Checkups

[Guest larryoz]

I interested in how often you guys get sexual health checkups?

 

I would think an escort would be wise to do it once a month.

 

With clients it depends on how often...

 

What do you think?

 

http://www.whytest.org/images/logo_whytest.gif

[Vincent_Michael]

I get checked up every three months for all std's down at a free clinic here in downtown San Antonio. There is no excuse to not get tested.

[2hard2tame]

I love how the military provides freeeeeeeee healthcare.

 

Blood test anyone?

 

No, I seriously get blood tests run every 3 months and wellness checks every 6.

 

Did I mention I like freeee?

[Guest larryoz]

Did I mention that sexual health checkups are free for all in Australia

[lookingtobuy]

I agree about health check-ups for escorts. That would be very nice to know if escorts we hire healthy right!. I have seen very few escort ad/profiles mentioned when last time they got check-ups.

 

What do you think guys?

[seaboy4hire]

>I agree about health check-ups for escorts. That would be

>very nice to know if escorts we hire healthy right!. I have

>seen very few escort ad/profiles mentioned when last time they

>got check-ups.

>

>What do you think guys?

>

>

 

What do I think? I think that it is total bull shit that it is us working guys responsibility to make sure you are healthy. When was the last time a client had a full battery of tests done? That is what I'd like to know. Sorry for sounding bitchy but it was a long day.

 

Hugs,

Greg

 

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CHI

[Louis]

You raise a very valid point.

There is an escort in Montreal, his name is Ronielle, I think my spelling is right. He has AIDS kits, and is talking about getting kits for other STD's.

[seaboy4hire]

What? Is he administrating std checks on his own? If that is the case I don't think I'd like that unless they were an MD.

 

Hugs,

Greg

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CHI

[raulgmanzo]

Larryoz asked:

>interested in how often you guys get sexual health checkups?

 

For me it depends on how many people I've seen, how I feel etc. But is usually every three months or more frequently. Sometimes I get tested for some of the more transmissible diseases more frequently. I used to take advantage of the free checkups that Howard Brown health center offers here in Chicago. But they are such an awesome organization that I figure as a professional I ought to be willing to pay for their excellent service. And so now I just walk in and pay which to runs about $150. That includes a consultation with a health care provider who will look at ones naughty bits for physical signs of STDs. That IMHO is an incredible bargain compared with what I pay for "non-STD" health care.

 

Hopefully escorts and clients along with carefully looking after their own health will also see disease prevention as collaborative.

With some knowledge of incubation periods and paying attention to what we are doing, and being willing to communicate and take a break when in doubt, I think the risk of STDs can be kept to a manageable minimum.

 

Raul

[Louis]

Here is Ronielle's web site, and he talks about testing there.

http://ronielle.com/

[seaboy4hire]

Louis while I think the idea of the rapid tests are ok it still doesn't beat going into the drs. to get the results. There are benefits of going in to get the results. If the tests come back positive for HIV a lot of people might have some very valid questions on treatment and such and having the dr. right there to answer them and offer some counseling is a huge plus and imo by far out weighs the benefits of the rapid tests.

 

Hugs,

Greg

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CHI

[Louis]

I definately agree there is no substitute for being tested by a professional that does that sort of thing, or a doctor. A person could get a false sense of security, however if a person was to use his test, and things come up positive, then there would be even more concerne.

A person can never be too cautious when it comes to testing, and like you had mentioned before, there is an incubation period, so there are no absolutes, when it comes to testing.

So what does an escort do if he finds that he is positive? Does he try to find out why he's positive, and who may have infected him?

Also what would happen, if a person as Ronielle's mentions breaks a condom. He brings out his kit, and the client turns out to be positive. Are there any steps that he can take after the fact?

About all I know about AIDS, is that a person has to use protection. I have been tested, just a few months ago actually, (I was getting a physical) so that parts not an issue, plus I haven't done anything with anyone where I would catch AIDS in almost two years.

I heard on TV the other day that, people are getting close to developing a vaccine.

[seaboy4hire]

Louis I think that a good portion of folk know how I feel on some of the questions you brought up but maybe Doctor could chime in and give his feed back. Be interesting to hear what he may have to say.

 

Hugs,

Greg

seaboy4hire@yahoo.com

http://seaboy4hire.tripod.com New page for reveiws http://www.daddysreviews.com/newest.php?who=greg_seattle

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CHI

[+ purplekow]

. He brings out his kit, and the client turns

>out to be positive. Are there any steps that he can take

>after the fact?

