#arthralgia
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schizoaffectively · 1 year ago
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Diagnosis Update! (Physical health related)
So when I saw the geneticists, I had gotten a dx of "Undifferentiated Connective Tissue Disease." Connective Tissue Diseases being things like Rheumatoid Arthritis, Lupus, Scleroderma, etc. It's kinda like an "Otherwise Specified" dx I believe - where you don't meet the full criteria for any one particular CTD, but still have the symptoms and struggles and whatnot!
(NOTE: EDS and other genetic connective tissue disorders were ruled out despite the hypermobility and other symptoms, because my medication for rheumatic conditions was working well, so it's thought to be more rheumatic connective tissue, rather than genetic.)
I was, and am still, so happy about being taken seriously! It wasn't super concrete, but it was still something that's a valid diagnosis, that real people have and struggle with.
Well! Today I saw my rheumatologist and she added another diagnosis of "Inflammatory Polyarthritis." We knew my type of symptoms with a connective tissue disease were closer to that of arthritis, and my medication I'm taking for it has the reasoning of arthritis... but she had never really put it on paper besides that.
I understand that it isn't a specific TYPE of inflammatory arthritis, as there are a couple, but it's saying it is arthritis... and that makes me feel very validated.
I'm not sure if that takes away the UCTD dx or not, but either way, all is good :)
/all positive
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pokewatcher20 · 8 months ago
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Sorry, this isn’t something I ever want to post about, but if anyone can give me any kind of medical advice I’d really appreciate it. Bit of a vent for warning, so I’m putting it under the cut.
So for the past two years I’ve had incredible fatigue, joint pain (no swelling), digestion issues, constant low-grade fevers, brain fog, the works. It started after I switched meds and gained some weight, which I thought was just the problem at first, but the symptoms are getting so overwhelming it’s ridiculous.
I’ve tested negative for rheumatoid arthritis, but DID have “chronic inflammation” according to the results. We’ve also ruled out diabetes from some other tests. The leading theory from my parents is fibromyalgia because I fit 98% of the symptoms, but we need more tests to make sure. So I get referred to the rheumatologist, right? Maybe they’d be able to help?
…Six months later, we’ve only JUST gotten the referral after multiple back and forth phone calls and being left on hold for hours. And you KNOW what they told us?
“Sorry, we don’t treat that kind of diagnosis.”
And it’s like, WHAT DIAGNOSIS??? We weren’t TOLD a diagnosis! The doctor said they were going to figure out what diagnosis I had! When did he make this decision??
So we finally, FINALLY get to hear my diagnosis:
…“Arthralgia/arthritis”
…Okay? According to Google, arthralgia means anything from “uh oh your joint hurts owie” to an actual, literal chronic illness. Maybe? But I have symptoms that still aren’t explained, and one type of arthritis is completely off the table. I could benefit from an explanation or something??
If my doctor said the rheumatologist would help diagnose me, why do I already have a diagnosis? If they don’t treat arthritis, why would he refer me to them in the first place?
Is “arthralgia/arthritis” even what I have, or did he choose something random because he realized he NEVER sent the referral back then in the first place, and needed to put down something once we asked about it???
What’s the DISCONNECT here that I’m not getting??? I just want to know what’s going on with me before I have to leave for college :(
If anyone has ANY idea what’s going on, or wants to share their experiences or needs clarification on some stuff I wrote, PLEASE let me know, because apparently the doctors won’t 😭
Sorry if this isn’t worded well or doesn’t make any sense, I’m writing this both in pain and distressed
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sugunahospital · 11 months ago
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What are the Types and Treatments for Arthritis?
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Many of us aim to move freely without discomfort throughout our lives. However, life’s challenges often include maintaining stable health as our bodies undergo wear and tear, leading to pain and discomfort.
When it comes to mobility, one prevalent condition worldwide is Arthritis, causing concern for many. Yet, Expert Orthopedic Doctors associated with the Leading Arthritis Treatment Hospital in Bangalore assure that successful methods exist today to manage this condition..
A bit of awareness and taking care at the right time can help a lot
Understanding Arthritis
The Best Knee Specialists in Bangalore at Suguna Hospital describe Arthritis as a condition that causes swelling and tenderness in one or multiple joints throughout the body. As your age or with certain health issues like high blood sugar levels, this condition may worsen.
Different Types of Arthritis
Arthritis isn’t restricted to a particular age but is commonly noticeable in later stages.  
Some of the common types are:
Osteoarthritis – Affecting joints in your Hands, Knees and Spine.
Psoriatic Arthritis – Caused due to a very complicated skin disease called Psoriasis, this condition can be very challenging.
Reactive Arthritis – This causes joint pain and swelling. It is caused either due to infection or malfunction of key organs of your body including the intestines, genitals, or urinary tract.
Rheumatoid Arthritis – This is a chronic inflammatory disorder. In addition to affecting the different joints, it can deeply impact premier organs like heart, lungs and eyes.
When to See a Doctor? Experts recommend seeking immediate medical attention if you notice specific symptoms, like
Stiff joints
Acute pain in the joints
Difficulty in moving or standing
Swelling observed in or around the joints
Redness observed in the joints
Treating ArthritisManaging Arthritis requires a systematic approach. It’s crucial not to overlook persistent symptoms as mere discomfort. Ignoring these signs can lead to costly consequences. 
Your treatment is based on how severe is your condition and can include: 
MedicationsDepending upon the type of Arthritis diagnosed, your medications may include:
Ointments
Steroids
Physiotherapies and light workouts to begin with
SurgeryThis is the last resort which your doctors might recommend only if there are no signs of improvement after persistent medication.  Some of the types of surgeries successfully performed include,
Joint Repairs
Joint Replacements
Overcome Arthritis and lead a pain-free, confident life. Avoid welcoming Arthritis! Consult the top Arthroscopy Surgeon  in Bangalore at Suguna Hospital for a safe and successful journey ahead.
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thuocdantoc-vn · 11 months ago
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Vừa qua, tại nhà văn hóa phường Khương đình, Công ty cổ phần Bệnh viện Thuốc Dân Tộc đã phối hợp với UBND phường Khương Đình tổ chức chương trình tuyên truyền, tư vấn sức khỏe cho nhân dân. Chủ đề chính của chương trình là chủ đề “Bệnh lý đau nhức xương khớp, huyết áp mùa lạnh” và “Dinh dưỡng phòng bệnh – Nâng cao sức khỏe”.
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ihrvietnam · 1 year ago
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Đau nhức xương khớp có ăn được chuối tiêu không? Tham khảo các thông tin về giá trị dinh dưỡng của chuối tiêu, tác động đến hệ xương khớp và các lợi ích sức khỏe khác để có kế hoạch sử dụng phù hợp.
