josh282282

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.

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.

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.

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)!

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

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.

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.

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.

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.

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.

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.

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.

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?

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).

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?

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.

I've hired a many times. No escort has ever refused to first meet me in the lobby. Just my experience. But I'm a good client (except for the above/below limitations): I dont negotiate the price but pay what they ask (if within reason, and I know the market rates); I offer beforehand to pay all parking fees; I inform beforehand that I consider tipping important; and I ask him in advance what food/appetizers/drinks/booze they want ready for them when we get to my hotel room. I'd like to think I'm a gentleman, with safety concerns. And since I will NEVER give a first time session with an escort my hotel room number, the first escort that does refuse to meet me there but rather demands my room number is an escort I will quickly, but politely inform him to find another client. This is for SAFETY, guys. No exceptions, even for the well-reviewed ones. I meet escorts only in my hotel room, not their hotel. Vice stings love to set up their stings in a hotel room with their other police compatriots in an adjoining/nearby hotel room where they have their gear listening in, taping, and getting ready to jump in & arrest. It's much harder (and rarer) for sting operations to have a undercover policeman meet a client in clients hotel lobby not knowing where the hotel room is. I also dont give the name of my hotel till the day before. Just too little time for a Vice operation to set up shop. My strategy isnt foolproof but its helpful. Also, I use a burner phone assigned for escort hiring, not my regular cell phone (it's very cheap, btw) cuz people can track cell phones to the real person. And an email specifically set up for hiring communications only. Safety, guys, safety. Finally, some careful clients advocate not giving out their real name. I disagree. I always give out my real name: its Jesus Christ Incarnate, thank you.

Hi Lucas. I'm a board certified physician. I graduated from a top quartile US medical school and residency program (I dont say that to brag, but to assure you I'm no under-achiever & actually know what I'm talking about). I've practiced Medicine for years. I've personally worked directly with & come across many physician colleagues and neither myself nor any of my peers have ever asked for a deposit. You are simply wrong. It's not about trust, sir. This is Business. The restaurant gets paid AFTER the meal. The Accountant gets paid after doing the clients taxes. And the Barber. And the housekeeper. And the Uber driver. And the physician like myself (see above). The list goes on & on. Guess what: you are also on that list, too. You get paid AFTER services rendered, not before. I'm sorry you had to go thru this, Lucas. No one deserves to be treated this way. You write the conversation got "heated", so ask yourself, as a professional, what part did you contribute to this debacle? Please reflect on specifically what you said and how (if at all) it added to the tension of this encounter gone bad. Please reflect with deep self honesty. I'm a professionaland & I've had to go this exercise in my career and no, it's not fun, but its important for growth. Clearly you need some, um, professional growith, also. Um, what does that matter.....???? You sound really privileged, like you are demanding White Privilege. Just sounds bad all around. Like a pro-Trump supporter from the Alt-Right marching on Charlotesville. Please come to this forum and explain this statement cuz I'm sure you wouldn't want potential clients (like me) thinking you are a bigot. But I'm very open to a logical, non-racist explanation of your statement. Sorry man, but you cant rely on your clients for fiscal safety. Going out of town as an escort with all the extra expenditures that accrue are the risks YOU take as a BUSSINESSMAN. Trying to get clients to shoulder this risk will only get you a bad response (see this entire thread for an example), as you are learning. Wait, you wont trust us clients to pay but you expect us to trust that you a "man of his word"? We dont know you from Adam. Expecting us to believe/trust you on that is ridiculous and fantastical thinking on your part. Get over yourself, Mr Businessman. Guess what? I practice what I preach. I see a patient in my office and then bill accordingly and I sometimes DONT get paid, believe it or not. But it's part of my budget- I plan on a (small) percentage of unpaid bill's. It's called the Cost of Doing Business. Dude, take some business classes. No, you tarnished it yourself. From all you have said here, I know I'll never hire you. I NEVER pre-pay. Nor do my friends. No, it isn't. It's for clients, like me, to have a method and strategy to expose jerks and rough-trade who may harm us fiscally, emotionally or even physically. Are YOU one of those? I am fearful of the answer.