>About all I know about AIDS, is that a person has to use

>protection. I have been tested, just a few months ago

>actually, (I was getting a physical) so that parts not an

>issue, plus I haven't done anything with anyone where I would

>catch AIDS in almost two years.

>I heard on TV the other day that, people are getting close to

>developing a vaccine.

 

There are post exposure regimens which commonly are used for medical personnel after contact with potentially infected blood or body fluid

such as occurs in a needle stick. Most usually, the person whose body fluid it is, is tested, but in situations where the sampled person is not known, a institutional protocol is used. Most of the post-exposure protocols involve taking anti-retroviral medications for anywhere up to one month. The person suffering the needlestick would then be tested serially. An initial test of the person suffering the needlestick is done to confirm an initial negative status. In theory, the risk of the side effects of the preventative medications is lower than the risk of contracting the virus.

 

As far as a vaccine is concerned, there are ongoing clinical trials in various phases, most of them very early. Even if one of these should be shown to be highly effective, completion of studies and FDA approval would take several years.

 

The number of vaccine manufacturers has dropped significantly as a result of a number of factors, including product liability. This may have a significant effect on the eventual development of the vaccine and its cost, which is likely to be high.

[seaboy4hire]

And I am not holding my breath or betting a cure will be found any time soon.

 

Hugs,

Greg

seaboy4hire@yahoo.com

http://seaboy4hire.tripod.com New page for reveiws http://www.daddysreviews.com/newest.php?who=greg_seattle

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Manners and class are two things money can not buy!

CHI

[Louis]

I was chatting with a person who does cancer research, and he mentioned that there is a connection or similarities between cancer and AIDS. Another friend who is in the cancer field, told me that things are moving much faster right now. Which means that if a person was receiving certain treatments in the fall, my recieve different treatments in the spring.

There is a long ways to go, but at least there has been progress.

[Doctor]

Yes, this is right. We suggest that people come to the clinic as soon as possible after a risky exposure to start PEP (Post Exposure Prophylaxis); generally we feel that PEP is not going to be useful if it's been more than 72 hours since the exposure. There are lots of combinations of anti-retrovirals that can be used, but the goal is to get at least three different meds going and to take them daily for 28 days. We also like to get an immediate post-exposure rapid HIV test and then to retest in 6 weeks; generally it takes the body at least 6 weeks to make enough antibodies for the standard rapid HIV tests to detect.

 

Side effects can be pretty annoying with nausea, diarrhea, liver irritation, so its not like PEP is the HIV "morning after pill" equivalent.

[Doctor]

OK, this may be more than anybody wants to know about STDs, but it looked like some people had questions about exposure and waiting periods and I like talkng about this stuff, so here goes . . .

 

The major STDs have differnt incubation periods before you get symptoms once you've been exposed and different waiting periods until antibodies show up in the blood and can be found by specific tests.

 

Syphillis: getting more common among gay men and other men who have sex with men. On average it takes 3 weeks after exposure before you develop symptoms. The major symptom is the chancre, which is a shallow ulcer on the penis or around the genitals, usually painless, but highly infectious as it is crawling with spirochetes - the germ that causes syphillis. You need to have a hospital or a clinic with highly specialized tools to take samples from the ulcer and look at it under the microscope to tell if it's syphillis instead of any of the other zillion things that can cause ulcers on your penis. The more common test is a blood test. But it can take from 6 to 9 weeks before you've got the antibodies in your blood that tests can use to diagnose syphillis. Treat with two big penicillin shots in the butt.

 

Gonorrhea: On average it takes 8 days from exposure before you get symptoms. Usually burning and stinging when you pee and then yellow/green pus dripping out your penis. The best test for gonorrhea right now is a urine test (can't have peed for at least an hour before the test and it has to be the very first urine coming out): much better than the previous test when we used to stick a cotton swab up the penis - painful. Treat usually with an antibiotic injection in the butt.

 

Chlamydia: Takes 5 to 10 days to incubate after exposure before you get symptoms - if you get symptoms. A lot of men, if not most, don't have obvious if any symptoms from chlamydia; problem is that it can cause sterility in women and sometimes in men as well. Symptoms when they occur tend also to be burning and stinging when you pee. The test is also just a simple urine test like with gonorrhea. Treatment is a single dose of 100mg of azithromycin.

 

Herpes: This is a tricky one. Turns out that 70% of herpes cases are transmitted when the infectious partner doesn't even have any symptoms - no ulcers, no sores, no nothing. And, many people have it, don't know they have it because they've never had an outbreak, and can then go on and give it to someone else. Sometimes people will have a first outbreak and it will be very small, not even really noticed, and so they don't go to the clinic to get it diagnosed. Other times they'll get a huge painful outbreak of ulcers.

