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wood

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Everything posted by wood

  1. wood
    fully agree, but its not just a government problem either. The stats on testing and treatment are awful. Point blank people just are not getting tested, and if positive treated in a timely fashion. Atlanta (the city) is roughly 55% black, higher than any other major city in the country. They also have the third highest identified LGBT populations in the country at 12.8%. This is what combines to form the perfect infection storm. Black people in general tend to have more sex with other black people, and yet when you compare their absolute number of sexual partners, in terms of gay men its actually lower than white or latino men. Additionally their self reported rate of condom usage is actually higher as well. The problem with this lies in the fact that there is a feeling of safety that happens in situations like this. While in theory they are being safer by having fewer sexual partners, and using condoms more, their risk pool is dramatically higher than other populations. As far as the AIDS diagnosis in the article is concerned, this gets back to testing and treatment. There is still a huge level of mistrust in the black community agaisnt the medical establishment and in many cases rightfully so. Because of this you see people who may be at a higher risk than they thought not seeking testing thinking they are okay. Its really a sad situation and there needs to be a comprehensive multifaceted approach to turning the infection rate around. Despite what some may think racism is still alive and well in this country and that is one of the reasons black people are disproportionally affected in this epidemic. I do hope that the state steps in and offers more testing options and things like free PrEP. In the long run, providing PrEP is a MUCH cheaper alternative than dealing with lifetime HIV care.
  2. wood
    Great story man, and I hope you continue to improve. This is a great example of why testing and treatment are so important. Out of curiosity, how did you cancer treatment go?
  3. wood
    Always honest. They can't help you correctly if you are not honest.
  4. wood
    While it can happen, your story is rare, and the vaccine is still a good idea for everyone.
  5. wood
    I doubt its a caused by IV drug use. IV drug use by african americans is actually quite low. And this is the primary issue. I have some friends who are black and work in outreach, and the statistics are just awful. Go on any hookup site in atlanta, and search based on "black" and HIV status's of "positive then negative". Whats crazy is that it will say that over 90% of people are "HIV negative" yet we know the percentage that are HIV+ among gay black is closer to 40%. Even within the gay balck community there is a lot of stigma attached to being HIV+ so many people don't tell others, and its thought that many just avoid getting tested all together. Its been talked about on here before but there are many issues as to why the HIV rate among black MSM is so high, and obviously much needs to be done to curb the infection rate, but it is possible to make meaningful progress. DC is a good example of this. Over the course of the last 10 years DC has halfed its new infection rate among black MSM, and that was pre-PrEP for the most part, so it is possible. The unfortunate part in Atlanta is that public money for health services is almost impossible to come by in a red state. Without money and targeted outreach efforts its going to be very hard to stem the tide of new infections.
  6. wood
    Bingo. Guys that party think that is so hot. In reality its awful, and only fun if you are in the same altered state as other guys, and even they will complain about others then. I'm no saint, and have done substances before, but rarely during sex. (I dont count responsible alcohol consumption, and poppers) Really its the "Tina" thats a huge issue. It wrecks so much in peoples lives, and despite what so many think it doesnt make sex any better.
  7. wood
    I can agree with this. Since undetectable guys are such low risk now there is little point in tellng unless directly asked. I dont think anyone should lie if asked directly, but Im okay with an undetectable guy not saying anything if not asked.
  8. wood
    just go on PrEP.
  9. wood
    Anytime these threads come up, I say this. If you parents would get made about you taking PrEP, how would they feel about you telling them you became HIV+. With that said after 18, your records are kept private unless you consent. You can also call insurance companies and doctors, and give them explicit instructions not to give out into to anyone but you if you desire as extra insurance. But yeah get on PrEP before you bare back a lot. Many guys who test positive today are your age, and using PrEP as protection is about the best thing you can do to protect yourself.
  10. wood
    Id say find a new doctor. Ironically in my search for a decent doctor, I found that the younger doctor's are usually more judgmental, and harder to deal with. In contrast the older doctors who have been around, try to give good general life advice, and help the person out. Some doctors will see bareback sex as the same or worse as a bad drug addiction, and for someone treating their HIV or on PrEP, thats just not the case. I'm honest with my doctor, and all he says is well, you should still use condoms, but its good you are coming in here, and keeping track of your health. Same thing for a good friend who lives anonymous sex. He told his doctor that, and while it wasn't a "good for you!" response, it was, "okay, how do we work around this, and lets make sure you keep on top of your health" In stark contrast my friend had a bout of depression, and stopped taking his meds for a couple months. Now for that his doctor was PISSED, and really drilled it into his head in multiple ways how bad that could be for his health. It worked. IMO thats a good doctor. Stick to the stuff that's the most relevant. If you are a 350lb alcoholic that smokes a pack a day, any good doctor is most likely going to tell you to quit smoking first, lose weight second, and stop drinking last. Same goes with HIV treatment, HIV treatment is first, other health conditions second, lifestyle choices without serious health consequences third.
  11. wood
    not with PrEP
  12. wood
    I'm sticking to daily dosage. This kind of dosage assumes that you are always going to know when a risky event is going to occur, and you have time or access to take PrEP before hand.
  13. wood
    Pretty much, Positive means infected, and any anount of viral load, whereas undetectable means their HIV is controlled usually with medication.
