pisstopper

I'm on that cruise as well! And also in the market for piggy bottoms. We should set up a pre-cruise fuck party

Thanks @MascMountainMan. You raise a lot of issues here and I'll try to respond as concisely as possible. Compliance with treatment and recommendations is a complicated issue. First off, it should be noted that most docs see some difference between prevention of a problem that hasn't happened yet and treatment of a problem that has already occurred. A patient that doesn't follow my advice to avoid smoking, poor dietary habits, owning a firearm, or any number of things that may or may not eventually result in a specific problem at a specific time is one thing. A patient with diabetes who refuses to take insulin is quite another. There is plenty of grey area here. And sometimes "treating" a condition is really about preventing it from getting worse as in the case of an HIV infection in most instances. Docs generally will be more concerned about patients who refuse treatment recommendations than they will be about those who refuse to accept prevention advice. There is also an issue with how serious and imminent the consequences of these refusals are. Refusing a surgery for a life threatening aortic tear is treated more seriously than refusing to exercise regularly though both choices may result in the same end point at different times. When does treatment refusal become serious enough to make a doc feel that there is no point in continuing to treat a patient? That would depend on many of these factors and the physician's own personal assessment of these risks. However another big one that enters the picture is effort. A patient who is trying to change things, quit meth use for instance, but is periodically failing or one that is unable to comply with treatment due to homelessness or mental health issues or any other mitigating factors is a different situation than someone who just outright refuses on principle. That being said these are not instantaneous decisions. Everyone deserves a chance to have things explained to them and discussed with them over a reasonable and appropriate amount of time for consideration. Struggling with treatment decisions is normal. Refusing to make that struggle and accept the status quo is another matter entirely. The smoker who refuses to quite? I advise they should. At 22 I counsel them, provide referrals and offer meds that could help. At diagnosis of their emphysema during their 2nd pneumonia in their 40s or 50s I explain again why quitting still matters and how the course can still be changed. At 60 when they go to light up with their oxygen tank actively pumping away through nasal canula threatening an explosion on top of their impending mortality, it may be time to talk about them going elsewhere for care. As for me and barebacking - Yes i do advise patients to practice safe sex always. Do I feel an obligation to do so? Yes but I don't view it as toeing the party line. It's the truth. If you don't want to lower your risk you can. Am I a hypocrite for not following the advice I give others. Absolutely. And its just as true when I don't eat and exercise like I should. However, I'm not particularly bothered by this. In the end patient's shouldn't be paying me to be their buddy or their confessor. They should be paying me to share what I know with them both as a matter of cognitive knowledge as well as clinical experience. It may help relieve their suffering and live longer and it may not. There is no point left in treatment if I have nothing to offer them in this regard. I'm not my patients' friend or confessor or guardian. For what it's worth. Yes I have a doctor of my own. Yes he knows I bareback. He tells me I shouldn't. He hasn't threatened to remove me from his practice. Would he care for me if I became infected with HIV? Probably. He has certainly treated me for STDs in the past. If I refused to take HIV medication if he recommended it would he discharge me from his care? He might well on such a day. And while I might not be happy about it, it wouldn't surprise me either.

A personal not-so-fav of mine is the old "thanks guys for all the woofs and compliments but I just don't have the time to get to everyone" comment. Who is this directed at really? It is perhaps the only thing less attractive than those profiles that berate readers with some sort of reprimand for the anticipated lack of response the Reade will have to author's initial expression of interest towards them

