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josh282282

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Everything posted by josh282282

  1. The testing protocol for brothel workers in the state of Nevada is WEEKLY testing for STIs, not every 3 months. I strongly (and respectfully!) urge all escorts to consider matching such intervals. The 3 month testing interval is the medical recommendation for non-sex workers. But that interval can (and should) be shortened if clinically warranted. Review this with your physician & decide together what is best for you. Most STIs are asymptomatic. One CAN get chlamydia, gonorrhea, even syphilis from kissing. The incidence of STIs in the Gay community (or those who are sexually active with men) has never been highest. Therefore, the 3 month interval is woefully inadequate for some people, whether escort or client. An STI panel by definition includes a pharyngeal and anal swab for chlamydia & gonorrhea. Blood work must include syphilis (and HIV, of course if one is HIV negative). If your clinic does not provide this full battery of tests, ask for it, or go elsewhere. One could very easily add mycoplasma & trichomoniasis to this standard battery of tests. These are less frequent STIs & are often missed. Much love to all escorts & the services they provide. Be safe. Josh PS. I'm a physician on the East coast and I treat STIs All.The.Time. For some, 3 months is far too long of an interval in my professional opinion.
  2. Unicorn: you are still going on supposition, and not DATA. That is an is unscientific approach. We currently have no robust evidence to give a percentage of the chance a fully vaccinated person has in transmitting the virus. So for me, I cant (and wont) answer that question because it's too soon. I have not (yet) seen the data (because there isnt any yet) to be able to answer that such an event is an But I suspect Covid-19 transmission from a fully vaccinated person is.... uncommon. So you and are at least ...close... to same page? Rather, you are proposing a HYPOTHESIS, which is testable. For example: I propose that a Covid-19 vaccinated individual transmitting the virus, resulting in active infection in others is a rare event. To answer that question we need rigorously constructed research resulting in evidence that can be peer-reviewed in a reputable scientific journal. Its premature to use the phrase "extremely rare phenomenon". But I certainly hope you are right!!! I call upon more funding to the CDC and other research organizations so this important clinical question is answered. Love to you, Unicorn and everyone else on this site. Be safe.
  3. Um, what? Could you clarify?
  4. While this report of 23 deaths in Norway is very important and requires further investigation that is robust & transparent, please be very careful to NOT MAKE ASSUMPTIONS or come to ANY CONCLUSIONS as that would be premature at this time. Good Science does not allow for this. Specifically, people get heart attacks every day, sometimes in the morning. Do we blame breakfast for their heart attacks? Continuing, the above report of deaths is from the British Medical Journal (BMJ) which reported in the article that, "More than 20 000 doses of the vaccine have been administered over the past few weeks in Norway and around 400 deaths normally occur among care home residents every week. ". (italics emphasis mine) Also from the article from BMJ, "Norwegian authorities have prioritised the immunisation of residents in nursing homes, most of whom are very elderly with underlying medical conditions and some of whom are terminally ill." Maybe these were patients who were dying & the vaccine had no relationship to their deaths? It is not clear (yet). Therefore, today we can say nothing about the relationship, if any, between the Covid-19 vaccine & these deaths. Give science time to fully investigate & report their findings. As of January 15 2020, over 37.9 MILLION vaccines have been safely administered. It is STILL this physicians (VERY) strong recommendation for everyone to get their Covid-19 vaccine when available to you. Be safe my friends. The BMJ article: https://www.bmj.com/content/372/bmj.n149
  5. I'm a physician and know (oh so very) well of these "wellness visits". Please be honest: do you think it provided you any health benefit (excluding the financial incentive) that your primary care physician doesnt already provide? If so, where? Now that you have experienced this wellness visit, how could it be improved? What can your doctor do, if anything, to help you improve your long-term heath that s/he is not already doing? Anyone with first hand experience with the (patient compensated) wellness visit is very welcome to chime in. And Happy Holidays & good health to all.
