So let me get this straight.
Everyone's supposed to ignore your terrible syntax, rotten grammar, incoherent ramblings...
...yet when SilvieWaldorfMD -- whether she hails from from Waldorf, MD; has earned the title; or both -- fails to include a comma, you assume she is presumptuous.
Frankly, you're the one who is acting rather presumptuous.
I mean, you have a username that about innards, yet one might just as easily assume you are what's within the intestines...specifically the sigmoid colon and down to the ampulla...
Yes, your handle sure describes you well: "Spewing ____"
I’m going to stop pinging you, although I should have pinged you to this one.