0:00

you listen the service at

0:02

savage love

0:22

everybody a micro listeners a magnum

0:24

subscribers this bonus

0:27

segment little different it's a conversation

0:29

i tape last week for the guess segment on the regular

0:32

magnum selfish but cast but after

0:34

recording it i thought all my listeners needed to

0:36

hear it now just my magnum subs by

0:38

also one of those of you who listen to the my

0:40

grub version of this up as well cast to

0:42

hear it too particularly my

0:44

listeners all of them who are gay men

0:46

by men men who have sex with men

0:49

are people who aren't man but whose partners aren't

0:51

men who have sex with men this

0:53

, an extended conversation with a medical

0:55

expert about monkey pox this

0:57

, first extended conversation with the medical

1:00

expert about monkey pox check out my talk

1:02

with doctor i in a park and upset eight nineteen

1:04

which went up on july fifth but i

1:07

first raise the subject on may twenty fourth at

1:09

the top of the episode eight thirteen

1:11

there were eighty reported cases of monkey

1:13

pox scene and gained by men and

1:15

seven countries when i sat down to record

1:17

the intro to that show them before

1:19

i could finish taping that intro there were a hundred

1:22

cases reported

1:24

maybe i'm being alarmist i said

1:27

at the top of the may twenty fourth love cast

1:29

but i am alarmed turns

1:32

out i was right to be alarmed there

1:34

are no almost twenty thousand cases

1:36

of monkey pox almost all

1:38

of them in gay and by men

1:41

all over the world the world health organization

1:43

has declared monkey pox global health emergencies

1:46

and yesterday the guardian newspaper

1:48

asked in the headline gay and bisexual

1:50

men are most at risk from monkey pox why

1:53

are we saying so clearly which

1:55

was exactly the question i asked two

1:58

months earlier at the top of

2:01

dr carlton thomas has been asking that

2:03

question as long as i have he's a male clinic

2:05

trained gay gastroenterologist to practices

2:08

in san diego doctor carlton became

2:10

game as on tic toc and instagram at

2:12

doctor carlton during the covered pandemic

2:15

when he was teaching but stuff and queer health

2:17

he was like me one of the

2:19

early alarm sounders on monkey

2:22

pox he spent the last several weeks

2:24

educating the gay community and helping the queer community

2:26

find vaccine appointments all

2:28

while collaborating with other doctors to find

2:30

the best treatment regimens for guys who

2:33

already contracted monkey pox more

2:35

than three thousand guys in the united states

2:37

right now are thousands

2:39

the new york

2:40

dr carlton's been hoping to define

2:42

and disseminate best

2:45

practices treatments that work for faster

2:47

healing

2:48

the pain control

2:50

we complain a lot about the harm to social media

2:53

check out at doctor carlton on

2:55

tic toc her instagram to see the good

2:57

that a person with good intentions

2:59

can do on social media

3:01

though when i got a couple monkey pox questions

3:04

for my listeners i invited doctor carlton

3:06

on the so to tackle them with me our

3:09

conversation after this for

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5:03

hello dan nancy and their whole seems

5:06

gay guy leave it in new york city

5:08

mid thirties sadly

5:11

i'm currently going through

5:14

the symptoms of what it is monkey

5:17

, outbreak is super

5:19

paying for an hour and a sentence

5:21

i really really bad bad

5:23

situation that is happening is that

5:26

they're not counting the correct

5:28

numbers of cases out cases cause

5:31

i went to my went

5:33

first and i saw him

5:35

i just by the symptoms which were the had eggs

5:37

and the fever the super sword

5:39

throw them slated length and

5:42

what seems to started to period very

5:44

mild rice and rice say

5:47

to mild rice multipart

5:49

not acknowledge whatsoever of the

5:51

got a new way worst so

5:54

have to take myself to the are they

5:56

are you can start seeing more blisters

5:58

on my skin more notice micro

6:01

was really huge air

6:04

and i said i'd find them

6:06

when i was a game that is are today me and

6:08

he wasn't working but i think is a monkey pox

6:11

once again no acknowledge hope of

6:13

it at all though don't even mention to

6:15

test for they test me for other

6:18

styles and to give me more antibiotics

6:21

finally , know others others

6:23

to the day after july i

6:26

the guy to do some research online

6:29

for a phone number got

6:31

, nurse on the phone phone

6:33

i explain to her that i've been in all these

6:35

antibiotics i just keep getting worse no

6:37

improvement and she says

6:39

i basically in order to

6:42

be tested have to be have

6:44

i can confirm exposure

6:47

which means as a person have to have been

6:49

tested and , confirmed

6:51

that he has monkey pox but as a

6:53

loophole because nobody's

6:55

testing for monkey pox unless

6:58

somebody else has been tested for monkey bars

7:00

somebody needs to do the first

7:02

test at some point so

7:05

lovely so intelligent care and was

