pocono

Anything fun (strippers )happening in DC this week, weekend, for Pride? 

I’m heading to Europe later this summer, any suggestions?

6 hours ago, Unicorn said:

Well, I'm glad you were at least given options. I'm not sure if you were told that there is no evidence of improved survival in Gleason 6 patients who choose early intervention over active surveillance. In fact, there has been some controversy about whether to call Gleason 6's cancer at all:

https://ascopost.com/issues/december-25-2016/a-gleason-6-tumor-is-it-cancer-and-should-it-be-treated/#:~:text=Since the Gleason 6 lacks,detection%3B and needs no treatment.

"...according to genitourinary surgeon Bert Vorstman, MD, MS, FAAP, FRACS, FACS, a Gleason 6 tumor has no lethal potentiality. “No man has died from this so-called cancer. It lacks a number of molecular biological mechanisms normally found in cancerous-behaving cells. Unlike a typical cancer cell, this cell has a very long doubling time at 475 ± 56 days, so from mutation to a growth of about 1 cm in diameter takes some 40 years, and this disease is a recognized part of the aging process as some 50% of 50-year-old-men (60% of 60-year-olds, and so on) will exhibit areas of prostate ‘cancer.’”

Dr. Vorstman believes that population-based PSA screening has promoted overdiagnosis and needless treatments, many of which have debilitating side effects. “The non–cancer-specific PSA test mainly detects benign and Gleason 6 disease, leading to unnecessary treatments such as ill-founded and debilitating radical prostatectomy. This is the main reason the U.S. Preventive Services Task Force (USPSTF) concluded that the PSA test’s benefits were outweighed by its harms,” he declared.

Dr. Vorstman concluded: “Only the 15% or so of the high-grade forms of prostate cancer are potentially lethal, and only they demand detection (but commonly make little or no PSA change) and treatment. Since the Gleason 6 lacks the hallmarks of a cancer, it is a pseudocancer, not a health risk; does not progress to become a health risk; needs no detection; and needs no treatment.”"

 

Some Gleason 6's have been even known to regress spontaneously. But I'm glad you had an outcome you're happy with. But, yes, autopsy studies of US men who died for other reasons show that a man's age essentially equals the chance that prostate cancer will be found on autopsy. At 57, you had a 57% chance.

In my case, the pathology report on my entire prostate indicated my Gleason score was actually 3+4, and that a focal cell had escaped from the gland itself. My prostate was sent for further analysis (DNA) which indicates at the time of my surgery I had a less than 6% chance of cancer reoccurrence in 10 years. While I’m still doing well, recently my PSA has begun moving a very modest amount…not enough to cause worry yet. Bottom line, I’m doing well, enjoying my life, and pleased with the many decisions I was asked to make at the time of my diagnosis. 
 

Around Christmas 2016 I was diagnosed (PSA had risen from 2.6 to 3.9 to 4.6 in a year, biopsy indicated 3+3 cancer in 2/12 samples... one sample 60% involved the other 20%). My urologist gave me lots of his time and went over the options. 

I chose to go to the University of Pennsylvania and have my prostate removed by an experienced Dr. (5000+ robotic procedures) in March of 2017. I was released 20 hours after surgery just needing Tylenol to control the pain. I needed a catheter for 9 days and had my first erection during that time. 19 days after surgery I drove myself 2 hours to NYC for a friend’s birthday. Two days later I went back to work. 6 weeks post surgery, I no longer needed urinary pads.

I asked my surgeon why I had done so well, he explained I was “young and fit” (57 years old and 30lbs overweight). 

Now, almost 6 years later it’s as if I never had cancer. My only reminders are some scars, no semen, and PSA tests twice yearly.

Good luck!

It important to remember 35 million people have died from AIDS and that 70 million have been infected.

Except abstinence, it is impossible to be 100% safe. In 2018 it was estimated that 380,000 people around the world were regularPrEP users, 59% of that group are in the US. Of the 380,000 only 7 have been infected with HIV.

7/380,000 not perfect...but still amazing!

The new owners are doing a great job. The Dance club has more folks than it used to, but is still a weekend venue. The food is good and the hotel is clean. In the summer, the pool can be a lot of fun on weekends.

I went to the Nob Hill Theater last Friday evening. Not being an expert on San Francisco geography, I was surprised it was just a block or two from Union Square, the main tourist area. Walking there from my hotel, I felt quite safe, but got a little winded walking uphill.

The theater itself has 5 primary areas on two floors. On the first floor is the lobby and adult book store. Basically you buy your ticket to get in ($25 for the show and access to both floors). Just behind it is the theater. A 75 seat theater with a small stage with a little runway into the audience. Behind the Theater is the lounge, a small room with benches around the perimeter. Downstairs has the arcade (free with your admission) and the adjacent playroom.

Friday night featured two hunky porn stars. Both very sweet and very buff men played with one another (no penetration) and then walked through the audience (spending time with each patron to get tips). Just before the headliners there was a better show, with one of the performers getting very interactive with a member of the audience. That may have been the best part of the evening.

On Friday night there may have been 25 guys in the theater and another 20 in the arcade. Some were quite handsome, others less so. It was a fun night!

I found myself stuck in Atlanta overnight (thanks to Delta), and decided to visit my favorite strip club...Swinging Richards. I got there about 11pm on Thursday night and found not much had changed since my last visit a few years ago. That said, they put some Advertising (absolute vodka etc...) around that makes the once very classy bar a little less so.

The entrance fee is now $15, yet the club was pleasantly full for a weeknight. Top shelf mixed drinks were $9.25 and were very strong, so likely worth the cost. The VIP lounge was $10 and private dances $20 per song.

The 30 dancers were all truly handsome. I don't recall any names... But just know there was a guy for every taste. They still do three song sets, but the pants, underwear, nude cadence of the past seemed to be less regular. Some guys got nude on the first song and some never really got nude, but it was fine as there was enough eye-candy available to keep my mind racing.

The crowd was dominated by men, but there were two groups of women that seemed to get more attention from the dancers. I'm pleased to report there was a really cute member of the audience that took a shine to me and, let's just say we had a moment in the men's room (no attendant on Thursdays).

My Lyft driver picked me up at 2AM and I was totally happy, a little drunk, and had spent about &125! Well worth it for a really fun night.