04 am rating: 90

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#2 kjordan2001

Been a while since the last note. I actually had to go to the previous one to see if the RSS feed of this site broke.

Jan 11, 2016 at 9:00 am rating: 90

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- #2.1 Thick McRunfast
  
  I wonder if we have a backlog of raging notes or if 2015 was THE Christmas of peace.
  
  Jan 12, 2016 at 2:22 am rating: 90
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#3 The Beast Among Us

It’s alive! IT’S ALIVE!!!

Jan 11, 2016 at 12:28 pm rating: 90

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- #3.1 kermit
  
  See, I done tole you people that probably some grad school hell was the reason for the radio silence.
  
  Jan 13, 2016 at 8:21 am rating: 90
- #3.2 Rattus
  
  Those are exactly the words that popped into my head as I opened this site.
  
  Jan 13, 2016 at 8:33 am rating: 90
- #3.3 Poltergeist
  
  I was a mere shell of a man without updates from this website. Now thanks to this breast cancer and death-themed post, I am finally whole again.
  
  Thanks PAN!
  
  Jan 13, 2016 at 5:38 pm rating: 91
- #3.4 Kohaku
  
  Aren’t poltergeists mere shells of men (and women) anyway?
  
  Jan 14, 2016 at 4:45 pm rating: 90
- #3.5 Jami
  
  Nah, Kohaku, everyone knows poltergeists are actually psychic manifestations caused by children going through puberty. Not actual ghosts.
  
  Jan 20, 2016 at 10:39 pm rating: 90
- #3.6 Kohaku
  
  That would explain all the Linkin Park and emo makeup.
  
  Jan 23, 2016 at 1:53 pm rating: 90
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#4 Lita

…Though it likely wasn’t the intended effect, I’m now imagining a boob-shaped candle, with the wick coming out the nipple.

Jan 11, 2016 at 2:07 pm rating: 90

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- #4.1 The Beast Among Us
  
  And now I’m imagining real boobs dipped in wax…
  
  Jan 11, 2016 at 3:59 pm rating: 90
- #4.2 Lita
  
  …Now I am too, and I’m not sure if that’s disturbing or pleasant.
  
  Jan 12, 2016 at 2:24 pm rating: 90
- #4.3 The Beast Among Us
  
  I’m going with “wonderful.” Because boobs are wonderful.
  
  Jan 12, 2016 at 3:03 pm rating: 90
- #4.4 labdude
  
  Not necessary to imagine, because there are, of course, web sites for that, and they are most *definitely* disturbing…
  Or so I hear.
  
  Jan 13, 2016 at 11:07 am rating: 90
- #4.5 TKD
  
  No website needed if you are lucky enough to have boobs at home that enjoy that sort of thing. And they are most *definitely* wonderful.
  
  Jan 13, 2016 at 11:27 am rating: 90
- #4.6 labdude
  
  That boobs are wonderful is (or should be) a given. And even though the dipped in wax part isn’t my thing, that by itself isn’t nearly as disturbing as some of the other things that seem to be popular with the same crowd.
  But, whatever rocks your world, because, consenting adults.
  
  Jan 13, 2016 at 11:54 am rating: 90
- #4.7 Lita
  
  Welp, I suppose boob conversation is as good a time as any to bring this up.
  
  ‘Twould be greatly appreciated if y’all friendly PAN folks would begin using male pronouns in reference to me. (This has been a while coming, I’ve just been putting off the whole telling people about it part of it.) Plzkthx.
  
  We may now return to our regularly scheduled waxy boobs.
  
  Jan 13, 2016 at 2:01 pm rating: 90
- #4.8 labdude
  
  male pronouns aye, Sir!
  
  Jan 13, 2016 at 2:16 pm rating: 90
- #4.9 Lita
  
  I love you guys.
  
  (assuming the name change took, still the same old Lita)
  
  Jan 14, 2016 at 4:05 pm rating: 90
- #4.10 Kohaku
  
  (no wait, NOW it took. Still the same old same old Lita. Who’s a technological dunce today.)
  
