Bad Prescription
Me and Zack both had HIV tests at the Whitman Walker Clinic in the last few months, and both of us walked away with similar experiences when the issue of condoms was raised. Both of us are in committed relationships and no longer use condoms, a fact not well recieved by Zack's doctor and my testing volunteer. To hear Zack explain it, his doctor talked to him as though he drank a fifth of cheap gin and decided to play russian roulette with a fully loaded pistol. My testing volunteer gave me a dissmissive look and said, "well, if that's what you want to do." This was after we explained that we were in committed relationships.
When it comes to gay relationships, my eyes are open. Me and my bf are both young, attractive, and have options. I know the difficulties and the realities, particularly with having a younger boyfriend who hasn't fully sown his oats, and in my own reality as a man who has, and has developed a taste for them. It's hard to walk the line when traffic is speeding by you on both sides, and when I read New York Times articles that claim monogamy is a fantasy, I feel overwhelmed and doubt the strength of my own character to maintain my commitment, and unsure in regards to the ever present spectre of the "open relationship," which among the apparent majority seems to be the minimum threshold for our relationships. Minimum, that is, if you can overcome the Olympic level height at which the bar is set when making a leap of trust that your partner isn't engaging in risky behavior behind your back.
However, to succeed in my relationship (in whatever arrangement it may take...and the modern gay couple has several to choose from) it would be helpful if my own community wouldn't be so goddamn pessimistic. Relationships are difficult enough without healthcare providers (and friends) automatically projecting their cynicism on to those who don't share it, or who against all odds give it their all in spite of it.
I know it's easy to give in to cynicism, and let's get real--issues of self-doubt and mutual trust are something all couples deal with. However, if you've ever met my boyfriend you would understand why I'm going to try and transcend our cultural cynicism the same way I fought through other gay cultural bad habits like internal homphobia, mysogyny and self-medication, and why Whitman Walker might want to talk to their staff about developing boundaries and thinking "outside the ghetto."
Love is real. Trust is possible. The rewards run deep. Believe in each other.
16 comments:
Oh my...I just had a similar internal conversation while waiting to get tested there on Friday (ouch, and I'm not even dating anyone).
I've always found it difficult to cut through clinic talking points - namely, "anything you do, even breathing, will kill you within 30 seconds of even thinking about it." I like to be safe, but I also think that, for me, it is easier to be safe when you know statistical probability of your activities. Whitman-Walker won't tell you that unless you press them and ask at least three times.
Thank you, John,I agree. Its really hard to gauge what dangerous behavior is when no one will give you safe behavior to measure it against. My doctor acted like my decision to have condomless sex with my boyfriend was a one-way ticket to AIDSville. This decision was an informed, considered one and I trust my boyfriend enough to be confident in it. Instead of working with me ensure that I enacted that decision in the safest possible ways, my doctor just ensured that I will not come to him in the future when I have honest questions about my health.
Ben -- you made me tear up a little with these words: "Love is real. Trust is possible. The rewards run deep. Believe in each other." It is really brave to be that honest and up front about love and trust. What a breath of fresh air to read those beautiful words. Thank you for that.
You reminded me of my friend, who is a peer education counselor and medical doctor. He told me that U.S. best practices are very strict in the area of counseling on AIDS issues. Therefore, the things your doctor tells you are sometimes a little bit on the overly cautious side. So your posting doesn't surprise me one bit.
The healthcare worker in me has this to say about the matter: committed relationship or not, the butt is a dirty place. Condom-less anal sex can lead to numerous types of infections due to the bacteria present in the rectum and the wiener. I don't think it is so much a matter of trust as it is simply one of biology. Unprotected sex, even with someone you love and trust, can have adverse effects. And besides, who the hell wants to get all that nasty santorum on the schlong?
Hi, Steeev:
Consider this. Monogamous couples, whether gay or straight, soon achieve "homeostasis"--they've swapped germs, didn't come down with anything, and thereafter coexist in a state of microbial equilibrium. Excerpted from The Straight Dope.
Santorum can be an issue, but there are solutions to that.
"Love is real. Trust is possible. The rewards run deep. Believe in each other."
Your sentiment is endearing, but people lie - either to themselves or to you. Ever hear of something called "cognitive dissonance"? People sometimes don't want to know if they're poz, or know and won't admit it to themselves.
I was in a supposed "committed relationship" for three years, and stopped using condoms sometime during that relationship with the same assumptions that you use. I was monogamous, but I'll never know if he was. However, after the relationship ended, I learned later that he was poz - the whole time we were together. Lucky for me he was a power bottom, so I never got any of his jizz up my ass. I totally lucked out and tested negative in the end. Had I been a bottom and taken loads over the course of three years, things may be different for me today.
I've heard similar stories from other people who didn't end up so fortunate after being with people in a trusting, loving monogamous relationship. I'm not sure I'll take that risk again. Condomless sex is nice, but my personal health is much nicer. I agree with the clinician - don't make Disneyesque assumptions about someone else's behavior or statements. You don't really know what they're doing on their own time, and you can never be 100% confident that they are HIV-, no matter what they say.