  14. wood
    Why would you feel like a fool? Poz guys on meds are pretty low risk, but if you are having any doubts about possibly becoming HIV+ then you need to not really take any loads or go on PrEP. In many cases its the "neg" guys, or guys who have little clue about thier status that are causing new infections, so dont assume when a guy says he is "neg" that its really the case.
  15. wood
    x2. There really much communication at bathhouses, and especially at things like glory holes. Most people will just move on almost immediately if too many questions start getting asked. Its best to just assume that everyone in a bathhouse is HIV+, because even if that isn't true, many may not even know their status. The bathhouse is one place where pretty much anything goes. its up to both sides to discuss status if they want prior to sex, but as I stated before, the reality is that it just doesn't happen. People looking for reassurance or only certain status' just should be at bathhouses unless they are only doing "safer" activities like oral. Even trying to use condoms in a bathhouse is a crapshoot, because many guys top or bottom don't want them.
  16. wood
    I saw this yesterday, and IMO it provides, hope, but thats it. In the last 30 years we have had TONS of stuff that looked like it was a cure, or vaccine that didnt end up working. I think eventually we will get there, but I have no idea if this will be it.
  17. wood
    This is what I had done after my abnormal pap. While I am not a doctor I wouldn't worry about it too much, as the link posted above points out, most gay men do not have normal pap's and many will have areas that need biopsied, like what you had done. Warts also happen, most guys have HPV including the strains that cause warts, but not all men get them, and even if they do in many cases they go away on their own, but it can take years, hence why people get them removed. I also suspect more guys have warts and abnormal cells up there than they think. I know more than a few times I have fucked a guys ass that feels "grainy" or less smooth than it should and thats a pretty clear sign something might be in there. No matter whats its great idea for anyone to keep on top of their colorectal health.
  18. wood
    Easily. The bioavailability of tenofovir is about 25%, which means roughly 75% is simply excreted through the bowels, this there is a surplus of tenofovir in the GI track and rectum vs another orifice like a vagina where its not an outlet for waste. Tenofovir is processed through the kidneys, but first pass metabolism often misses certain quantities of medication, or nutrients. In this case only about 25% of tenofovir is processed where it should be, and the rest just gets passed with stool. However, rectal tissues still absorb a large quantity of nutrients, drugs, etc, and therefore that "extra" tenofovir is present in a very high quantities in rectal tissue.
  19. wood
    This is correct (as of right now) I've been in similar positions, and just had my checkup last week, all good. However I also had a small freakout moment a few weeks ago. I got sick with a stomach bug, and then a cough, cold type thing, and I almost NEVER get sick, so in the back of my mind I was worried about HIV, despite never missing a dose like yourself. One thing about PrEP is that it challenges your way of thinking compared to traditional dogma, and to a certain extent you have to trust in the science. PrEP works when used as directed because it provides a barrier to HIV that no other method of protection can match. Historically if you were exposed to HIV, there was a chance of infection. With PrEP, its the opposite, even with exposure and viral particles in your bloodstream, the virus simply dies. Lastly, getting onto the "detectable, undetectable, negative, unknown, etc" discussion, one of the best parts abut PrEP is that it makes much of those status's irrelevant. Case in point two guys I fucked within the past year. One tested poz soon after we fucked, meaning he most likely had a high VL when we had sex, so his "neg on PrEP" status meant nothing (note: PrEP didn't fail, he stopped taking it because of insurance reasons, continued his same activities, and thats all it took) In another case, A regular FB who is undetectable, stopped taking his meds for about three months due to mental health issues, so he almost certainly wasn't undetectable in that period. This is the kind of thing that PrEP is perfect protection against. Their status doesn't matter nearly as much as does you keeping up with your medication.
  20. wood
    This is very true. Most people will go bare, but IMO they just don't want to admit it to themselves. I think that people put the idea into their mind that if they are only going bare with another "safe only" person its okay, which as we all know is BS. Personally I just leave it blank like lots of the profile. Its easier that way.
  21. wood
    Yup, find another BF. Real life stealthing isnt cool at all.
  22. wood
    Pitt1988, Take this as you want, but i am not sure you are ready to have condomless sex right now, PrEP or not. The thing about random sexual encounters is that you really never know the full true story of what people are, what they may have, their real status, etc. You can ask all the questions you want, but that isn't always going to make them true. Additionally for many guys, asking a thousand questions will just get you blocked. I'm not saying that mentality is right or wrong, but its a fact. Additionally there is nothing wrong if you are nervous about it, but you need to follow what you feel like in a situation like this, not what others are going to tell you. Nothing about any protection method is 100%, so you need to weigh your pro's and cons yourself and see what you come up with. The science is there to show that PrEP works when taken correctly, but you have to decide if thats enough for you.
  23. wood
    well Ive never been ashamed of it, but as far as staying over goes, sometimes I do sometimes I dont.
  24. wood
    Jerk off... I cant see how bottoming with bleeding hemorrhoids would be fun anyway.
  25. wood
    at least for me, if a top who is very large isnt gentle enough going in, it killed the whole thing for me. That said, I've had guys that are even larger take literally just a couple seconds more easing it in, be great fucks. I'm probably in the minority on this, but larger to me isnt always better. The guy still needs to know what he is doing, not just be huge. A little pain when fucking is normal, but if its to the point where it just sucks, I'm out. That's not my idea of fun.

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