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self-care-tips-free · 6 months ago
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Conquer Arthritis Pain: Top Strategies for Lasting Relief
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discoverybody · 7 months ago
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Exploring Diverse Causes of Joint Pain
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 Joint pain, also known as arthralgia, is a frequent symptom that can be caused by a variety of conditions other than arthritis. Lupus, Lyme disease, celiac disease, psoriasis, rheumatic fever, tendinitis and bursitis, gout, and infections are all potential causes of joint discomfort. Lupus is an autoimmune illness that causes inflammation in the body's tissues, including the joints, skin, and organs.
Lyme disease is a bacterial infection carried by tick bites that causes joint discomfort and swelling. Celiac disease is an autoimmune ailment caused by gluten ingestion that can induce joint discomfort in addition to gastrointestinal symptoms. Psoriasis is a persistent skin condition that can progress to psoriatic arthritis, causing joint discomfort and stiffness. Rheumatic fever is an inflammatory illness that can affect the heart, joints, and skin.
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cassandralexxx · 1 year ago
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my over dramatic ass this morning was all like “it’s a cruelty to be alive” bc I was experiencing some hand pain 💀💀💀
In my defense my joint pain/stiffness was so bad that I was majorly struggling to button my clothing and I had to use text to speech to answer messages on my phone.
we on the up tho now the pain is only if I move my hand not just like at all times.
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drjgodo · 2 years ago
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Overcoming Psoriasis & Rheumatoid Arthritis
How She Overcame Psoriasis and Rheumatoid Arthritis Overcoming an autoimmune condition like childhood psoriasis that progresses into rheumatoid arthritis is not an easy road. There may be a number of contributing causes like vitamin or mineral deficiencies, heavy metals, pesticides, or overconsumption of dead or toxic food. It can take years of detective work to find and eliminate the…
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ineloquent-creature · 11 months ago
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does anyone need a spine or ribcage, hips, shoulders, knees, fingers, elbows, toes, ankles, pelvic bones & jaw? i have some that i am willing to trade for free i do not want them anymore
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itsallwearecalledtodo · 1 year ago
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the fact that I’m on my period during ace week is aphobic I’m writing a tumblr style callout post about my uterus
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disengaged · 2 years ago
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sometimes i hallucinate bugs when i am very tired. & it makes my life very difficult
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seafoamreadings · 4 months ago
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self care through the signs
aries - avoid bottling up emotions. express anger or impatience. hopefully in a healthy manner.
taurus - take a juicy nap, maybe with silk or velvet involved. eat a sumptuous meal. delight all the senses.
gemini - you have to talk it out, or at least write it out. journaling is great but so is a text or a phone call or a heart to heart.
cancerians - comfort, reassurance, and emotional security are critical to your well-being. as much as you can, provide these things for yourself.
leo - although it may seem unrelated never neglect your hair care routine. your hair is your psychic antenna.
virgo - care for your entrails. fastidious attention to the microbiome will take you far.
libra - mind your kidneys and skin. hydrate! it's old boring advice but it's more important for you even than it is for most.
scorpio - the most important self love you can do is healing your trauma. shadow work, therapy, somatic healing, whatever it takes.
sagittarius - you require radical honesty and authenticity, and time outside. even if you're not sporty, a little sunbathing will go a long way for you.
capricorn - being closely associated with the bones, arthritis and arthralgia can be a major problem, but even if not, caring for structures (even metaphorically) is good for your whole life.
aquarius - keep your lymph circulating. a dry brush and maybe a little volunteer work will keep you in best working order.
pisces - sleep enough and stay away from addictive or compulsive tendencies. never ignore lingering dreams.
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starry-eyes-love · 8 months ago
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Too Young to Die- Part 1
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Masterlist
Part 1 of 3 part Mini Series
Pairing |  Massage Therapist Joel Miller x F!Reader with Autoimmune disease, no outbreak, AU (I changed up his timeline a bit).
Summary | You were referred to Dr. Joel Miller, a massage specialist, to help manage your joint and muscle pain with autoimmune disease.  What you didn’t know was that Joel was an insanely attractive man, and that you’d be coming undone underneath him before your first appointment was even over with. 
Series Warnings | 18+, Minors DNI, Smut!
Age gap (he’s 47, she’s 29), language, Smut (with a capital S, watch out!!), daddy reference, f!(fingering), squirting, female reader has autoimmune disease, Joel is a massage therapist, slight reference of medical stuff, reader verbalizes anxiety with treatment, fluffy Joel, soft Joel, sexy Joel, terms of endearment, Joel asks her out on a date at the end.
A/N:  This one is completely self-indulgent and has been sitting in my draft folder since before Christmas. I have autoimmune disease, and treatment hasn’t worked much for me in many areas, so I know some of the troubles and struggles that the reader here has. Not everyone who has autoimmune disease may experience these symptoms, concerns, or struggles. This will be only a three part mini series. Very smutty with story building throughout. Enjoy! 
Word Count:   9.1K (we’re establishing a story here)
Fuck you were wrecked, seconds away from crashing through, or into, a brick wall with an orgasm, you thought.  This felt different though, so much different than what you’ve ever experienced before. “Joel, fuck, pressure, it’s a lot of pressure and I’m, fuck, I’m, I’m-” “Come f’me sweetheart. Come on baby, fucking soak my fingers.”
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Joel Miller sat in his office of his massage studio, looking over the referral paperwork that Dr. Samson, an autoimmune specialist, had sent him. A female patient was being referred to him for treatment of musculoskeletal pain and tenderness.
“Patient has reoccurring musculoskeletal tremors of unknown origin that come and go. Bilateral joint swelling seen in all extremities with positive inflammation noted in laboratory test results and X-rays. Arthritis and arthralgia positive in all joints. According to the patient, anti-inflammatory and arthritis medication only works slightly for pain. Recommended gentle massage therapy to see if joint lubrication and increased joint mobility is plausible, and if pain and muscle tremors will cease. Immediate referral requested.”
When Joel glanced at the bottom of the form a week ago, he had seen that the referral had come in three weeks prior. Now today, four weeks after the initial referral, he was finally able to see you for the first time.  When he had inquired with his secretary as to why it took so long before he saw you, she had said that there was a problem with your private healthcare insurance. Delaying treatment was never something that Joel Miller prided himself on. In fact, he was usually the opposite with trying to get his patients in for their first appointment within a week following their referral. Joel, having been a contractor in his previous life before becoming a massage therapist, knew the difficulties with treating joint and muscle pain. The goal was to never delay treatment as it would lead to widespread body inflammation. And once inflammation fully set into muscles and joints, it was harder for someone to find relief of their discomfort. 
