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About fskn

  • Rank
    Sex Addict

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  • Gender
  • Location
    San Francisco Bay Area, USA
  • HIV Status
    Neg, On PrEP
  • Role
  • Looking For
    Bare bottom guys who know how to kiss

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  • BarebackRT Profile Name

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1992 profile views
  1. fskn

    I wanna stop prep

    I don't don't say anything in my post about curable infections. My focus is on preventable ones. Since a highly effective vaccine for Hepatitis B has been available for a long time, there is little reason to worry whether the disease is treatable; just get vaccinated! It's silly to include Hepatitis B on the same list as HSV, for example, because the latter has neither a vaccine nor a cure. Whether to include HPV on such a list depends on the person's age. For young people today, who are routinely vaccinated before their first exposure, HPV drops off the list of concerns.
  2. fskn

    First Time at Adult Theater on PrEP

    Congratulations on overcoming guilt and fear, and beginning to live your bareback desires! As a top of African descent (mixed African and German, in fact), I also believe it's important for black tops to seed white bottoms.
  3. fskn

    I wanna stop prep

    For people not yet infected, the Hepatitis B vaccine has been available for a long time now. The HPV vaccine, though it is labeled for use in young people because it is most effective before first exposure, can be administered to adults. It doesn't do any harm and could have some protective value. HSV, as you say, remains a risk, although Acyclovir and Valacyclovir are apparently effective at reducing symptoms.
  4. fskn

    PReP Ignorance

    A tip for others whose pharmacies won't accept your Gilead/McKesson card: You are free to pay your share out-of-pocket and request reimbursement by mail. You can get a form by calling 1 (877) 505-6986, or print one yourself at www.patientrebateonline.com I've used the reimbursement process, and it works fine. If your prescription label was folded over itself, clearly mark where to find the required information. Keep copies of everything. (If you are a Kaiser Permanente member, you must also enclose a pharmacy record. This is not the same as your pharmacy receipt, and must instead be obtained from the Medical Secretaries office.) To be clear, the rules of the program still apply. For example, if you have government insurance (Medicaid/Medi-Cal, VA, etc.), you are not eligible, whether you present the card at the pharmacy or mail a reimbursement form.
  5. Thanks for the follow!!

  6. fskn

    Ode To Our Now Closed Gay Treasures.

    The loss of traditional gay public sex venues is sad, but paradoxically, gay marriage will help sustain the remaining venues. Gay marriage assures a steady supply of men who need to breed/get bred by men other than their husbands. ?
  7. Generally, yes. It would be no fun having prudish or judgmental gay friends. My straight male friends appreciate that I can relate to their worries about birth control.
  8. User activity and free functionality are the two critical factors. If not enough people are online near you, or at times when you are free to hook up, you're bound to experience more rejection and frustration. Meeting is a numbers game: the more men, the greater the chances of finding someone compatible. For this reason, Grindr wins hands-down. Despite being just the opposite of the stereotypical young white twink, I meet lots of people there (and whatever their profiles say, most do bareback!). I am willing to maintain a paid membership precisely because there is so much user activity. If it's not possible for free users to view reasonable numbers of profiles (Recon), really see private photos that have been unlocked (BBRTS, Growlr), or send reasonable numbers of messages, users eventually give up. One problem is not being aware of the limits of the free functionality. When people unlock their private photos in Growlr, I have to remind them that, as a free user, I can only see the first two. An app needs some paid users to sustain itself, but it must attract lots of free users to maintain a critical mass of activity. @rawTOP, two differentiating features to consider are a data privacy pledge and an open API. Despite the sensitivity of gay hookup activity, existing apps have terrible security and make no commitments about privacy. Messages should be encrypted end-to-end, readable only by the two users, not by the app provider. Location data, user activity data, and (even encrypted) messages should not be stored on servers after processing. Scruff has a blog post on adding a little randomness to proximity data, but more work is needed in that field. Gay sex is a capital crime in large parts of Africa and the Arab world. Even here in the US, we risk job loss, social ostracism, and, for some users, a break-up or a divorce, if the wrong people find out. Lastly, all current gay hookup apps are closed platforms. Someone reverse-engineered the Gay.com chat protocol and supported it in a universal chat program, but that is now long-forgotten. If you want lots of users and lots of activity, an open protocol is the way to go. Why not integrate directly with a secure messaging platform, such as Apple iMessage, Signal, or Wickr? (I'd include Whatsapp, but metadata -- who communicates with whom -- is now shared with Facebook, the new corporate parent.) Sorry for the long post, but I hope it's helpful!
  9. That may explain it. A recent STI is one indication for PrEP. But if you believe your sexual activity puts you at risk, ask again, and find another medical provider if you must! What concerns me is the "don't need it" response. Based on sexual history, timing, test data, and partner info. (if available), a doctor could make such a finding in some cases, if a patient had asked for PEP. To dismiss a patient's need for PrEP, however, is much more difficult, since it is a matter of assessing past and future sexual risk.
  10. @scott0882, I encourage you to ask again, even to the point of finding a new doctor and/or health system. Truvada for PrEP is FDA-approved, is the standard of care, and is covered by most private and public health insurance plans. If I'm reading your message correctly, you mention that you asked five years ago. That was around the time of the FDA approval. Very few doctors outside the research and public health communities would have known about PrEP back then. It could also be that your doctor thought you were asking for PEP (Post- Exposure Prophylaxis). @TheLusciousLad, have you been able to get your PrEP care covered?
  11. fskn

    Bareback Dilemma

    For people who come across this post, affordability should never be a consideration! Gilead's patient assistance programs cover either the full cost of Truvada for PrEP, for people without insurance and earning less than a certain amount, or the prescription copayments, for people with insurance (regardless of income). Participants in government insurance programs, such as VA, Medicare and Medicaid, are excluded, but in most cases, those programs cover PrEP. Some states provide funds to fill remaining gaps in PrEP coverage; check with the agency in your state that handles (related, but different) Ryan White Act funding.
  12. fskn

    HIV Home Test Kit

    Anything that encourages testing is good, but as HIV tests go, OraQuick is not the most sensitive test available. For a newly-infected person, OraQuick may still show no infection several weeks after the best available tests would have detected the infection. If you are worried about a recent exposure, insist on a qualitative PCR RNA viral load test. (Qualitative means a yes/no answer, instead of the quantitave result -- "x copies of the virus" -- provided to a person who is Positive and under monitoring.) If you mention a recent and very risky exposure and your clinician doesn't propose this, go elsewhere. For routine, periodic testing, a 4th-generation test is ideal. Ask for one!
  13. The AMP Study definitely welcomes people who use PrEP in the US, and it includes a patient access program (free Truvada from a mail-order pharmacy, without regard to income, insurance, etc.) for enrolled participants who would like to use PrEP. Allowing PrEP for US study participants is an ethical issue. Medical researchers rarely expect people to accept less than the standard of care (what is approved and generally available, in a given country). There are enough participants who don't elect PrEP, or who don't use it reliably, that statistical findings about the efficacy of the antibody product in the study can still be made. The AMP Study is still enrolling in San Francisco, and there are a number of other interesting studies as well.
  14. Thanks for the follow!

  15. fskn

    And the third case is here

    PrEP is a concept, not a single medication. As was (and is) the case with HIV treatment, new drugs are being studied for HIV prevention. Some are particularly promising for prevention because, unlike the emtricitabine and tenofovir in Truvada, they are not already in use for treatment, making resistant virus even less common.

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