I always try to let the Sybian make my patients cum but I have a sneaking suspicion that some deliberately try not to cum just so I can stroke their cocks. That's ok because I enjoy making them cum using my hands because it makes me feel like I'm contributing to their pleasure rather than just letting machines milk them. The feel of a cock getting harder in my hands until cum shoots out cum is very satisfying for both of us :)
The older gentlemen are fun to milk because they are very appreciative of my services.