You were Joel’s next scheduled patient to arrive in 20 minutes. As he waited for your arrival, he went back over your X-rays, lab test results, and dictation notes from your autoimmune specialist.  He had already reviewed it previously, but now he was refreshing himself on your in-depth history as he took some last minute notes of things that he wanted to ask you for this particular session. He had booked your first appointment with him to be about 2 hours, instead of the usual hour.  Joel always conducted very detailed exams with his patients. He was also very knowledgeable in understanding autoimmune patients, especially knowing that each person was unique. He wanted to tailor a program that was going to help you specifically.
Joel Miller wasn’t just your average run of the mill massage therapist, he had a specialty license in massage. He specialized in patients with pain, joint stiffness and swelling, inflammation, autoimmune disease, injuries, etc. People usually only came to him by doctor referral, which usually meant two things. First, he prided himself on taking his time to get to know his patients and how he could help ease their suffering and pain. And second, he typically charged more money for his services.  Most massage therapists would charge people a fee based on how long they performed their massage, Joel charged by the session.  The maximum time he would give a client with his hands was 1 hour, but he’d pencil in 1.5 hours of time with them just in case they felt pain.  Sometimes he’d have to stop and let patients breathe and relax for a minute before he started massaging their muscles again. Joel had a lot of training and education in the technique that was required, and many patients walked away from him stating that they felt a lot better.  By glancing at your history he didn’t think that you’d be a one time only patient.  He thinks that you would benefit from regular massages with him to help treat your inflammation and pain.
“Mr. Miller, your 10 AM appointment is here,” his secretary, Ashley, said.
“Thanks Ashley, I’ll be out in a minute. Please take her back to Room 5, and I’ll be along in a minute.” He replied, still studying the notes from your doctor and making notes for himself of the things that he wanted to focus on with you for your first appointment. 
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When you had arrived at the address for your first massage, you felt a sickly feeling in your stomach.  Your doctor had reassured you that Mr. Miller would be the person to help you feel better. But just like all the other promises that your primary care provider gave you, and how none of them worked the way that you hoped, you were very skeptical at this new treatment option. Nothing helped you feel better, and you were beyond frustrated. It took you a bit to convince yourself this morning to come here, telling yourself that Dr. Miller was an expert at this, and that you should give him a try. What could hurt, you thought. Worst case scenario, it didn't do anything, which sadly was the norm for you these days. 
For the last several years, your body had been poked and prodded more times than you would care to admit. Each time there was a promise of a better understanding or discovery of why this was all happening. But with each test, came more conflicting and confusing results, and you were exhausted from it all. You have been giving more blood for the sake of medical testing than what you’d think was truly normal. As ridiculous as it sounded, you felt that if Dracula was actually a real being, that he would be impressed with the amount of blood that you've donated for the sake of medical science.
With shaky hands, you got out of your car, locked it, and then entered the facility. When you entered you noticed that the space was calm. There was pale muted colors that covered the walls, colors that often helped people relax. But it did nothing for your nerves. You were shaking and not wanting to do any of this anymore. You felt like you had a huge lump in your throat, and that you couldn't fully swallow. Of all the things that you had to be afraid of in this world, you were the most afraid of medical treatment. Yet, that was the one thing that you were blessed with in having to always do. ‘Thanks body for betraying me with autoimmune,’ you thought.
As you walked up to the registration window, you found the secretary typing away on her keyboard while looking at her computer screen. You tried to settle your nerves before opening your mouth, but you felt like you were drowning in a pool of despair. Anxiety was getting the better of you again, and you felt like you wanted to run away and hide from everything. But where could you go when autoimmune always seemed to follow you, especially with the pain that came along with it.
“Um, excuse me,” you said meekly, after standing at the window for a brief moment. 
The secretary continued to type away, not looking at you nor acknowledging your presence. You went to clear your voice again when she abruptly stopped and said, “what can I do for you hun?”
“I- uh, I have an appointment, with um, with Dr. Miller I think,” you said softly.
“Oh, hun it's just Mr. Miller, or Joel for short. He doesn't like being called Doctor. He always says he has a doctorate degree in massage, not in medicine. Yet they're kinda the same thing if you ask me.” The secretary said, shaking her head with a slight laugh. You stood there in silence, looking at her as she continued to ramble on. You were trying to listen to what she was saying, but all you could feel was your heart racing in your chest at the prospect of once again meeting a new person with the promise of helping you.
After listening to the woman who you thought was named Ashley ramble on for 15 minutes, as that was the name that you noticed on her name tag, you were finally sitting down in the general waiting area. You were slowly trying to calm down and relax while staring outside and watching the birds hunt for bugs in the grass. You didn't know how long you were waiting there, just staring outside, before you heard Ashley call your name again to take you back to Room 5.  You didn’t know what to expect when you entered the room, but what you saw shocked you.
The room was softly lit, with soft music playing in the background, music that you liked. You also heard running waterfalls, sounds that came from the little fountains scattered all around the room. There was also a hint of cinnamon and slight vanilla aroma in the air, your favorite scents that would usually calm you. You tried racking your brain as to how, by chance, these scents and sounds were present when Ashley said, “it was on your intake survey. Your favorite classical music, scents, and sounds. Joel's very thorough, focusing on relaxation as much as muscle and joint relief.”
You stood there shocked. You thought those questions were just asked of people to try to ease the tension of how you were going to let a stranger put their hands on you. You had no idea that your answers would actually be taken seriously. Usually doctors, when they’ve asked those questions, never really did anything with the answers. Well, Dr. Miller was definitely different. It was at this moment that you were grateful that someone actually listened to you. You just hoped that he would continue with the same dedication while speaking with you, and not ignore what you said like everyone else seemed to do. You were frustrated with the medical field.  You’d tell them something hurt, or something was happening and they only looked at your lab tests and X-rays and made decisions based on that, never actually listening to what you were truly telling them.  You had only been in the room for maybe 5 minutes when you heard a gentle knock on the door, and the entrance of who you only could have suggested was Dr. Miller.
“Good day, I'm Dr. Miller but you can call me Joel.” He said while holding out his hand for you to shake. You shook his hand, and as you did, you felt how rough his hands were. They were calloused and strong, very sturdy hands. Not something that you'd expect to see from a massage therapist. This intrigued you, as you've always loved a man with rough hands. 
After you introduced yourself, Joel walked over to the small desk in the room and sat down on the rolling stool. A typical doctor stool that you’ve seen countless times in exam rooms. He grabbed a piece of paper and then sat there for a moment writing a few notes, things that you thought were probably dealing with your medical file. After a moment he finally looked up at you and then asked with a slight Southern drawl, “How are y’feeling today?”
