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Dial 1-800/AIDSNYC Every Monday and Wednesday morning, promptly at 10 a.m., I leave behind my daily life and turn to volunteering as an AIDS Hotline counselor at New York City’s GMHC [Gay Men’s Health Crisis], the nation’s largest social service agency for AIDS. For the next four hours, my co-volunteers and I sit in front of a bank of constantly-ringing telephones, talking to men, women, and teens who call in from across the nation with urgent questions about AIDS, the ravaging disease that has left 13.9 million people dead worldwide. After almost 20 years, a whole generation, families are still facing the heartache of tending the sick, while scientists continue to be confounded by this stubborn, ravaging virus. Although the federal government currently spends$4 billion per year on AIDS research, and $15 billion worldwide, there is no cure in sight for the viral infection and no vaccine available. Small wonder that the GMHC AIDS Hotline, the nation’s first, is flooded with more than 40,000 calls each year. Listening to callers 8 hours each week, I often think the Hotline is actually a direct link to the soul of callers--an anonymous forum that allows each to reveal secrets and fears that they might otherwise never discuss with anyone. A Morning in May This is the way it began: “Good morning, GMHC AIDS Hotline, can I help you?” “Yes...I have a question...[hesitantly] My son...he’s 21...and he just found out...he’s HIV-positive [voice breaking] I’m.....alone, divorced. And I need some help...someone to talk to...” “Of course....happy to talk to you...it sounds like this has been devastating for you....” “It’s terrible. He told me two nights ago....he’s...he’s so young....I don’t want him to die. He’s my only child....why did this have to happen?” [crying] Her son, she explains, had sometimes neglected using condoms, convinced he wouldn’t contract HIV infection from his female partners. “How could he be so stupid?” she now asks angrily. “Why didn’t he know how to protect himself? I don’t understand. What am I going to do?” We talk for 35 minutes, and by the end of the conversation, I notice I’m barely breathing. The distraught woman’s anguish is palpable. Her situation is every mother’s worst nightmare.The life of her child is in jeopardy and she feels helpless and afraid. I can’t imagine anything worse. During the call, I do my best to employ the GMHC Hotline protocol of “active listening,” which involves using silence, empathy and gentle probing with open-ended questions. I’m also having my own emotional reaction to the panic in her voice, and I’m worried about whether I’m doing enough. Toward the end of the clal, when she exclaims: “I don’t want my baby to die,” my heart plummets: “I know....I understand that, but there is hope,” I tell her. I find myself on the verge of tears. The Bad News This mother’s story is too common. According to the Centers for Disease Control in Atlanta, Ga., 40,000 Americans (half of them under 25) are newly infected with the AIDS virus each year. Unprotected sex and intravenous drug use remain the principal modes of transmission. “Teenagers,” notes AIDS activist Elizabeth Taylor, “are being very hard hit.” She refers to the three million adolescents who contract a sexually-transmitted disease annually. “Heterosexual teenage football players who are healthy and drink milk can get it too!” says the 71-year-old actress, who has singlehandedly raised $150 million for AIDS research. “But teens are very ignorant and feel invincible. They believe there’s an invisible shield protecting them from the virus, when it’s actually aimed right at them.” Taylor believes in addressing the problem head-on: “Tell your teenage son: ‘Maybe a condom doesn’t feel as good, but if it saves your life, it’s better than being six feet under.’ Intelligence must replace random sex.” Although a new generation of AIDS-fighting medications is prolonging the lives of thousands, nearly half of the 900,000 people infected with HIV in the U.S. cannot afford these drugs. Since the virus was discovered in l981, 410,800 Americans have died from AIDS-related complications, and the disease has left 13.9 million dead worldwide. Who Calls a Hotline? Not long ago I took a call from a 15-year-old boy living in a small town who said he feels guilty about his sexual attraction to other boys and is scared to discuss this with his parents. I ask him if there’s a school counselor or relative he might talk to, but he says he’s too afraid to confide in anyone. Being a teenager is hard enough, I thought, without the pressure of keeping this kind of secret. I felt angry and saddened that this child can’t comfortably discuss his feelings with his own parents. I encourage him