  6. The terrible impact on the economy & individual livelihoods is heartbreaking, especially to our beloved restaurant staff. But to say there is no data on how outdoor dining is a location where Covid-19 transmission occurs is inaccurate. Below is a link to a CDC report that investigated how people got infected. "Close contact with a person with known COVID-19 was more commonly reported among case-patients (42%) than among control-participants (14%). Case-patients were more likely to have reported dining at a restaurant (any area designated by the restaurant, including indoor, patio, and outdoor seating) in the 2 weeks preceding illness onset..." (emphasis mine). https://www.cdc.gov/mmwr/volumes/69/wr/mm6936a5.htm Excellent video link to some researchers & how they demonstrate dispersement of cough particles in the air. https://www.cnn.com/videos/health/2020/05/04/cough-coronavirus-masks-kaye-pkg-vpx.cnn/video/playlists/coronavirus I see a lot of "outdoor" dining restaurants with the tents & multiple tarp side walls around said "outdoor" dining. Even if it only has a tarp roof with no side walls, the roof will decrease the natural disbursement of the Covid pathogen. In addition, people take off their masks in these faux-outdoor dining establishments where they eat, talk & laugh loudly. People dont just go to restaurants with people they are quarantining with. They go with friends and family where they sit right across from. All of this completely erodes the safety of being outdoors and thus Covid-19 transmission can occur. And the above CDC paper described outdoor dining transmission. I genuinely dont think one can blame the politicians for the bans on outdoor dining. These recommendations are coming from the medical community. The politicians are just following public health department recommendations. Covid sucks. When made available to you, get the Covid vaccine. I'm a physician. I'm getting it the moment its available to me. Be safe my friends.
  7. Unicorn, You are having people over to your house that you are NOT quarantined with as your household. Do you think you are contributing to this pandemic by all of you potentially exposing each other to Covid-19? Do you worry about your risk of contracting Covid-19 and its consequences to your health? If any of your (awesome) escorts or you get Covid-19 you all could be asymptomatic, but unknowingly infect others who may have serious health consequences, even death. Does that concern you? Just curious.
  8. Hi westernsyd Your supplement "Immune Health" from the company Modere has listed several ingredients: echinacea, thyme, and Hawthorne berry. Let's review these 3 components. 1) Echinacea has been debunked as a successful remedy to the common cold. See the following scientific research: Barrett BP et al. Treatment of the common cold with unrefined echinacea: A randomized, double-blind, placebo-controlled trial. Ann Intern Med 2002 Dec 17; 137:939-46. From Medscape, a robust physician textbook, that is excellent in producing up to date medical information found: "It seems very unlikely that echinacea effectively treats the common cold." https://www.medscape.com/viewarticle/449051 How can echinacea be helpful against viruses? It's already proven not to work against the cold viruses, which there are hundreds/thousands. Where is the scientific evidence it helps against influenza? 2) Thyme - I looked & looked and my apologies but couldn't find one shred of scientific evidence that researched thyme using the scientific method. Please provide some. Or provide just one. 3) Hawthorne Berry. The FDA is cracking down on herbal companies who promote & sell this compound. https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/natures-mojo-inc-11122015 And another one: https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/herbal-healer-academy-inc-570957-09122019 And continuing You reported that the supplement is FDA "approved". "I know exactly what is in the supplement, it is approved by the FDA made by a reputable company in North America and manufactured with the highest integrity." written by westernsyd You report utter bullshit. From the FDAs own website: FDA is not authorized to review dietary supplement products for safety and effectiveness before they are marketed. https://www.fda.gov/food/buy-store-serve-safe-food/what-you-need-know-about-dietary-supplements. TO OTHERS STILL ON THE FENCE ABOUT WHETHER OR NOT THEY SHOULD GET THE FLU VACCINE: Westernsyd is making what scientists call a Cause and Effect Error. Many, many thousands of years ago, as we lived in Mother Africa, we heard roosters crowing at EVERY dawn. We therefore thought at that time that the roosters crowing at dawn BROUGHT UP the sun. We now dont think such nonsense as obviously we see now that these bronze age people were making a Cause and Effect Error. Just because one event follows another, doesn't mean the first event caused the second. Just cuz westernsyd takes this (nonsense) supplement and then feels good doesn't mean the supplement was directly responsible for making him safe from influenza. The events were random. The supplement did not do anything. SO, dont be like him and FOOLISHLY make this error. Use the evidence we HAVE: flu vaccination can save your life. It can save the lives of those you love. Get vaccinated AS! SOON! AS! POSSIBLE! This is NO year to get both influenza AND Covid-19. Love to all.