7:07

against doctor and he basically

7:10

say at dinner took my case

7:12

and he

7:15

took some samples but before it took

7:17

in the sample he have to contact their were

7:20

health organisation for them to approve

7:23

for me to get tested so they

7:25

can count me as a cat case

7:27

here in new york city anyway ,

7:29

again again were hundred are going

7:31

to say some is that looking that

7:34

the gay and bisexual population

7:37

and is up to us and spread the

7:39

word joining me to help answer this question

7:41

doctor carlton is carlton male clinic

7:43

train gastroenterologists

7:45

train private practice in san diego he teaches

7:48

but stuff and clear health on tic toc

7:50

and instagram goes by the but doc on

7:53

tic toc and if you do enough to the

7:55

last two years and the last

7:57

couple of months

7:58

gotten

7:59

really interesting for anybody in queer

8:02

health hey doctor crossing thank you so

8:04

much from making time available for us this morning

8:07

the and i'm a huge fan i've been following you

8:09

for decades it seems and i am

8:11

honored to be your while i'm i wish you

8:13

were here for a happy or reasons

8:15

under less right distressing circumstances

8:18

may twenty fourth i opened

8:20

the podcast talking about the

8:22

monkey pox because i saw a headline about some

8:25

cases a monkey pox and

8:27

wasn't going to read the storm's going to skip the story to

8:29

think it an evening do with me i have been west

8:31

africa recently the know anyone who had

8:34

and it wasn't until sixteen paragraphs into the story

8:36

that i discovered that all of the

8:38

cases all of the eighty eight cases

8:41

were among gay and bi man

8:44

and suddenly this had something to do with me that i

8:46

solved then that they were burying the lead

8:49

that i've read that start this

8:51

coming sexually transmitted and it's entered game

8:53

else communities then

8:56

i did my intro and i said you know maybe

8:58

i'm being alarmist that

9:00

i find this alarming clearly

9:03

there was cause for alarm clearly

9:06

i and on may twentieth i

9:08

may my first video and instagram saying

9:11

the our grandson belgium which is a gay

9:13

fetish and leather festival has reported

9:16

three cases of monkey pox from

9:19

the best of and

9:21

i don't want to say it the

9:24

exact name of the oven of the next

9:26

event that was happening but the same people who go

9:28

to dark lands go to international mr leather

9:30

in chicago and i said i'm

9:32

very concerned about the international

9:34

travel it's coming out not only with

9:36

festival that are about to happen but pride to

9:40

the end we need to keep us on our radar

9:42

and i was may twentieth

9:44

and now you know when

9:46

from eighty cases when i for set out on my computer

9:48

to record something about it to more

9:50

than fifteen thousand cases still

9:52

nine nine percent ninety six nine nine percent

9:54

i see both of those estimates out there have

9:56

confirmed cases in gay by

9:59

mans and who have sex with

10:01

then and

10:03

is there is this is becoming

10:05

endemic he engaged communities

10:08

it isn't leaping out into other communities

10:10

it does seem to be spread through sexual contact

10:13

and it is being traced back to these these

10:15

big events big of the i attend imo

10:17

i put the dark month i've a event

10:20

that i've been to the that seemed to be

10:22

you know something different that gay culture evolved

10:24

into the last like decade you

10:26

know the local gay bars are all gone what

10:28

happens is are these big events like

10:31

dark lines like imo like folsom

10:33

a in addition to circuit parties where everybody

10:36

comes from all over the world or

10:38

many states around to one place

10:40

one venue and gay men

10:42

being men have a lot of sex partners

10:45

and then head back home or head to the next

10:47

event and just epidemiologically

10:50

this seems to have primed

10:52

the pump

10:53

the you work monkey pox through

10:56

our community very quickly

10:59

if we could have had a worse timing

11:01

when it comes to the gay community

11:04

because of the way our festivals are set

11:06

up for a pride month the

11:08

all the cross pollination between

11:12

l a pride new york pride san francisco

11:14

pride in diego pride the

11:17

land and our speech on bear week

11:19

fire island you know all these things

11:21

happen and people

11:24

the all of the events some of them go to some

11:26

of the events and it just

11:29

it's a way to this really

11:30

spread enemy had home and have

11:32

such as people who are going to any advance didn't

11:34

get any of the amounts exactly now were

11:37

alarmed you're on the front lines you're

11:39

seeing men with monkey

11:41

pox

11:43

what are the symptoms and what

11:45

is a disease progression like

11:49

for anyone who's just tuning in

11:51

your waking up from a six we coma like

11:53

what is

11:55

it what is it what is monkey pox and

11:57

end

11:58

what did the experience

11:59

the having monkey paw

12:02

or monkey pox is a virus that similar

12:04

to smallpox it generally

