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SirBillybob

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Posts posted by SirBillybob

  1. Uncut is Director’s Cut topic prerogative.

    Personally, I think I tune in at times because he (you, J, are) is articulate but tune out due to a (my) sense of impotence with respect to influencing outcome. Fortunately, J frames these threads as potentially cathartic, so there’s that. And is not contemptuous towards the board membership largely made up of client constituency; I am sure some disgruntled providers have a major hate-on that they performatively mask. 

    Unfortunately, while a variety of sound and interesting contributions here, some with supportive empathy, there’s little scope here for Dr Wendy Rhoades-grade job coaching, that is, as vocation dynamics can be complex in their own right and not necessarily attributable to personal deficiency. That said, the OP is bright and articulate, certainly not without potential, and a formidable focused baseline drive.

    Interestingly, the latest BILLIONS episode included our fave ex-marital-dom Wendy referencing Tversky and Kahneman. (Yeah, this gives away I utilize closed-caption😏.) Late last night I took to reading their dozen-page essay Judgement Under Uncertainty: Heuristics & Biases.

    It strikes me how the OP’s understandable uncertainty about how bookings will roll out, a wild snakes’n’ladders ride, runs up against the ambivalence and reservations about outcome probabilities that seems central to many prospective clients.

    The written piece also touches on the worthlessness of information that may be presented (in this case to clients) with good intentions but, as other posters opined, is best extremely edited and streamlined, IF the goal is deal-seal above and beyond process.

    Another concept is that of anchoring assumptions in such a way that other possibilities are overlooked. We perhaps see this within both our illustrious appellant and various contributions within the thread.

    Obviously, there is too much to summarize from the essay but my sense is that a paradigm shift, as also put forward by others, is necessitated here in order to acquire a sustainable stroke exceeding head above water.

  2. 18 hours ago, LFABWC said:

    No kidding!!  …..so at the end NOW are we supposed to believe that “EVERYBODY” got Covid???……despite the masks, social distancing, lockdowns, “we are all in this together”, vaccines, boosters, bivalent boosters etc etc etc???……this is just, well not offensive….maybe just….incredible, to say the least….

    The purpose of immunization would be the possibility that anyone and everyone could acquire viral infection but that artificial immunity would render natural immune response a much less rough journey. Natural immune response, infection-induced, to date is estimated as 80% of the total population.

    In fact PfizerBNT’S FDA submission late 2020 reported a suspected rate of SARS-CoV-2 infection in the vaccine group that was 150 times that of case count used in efficacy computation (see insert below). That metric would not be dissimilar to the pre-vaccination general population incidence at the time.

    It would have been cost-prohibitive and extremely impractical to track infection-induced nucleocapsid protein antibody production precipitated by actual infection, in order to differentiate hybrid immunity from artificial immunity among those vaccinated in the trial, and in order to differentiate natural immunity from infection-spared among placebo recipients. The key was to demonstrate protection from serious illness and get a viable vaccine on the table. Vaccination was not designed to prevent viral exposure and natural immunity. 

    The reality of a current majority of the population having acquired infection, with far less dire consequences, simply supports the legitimacy of vaccination development and administration efforts made to get there. I don’t grasp negative spins on this, though it is well established that the illusion of opinion validity is unequally distributed. 

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  3. These CDC data are entirely consistent with Canada’s Immunity Task Force findings, up to and including July 2023, so ours slightly higher in the categorical nucleocapsid antibody rates that signify infection, as I indicated above. 

  4. Formal surveillance shows that NHS patient satisfaction is at an all time low.

    That said, I am surprised an Ophthalm consult wasn’t in the cards. 

    In contrast to Ontario where I lived most of my adult life, in Quebec I pay out of pocket for primary care and urology, both practitioners having ‘opted out’ as is legal here; lab work, and MRI imaging. None of it is tax-credited due to my income level.

    I have had a few ultrasounds and dermatology check-ups covered by provincial health insurance. STI testing is covered at community clinics; as an active gay man I feel that is a good compensatory offset. 

    I have travelled abroad specifically for specialty inguinal hernia repair accessed on short notice at great expense, as opposed to risking the caprice of acute emergency-based surgical intervention locally. 

    —— 
    Portugal’s median age, 46, is 5 years higher than UK and USA due to a markedly high baby boom 1960-1985. Like many nations the health care system will be saddled, even more, with a very high proportion of seniors going forward. 

     

  5. On 9/24/2023 at 8:23 AM, Buddy15 said:

    Has anyone experienced insomnia brought on by COVID?  Never had sleep issues before but I sure do now.

    It’s not uncommon and there is a literature on it that you can search.

    I assume you have had a positive SARS-CoV test, or signature COVID symptoms at some point, and that is the basis of your assumption for your own sleep disturbance. Bear in mind that test-negative research suggests that many folks pursuing formal testing for SARS-CoV-2 based on symptoms alone have unrelated illness. Therefore, a self-admin rapid test or lab test would have been your best bet, not simply illness symptoms.