“I- I’m ok” you said meekly as you slowly looked over Joel. Joel was a gorgeous man, clearly in his later 40s with chocolate brown curly hair. He had a mustache and a slight beard by his jaw, one that had a slight sprinkling of gray in it. He also had glasses on his face with gentle eyes behind the glasses, ones that you could easily get lost in.  He was wearing a simple white t-shirt, framing his broad shoulders perfectly. He had a slight tan on his arms, and hands that once again you couldn't wait to touch you. By looking at him, you didn’t think that massage was the only thing that Joel has done in his life. Something told you that he had spent many years doing hard work with his hands. As you continued your exploration, you then noticed that he was wearing a nice pair of black pants that hugged his hips perfectly. As you continued, you saw that Dr. Miller was definitely someone who was a decent sized man in the bedroom, seeing the soft bulge in his pants as he sat down with his legs slightly spread on the stool by the desk.  You couldn’t help yourself but you stared at his package, wondering what it’d look like outside of the confines of his pants, and what it would feel like fully aroused inside of you. The longer you stared, the more you felt heat rise up the back of your neck. When you noticed the awkward moment of him looking at you, clearly having asked you a question that you didn't hear, you shook your head slightly, looking down fully at the floor while saying “sorry” out loud.
“It's ok darlin',” he said, giving you a small little smirk at the fact that he caught you checking him out.  You were hoping that he didn’t see what you were checking out the longest though.  You didn’t want to explain to your massage therapist that you were fantasizing about his package, and what types of moans or grunts he’d make while fucking your brains out. 
Joel continued to talk to you, explaining why you were here, and how his services could help you.  You were only half listening to him, embarrassed about how you had behaved previously. Joel was devilishly handsome, the type of guy that you were into. You were, however, internally scolding yourself at the importance of having proper social etiquette, and not eye fucking your massage therapist, which is what you were doing every time you looked at him.
As Joel continued to talk with you, he slowly moved around the room, grabbing different things off from the shelves. He instantly noticed your meek and shy attitude, even though he had caught you checking him out earlier. He had to admit, you were very cute, but Joel was a professional. He couldn’t allow himself the joys of thinking about you in a different sort of way.  Nevermind, that if he wasn’t your massage therapist, he would definitely want to explore those other possibilities with you. What he did notice though was how you turned inward at the mentions of pain, autoimmune disease, and how your doctor said you didn’t have much abilities to do activities that your peers could do.  You were 29, and he knew what the world did to 29 year olds who didn’t, or couldn’t, do the same things that their peers could. The world would ignore you. Joel, himself, remembered those days when he was 29 and worked construction when Sarah and Ellie, his daughters, were younger. All his friends went out partying after work, when he went home and raised a 10 year old and a 2 year old all on his own, Sarah and Ellie’s mom were already out of the picture. Joel was lost in his own head, remembering those earlier days, when all of a sudden he heard you speak up in an irritated tone.
“Mr. Miller, no disrespect, but I don’t think you understand what it’s like to not be able to do things that most 29 year olds can do.” You didn’t think he understood. So once again you found yourself trying to explain to a medical professional how much autoimmune has negatively impacted your life at such a young age, and how agitated you were at the fact that no one seemed to help you or listen to you. Joel, being the attentive man that he was, sat across from you on the stool and listened to every word that you had said.
Once you were finished, Joel took a deep inhale, then followed by a long exhale and then said “I am so sorry that people haven’t listened to you, or have taken you seriously about your concerns with your body. You’re right, I don’t know what it's like f’ya as I’m not you. But, I do know what it’s like to not be able to do everything a 29 year old can do. I may not have autoimmune, but I had different responsibilities that didn’t allow me the joys of doing everything that I wanted, including the joys of being with a beautiful woman like yourself at that age. That’s why I want to help you.” 
As soon as Joel called you beautiful, he saw your reaction. You started to blush on your cheeks from the compliment. You felt flattered by the older man that was in front of you. Meanwhile, Joel internally scolded himself at how his statement wasn't proper patient-doctor etiquette. Joel had vowed to himself that he wouldn't cross that line again, especially with you, no matter how drop dead gorgeous he thought you were.
Joel began to run a few tests with you, checking your reflexes and testing your mobility. You didn’t say anything else to him after his statement. You felt embarrassed by your actions and assumptions that he didn't care or understand, when you could clearly see that he did. The longer you looked at him, the more you could see that he was someone who truly did care about helping others. You silently wondered if his treatment would actually help.
“Dr. Miller?” you asked, wanting to scratch the itch of your curiosity in understanding the treatment that he was suggesting.
“Joel” he said as he pushed on your shoulder blades. When you winced he said “are you tender here?” as he pushed on the same spot again, but this time with a little less force.
“Yeah. I’m tender there, and everywhere,” you said with a hiss as he moved his hand down to your biceps.  “It’s tender inside every joint, and sometimes muscles. Winter’s in Minnesota aren’t too nice for people like me,” you said, head hanging low as a tear slipped down your cheeks.  
You felt Joel stop testing your joints and muscles, hands still on your arms when he placed his finger gently under your chin, slightly tilting your head up so you could look him in the eyes. After a moment he said, “Well, we’ll try to rectify that now won’t we. Massage is more than just relaxin’, it helps a lot of people in ways that can-”
“Can it cure me?” you said, interrupting him, with wide eyes. “Cause if it can cure me, I’ll do anything. But don’t tell me that it’ll work miracles. Don't get my hopes up and then have it fail. I-I can’t take it anymore with all of the disappointment” you said, closing your eyes to take a steadying breath as tears gathered at your waterline.  It has been a very long and exhausting road these past three years with your autoimmune journey. You found out early on that your body couldn’t tolerate medication, and nothing else seemed to work. 
“I can’t promise that it’ll do miracles by curin’ ya, but I can promise that I’ll try my best to make you feel better. How’s that?” Joel said with a tender voice, trying to soothe your emotional discomfort of years of failed treatments. Joel remembered reading the last line of your referral by Dr. Samson which had stated;
“No treatments have been successful. Patient has voiced wanting to stop trying autoimmune treatments, stating that she didn’t feel like it was working. Patient was informed that if she decided to fully stop taking immunosuppressant medications, that the end result would be major organ damage that could lead to death. Patient agreed to try one more treatment for pain, stating that if the treatment didn’t work, then she’d stop autoimmune treatments altogether and ‘let whatever happens, happen’.” 