12:06

was in in africa

12:09

and spread through animal bites

12:11

there is a central african variant which

12:13

is the kind of area and a west african variant

12:16

which is less deadly fortunately

12:19

vote the variant that it's spreading is the one

12:21

that is west african and it has a

12:23

when the three percent gen

12:25

our fatality rate the haven't really

12:28

heard much on fatalities the during this

12:30

one i think that this particular

12:32

viruses mutate to the point where

12:35

it's let it's more in texas but less

12:37

deadly you did say earlier

12:39

it's sexually spread it's not

12:41

technically an s t i bet can be spread

12:43

through sacks and is generally what's happening is

12:45

people are spreading intersex right now because

12:47

it's through skyn the skin contact and close physical

12:50

contact what happens

12:52

usually is there is a

12:54

flu like program meaning like body

12:57

aches fevers so

12:59

night sweats you did

13:01

out lymph nodes and

13:04

the real telltale sign of this whole thing

13:06

is the rash and the ras can happen

13:09

anywhere on the body but generally it's

13:11

where you are infected was

13:14

either your arms your face

13:17

or your legs and the palms of this

13:19

or the other hand the this over

13:21

the feet

13:22

and also have reasons which is highly unusual

13:24

and an infectious process and what we're seeing

13:26

this outbreak because many of the

13:28

people who are getting in fact that are getting infected

13:31

through saxon sometimes that line between what's

13:33

just an induction went to sexually transmitted tyson's

13:35

flurries cove is not a sexually transmitted

13:37

infection really easy to get it or pattern

13:39

sex during sex know it's

13:42

not sexually transmitted infection officially better

13:44

can be sexually transmitted to sucked right

13:46

are distinct sincere but the people are getting

13:48

infected now three sacks are getting

13:51

their primary their ras and then

13:53

these horrible lesions and

13:55

pustules on a genitals

13:57

on their amos's in their genitals

13:59

the urethra as

14:01

they're mounds the end

14:04

that stage of the owners

14:06

this

14:07

tools

14:08

right incredibly painful

14:11

exactly depending especially depending on where

14:13

the puzzles are the most painful one right

14:15

now as the rectum the i'd

14:18

have a video i think i said you have a guy who

14:21

was screaming in the bathrooms is trying

14:23

to wipe his ass after after

14:25

having about the

14:28

it it it's unlike anything i've ever

14:30

heard of people describe it as the

14:32

shard of glass court screwing up your but

14:35

i've heard a potato pillar of your but that

14:37

just a in the last for five days

14:39

the real through the really hard part of the tape

14:42

and reading the pain is

14:44

a real problem a lot of people

14:46

are just told to take tylenol and ibuprofen

14:48

and it's just not cutting though

14:51

they were were talking crying in pain

14:54

trying to have a bowel movement screaming and

14:57

i've had people call nine pet have their neighbors

14:59

called nine one nine one they're afraid

15:01

that something about getting murdered citizen

15:05

clearly not the disease

15:07

you want to risk it's northern yourself

15:09

to what what's the word

15:11

argument addressing the callers concerns which is how

15:14

hard it was for him to get tested because

15:16

i didn't have somebody could point to as i

15:18

confirmed

15:19

case that exposed him and so

15:22

this fifteen thousand and worldwide cases figure

15:24

we're seeing is probably an undercount

15:26

by a factor of ten or twenty

15:29

oh definitely i know i've

15:31

heard from you know at least ten or twenty

15:34

people who have all the symptoms

15:36

and

15:37

the i get tested an art in the count

15:39

and no other people and so this

15:41

seems to be growing exponentially

15:44

in game l communities and spreading

15:47

and ran the disease itself sounds so

15:50

to habit

15:51

the people i've heard from who habit

15:53

it is so excruciatingly

15:55

painful and in some cases

15:57

disfiguring there could be scarring the

15:59

hostels and scabs

16:01

the and what do we

16:04

do like you're a dog people

16:06

come to me sometimes you're healthy but i'm not a doc

16:08

what should i be telling people about the

16:10

orgy the to the ban

16:12

how's that the sex parties

16:14

the you know the the next

16:17

about coming up

16:18

whether it's story i'll your fulsome berlin or false

16:20

mess up were gay men are gonna come together in large

16:23

groups to flirt to grope

16:25

tude to dance in

16:27

grind on each other and some to have

16:30

sex with more than one partner what should with

16:32

the advice right now

16:34

yeah this is a one the to two

16:37

week incubation period for it's a lot

16:39

of people get infected

16:41

and it takes anywhere from seven

16:44

to fourteen day but even show any signs or symptoms

16:47

though there's that you're carrying

16:49

around this infection but you really

16:51

have any sent them so you're going around to on your natural