  9. As a scientist, I am trained to always have a healthy skepticism of medical claims till it is properly vetted. PLEASE share with us on this board the name of this FDA supplement that we might logically evaluate the claims using scientific strategies. I'm not picking on you. I ask this of all scientific claims made. If you refuse, I am very fearful it will be seen as evidence this product doesn't exist and your claims are bunk. I mean, what's the secret? If it helps you, dont you want it to potentially help others? Others on this board: do you want to see what this supplement is?
  10. My brothers, once again, the above quoted man is wrong. There is actual scientific evidence that the influenza vaccine saves lives, prevents hospitalizations, and averts suffering. From the CDC "Influenza vaccination prevented an estimated 7.52 million illnesses, 3.69 million medical visits, 105,000 hospitalizations, and 6,300 deaths due to influenza during the 2019-2020 season. " https://www.cdc.gov/flu/about/burden-averted/2019-2020.htm To all people still uncertain about the flu vaccination: Please dont listen to the Pro-Plaugue Personal-Choice Screamers. Get your flu vaccination asap. Be a hero to everyone. We need you. Love to all.
  11. Board Certified Family Physician here. PLEASE read on: Ok, , let's unpack this. Using his same (non)logic: since I haven't had a car accident in over 20 yrs, I dont need a car with good brakes? Or with good air-bags? Or that I have no need for a seat belt? Surely the reader sees the nonsense in the above posters logic. If so, please get your flu vaccine soon. WHERE does this fool get his information? But where he has nonsense, scientists have DATA & EVIDENCE. Dont believe me? Below is a quote from a great scientific article with a copied sentence from its findings. I have posted the link so you can read it yourself. "We infer that our VE (vaccine effectiveness) estimate amounts to a 47% reduction in the number of flu-attributable deaths that would have occurred had none of the elderly been vaccinated." https://academic.oup.com/aje/article/170/5/650/102527 47% REDUCTION in flu-attributable deaths!!! 47%!! Yes, my friends, above is the strong scientific support of the BENEFIT of the flu vaccine. And the medical literature is FULL of other scientific evidence from journals supporting flu vaccination. Dont listen to these Whack-Jobs who use the internet as a platform to spout out their BS opinions & conspiracy theories. Get. Your. Flu. Vaccine. ASAP. 20,000 to 30,000 Americans DIE every year from the flu. Why NOT considerably reduce your risk? This is NOT the year to get influenza AND Covid-19 at the same time. Be safe my brothers. Wear a mask. Use a condom. And get your flu vaccine. Hugs to all. Private message to westernsyd: Wait, "good supplements" can cure influenza? Is the name of the medication "Fighting off bugs" ? What are the "bad" supplements I should be aware of? When you report you "hit it", do I punch myself till I draw blood? I'm stunned/pissed/depressed that in 4 yrs of undergrad, 2 yrs of pre-med, 4 years of medical school, and 4 yrs of residency and a fellowship and TENS OF THOUSANDS of student loans later I have NEVER heard of this. Wait, neither has ANY other legitimate physician .... in the world. Admin Warning: No personal attacks.
  12. From the VERY article that Coriolis888 referenced from the CDC: "Studies suggest that it is more likely that a person will get GBS after getting the flu than after vaccination. It is important to keep in mind that severe illness and death are associated with flu, and getting vaccinated is the best way to prevent flu infection and its complications." SO, if Coriolis888's story & his reported GBS concerns you, then you should be REALLY concerned about actually GETTING the flu as you are MORE likely to get GBS if you ACTUALLY GET influenza. I repeat, please get your flu shot. Most? Sorry, but you're statement is batshit crazy. Your perception of reality is off. Or you exaggerate like crazy. Or both.
