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Some people are not aware that "cancer" is not a disease, but rather a collection of many hundreds of different diseases, all with different behaviors and different ways to treat. Even "pancreatic cancer" isn't a single disease, but I will comment on pancreatic adenocarcinoma, by far the most common (the beta cells, which produce insulin, for example, can also become cancerous, although that's very rare, and there are also pancreatic neuroendocrine carcinomas). Pancreatic adenocarcinoma (which I'll call PA for short) is one of the fastest-growing cancers that exists, and therefore cannot be screened for (similar to the fast-growing ovarian cancers). Although on occasion it is caught early from CT scans done for another reason, 80% of the time it's found after it's spread, in which case the prognosis is almost always measured in months, not years. Smoking doubles the risk. Diabetes mellitus is also a major risk factor. A somewhat small percentage seem to be genetic. The biggest risk factor is repeated episodes of pancreatitis (most commonly from alcohol), which greatly increases the risk. I once had a patient who'd had pancreatitis so many times his pancreas had basically turned into a pile of chalk. I already had to treat him with insulin and with the oral digestive enzymes the pancreas normally produces, so I consulted with an oncologist and asked if it would be a good idea to have his pancreas taken out as a precaution, but was advised that even in this case, it wasn't advisable (the surgery has a high risk of complications). High consumption of processed, red, or grilled meat have been associated with a higher risk of pancreatic cancer, but this has been proven as causative by randomized clinical trials, as far as I'm aware.

And I assume you know you?

I partly agree with Caeron. You have to understand that the islands are very small, there isn’t much staff, everyone knows each other, and very few people would want to take that kind of risk. Also, of course, it’s a matter of taste, and I respect other people’s preferences and everyone in general. But in my personal opinion, 99.9% of the staff simply don’t trigger any sexual attraction. Again — for me personally. Where I disagree with Caeron: I’ve visited more than 85 countries. I’ve never experienced better beach vacations than in the Maldives — anywhere in the world. Not in Asia, not in the Caribbean, not in the Americas, not in Oceania. It’s an unforgettable experience and pure pleasure. But by day five, I always start to get bored.

It was a pleasure to meet you during your trip. I completely agree that the guy from Hotmale is a gem 🙂

Beautiful ❤️ ❤️

IMHO breakfast at Raya is nothing special served in a depressing white room. Go to Starbucks or to Foodland instead.

Just because a venue doesn’t get a lot of exposure on this forum does not mean it is not worth going to. TCS Spa and Sanctuary SMS are two places that are hardly mentioned here but absolutely worth going to. There is also a new combined sauna and massage spa in Silom called «the residences» that just opened and looks promising with crossover of masseurs from «History of Massages». VCK has recently introduced a club premium concept that is ripe for a review also.

How sweet the silent backward tracings! The wanderings as in dreams - the meditation of old times resumed. WW

I arrived back home yesterday so this is my last instalment. The last part of my trip was in Bangkok and to be honest, did not go quite to plan. I ended up getting sick - firstly with common cold symptoms, which then turned into a flu which thankfully only lasted a day or two, but then back to a cold, a day or so of diarrhoea, plus this awful persistent cough (possibly due to the air pollution?). It was only on my last 3 days I was feeling better. I purposely didn't meet with any bar or massage boys during the time I was sick as I did not want to pass on my sickness as I'm sure they don't any health benefits and if they become sick then it would deprive them of the chance to make money. Near the end of my trip I met up with 3 guys - my favourite Hotmale guy who I saw at the beginning of my trip who I like quite a lot. When we are together he is focused on me and makes me feel like I'm the only one (I know I'm not!) and we have a nice connection - whether real or fabricated, I don't mind as he makes our time together enjoyable. I definitely will be seeing him again next time. Another guy I met up with was at Prince (and he used to work at Atlas) - I admired his enthusiasm and friendly nature, however I felt like the sex itself, whilst satisfying, was just 'okay'. I also paid over the minimum but he still cheekily asked for more. He didn't short me on time however. Probably won't repeat. And another guy I met up with is ex-Senso, but came to my hotel room. It was good and he is very sexy, but I didn't quite feel the spark that we had on our very first meeting. I would likely try again through. Other than that, I met up with numerous forum members at various places - G's, Banana (both outside and inside), Connections and Sarica. It was nice to hang out and thank you for being a part of my trip. The guy doing the shower show at Banana, even though a little older, was incredibly sexy and with a huge dong. I also visited some bars - Hotmale, Goodboys (quite a lot of talent here - I tipped one of the condomless big cock show performers and a geeky guy wearing glasses, as well as another guy I had met maybe 2 years ago but I'm sure he didn't remember me), and Dreamboys as it would have been rude not to say hi to my regular there (when I say regular, it's like once a year regular). He was happy to see me but sad I wasn't taking him off that night. And even though I haven't been there for a year, the mamasan remembered my drink order and where I like to sit. There are a lot of choices here and I ended up tipping this very cute twinky guy that kinda looks Japanese. In terms of hotels, I stayed at three - Firstly, The Quarter Sala Daeng - I booked a standard room for quite a good price however upon arrival, I didn't like it as it was so small. The next day I enquired about upgrading and they were able to offer a Deluxe Suite (I think) for an extra 400 THB per night (usual is 600 THB per night). I thought this was a good deal so I took it and was comfortable for the rest of my trip. It is located about a 10-15 minute walk from the fun places and it was kinda nice staying a little further away. I then changed to the Shangri-La - there are two wings and I stayed in the Krungthep Wing, which is smaller and a little quieter than the main Shangri-La Wing, however all rooms here have balconies looking out onto the Chao Phraya River. There were also some random fireworks shows which was enjoyable. Whilst the hotel is a little older, it has this 'grandeur' feeling about it and I quite liked it. Wasn't a fan of the European-style bidet, however I quite liked staying here. Extremely close to the BTS, lots of places to eat around the hotel and there is also a bag/body scanner every time you enter, similar to an airport. The minibar is also complimentary and they left so much bottles of water in my room, at one point I counted 10. Would I stay here again? Absolutely. And lastly Crowne Plaza. This is my favourite hotel in the area. The standard rooms are still roomy, the location is unbeatable and it still feels quite new even though it is not. Wasn't the biggest fan of the bathtub/shower combination however other than that, it was a comfortable stay. I even was able to receive a complimentary 14:00 checkout as I am an IHG member, however I did not even book through IHG. A little on the pricier side though. And just like that, my trip came to an end. I was planning on coming back in a year's time, however I may consider coming earlier to make up for the missed time when I was unwell. But then again, just being in Thailand, even whilst sick, is still a pleasure. Thanks for reading!

