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1
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I've been HIV positive for about ten
years, and on meds for seven.
2
00:00:07,720 --> 00:00:11,480
And that's part of my mantra for
barebacking, because my risk of
3
00:00:11,480 --> 00:00:14,060
people is very low. Though there is a
small risk.
4
00:00:14,880 --> 00:00:19,380
We keep trying again and again, to make
it rhyme with heart and pain.
5
00:00:19,700 --> 00:00:24,240
We keep beating ourselves to bits,
sucking secondhand fakes and tits. We're
6
00:00:24,240 --> 00:00:25,240
suckers for love.
7
00:00:26,100 --> 00:00:27,440
Suckers for love.
8
00:00:29,500 --> 00:00:30,620
Ready for love.
9
00:00:31,690 --> 00:00:35,390
And all lived up, but nowhere to go.
10
00:00:38,370 --> 00:00:41,890
All fucked up, and ready to fuck.
11
00:00:42,170 --> 00:00:46,430
Ready for love, and all lived up. All
fucked up, and ready to fuck.
12
00:00:47,010 --> 00:00:51,370
The bareback cucks in London, there's a
lot of barebacking in London. Certainly
13
00:00:51,370 --> 00:00:55,330
in the bars, the saunas, and the sex
clubs and so on. Online, there's a
14
00:00:55,330 --> 00:00:57,110
of people seeking out bareback sex.
15
00:00:57,630 --> 00:01:01,330
It's easier to cope with rejection, and
I still get rejection now and again, and
16
00:01:01,330 --> 00:01:02,330
I declare my stator.
17
00:01:02,530 --> 00:01:05,730
Wherever you go, I think, the long and
the short of it is, wherever you go in
18
00:01:05,730 --> 00:01:08,070
London where sex is being had, you will
find barebacking.
19
00:01:08,390 --> 00:01:11,690
OK, there's still plenty of people who
are willing to get out condoms, but it's
20
00:01:11,690 --> 00:01:15,690
not unusual to enter into any sexual
encounter, wherever it is, on the scene
21
00:01:15,690 --> 00:01:18,890
London, whether it's in somebody's house
or a bar or a club, and nobody is going
22
00:01:18,890 --> 00:01:19,950
to produce a condom.
23
00:01:20,330 --> 00:01:25,450
The fact that there's so much bareback
sex that goes on in Berlin is something
24
00:01:25,450 --> 00:01:32,260
don't... fully understand i think that
it attracts positive men because the
25
00:01:32,260 --> 00:01:36,960
theme is more spoken about i mean there
are there are positive parties in berlin
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00:01:36,960 --> 00:01:40,940
which i think a lot of people don't have
at all but i think that you can't
27
00:01:40,940 --> 00:01:46,400
assume that i think there are also and
maybe it's a generational thing a lot of
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00:01:46,400 --> 00:01:50,620
people who bear back because they don't
seriously take or they don't take
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00:01:50,620 --> 00:01:54,420
seriously the risks of contracting hiv
anymore even
30
00:01:55,600 --> 00:02:01,720
Healthy people go to those parties and
they
31
00:02:01,720 --> 00:02:08,139
know that on this party there's just
only barebacking. In terms of bareback
32
00:02:08,139 --> 00:02:14,260
partying in London specifically, I think
there has been a rise of people willing
33
00:02:14,260 --> 00:02:18,580
to or wishing to go to parties where
they don't have to negotiate, say, sex
34
00:02:18,580 --> 00:02:20,720
because everybody knows the score.
35
00:02:21,080 --> 00:02:22,480
And under this condition...
36
00:02:22,700 --> 00:02:28,160
A practice B with C and C with A and D
with A.
37
00:02:28,480 --> 00:02:35,300
They have a pool of infectious diseases
in this situation,
38
00:02:35,640 --> 00:02:42,480
let's say between 20 people, that the
risk to get something about it is very,
39
00:02:42,540 --> 00:02:46,420
very high. And the result we see in our
daily work.
40
00:02:46,700 --> 00:02:48,020
I've got a long -term partner.
41
00:02:48,900 --> 00:02:53,560
And, obviously, me and him always have
unprotected sex because it's a long
42
00:02:53,560 --> 00:02:54,560
relationship.
43
00:02:55,300 --> 00:03:02,060
There have been lots of incidents where
I've slipped up, where I've gone out and
44
00:03:02,060 --> 00:03:07,440
had casual sex with an anonymous person
and I've not used a condom, usually as a
45
00:03:07,440 --> 00:03:11,600
top. And then, obviously, following
this, I have to go through this kind of
46
00:03:11,600 --> 00:03:16,380
period of contrition where I have to sit
down with my partner, tell him that
47
00:03:16,380 --> 00:03:17,380
I've fucked up.