‘Fuck,’ Joel had thought when he first read that last line in your medical file. Someone giving up, especially at such a young age, didn't sit well with him. Being 29, your entire world was still in front of you.  You had a lot more years and possibilities of life in front of you. Giving up wasn't something that Joel did, and the fact that you had voiced wanting to stop treatments to your doctor bothered him immensely. Truly, it wasn't necessarily the fact that you had wanted to stop treatments that upset him. It was your willingness to allow death to potentially consume you that truly got to him. You were too young to die.
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20 minutes later, you were lying on your stomach with a sheet covering your lower half. You were completely naked, scolding yourself internally that you didn’t wear underware today with your pants. Joel was slowly massaging your back, trying to work out the knots that he felt in your muscles.  As his hands continued to work out the knots and tension, you felt an overwhelming sense of relief. His touch was not only skilled, but carried a reassurance that echoed through your body. You felt safe with him, safe in a way that you haven’t for a long time.  You felt like if you were near him, that he’d take all the bad in the world away for you. And if you were being honest, this comfort was something that you haven't felt in a very long time from anyone.
"You're doing great, darlin’," Joel whispered, sensing your vulnerability and turmoil you had been feeling. Joel could tell that you were working through something major in your head, just like most of his patients did. Most of the time he focused on trying to distract people from their internal thoughts, giving them a break when they were here.  But there was something about the silence between the two of you right now that he felt like you desperately needed.  Every time he’d open his mouth to ask you a question, he’d feel you tense up, and that was the last thing he wanted you to do.  So he slowly worked your sore muscles and joints, giving them the tenderness and affection that they needed, while allowing you to stay seated in silence. 
Throughout the session, Joel maintained an empathetic connection with you. He explained each technique when he’d switch it up, providing you with the most gentle sense of comfort. He’d tell you what he was going to do, if he moved down your body or up, giving you moments to breathe when he felt like it was too much. But most of all, he gave you that warmth and unawkward silence that you craved. He wanted you to just live and feel, to just be in the moment with him.
As Joel's tender touch continued, you felt a warmth spread throughout your body, slightly dissipating the pain that had lingered there for so long. His words became a comforting melody, echoing a promise to you of relief. “You’re doing so good f’me, gentle breaths in and out, there y’go.” He said, encouraging you to stay centered and remain in the moment. That was the key in pain relief, staying grounded and living within the moment. When we just allow our body to feel, and not force anything, we can find peace and calmness. These feelings of peace and calmness are what leads us to having pain relief.
As Joel moved down to your lower back, you let out a hiss in pain, followed by an “ouch that hurts.” 
“What hurts darlin’?” Joel said, slowing his deep strokes on your lower back, right above your tailbone area.  He doesn’t remember reading in your file that you had lower back pain, so this was something new that caught him a little off guard.
“Right there, low” you said, hissing again as he pressed his finger into the lower part of your back, on your left side, by your hip.
After you hissed a second time, Joel immediately stopped and walked around to the other side of the massage table. He gently pressed on your lower back and hip joint on the other side, saying, “how ‘bout over here, does this hurt?”
“No, not as bad,” you said. “It's my left side, god that hurts.” You said, as he reached over and lightly pressed on your left side once again.
“Ok, let’s try somethin’,'' Joel said, moving completely over to your left side now.  “I’m gonna hold up the blanket, where you still are covered, and I want you to flip completely on your back, okay?  I wanna see if your pain continues in a different position.”
You nodded your head and then gently felt the blankets pull off from you. Joel was completely looking away from you, giving you privacy as you turned to lay on your back instead of your stomach.  When you finally settled, you told him that you were ready. He then informed you that he was only going to uncover your left leg, to the mid thigh region.  As he did, he explained how he was going to test your leg's range of motion to see if it was your hip joint that had caused you pain. 
With only doing simple joint motions with your leg, Joel noticed that nothing was painful.  When he bent your knee, pointing your knee outwards towards the left, followed by gently lifting your leg higher, to open up your pelvis more, he didn’t see any outward signs of pain from you. 
“If I do this, does it hurt?” He said, placing a little weight on your leg.
As soon as your knee got about level with your pelvis you hissed again. Joel tried pushing down on your pelvic joint to determine where it hurt, but all you did was whimper.  The pain wasn’t coming from your joint, it was coming from someplace else deep inside of you.  When he returned your leg back down he said “I’m sorry darlin’, I can’t determine where your pain is coming from. Have you had it-”
“Just forget about it” you said, turning your head to the opposite side, closing your eyes as you felt the tears start to stream down your face.
“Hey, none of that, '' Joel said, gently turning your chin towards him so he could see your face in its entirety. “If somethin’ is hurting ya, I wanna hear about it. Help me out, where does it hurt?” When you didn’t respond right away he said, “does it hurt here” as he gently pressed on your hip bone. He watched you shake your head no.  “How about here?” He asked, moving slightly inward, towards the inside of your pelvic bone.
With a shaky breath you said, “no, but it hurts straight down, but lower and inward more.”
“Here” he said, moving down about halfway where your hip joint was, towards the inside of your pelvis.  You let out another shaky breath, closing your eyes as tears fell more from your cheeks, shaking your head no to him.  
It took Joel a second to figure it out. But when he did, he finally understood why you were crying. You were embarrassed about what was happening inside of your body. When he moved his hand down towards the lower left side quadrant of your abdomen, and gently pushed where your ovaries were, he asked, “does it hurt here darlin’?”  As soon as he applied a little bit of pressure to your left ovary area, you let out a stuttered breath, nodding your head up and down.
Joel flattened his hand on your tummy, where the sensation was, knowing what the culprit was. You were probably mid cycle and ovulating with an ovarian cyst. He didn’t remember you being pregnant, but he wanted to make sure that it wasn't an ectopic pregnancy before he ruled it as an ovarian problem.
“If I press over here, does it hurt?” Joel said, pressing on the other side in the lower abdomen. You had your eyes closed, tears lightly falling, shaking your head no.
“Ok, ok, darlin’. I know, I know. Deep breaths for me though, ok?” he said, as he watched tears stream down your face. He gave you a moment to collect yourself, before he asked his next question. 
“Is there any chance you could be pregnant?” He said, slowly stroking your tummy where a baby would be laying. He knew he shouldn’t, but somehow imagining you having a swollen tummy where a baby would lay was giving him fantasies that he didn’t even know existed. 
You let out a sarcastic laugh, saying, “no, it’s not that.”
Puzzled, Joel looked at you and said, “y’know, if an ectopic pregnancy happened, y’still could have a normal period. If there’s any chance that you could be pregnant, like having unprotected sex, or even if the condom broke, you probably should-”
“Joel, I haven’t had sex in 3 years,” you said, barely above a whisper. When you noticed the shocked look on his face you turned your head away from him adding, “guys really don’t want to have sex with a woman like me.”