16:54

dated a stuff as far as telling

16:56

people what to do i'm one of the most

16:58

socially liberal people that's a

17:00

physician on social media i'm

17:02

one of the most actually liberal people it's a podcast

17:05

are on the internet i know and i tell people

17:08

all the time powder have safe

17:11

the facts the

17:13

navigators risks like ethnicity one

17:16

hundred percent safe here the steps you can take to enjoy the

17:18

crazy bum off the hook thing you want to do

17:20

see the armada minimizing your risk yeah

17:22

com murdoch said they'd even i made a video

17:24

about a couple weeks ago it said hey listen

17:27

no bathhouses no orgies

17:30

i'm gonna start a party or much he just has to

17:33

and if you go don't dance around without

17:36

you

17:36

this your shirt

17:38

and a whenever like

17:40

cats it lip gloss

17:44

okay the people who want to

17:46

hear that in our community to telling people

17:48

not to have sex is very hard to forget

17:51

to in the gay community but it's a fact

17:53

of life right now that until things get mitigates

17:55

a little bit meaning we get testing

17:58

and treatment better

18:00

organized we get vaccines and

18:02

there are vaccines for

18:04

this could be rolled out very slowly it's frustrating

18:07

for us here in seattle because we see vaccines being

18:09

distributed in vancouver's

18:11

, portland oregon but not here

18:14

here it's economic spirits of here is that

18:16

they seem to seem to be saying that's odd

18:18

it's bad enough your restaurant the vaccines

18:20

were going to wait until it is bad enough here to rob vaccines

18:23

rather the rolling out the back seats with doesn't get bad

18:25

here we're kind of is in our minds

18:27

exactly yeah i'm a pro active guy

18:29

and the vaccine part as

18:31

been has been the most frustrating thing for game

18:33

and right now trying to get

18:36

that vaccine it's like

18:38

gold if you get an opportunity to get

18:40

it just get the

18:42

in equity and vaccine distributions

18:45

the problem

18:46

the ah

18:49

the local and state government aspect

18:52

of things is also a huge problem because yeah

18:54

the cdc and at the has all

18:56

these vaccines to the shipping out but they ship amount

18:58

to the states and then it's up to the states to decide

19:00

how vague though about the strip

19:03

distributing them the new york and san

19:05

francisco and san diego and away

19:07

were giving them preventatively that

19:09

in texas

19:12

they only give it to you you've been exposed

19:14

the to way to get the bashing one as preventatively

19:16

and when is within fourteen days of next

19:19

a confirmed exposure eighty

19:21

five percent effective for treating

19:23

a post exposure that

19:26

if you can get it but a lot of people are having

19:28

problems getting it in texas it's a nightmare

19:31

then i pointed out that texas

19:33

has were almost thirty million people

19:36

the top and opportunities at a they

19:38

got seven hundred doses of an initial the

19:41

vaccine for

19:43

that many people the and daddy land

19:45

happens in dallas there

19:48

hundreds of the hundreds of people affected by

19:50

that it's not just dallas it's

19:52

like all texas and then across the entire

19:54

country because of what we talked about earlier about people

19:56

who are affected

19:58

this is a sign of was gonna happen

19:59

gay marriage get knocked down dan

20:02

local and state things are happening worth

20:04

texas can't get a vaccine and where

20:06

people are struggling in tennessee and

20:08

people can't get it in alabama where

20:11

louisiana this

20:13

is what's gonna happen when game as distress struck

20:15

down the the the states to protect

20:18

us like new york and california are

20:20

gonna do great that everybody

20:22

else is going to be left floundering new

20:25

york times had a story about the new york city health

20:27

department's internal conflict around

20:29

the message they should be sending game and right house

20:31

i was very upset back in may when

20:33

they're eighty cases that they weren't they

20:36

were burying the lead they weren't saying hate gay

20:38

by mad men who have sex with that you have to know

20:40

about does this is happening right now

20:42

take steps to protect ourselves and

20:45

maybe as i said in my intro back then tap

20:47

the fucking breaks like now maybe

20:49

not the time even if you wind up a dark lance

20:52

to have sex with anybody

20:54

and i'm not in the business or tell people not to have sex

20:57

i know their druthers big internal conflict

20:59

to the near city health department because they wanted

21:01

to put out a message that may be gay

21:03

men big game by men should limit their number

21:06

of sex partners

21:07

the and the reaction from you know half

21:10

department internally was you can't tell game and what

21:12

to do with shaming and stigmatizing to tell

21:14

game and to have you are sex partners it suggests

21:17

game and have more sex partners anybody else which

21:19

we do and

21:21

they can't get that message and also they so that

21:23

message doesn't never works the same health