48
00:03:17,960 --> 00:03:20,220
Tell him that I've got to go for a test.
49
00:03:20,840 --> 00:03:26,060
And I guess I assumed that if I became
positive, I'd still continue to have
50
00:03:26,060 --> 00:03:27,900
repetitive sex.
51
00:03:28,620 --> 00:03:34,020
But in actual fact, the reality is that
I have quite a lot of bareback sex.
52
00:03:34,460 --> 00:03:38,120
It's usually in the context of a big,
heavy, trashy night with booze and drugs
53
00:03:38,120 --> 00:03:40,300
that sometimes you end up slipping up.
54
00:03:40,940 --> 00:03:43,860
Generally, I bareback by default. That's
my preference.
55
00:03:44,510 --> 00:03:48,310
And I belong to a couple of pos fights,
so my preference is only bareback with
56
00:03:48,310 --> 00:03:52,130
guys who I know who are pos, or rather,
who state they are pos.
57
00:03:52,730 --> 00:03:59,330
I do have bareback sex with other
positive partners that I mostly meet
58
00:03:59,330 --> 00:04:06,190
and in positive websites, and we discuss
things like other diseases and viral
59
00:04:06,190 --> 00:04:12,370
loads and resistance strains, and then
make decisions about...
60
00:04:22,000 --> 00:04:25,860
So my preference is bareback, but I
always disclose that they know my
61
00:04:26,040 --> 00:04:29,820
and I always ask them, and I include Hep
C in those questions as well, and
62
00:04:29,820 --> 00:04:32,180
discover their Hep C status.
63
00:04:43,740 --> 00:04:50,480
I might have multiple partners, anywhere
between three and a dozen,
64
00:04:50,560 --> 00:04:51,560
even.
65
00:04:51,980 --> 00:04:52,980
Well,
66
00:04:54,120 --> 00:05:00,580
I probably have sex two or three times a
week with my partner, and maybe once a
67
00:05:00,580 --> 00:05:02,460
week with a stranger.
68
00:05:02,920 --> 00:05:07,620
And if they're a bit druggy, the
parties, I mean, that could elongate,
69
00:05:07,680 --> 00:05:09,620
into five or six guys in a session.
70
00:05:10,320 --> 00:05:14,280
I kind of think it's a bit of a sideshow
to talk about the number of sexual
71
00:05:14,280 --> 00:05:15,280
partners.
72
00:05:15,660 --> 00:05:21,020
I've had rather a lot in the past, and
73
00:05:21,020 --> 00:05:27,600
I've actually maintained close sex since
1982, when my GP at that time said,
74
00:05:27,780 --> 00:05:32,140
when are you gay boys going to start
using condoms? And I said, never, having
75
00:05:32,140 --> 00:05:35,040
just caught rectal gonorrhoea, and
that's the last STD I had.
76
00:05:35,600 --> 00:05:38,300
It's something which we actually have
been kind of...
77
00:05:38,650 --> 00:05:40,390
starting to look at a bit more.
78
00:05:41,010 --> 00:05:45,430
I think there's a couple of points here.
I mean, one, it shouldn't be forgotten
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that it's estimated that a third of gay
men who are infected believe that
80
00:05:51,390 --> 00:05:54,930
they're infected as a result of sex
within a relationship.
81
00:05:55,370 --> 00:05:58,830
So it isn't actually just about having
lots and lots of sexual partners.
82
00:05:59,050 --> 00:06:01,430
It's actually what you do with the
sexual partners that counts.
83
00:06:02,670 --> 00:06:07,550
And I'm not even sure that the more sex
you have, the more likely you are to
84
00:06:07,550 --> 00:06:09,610
have unsafe sex at any time in the
future.
85
00:06:09,910 --> 00:06:12,590
In fact, actually, it's a bit like
anything.
86
00:06:12,830 --> 00:06:14,750
It's like riding a bike. Practice makes
perfect.
87
00:06:15,570 --> 00:06:21,530
And I think that one problem with that
is recreational drugs. And I think that
88
00:06:21,530 --> 00:06:27,270
you are sometimes put in a situation
where you are no longer able to continue
89
00:06:27,270 --> 00:06:30,630
with your personal defences against...
90
00:06:31,180 --> 00:06:32,780
What you do not want to have.
91
00:06:40,880 --> 00:06:44,140
Bareback porn, I went to shoot for my
studio myself.