to call the Gay Community Center Youth Program in a nearby city. In the meantime, I assured him that he could call our Hotline anytime, that we’d be there for him. This call was typical of the many we get from teenagers,whispering from their parents’ homes, confiding their blossoming sexual feelings and concerns. Our Hotline also receives calls from married men who phone from their offices, worried about extramarital sexual encounters; gay men suffering side effects from medications; mothers caring for a sick child or grieving for one lost to AIDS; even health care professionals themselves confused and requiring burnout support. One particular morning, I’m struck by the number of single women who turn to our hotline for help. At 10:15 a.m. a distraught young woman calls, explaining that she had been dating someone “very charismatic,” after a two- year period of sexual abstinence. “At first we used condoms and I was taking the pill to avoid pregnancy,” she says. But after her partner assured her he was HIV-negative, the couple began having unprotected sex. A few months into the relationship, she recounts, his behavior became “unpredictable,” until he finally admitted he was sleeping with other women and was addicted to heroin. Now she has to withstand the “terror” of waiting 3 months before getting an HIV antibody test. To help her cope, I give her the names of three terapists in her area. The call lasts 43 minutes. At 11:15 a.m. I take a call from a woman who is breathing heavily. She says that four months earlier she’d had a brief affair with a limousine driver, “not out of passion, but because I felt lonely. This was so totally unlike me,” she continues. “I come from a traditional Orthodox Jewish family...” Although they used condoms, and she has since tested negative for HIV, she feels deeply ashamed, and has stopped seeing him. And because she has both a persistent vaginal yeast infection and a rash on her neck, she’s convinced she must be infected by HIV. Although rashes, high fever, swollen lymph glands, heavy night sweats, sore throat, or other flu-like symptoms may indicate HIV, they can just as easily accompany the common cold or flu, or other type of infection. I encourage her to seek medical help and counseling, but the calls ends on a down note. “I must have it [AIDS],” she moans. I’m exasperated because it doesn’t sound that way to me, yet I can’t get through to her. The call lasts 22 minutes. It’s 11.38 a.m. when a well-spoken woman, who says she’s an attorney, calls from her office, asking for the names of anonymous testing sites. At first very businesslike, she calmly takes down all the information. I ask her why she’s considering a test. Total silence. Then she begins to cry: “I....I can’t talk....I’m sorry...you see, I have swollen lymph glands....[crying]....And my doctor wants to rule out HIV...I feel overwhelmed...” Then, abruptly: “Where can I send a donation?” She thanks me and hurries off the phone after just 3 minutes. These were one-time callers, but, as in any epidemic, an element of panic prevails, and our hotline also attracts an army of “chronic” or repeat callers who are intensely fearful no matter how benign their risk, many revealing continued misconceptions and paranoia about a disease that can be effectively prevented. We do our best to help them, but often they’re impervious to counseling. Most poignant are calls we get from AIDS patients, phoning from their hospital beds, attempting to navigate the exhausting labyrinth of insurance and health care matters. One man, in hospice care, said he craved companionship and missed the “good old days” when he was handsome and healthy. That call was a tough one for me as just the day before a close friend of mine, Joe, who had battled HIV for 16 years, had finally succumbed. Although at the end Joe was a mere skeleton, he was nonetheless at peace. “I’ve done what I wanted to,” he told me on our last visit. An avid gardener, he insisted on a final trip to his country house to see his garden one last time. For a moment the caller’s reality and the memory of my deceased friend blurred in my mind and I was overcome. Time for a break. Face to Face One of the most and unique services GMHC offers is called “A-Team Counseling,” a one-time, in-person session that’s free and anonymous. Recently, I was on an A-Team counselling a 26-year-old HIV-infected mother from the Midwest. She had traveled to Manhattan by bus to find her estranged boyfriend, who, she recounted tearfully, had kidnapped her 7-year- old son. Disheveled, painfully thin, the woman was a disturbing sight. She’s learned that the two had already returned home where the boyfriend was, and the child put in his grandmother’s custory. custody of his grandmother. Meanwhile she’d