  Jan 14, 2016 at 4:07 pm rating: 91
- #4.11 TKD
  
  A masculine thumb to you Kohaku! At the risk of speaking for the whole gender, welcome to the team!
  
  Jan 15, 2016 at 8:54 am rating: 90
- #4.12 Kohaku
  
  Thanks TKD! Glad to be one of y’all.
  
  Jan 15, 2016 at 1:29 pm rating: 90
- #4.13 Haterade
  
  A heartfelt “Welcome back” to you and to PAN. (^_^)/
  
  I know circumstances vary widely around the US and the world, so I hope you’re in a sane and healthy environment. Please stop by the Seattle and the Pacific Northwet any time – it’s one of the few US regions I’ve been to where hateful idiots have to stay in the closet, instead of keeping other people in them. (^_~)
  
  Jan 17, 2016 at 4:58 pm rating: 90
- #4.14 Kohaku
  
  Thank ye, Haterade!
  
  Everyone in the know so far has been surprisingly chill with all this. Not sure if worried or just downright pleased.
  
  *notes down Seattle/Pacific Northwest on list of places to travel to if winning the lottery or otherwise coming upon some sort of windfall*
  
  Jan 17, 2016 at 7:59 pm rating: 90
- #4.15 labdude
  
  Well, Kohaku, I have to say that I wasn’t sure exactly what to make of Lita’s request. But I certainly didn’t assume that what *appears* to be the case actually is. (It never even occurred to me, to be honest.)
  So just to be clear, assume I am old and stupid (because, well, I am) and bear with me while I ask if it is *only* the pronouns that will be masculine.
  Regardlees, I’m cool with it, really. Despite being from New England, which, despite having a reputation for liberal politics, can be a surprisingly stodgy, puritanical and hung-up place.
  
  Jan 18, 2016 at 5:04 pm rating: 90
- #4.16 labdude
  
  Well, Kohaku, I have to say that I wasn’t sure exactly what to make of Lita’s request. But I certainly didn’t assume that what *appears* to be the case actually is. (It never even occurred to me, to be honest.)
  So just to be clear, assume I am old and stupid (because, well, I am) and bear with me while I ask if it is *only* the pronouns that will be masculine.
  Regardless, I’m cool with it, really. Despite being from New England, which, despite having a reputation for liberal politics, can be a surprisingly stodgy, puritanical and hung-up place.
  
  Jan 18, 2016 at 5:04 pm rating: 90
- #4.17 Kohaku
  
  Nah, you’re not stupid, labdude! (Nor old…)
  
  I’d eventually love for it to be everything, to be honest. I’ve taken one of the first steps towards that (bothersome babymaking bits are coming out on the 1st, hurrah!) but the rest will be…prohibitively expensive, and that’s if I can find someone willing to do it. If perhaps I win the lottery or some such thing, then yes, I’ll have it all done. In the meantime, I’m rather chuffed that I can get this much done, especially being younger than the age at which those bothersome bits are usually removed even for medical reasons. (Which is actually what mine is – I bleed nearly to death every month without birth control shots, and I have to stop taking those shots soon anyway. Can’t be on them for more than five years at a time, and then it’s a year or so off, and ugh blah no. It just so happens it will soothe a little of my anxiety about being physically a lady at the same time as doing something medically necessary!)
  
  You guys here are all smegging awesome really, which is actually why I’ve announced it ahead of time. The rest of the world in general doesn’t get to know till after February 1st.
  
  Jan 18, 2016 at 10:30 pm rating: 90
- #4.18 labdude
  
  Awesome!
  Whatever makes you happy. I’m certainly glad you are getting such a positive response here.
  It is in great contrast to my first encounter with a trans-gendered person, back in the 90′s. We were fellow clients at a service provider, and the employees there avoided her and mocked her (behind her back). While my own feelings were rather conflicted, I was appalled at the way others acted. I figured that whatever else I felt, she at least deserved the same politeness and civility I would extend to any other person, and that my own gender identity was unlikely to be compromised by sharing small talk over lunch at a communal table.
  I hope you find health and happiness on a “path less traveled by.”
  