Basically it takes around 4 days from exposure before you'll get your own ulcers, if you get them. They show up first as a tingling, burning, stinging patch somewhere around the genitals which then turns into a small group of painful red bumps that turn into little blisters that may either pus up or burst to form small shallow painful ulcers. These cn last up to 2 weeks and come back up to 9-10 times a year on average, although over time they return less and less frequently. Diagnosis is from a culture of the ulcers, but this doesn'y always work out, especially if the ulcers are older, starting to scab over and such. A positive culture means you've got it, a negative culture can be meaningless. It can take at least 2 weeks before you make the antibodies that will show up in a blood test.

Treatment is with acyclovir or one of its closely related formulations like valacyclovir or famcyclovir. Basically, once you get the first symptoms, the burning and stinging before the blisters show up, if you start taking the acyclovir/valacyclovir/famcyclovir within 6 hours, you can reduce the number of sores and the amunt of time they last before they go away. If you know you have herpes, you can take a daily medication that suppresses outbreaks, although not 100%.

 

HIV: the Acute Seroconversion Syndrome is the common symptom of a new HIV infection: flu-like feelings, fever, aching, an all-over body rash, feel like crap. But not everybody experiences this or experiences it severely enough to think anything about it and you might not even get this syndrome for up to 6 months after infection. It can take between 4-10 weeks to make the antibodies detectable by current tests. Generally we tell people who are sexually active with multiple partners to get HIV tests at least once a year and usuallu twice a year. There is a rapid blood test that can give you results in 20 minutes or so (it's better, more sensitive, than the oral test). I think it's better to get tested at a clinic where there are people ypu can talk to about the results.

 

Thanks for your patience - sorry to have gone on so long.

[Louis]

Doctor:

Thanks for input. I appreciate your comments very much.

[Guest justinwakefield]

I have been extremely lucky with my medical health based on the number of people I have slept with. I remember talking to Michael Lucas in NYC about a quote he gave regarding remaining HIV-negative even though he estimates to have slept with close to 10,000 men (Ten Thousand in case you think that's a typo, boys!) in his line of work as a porn star and producer. Even if that number was grossly exaggerated... the point remains: if you are an escort/sex trade worker you should automatically get checked out more than the average person. Everyone should go once a year for a general check-up and STD screen. Those people who are adamant about such things (read: responsible) usually go twice a year. I think in our industry it is important to go 3-4 times a year (every 3 or 4 months) and I generally do try my best to do this. Obviously, if you are paying attention to the signs (after all, no one knows your body as well as yourself) you go to the doctor right away if you notice something out of the ordinary and get it dealt with immediately and before it becomes a problem to yourself and others. There is no point in waiting and hoping something is gonna get better of its own accord. The more we live in ignorance of our health, the more we (in)advertently damage others.

[buckguy]

Re: Upthread (Louis)---

 

I work in an area related to HIV vaccines. We are many years away from having an effective vaccine, so perish the thought. The current candidates going into trials are much better than those that were tested 10 years ago, but there's a long way to go.

 

In general, sexually active people should get tested. people who have sex with lots of partners should be seen more often, escort, client, whatever. Some STDs can be transmitted orally or through receptive anal sex.

[+ purplekow]

>

>>Chlamydia: Takes 5 to 10 days to incubate after exposure

>before you get symptoms - if you get symptoms. A lot of men,

>if not most, don't have obvious if any symptoms from

>chlamydia; problem is that it can cause sterility in women and

>sometimes in men as well. Symptoms when they occur tend also

>to be burning and stinging when you pee. The test is also

>just a simple urine test like with gonorrhea. Treatment is a

>single dose of 100mg of azithromycin.

>

>Nice post Typo here though 1000 mg of Zithro.

[Doctor]

whoops! Yes - it's 1000mg azithromycin. Thanks for catching that.

[+ purplekow]

>whoops! Yes - it's 1000mg azithromycin. Thanks for catching

>that.

Just in case there are some self medicators out there. What am I thinking of, no one here would ever dream of taking drugs without the

input of a doctor. No one would ever go down to a Pet store where, they sell a wide selection of antibiotics at quite a discounted price for the purpose of sterilizing aquaria and then use those antibiotics to self medicate.

[+ Tygerscent]

RE: self medicating

 

Ya... probably not a good idae to go the pet store pharmacy route... different antibiotics kill different bacteria. Some can have a narrow spectrum of treatment application. Taking the wrong drug for a condition might clear the supperficial infection but also not Clear it completely only to resurface as a stronger resistant bug.

 

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