“What’d y’mean, a woman like you?” He said, furrowing his brows at your odd phrasing. 
“A woman who’s sick with autoimmune, Joel.” You said, closing your eyes and trying to pull back the tears that were threatening to fall again. You didn't want to have this conversation, and you sure as hell didn't want to admit how the act of even having orgasms were difficult for you. There were just some autoimmune embarrassments that you wanted to keep to yourself, no matter how much it shattered your soul inside. You didn't feel like a beautiful, young, sexy, attractive woman that you knew all the other single 29 year old ladies felt. You felt like you couldn’t offer anything to the male race that wasn't medical tests, sickness, and heartache combined.
Immediately Joel felt irritation and anger at your careless comment of how men wouldn't find you attractive or want to be with you. Without dwelling on it, Joel did the one thing that he knew he shouldn't, he opened his mouth to speak more on the issue. He hoped he could get you to understand that not all men were like this, that he sure as hell wasn't like this.
“Darlin’, boys, not real men, are like that. A real man wouldn’t allow sickness to stop him from wantin’ a beautiful woman like yourself. A real man would enjoy making you feel good.  Real men, honey, not boys.” 
Once he said it, Joel knew that he shouldn’t have opened his mouth, especially with the look that you were giving him. You looked back at him, shocked, and taken aback by his forward statement. But he couldn’t just stand there and listen to you accuse men, like him, of not caring. He would do anything to be with a beautiful woman like yourself, whether or not you were sick with a permanent illness.
After your head caught up with Joel's statement on men, you just shook your head. You then gave him a genuine, honest to god, belly laugh. “Yeah, well, Mr. Miller, show me where a real man is who wouldn’t care about all of that.  Tell me who he is, because honestly, I haven’t found one single guy out there who’d be willing to have a real relationship with me because of this illness. And for the record, I can’t even get a guy to fuck me with no strings attached either. Not that I’d want that, cause I don’t do the casual sex thing, but still, you get it.” You said, snapping right back at him. 
It was Joel's turn this time to look shocked. He thought to himself, why the hell has no one treated you right? He could see that you were exhausted with your own body and with your own life. He could tell that you were exhausted at the reminder of what you didn't have, of what your autoimmune disease had taken from you. He wondered if you ever truly tried, or if you just gave up right away. The longer he looked at you, the more he realized that you had tried, but obviously you weren't successful.
As you sat there partially propped up onto your forearms, you felt the tears well up into your eyes once again as you watched Joel look at you. You were embarrassed at what you had said. At admitting how easy it was for everyone else in the world to have relationships, everyone except you. Hell your own family even disowned you after your diagnosis stating that it was “too hard for them to handle.” So you've been doing this on your own, all alone, for the past 3 years. Exhausted didn't even come close to describing the way that you felt. 
As you gently laid back down at this realization of loneliness once again, silently scolding yourself for opening your mouth, you accidentally hit the back of your head on the table, muttering “shit” under your breath. After a moment, you heard Joel let out another long sigh and then he gently grabbed your chin and said, “hey, look at me.”
When you looked into Joel’s eyes, he was staring back at you with concern and tenderness lacing his features. Joel saw your frustration and array of emotions, and he felt like it was important for him to take away all those insecurities by telling you that he wasn't like all those other boys you were with. With a slight smile, he gently cupped your cheek and said, “darlin’, a real man, like me, doesn’t fucking care if you’re sick or not. Men, like me honey, would take care of you regardless of the problems that you have. And honestly, it’s a damn shame that no one has ever taken their time with you, making sure your needs were met. If I was with you, I'd make damn sure you were enjoying it the entire time.” 
Joel then removed his hand and placed both hands on the side of the massage table, stepping back and exhaling through his mouth as he looked down at the ground.  He knew he needed to end this session right now. He's already stepped over far too many lines, and if he didn't watch it, he'd cross an even bigger one of showing you how a real man gave a beautiful woman pleasure.
You laid there watching the turmoil unfold on Joel's face. He wouldn't look up at you, kept staring down at the floor, shifting his weight back and forth on his feet periodically.  He had checked his watch several times, attempted to clear his throat once, and had quickly glanced out the window. You knew those signs, he was trying to find a nice way to end the session or end the conversation. The more you watched him, the more upset you got. 
After Joel stood there staring outside for a while, he finally cleared his throat again. “I- uh, I think Dr. Anderson can probably help you better, she’s very good with this type of stuff,” he said, waving his arm at you, but not looking at you. 
When he straightened up to walk away you closed your eyes and said in a soft voice, “Please, please, help me.” You wanted to keep your voice steady, but you found that it slightly cracked at the end, which made you internally scold yourself. You weren't a weak person by nature, you couldn't afford to be with a disease that was slowly destroying your organs and killing you from the inside out. But somehow you felt like you were weak, like you were just a shell of the person that you once were. At first, when you asked for his help, you didn't know what exactly you were asking for. But as the seconds ticked by, with him not answering, you realized that you were pleading for him to see you.
Without looking at you, Joel asked in a gentle tone, “what do y’need help with?” When he turned back around towards you, his eyes were closed, and he was taking several steadying breaths. He was trying to calm his nerves and to silence the war that was going on in his mind. His mind was screaming at him, reminding him that this was inappropriate patient-doctor conversation or relations. He knew he needed to stop. So it shocked him to hear himself say a little louder, “Darlin’, what do you need help with?”
You just stared up at him, searching his face to see if what you wanted to voice was okay for you to do. You wanted him, as a man, to find you attractive and to touch you. But how could you ask him to go against all of his code of ethics as a medical provider just to touch you like a husband would touch a wife, desperately and passionately.  You didn’t even know if he was married, or even in a relationship with someone else. 
As Joel opened his eyes, he looked down at you, and it was then that he knew what you wanted. You were looking at him the same way his ex-wife used to look at him from time to time. When she’d plead with him to fuck her, to silence all her insecurities in her head. He hasn't seen a woman look at him like that for almost 20 years, and it did something to him. It made his resolve crumble instantly where he said ‘fuck it' in his own head, and he gave in to his primal instinct of helping you as a man, not as your doctor.
“Baby, come on. I ain’t gonna ask y’again.  What is it that you need, honey? Tell me, and I'll do it.”
“Joel, please,” was all you could say, begging him with your eyes, trying to tell him what you wanted.
“No, now, come on. Y'gotta use your words for me. Be a good girl and tell Daddy what he can do to help you and make you feel better.”
As soon as Joel had said the word daddy, he instantly scolded himself. But when he saw your eyes glaze over with arousal at the name, he knew what you wanted. You lightly whimpered and started squeezing your thighs tight together. 
