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Long ago, I heard "You can be right, or you can be in a relationship." You probably need to be in this relationship (with your principal) since your job depends on it. Personally, I wouldn't fight her over this. As far as having a tough class that subs don't want to come to, too bad. Make your appointment during one of the few days you have available to you and go. Getting coverage for your class in your absence is not your problem. Another option is to let them dock your pay for one day's pay (in our district it's the cost of the sub) and add that (in your mind) to the cost of seeing your doctor. Some hills are not worth dying on.

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I am sorry that your principal is being a jerk. Unfortunately, if you go against your principal's instructions-- it will leave a bad taste in her mouth. If you are not tenured, then your job could be on the line. Once, I missed a few professional development days, and the BOE let me do alternative training later on in the school year. If you do not go, try not to let your frustration show toward your principal. She will pick up on it. Also, I found that venting only to a select few family and friends, helped out tremendously. I hope the best for you.

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If you used FMLA for your surgery then a follow up appointment MAY be covered if they don't want to get picky. But the more obvious question... Is it possible for you to get a dr who isn't 3 hrs away? Then you could go on your lunch hour or before or after work....

Other doctors around here wouldn't do the procedure on me. They said I was too fat for the lapband.

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