92
00:06:44,600 --> 00:06:48,320
I know that there's a lot of it out
there. I'm told, why don't you do
93
00:06:48,400 --> 00:06:51,240
Because it sells better. I don't have
that opinion, actually.
94
00:06:52,080 --> 00:06:59,000
I guess I have a mixed attitude to
bareback porn. I always enjoyed it, but
95
00:06:59,000 --> 00:07:00,020
retrospect...
96
00:07:00,750 --> 00:07:07,630
I think it's probably how to desensitise
me somewhat, or desensitise me to have
97
00:07:07,630 --> 00:07:08,630
protected sex.
98
00:07:09,070 --> 00:07:15,130
Immediately doing bareback, it
transpires, it closes doors to me,
99
00:07:15,130 --> 00:07:17,570
certain US studios.
100
00:07:18,090 --> 00:07:21,810
They ask the question, even at the entry
page of the website, have you done
101
00:07:21,810 --> 00:07:22,709
bareback before?
102
00:07:22,710 --> 00:07:26,330
Or even if you're known to have done it
under a different name, you don't get to
103
00:07:26,330 --> 00:07:28,830
proceed any further, so there's a stigma
attached to it.
104
00:07:29,480 --> 00:07:31,660
Porn stars are generally very sexual
people.
105
00:07:31,880 --> 00:07:34,960
They do the sex, and then they're going
to have more sex, you know, privately.
106
00:07:35,540 --> 00:07:41,660
And I see more sorts of things that are
contrary to what they're portraying.
107
00:07:42,500 --> 00:07:47,420
I'm certainly aware of younger guys only
watching or using bareback porn, and it
108
00:07:47,420 --> 00:07:49,260
must be having an impact on them.
109
00:07:49,860 --> 00:07:54,160
A lot of younger guys seem to be
barebacking who are negative, doing it
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00:07:54,160 --> 00:07:55,160
choice.
111
00:07:55,380 --> 00:07:58,820
Therefore, the conclusion I draw is that
it must be having an impact.
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00:07:59,320 --> 00:08:00,299
on their behaviour.
113
00:08:00,300 --> 00:08:05,580
I don't think people see a film and jump
and go and do feedback straight away.
114
00:08:05,800 --> 00:08:12,260
I think people do what they see and if
they see something often enough they'll
115
00:08:12,260 --> 00:08:13,260
start doing it.
116
00:08:13,380 --> 00:08:16,280
I think it's absolutely, clearly
dangerous for the performers.
117
00:08:16,680 --> 00:08:23,300
We've seen a recent example in LA in the
last month of someone, actually it
118
00:08:23,300 --> 00:08:26,800
turns out they weren't suspected from
doing the performance but they were
119
00:08:26,800 --> 00:08:27,800
as partners at risk.
120
00:08:28,030 --> 00:08:30,870
as a result of doing pornographic
filming afterwards.
121
00:08:31,270 --> 00:08:35,309
I think it's dangerous for people who
view it in terms of it normalises
122
00:08:35,309 --> 00:08:36,309
unprotected sex.
123
00:08:36,450 --> 00:08:38,730
Often it fetishises unprotected sex.
124
00:08:39,110 --> 00:08:43,390
I don't think it has any part of the
civilised society, to be honest. I think
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00:08:43,390 --> 00:08:46,930
it's like watching gladiators kill
themselves in ancient Rome.
126
00:08:47,810 --> 00:08:49,630
I'm really, really against it.
127
00:08:50,590 --> 00:08:54,930
Why do I assume that the two guys having
their back born, whatever you want to
128
00:08:54,930 --> 00:08:56,690
call it, without anything on them,
are...
129
00:08:57,000 --> 00:09:01,240
Either both positive, one negative, one
positive, or both negative.
130
00:09:01,600 --> 00:09:05,880
Now, I kind of think that, apropos of
the gladiators, I love seeing
131
00:09:05,940 --> 00:09:08,840
you know, killing each other. It's kind
of fun.
132
00:09:09,360 --> 00:09:14,060
And actually, I don't immediately want
to go out and kill somebody in Britain.
133
00:09:17,420 --> 00:09:20,760
I'm sure it's that civil liberties
thing. I mean, if you want to watch it,
134
00:09:20,760 --> 00:09:24,360
it. If you don't, don't. But no, I don't
think anybody should be telling you not
135
00:09:24,360 --> 00:09:29,900
to watch it. It just doesn't seem right
to me. It doesn't feel right. I think if
136
00:09:29,900 --> 00:09:35,820
you look at when the riots took place in
the late
137
00:09:35,820 --> 00:09:42,560
90s, it preceded the widespread access
to bare -back
138
00:09:42,560 --> 00:09:43,560
tourism.
