]]> anal sex by the amazing Jose Salano.. a "peaceful" man who simply cares about the public health of our nation's homosexuals. This is a man who as far as I know has no medical background whatsoever yet has somehow managed to sift through the epidemiology biostatistics and medical knowledge that surrounds STDs gay men. HIV and anal sex to provide new recommendations for all our nation's youth and adults!!!I'm very impressed. I guess he at least he doesn't use dead people analogies the way Culturologist does. *My comments are in italics*"Peace Jane Know. You are not under attack. Cease fire. (Yes because it is possible to transmit HIV from one non-infected person to another solely by anal sex. Well according to homobigots like you. Since when did you care so much about gay people and their rectal tears anyway?) The environment of the vagina is far cleaner than the rectum with its enormously toxic fecal matter. Homosexual men are disproportionately vulnerable to diseases such as hepatitis B and a variety of rare conditions such as shigellosis and Giardia lamblia infection which are collectively referred to as the “Gay Bowel Syndrome. Among the numerous diseases which are caused by anal sex are amebiasis campylobateriosis. Chlamydia trachomatis. Treponema palidium etc. The list of these diseases contracted through anal intercourse is huge and includes rectal cancer. (None of these are spread only through anal sex. Chlamydia and syphilis (the disease caused by Treponema palidium) are spread through any sexual contact anal vaginal oral etc. That means gay and straight people get them. Did you cut and paste your little arguments from a Christian homobigot website that seriously skews the facts? Because I'm sure you would never intentionally try to mislead anyone. Further. HPV can cause rectal cancer. The same way it causes cervical cancer in women. Surely you wouldn't argue for women to stop the dangerous practice of having vaginal intercourse.) When you consider how homosexuals enjoy traumatizing the rectum with such rather common practices as “fisting” you can see why one can justifiably refer to their varieties of anal intercourse as perverse and vile. These activities are part and parcel of their form of “love making.” We cannot encourage such practices and we must warn children and everyone at the appropriate age and with parental consent where necessary against such practices. They are dangerous and deadly. So please try to understand where I am coming from. I am seriously concerned with the well-being of those people engaged in these practices and will use strong language to try and dissuade them from doing these things. We must sound the alarm because the media is not doing it and even “medical professionals” such as yourself are obviously not aware of the facts. (Yes tell that to the thousands of people who are grateful for my unbiased unopinionated care before you jump to conclusions about my knowledge-base. Or better yet ask my boss. Fuckwad. You say I'm not under attack but then you put "medical professionals" in quotes as if I am not really one. I see the facts every day and I am trained by experts in the field. I read scholarly journals exactly on these issues you claim to be an expert on. I am bound by an oath to cause no harm to patients. And that means letting them live their lives the way they see fit. Because they are adults practicing consensual sex that is harming no one else. If I were to judge gay men the way fuckwads like you do. I would only be hurting them more. This is one of the reasons I see the relationship of homosexual men as significantly more dangerous than that of lesbians. I’m not insulting anyone and my words must not be taken personally. I’m simply warnings people of the real dangers. As a medical professional you also have a responsibility to research the facts about these behaviors and warn the public. This should not be concealed by political opportunism but revealed as a public health hazard. Think about it. I wish you well. (You are seriously delusional if you think any of what you said is peaceful or loving. I suggest a mental health counselor or therapist to work out some unresolved issues. Further there's a reason we don't let people just walk off the street and start practicing medicine or nursing. There are reasons we don't allow uneducated unresearched untrained people start making guidelines for the rest of us to follow. Jose Solano is one of those reasons.) In a comment at Opine you described these behaviors as "gay sex" and here you have emphasized both consent and sexual orientation. Jose said: "the numerous health problems associated with anal intercourse."Jane you said that you were well-informed about those problems. Objectively does consent nullify the physiological facts and the medical implications of these particular behaviors?No right?Are not these facts and implications of these sexual behaviors applicable regardless of sexual orientation of the individuals involved?Yes right?What do you think as someone with training on the physiological facts and the medical implications is the relevancy of consent?There are surveys of openly homosexual men of which maybe half or so respond that they rarely if ever engage in penetration (from either position). But