  Jan 19, 2016 at 10:07 am rating: 90
- #4.19 Kohaku
  
  I figured that whatever else I felt, she at least deserved the same politeness and civility I would extend to any other person, and that my own gender identity was unlikely to be compromised by sharing small talk over lunch at a communal table.
  
  And for that, you are automatically awesome.
  
  Thank you for the good wishes.
  
  Jan 19, 2016 at 12:42 pm rating: 90
- #4.20 kermit
  
  If it helps explain anything, I used to refer to you by a female pronoun because I confused your user name with Lil’, who was/is a female commenter here and said at one point that she had recently given birth to twins.
  
  Anyway, thanks for setting me straight, and don’t take shit from nobody when it comes to stuff like this
  
  Jan 19, 2016 at 3:15 pm rating: 90
- #4.21 Kohaku
  
  I remember that actually! The pronoun was correct at the time anyway, so no worries.
  
  No shit will be taken, nosirree! (or ma’amee…? No, that just doesn’t work.)
  
  Jan 20, 2016 at 6:22 pm rating: 90
- #4.22 TKD
  
  Kohaku, I believe the correct feminine form is “Ma’amaree”!
  
  How quickly you forget! Don’t worry though, a short memory is just a side effect of the masculine pronouns!
  
  Jan 21, 2016 at 12:55 pm rating: 90
- #4.23 Kohaku
  
  You are quite right! My already Swiss-cheese-esque memory has only worsened due to exposure to masculine pronouns! Aigh!
  
  Wait, what was I talking about?
  
  Jan 21, 2016 at 12:58 pm rating: 90
- #4.24 TKD
  
  Wait…
  
  Then “No ma’amaree” would be very confusing… is it masculine or feminine?
  
  Jan 21, 2016 at 12:59 pm rating: 90
- #4.25 Kohaku
  
  Well, you came up with it, so I think you’d know breast. Er, best.
  
  Jan 21, 2016 at 10:01 pm rating: 90
- #4.26 Belaani
  
  Nice that you’re keeping abreast of things!
  
  Jan 22, 2016 at 8:00 am rating: 90
- #4.27 Kohaku
  
  Tit’s all I can do really!
  
  Jan 22, 2016 at 1:12 pm rating: 90
- #4.28 labdude
  
  I see the boob discussion is waxing again…
  
  Jan 22, 2016 at 3:30 pm rating: 90
- #4.29 assiveProgressive
  
  I started having mammograms every year in my early 30s (this was 20 years ago) because that’s what the docs told me to do. More recently I have backed way the heck off on such screenings and I am hoping like hell I didn’t get an overdose of radiation way back when. I have an incomplete family history because I was adopted. I think the real reason they sent me for so much screening was because I had good health insurance that covered the mammograms.
  
  Jan 28, 2016 at 11:36 pm rating: 90
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#5 Dane Zeller

Testing. Testing. Ahemmm. Test. One two three four, test.

Jan 12, 2016 at 9:54 am rating: 90

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- #5.1 labdude
  
  SQUEEEEOOOOOOOOOOOOOOO
  [face clawing feedback]
  
  Jan 13, 2016 at 12:32 pm rating: 90
- #5.2 Lita
  
  *dives under couch*
  
  *threatens Dane with nails on chalkboard*
  
  Jan 13, 2016 at 2:01 pm rating: 90
- #5.3 The Beast Among Us
  
  Well, Kohaku, at least one of us will miss your boobs.
  
  Jan 25, 2016 at 4:07 pm rating: 90
- #5.4 Kohaku
  
  Frankly? They just get in the way. And I don’t even have a decent rack…
  
  Jan 25, 2016 at 4:15 pm rating: 90
- #5.5 labdude
  
  Just don’t make candles out of them. That would be weird…
  
  Jan 27, 2016 at 1:53 pm rating: 90
- #5.6 Kohaku
  
  No plans to do so, trust me!
  