139
00:09:44,430 --> 00:09:48,730
You know, the claim that sometimes is
made that bareback porn is a major cause
140
00:09:48,730 --> 00:09:55,150
of the amount of unprotected sex and
spread of HIV amongst the gay community
141
00:09:55,150 --> 00:09:59,610
an exaggeration. And I think if Prowler
and other gay stores took the bareback
142
00:09:59,610 --> 00:10:03,390
videos, DVDs, off the...
143
00:10:13,260 --> 00:10:19,620
I use condoms when I'm with somebody
who's negative,
144
00:10:19,980 --> 00:10:26,620
always. But when I'm with other positive
men, it might mean that I
145
00:10:26,620 --> 00:10:30,420
only have sex with people that I know
and I've had a conversation about other
146
00:10:30,420 --> 00:10:32,520
infections with. I try and avoid
147
00:10:35,700 --> 00:10:38,500
I'll go up to the screen every three
months or so, whether I've got symptoms
148
00:10:38,500 --> 00:10:43,320
not. My clinic has a great scheme where
if you're positive, you have fast access
149
00:10:43,320 --> 00:10:44,860
to standard STD treatment.
150
00:10:45,240 --> 00:10:49,820
If I have any symptoms, I tell my recent
partners, I get treated, and I hope
151
00:10:49,820 --> 00:10:51,480
that my recent partners will do the
same.
152
00:10:51,700 --> 00:10:52,700
It's a courtesy thing.
153
00:10:54,880 --> 00:10:59,100
It's part of the responsibility of
having lots of casual sex. You need to
154
00:10:59,100 --> 00:11:00,100
protect one another.
155
00:11:00,750 --> 00:11:03,150
And I ended up meeting somebody in the
street.
156
00:11:04,170 --> 00:11:10,790
We had a short talk and it was quite
obvious that there was a sort of
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00:11:10,790 --> 00:11:16,190
situation and I told him that I was
going home and he invited himself to
158
00:11:16,190 --> 00:11:17,190
with me.
159
00:11:17,270 --> 00:11:22,970
So we ended up at home getting even more
intoxicated and having great sex.
160
00:11:24,890 --> 00:11:28,030
And he told me that he wanted me to fuck
him.
161
00:11:30,620 --> 00:11:34,880
didn't ask at all about condoms so I
stopped him and said well because he was
162
00:11:34,880 --> 00:11:41,460
very young guy and I said listen I'm HIV
positive and he said oh that's okay
163
00:11:41,460 --> 00:11:48,020
it doesn't matter and then later on he
164
00:11:48,020 --> 00:11:54,120
asked me the time and said he had to go
back to his girlfriend and that really
165
00:11:54,120 --> 00:11:55,120
surprised me
166
00:11:58,240 --> 00:12:02,920
I wonder if that was just a one -off or
if that is the attitude of a younger
167
00:12:02,920 --> 00:12:04,480
generation. I guess he was in his
twenties.
168
00:12:40,910 --> 00:12:45,690
So I wrote this song called HIV is the
New Virginity. The song is supposed to
169
00:12:45,690 --> 00:12:52,350
like kind of an HIV positive empowerment
statement, but also kind of like a
170
00:12:52,350 --> 00:12:57,390
queer political manifesto in a way, but
acting as a metaphor for a no future
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00:12:57,390 --> 00:12:58,390
statement.
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00:13:27,519 --> 00:13:32,800
I know exactly how I became infected. A
big sexy skinhead fucked me bareback. I
173
00:13:32,800 --> 00:13:34,420
knew what I was doing. I wasn't drunk.
174
00:13:34,640 --> 00:13:35,640
I wasn't off my face.
175
00:13:35,860 --> 00:13:37,480
It was a conscious decision, a risk.
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00:13:38,040 --> 00:13:41,440
I took the risk and it didn't pay off.
And I'm afraid that's a pretty common
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story. The sensible advice is...
Particularly if you don't want to become
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00:13:45,580 --> 00:13:47,040
positive, wear a condom.
179
00:13:47,400 --> 00:13:48,560
Wear one that fits.
180
00:13:48,820 --> 00:13:51,700
Use a water -based lube and you probably
won't get infected.
181
00:13:52,160 --> 00:13:55,120
Just don't assume anything about your
partner.
182
00:13:55,560 --> 00:14:01,200
And also realise that somebody who knows
that they're HIV positive and has a
183
00:14:01,200 --> 00:14:07,760
negative or undetectable or very low
viral load is very unlikely to give you
184
00:14:07,760 --> 00:14:08,760
virus.