Joel felt dizzy for a moment as blood rushed fast to his cock at your whimper, his cock hardening to the point of being painful. But this wasn't about him. This was about you, about showing you that a real man, like him, could give you affection and attention like you so desperately needed. 
He walked towards you, gently placing his hand onto your thigh, lightly stroking it. He was trying to center you and help you communicate with him in what you wanted and needed. He knew all of this was wrong, but he couldn't help himself, especially when you begged him to touch you.
“Joel, please, touch me,” you said, while grabbing his hand and guiding it to below the blanket to where you were practically throbbing. 
“F-fuck,” Joel slightly moaned, closing his eyes at the feeling of you not wearing any underwear as he touched your slick velvet folds underneath the blanket with his hand. Your lips were slightly swollen, aroused, and desperately needing attention. You were making a mess on his table, slick pouring out of you from your needy little hole. You wanted Joel to help soothe the ache deep within you, to take your pain away.
Joel slowly moved his finger down to your center. Feeling your pussy spasm and clench around nothing. He rested his finger at your opening, not pushing his finger inside of you just yet, but slowly stroking it with feather-like touches. “Baby, we shouldn’t do this” he said, still slowly circling your opening, and not stopping or pushing his finger in. He needed to hear your verbal confession that you wanted this, that you wanted him. As Joel felt your hole clench a second time at nothing, he said, “baby, please, say somethin’.”
You moaned slightly while opening your hips up to allow him better access to you. “More” was the only audible thing that you could say at the moment. And that's when Joel’s resolve fully crumbled, and he pushed two fingers knuckle deep inside of you, stretching you perfectly around him.
“Fuck baby, that's tight. Ya squeezing my fingers in a goddamn vice.” He said, growling low, followed by a soft grunt.
You willed yourself to relax, to allow Joel in more. To allow him to get deeper within you, to where you knew that you needed him. To say his fingers were a stretch was an understatement. His fingers were longer and thicker than what you were used to. It was a comfortable stretch, but almost borderline on being painful. You've never been stretched out this much with just fingers alone. If you had to guess by his slow movements he was doing right now, you thought that Joel was a very experienced man, especially when he curled his fingers and found that spot deep within you that you've never found before. As soon as he hit it, your eyes rolled back in your head and you softly moaned “fuuuck.”
“There she is, right there huh, baby?” He said, angling his hand a bit more to get a little deeper as he started to stroke your g-spot with those perfected come hither movements. 
Joel was good at three things: First, he was a very hard worker. He had the perfect street smarts to own and operate two successful businesses in his lifetime. Second, he was an amazing father. Always listening and being there for his girls. And finally, he was an attentive lover. He listened, and found what worked for every woman that he’s ever been with. He knew how to fuck a woman just right, and how to bring her the most and best pleasure.  And that was something that he made sure you understood at the moment with his fingers.
As Joel continued to work his magic with his fingers, pushing them a little deeper inside of you, and picking up the pace in stroking you, you felt your walls spasm more. You let out a low moan, breathing starting to become erratic as the sensation of pleasure took over your body. You were right, you obviously hadn't had a good fuck for a long time, especially considering that you were not far from coming undone on just his fingers alone with no clit stimulation whatsoever. And if you could describe the feeling that you were feeling right now with his fingers moving inside of you, you would describe it as being ‘fucking fantastic.’
Joel found himself matching your small moan with a groan of his own, especially when he looked down and noticed your pussy was dripping all over him. He slowly started withdrawing his fingers, giving you time to adjust, before pushing them back in. It was obscene, the wet squelching noises that your beautiful cunt was making for him. You were biting your lip, eyes casted away from him. He gently grabbed your chin with his other hand, turning you towards him while saying “no darlin’, eyes right here. Ya keep ‘em on me, ok?” He said, as he slowly kept pushing his fingers in and out of you. He kept up the slow pace for a bit, working you up, not wanting to fully tip you over the edge just yet. He knew that you needed this, that you needed to enjoy the experience.
“Joel, it feels- fuck, it feels, it feels,” you were at a loss for words at the moment. You were struggling to keep your eyes on him right now, fighting them from wanting to roll back into your head at the sensation of pleasure.
“I know baby. Fuck, just listen to her, she needs this huh? Your pussy needs this, doesn’t she? This. Nice. Slow. Finger. Fuck, huh?” He said, slowing down more and thrusting harder with his fingers at every word he said, drawing out your pleasure more. The longer he fucked you slow with his fingers, the more your pussy gripped him hard, sucking him in, not wanting him to leave.  You were panting, starting to squirm, getting lost in the pleasure.  Joel wanted to tease you a little longer, but he figured you weren’t used to this kind of play.  Something he intended to do next time he had you alone, preferably in his bed with you begging for his cock. 
When Joel saw you start to match his thrusts with your own, he knew it was time for him to tip you over the edge. So Joel really started to finger fuck you you now, the way that he knew women liked. When he did that, you cried out at the stimulation and surprise of his actions.
“Shhh baby, it's alright,” he said, cooing at you to quiet you down. “Now, darlin’, you’re gonna be a good girl and come all over these fingers, ok? Then you're getting a full refund today. I don't charge money to finger fuck my clients.”
You nodded your head, trying to keep your eyes open as Joel massaged the inside of your velvety warm walls, getting closer to the edge.  Your toes were starting to curl, breathing was very erratic. You were getting very close to cumming.
“And lastly sweetheart,” he said, putting pressure down on your lower abdomen, and curling his fingers in a way that he knew would make your vision go blurry, while building a firm pressure sensation inside of your abdomen. “You must communicate with me with your words when something doesn't feel good, or if you want me to do something differently. You know your body better than me honey. I don't, so help me make you feel good. Okay?”
Fuck you were wrecked, seconds away from crashing through, or into, a brick wall with an orgasm, you thought.  This felt different though, so much different than what you’ve ever experienced before. “Joel, fuck, pressure, it’s a lot of pressure and I’m, fuck, I’m, I’m-”
“Come f’me sweetheart. Come on baby, fucking soak my fingers” Joel growled in your ear as the rubberband inside of you snapped hard. When it did, your cunt seized around his fingers as you felt the gush of fluid come out of you, he made you squirt for the first time. Your vision went white, ears ringing, legs shaking from the intensity of it all.  You’ve never come so hard ever in your life, and you couldn’t help the loud moan that escaped your lips around Joel’s hand that was now covering your mouth. He continued to fuck you through your orgasm, whispering “good fucking girl” with a strained voice as he watched you come undone. His own pupils were blown wide, eyes impossibly dark with lust, wanting nothing more than to bury his cock deep inside of you, to feel you spasm around him hard like this.  But that would have to happen at a later time.  Today was about you, about giving you something that you needed, attention from a man.  You were a beautiful woman, and you deserved to have a man take care of you in this way, and other ways too, even if you did have autoimmune disease. 