A true "professional" can keep an erection when asked. One to two experiences with not being able to top with his client (one would think) would instruct any real professional to be prepared next time and get Viagra (or Cialis or Levitra) and have handy when necessary. Age, body size, looks of the client has nothing to do with giving an escort a pass on maintaining an erection. If the escort has difficulty with a consistent erection, they shouldn't be in the business of prostitution (or at least not advertising their penis size or that they top). FOR THE PROVIDERS READING THIS: Viagra, although expensive here in the US, is quite cheap from a Canadian pharmacy. First, go to your primary care doctor get a prescription for Viagra. Simply tell him/her that although young and seemingly shouldn't have this problem, once the condom goes on you lose sensitivity and lose the erection. Physicians (like me) prescribe Viagra for this problem all the time. Then find an online Canadian pharmacy where you will set up an account, and scan and email your prescription. They will mail you the medication and you're set to perform within 15-30 minutes as the onset of action of Viagra is just about that time. Twenty four 50 mg pills costs $53.39. That's $2.23/pill (yes, I looked it up on the online pharmacy website). Small overhead cost given you are being paid between $200-$300/hr. Just like you, I'm a professional and I'm expected to have my tools, my skills, my fund of knowledge and compassion ready when I am standing before my patient. And I assure you that I'm ready and prepared to meet my patients needs. You be ready, too, when being paid to perform. Otherwise, I'm having a challenging time calling you a professional but rather a joker. Here is the link to one Canadian pharmacy I have sent my patients to (yes, I'm a physician). I have never had a patient report to me a bad experience with this pharmacy. https://www.northwestpharmacy.com ALL my love to the professional escorts out there. You are very much loved and appreciated.

With all due respect, please do not superimpose (your?) issues onto the rest of us. I assure you I am not homophobic in any way, having dealt with and resolved those issues many years ago thru hard work with a therapist. It is very possible to successfully address these painful internal issues. I should know because I have done it. Nevertheless, please don't think I am free from all other mental health issues. Strong mental health is a journey. I suspect I am not alone in this opinion. Much love, Josh

Yes, I have. And have communicated with him. I strongly suspect this guy is a prankster and/or going thru a drug induced psychosis. His answers at times are incongruent and odd. I strongly got the sense he was playing games during our communication. I fear safety issues alone with him. Proceed at your peril.

I had a decently long text message conversation with him trying to figure out if I should meet him. I decided not to hire him. He just isn't what he advertises. Despite what his ad says, he doesn't do anal. Nor oral. Even his Boyfriend Experience is unlike anything I think it should be. No where close. He's certainly not gay and prob not even Bi (that doesn't necessarily make a difference to me, but with him it would- I sense he has an ick factor in regard to same sex behavior). Despite what he advertises, he really only offers muscle worship. And when I discussed my concerns with him, I found him to be unreasonable and illogical. And a bit of a game player. He certainly is a stunning specimen of a man. But given what I learned, just not for me.

Well, you certainly are at least a good judge of your own character/abilities, because your self-professed lack of good judgement in others is a huge red flag. But lets think that through: these guys on SA probably are gonna be stronger, younger, bigger than you. They are needing money, sometimes despartely so. There are a lot of Crazies out there, and some of them are criminal. Those types are the ones who will do anything to save themselves from whatever predicament they are in. Maybe you should stick with well-vetted escorts who you can better trust? There are just too many scenarios from mild/inconvenient to catastrophic/lethal that you could be a victim to. Or at the very least consider some very robust strategies for personal safety. For example, tell a trusted friend what you are doing and who you are doing it with. And seriously consider letting the guys you meet know this. That will give any SA jerk pause to think who wishes to harm you if things don't go his way. To be sure, all of us need to be careful and leery of Danger but some of us are better judges of character than others. I was born and raised in a rough part of town. My Red Flag Indicator is well-honed. I have been known to spot thiefs, liars, and manipulators from afar. Even knowing that, I know I am at some risk, but your self-assessent is alarming. I wish you all the best. Josh

That's your problem, Mocha: you continue to collude with these no-show clowns. And you only hurt yourself. But if they no-showed even once, why would you give a second chance to affect your business/decrease your revenue stream/anger you? But you do it over and over? col·lude kəˈlo͞od/ verb come to a secret understanding for a harmful purpose; conspire. It is illegal and dangerous to text and drive. Dont do it. If you really are distracted while driving and hearing pings on your cell, just turn it off or put it Airplane mode. Then you might not be so angry and frustrated but rather, feel better and not have rant and rage like a maniac all the time, which would definitely make me feel better. Fool me once, shame on you. Fool me twice, shame on me.