21:25

department beginning of covert put

21:28

out advised to everyone which included

21:30

gave by mans not to have

21:32

that would anybody you weren't already having sex

21:34

with the words and in your pods basically

21:37

to be monogamous to the people you have been

21:39

having sex with regularly not to have new partners

21:41

and if you didn't have a partner not have sex at all have cybersex

21:45

you know jack off rider the internet that

21:47

was advice for the beginning of cove bed and

21:49

the advice word not giving to game

21:51

and now on the a sudden you know

21:54

the assumption that game and can't hear that

21:56

hear that better to let game and all get monkey pox

21:58

for this to become endemic and communities

22:01

than to tell him and what they need to here right now and you

22:03

know i'm just a sec spark esther your

22:05

a doctor you don't work for an aids

22:07

organization or a health department

22:10

and we're running around here at by are saying you

22:12

know if you're gonna go to dory alley

22:14

which is coming right up if you're going to go

22:17

to bear , your day comments

22:19

or market with his shadow know

22:21

grinding and only have

22:23

sex with the person that you came with reagan have sex

22:26

there's it was your regular sex partner

22:28

who you know where their dick is denver

22:30

the last twenty one days

22:32

it's not like this this is a thing where

22:34

everybody would just like pull the pats up for two and

22:36

a half weeks it good as right

22:39

whatever won't do that unless it's daddy

22:42

a nod daddy daddy wed

22:44

are you know medical daddy somebody

22:47

, them and ,

22:49

feel like i'm kind of losing my mind because i'm hearing

22:52

the stories of guys who have it and

22:54

what their enduring oh it

22:57

as if it's horrible and then hearing

22:59

you know people minimize risk is only nine confirmed cases

23:01

in king county in seattle's liked

23:03

yeah okay so right now it's a low probability

23:06

but it's very high consequences that

23:08

if you contract monkey pox i was way more

23:10

than nine guys here in bright live how who

23:12

habit those are just the nine guys who got tested

23:15

and confirmed and as the color points out

23:17

it's almost impossible to get

23:19

tested and confirmed

23:20

exactly so

23:23

this is easily confused with other as the ice

23:25

it is the pictures the guys are sending

23:27

me on instagram showing me what's happening because

23:29

basically i become every day mans primary care

23:32

doctor i now have some these leaders

23:34

look like herpes you know all around

23:36

the the a nurse their sleeves the

23:38

secular lesions or on the

23:40

penis is is is very easily

23:42

confused with scott syphilis and

23:44

herpes and never won

23:47

a lot of

23:48

that doctors only been educated on what monkey pox is

23:51

of our doctors are laughing at their faces when they

23:53

suggest hey maybe i have monkey pox

23:55

they are clued into

23:58

what's really happening about for going

23:59

the emergency rooms multiple times getting

24:02

you know treated for hemorrhoids

24:04

or anal fissures or

24:07

till they probably have surplus and given to penicillin

24:09

shot and sent home and not even getting tested

24:11

for the monkey pox so

24:14

desolate ignorance in the medical community

24:16

which is really is really i

24:18

mean dr don't even know how to test

24:21

for as the i've been gaming you know

24:23

when you when you're gay and you go

24:25

to the doctor for your sci checks you should

24:27

get your throat swabs you should get your butts

24:29

swathed in addition to your urine and blood

24:32

test because gonorrhea chlamydia infections

24:34

of the throat

24:35

the ass

24:36

we show up if you check check their i

24:39

think one of the things with as the as in general in

24:41

our community that are spreading his

24:43

doctors aren't even checking the right thing so there's

24:46

people running around with throw gonorrhea

24:48

and wrote committee and ask gonorrhea

24:50

and in erectile rec in erectile

24:52

chlamydia that

24:54

i've never even check

24:56

the decade the someone when

24:58

that ignorance is happening on a

25:00

on a just a plain or sci level when

25:02

a new sci comes up

25:04

art semis

25:05

sexually transmitted infections there's

25:08

there's been a complete lack ghosts of

25:10

of knowledge to do to know what to do and

25:13

that's really frustrating to me and you get this merry

25:15

go round effect does a video on the internet

25:17

of a of a girl in

25:19

in pennsylvania thank you said she

25:21

went to her doctors have this really unusual rash

25:24

on her face the guy that's

25:26

around the multiple doctors and dermatologists

25:29

and everything and it

25:31

wasn't b basically a merry go round effect and she

25:33

called the cdc in the cdc say call your primary

25:36

care doctor the primary care doctor said called the dermatologist

25:38

and it was just this awful awful experience

25:41

for this girl you know there's homophobia

25:43

[unk] medicine to begin with if you've ever been into a doctors'