    The probability to date of NOT having infection-induced seroprevalence as represented by nucleocapsid antibodies, in contrast to spike protein antibodies that result from EITHER infection OR vaccination, is approximately ‘snake eyes’ on a single die roll. In fact older persons are less likely to have acquired infection that in turn spurs natural immunity. The research on infection-based antibody seroprevalence is quite sophisticated and accounts for waning levels of nucleocapsid antibodies.

    If you have not had COVID infection confirmed, ie, there is some doubt you acquired it, and given the ratio of infection and non-infection history in the population, I would suggest ponying up some cash for a blood draw to assess for nucleocapsid antibody presence, often termed N antibodies by various labs. I’ve done it several times myself. I use Dynacare but my US contacts utilize Labcorp for the most part. To me, it would be worth it to confirm the basis of sleep changes in the absence of a previous formal infection disgnosis.

     

  6. 47 minutes ago, Luv2play said:

    This guy is new on RM and has no reviews. If he doesn't look like his pics I would advise RM and also mention his violent behavior.

    I had a somewhat different experience this week with a new provider on RM with no reviews. I invited him to my place and it was a 1 hour trip each way for him. We negotiated a one and a half hour session to make it worthwhile on both sides. He paid for his own gas.

    After 45 minutes it was clear he couldn't perform as a top, which ishow he advertised himself and he knew I was a bottom. So I brought things to a halt and told him I wasn't going to pay him his whole fee. We had a brief negotiation on the reduced rate which he accepted. 

    He left with no hard feelings and sent me a message the next morning apologizing. Lesson learned on my part about new guys with no reviews. 

    And you provided an essential early lesson with which he drove off, it is hoped and is likely, certified. image.gif.d1b6fec8471db29944b6b36242f9fde3.gif

  7. 12 hours ago, Luv2play said:

    I got the old vaccine in June because it was 6 minths since I had the last booster. The new vaccine is not available here yet I believe but should be soon. I will ask if I can get the new one as soon as it appears. That would be about 3 months since the last shot.

    The guidance indicates 6 months. See the last bullet point in ‘what you need to know’. That said, you probably won’t run up against much resistance if you pursue the new formulation earlier, particularly since the new variant seems distinctive and there is no evidence of harm with premature uptake. 

    (USA FDA has set eligibility with merely a 2-month gap from more recent dose.)

    https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/vaccines-immunization/national-advisory-committee-immunization-summary-supplemental-statement-september-12-2023-addendum-guidance-use-covid-19-vaccines-fall/summary.pdf

  8. Not yet rolled out here and “COVID-23” recently beat it to the punch, a virtual KO, fever 102-103F a few days; weeks to recoup health. Some 40 months was a lengthy period of time to be spared.

    One less jab this Fall. Though case incidence seems paltry compared to historical peaks, even correcting for ascertainment bias, one might lay low considering access is nigh. 

  9. 1 hour ago, LookingAround said:

    Such a specious argument. To follow your logic, do you wear a mask when you fuck? Because the risk of COVID is real and 11% of those who get COVID get Long COVID. What do you make of that?

    I have face coverings in various colours. Non-sequinned wear. 

  10. 1 hour ago, BiDude420 said:

    Oh god this is the attitude I hate in the gay community. It is one thing to fuck bare it is another thing to convince yourself it is actually the safer/better option. PrEP is great but using a condom is always going to make sex safer regardless of the circumstances. 

    Apretude only protects against one STD. Condoms protect against multiple STDs and don't carry the risk of liver damage or diarrhea. Not everyone can take PrEP either. Sure HIV infections are going down but every other STD infection rate is spiking in the gay community. Condoms are not "unsafe."

    Everyone has their own risk tolerance and I respect that but I can't stand this holier than thou attitude in the gay community about this. I've gotten too many lectures about "safety" from strangers on Grindr after I told them I didn't want to fuck raw. Like get over it lol.

    I have not personally faced this, but what could be more understandable than dismay when possessing an ironclad clinical understanding of STI prevention yet running up against stigma imposed by peers when we are all ideally in this together? Fortunately, there does seem to be some consensus here that various prevention strategies have their place.

  11. 1 hour ago, LookingAround said:

    Reading this thread I kept looking to see what year it was being written in. Like 2008?

    Gentlemen, it’s 2023. Have you heard of Descovy or Apretude?

    I consider condoms unsafe and Apretude as safer sex. 

    In terms of HIV your comparison is not off, yet one mode of protection does not invalidate the value of the other. HIV antiretroviral pre- and post-exposure prophylaxis goes back some 3 decades. It has done wonders for various at-risk constituencies where condom utilization, otherwise protective, has no relevance. 

  12. On 8/28/2023 at 9:05 PM, gn233 said:

    I don't get why they think we want to see the customers at all? Is it a desperate attempt to show that they are somewhat busy? Plus then they are late sometimes going back to the stage when the dancers do finally come out.

    But yeah it's not cool for some customers I am sure, especially who may not be aware they have changed the camera angles etc. 

     

     

    It’s a challenge to be always ‘on’ too. 
    image.gif.bf922ea44a0d60945ba5cad7518be33e.gif

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