run out of money for the return trip, been refused a loan by her family, lost her ID, gone hungry and spent two nights on the street. Fortunately, this woman was registered at a local AIDS organization in her town. I telephoned her caseworker and persuaded him to buy her a one-way Greyhound bus ticket for $115.00. I also gave her subway tokens, a basket of food, juice and coffee. Smiling shyly, she thanked me for caring. Shaking hands good-bye with this woman was a bittersweet farewell. What will happen to her? I wondered will her health deteriorate or improve? Will she gain control of her life and be able to provide for her son? I’ll never know. One thing I do know: She’d appeared with the sorrow of a difficult life in her eyes, but when she left, she was elated at the thought of being reunited with her child. It seems that with faith and a helping hand, almost anything is possible. * * * * * 10 BIGGEST MISCONCEPTIONS ABOUT AIDS AND HIV (This list would probably be most effective when presented in a vertical chart, the misconception on the left, the correct answer on the right.) 1)The AIDS virus can be transmitted through saliva, sweat, tears, urine or feces; also through deep kissing. 1) HIV can ONLY be transmitted through four bodily fluids: blood, semen, vaginal secretions and breast milk--and can also be transmitted from a mother to her child before birth, during birth, or while breast feeding. The exchange of saliva through kissing is no-risk, unless the saliva has blood in it and both you and your partner are bleeding in the mouth simultaneously. 2) HIV may also be transmitted through casual contact with an infected person. 2) You can’t get infected from toilet seats, phones or water fountains. The virus can’t be transmitted in the air through sneezing or coughing. You can’t get HIV from sharing utensils or food or from touching, or hugging. HIV dies after being exposed to the air. Therefore, touching dried blood on a shaving blade, a toothbrush or a bathroom counter top is no risk. In any case, unbroken skin is impermeable, like a rubber raincoat, and cannot absorb the virus whether it’s alive or dead. Blood transfusions and medical procedures in the U.S. are safe. Giving blood is completely risk-free. The chance of getting HIV from dentists or other health care providers is too low even to measure.You can’t get it from mosquitoes or other insect or animal bites. 3) Oral sex is just as risky as vaginal or anal intercourse. 3) Although not 100% risk-free, oral sex is considered a low-risk activity,except if: you have bleeding gums, recent dental work, open sores such as a herpes lesion, any cut, blister, or burn in the mouth, or if you’ve just brushed or flossed your teeth. Also, oral sex with an infected woman is riskier if she is having her period, since menstrual blood can contain HIV. Overall, latex barriers, (such as condoms or dental dams) used during oral sex reduce the transmission of not just HIV, but other sexual transmitted diseases. 4) Animal skin, latex and polyurethane condoms are all equally effective in preventing HIV infection and you can use ANY lubrication on the condom desired. 4)Only latex or polyurethane condoms may be used, as HIV can pass through an animal skin condom. With latex condoms, only water-based lubricants--like K-Y jelly or H-R jelly--may be used. No lubricants with oil, alcohol, or grease are safe.Petroleum jelly,Vaseline, Crisco, mineral oil, baby oil, massage oil, butter and most hand creams can weaken the condom and cause it to split. However, with polyurethane condoms, petroleum-based lubricants can be used. 5) Women have to rely on men using condoms during intercourse to protect themselves against HIV. 5) Women may employ the “female condom,” a plastic sheath that can be inserted in their vaginas and used for protection against HIV. It can be inserted up to 8 hours before sex, has rings at both ends to hold it in place and can be lubricated with oil-based lubricants that stay wet longer. In addition, women can carry conventional condoms for their male partners’ use. 6) If a woman is HIV-positive, her offspring will automatically be born infected with HIV. 6) With no medical treatment taken, about 25% of HIV-positive women will give birth to infants who are also infected. However, the use of anti-HIV medications has resulted in a significant decrease of mother-to-child transmission of HIV in utero and during delivery to less than 5%. (NYT 10/19/ 99]. 7) AIDS is fundamentally a gay disease contracted by white males. 