As a gay physician and a barebacker I can't resist adding my two cents here. Although HIV related care is not a significant part of my practice, I have absolutely kicked patients out of my practice for refusing recommended treatment and will continue to do so. While the idea of the selfless, endlessly compassionate MD is alluring it's a seriously outdated notion in the reality of today's medical care system in the US. It's about as outdated as the idea of patients who trustingly follow everything their docs recommend without question. It just doesn't exist any longer and hasn't for a long time. While big pharma is certainly an issue there are many, many others. Insurance is one. Unless your endlessly wealthy, someone is paying for your care and in the end that's really all of us through higher premiums and public funded care. Insurance isn't very interested in paying for recommended care that the patient is refusing and endless appointments to have the same conversation costs everyone. Another issue is the reality of getting sued. No good deed goes unpunished, and let me tell you I know more than a couple of docs in my time who were compassionate towards patients that had no interest in taking the treatment that was recommended to them only to later go after the doc when the patient discovered that the negative consequences of their informed decisions were a little bit more unpleasant in reality than they imagined. (e.g. sure you warned me I could die, but you never said anything about the possibility of going blind from the same action so even tho i made the choice to go off meds now is the time for a lawsuit) The doctor-patient relationship is exactly that - a relationship. There are two sides to it and in the modern world its something that we all have to live with.

I present this as a coda to my original scenario in the "it's easy to criticize your behavior when in appears in others than yourself" department. So yesterday, this top guy hits me up on line wanting me to breed and piss fuck his husband in an aggressive way and using a variety of bdsm paraphernalia and techniques. This would happen with both of them there as they only play together when they are both in the same city. The bottom is pix and the top is neg by his report. He indicates that his bottom husband is always pressing him to act out bdsm fantasies but the top man needs some basic training in the area We agreed to set up a time in the near future and the too gave me his man's contact info. I contacted him and soon the bottom was crazy excited about the possibility. So much so that he decided he couldn't wait for the threesome and wanted an assault of piss and cum right now today. In fact he wanted me to come to his work as a head nurse in a critical care unit and breed him on a break there in his small office. I was sworn to not tell his top partner any of this when we met. So I arrived at the hospital where he meets me in the Libby and we go to the unit right into his office. With hardly a word I whip if my belt, restrain his arms behind his back and force him to his knees after pulling down his scrubs. I fucked him for a few minutes flooding his cunt with piss followed by a cum chaser. His employees were walking by his door repeatedly on their way to the break room. Patients slept only a handful if feet away as I told him to keep his fucking faggot mouth shut about the breeding. Now I worry that I've essentially ruined any chance of the threesome, which I think would be more fun in the future. But if it is, I have no one to blame but myself for failing to avoid the same ethical shortcoming I so readily accused others of last week.

Yup. That guy sounds totally dumb. I had a guy last week who wouldn't let me put any dildos or toys in his ass unless they had condoms on them. I don't get this condom obsession at all

As a top I'm almost always accosted by bottoms I'm seeding with some variant of this - "bring some buds with you so they can seed me too next time." I'm happy to oblige - and have on a number of occasions- but this is not an insignificant amount if work even with the assistance or bbrt especially if the bottom decides to get picky about what cock he's gonna take. Recently I set up a small group if four breeders for a cum dump buddy of mine as a treat. (He takes loads entirely on the down low of his husband of one year) so I get everything arranged and he asks for pics of the guys I've invited, none of whom he knows besides me. I foolishly give him some. One of the tops he recognizes from one of the apps in his neighborhood. And since he's horny, the night before the gang bang he hits the guy up to come breed him at his place in advance of the gang bang the next night. Now I understand the need for cum believe me. But I somehow feel this was a significant breech of etiquette. It altered the group dynamic a bit and tho its my own fault for telling the slut anything at all other than to shut up and bend over, I'm slightly bothered by this. Am I off base?

