A threesome with HIV

Posted on August 29, 2013 by drtan

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I see patients of all sexual orientations in my clinic. I do not judge and I firmly believe that everyone is free to do whatever he or she so desires as long as it does not harm anyone else. For the record, I support repealing the 377A penal code in Singapore.

However, the unfortunate reality is that men who have sex with men (MSM) are at a greater risk of contracting HIV. From my own clinic’s statistics, overall 40% of HIV positive cases that we diagnose are MSMs and another 20% are men who have sex with both men and women (MSMW).

This sets the background the story I am going to tell.

It involves this couple. They are both men, they are both my patients and they have been together for a long time. They are easily the most pleasant and polite people you are ever going to come across. Let’s call them Couple M.

One evening, Couple M was hanging out and chilling at their favourite joint.  It was a relaxing evening. Not long after they have settled down to their drinks, a young suave gentleman came up to introduce himself. Let’s call him Mr G. They soon hit it off and became good friends. They exchanged numbers and soon were spending quite a bit of time together.

Mr G was also MSM and after a while, asked Couple M if he could join them in the bedroom. They agreed.  2 weeks later, Mr G appeared worried. He asked Couple M if they were sure they were not infected with HIV. Couple M was rather perplexed. Shouldn’t they be the ones asking Mr G if he was HIV positive or not?

In order to allay Mr G’s fears, Couple M decided to undergo a HIV test together. They had it done at my clinic on a Saturday morning. They sat on the couch together as we watched both tests turn positive. I drew a blood sample from both of them for confirmatory testing. However, I advised them not to be too hopeful of the Western Blot confirmatory test showing a different result. Because the positive line on the screening test, although relatively faint, was solid. I advised them to consider life with https://www.canadianpharmacyon.net/will-possible-addiction-problems-treated-concerning-ambien/.

2 weeks later, they met me again at the clinic to find out the results of their ELISA and Western Blot tests.  Both were positive. This confirmed their HIV positive status as we suspected since the positive screening test.  They had already made arrangements to see a HIV specialist outside of Singapore for treatment.

In these 2 weeks they tried to contact Mr. G. For some reason, he could not be contacted. His mobile phone was switched off, his Facebook page was inaccessible and there was no other way that couple M knew to contact him. Couple M was convinced that Mr. G was a Gift-Giver (someone who goes around intentionally trying to infect people with HIV). As bitter about this as they were, it does not change the fact that they are now both HIV +ve.

Learning points:

1. Never assume. You cannot tell if someone is HIV +ve or not just by looking at them. Saying ‘He/She is a nice normal guy/girl who works in a bank’ just does not cut it. You’ll be surprised how many times I have heard this from people trying to reassure themselves about their HIV risks.

2. Always use a condom. It might not be 100% protective but it is certainly better than 0% protection.

3. If you think you will be in a risky situation beyond your control, speak to your doctor about pre-exposure prophylaxis (PrEP).