7) Recent data compiled by the Centers for Disease Control and Prevention indicate that young gay Hispanic and African-American men and heterosexual women are the fastest growing segment of the population being infected with HIV. Women now account for 43% of all HIV infected people over age 15. [NYT 11/24/98] African-American and Hispanic women account for more than 76% of AIDS cases among women in the U.S. 8) Heterosexual men are not really at risk for contracting HIV, even if they don’t use condoms. 8) The inside opening of the penis is composed of highly-absorbent, sponge- like mucous membrane tissues, which can provide a route for HIV-infected vaginal secretions or blood to enter the bloodstream. Proper condom use protects men from infection. 9) The AIDS epidemic is largely over because new AIDS medications like protease inhibitors and others have turned AIDS into a chronic, not a terminal disease. 9) In the U.S., AIDS is the fifth leading cause of death for people 25-44 years old. Roughly half of all those infected with HIV in the U.S. are not receiving any medications or medical care. AIDS now kills more people worldwide than any other infection, including malaria and tuberculosis.[NYT 11/24/98] In 1998 alone, 2.5 million people died of AIDS worldwide. 13.9 million people have died since the virus was discovered in 1981. 10) If you think you’ve been exposed to HIV through unprotected sex, you can take an HIV antibody test 2 weeks later and get an accurate result. 10) The standard “window” or waiting period remains a full 3 months. However, because the widely-used HIV antibody tests (The ELISA and Western Blot) have become so sensitive, about 95% of people will procure an accurate result 4-6 weeks after a possible exposure to the virus. * * * * [Note:The information stated above was reviewed for medical accuracy by Dr. Todd J. Yancey, an infectious disease specialist practicing in New York City and affiliated with New York Presbyterian Hospital, NY, Cornell Campus.] THE CHILD LIFE PROGRAM “Mommy takes a lot of medicine and Mommy’s really tired sometimes and she can’t take you to the park as much as she used to. It’s not that I don’t love you...and that I don’t want to...but Uncle Jack’s going to take you to the park today.” --A mother living with AIDS, a client at GMHC, talking to her 6-year- old son. In New York City alone, 28,000 children have been orphaned by AIDS since the epidemic began [NYT 12/13/98] GMHC’s unique Child Life Program serves HIV-infected parents and their children--who may, or may not, be infected with the virus. “We help families strengthen their ability to cope, relieve the pressure of parenting with support services, and teach parents how to talk to their kids,” says Child Life Program Coordinator Alison Ferst. “Unfortunately, should a parent or child be sick enough to be facing death, we also help them walk through it with grace and dignity---as opposed to feeling alone, isolated and frightened. “We also encourage sick parents to make stable legal plans for their children who may be left behind,” adds Ferst, “and to have disclosure conversations with the children in advance, so you don’t have a child standing at her mother’s funeral, not sure where she’s going next.” When an HIV-infected Mom arrives at GMHC to have lunch, attend a support group, consult with a lawyer, or access the acupuncture clinic, she can leave her children in a spacious playroom, decorated with fanciful murals and a giant tree hand-painted by the famed children’s story writer and illustrator, Maurice Sendak, who donated his art. [see photos] The program provides: child- sitting, nutrition services, a food pantry, art and magic classes, and recreational trips--church picnics, seasonal apple-pumpkin picking, amusement parks, zoos, museums, beaches. Also: homework help sessions, holiday parties, hospital visits, summer sports and weekly support groups for HIV- positive parents and their HIV-negative children. 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Generic levitra is an alternative to the name brand. It is an oral prescription medication used for the treatment of erectile dysfunction. It falls in the group of medicines known as PDE type 5 inhibitor. It works by relaxing the smooth muscles within the penis thereby increasing the blood flow. This helps attain an erection in a natural way making you more avid in bed and gratifyingly achieve an orgasm. Generic levitra comes in the form of a tablet available in the variants of 2.5 mg, 5 mg, 10mg, and 20 mg. The pill should be taken 1 hour before a sexual activity and not more than once in a day. It can be taken with or without food. Keep the medicine away from the reach of children as children use of generic levitra is strictly prohibited. Women should also not consume the drug as the reaction in such a case has not been studied. Generic levitra cannot do miracles. Neither can it result in an automatic erection. For a natural erection to occur sexual stimulation is required. Since