maybe that's not a reflection of what you discern through your own medical practice. I dunno. You could describe what you know about it. In any case in your experience with gay patients would you say that those who rarely if ever engage in these behaviors have better sexual health worse or no different than those who do so frequently?In other words those who are "frequent fliers" (or whatever euphemism works here) are they increasing their health risks overall? Is there a high or low correlation between freuency and the number of sexual partners -- or other risky sexual behavior?These are general questions about your knowledge of the subject. Apart from the side issue of consent your post did not address the physiological facts and medical implications which would be your area of special knowlege. You gained that knowlege. I would expect without possession of a purile obsession on the subject. So objectively how do you advise your gay patients when it comes to making good and healthy choices in sexual behavior?--Chairm I could tell you that. Chairm but I won't. I know far too well how you will definitely misinterpret and misquote what I say and turn it against me despite any good faith efforts to answer those questions. Your questions are fully loaded with your intent to get me to answer them the way you want me to answer them. And even if I don't answer them that way you will still say I did. Either ask a simple objective question without your rhetorical commentary or leave. For. I don't feel as though you really care about the health of gay men. Nothing you have said has demonstrated that you would care about them. How could I possibly be led to believe you aren't going to mischaracterize my answers and then scurry back to your Opine Idiots and brag about how you "really schooled" me. The point of Jane's article is that you guys are acting under the guise of caring about gay men's health and assuming Jane doesn't know her profession. I KNOW Jane in real life and I know that she's a medical professional well-versed in all of these issues. And she's well-versed in providing culturally competent and understanding care to gay people- "high-risk" gay men included. Providing such care is essential to improving gay men's access to the health care as gay people have traditionally been underserved by the health care system. For instance gay men historically have been reluctant to seek care for STDs/HIV from medical providers that they know or fear will not be understanding of their sexual orientation. The fear of judgment homophobia and stigma contributes to the spread of STDs/HIV and prevents gay people from receiving necessary health care. Yes even today there is remains a stigma for being gay. (As you should know). So all of you should be applauding Jane for her work in improving health care access to an underserved population. Yet you mock her. You offer to "teach" her and send her articles. You should be ashamed of yourselves. I don't know what your backgrounds are in public health but nothing you. Jose or Culturologist has said makes me think that you would provide compassionate understanding. AND competent care to gay men. And so Jane is correct in saying that people like you are the reason we have standards and licensing programs to make sure qualified professionals are the ones doling out health advice. Yes some of you may be acting under the guise of "helping" gay men but your "concern" really does more harm than good. But Jane those questions are relevant to the readers who have followed our exchange at Opine and here as well. It is not about my response to your informed presentation of your own answers to relevant questions. It is about informed consent not merely consent surely. In case your readers here missed it here is the latter part of an exchange between you and I in the comment section at Opine:I said: We can proceed from your stated motive. That's fair right? And you will note my stated motive too?Jane Know said: Okay thanks. [...] I will respond when I have more time. I said: See you then.* * *You find the time and made the effort but haven't done as you said you would do. Neither at Opine's comment section nor here in your own recent blogposts and comments.--Chairm I think you have already suggested something very similar to informed consent in these terms when you've mentioned sex-education that you think is useful versus the kind you think is not."Chairm. I have said or suggested nothing of the sort. Don't tell me what I do in practice thankyouverymuch. To answer this: "What objective medical information is relevant to consent and choice?"I tell patients that on the hierarchy of sexual behaviors that can cause HIV/STD transmission unprotected anal sex with a nonmonagamous partner is at the top of that list. I think nearly every gay man knows this at this point in time during the HIV epidemic. May I also mention that just a tad down on that hierarchy is unprotected vaginal/penile sex with a nonmonogamous partner. Use that how you will. Because people are going to have sex regardless of risk factors and definitely regardless of abstinence education. I (unlike most of you at Opine) have to deal with that reality by discussing how to *reduce* the likelihood of HIV and STD transmission