25:45

lounge you walk in the door the

25:48

doctors' lounge and fox news's playing there's

25:50

a it seems to me though that this may be a case of the sumitomo

25:53

celia not homophobia too much

25:55

love of the gays in some

25:57

help the parts or fear of the gays because some

25:59

people

25:59

are reacting

26:01

not fear of the gazes disease prize

26:03

or to bring down the world or to lead a blood to

26:05

the fall the roman empire in fear that

26:08

if you

26:08

are straight with game and right now if you tell us the truth

26:11

you're going to get blowback and i've seen some of that blowback

26:13

people say this isn't a gay disease the message

26:15

to be anyone can get this but

26:17

the reality is right now not

26:19

everyone is getting it gay men are getting it

26:22

game and need to know that they

26:24

are the ones at risk right down this is spreading

26:26

and gay males communities almost

26:29

exclusively i saw the video that woman

26:31

she is one of the rare cases

26:34

where a woman somehow

26:36

contracted

26:37

he parks i would bet

26:40

dollars to donuts that she

26:42

has a by male partner that's

26:45

how the monkey pox made the leap from

26:47

where we're see it added i'm sorry time's right next

26:50

to her that i think what's important though as yes

26:52

and some areas it is fear of the gay community

26:55

been in other areas it's not like

26:57

yeah new york and san francisco and are way

26:59

better france or something that might piss gay

27:01

men after greatest things telling him and

27:03

with they don't want to hear right now which is you know what go

27:05

to get him go to dory always don't have

27:08

such with anybody which is why people go to dory

27:10

our ray be skipped story

27:12

alley the seat right right no don't want

27:14

to say that yeah but like in

27:16

texas alabama in places like

27:18

that it's a whole different ballgame so it depends

27:20

really were yards and that's the real frustrating

27:22

thing about this whole process is that

27:24

it's left up to the state and local governments

27:27

to decide who gets vaccines whether

27:29

they're preventive or

27:31

post exposure and the state and local

27:33

governments in alabama care about you last

27:35

absence and a paradox for me right now

27:38

and and was kind of making me lose my mind is

27:40

those state and local governments in

27:42

places like new york and california washington

27:45

state care too

27:47

much about the angriest gay

27:49

voices on twitter that are going to accuse

27:52

them of being homophobic and

27:54

stigmatizing gay men and gay male sex

27:57

if they tell the truth about

27:59

the

27:59

these in the only way to attacked gay man

28:02

is to tell us the truth about

28:04

his disease and so we have

28:06

examples all over the country of health departments

28:09

that like us in good places in blue

28:11

cities that are telling us the truth

28:13

that's putting gay men at risk of contracting

28:15

this horrible disease it's excruciating

28:18

we painful that's gonna keep you at home for

28:20

a month if you get it yes

28:23

and that's financially and emotionally and

28:25

physically devastating yeah

28:27

yeah and so i feel like my i

28:30

feel like my head is gonna explode

28:32

it is there any like hopeful etti

28:34

that hope on the horizon that the cavalry coming

28:36

that the biggest hope on the horizon right now is

28:39

that people have been scrambling for vaccines

28:41

and vaccine access and not getting yet

28:43

and in the last two days what

28:46

i use my platform right now as soon

28:48

as somebody sends me a vaccine clinic up to a

28:50

put it in my stories and i put that story

28:52

on my monkey pox vaccine highlight

28:54

but know my instagram so that people

28:57

know where to go and how to

28:59

get vaccines there are only there was only

29:01

new york atlanta san diego

29:03

san francisco the

29:05

while ago and now

29:08

they're they're everywhere they're suddenly starting a pop

29:10

up and that is hoped

29:12

for me i'm still not enough we need more vaccines

29:14

but i think if we get more people vaccinated if

29:17

people put it in a keep it in the pants for little while

29:19

like he said and just mitigate

29:21

risks then we can get through

29:23

this but knowing the history

29:25

of our community and

29:27

sexual activity is not going to happen

29:31

you know it either but it's not to happened

29:33

from people can't

29:35

that remark for three weeks and then because

29:37

we can't do that end it as a

29:39

straight people when do that either i was like to point out that

29:41

when yes was epidemic in st

29:43

mary's for centuries straight

29:46

people didn't stop having sex

29:48

they just passed syphilis around for five

29:50

hundred years before care came along it's not

29:52

like gay men are particularly

29:54

reckless or irrational about best but

29:57

the choice in front of us you know if i was the

29:59

emperor of

29:59

all gay men is we all like

30:02

declare celibacy for three weeks

30:04

and then it's gone or

30:07

we can do , we're doing

30:10

weekend like gaston cross our fingers

30:12

we can keep having sex and then this

30:14

horrifying disease will become a constant

30:17

it will become a risk all game and take every

30:19

time they have sex right forever

30:22

even in a world where everyone's vaccinated the vaccines

30:24

eighty percent effective which means if it becomes endemic

30:26

in our communities the are always

30:29

gonna be

30:30

the underway

30:31

if you gonna come up

30:33

snake eyes if you lose the bad

30:36

what , get his lesions

30:39

all over your household is so painful your neighbors gonna

30:41

call the police if they can be murdered

30:43

yeah they're so that their couple

30:45

of other things that

30:46

go into the whole process of writings

30:49

or delay or why people aren't why are there

30:52

undercounts the that fear

30:54

discrimination in some places in

30:56

one part one person told me they were in massachusetts

30:59

they went to a sex party

31:01

about a month ago the couple people as

31:03

the sex party god

31:05

monkey pox

31:07

they were put there that

31:09

their name was given as someone who prep

31:11

who was at the party than

31:13

the person got temporarily put on a no fly

31:15

list this is a crazy story this

31:17

is this is this is a really unusual

31:19

story like and abetted that they said

31:21

that it was a nightmare

31:23

then they went home to where they

31:26

lived and i couldn't get a post exposure vaccine

31:28

anyway because their

31:30

state was so backwards and had said

31:32