Great post...but I feel like everyone is overlooking something. I am completely on the "ditch the condom" bandwagon when it comes to committed relationships, but I'm unclear on why you were still getting tested.
One would assume that before ditching the condoms a few things would be made clear (as is my experience with this subject):
1) I'm clean and you're clean
2) We're both out of the gray area where a test can show a false negative
3) I love you, I trust you and we agree not to sleep with anyone else (protection or no protection)
After all this is decided, why would you to a clinic to get tested?
Married couples don't get tested. Children don't get tested.
The test is for those of us, even those of us who play it safe, who recognize that through some interaction in our own lives, there exists a small chance that we could have contracted HIV (even if we took every precaution)...and with that in mind, it makes sense that a volunteer would evaluate why we feel that way and urge us to change our habits.
Daniel, sorry I wasn't clear. I was getting tested so that I could go condomless. This was 8 months into the relationship.
I was just there for a regular checkup, but thought it couldn't hurt to have extra peace of mind.
Hey Zack,
I read your post, and as a medical professional, I'd be a little more encouraging to you and say that maybe you encountered a person with faulty communication skills, rather than a profession that's pessimistic.
The best doctors know that their role is to guide and teach, and to do that, they have to listen - and listen more than they talk. They also know that patients get to make choices - they don't have to take a medicine, even if the doctor prescribes it. Sometimes that's a revelation or some of my colleagues.
The concerning thing is that it seems like you might be less willing to trust this person or ask a question if you weren't sure about something. That's bad for your health and theirs.
If you wanted to give a gift to a patient (or two or three) that came after you, it would be to provide the feedback of your experience to the clinic administrator (which I am not affiliated with). Doctors like learning how they can do a better job - it's why we're here.
Everyone deserves to be happy, healthy, and have a great relationship with a personal physician. Right? Right.
Zach,
If you had asked me a year ago, I would have completely agreed with you. Condoms suck, and the thought of having to use one now makes me sad at the loss of condomless sex.
I was in a committed relationship for three years. I thought we were completely committed to one another, since I was to him and he told me he was to me. He then left me, and called me a few months later to tell me he was poz, thought he got it within a week or two of leaving me, yet he could not tell me that he did not give it to me.
Luckily, he did not give it to me. BUT, while ideally we want to trust those who we love, in this sense, it is ALWAYS safer to protect yourself. Why take a chance? While hard to hear, I have to believe it is naive to think that you can wholly trust someone when it comes to your health. Each one of us should #1 on our own priority lists, and I think that means wrapping it up. One just never knows...
"young, attractive, and have options."
You left out "modest."
no, not lying the whole time. While together he did not have it, luckily, or I would have gotten it from him.
But, he was obviously screwing around behind my back unprotected at some point during the end of our relationship or he would not have had to tell me about the HIV. He could have said that he was monogamous with me so that I did not need to worry, or not said anything at all. Not meaning to be a downer, it is just a real experience from a REALLY careful guy.
ive been with my boyfriend for over a year and we rarely if ever use condoms. that being said we both got tested before, waited the three month gap, and got tested again, in the end testing negative. phew! well okay maybe we didnt wait the whoooole 3 month gap but it was pretty close!
i love my boyfriend and i dont think he would ever cheat on me. and he feels the same way.
that being said, people lie. and it is your health care professionals DUTY to let you know that heyyyy this might not be the smartest idea. trust is great!!! i have trust! but is it WISE to trust someone with my life like that?
i once dated a heroin addict. yeah i know how to pick 'em right? well towards the end of our chaotic relationship he had a problem with his weiner. we never used condoms and neither of us had ever been tested. suddenly i find myself in a walk-in clinic getting tested (wayyyyy overpriced might i add) and i have the health care professional ask if i used condoms? i said no, my boyfriend told me he had gotten tested before our relationship and came up fine. the health care person looked me in the eyes and said "and you believed him?"
whoa...i did...but now that you said that not so much. things ended up being fine and i think he had like a busted vein or something. but what that woman said to me shakes me to the core when i remember.
still i dont use condoms. its my choice. but i wont defend my actions. its stupid not to use condoms. i KNOW its stupid. i have no leg to stand on when i say why i dont. its like when my vegan friends ask me why i continue eating meat and dairy and stuff knowing all the cruel things they do to animals. i know its wrong!!! i know! so i feel similarly whenever i talk about condoms.
but preaching against condoms is not good. not that youre saying that, but it could be interpreted that way. and right now the gay community already has enough people thinking were covered in aids and cooties. we SHOULD be wearing condoms. i mean wasnt there an article not too long ago talking about the rise of hiv infection in the dc area? and isnt our friend baltimore the syph capital of the world or something?
ultimately its our choices. but if i ever get something really bad i know that ill feel like a total idiot.
hey guys, its not cool not to wear condoms! sayin is all...
wait a minute wait a minute....you have to PAY to get tested here? at a walk in clinic? REALLY?
it was like $500 for everything i got tested for. there are plenty of FREE or cheap testing places. my boyfriend at the time took me to that expensive place because a friend recommended it and i was just so scared and emotional that i paid thinking i would be too frightened to do it on my own somewhere for cheaper later. i was ruined financially after that for a while. bad times!
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