185
00:14:09,080 --> 00:14:13,900
You're much more at risk from somebody
who seems to be healthy and have no idea
186
00:14:13,900 --> 00:14:15,180
that they've just contracted it.
187
00:14:15,380 --> 00:14:19,440
But it's amazing how many people with a
drippy dick will go to the sauna and
188
00:14:19,440 --> 00:14:23,160
have sex with 10 people and then come to
see me the next day and go, oh, I had a
189
00:14:23,160 --> 00:14:25,700
drippy dick for three days, but I didn't
do anything about it.
190
00:14:26,120 --> 00:14:31,640
The second thing is to be aware that
actually protective sex works. Wearing a
191
00:14:31,640 --> 00:14:37,120
condom works not only to protect you
against HIV, it protects you against
192
00:14:37,120 --> 00:14:37,939
of other things.
193
00:14:37,940 --> 00:14:38,940
I know that...
194
00:14:39,850 --> 00:14:44,310
Just about every time that I've ended up
in a backpacking situation, it's always
195
00:14:44,310 --> 00:14:46,890
been in the context of being pretty
high.
196
00:14:47,610 --> 00:14:51,730
And when your normal sort of reasoning
is slightly gone out the window.
197
00:14:52,070 --> 00:14:58,330
You have to be aware what happens to you
when you drink and when you take drugs.
198
00:14:58,990 --> 00:15:05,730
Don't bring yourself too easily in a
dangerous situation.
199
00:15:06,490 --> 00:15:08,230
Don't go with cocaine.
200
00:15:27,520 --> 00:15:32,280
So, yeah, I think it's probably a good
point of advice for myself, that I think
201
00:15:32,280 --> 00:15:33,280
as you say, well...
202
00:15:35,340 --> 00:15:38,860
It's not a question of, oh, don't get
off your face, because if you get high,
203
00:15:38,980 --> 00:15:39,980
you'll not use the condoms.
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00:15:40,080 --> 00:15:44,360
It's trying to instill in me some sense
of responsibility when I'm high.
205
00:15:51,540 --> 00:15:54,900
We have holes in our hearts that our
blood runs through.
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00:15:55,600 --> 00:15:58,320
Holes in our hearts that our blood runs
through.
207
00:15:59,000 --> 00:16:01,700
Holes in our hearts that our blood runs
through.
208
00:16:02,360 --> 00:16:03,920
Holes in our hearts.
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00:16:08,520 --> 00:16:13,520
Nowadays, we've slipped back into unsafe
sex.
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00:16:13,820 --> 00:16:18,400
A lot of my younger counterparts are
barebacking.
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00:16:19,060 --> 00:16:25,220
I'm not sure why, but because, again,
they need to take a pill and they don't
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00:16:25,220 --> 00:16:29,460
die. But that's not exactly going to
solve everything because I would rather
213
00:16:29,460 --> 00:16:32,420
negative, to be honest with you, because
I don't have to keep going to the
214
00:16:32,420 --> 00:16:36,150
hospital. costing the government money
for leaving jail.
215
00:16:36,430 --> 00:16:42,670
The costs for HIV infection in the total
length are about
216
00:16:42,670 --> 00:16:47,990
500 ,000 euros.
217
00:16:48,370 --> 00:16:55,350
In terms of the financial issues around
HIV and their backing, any new infection
218
00:16:55,350 --> 00:16:57,770
costs a vast amount of money.
219
00:16:58,170 --> 00:17:02,450
And we're probably talking over the
lifetime of a patient of...
220
00:17:02,970 --> 00:17:04,670
400, 500 ,000.
221
00:17:05,170 --> 00:17:11,670
So it is comparable with other long
-term, not
222
00:17:11,670 --> 00:17:13,510
healable diseases.
223
00:17:14,030 --> 00:17:19,250
So the issues of catching another
sexually transmitted disease on top of
224
00:17:19,250 --> 00:17:20,250
a number of things.
225
00:17:20,349 --> 00:17:24,530
Syphilis, which is much more difficult
to treat and much more unpleasant when
226
00:17:24,530 --> 00:17:25,409
you have HIV.
227
00:17:25,410 --> 00:17:29,630
So it's more likely to be secondary
syphilis, which is a whole body.