Sorry. Dozed off. But at least it confirms why the dog barks rather than writes. He really has nothing to say. That said, I learned one thing in my long escort career. Anyone can be to taught to lick rather than bite. So I'm holding out hope for our pup still. SUCK, PUP, SUCK! BE A GOOD DOG AND SUCK! SUCK HARD, PUP! YOU ARE A GOOD AND LOYAL AND TRUE PUP! SUCK!

Ok Mr Herbert.... be159500a14ba4517e9fae3816f1a288.mp4

Q.E.D. But try again. SUCK, PUP, SUCK! BE A GOOD DOG AND SUCK! SUCK HARD, PUP! YOU ARE A GOOD AND LOYAL AND TRUE PUP! SUCK!

Yeah Mr Herbert, we hear you.... c68659d20b8cea245173643a0ea29812.mp4

Boring. and stupid. Why am I not surprised. But you are capable of getting simple ideas. So let's go back to square one, and why I started this thread. SUCK, PUP, SUCK! BE A GOOD DOG AND SUCK! SUCK HARD, PUP! YOU ARE A GOOD AND LOYAL AND TRUE PUP! SUCK!

Okay Mr Herbert we hear you... 814d2f8b1de0e74c813a0819c351f3e9.mp4

No es posible. My teeth are simply not as sharp as yours. Besides, who here actually wants to be near you?

I don't think Trump is going to fear you and your dog 🤣

Look at you, trying to keep up with me 🤣 grok_video_2026-01-28-19-42-32.mp4

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I'm Shocked! Aaron Schock: 'Haters are gonna hate' For the record you are way cuter than Aaron Shock. And way more honest about what you stand for! But those old Instagrams gave me an idea. How about a global "BARK BITE KILL!" tour? Why not bite and kill the immigrants in their shit holes before they even come here? That way ICE doesn't even have to kill more Americans. Save Kristi Noem the trouble! Looks like it's off to Mexico for you, MAGA hero pup! You are good and loyal and true. Get that wicked socialist Jew Sheinbaum! Spread some MAGA around the world. Cause the Mexicans wanna immigrate-grate-gate And that Mexican puta gonna hate, hate hate Let's have Barknaway bite off her leg, leg, leg Gonna bite it off, bite it off! Buen viaje, perro valiente. We sure are gonna miss you. And, yeah, I know. Just biting her leg off isn't as cruel as 10 bullets. But just between you and me, we all know you're a kind pup at heart. Just gotta do what your Master tells you to.

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Just watching YouTube Asia now who does news on Philippines everyday Reports that the Philippines health department is considering HIV tests for foreign tourists coming into Philippines I don't think it's a bad thing but obviously discriminatory

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Spew your hate all you like... I'm just going to continue to shake it off... 6036d1910fe8f6654a4bfcbdf5ae27c6.mp4 6036d1910fe8f6654a4bfcbdf5ae27c6.mp4

Oh I see why I skipped it, lol - I'm just generally wary of faceless profiles. They're very well-written though: His original love interest was women. One day during adolescence, he fell in love with a classmate of the same sex, but he was helpless and his unrequited love was dashed. While the cherry blossoms were supposed to be falling in the spring, Ryoma, overcome by his unrequited love, resignedly opened the door to sexual encounters with men. He took a bold plunge into the world of men and, driven by his impulse, tasted the forbidden fruit. He now apparently loves dick too. Congratulations on growing up! Love it!!!! Lol. From looking at the site, the process looks like any of the other sites' so looks legit. I can't comment on the guys but personally, if I were interested in one, I'd just give it a go. At the most you'd get a dead fish, lol.