to heterosexuals and homosexuals. I would be causing harm to patients by intead just telling them "don't have sex" and not offering any further advice. Because they will regardless of people like you have sex anyway. These *safer* activities include non-contacted activities like mutual masterbation or intercourse-related activities like having a mutual monogamous partner using condoms or other latex barriers using more lube to reduce the rick of vaginal or rectal tearing and safe use of sex toys. That is the objective information that medical professionals who work in areas like mine give to our patients. That doesn't have anything to do with "informed consent," as that applies to medical procedures not to people consenting to private behaviors outside a medical setting. But patients do usually feel more "informed" once they talk to a medical professional about safer sex and they feel like they are more "informed" when they have consensual sex with their partner(s). Is that what you mean? Rachel M.,Why thanks. :-)I realize that some people in the U. S are always going to morally disagree with anything that strays from heterosexual sex between 2 married people without taking reality into consideration. But when looked at from a common sense standpoint and in light of the *most current* research the above methods are THE MOST EFFECTIVE in preventing the transmission of sexually-spread HIV (which both gay and straight people get!) Abstinence-only education which our Moron President agreed to fund. DOESN'T WORK. I think it is interesting that the most scientifically-proven way to prevent the transmission of HIV today (since the highest incidence of HIV infections in the U. S is in IV drug users) are needle-exchange programs and thanks to Our President no federal money is allowed to go to such programs. Perhaps an article for a later date? In addition the fastest growing population with HIV/AIDS is African-American hetero-sexual females. Sounds pretty NOT gay to me. Often times these women are married (TO MEN) and when their husband cheats on them and has unprotected sex with an HIV/AIDS infected woman (contracting the disease) and then has unprotected sex with his wife she contracts the disease. She probably has no idea she has it until she is carrying his child and undergoes the typical blood-work involved. I study it EVERYDAY. Institutionalized racism + a lack of respect for marriage + a lack of PROPER education = innocent people dying. So wait…who’s destroying marriage and how? Who’s spreading the HIV/AIDS virus? Who’s looking out for AMERICA’S children? Jane said: "I have said or suggested nothing of the sort. Don't tell me what I do in practice thankyouverymuch"I did not tell you; I asked. You misread my observation that you. Jane presumably would keep your gay patients informed of the implications of the sexual behavior you described as "gay sex". Surely in your response you did not mean that in your professional capacity as a medical adviser you studiously avoid enabling people to make informed choices about their sexual behavior based on the relevant facts such as the risks involved. I see that in a subsequent response you understood what I had written and responded more on point. Thanks. More on that in a bit.--Chairm What does everyone think of the study that shows men who are the most vocally opposed to anal sex as being the most likely to become aroused by videos of two men having anal sex?""In tests conducted by Prof. Henry E Adams of the University of Georgia homophobic men who said they were exclusively heterosexual were shown gay sex videos. Four out of five became sexually aroused by the homoerotic imagery as recorded by a penile circumference measuring device - a plethysmograph. Prof. Adams says his research shows that most homophobes "demonstrate significant sexual arousal to homosexual erotic stimuli" suggesting that homophobia is a form of "latent homosexuality where persons are either unaware of or deny their homosexual urges"."From:Is homophobia associated with homosexual arousal?By Adams. Henry E.; Wright. Lester W.; Lohr. Bethany A. Journal of Abnormal Psychology. 1996 Aug Vol 105(3) 440-445 Hi. I'm Jane. I am a public health nurse and grad student. Let's set aside all labels for a minute and just chat. I believe there are an infinite number of sides to every major issue today and I am open to hearing all of them. But be prepared to back up what you say with solid unbiased evidence. The more I read online the more convinced I am that people try to simplify debates by placing their opponents in a little box with a label they detest and leave it at that. Instead of engaging in honest debate it is often far easier to resort to name-calling and ad hom attacks. It is far too easy for men to discredit women by calling them a femininst. Or a lesbian. Try it here and you won't get far. I'm here as a supporter of gay rights feminism public health diversity and tolerance. I believe in the ideologies of acceptance and love and that these are stronger and *better* than hate judgment and blind intolerance. I have a strong distase for bleu cheese and organized religion. So leave both of those at the door before venturing to my blog. Thanks.

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