generic levitra is meant to cure erectile dysfunction in men, therefore it should not be taken for sexual pleasure. Also it does not offer protection against sexually transmitted diseases including Human Immunodeficiency Virus (HIV). Before taking generic levitra one is advised to consult a physician. As you doctor will be able to judge better whether levitra is suitable for you or not. You may not be able to take the medicine, or may require a dosage adjustment or special monitoring during treatment if you have any of the following conditions:- •Heart disease •Blood pressure •Liver problems •kidney problems •Blood problems •Stomach ulcer •Family history of degenerative eye disease (e.g., retinitis pigmentosa), or •Physical deformity of the penis (Peyronie's disease) Elderly people are quite sensitive to the use of generic levitra. Men who have attained the age of 65 years are likely to experience certain side-effects such as dizziness, chest pain or painful erection. In such a case the doctor may prescribe a lower dose for the patient. Take the dose as prescribed by your doctor. If ever you miss a dose, take it the moment you realize you have missed it. Do not try to double the dose as it can cause serious side-effects. Symptoms of generic levitra overdose are-: •Dizziness •Stuffy or runny nose •Erection that lasts longer than 4 hours •Vision changes •Swelling of tongue or face •Difficulty breathing or swallowing •Fainting •Hives If you experience any of the above reactions, take immediate medical assistance. Generic levitra can help you to get and sustain quality erection for a longer period of time. This in turn can help you derive more pleasure from your sexual experience. pennis enlargement procedure pnis enlargement information vigrx side effects penis enlargment surgery photo pnis enlargement device penis enhancement guide to penile enlargment penis enhancement drug vimax penis enlargement pills review
Most men over the age of 50 are liable, according to statistics, to get prostate cancer. For American men, about 300,000 new cases are diagnosed each year, and some 35,000 men die of this disease annually. The numbers are increasing as well. This article is all about simple ways of keeping your prostrate healthy. What is the problem? The prostate is a chestnut-shaped gland and organ that sits right below the bladder and is wrapped around the urethra. Other than closing the urethra during erection, the prostate has nothing to do with a man’s urinary system. The prostate is needed for ejaculation, as the ejaculate passes through the same urethra as the urine does. The prostate gland’s basic job is to add special fluid to the sperm before it exits the penis during ejaculation. This is why the prostate sits below the bladder, and also why prostate problems interfere with a man’s ability to urinate and to have sex. The prostate is affected three ways: 1. infection 2. enlargement 3. cancer What are the problem’s symptoms? For infection (called prostitis) there is a great deal of pain, fever, and uninary problems. There are medicines and conventional therapies, however following the dietary rules below are very beneficial for prostitis. Englargement (known as BHP or benign prostatic hypertrophy) is a non-cancerous enlarement of the prostate. The symptoms are hesitancy in urinating, dribbling of urine before and after urinating, frequent urination, straining to start the stream, urgency of urination, and getting up several times at night to urinate. Cancer of the prostate symptoms are quite the same as BHP and many men are quite unaware they have cancer of the prostate, as there are often no symptoms at all. A PSA test done every 6 months is now a necessity for every man over 45. What can be done about it? Actually a lot. Diet and stress appear to be the main culprits. Here is a list of “do eat” and “do not eat” that is quite time tested. Eat the following lots of fresh vegetables and fruits, legumes (peas, beans, and lentils). fresh fish. And especially fish from cold ocean waters (such as salmon, sardines, mackerel, and cod) have large amounts of essential fatty acids. whole grain in moderation, rather than refined (white) breads, pasta, crackers, rice, and other grains. Dont eat the following fatty meats, fatty meats, excess of salts, hydrogenated oils, such as those found in margarine, donuts, cookies, cakes, other desserts, potato chips, and other deep-fried foods. canned, packaged, or otherwise processed foods, sodas, alcohol, black teas (which includes most iced teas), or coffee, and dairy foods, especially if they have been pasteusterised. Are there Special Foods that Can Cure the Cancer? Perhaps; and this is still a subject open to debate,but chilli peppers have been shown to inhibit the cancerous