Using Imagination only in role plays

Does anyone else roleplay using their imagination only? Without any medical equipment or supplies? I've been into this kind of stuff forever but I've never really used any toys beyond my imagination. Does this mean I'm not a true fetishist?

Um... Yes? I've had a medfet kink since I was a teenager, as far as I can tell. And I would say I've been a "medical fetishist" since that time. I didn't have any medical tools until I was 30. I only use these myself - there is no one that I actually trust to safely and competently use them on me. That certainly never stopped me from fantasizing about it, getting aroused by it, writing stories about the topic, etc.

I'm not wholly opposed to in person roleplay, but in my opinion, that would require an EXTREME level of trust and discretion between me and my playdoc. Frankly, something that I think is getting harder and harder to establish in this day and age. I'm not just going to let any old dude see me naked and pretend examine me, after all. But the idea of that is still kinda hot.

So... Does this make me less of a medical fetishist? I certainly don't think so and I honestly think I'd be offended if anyone did think that of me.

I don't think there any "rules" about how you role-play, whether it's on-line or in RL. If using your imagination, rather than actual instruments/implements works for you and your partner, then go for it. It's whatever works for you. And no. I don't think that makes you less a med-fetter.