  13. Please dont make the same POTENTIALLY LIFE THREATENING mistake he's making. First, I'm a board certified American physician. I do this for a living. So yes, I know what I'm talking about. Did the writer get a vaccine? Yes, I have NO reason to believe he is being dishonest. Did the writer get ill? Yes, I have NO reason to believe he is being dishonest. But he's making what scientists call a Cause and Effect Error. Many, many thousands of years ago, as we lived in Mother Africa, we heard roosters crowing at EVERY dawn. We therefore thought at that time that the roosters crowing at dawn BROUGHT UP the sun. We now dont think such nonsense as obviously we see now that these bronze age people were making a Cause and Effect Error. Just because one event follows another, doesn't mean the first event caused the second. Dear readers: his vaccine did NOT in any way, shape, or form cause his illness. Thats nonsense thinking. He got ill, sure, but its a mere coincidence that the illness followed the vaccine. Dont make his tragic mistake & believe such nonsense. THAT mistake could KILL YOU, or OTHERS around you. I have NO delusions that this man will change his views no matter how strong an argument or proof is shown to him. These are the guys who go to their (literal) grave defending illogical but dearly held beliefs (believe me, I see them professionally all the time!). My point to you is just dont be LIKE him. My dear brothers, GET your flu shot ASAP. This is NOT the year to get influenza AND Covid-19 at the same time. Such an event could be fatal. FYI: 2019/2020 flu season killed roughly 22,000 Americans. 370,000 Americans were hospitalized (not visited the ER, hospitalized)!
  14. ALL the listed guys on this thread are HOT. But I MUST comment, especially in these difficult times where we report that we want racial strife and discrimination to end, especially against the Black community: how telling is it about our community here that after 16 men were listed as hot, not ONE of them was a Black man? Yes, I know, you may attack me for such a statement. But after you do, ask yourself: is there any valid truth to the point I make? If so, how do you reconcile your belief that "Black Lives Matter" when we make a total race invisible? We cant change others, but we can change ourselves. But we must first take courage & admit to our weaknesses, however painful the exercise is. I love you all. Be safe in this horrid epidemic. And yes, Black Lives Matter
  15. I certainly want to know if the seemingly nice, gay friendly dentist in town has racist posts. I would refuse to go to him & inform my friends. Anywhere I can find such information would be helpful. We should post EVERYWHERE the links/screenshots of escorts who post racist content/advertising. So, I applaud you, DanteV, in your support criticism of racist escorts. We need to escalate the chemotherapy that is medically indicated for society (outing racists is like treatment for a disease). Lets not protect (at all) these racists. All over this forum is exactly the place to out them, not just specific threads of said escorts. Hasn't society been protecting racists and racist attitudes for too long? Black Lives Matter.
  16. I'm genuinely glad you had a good time. But he was crazy & a jerk when I was with him. But that's the point. Hes erratic. And rude. And has issues. Why would a client want to risk such a bad experience? I've never really had such a bad experience. Guys, just don't.
  17. OMG.DO.NOT.HIRE.THIS.GUY. I did & regret it. Hes awful. And scary. He has a psychiatric diagnosis and really shouldn't be escorting (this doesnt mean that all people diagnosed with a psych illness are bad people or shouldn't escort, just this guy). He used to ZackHungTop on RM, btw. I'm no stranger to hiring, so I know exactly the rules, what constitutes good/bad behavior on an escort (and clients) part. I genuinely love escorts, respect their ever-so-challenging job & I can forgive a lot (I've had mediocre hires in my hiring career, but they at least tried & were pleasant- but Tommy is a psycho jerk). I know I havent posted here for awhile but I'm still around & still read this website on occasion. I wudda posted earlier but just came across this. But if you notice, I've been a member for years & have gathered up some likes to my (infrequent) posts so I hope (on your behalf) my opinion has .... some worth here...? Feel free to PM me. Love to all.
  18. Yes, I met him. Unfortunately. Mediocre provider. Reeks of marijuana. But the worst part: he's BAT-SHIT CRAZY. RUN away FAST. PM me for specifics if desired.
