Rudynate

Skin problems almost always resolve on their own. Dear Unicorn - no one can confuse an issue the way you can. It is an enviable skill - you should go into politics.

I actually didin't invent mine - it is from the early 20th century. Yours is from MentalHelp.net - it doesn't purport to have a scientific basis, but I would still consider it a persuasive although not a prescriptive source. The DSM - far more persuasive - defines addiction as a "substance use disorder." So you see, I didn't invent anything. My definition of addiction came from the AA Big Book - "a mental obsession coupled with a physical compulsion."

And there are those who can't. They are powerless, to one degree or another, over one of those behaviors you mentioned, and therefore, their lives have become unmanageable, to one degree or another.

I'm persnickety about the use of the term "addiction." I think "addiction" should be reserved for situations involving substances. Situations that are purely behavioral, to me, are compulsions.

So you have an intimacy problem, not a sex problem.

What I got from his post is that he doesn’t experience freedom of choice wrt his sexual behavior. To me, that seems like a big problem.

In AA, it is often said that alcoholism is a self-diagnosed disease-in other words if you think you’re an alcoholic, you probably are. I submit that the same reasoning applies here. He says that his sexual behavior is a problem, so it is.

There’s a 12-step group for sex addicts.

I have an IG buddy from the UK who lives in Germany - he visits Egypt with a group of friends at Christmas every year. They stay at a resort on the Gulf of Aqaba.

Medicare Advantage is a fabulous deal. I was made at Kaiser for awhile and signed up for AARP F plan through United Healthcare. My monthly premium was abount $100 higher and the prescription coverage didn't work at all for me - it only covered generic, didn't cover asthma inhalers, etc. I take several branded drugs and I use 3 asthma inhalers so prescription drugs were going to cost a fortune. Sure, my cheap Kaiser doctor would probably have written a script that I could filled elsewhere, but I thought that Kaiser should be covering that drug. His declining to prescribe becuase it wasnt medically necessary is like a denial of benefits. That's the big drawback of the staff model HMO - physicians are making decicions about coverage that are ordinarily made by an underwriter for an insurance carrier.

I have a story about that. When I first came down with this autoimmune condition, on either side of my butt, I developed a rash that looked like a circular patch of raised red bumps. I also developed similar patches on my shoulders. This was an obvious symptom of the autoimmune disorder. I sent pictures to my PCP and she forwarded the pictures to a dematologist. The dermatologist diagnosed them as folliculitis and prescribed an oral AND a topcial antibiotic. I thought, "So much for telemedicine" and never filled the prescriptions.

For the concierge service, you won't be able to get coverage through Medicare Adavantage. You would have to discontinue your Medicare Advantage with Kaiser. I tried One Medical briefly - it wasn't bad - there were some impressive bells and whistles and they do things FAST. The labs are ready in a few minutes and you sit there and discuss them with your doctor as they come up on a great big touch screen and they move the data all around like the guys on TV do with election returns. I asked her for a letter to be excused from jury duty and they got it done the same day. Except for the bells and whistles, I didn't think the quality of care was any better than Kaiser. The thing that caused me to discontinue with them was a minor thing. I had gotten a drug prescribed by a doctor outside of Kaiser because my PC doc at Kaiser wouldn't prescribe it becasue it wasn't "medically necessary," and I was getting the 'scipt filled by a Canadian pharmacy for less than half of what it cost in the US. I asked the doc at One Medical to write a refill and she said she couldn't do it because she couldn't prescribe drugs in Canada, which is true. I kept telling them that the 'script just needed to be co-signed by a Canadian doc and that the Canadian pharmacy would take care of that, but they insisted that they couldn't do it. That would have doubled my out-of-pocket cost for that drug and I had found that I could go around my PC doc at Kaiser to get another doc at Kaiser to prescribe the drug I wanted. So that was the end of the One Medical experiment. It was fun though - I felt like I was George Jetson going to the doctor. I think telemedicine is a useful adjunct to conventional practice, but it isn't a replacement. I think a doctor has to look at you in the flesh and examine you for some things. Last summer, my PC doc at Kaiser dx'd my autoimmune condition from a phone call and labs. She thought that was fine. I wan't happy with it so I asked for an in-person appointment with a rheumatologist.

gentle rehab exercises on a suspension trainer like a TRX are great for lower back discomfort

I was incorrect-the adjectival form is Scots

The Scot parliament the Scot tradition etc. anywhere that we would use scottish

Actually, Scot is either adjective or noun.

I think it is important to call somebody what they want they want to be called, rather than trotting out the Oxford English Dictionary to show them that they are wrong to want to be called that.

I love big dicks - long thick heavy dicks, but I don't need 'em. I'm into a guy's body and ass as much as I'm into his dick. So, if he's average or less, it's OK with me.

I used to make a vegan chile that had raw cashews. It didn't matter the crowd, it was always a hit. haven't made it in a long time.

I always remember a guy I knew in high school. His family had just moved to the US from Scotland. I was asking him about scot/scottish/scotch and he said, in a rather arch tone, "I am a Scot."

Just what I have found -- Whole Foods is more affordable than you would think. Another thing I have noticed is that the worst price inflation is in mass-market groceries. Prices in the upscale market were already high and haven't gone up so much. I'm mostly homebound at the moment because of my autoimmune problem, so I still get groceries delivered. Groceries from Whole Foods don't actually cost much more than groceries from Lucky. Groceries from Safeway are absurd because their online prices are higher than store prices and then they add on the service charges, etc.

I get pasture-raised. Factory farming is an abomination.

They most like to be referred to as Scot(s).

I don't think I have ever heard a real person say "high fallutin" - just in movies and TV. I think I can remember one time hearing "putting on airs." It was said by the cleaning lady in an apartment building where I lived in Denver, a LOT of years ago. She grew up on a farm in Southern Indiana.

I dstinctly remember one client or another relating on here that a provider, with whom they had a long-standing relationship, comped a session. In fact, I had a provider comp a session. So it does happen. I think it's a very rare occurrence - it has only happened to me once and the stories of a provider comping a session are few and far between. I wouldn't expect providers to be forthcoming with an answer to a question like this because it asks them to reveal confidential details of their business model.