  Jan 27, 2016 at 2:41 pm rating: 90
- #5.7 assiveProgressive
  
  well congratulations K on your new life. I’m not real sure what people’s genders are here anyway, but definitely Lita does not sound very manly.
  
  Jan 28, 2016 at 11:41 pm rating: 90
- #5.8 Kohaku
  
  Thanks aP!
  
  Definitely not manly, that…
  
  Jan 30, 2016 at 5:02 pm rating: 90
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#6 Raichu

PAN IS ALIVE!!!

Jan 12, 2016 at 2:09 pm rating: 90

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- #6.1 Lita
  
  *lightning flash* *dramatic music sting*
  
  Jan 12, 2016 at 2:27 pm rating: 90
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#7 Roxy Random

I was beginning to give up hope that this site would ever be updated! Thank you, PAN, for coming back from the (nearly) dead!

As for the card, we all know that every birthday marks one year closer to death. We just don’t like to acknowledge that fact so boldly. I don’t know how old the recipient is, but they’ve changed the guidelines for mammograms, so she might want to check that out before booking the appointment.
That is, if the card didn’t put her so off the idea that she refuses to have anything to do with them.

Jan 13, 2016 at 4:53 pm rating: 90

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#8 sophie_lapin

A lot of women schedule their paps and mammograms during their birthday month as a reminder.
FYI, my doctor told me about the updated ages for mammograms and not to bother. I went to another doctor and scheduled one anyway (family history). Good thing I did- breast cancer at 40. If I would have stayed with that doctor, he probably would have me wait another 5 years.

Jan 14, 2016 at 10:38 am rating: 90

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- #8.1 labdude
  
  I thumbed this in recognition of early detection, and hoping that all will be well for you.
  Wishing you the best.
  
  Jan 14, 2016 at 11:47 am rating: 90
- #8.2 Lita
  
  In a case of family history, I think you can ignore the guidelines! I’m glad you caught it.
  
  Jan 14, 2016 at 4:06 pm rating: 90
- #8.3 TKD
  
  Early detection deserves another thumb!
  
  And glad you caught it early and I hope you are doing well!
  
  Jan 15, 2016 at 8:40 am rating: 90
- #8.4 AP
  
  The current US guideline for mammgrams is you get your first mammogram at the age of your relative who had the cancer – 10 years. So if your mom got breast cancer at 45, you’d get your first at 35.
  
  Jan 15, 2016 at 4:00 pm rating: 90
- #8.5 kermit
  
  The current guidelines (in the US) for mammograms/breast health is dangerously stupid and unsafe, as they are advising even against doctor manual exams.
  
  As a person who is dealing with this more than I would like, mammograms are pretty useless for anyone under 50 because young women have dense breasts that make mammograms extremely hard to interpret properly when it comes to detecting (cancerous) tumors.
  
  The easiest, cheapest and most accurate thing for all ages is to get an ultrasound instead, and regularly feel up your own boobs.
  
  If you do a mammogram first and something looks fishy, you still have to go get an ultrasound done anyway. If you’re younger than 50, a mammogram may miss something that an ultrasound could have caught. And needless to say, an ultrasound is far more comfortable than getting your boobs squished in a mammogram machine.
  
  Jan 15, 2016 at 6:26 pm rating: 90
- #8.6 Karen C.
  
  Contrary to the official narrative (which is based on medical business-fabricated pro-mammogram “scientific” data), there is marginal, if any, reliable evidence that mammography reduces mortality from breast cancer in a significant way in any age bracket but a lot of solid evidence shows the procedure does provide more serious harm than serious benefit (read: Peter Gotzsche’s ‘Mammography Screening: Truth, Lies and Controversy’ and Rolf Hefti’s ‘The Mammogram Myth’).
  
  These two extensive investigations reveal to anyone that…
  
  IF…….. women (and men) at large were to examine the mammogram data above and beyond the information of the mammogram business cartel (eg American Cancer Society, National Cancer Institute, Komen), they’d also find that it is almost exclusively the big profiteers of the test (eg radiologists, oncologists, medical trade associations, breast cancer “charities” etc) who promote the mass use of the test and that most pro-mammogram “research” is conducted by people with massive vested interests tied to the mammogram industry.
  