  19. Um, NO. His online ad promise to "show up on time and exceed expectations" was there before he was arrested and has been there for years. DA makes promises, has been making promises, for years but has not kept them! I get it. Hes handsome & hot. But he's also: Erratic. Disrespectful. Poor service. Poor communication. Now that is Derek Atlas.
  20. Derek Atlas is the escort who has one of largest, if not THE largest no-show reputations on this website. Multiple men have reported how they made huge efforts to meet Derek only to be stood up at literally at the last second. There are just so many escorts discussed here and the constant chorus of guys who have experienced a no-show from him are voluminous. Multiple times he has texted a client, "I'm a few minutes away...!" only never to show up but only to ghost him. He has never offered remorse or explanations for his bad behavior. Indeed, his opinion of the gay community is quite negative and harsh. He posted those opinions online himself. Yes, he is stunning. But he has treated our community with contempt & disrespect. Is that really what you want to encourage? Please be aware. Peace & Light to all. P.S. A big huge thank you to all the wonderful escorts out there who generously serve the Gay community with punctuality, great service, and respect. How very much loved you are. Derek Atlas....not so much.
  21. OMG, you STILL have it so wrong! That is not the correct dosing schedule at all. It is not taking "a single dose for two days", its TWO tablets 2-24 hours before sex followed by a single tablet 24 hrs after the first two-tablet dose, then the final dose 24 hours after the previous dose. Yes, exactly that schedule. The way you wrote it, it's wrong and sorta haphazard. On-demand (or Event dosing) can work, but the margin for error is very small. That's why it is not the standard of care everywhere. A person has to have his game ON without error in order to have sufficiently high plasma levels in order to prevent HIV infection if exposed. Wrong dosing and haphazard is a great recipe for getting infected. You are a perfect example why the On-demand schedule is not the standard of care: some people cant listen to instructions sufficiently. Therefore just instructing you, and others like you, to take it every day might work best in preventing infection. But, On-demand PrEP does work, it just has its risks, which the studies informed about (but most people dont want to acknowledge). Once again, I fear some reader of this website to see what you wrote, (incorrectly) do how you said, and then get HIV infected. Yes, sad, huh. But very possible given how important timing is with On-demand PrEP: all you have is 4 (four) tablets to prevent transmission with that guy you just barebacked with. That's not a lot of tablets (or wiggle room) to get enough drug in you to prevent HIV transmission. For the guy really wanting to stay HIV neg, following the correct dosing schedule is ever-so-imperative. Anything less reduces the serum concentration and increases risk of transmission. I fear you miss all this. So might others. How sad. Go back to your doctor. Review the correct dosing schedule. Be diligent. Make sure. Stay HIV negative. And for all others reading my notes here on this topic regarding PrEP, always be careful how you talk about medical issues. Sometimes (um, more like often) as I counsel, educate and instruct a patient in my exam room I have to carefully dispel odd, inaccurate medical ideas he "read somewhere" (like M4M Message Forums). Its these inaccurate ideas that prevent a patient from accepting a really critical medical intervention I'm trying to persuade a patient to accept. Really guys, possibly the number one hold-up of a patient accepting care is their wrong ideas which they got online or from a friend. PLEASE, help out your friends by not contributing to this issue. In this particular issue, wrong information can lead to someone getting HIV. I wish all nothing but the best and good health.