you vaccines that it was yeah yeah it

31:34

was just it just a horrible nightmare for them

31:37

and that kind of story of getting out making people

31:39

afraid to report it that's not that's

31:41

not what's really happening that was early

31:43

on that think when when they weren't closer

31:46

what was really happening with travel

31:49

urine is airborne or not

31:51

some people don't have health insurance so they can afford

31:54

to go to npr or a doctor

31:56

and detects place by california we

31:58

take care of our of our

32:00

people who don't have any money and don't have any healthcare

32:02

but

32:03

the place was don't we're just

32:05

we're we're we're screwed our way yeah

32:08

we really are and you know this is

32:10

a this is spread through direct contact with stabs

32:12

rashes and body fluids with respiratory

32:15

secretions from from the long face to face

32:17

by kissing cuddling and sex

32:20

that's going out linens that are touched by

32:22

a rash or a or

32:24

body fluids i've seen some

32:26

have seen some pushback on the surface stuff

32:29

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34:24

i am a thirty year old trans woman calling

34:26

from pacific northwest and i am

34:28

unfortunately calling up a whole monkey pox

34:31

see , week so i'm

34:34

a bootblack my local area area

34:36

your comment on the mac and was cast the

34:38

other day about specifically what

34:41

if there was some left over monkey pox on

34:43

the pair of chaps kind of freaks me out so

34:46

i was wondering even with gloves

34:48

and washing my brushes my spies really well

34:50

but i'm done with them

34:52

my still at risk like canopy

34:54

spread like kind of like more

34:56

like weather sport his like

34:59

the know i don't think it's just a lot of information

35:01

at the moment about how monkey pox be transmitted

35:04

besides kinda skin contact some

35:06

just little worried and i'm kind of considering

35:09

shutting , events for months and just

35:11

staying at home okay so

35:14

seems to me that there was concern in the

35:16

first few weeks weeks

35:18

because the virus can live on surfaces

35:20

that you know a sheet a towel

35:23

a glass you could

35:25

get infected not just two sacks

35:27

the what we're seeing is that

35:30

all the cases seem to involve

35:32

sacks and what we can infer was

35:34

it you know if this was more easily transmitted

35:37

of just touching something that someone with monkey pox

35:39

had touched was an effective mode

35:41

of transmission everyone

35:44

would have had including likes people

35:46

who worked with gay people who got exposed to monkey

35:48

pox during that two week period before

35:51

they came down with symptoms and we're not seeing

35:53

that there was this would be leaping out by

35:56

gay male communities into the into the

35:58

community so if it was the easily transmitted

36:01

as we feared was six weeks ago

36:03

can you address that

36:04

yeah there's there's a deadly as the

36:07

direct contact with stabs rashes and body

36:09

fluids that's how much about getting it ah

36:12

sexy yeah

36:14

or

36:15

the even some people say they're at circuit parties

36:17

and they didn't have sex but they were shirtless in their rubbing

36:19

up against other people well if you've seen the dance

36:22

floor and circus party with you known start

36:24

straps and or thousand people in just stock shops

36:27

the as school closely together and helping each

36:29

other it's you know but to that's

36:31

thin layer of fabric that confesses

36:33

to jock strap it's

36:36

op in sex happens on the orient

36:38

the party's oh definitely yeah sure so

36:41

when it comes to the that the to secretions

36:43

yeah i agree it's

36:46

if gonna have to be a pretty heavily soiled

36:49

the arm and i think or towel like a summer

36:51

going to have to have a fresh ras

36:53

like thereby where the him and give it give it to you

36:56

and you wipe your body with it so that the

36:58

color the the trans woman boot blogs

37:01

not at risk you get our using brigade

37:03

on someone's boots added yeah yeah

37:06

actually called the cdc about defines us to

37:08

say hey i just want some backup on the some

37:10

because i think she's okay and

37:12

they said as long as she's not sharing

37:15

the brushes and as she's

37:18

cleaning the brushes you should

37:20

have to worry about having to wear wear

37:22

gloves or even a mask or

37:24

face shield or anything because i know that was one of

37:26

her problems though

37:29

i think that

37:30

we can sort of relax a little that about

37:32

that started kind of reminds me of kobe when people

37:34

swear washing their fruit and then ran

37:37

right you know stuff like that and

37:39

when we prefer watching the groceries washington fruit watermill

37:41

they had found evidence that does

37:43

the coven virus

37:45

could live on surfaces and it was concerned

37:47

you do you touch the box on the porch than you touch

37:49

your eyes many of cove it's and then the we

37:52

found out it wasn't a risk it was an effective

37:54

mode of transmission and same

37:56

thing it seems here with monkey pox at first like

37:59

would personally live on services sheets

38:01

towels but

38:03

what we've seen over the last like six

38:05

weeks as this has exploded it would be exploding

38:08

you know alarming as the explosion of cases

38:10

as ban the explosion would

38:12

be fucking hiroshima compared

38:15

to what it is now if it was effectively

38:17

transmitted through surfaces by and i think

38:20

that really remains to be seen as as to is

38:22

that going to have or not you know if you start

38:24

seeing a bunch of laundry people

38:26

at hotels

38:27

starting up with mighty box them we have a problem

38:30

the you have a but a people who go into add

38:32

gay clothing store and try on clothes

38:35

and start getting

38:38

that way

38:40

because someone before them tried on something

38:42

then we have a problem that does that we're not seeing

38:44

that any and you know that tell a linens

38:46

thing i think it's a really great place so many

38:49

of the early cases dark lands

38:51

on the event in spain as as

38:53

the big a party in spain that was also

38:55

one of the super spreader events those are

38:57

all game and flying in from the world and

38:59

staying in hotels right then

39:01

flying out and so there

39:04

were sheets there were towels or

39:06

we haven't seen maids at hotels

39:09

and people work with laundry from hotels

39:11

coming down with monkey pox despite having handled

39:14

seats that we can infer

39:16

they have been contaminated as far

39:18

