SirBillybob

42 minutes ago, marylander1940 said:

 

I know an escort who is 49, his Doctor told him he's too old to get vaccinated now.

Should he be vaccinated? He still has 5-10 years ahead in this profession!

For men age 27-45 is the ‘shared patient-physician clinical decision-making’ range, and 46+ is not recommended based on a number of factors including likely past exposure and unlikely high number of partners going forward. It would be imperative that he disclose his risk factors as distinct from the more monogamish-prone average middle-aged adult. There is evidence to support vaxx for women >45 but it is due to an inexplicable secondary peak risk of infection in that age range. No clinical evidence to support vaxx for men >27 but practice wisdom suggests that MSM are good candidates as risk is 20-fold, and suggests that age need not be a relevant factor; no clear distinction in MSM age stratification 27-45 vs >45. The upper age limit 45 for discretionary uptake for the general population may yet increase in terms of eligibility guidance; vaccination is not contraindicated due to any age-based safety reason. It is an arbitrary age cut-off.

Survey says yes?

54 minutes ago, acks0104 said:

Yeah, that's kind of what I've been hoping for. I'd love to just find a guy that I enjoy and be a repeat, but I haven't seen anyone in a while that I would want to see again. The one guy I hired that I'd see again in a heartbeat is located in Europe, so that's a no go.

Beyond Judith Smith’s small but promising American placebo-control AHCC study of 41 adult women published almost 2 years ago there is only one other ongoing similar trial, in China, with results not anticipated for at least another year.

That said, I might be inclined to take it on preliminary ‘proof of concept’ merit.

Oddly, no p value explicitly calculated but I computed the chi-squared as .029, acceptably below the .05 threshold. Trouble is that the sample size is so small that merely either one more favourable individual outcome among the placebo group or one less favourable outcome among the treatment group fails to meet the standard for statistical significance of difference. The clinical significance is reasonable.

The devil is in the details. 

Fake. Only two 6’s in the phone #. 

Yes, more disposable funds beyond nest-egg target. 

For me, a quality deficiency not funds.

I just discovered, without specifically looking, that there are more than 7,000 client profiles in my metro area of 3-ish million registered with Rentmen. As we know, that could be the tip of the iceberg as you don’t need an account to reach most advertisers. I don’t hire from the platform because the profiles, in contrast to some other regions, don’t interest me.

I spend more than $400 on average including provider rate per desirable hire to travel significant distances to them, usually at least 10 hours one way. I keep open to enjoying the destinations but would otherwise not visit for the most part, preferring to explore new locations in which hiring would not be on the table. However, now I grasp that those among the huge volume of potential clients could be hiring from local listings such that all are getting some business. 

50 minutes ago, sydneyboy said:

I’m very confused by all this. If you turn up at 3 in the afternoon on any day of the week is it just business as usual?

Yes.

I had planned to attend on a Friday or Saturday out of curiosity but changed my mind, as the time difference makes being up that late more manageable, but not 05:00! They run four nights Thursday-Sunday, have been for several months.

The ‘word on the street’ is that the events are barely attended from 23:00 for a few hours, even Friday and Saturday, and that customers begin to trickle in around 03:00 when bars close and they are choosing this over other clubs that serve until 06:00, and the DJ may commence around 05:00 as opposed to continuously from 23:00, so patterns attributable to partiers finishing up elsewhere and then moving on to this regularly occurring event. Things can get very busy as late as 07:00 and through the morning, perhaps as club-goers in places closing at 06:00 are not ready to head home. 

If you prevail upon the courtesy of entrance booth staff you can be informed about the approximate number of attendees prior to committing, as per usual. Attendees optionally hook up in a conventional bathhouse manner.

There seem to be some experiments in pricing time blocks and some offer an inclusive ticket (actually a #, perhaps same as locker) for a drink. The idea is to charge from 23:00 covering up to the final afternoon, or at times a separate charge from 05:00 on for those arriving really late, then the historical rates beginning afternoons. I think that if a customer wishes to stay for the afternoon and evening they would need to pay the historical day rate even if they had attended the previous party leading in.

Otherwise, there is no interference between the two, and there is an agenda division according to the two categories of clientele, with historical afternoons/evenings business as usual. Simply put, the premises are put to more full-time use. 

6 hours ago, FreshFluff said:

That was my first thought too, but a hysterectomy is usually an outpatient procedure. That's especially true for the BRF, who can set up hospital level care at home. 

The speculation I've read is that she has a longstanding GI issue that became acute. 