228
00:17:30,590 --> 00:17:35,470
phenomenon and occasionally
neurosyphilis which is when it gets into
229
00:17:35,470 --> 00:17:39,310
and we have had a number of patients
very very sick with syphilis I think the
230
00:17:39,310 --> 00:17:44,330
biggest issue is hepatitis C there's no
hep C vaccine at the moment and there's
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00:17:44,330 --> 00:17:49,770
a recent rise in hep C in gay men mainly
through blood in fact there's good
232
00:17:49,770 --> 00:17:54,950
evidence that really it is only blood
and maybe blood infected other
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00:17:57,000 --> 00:18:02,240
secretions like semen that's bloody that
will transmit hcv we are all about
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00:18:02,240 --> 00:18:09,180
blood so and even in the anal region
when we check the
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00:18:09,180 --> 00:18:16,080
anal region every day 15 15 times 50
times so it's always bloody because
236
00:18:16,080 --> 00:18:22,460
the hemorrhoids are very thin tissue and
just
237
00:18:22,460 --> 00:18:25,020
when you when you touch it
238
00:18:36,580 --> 00:18:43,460
And the difference in
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00:18:43,460 --> 00:18:48,100
progression to serious liver disease
between people who are singly infected
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00:18:48,100 --> 00:18:51,320
Hep C and dually infected is about
tenfold.
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00:18:51,920 --> 00:18:57,580
So that where you might expect to live
20 or 30 years before you start to get
242
00:18:57,580 --> 00:19:02,360
serious liver disease, many people, not
all, but many people with HIV and Hep C
243
00:19:02,360 --> 00:19:05,620
start to get serious liver fibrosis
after three or four years.
244
00:19:06,280 --> 00:19:07,900
So it's kind of not a good combination.
245
00:19:08,500 --> 00:19:12,360
My thoughts on Hep C? Well, I've got
some fairly strong thoughts because I
246
00:19:12,360 --> 00:19:14,100
became co -infected some time ago.
247
00:19:14,949 --> 00:19:18,950
It took a little while to get the
treatment to work. I had two stabs at
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00:19:18,950 --> 00:19:20,230
it did work. It took a year.
249
00:19:20,490 --> 00:19:25,150
I had a fairly light time on it, but
many people don't. The treatment is
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00:19:25,150 --> 00:19:26,290
to cause depression.
251
00:19:26,910 --> 00:19:28,950
It can be very heavy on the system.
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00:19:29,150 --> 00:19:32,450
It's like having the flu for a year, a
proper flu, not man flu.
253
00:19:32,650 --> 00:19:36,510
And I'll pretty much always ask, do you
know your hep C status?
254
00:19:36,790 --> 00:19:37,790
What is it?
255
00:19:38,250 --> 00:19:40,470
I don't think it's something that I've
thought about very much.
256
00:19:40,880 --> 00:19:43,880
to be honest, which is worrying because
I know it's on the upward trend and it's
257
00:19:43,880 --> 00:19:45,700
not something that is discussed very
much at all.
258
00:19:46,260 --> 00:19:50,440
And, you know, people always associate
liver disease with alcoholism and forget
259
00:19:50,440 --> 00:19:54,340
that it can be, you know, contracted to
sex, you know.
260
00:19:55,440 --> 00:20:01,780
Hepatitis B is hugely significant in
terms of the impact it has on the
261
00:20:01,780 --> 00:20:03,560
of people living with HIV.
262
00:20:03,780 --> 00:20:05,460
There was a study that I read today.
263
00:20:06,360 --> 00:20:12,120
from Italy where hepatitis C co
-infection was implicated in 40 % of
264
00:20:12,120 --> 00:20:15,840
deaths amongst the cohorts of people
living with HIV.
265
00:20:16,460 --> 00:20:20,980
I used to use condoms but I also used to
seek out bareback sex and used to have
266
00:20:20,980 --> 00:20:25,860
a strategy of trying to avoid risk of
guys not coming in me. It obviously
267
00:20:25,860 --> 00:20:26,940
and I'm positive.
268
00:20:27,680 --> 00:20:32,920
And in some ways I think that was an
inevitable trajectory for my personal
269
00:20:32,920 --> 00:20:33,920
life and
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00:20:34,639 --> 00:20:36,040
area of the scene in London?
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00:20:36,640 --> 00:20:40,640
You say to yourself, if I go out tonight
and I meet somebody, I will use
272
00:20:40,640 --> 00:20:43,200
condoms. And you always imagine that you
will.
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00:20:43,740 --> 00:20:48,060
And these situations where you end up
not using one always happen in the
274
00:20:48,160 --> 00:20:50,180
You would never have planned to not use
a condom.
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00:20:51,400 --> 00:20:55,960
So my precautions are to try and always
use condoms, even if I'm not always
276
00:20:55,960 --> 00:20:58,740
successful or I don't always pull mine
out quick enough.
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00:20:59,690 --> 00:21:03,730
If somebody wants to bear back sex with
me, it will depend on the context.