No-shows are a chronic headache for all professionals, not just escorts. I should know. I'm a Primary Care physician. On any given day, no-shows account for a PCPs total daily booked appointments at a rate of 5-20%, depending on the demographics of the patient panel and geography. Yes, that's a daily no-show rate. My personal office no-show rate hovers around 7%. It used to frustrate me a lot more than it does now. At this point in my career, I have come to understand some people are simply disrespectful of others. And I have a much better strategy of managing no-shows then I did when I first started. I have a policy that 3 no-shows in <18 months (not 12 months) will have the professional relationship terminated and the patient needing to find a new physician. And if a new patient no-shows on their very first appointment, the staff are not allowed to make them another appointment. A no-show on the first appointment is that is all the evidence I need to know that the patient will be a hardship on my practice, and by extension, the health of my other patients in my panel who actually show up. Even if the patient calls to cancel but if its less than a 24 hr notice, it is still considered a no-show. The reason is, sometimes if there is <24 hr notice, that appointment spot can not be replaced by another patient as it sometimes impossible to logistically get another patient in his/her place. In this day and age of physician shortages, an unused appointment slot is a seriously unfortunate event which harms other patients. I have no desire or need to fill my panel with such disrespectful patients. It's not that they are disrespectful to me that is the issue, it's they are disrespectful to my other patients and prospective new patients who want to be seen but my staff have to say no to or put them off to a later date. My office staff has a large protocol to help diminish no-shows. First, when they make an appointment, they are informed of the no-show policy AND if they are established patients, how many no-shows they have accumulated (if any) in the past 18 months. When a patient hears they have 2 no-shows in the past 18 months, it help motivate them to show up next time, or at least give 24 hr notice. Patient's are called 2 days before to remind them. If we have an address, email reminders go out the day before to further remind. Letters go to each patient who no-shows offering concern over their health and a reminder of the no-show policy. If they have no-shows already documented, that is included in the letter. The letter is as professional, pleasant, but matter of fact as can be in such a letter as this. But we urgently suggest to patients to inform the office of a no-show even if it's less than 24 hrs because it might help them in the future. Is the patient rude to my staff (you might be surprised to hear how many patients are rude to office staff)? Do they always pay late or refuse to pay their co-pays/deductibles? Are they not getting better under my care due to their non-participation in the treatment plan? To many "yes'es" and I'm gonna terminate them. But if they have 3 no-shows but one of these was a call 2 hrs before the appointment to cancel (which is still a no-show) but are otherwise good patients (no yes'es to the above questions), I might delay termination... maybe, if they really ask for clemency and understand one more and they are gone. See, I'm not as mean as you think. By implementing this protocol, my no-show rate, although frustrating, is at a reasonable level. Without it I have seen a no-show percentage of near 20%. Why have I described in depth this office protocol? To suggest to all escorts to find and implement your own robust protocol for your business which can only help you. This should include accepting (as I have to do) that no professional can eliminate all no-shows. It's just a part of doing business. Suggestions To Escorts: 1) Get an address at least 3 days before the session. (Why wouldn't a client give you one?) 2) No blocked calls. 3) Insist on a Day-Of confirmation text/phone call. 4) Where possible, identify red-flags which alert you to a client with an increased risk of a no-show and come up with a strategy to navigate and diminish that risk. 5) Inform the client making an appointment that you are the consummate professional and will absolutely give him at the least a 24 hr cancellation call (or more) if an emergency comes up. But ask him to do the same and actually get a verbal agreement from him on this. Review with him that this is your livelihood and to respect this and your time by giving you the same courtesy. Be pleasant, matter of fact, and polite with this part of conversation, but be clear. Possibly by getting him to verbally agree to give you a cancellation call, he will commit to respectful behavior because now he doesn't want to let himself down by breaking his word to himself. I would love to hear other suggestions that escorts and clients are using/considering to use for this vexing problem. Hugs to all, Josh