Purely speculative, as there are several procedures that could justify extended convalescence, but that might put a princess in colostomy or ileostomy territory, with possible reversal down the line. My cousin had such, not cancer, with subsequent reversal, and she’s healthy 35 years on. Imagine the endless relentless joking in poor taste, though. 

One wonders if the omission of specificity around Charles’ BPH procedure, where a good reason for ambiguity may be lacking since the release is partly geared to men’s health education, is intended to mirror for the sake of content consistency the level of confidentiality regarding his daughter-in-law’s surgery.

16 minutes ago, Vegas_Millennial said:

As for traveling non-stop, my friend asked me recently if I flew "straight" from New York to Las Vegas.  I told her no, they let me fly gay. 😆

 Non-stop gay?

42 minutes ago, BenjaminNicholas said:

QR is one of the many reasons I keep loyalty with OneWorld.  Their J seating is fantastic.

Truth be told, I think SQ bests them in service and that their seating is more comfortable through the entire cabin, not just J and F.

Emirates has let so much of their fleet age, I don't even consider them a contender anymore.

IATA mind yer Ps and Qs, Ms Noma.

1 hour ago, Vegas_Millennial said:

That is a weird set of circumstance vs expectations indeed.  One would expect a superlative experience to include something above the working class evening meal known as "High Tea".  One would have expected the more upscale "Afternoon Tea" to be offered between midday meal and evening meal.

Why thank you, creature great or small tuned into the Mrs Halls and Mrs Pumphreys. I stand corrected regarding what I consider to have been essentially a ‘cheat meal’, and I do think the in-flight menu likely indicated Afternoon Tea, but it was neither afternoon nor typical evening when I consumed it, in either the time zone of enjoying it, the departure zone, or the destination zone. That said, I was high and high owing to altitude and being a moderate drinker with one too many champagne pours. I once had Afternoon Tea at a Ritz-Carlton and at another Ritz-Carlton Haute Couture High Tea, go figure. Fortunately, precious picayune editing doesn’t detract from its deliciousness. I once stayed with a working class family in one of the islands near England and Ireland; Tea was typically an evening meal of ‘fried egg and chip’. 

I recently had several long-haul Business Class flights on Qatar Airways, a Middle East carrier, majority anticipated to be Q-Suites grade. All trips were superlative. I was expecting bespoke dining, but English High Tea, whot?!

Word to the wise. I checked all flights’ seating a few days ahead and discovered that one of them had changed aircraft but maintained the seat designation (as all of my flights retained the seat#), yet lo and behold it would have relegated me to an Economy seat. Yet the reservation was still coded as Business for all flights. I thought, nah, but SeatGuru configuration confirmed this red-flagging on my part. I dashed to the airport, also a few days ahead of first flight, where the Québecois check-in counter staff confirmed my interpretation but expressed that they could not amend it, something or other about it having been a promotional fare booked a year ahead, without the relevant single-letter code, and if Business class was full, well, my misfortune, etc.

Serendipitously, the manager had just swung by his little cubicle office nearby and was able to change the seating back to Business. It took him about 40 minutes to fix it, initially saying I would need to call corporate office in Doha. Bless his heart as he should have been hoofing it to assist at the boarding gate that evening. 

38 minutes ago, Luv2play said:

My older brother was being treated for an enlarged prostate at the time I had my prostate removed. I had had no  symptoms  as he did other than the elevated PSA but had cancer nonetheless. He got a biopsy after my operation and he had cancer as well. 

The reason I have spent a total north of $5,000 on MRIs- with gadolinium contrast, past few years, due to elevated PSA, although PSA has dropped consistently to 10-year baseline and is now interestingly within the reference range because its upper limit is higher according to age-range stratification. I have mild BPH that impedes urinary flow a little a few weeks a year. No male sibling has had a PSA test in spite of recommendations particularly due to our father’s death, yet approaching age 90 and but brief acute illness, due to metastatic prostate CA. You can bring a horse to water …

King Charles will undergo a common surgical procedure, requiring hospitalization, for benign prostatic hyperplasia. It is deemed to be a non-malignant condition in his case. One does not necessarily require a prostate in-bore biopsy aimed at ruling out cancer in order to undergo an elective in-office or hospital-based procedure to alleviate the symptoms of enlarged prostate, but it is conceivable such a diagnostic procedure had previously occurred. This week’s procedure is likely not a radical prostatectomy. 

On 12/27/2023 at 1:51 PM, RadioRob said:

Try clearing the Safari browser cache.  You might have something old caught in your cache. 