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00:21:04,050 --> 00:21:07,710
Generally, it's online these days, and
if it's through a certain website, many
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00:21:07,710 --> 00:21:11,410
of those sites ask their status. They
may state what it is.
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00:21:12,010 --> 00:21:13,470
I never take that for granted.
281
00:21:13,790 --> 00:21:18,970
If I end up in a situation where
somebody clearly wants to have sex
282
00:21:18,970 --> 00:21:22,190
using a condom, it can be either one or
two things.
283
00:21:22,410 --> 00:21:26,250
I'm negative, and sometimes I end up
having bear back sex.
284
00:21:26,530 --> 00:21:29,050
Sometimes I think that the person is...
285
00:21:29,320 --> 00:21:32,060
being equally sort of maybe a bit
reckless, like me.
286
00:21:33,720 --> 00:21:38,120
Or, of course, you think to yourself,
well, there's a chance that they're
287
00:21:38,120 --> 00:21:39,120
probably positive.
288
00:21:39,480 --> 00:21:46,440
And, of course, suddenly becoming
positive, I had to try and change
289
00:21:46,440 --> 00:21:51,720
my headspace completely and assume that
everybody else is negative and protect
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00:21:51,720 --> 00:21:55,220
them accordingly. But, of course, if
you're in a bareback club or you're in a
291
00:21:55,220 --> 00:22:00,050
club where most people are barebacking,
and people come straight onto you and
292
00:22:00,050 --> 00:22:06,690
either refuse or don't offer to use a
condom, I
293
00:22:06,690 --> 00:22:10,210
feel that it's very likely that they're
positive.
294
00:22:10,730 --> 00:22:12,130
Would I prefer to be HIV negative?
295
00:22:12,670 --> 00:22:15,610
Sometimes I'm not sure I would, frankly.
That may sound terrible.
296
00:22:15,990 --> 00:22:20,050
I don't spend a lot of time thinking
about whether I would prefer to be
297
00:22:20,050 --> 00:22:22,070
because I can't change it.
298
00:22:22,270 --> 00:22:25,550
But I guess if I could go back to the...
299
00:22:26,070 --> 00:22:30,590
time that I contracted it and choose
again, then I would certainly walk away.
300
00:22:31,150 --> 00:22:36,030
However, I have to say as well that that
would mean I would have lost out on a
301
00:22:36,030 --> 00:22:40,850
lot of positive experiences as well as
difficult ones that I've had since I
302
00:22:40,850 --> 00:22:42,070
became positive.
303
00:22:42,390 --> 00:22:47,130
So I guess I'm glad that it's a
hypothetical question for me, but I find
304
00:22:47,130 --> 00:22:48,130
to answer.
305
00:22:48,270 --> 00:22:50,870
I'm on meds. The meds work very well.
306
00:22:51,070 --> 00:22:52,650
I take one pill once a day.
307
00:22:53,320 --> 00:22:55,100
I'm pretty fit and healthy, I have a
good diet.
308
00:22:55,520 --> 00:22:58,460
In the time that I've been positive,
I've had a number of long -term
309
00:22:59,160 --> 00:23:01,760
I've changed jobs, done lots of things,
been travelling.
310
00:23:02,300 --> 00:23:07,060
You know, life goes on. It is one aspect
of life, but it isn't the single
311
00:23:07,060 --> 00:23:08,060
defining one.
312
00:23:08,220 --> 00:23:10,320
No, I wouldn't prefer to be HIV
positive.
313
00:23:11,100 --> 00:23:13,380
Because there are other people involved,
there's family and friends involved,
314
00:23:13,460 --> 00:23:16,480
and you have to go through, particularly
if you've got a partner, you've got to
315
00:23:16,480 --> 00:23:18,220
go through a whole process where you've
got to tell them.
316
00:23:18,500 --> 00:23:21,520
But of course there's moments where you
just think, I would like to increase,
317
00:23:21,720 --> 00:23:22,720
you know.
318
00:23:23,150 --> 00:23:29,950
As an adult gay male, I'd like to
increase my capacity for wild sex that
319
00:23:29,950 --> 00:23:30,950
involve condoms.
320
00:23:31,210 --> 00:23:33,090
But I still don't think it's really
worth paying the price.
321
00:23:33,430 --> 00:23:36,030
I've often been at parties and thought,
I wish I was positive because I could
322
00:23:36,030 --> 00:23:39,050
just run around and stick it in everyone
and not worry at all.
323
00:23:39,690 --> 00:23:43,470
And the upside is there's much more
pleasurable, bareback, filthy sex.
