EZEtoGRU

I have been generally displeased with the delivery of primary medical care in the last three states I have lived:  Florida, Texas, and now Michigan.  Long waits for appointments, long waits at the doctor's office (multiple hours in some cases), rushed appointments, incompetent support staff at the doctor's offices.  I had first heard about concierge medicine when I was living in Houston.  When I moved back to Michigan in 2016, I explored the possibility of getting a concierge doctor here.  I can afford the annual subscription fee but the problem here is that there are few concierge options.  Certainly there were none available within a 1 hour drive from where I live.  There seemed to be a good option in Ann Arbor linked to The University of Michigan Medical Center (probably the top medical facility in Michigan).  However that was over a two hour drive from where I live so didn't seem very practical.  I think that concierge medicine is an interesting option to take care of your primary care if you can find one and can afford it.

Happy Motoring.
I've paid cash for three of my last five cars.  The other's I paid off early simply because I got tired of the payments.,  Life is simple with no car payment, or mortgage.

Don't look back!  Enjoy the new car AND more importantly enjoy no car payment! 
I don't subscribe the idea of cheap money loans on a depreciating asset.  Oh but cash flow, capital preservation, etc. When it comes to personal finance, it's much ado about nothing.  Car payment = another bill I have to pay and paying interest to a bank on top what I paid for the car. 
On top of that you used an RMD, which tells me you are fortunate enough to be required/forced to pull from accounts.  Just another reason to buy the car outright.  
My advice would be different if you voluntarily pulled the last of your emergency fund to buy the car outright.  That's not the case here. 

I have been generally displeased with the delivery of primary medical care in the last three states I have lived:  Florida, Texas, and now Michigan.  Long waits for appointments, long waits at the doctor's office (multiple hours in some cases), rushed appointments, incompetent support staff at the doctor's offices.  I had first heard about concierge medicine when I was living in Houston.  When I moved back to Michigan in 2016, I explored the possibility of getting a concierge doctor here.  I can afford the annual subscription fee but the problem here is that there are few concierge options.  Certainly there were none available within a 1 hour drive from where I live.  There seemed to be a good option in Ann Arbor linked to The University of Michigan Medical Center (probably the top medical facility in Michigan).  However that was over a two hour drive from where I live so didn't seem very practical.  I think that concierge medicine is an interesting option to take care of your primary care if you can find one and can afford it.

I was at Johnson's again this week on Tuesday & Wednesday.  Tuesday was very quiet considering Florida is now in high season.  They didn't even have a bartender working in the main stage room bar...which surprised me.  In any case I had a good time.  There were maybe 12 dancers working so enough to have some variety.
Wednesday was totally different.   Very busy.  SRO at a few points during the evening.  I'd say about 20 dancers were working.  There were at least five guys from Argentina.  One of them was a young guy from Cordoba.  Very good looking, muscular, and with a beard.  Also, he had one of the most beautiful asses I have ever seen in my life.  Wow!!
One trend I noticed that I'm happy about is that more dancers seem to be letting their pubic hair grow.  Maybe not full bush but the hair was there at the top of the pubic area.  I love that.  Of course there were still plenty of completely shaved guys for those that like that.  
Thank you Cordoba Argentina for the handsome guy with the beautiful ass.  A true work of art!

I was at Johnson's again this week on Tuesday & Wednesday.  Tuesday was very quiet considering Florida is now in high season.  They didn't even have a bartender working in the main stage room bar...which surprised me.  In any case I had a good time.  There were maybe 12 dancers working so enough to have some variety.
Wednesday was totally different.   Very busy.  SRO at a few points during the evening.  I'd say about 20 dancers were working.  There were at least five guys from Argentina.  One of them was a young guy from Cordoba.  Very good looking, muscular, and with a beard.  Also, he had one of the most beautiful asses I have ever seen in my life.  Wow!!
One trend I noticed that I'm happy about is that more dancers seem to be letting their pubic hair grow.  Maybe not full bush but the hair was there at the top of the pubic area.  I love that.  Of course there were still plenty of completely shaved guys for those that like that.  
Thank you Cordoba Argentina for the handsome guy with the beautiful ass.  A true work of art!

TBH I don't know today.  My experience is from 10 years ago when I had a close friend living there.  Also my comment was not related to trade/professionals.  I was referring to the guys you would see there in general.  I'm always happy if there are military guys around.