Nobody older than 40 would be caught dead in mine, or alive.

On 1/2/2024 at 10:12 PM, mike carey said:

Kia ora everyone.

The issue came up a week or so back of a member not seeing a provider's signature (which contained a link to his ad) and asking the provider to post that link. The display (or not) of signatures had been canvassed as an incidental comment in an earlier thread in this forum. As that was some time ago, and this time it was raised in a Travelling Providers thread which we will delete once the provider's trip is over, I thought I'd repost my reply to it here in a thread that likely won't be deleted.

Initially I had noted that it may have been an artefact of viewing the thread on a mobile device, as I recollected (with no level of certainty) that some devices may hide signatures. I also said I didn't know whether visibility could be selected in settings. Until I looked at settings later.

I'm happy to be corrected on any of this.

You had me at Kia. I shall forward my St Lawrence Seaway port address posthaste. It is not in my signature.

What gave it away, that the art over the couch likely intending the phrase ‘do what makes you happy’ now reads ‘do wv eis makes you happy’? 

10 hours ago, nate_sf said:

Sexy man!

The photos are fine. Just no hardons! 

But he’s my ticket to the sperm bank of a bleak wintery morning. Pardon the hardon. 

2 hours ago, Gooberman said:

Thx. Very different thoughts.

If, for instance, a sensual massage became an erotic one I gather the provider would expect a much larger tip.

In such cases my tip would be automatically larger yet further away.

I give to get; they’ll get what they see. The laxity of escorts’ screening never ceases to amaze. I find that most Grindr images sent directly thru chat are spread cheeks not subject to facial recognition or reputation-doxxing risk, so I don’t quite grasp the comparison to Rentmen reference. 

16 minutes ago, José Soplanucas said:

What are you talking about, if I may ask?

The 12 months following a wet market of actual consequence? I think it’s related to some wet market aspect.

5 hours ago, Simon Suraci said:

Placebos are effective because they prompt expectations.

Or, rather, have an effect because a similar outcome may occur with or without drug intervention, especially given that providers taking PDE5 inhibitors do not mirror the clinical ED of drug trial subjects. And/or the uncertainty about having not taken placebo but per chance having taking drug paradoxically upticks erection robustness among those double-blinded to placebo. It’s all in the penis because the head second-guesses or the head may be unrelated to cue-based autonomous physiological  drivers of tumescence that work in concert with the psychological.

My example is a scenario that does not occur because actually sneaking somebody a sugar pill masquerading as drug is fraught with ethical considerations, the idea set up aimed at further underscoring what some others are saying. 

…..

Yes, correct inflation analogy at the physiological level. PDE5 inhibitors are not directly vasodilating in the same way as, say, Trimix. They block the natural and essential process of erection neutralization. 

———

These points are simply to say that expanding an exploration of clinical concepts with that subset of persons bent out of shape in some way may mitigate the assumptions held that they are the root cause of the need and decision that drug be employed by the partner. The introduction of drug in this context is often compartmentalized and akin to the proverbial pea beneath the mattress, considerations that providers’ arousal may be partly due, in fact, to the client’s presence negated in the limited mentalizing about it. Again, as others have pointed out with sometimes an added emphasis on providers’ autonomy.

The idea that it is the provider’s prerogative to consume the drug will not on its own help some clients get out of their own way regarding the narcissistic injury that plagues them. Deconstructing assumptions in a tailor made fashion, obviously not reduced to a few paragraphs’ clinically oriented language, is the order of the day. That said, you yourself seem capable of grasping the more complex. 

First hand knowledge of this tends to ensue from service provision to hundreds of sex therapy couples presenting with arousal concerns and associated dynamics. One is up against the overgeneralization shoved down people’s throats that the penis is the predominant or exclusive marker of ‘his just being or not into you’. 

Feeling poorly would be both futile and inaccurate. The scenario is not binary wherein any possible degree of erection relies on drug uptake. PDE5I trials’ placebo has a clinically and statistically significant effect. If, hypothetically, he took a sugar pill that you both thought was drug and a satisfactory erection outcome occurred, he would incorrectly believe it was due to needing a drug and he would correctly believe that it worked as a result of expectations about the outcome of taking it, albeit none the wiser. You would incorrectly believe something worked because it was biologically and contextually needed, nullifying the potential of perceived reality that you were far less the cause of a need about which you shouldn’t have been concerned in the first place.

Seems to be QUARTERBACK_XL in Singapore, or Bangkok this week. Country codes Switzerland and Belgium. Daddy be a Santa’s little helper?