as the bootblack goes you know no skin to skin contact

39:21

life's all work the what works really well

39:24

the kill the virus lives on clorox

39:26

wipes and things like that so i

39:28

think

39:30

the get okay the bring back all

39:32

the tubs a hand sanitizer they were everywhere today

39:34

half years ago that evacuated by the years as an

39:36

artist is fierce we need does back everybody

39:38

please pull up your pants for a couple of weeks if

39:40

you want to go to dory go to dory with the partner

39:43

the already have mess around with them don't

39:45

grind on anybody else and it'll

39:47

be gone if we could to do that for three weeks

39:49

then we get back to normal sally kobe where

39:51

we were all told by we could bend

39:53

the curve and go back to normal were never go back to normal

39:56

uncovered if we want to go back to

39:58

normal on dorian full

39:59

them and a bear we can prominent and

40:02

everything else and are normal

40:03

you know insect lighter and there's

40:05

some you know it's great to be able to have sacked a lot

40:08

of people to have like a really active on sex like

40:10

all the intimacy and join pleasure that brings into your

40:12

life's the people that bring since you're like wind

40:14

up in your friends forever it's you know that some

40:16

answers this view of lakes

40:18

the casual are anonymous gay sex afraid to humanizing

40:21

but then you talk to gay men it's often how they meet

40:23

their best friends or absolutely

40:26

with old friends and so there's joy

40:28

and pleasure in that and we could get right back

40:30

to that in three

40:32

weeks with everybody

40:33

the hit the pause button gets vaccinated

40:36

or takes a minute

40:38

save if you're gonna go to would have it is

40:40

safe enjoys the erotic like tension

40:42

of the event but don't like fuck around

40:44

with took ten guys at the events

40:46

friend and it'll be behind us but it's

40:48

really place even the cdc

40:50

had a very sex positive a post

40:53

on their website about how to go to a rave

40:55

or a party

40:56

where are and put yourself at at less

40:59

risk [unk] rubber suit everybody getting

41:01

to get a student the gas mouse

41:03

can go like that's super hot i've seen a

41:05

dance party like read a couple of times or everybody's going against

41:07

it totally works and ever be totally safe

41:10

go into beekeepers outfit the

41:12

a doctor carlton where can people find

41:15

you online the your education

41:17

a posts which which are terrific

41:19

and i'm you're posting information

41:21

daily about vaccines as they become available

41:24

a new communities where are you on instagram

41:26

where are you on tiktok

41:27

though that doctor carlton the o c

41:30

t o r c a r l t oh

41:32

man all spelled out ah

41:34

the instagram stories is where

41:36

the vaccine clinics

41:38

are located my instagram real

41:40

the really good about bad stuff and you

41:42

know how i have a release super

41:44

secret trick on how to open your whole that

41:46

is revolutionizing gay sex for people

41:48

are anal sex for people that it's awesome

41:50

so we got your revolutionizing and six right

41:53

at the moment we did sell people say know maybe

41:56

, so much air anal with your regular partner

41:59

us you know

41:59

so many gay men are in open relationships

42:02

are out now for like a

42:04

month or two might be time to like explore

42:07

monogamy or the temporarily

42:10

are now the time to start thinking about sex toys

42:12

pay are also duct from

42:14

i want to thank you your it's your fiftieth

42:16

birthday coming up i'm happy birthday

42:19

and you're on you're way to way well earned

42:21

vacation and you took the time on

42:23

your trip to trip to with me and

42:26

freak out with me and lead

42:28

usefully appropriately proportionally

42:30

freak out some of my listeners who need to

42:34

megan barry changes so that we can

42:37

and flatten and eliminate the spend

42:39

the curve and flatten the curves and you can eliminate

42:41

this thing you don't want as it is

42:43

awful i mean it will ruin your

42:45

i'm a whole months and just that

42:47

that to paint and another

42:50

thing is i've had i've had tough time getting

42:52

people's pain control at i was able

42:54

to come up with the pain control regiment it's working

42:56

for people and it's remarkable

42:58

be worth fifty to seventy five percent

43:00

reduce dinner erectile pain

43:03

the most out of the cdc a look at it that hey

43:05

we're interested in this what kind of data do you have

43:07

an account i have time for data and

43:10

, i have a full time job and

43:12

two kids and i'm married and

43:14

three dogs and don't you think

43:16

you're like a doctor on the frontlines of the hiv

43:18

aids crisis and nineteen eighty two the

43:21

there was a lot of like figuring

43:24

it out on the fly and not a lot of time to

43:26

document and and take actually

43:28

most of you want to share your

43:30

anal pain regimen roka

43:32

absolutely gabapentin is a

43:35

new original pain medication at

43:37

three hundred milligrams by mouth three times a day

43:39

in the beginning it can be wrapped up over time

43:42

that combined with tylenol and

43:44

or ibuprofen has cut

43:46

people's and erectile pain city

43:48

seventy five percent from going

43:50

to where there screaming in pain and crying

43:52

on the bathroom floor to oh

43:55

the i can handle this is paying but it's not terrible

43:58

so that's that's

43:59

game changer in this and this thing

44:02

and i've gotten that from dozens of

44:04

people in my inbox that have helped cause my inbox

44:06

a slider with people from around the world who

44:09

are are having problems with this the

44:12

like you said earlier this is way undercounted how do

44:14

i know because my in box has so many

44:17

dozens of cases of monkey pox

44:19

it takes a week for the test the term positive

44:22

them with an exponential growth curve that

44:24

happening right now

44:27

we are vastly undercounted and what's really happening

44:29

dr carlton thank you so much you jumping on

44:31

the phone

44:32

you bet

44:33

my conversation with doctor carlton i'd like

44:35

to thank doctor carlton for making time

44:37

available for me right before he

44:39

left on a well earned vacation

44:42

to celebrate his fiftieth birthday

44:44

doctor carlton calls me from

44:47

an airport

44:48

it

44:49

even though we don't occasion he's kept the

44:51

info coming on a social media accounts while his

44:53

way so happy birthday doctor

44:55

carlton and thank you again for

44:57

what you've done and still are doing

44:59

the queer community