Joel continued to slowly work you through your high, pumping his fingers gently in and out of you. When you finally came back to Earth, he removed his soaked fingers from your cunt and then he slammed his lips hard against your mouth, kissing you fervently. You licked the seam of his lips, asking for access into his mouth, which he quickly granted. You two were wrestling your tongues together, each seeking dominance over the other. Joel has never been kissed like this, with so much passion that he hated pulling away from you mere moments later, gasping for breath as his heart raced out of control in his chest. 
“Fuck woman, no one’s ever kissed me like that,” he said, gasping for breath. Joel placed his forehead gently against yours, eyes closed, breathing you in as his heart rate slowed in his chest.
“Do you want me to take care of you?” you asked, laying your hand gently on his crotch, feeling him buck slightly into your touch beneath you.
“No baby, I wanna do this right, take ya out first, if y’don’t mind.”
“You don't have to if you don't want to, I mean-”
Joel snapped open his eyes and stood up looking at you, furrowing his brows. He then shook his head and said “don't”, and walked over to the sink in the corner of the room to wash his hands. You sat up, chewing on your lip, overthinking things once again. After a moment of silence you heard him speak when he shut the water off.
“I'm not some 20 year old punk ass boy who only cares about getting his own rocks off, darlin'. I don't do that sort of thing. Now, if you don't want to have dinner with me, then that's fine. But I'd really like to take y’out.”
“Like a date?” You asked, looking into his eyes hopeful.
“Yes baby, like a date.” He said, standing in front of you, holding a robe up for you to take to cover your naked body up.
“Yeah, but what happens when I- when we- when it's done? Or what happens if I can't because of this- because of autoimmune?” you say, motioning your hand up and down at your body. 
Joel took a big breath in, and then slowly let it out through his nose. He then cupped your face with both hands and said, “ok, I'm gonna stop you right there. First, I don't fuck on the first date, ok, so don't worry your pretty lil’ head about it. And second, I don't give a damn if we have to reschedule. I understand you have autoimmune disease, remember I've read your file.” Joel immediately winced at that reminder, of how he has crossed every line in the sand with his actions. He didn't know how he was going to explain to Dr. Samson that his treatment wouldn't work with you and that he was going to refer you to Dr. Anderson. It was going to cost him big time, he knew that. Dr. Linda Anderson wouldn't just drop it, she'd want an explanation. But Joel couldn't think about that right now, he'd deal with it and her later.
“But Joel it's-”
“Do you not want to go out to dinner with me?” He asked, the color draining from him face. Did he read you wrong? Were you just looking for a quick orgasm and nothing more? He rubbed his neck in embarrassment, thinking he completely fucked up at your signals once again. “You-uh, you don't have to say yes if you don't want to. I mean, if I read you wrong you can- uh, no pressure to say no.” He was internally scolding himself at this entire situation, of how much he's fucked up today. His ex-wife was right, he thought, he definitely doesn’t understand what women need nor want. Proof was here, right in front of him, with your reluctance to say yes to just dinner. 
Joel turned to walk out, mumbling “I'll give you some privacy to get dressed. I'll tell Ashley to give you a refund when I see her tomorrow, don’t worry, she’s already left for the day. And you can just forget about today if you want, if I made you feel uncomfortable. I’ll sorry, I just-”
“Stop, please,” you said, grabbing his arm. “Don't leave. Everyone does, everyone leaves me. I-I want you to stay with me right now, please.” 
Joel stopped and looked at you, seeing the gears in your head turning. After a moment he said, “please honey, ya gotta tell me what you're thinking. I can't-”
“I want to go out on a date with you Joel, it's just, don't have high expectations or hopes for me, ok? Men do, and then as they get to know me they- they get mad when I don't meet something that they wanted. I- this- it’s hard ok? It’s hard ‘cause I have a gorgeous man in front of me that I've been attracted to since the moment I saw him, and all I want is for him to see me. To really see me. And I- I don’t wanna fuck that all up where you hate me, or think I’m a failure and I- I should just really stop talking.” You said, laughing at yourself and blushing at the fact that you just spilled all of your insecurities in the air to a stranger. A very hot stranger, but a stranger nevertheless.
“Honey,” he said, grabbing your hand softly. “I want all that too and, if I'm being honest, I'm a little scared of a date too as it's been a long time since I've done this. The whole dating thing, it hasn’t been a priority of mine for a while. But I wanna do it f’you, with you. We can take it slow, we can figure it out together, ok? How does that sound?” Joel then leaned in and gave you a soft, delicate kiss on your lips, one that immediately calmed your nerves. 
“Ok, yes. Dinner would be great,” you said, a tad breathless after Joel pulled away from kissing you. You took a moment to compose yourself, to will the butterflies to calm down in your tummy at the thought of getting a chance to have a date with this man.
Joel watched the blush rise up in your cheeks, and if he was being honest, it flattered the hell out of him.  That a simple gentle kiss could get you all hot and bothered, where you were blushing for him. “Ok, good,” he said, smiling. “How about I pick you up around 6pm this Saturday?”
You nodded your head, and noticed that Joel furrowed his brows at the lack of your speaking to him again.  You quickly said, “Saturday would be perfect.” 
Joel stood there for a moment, glancing over your features, looking at you intently, making sure that you in fact truly wanted this.  Once he found what he was looking for, he stepped back and gave you a small smirk. 
“Ok, darlin’. Now for life's biggest, and most important question. What toppings do y’like on your Pizza?”  Joel decided to take you to his favorite pizza place on Saturday.  When he saw you smile, he knew that he picked a good choice.
“Well Miller,” you said, while giving him your best playful smirk. “You’re just going to have to take me out to find out.”
End of Part 1
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bark-infestation · 3 months ago
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imagining if pacifica had arthralgia but was always brushed off to maintain image... when nobody was looking on the golf course she'd use her club as a cane just to see how it felt. when she finally gets her crutches, mabel decorates them with stickers and washi tape. dont speak to me for the next 12 hours.
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ihrvietnam · 1 year ago
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Đau nhức xương khớp ở tuổi dậy thì có thể liên quan đến nhiều nguyên nhân khác nhau, chẳng hạn như đau do tăng trưởng, vận động quá mức hoặc do các vấn đề cơ xương khớp liên quan. Dưới đây là gợi ý về các nguyên nhân, mức độ nghiêm trọng và cách điều trị phù hợp, cha mẹ có thể tham khảo.
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