  22. What you wrote above is NOT what this debate between the OP & myself was about!! You are behaving JUST like him by NOT paying attention to detail, and needing to put your 2-cents in, & then trying to sound authoritative and potentially helping others HARM themselves- meaning, getting HIV INFECTED. I know you dont want to harm others, but you just might with your recklessness and (inappropriate) need to put your 2-cents in. Hear me out: The OP discussed starting Truvada where he could just "take the pill a couple of days" before sex. He did NOT discuss a regimented & studied Truvada protocol that you mention (but did not elaborate on). "A couple of days" is reckless & without scientific merit. Someone can get HIV doing it this way. And the OP listing it this way can (unfortunately) lead other readers to (inaccurately) think, "Hey, I can do this way, too!" and then unfortunately get HIV!!! By inserting your poorly described opinion, you can potentially erode the point I am trying to make which is giving medical advice is DANGEROUS, even by a trained professional such as myself. One (including myself) must be careful in giving statements/advise about important medical topics (such as preventing HIV TRANSMISSION). (Unfortunately) Thousands of men are infected every year and your argument you (needlessly) discussed above only risks adding to that tragic reality. FYI: the experts (such as myself) are divided on the appropriateness of On-Demand PrEP which you carelessly and inaccurately mentioned (your dosing schedule regimen was poorly/incorrectly described) in your post. The reason why: it doesnt always work (for reasons are outside the scope of this post- want to discuss more? Start a NEW topic so as to not confuse & potentially harm people). There are many intelligent & well-read men who read this website and would never dream of getting medical advice from here, including getting medical advice from me, Dr Anonymous. But there are the occasional idiots who DO read the wrong stuff & do the wrong thing and get wrong outcome (like getting HIV). Please do not contribute to this problem. You are likely intelligent and well-meaning, but you got it wrong here. My fear is your ego will prevent sufficient self evaluation to see if I have any good point to be made. The first precept of Good Medicine is First Do No Harm. You failed on this. Do you understand my point?
  23. Um, NO, NO, NO its 7 (seven) days taking Truvada EVERY DAY before it can work in preventing HIV transmission for a bottom, not sure about the days needed for a top as the studies are not clear. AND, it takes 20 days to achieve maximal concentration in the blood. Starting "a couple of days" before sex WILL NOT WORK. The studies do NOT show that!! FYI: I'm a physician who works as an HIV Specialist. You dont believe me? Here is a cut & paste from the CDC. "When taken every day, PrEP is safe and highly effective in preventing HIV infection. PrEP reaches maximum protection from HIV for receptive anal sex at about 7 days of daily use. For receptive vaginal sexand injection drug use, PrEP reaches maximum protection at about 20 days of daily use. No data are yet available about how long it takes to reach maximum protection for insertive anal or insertive vaginal sex." (clarification from Josh: receptive= bottom; insertive=top) 1) PLEASE do NOT give medical advice here on Daddys. You are giving wrong & dangerous advice, sir. I suspect you misunderstood your doctor. What if someone took your (wrong) advice and becomes HIV infected? Should you feel bad? (yes) 2) Go back & review this with your physician. You need more guidance (or he does).
  24. OMG, who are YOU to be judging anyone? You have NO idea what his vows were. Maybe he & his partner have never agreed to monogamy! And what about this "...in front of God..." comment? How do you know he even BELIEVES in a God. And, how in the world are the rest of us (from your statement, "This world is going bat crazy over doing whatever one wants and making the rest of society pay for it" paying for his life choices?? STIs are not from escorts, but rather FROM places like Grindr, where the STIs are coming from. Yet that's where you suggest he should be going. If you want him to reduce his risk of STIs, urging him to go to Grindr is the last place he should go. WTH? And just HOW are YOU paying for HIS choices? ("Why do gay men think they have the right to have their cake and eat it at everyone else expenses"?). Could you elaborate on this peculiar train of thought? I reject your judgmental and ironically inaccurate opinion here. Who are you to be so judgmental, really?
  25. I wish we had more providers here on these message boards. One suggestion I have is for the section Ask An Escort be for escorts only to answer. I just feel that section should be for escorts. Too many of us clients mucking up the original intent of that section. Meaning, all of us can post a question but only providers can post answers. The only way to answer is to have a special login that only providers can get thru the Daddy admin. Some providers (many?) would prefer to be anonymous so they could answer anonymously or publicly. So, yes, a provider could have 2 logins to Ask An Escort, one to answer anonymously and the other to answer publicly. I think the anonymous login would be necessary cuz sometimes providers need to say what we as clients dont want to hear and providers prob want to keep their polite reputations clean. But a public login could also be used as advertising. Escorts could introduce themselves to all of us on these message boards. Just a suggestion. Love to all.
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