324
00:23:43,710 --> 00:23:48,930
And generally, most people I know would
say that they would do bareback sex if
325
00:23:48,930 --> 00:23:50,110
it were risk -free.
326
00:23:50,920 --> 00:23:53,920
I think it's very difficult to quantify.
There have been a number of studies
327
00:23:53,920 --> 00:24:00,380
that looked at the individual risk of
catching HIV from barebacking, either at
328
00:24:00,380 --> 00:24:05,080
the top or at the bottom. The estimate
for the bottom is about 1 in 100, and
329
00:24:05,080 --> 00:24:10,000
estimate for a top is about 1 in 1 ,000.
But I think it very much depends on the
330
00:24:10,000 --> 00:24:14,160
environment of what the population
you're dealing with are.
331
00:24:27,760 --> 00:24:34,460
It's hard to deny that the actual
physical sensation of bareback is more
332
00:24:34,460 --> 00:24:38,840
than having sex with a condom,
especially for the top, I think.
333
00:24:39,620 --> 00:24:44,200
And possibly emotionally it's more
intense as well.
334
00:24:44,900 --> 00:24:46,960
I was originally fascinated by
335
00:24:47,740 --> 00:24:53,860
barebacking when I saw it in like bars
and sex parties and clubs and so on go
336
00:24:53,860 --> 00:24:57,360
a place that wasn't a barebacking party
but that like pretty much everybody
337
00:24:57,360 --> 00:25:01,740
would be fucking without a condom and I
was first like terrified and like
338
00:25:01,740 --> 00:25:07,000
shocked and like whoa but then I was
also kind of fascinated by by this kind
339
00:25:07,000 --> 00:25:12,120
like apocalyptic feeling that that
everybody was just like like fucking
340
00:25:12,120 --> 00:25:17,040
there was no tomorrow or whatever or
going for the ecstasy of the moment and
341
00:25:17,040 --> 00:25:18,320
caring about the future.
342
00:25:18,600 --> 00:25:25,060
But I think that the most seductive
thing about barebacking is often simply
343
00:25:25,060 --> 00:25:30,120
fact that it's easier because you don't
have to mess around opening packets or
344
00:25:30,120 --> 00:25:31,560
opening crepes.
345
00:25:32,520 --> 00:25:36,780
Sex itself is quite naughty and it
provokes feelings of dirtiness and this
346
00:25:36,780 --> 00:25:38,060
like a heightened sort of extension.
347
00:25:39,680 --> 00:25:43,160
Before you know it, you're actually not
only not wearing a condom, but you're
348
00:25:43,160 --> 00:25:46,580
completely getting off on the fact that
you haven't got one on. What I found
349
00:25:46,580 --> 00:25:52,340
myself doing in a kind of panicked,
stupid, crazy sort of sense is entering
350
00:25:52,340 --> 00:25:56,160
sex, penetrating, getting somewhere down
the line, and then asking the person
351
00:25:56,160 --> 00:25:59,960
mid -spark as to whether they think
they're positive or not, and telling
352
00:25:59,960 --> 00:26:03,200
that I'm negative and I hope that
they're negative, which is slightly
353
00:26:03,200 --> 00:26:04,200
ridiculous.
354
00:26:05,700 --> 00:26:09,080
or going through with it and then at the
end just pleading with them to tell you
355
00:26:09,080 --> 00:26:13,000
that you are negative aren't you you
have been tested haven't you and
356
00:26:13,000 --> 00:26:16,220
you don't get that and I've had sex with
people where I've entered into it I've
357
00:26:16,220 --> 00:26:19,580
done it and then afterwards had the sort
of hand wringing and the upset and just
358
00:26:19,580 --> 00:26:24,360
saying by the way you know are you
negative and they've looked at me as if
359
00:26:24,360 --> 00:26:29,860
say you fucking idiot of course I'm not
and that's why I kind of entered into it
360
00:26:29,860 --> 00:26:34,550
so then you walk away going Oh shit,
right, well I've done it now, and it's
361
00:26:34,550 --> 00:26:35,550
the first time, you know?
362
00:26:35,810 --> 00:26:37,090
All fucked up!
363
00:26:38,190 --> 00:26:42,950
Ready to fuck, ready for love, and all
is up but nowhere to go!
364
00:26:43,870 --> 00:26:47,530
All fucked up and ready to fuck but
nowhere to go!
365
00:26:48,470 --> 00:26:52,850
Ready for love, all is up, all fucked up
and ready to fuck!
366
00:26:53,110 --> 00:26:57,330
Ready for love, all is up, all fucked up
and ready to fuck!
33498
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