  Most women are fooled by the misleading medical mantra that early detection by mammograms save lives simply because the public has been fed (“educated” or rather brainwashed) with a very one-sided biased pro-mammogram set of information circulated by the big business of mainstream medicine.
  
  Operating and reasoning based on this false body of information is the reason why very few women understand, for example, that a lot of breast cancer survivors are victims of harm instead of receivers of benefit. Therefore, almost all breast cancer “survivors” blindly repeat the official medical hype and nonsense.
  
  Jan 16, 2016 at 11:59 am rating: 90
- #8.7 kermit
  
  Sorry Karen, but as a (young and educated) person who’s going through this disease now, I disagree with the assertion that breast screening is just a money-making scheme that harms more women than it helps.
  
  Breast screening that is accurate, non-invasive and regularly administered can and does save lives. Cancers that are detected earlier have far more treatable than cancers that have developed to the later stages. That’s not propaganda – just plain overwhelming statistics.
  
  The key here is that mammograms are not appropriate for all age groups when it comes to detecting lumps. Since a sizeable percentage of women who do get breast cancer are close to 50+ years old than younger (because of menopause), the public awareness effort has focused on that age group.
  
  Jan 16, 2016 at 1:39 pm rating: 90
- #8.8 Jeff
  
  Kermit, your comment only confirms, not contradicts, what Karen is saying.
  
  You write that, “Cancers that are detected earlier have far more treatable than cancers that have developed to the later stages. That’s not propaganda – just plain overwhelming statistics.” But as Karen stated, “IF…….. women (and men) at large were to examine the mammogram data above and beyond the information of the mammogram business cartel” they would quickly recognize that this mantra is highly misleading and false because these “overwhelming statistics” are manipulated and therefore biased because they include overdiagnosed non-cancers “overwhelming” but fraudulently tweaking the statistics in favor of early detection by mammography. This also explains then Karen’s last paragraph on the poor state of real comprehension of the general public and “educated” women at large on the subject of mammography: “Operating and reasoning based on this false body of information is the reason why very few women understand, for example, that a lot of breast cancer survivors are victims of harm instead of receivers of benefit. Therefore, almost all breast cancer “survivors” blindly repeat the official medical hype and nonsense.”
  
  Jan 17, 2016 at 8:19 pm rating: 90
- #8.9 kermit
  
  At the risk of getting into an argument which I have no desire to contribute to –
  
  When you bandy about terms like “mammogram business cartel” and “manipulated statistics”, you’re entering kook territory because you are no longer having a fact-based argument.
  
  A mammogram is an xray. No doctor performs treatment on a patient solely on the basis of a mammogram alone. Having a mammogram for those 50+ years old does no more harm than having an xray of their teeth, yet people don’t go around accusing dentist xrays of harming people.
  
  Mammograms DO save lives because they function well as early detectors for women 50+. Just because mammograms work better in older women than younger women does not mean that mammograms should be dismissed entirely – especially in the US where healthcare costs are still an issue for older people.
  
  Jan 17, 2016 at 8:33 pm rating: 90
- #8.10 Hrovitnir
  
  First I want to say you are not a statistic so I appreciate that a mammogram was good for you. However.
  
  Ignoring the part about the American Cancer Society being part of a “cartel”, prevailing medical opinion is leaning away from mammograms specifically. This is from my histology course and our lecturer who is a cancer specialist at the local hospital.
  
  They are not seeing a benefit to screening as statistically its benefit is negligible and instead we’re finding a lot more benign lumps. The biggest concern is that people with mutations prone to breast cancer most certainly are harmed by having regular xrays.
  
  They are looking for a more effective screening process, and he didn’t say why ultrasound wasn’t on the books. Possibly you have the same problem with a high proportion of ductile tissue making it too difficult to check an entire breast, as opposed to examining an area of concern.
  