I second that - Palm Springs without a doubt. For availability of cock and ease of access you won't do better in the US

I'm going! I'd love to do my little part in that project

Pissing through an erection is a skill that can be learned. I do this all the time and found what helped primarily was getting used to the sensation first before jumping into it mid fuck. Start with pissing through you're tinny erections regularly. Move onto jerking yourself off when you have to urinate badly before you go and then pissing at first immediately after and then later on before you cum Sometimes the bigger impediment to pissing isn't actually the erection but the sensation of pissing outside of a set of circumstances that you're typically used to. It also help to piss in ways you don't usually - squatting, laying down, with your hands above your head or in other atypical positions. The point is to get used to the idea of relaxing your muscles and starting flow in the midst of physical sensations and circumstances that you've spent your life conditioning yourself to avoid. This will make pissing mid fuck much easier

There seems to be a lot of issues you raise - how can you comfortably bottom more? How can your bf be more of a top? And what does it mean to be submissive? I tend to not equate submission with bottoming all the time. One of my favorite things to do is restrain and hood a bottom, force him to get hard and then use his cock to fuck either myself or other guys turning them into an involuntary top. It's very doable to be a submissive top or a dominant bottom with the right planning However if the issue is just one about changing roles for fucking, I think practice makes perfect. Get started taking cock or if you wanna start slower toys and work your way up. I tend to think groups are not the best way to practice new or rusty skills. How about forcing him to rape you with some plugs or a reasonable dildo as a reintroduction. It may be easier to work on the bottoming part before the submission part

Well it's a bookstore you might get used in to be sure. But they do carry several kinds of poppers

I'd be happy to help with a pre wnh piss breeding. Can't wait for the wet fun there myself this weekend. remanning10@gmail.com

Circus of Books on Sunset near the intersection with Santa Monica

I agree. I almost always rim a hole before breeding it. Nothing gets me more excited. And it gives me a sense of how tight the bottom is. I especially love if the bottom has already been bred and I can smell and taste another mans cum before adding my DNA to the mix

It's reassuring to know I'm not the only one who feels this way. I especially get thrown if the bottom or audience start cheering me on during a fuck. I'm getting close, the bottom starts making noise about increasing intensity, next thing you know everyone really starts paying attention and calling out demanding the breeding. And all of it has the next effect of destroying the moment. It's better if I can keep the bottom quiet and unload without all the drama. Of course this is what the good lord invented gags for.

Do other tops find it more challenging to load up bottoms in a group setting where there's an audience than it is to do so in a one-to-one situation? I always find there is a part of my mind that is wandering off when I'm fucking a bottom towards all the other breedable holes in a room if there is other activity right around me. While if there's no other hole around at the moment, popping off two or more loads in an hour is no big deal. I find the idea of being watched, toyed with, or fucked myself during a breeding incredibly hot btw. It just seems like breeding in a group setting is more of a challenge

Ideally there should be at least 2 tops per each bottom in any group. As a top I've always appreciated the breather to work up another load while making sure all the fuck holes are adequately cum saturated before moving onto the next breeding

More piggy and much more fetish oriented. Started tying guys up in rope this year which becomes more and more of an obsession. But best of all I feel more in touch with who I am now in my 40s than ever before

My partner and I have debated this issue in the past, but we now regularly mix our more socially inclined fuckbuds (his, mine, and ours) with our other gay friends in a variety of social settings. It hasn't really been that big of a deal in the end and we've tended to defer to our buddies judgment about any "meeting stories" if they feel they want one. It probably has more to do with the fact that we are extremely open about the "open relationship" with each other and with our gay friends. We are sometimes a bit more hesitant about mixing fuckbuds with straight friends who might not quite get the cultural significance and nuance of what we consider normally functioning gay make sexuality. But I'd say do it. I'm often surprised the social connections that reveal themselves when fuckbuds you imagine in your mind as shut off from the rest of the world are in fact just as diversely attached as we are ourselves

I'm 44 (just about 45) and have spent most if my adult life in a monogamous relationship. When we decided to open up our relationship over a year ago with me 60 lbs overweight (since lost) and feeling like I was sliding toward the grave - I was astonished to discover how appealing I was to so many men if all ages, shape, and sizes. After months of breeding dozens upon dozens of tight holes I have discovered that many if the old adages are in fact true. It has much less to do with what you got but what exactly you do with it. Attitude is the largest component of sexy and no matter what age you are or what you look like, someone will fall over themselves to fuck you and others won't be able to get away fast enough. Fucking without regret is what it's all about