Must be related to the president.

Only the one who carry the bag, really knows how much it weights......and that's my thought

maybe he was just being honest

Self-deprecating humour, maybe?

You can give all the great advice to people you want; however, if they don't ask or want your advice, then don't expect them to follow through with it.

I work in county health departments as a WIC nutritionist, and I've learned that even though I have the knowledge and opportunity to educate people to lead healthier lives through proper diet and exercise that doesn't mean the people I see want my advice, even the ones that really need it. A lot of people don't want to change until things haven't gotten life-threateningly bad, and at that point sometimes it's too late.

It doesn't do much good to help people from my experience the different things I've done to help people came back to me. Very evil way it's like people bite the hand that you feed

He'd rather suffer and complain about it.
You can only do so much. You tried.

Not having been there could it have just been a flippant remark?
Unless he's completely mindless when his neck gives him trouble again at least someone told him the thing.

Having suffered through 14 years of back pain, why anyone would not take action to relieve the pain is beyond me.

Lead a horse to water but can't make it drink.