  I’m glad it worked for you! I did feel his whole speech on it was a little patronising on not wanting to worry people but it’s a very good point that xrays do cause DNA damage which is not great if you already have issues you don’t know about. /starting my postgrad in brain cancer this year, I most certainly am down with charities for cancer research! (Though I’ve heard some dodgy things about Komen and where that money goes.)
  
  Jan 21, 2016 at 2:33 pm rating: 90
- #8.11 Hrovitnir
  
  Sorry for the novel! I thought it was worth noting that pap smears for cervical cancer is an example of an excellent screening method – cervical cancer tends to be very slow to grow and metastasise so it has an extremely good success rate for early detection (we do ours every three years here, don’t know if it’s still yearly in the USA.)
  
  Jan 21, 2016 at 2:37 pm rating: 91
- #8.12 kermit
  
  Hrovitnir, it’s always unwise (and unbelievably patronizing) to assume that I am a proponent of mammogram screening for older patients because “it worked for me”. That’s incredibly insulting and patronizing, especially coming from someone who claims to have a postgrad education.
  
  As a matter of fact, it didn’t “work” for me at all.
  
  I am young, with no family history of breast cancer (or any other relevant cancer), yet I still wound up getting the second-deadliest form of breast cancer, diagnosed at stage 3. This is typical for young women (those under 40), whose survival is far poorer than older women.
  
  And now, I do not speak just as a patient, but as a professional statistician who continually has to have these arguments with grad students and clinicians alike because they do not have the statistical training to understand the correct way to interpret statistics or even set up their own studies properly. Going to med school doesn’t make one an expert on screening standards, although it does give one a huge ego.
  
  Jan 21, 2016 at 6:11 pm rating: 90
- #8.13 Haterade
  
  When you bandy about terms like “mammogram business cartel” and “manipulated statistics”, you’re entering kook territory because you are no longer having a fact-based argument.
  
  You’re kidding, right? I mean, didn’t they just catch El Papo down in… oh, wait. Sorry, I jump between dimensions every other Monday and I can never keep them straight.
  
  (You guys should come visit my home dimension some time. Ever since President Gore reformed the drug laws and nationalized health care back in 2003, the US has been on a steady track upward. Lately, our biggest worry has been the mammogram business cartel.)
  
  Jan 25, 2016 at 5:26 pm rating: 90
- #8.14 Dana
  
  I started having mammograms at 28 because my mother was diagnosed at 37 and had had the lump for at least two years prior, and both my maternal grandmother and her sister have had breast cancer. I’ve been getting them biannually since, as I have literally a 100% chance of getting it. :/
  
  Jan 26, 2016 at 1:26 pm rating: 90
- #8.15 kermit
  
  Dana, if there is such a strong family history of breast cancer in your family, it’s probably a good idea to have genetic testing done for BRCA-1 and BRAC-2 genes, which are associated with triple negative breast cancer and ovarian cancer that’s super hard to detect early. http://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet#q3
  
  If you’re in the US, you can call up the Mayo Clinic or any of the other reputable cancer center to recommend good labs where you can have this genetic test done. It’s worth the investment. As far as I know, in the US genetic testing is not standard procedure unless you’re already ill.
  
  Jan 26, 2016 at 4:05 pm rating: 90
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#9 L

Yeah, I always get a letter in the mail from, like, some cervical cancer thing reminding me* to get a pap smear around my birthday, lol.

(*Well, reminding me in their mind, my actual recommendations from my doctor is not the same.)

Jan 14, 2016 at 2:25 pm rating: 90

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- #9.1 Kohaku
  
  Could you call that V-mail?
  
  Jan 15, 2016 at 1:30 pm rating: 90
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#10 Chinchillazilla

Well, I guess I’ll see you guys again in March!

Yes, this was a passive-aggressive comment.

Jan 26, 2016 at 8:56 pm rating: 90

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- #10.1 Hannibal Lector
  
  The editors were damned delicious!
  
  Feb 1, 2016 at 2:50 pm rating: 90
- #10.2 assiveProgressive
  
  Who let them outside?
  