I would say San Diego.  It seems nearly everyone is in great shape.  Another plus is all the military guys that are there.

I would say San Diego.  It seems nearly everyone is in great shape.  Another plus is all the military guys that are there.

I would say San Diego.  It seems nearly everyone is in great shape.  Another plus is all the military guys that are there.

Depends where I am at the time. 
Kevin Slater

Nice try. 
My point still stands and I stand by what I said. You have no knowledge of any reason that this patient was at high risk for progression to severe disease. In fact you have VERY limited knowledge about this patient at all, and yet you didn’t hesitate to insult his physician’s decision making. 
I’m only asking that you try to be less condescending to others in your profession. It’s doesn’t make you look smart. It makes you look like a jerk. 

I have always thought of him as a humanist, one of the great ones. 

And of course, the themes to The Twilight Zone, The Addams Family, The Munsters, The Odd Couple, Cheers and Friends are each cultural touchstones, recognizable to just about everyone from the first bar.

I think closing the politics forum is ultimately a good thing. Back in the summer when this possibility was being discussed, I expressed that I thought it should be shut down for a variety of reasons. I’m totally good with it. 

I think closing the politics forum is ultimately a good thing. Back in the summer when this possibility was being discussed, I expressed that I thought it should be shut down for a variety of reasons. I’m totally good with it. 

I think the moral of the story is to not trust that anyone that is”undetectable” is actually taking their meds as prescribed. 
 
you need to protect yourselves y’all!!  Assume everyone is poz. 

I think the moral of the story is to not trust that anyone that is”undetectable” is actually taking their meds as prescribed. 
 
you need to protect yourselves y’all!!  Assume everyone is poz. 

I think closing the politics forum is ultimately a good thing. Back in the summer when this possibility was being discussed, I expressed that I thought it should be shut down for a variety of reasons. I’m totally good with it. 

I know undetectable gay men that purposely stop taking their HIV meds from time to time because they want to give their body a break from the meds.  How long does this go on for?  I don't know.  At what point do their HIV virus levels start going up again?  I don't know.   How long does it take them before they are infectious again?  I don't know.
There's one thing I do know...there's no way in hell I'm gonna trust someone that is HIV undetectable to do the right thing and take their meds as they're supposed to.  

I think closing the politics forum is ultimately a good thing. Back in the summer when this possibility was being discussed, I expressed that I thought it should be shut down for a variety of reasons. I’m totally good with it. 

I have mixed feelings. I think it was helpful to know who is who. Also, based on the time they spent there, the frequency of their posting, and the blatant bitterness, it looks like some poor lonely guys do not have another place to vent their grievances. 
Besides, I wonder how we will keep politics out of the conversations. The same homophobia and racism that a few posters bragged about, will show up when we discuss non-political issues. After all, (nonpartisan) politics is everywhere. 

I feel your outrage. The current HIV meds are the most sophisticated drugs there are. Those of us can remember the early days when the only medication was AZT which caused more health issues than it may have resolved. I had a former boyfriend who was taking DDI. His body dysmorphia was advancing every time I saw him in the form of a gigantic pot belly and dorsal fat deposit.
There is no such thing as taking an HIV med break. What you do is risk building a resistance to the medication. You'd be back on the rollercoaster of switching meds to find one that is tolerable and effective.
We are our own worst enemy.

The people I know who are positive and undetectable would never, ever go off their meds. 
That's insane as fuck.
Give your body a break?  It's the meds that are suppressing the disease.  Makes zero sense.
Fact: When you stop taking your meds, HIV begins to replicate as soon as 48-72 hours.
What's even more stupid is risking building an immunity to the meds that once worked when you go off your regime.  HIV is an incredibly smart disease.  It fills in the blanks beautifully when given the opportunity.  It's one of many things that continues to make this a very difficult disease to pin down and eradicate.
Sorry if any of this came off as angry...  Not mad at you @EZEtoGRU.  Just mad at the idiots who are given a chance to live a relatively normal life thanks to medical science and they still find a way to try to fuck it up.

As has been mentioned many times by many people in many posts, the health status in an advertisement can be inaccurate, out of date, or both.  Please do not rely on what an advertisement says as being 100% truth - even the advertiser may not be completely aware of their current health status.  Only you can take the appropriate precautions in protecting your own health and mitigating the risk of infection, and not just regarding HIV, but also for many other conditions and diseases that are sexually transmitted and not protected against by PrEP.