cells of the prostate. There was a study done recently at UCLA in California which indicate as much. Also there are several herbs and food additives known for their beneficial action on the prostate. They are: •Saw palmetto: This herb is now well-known to shrink enlarged prostates and to lower PSA.. •Green tea: The catechins found in green tea are the likely “medicines” for the prostate, although it is not known exactly how they prevent or combat existing prostate cancer. The usual dose is no less than 6 cups per day. •Pygeum: Pygenum has been used to treat diseases of the prostate and urinary tract for many years. •Nettle: The Nettle is rich in vitamin C, iron, and other proven nutrients that bolster the prostate. •Kelp: This is seaweed, and plentiful in iodine and contains minerals that help to prevent and treat prostate cancer. Asian men, with high doses of kelp in their diet (than American men) have a much lower incidence of any prostate problem. If you follow the above you will have and keep a healthy prostrate. penis girth enlargement penis enlargement pill product enlarement free penis pills sample pennis enlargement surgery photo penis enargement tool enlargment forum free matter penis size top penis elargement pills medical pennis enlargement vimax penis enlargement pills review
Testosterone and sex drive: As their ages increase, many men suffer from low sex drive, poor stamina and lack of sexual interest. This is due to a low amount of testosterone in their bodies. Normal men should have at least 800 free testosterone roaming in their body, and a number lower than this calls for erectile dysfunction. It is normal for men to have erectile dysfunction; It is actually widespread than most would think. There are also physical causes for erectile dysfunction, including excess alcohol drinking, brain injuries, extreme anxiety & stress, Heart strokes, high blood sugar and high blood pressure and even Parkinson's disease. However there has been a traditional "solution" to this problem. Anti erectile dysfunction products such as Viagra & Cialis has been dominating this market and are very popular to men suffering from this "disease" Today, however, many new 'herbal viagra' products are appearing on the market, promising faster acting time and longer results than viagra. Are these worth the risk? Let's compare their benefits to normal viagra. Viagra takes 1-2 hours after ingestion to take effect. This is not good enough for most men's needs. Most herbal viagra supplements take effect in 30 minutes, and for some men, 15 minutes. Viagra only lasts a few hours, while herbal viagra lasts at least 4 hours. Herbal viagra products have no side effects since they all use all natural herbal ingredients such as Niacin, L–Arginine, L-Phenylalaline, Epimedium - these only do good things for your body. For example, Niacin helps releasee Histamine in your body, which causes an increase in sex drive while increasing blood circulation. Since the penis is made of up blood chambers, increasing blood circulation around the body will result in an easier-to-achieve erection. And also L-Arginine, an amino acid, releases human growth hormone that leads to an increase in length & girth of the penis. This nutrient is vital to males. Epimedium, also known as Horny Goat Weed increases sex drive, and boosts erectile functions. Maca, a herb from Peru, has a name to increase sex drive, and is considered as an effective aphrodisiac. It contains over 50 natural chemicals that enhances the human body. It also helps relieve stress and anxiety. Other ingredients also increase sperm count, seminal volume, testosterone levels and overall energy. Viagra (Sildenafil Citrate) is used everyday by those suffering from erectile dysfunction; however it has many known side effects, including headaches, flushing, Dyspepsia, Nasal congestion, Urinary tract infection, Abnormal vision, Dizziness, Diarrhea and rashes. Would you want to treat your erectile dysfunction and experience these side effects? Also remember that Viagra can react with other drugs, including but not limited to: Nitroglycerin, Isosorbide Dinitrate, Amyl nitrate and Bosentan. Herbal viagra can increase your testosterone levels, sperm count and treat erectile dysfunction at a faster rate than viagra without the painful side effects. Also they are cheaper than normal viagra, costing only cost $2 per 2 pills (some cheaper) That's a nice $1 per pill. This is mostly because research & development cost have not been added onto the price. Selling at such low prices makes anti-erectile dysfunction affordable to everyone. Viagra can cost up to a staggering $14 per pill. Now why would you want to spend 14 times the price for a similar effect when you can get the same benefits with less risk?