  Feb 6, 2016 at 12:34 am rating: 90
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#11 Chris Baker

The candle is still burning …, but maybe not for long!

Please post many more passive-aggressive notes quickly, in case your candle burns out sooner than expected!

–Your dedicated fans

Feb 2, 2016 at 12:17 pm rating: 90

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#12 Kohaku

So, I’ve just had those bothersome bits removed.

Is it wrong of me to be amused that I basically have to treat myself as if I’ve given birth, what with the fact I am now permanently (and happily) incapable of doing such?

Feb 3, 2016 at 9:28 am rating: 91

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- #12.1 assiveProgressive
  
  I’ve always found my bits rather amusing
  
  Feb 6, 2016 at 12:37 am rating: 91
- #12.2 kermit
  
  I don’t think it’s wrong; I don’t think there’s a “correct” way to feel after major surgery, especially since you’re full of pain killers and therefore not yourself anyway.
  
  Feb 9, 2016 at 5:39 pm rating: 92
- #12.3 Kohaku
  
  Actually, I was only on painkillers for the first two days! By the time I posted that, I was off them.
  
  (This result not typical of even the surgery I had (robot-assisted laparoscopy), and probably not something to be proud of, because it says depressing things about my pain tolerance, but hey.)
  
  Feb 9, 2016 at 11:15 pm rating: 91
- #12.4 TKD
  
  Congratulations Kohaku, you’re a boy!
  
  Feb 10, 2016 at 7:24 am rating: 91
- #12.5 Kohaku
  
  Woohoo! \o/
  
  Feb 10, 2016 at 1:13 pm rating: 92
- #12.6 Haterade
  
  Congrats, Kohaku. (^_^)
  
  assiveProgressive: Yup. To me, they’re the best proof of something fundamentalists of all varieties don’t seem to understand… If there is a God, he must have a sense of humor. (^_~)
  
  Feb 12, 2016 at 7:05 pm rating: 91
- #12.7 Kohaku
  
  Thanks, Haterade!
  
  Feb 13, 2016 at 11:13 am rating: 91
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#13 labdude

The irony is fucking delicious!
It is never wrong to appreciate it.

Feb 5, 2016 at 11:21 am rating: 91

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#14 Elise

HAH, love it. Kind of harsh, but they’re definitely not wrong!

Feb 10, 2016 at 2:39 pm rating: 91

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#15 MustacheHam

Nothing like a dark letter around one’s birthday reminding them they could die if they don’t consider this important task.

Mar 11, 2016 at 1:07 pm rating: 91

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#16 gabbyco

That’s really bad and in poor taste. One way of going out of business.

Sep 1, 2016 at 5:23 am rating: 1

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#17 Raven Arya

I’ve seen these before. They were sent to my mom at one point.

Mar 14, 2017 at 4:55 pm rating: 1

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#18 super mario world

A lot of women schedule their paps and mammograms during their birthday month as a reminder.

Apr 13, 2017 at 10:50 pm rating: 1

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#19 hafumigi

upto I saw the draft saying $4053, I be certain that…my… mother in law could actually earning money in there spare time at there labtop.. there friend brother haz done this less than 15 months and just cleared the morgage on there apartment and purchased a top of the range Nissan GT-R:. this is where I went,
http://tinyurl.com/y8hrm92q

Sep 28, 2017 at 12:38 am rating: 1

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#20 hafumigi

If you think Kathryn`s story is terrific…, last pay cheque my dads girlfriend basically easily made $8557 grafting from there house and the’re buddy’s aunt`s neighbour done this for 3 months and actually earnt more than $8557 in their spare time from a labtop. apply the instructions here… http://ow.ly/Lns530fsP4g

Sep 28, 2017 at 12:43 am rating: 1

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#21 Sam

Ha! That would definitely make you appreciate your bday more…tho might spoil the mood, but you’ll never forget that clinic!

Feb 12, 2018 at 6:14 pm rating: 1

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#22 Anijie

This content is amazing. Would like to recommend this one. our website

May 1, 2023 at 6:08 am rating: 0

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