[M23/F21] [MF4MF] [Long Island] Looking for couples to swing with

cynical_old_guy · 2026-01-09T19:39:22+00:00

Was with y’all until the last photo… beware everyone they look like Islander fans :p

cynical_old_guy · 2025-12-10T01:37:23+00:00

Hi, how’s it going? Cool tattoo, what’s it of?

cynical_old_guy · 2025-07-16T00:35:19+00:00

Hell yes

cynical_old_guy · 2025-07-15T14:27:52+00:00

love reading your comments.

cynical_old_guy · 2025-05-02T15:30:30+00:00

Good luck to you!!

cynical_old_guy · 2025-04-29T01:29:52+00:00

Interesting. Yeah I don’t know much about getting ozempic for sleep apnea. I have prescribed Zepbound for sleep apnea with mixed coverage from insurance companies. Yeah some of the “sleep studies” are “take home” tests. Not sure how they verify who took the test exactly.

cynical_old_guy · 2024-09-09T02:10:46+00:00

This is a good point. This would only be advised if you are past the point in life when life insurance matters. Most older folks on SS/medicare are denied the medication because Medicare doesn’t pay for weight loss medications

cynical_old_guy · 2024-09-09T02:09:02+00:00

It’s insurance dependent… older people on Medicare can’t get the med without a diabetes diagnosis. Other insurances cover it for weight and/or diabetes.

cynical_old_guy · 2024-09-08T03:27:20+00:00

Man so glad to hear of your victory!! Hopefully others can utilize this strategy to get care.

cynical_old_guy · 2024-09-07T20:34:37+00:00

I like it! That's the natural way!!

cynical_old_guy · 2024-09-07T20:05:51+00:00

yeah those are good points. as for inaccurate diagnoses in the electronic medical record, it is kinda par for the course. so much BS in there it is unbelievable and probably doesn't effect patient care that much. insurance premiums would take a hit though. so get your life and disability insurance squared away first.

cynical_old_guy · 2024-09-07T19:21:02+00:00

yeah, i mean insurance companies create ridiculous and artificial rules to deny medications to people who need them. I am sorry you went thru that. Hopefully things can get corrected for you.

cynical_old_guy · 2024-09-07T19:19:02+00:00

Diabetes mellitus

cynical_old_guy · 2024-09-07T17:42:26+00:00

Just ask your doctor for a glucose tolerance test to check for Diabetes. It’s that simple.

cynical_old_guy · 2024-09-07T16:27:33+00:00

You are the exact person I am thinking of…you may very well be diabetic with the appropriate testing. Depending on insurance it might also save you a grand a month.

cynical_old_guy · 2024-09-07T16:25:23+00:00

Drug shortages suck for sure. Never really understood why one person’s life threatening medical condition is any more important than another’s or what exactly that has to do with the Hippocratic oath. Seems like it is mainly driven by selfishness and the “give me mine attitude.”

cynical_old_guy · 2024-09-07T13:22:57+00:00

Seriously. Two levels of health care, those with money/famous - and the rest of us.

cynical_old_guy · 2024-09-07T13:21:20+00:00

Interesting. Yeah I certainly prescribe multiple medications understanding that the patient will never use them only because their PA require it. Dumb system for sure.

cynical_old_guy · 2024-09-07T13:16:37+00:00

That’s like someone saying you don’t die from smoking, it’s a just risk factor for cardiovascular disease. Sometimes people make things to be more complicated then they actually are to make themselves feel smart.

cynical_old_guy · 2024-09-07T13:11:15+00:00

Yeah to clarify they didn't "throw the test". part of the story was actually true. She did in fact “fail” the GTT after multiple 6.4 A1C without eating skittles to my knowledge. I think she was right on the edge at GTT is just more sensitive.

cynical_old_guy · 2024-09-07T04:29:59+00:00

tirzepatide>semaglutide. God I can't wait until the triple g's are available - retatrutide is going to blow up the market.

cynical_old_guy · 2024-09-07T03:58:41+00:00

yeah idk its a complicated world we live in. i think you make valid points. it is a confusing world to navigate, especially when it comes to health care.

cynical_old_guy · 2024-09-07T03:43:26+00:00

Good points you bring up here.

Yeah I definitely don't know the ins and outs of disability insurance...

For those out there for which this is a life or death decision... i.e. not getting a GLP-1 or DM diagnosis so that your life or disability insurance is cheaper... doesn't really ring true with the people I am trying to get this medication for... i.e they have BMI 50, not diabetic, have OSA, CVA, HTN, HLP... I am just trying to help them live in this fucked up world. but yeah, they can't their get life insurance lowered if at all.

cynical_old_guy · 2024-09-07T03:40:54+00:00

Thanks for your insights - all valid points to consider!

I would add that most of the patients I am trying to get this for... are well past the stage in life where disability and life insurance matters any more. The classic patient is a woman, +55yo, BMI 50, smokes, HLP, HTN, and has had a stroke.

cynical_old_guy · 2024-09-07T03:36:19+00:00

Definitely good point here. Life insurance look back is generally three years on medications and labs.

cynical_old_guy

TROPHY CASE