A closer walk
The
love shack is a little old place where we can get together, love shack
baby, love shack." A faint ironic smile pulled at my lips:
I'd heard this song many times before, but never in this setting.
It was like the room was passing judgment, reminding me how I came to
be sitting in a genitourinary medicine (GUM) clinic. He was two metres
tall, had dark hair, a gorgeous deep voice, and a thing for blonde
girls. I was a blond wild child, enjoying the freedom of travelling,
who loved tall men. The condom split.
PIROZZI/UNAIDS
Close encounters of the dangerous kind
In the next six months, the incredible power of denial
had squashed words like chlamydia into a box and locked it tight. Until
now. I met another tall man and the thought of giving him a sexually
transmitted infection compelled me to have a sexual health check. But
the waiting list was five weeks, and three letters had been plaguing
me: HIV. Statistics swam around in my
head.......a third of HIV positive people
don't know they're
infected.......heterosexual sex on holiday in
high risk countries is the key reason for the rise in new HIV
infections in the United Kingdom.......The GUM
clinic had a walk-in HIV testing centre. So I walked
in.
While tapping my fingers in a
mildly maniacal manner I scanned the waiting room. Does she have
gonorrhoea? Is he going to find out he has hepatitis? Wait: what do
they think I have? My mono-logue paused as the
counsellor called my name. I was met by a pleasant woman, who asked, in
the tone of someone inquiring about the weather, why I thought I might
have HIV. I stared intently at a fascinating stain on the curtains
while I explained. Four minutes later I walked out of the room,
considering her final question: what if I have HIV? She had seemed
satisfied by my mutterings, but I wasn't. My hard
earned knowledge of HIV/AIDS fed my fear, neglecting
latency in favour of falling CD4 counts and Kaposi's
sarcoma.
I tried to distract my
disobedient mind by concentrating on how environmentally friendly the
nurse's son was. "He picks up other
people's litter.......really?
Are you worried about taking my blood because it might have HIV in it?
No, I can't imagine that's very
clean.......Are Are you wondering why
I've ended up here? As long as he washes his
hands.......Are Are you judging me? Thanks. See
you later......" I hope I never see her
again.
The next day I called to hear
the engaged tone. Eight attempts and 25 minutes later, I reeled off my
number to be told I was negative. She congratulated me and hung up. I
cried. And cried some more as all the stress and worry was finally
acknowledged and released. And that was just having the test and it
being negative. I was lucky enough to never have to find out: what
if?
studentBMJ 2006;14:441-484 December ISSN 0966-6494