Rudynate

Thx Marco. Nobody should know better than you.

I'm a competitive bodybuilder - I don't think I would have achieved what I have without trainers, coaches, etc. Whenever somebody asks me about competing - My first question is "Do you have a coach?" The answer is always "no," so my single piece of advice is "Get one."

I do just what you do. Mostly, I keep it to guys in my area, but when I come across a guy anywhere who makes me think "Damn!!!, I add him, just in case. Occassionally I go through and prune. I don't have a long list though - maybe 25 or 30 guys.

My avatar is an actual photo of me. I have had a series of health challenges that have taken their toll on my physique. I'm not ashamed of my present condition, but I certainly am eager to get on the road back to my former self.

If I really wanted to get together with him, I wouldn't want to pass him by just because he says he is open to P&P. If he had to be cranked in order to play, I think I would say no. But if it was one among a variety of services and it wasn't a requirement and otherwise the impression was good, I might take a chance on him. So much conversation about P&P is tinged with that reflexive attitude that the client is a victim of the provider. One time, I drove a long way to get together with a guy and, when I got there, he was clearly cranked on meth. I chatted with him for a few minutes, told him I didn't think it would work and left.

Now who could you be talking about?

He radiates confidence - I think he would be very easy to be around. I wasn't that into him when he was younger, but he makes a great HOM (hot older man).

I assumed he's taken up shaving. I like the way I look shaved too, but it's a lot of work.

He just keeps on keeping on . Love his muscular build and smooth skin.

might not be right for you. they send you the groceries and you fix the food. Each meal takes about 30 min to prepare.

We like Hellofresh - been using them for 5-6 years. Every time a new one comes along, I try them, but I always go back to Hellofresh.

I think I would drink the right guy's pee. I have a fantasy where I'm sitting between a guy's legs and he lays his half-hard dick in my mouth and lets his pee dribble down my throat. The right guy hasn't happened yet. I asked my husband but it turned him off.

Your post from a few months ago: - Stop complaining.

You should be thanking me. I'm the only one who expressed any sympathy for your plight.

I smell confirmation bias.

I read the whole thing. The bulk of your post was a melodramatic description of your recent ER experience with you screaming in agony and the docs ignoring you, which made it difficult to tease out your larger message.

So you were venting your lingering frustration over a negative ER experience. That's unfortunate. My experience with ER visits is that that is how they used to be but they have vastly improved. Even 20 years ago, I went into the ER with a clot that turned out to extend from the back of my knee almost to my liver in my vena cava. My right leg was twice its normal size and looked like a salami. They jumped on it and wasted no time. The ER doc glanced at it and ordered a venogram, which he said was the first one he had ever ordered. OTOH, the inpatient care was pathetic.

My husband went through a bad patch a few years ago - he was hospitalized several times for bad UTI's. The care he got in the ER was amazing. The first time, we walked in, they took a look at him, got him into a room and were hanging antibiotics within minutes, literally.

Rivaroxiban is Xarelto. Eliquis is apixaban. There is a single antidote that works for both. Why wouldn't an ER doc know how to use them? I would think they of all people would know.

I have my share of complaints about Kaiser, but I'm definitely not going anywhere. I had a surgery a few weeks ago that cost me $400.00. I don't even want to say what the bill was.

I was getting my Eliquis through Kaiser, but even the co-pay was expensive - $300.00 for a 90-day supply. I got it offshore for 300.00 for a one-year supply. The full retail for Eliquis in the US is about $600 for a 30-day supply.

That's interesting. So often Canadians say "There's nothing wrong with Canadian healthcare. Americans just like to criticize it because healthcare in the US is so expensive." It is true that the American system of healthcare financing is totally screwed, but healthcare itself is top-notch. I belonged to a Facebook support group for people with autoimmune problems and the Canadians and Brits had a lot of scary stories about needing to wait for a year or more for an appointment with a rheumatologist. The first time I saw a rheumatologist at Kaiser, I had an appointment in a couple of weeks.

The usual instructions when on a blood thinner are to not take NSAIDs, such as aspirin. I am on Eliquis and I definitely do not take NSAIDs. I learned from personal experience that it's a very bad idea. I have been on blood thinning medication for more than 20 years. Before we had modern drugs like Pradaxa, Xarelto and Eliquis, the only alternative was warfarin, a very difficult drug to take. When I was taking warfarin, I once took some ibuprofen, even though I knew better. I told myself "Oh, what can it hurt?" The next morning, I woke with a huge purple bruise on my side - and I was convinced. The newer drugs are a piece of cake compared to warfarin. When I finally got off warfarin onto Pradaxa, I felt like I had just got out of jail.

The guidance for that baby asprin regimen was very unclear. They said that people who were already on the regimen should stay on it. But nobody else should start it. I suppose that means that the data hadn't shown there was any benefit from taking baby aspirin. But also that there was no significant risk from taking a baby aspirin every day, so that if you wanted to keep taking your baby aspirin every day, it wasn't going to do anything for you, but it wasn't going to kill you either. I had a surgery not long ago and the surgeon wanted me off of the blood thinner for 6 days total. I told him I was uncomortable with interrupting the blood thinner for that long, so we compromised by agreeing that they would start aspirin immediately after the procedure. Of course, that was kind of silly because an anti-platelet agent is not effective against venous clots. But, I lived through it.

It seems your treatment was careless. And that's the weird thing about blood clots - a lot of primary care docs just sort of blow you off and treat you like some sort of malingerer and they don't seem to appreciate that they are dealing with a potentially life threatenting condition. They tell you - if you even suspect it's a blood clot, get to the hospital pronto, better to be safe than sorry, etc. etc. But then, if you do, they treat you like a hypochondriac. One time, I went in to see my PCP in San Francisco because of some soreness and swelling in one of my legs. My PCP was almost contemtptuous as he declined to order an ultrasound. That was back before Kaiser's records were all digitized. He had to order my imaging from a facility in the East Bay and it took a couple days to get it. When he saw the reports he called me back and asked me to come in right away for an ultasound. Fortunately, that time was a false alarm. Another time, I was having clear-cut symptoms so I want into the Santa Rosa Kaiser - this was deep in the pandemic. They did an ultrasound which came out negative and sent me on my way, in spite of my symptoms. I wasn't satisfied - and my symptoms only got worse, so I went in to the San Franciso Kaiser when I got home and asked for a repeat scan - and I told them I didn't think the technologist in Santa Rose had imaged the correct veins. They got very surly, the radiologist said that the scan from Santa Rosa was "perfect!!" But another radiologist who wanted to placate me had the technologist image some superficial veins - sure enough, there was a sizeable clot right at the junction of a superficial vein and a deep vein. Your treatment clearly sounds careless - I'm sorry that happened. Was the d-dimer elevated? There are other things that can cause an elevated d-dimer. But an elevated d-dimer in the presence of symptoms is a whole other thing.