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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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The most definite and obvious sign of infertility is the weakness of a person or a couple to conceive a child within a period of a year of unprotected sexual intercourse. Though that may be quite simple, the struggles that this sign entails create dramatic changes in a couple's life. In most cases, people have no knowledge that they are actually patients of infertility. The main reason- the lack of immediate symptoms. Infertility by nature is a condition that does not deal with the physical-external make-up of the person affected by it. There are no external measures and symptoms that we may conduct and observe when examining if a person is infertile. In fact, before any diagnosis is made pertaining to infertility one has to undergo a series of extensive examinations, physical tests and other techniques which themselves are very taxing. In case that the couple was able to conceive yet have undergone multiple miscarriages, they probably may fall under the category of infertility. However, it would still be safe if they consult a physician first for further analysis of their case. If you are experiencing the absence of menstrual bleeding yet the results of pregnancy test tells you that you are not pregnant, then you might be a patient of infertility. If this condition prevails for some months it is likely that something in your reproductive system is impaired. Once you experience pain somewhere in your pelvic area, it would be best that you disclose this with a physician. Abnormal pain may be caused by conditions like endometriosis and internal infections. Watch out for basal temperatures. These are good indications that your system may be having some troubles. Abnormal rise or fall of basal body temperature is linked with hormonal imbalances that concern mostly the hormones needed for ovulation. Say if your basal body temperature is low while undergoing the first part of your cycle that may indicate too high estrogen release in your body. Meanwhile, high basal body temperature at this stage could possibly indicate low progesterone. Anovulation may be indicated through the absence of upward shifting of the basal body temperature. On the other end of the scale, male infertility seems to posses no clear signs except the obvious- erectile dysfunction. This condition is characterized by the inability to create erection, which may be contributed largely by the abnormalities in the blood vessels, specifically those found in the penis. Diseases and conditions like stroke, abuse of alcohol, and major problems in the circulatory system may also cause Erectile Dysfunction. real penis enlarement vimax penis enlargement program permanent penis enlarement pnis girth enlargement penis enargement pills review penis enlagement pill magna rx best pennis enlargement pills vimax penis enlargement technique vimax penis enlargement cream

In This article we are going to look at what the Kama Sutra is about and cover the three best positions for sexual enjoyment. We will be doing articles on subsequent topics in the book, but for now it’s a general intro and those 3 best positions! The Kama Sutra, is an ancient Hindu book which was and still is a guide to human behavior, including sexual behavior. It is organized in seven sections which address the seven ages of a man. In section 1, the man enters maturity and creates his own residence. In the second section, the man studies and practices sexual skills Actually only 20% of the Kama Sutra is about sexual techniques. This section (two) contains a total of 8 sexual positions, of which each has 8 variants, so you end up with 64 positions for the joining of a man and woman, This section is often mistaken as being the whole of the Kama Sutra. Section three gives the secrets of seducing and copulating with a virgin, but no sexual techniques, only advice. The following 4th section is the book of the householder, and the man marries with much advice about the home and family. Section five assumes the man is bored with marriage, so the treatise explains how to seduce other men’s wives for variety. The next section assume the man has tired with other men’s wives, so it focus’ on relations with prostitutes (or more mildly called courtesans, but it means the same thing. Sex and affection for money) The last section finds the man in his 7th stage, and in fear of losing his sexual potency and libido, so it gives recipes for regaining them (somewhat like today’s Viagra). The man is advised to boil sparrows' eggs in milk and then mix in ghee (clarified butter) and honey. It is meant to revive the man’s potency. 3 Best Sexual Positions Returning to the second section, we will cover three very interesting and highly sexual positions for maximum enjoyment by both the man and the woman. The first of these positions is called “The Coil”. This is perhaps the best position for a woman to arrive quickly at a deep and profound orgasm. In this position the man’s penis presses and rubs the woman’s clitoris while the vagina is penetrated. The woman lies down near the edge of the bed and rotates her legs to one side or the other of her body. The man kneels in front of her, and penetrates deeply. Her clitoris is jammed between the vaginal lips, and the man’s penis. In this position, the woman and relax or contract her whole pelvic area. She quickly arrives at an orgasm. The second position is known as “Filling the Well”. In this position, the man completely penetrates the woman to the maximum extent (of his penis). With the woman lying on her back, she brings her legs to her chest, and rests her feet on the man’s shoulders, who is on top of her, but supporting his own weight on his outstretched arms. This position shortens the distance of the vagina and womb, and the man enters as is as deep as possible. The man must be careful, as his penetration is so deep that it can cause pain. There is no thrusting, only the man moves in a circular or pulsating movement. The woman quickly arrives to completion, and should the man finish himself in this position, pregnancy is very possible if precautions are not taken. The last position covered here is the “Arc of Love” The man in a sitting position on the bed leans back slightly supporting himself with his two arms. His legs are stretched out in front of him and slightly apart. The woman is the active partner in this pose, so she passes her legs over his, and leans back (as he is) supporting her body with her own arms as well. The woman assures the man has penetrated her, and all movement is her’s. The clitoris in this way is highly stimulated, and as the woman undulates, orgasm quickly arrives to both her and him. prosolutionpill vigrx penis pills penis enlargement tool penis enlagement excersizes vimax surgical penis enlargement top rated pennis enlargement pills penile enlargment pic plastic surgery penis elargement vimax penis enlargement cream

It is not uncommon to notice unusual visual symptoms at night after LASIK. Patients often report symptoms of haloes, glare, or a general feeling of poor night vision. Fortunately, these symptoms almost always resolve with time. There has been a large amount of debate as to the cause of night vision symptoms after LASIK. What is known is that it is much less common than it was with the older generation laser treatments. There are some patients who had LASIK surgery many years ago who will require frequent eye drops to minimize the symptoms. The major debate has surrounded whethere the size of a persons pupil at night plays into night vision symptoms. In the dark,a person's pupil will enlarge in size. Some people believe that it is this enlargement of pupil size that causes the night vision complaints. More specifically, the pupil size has enlarged to allow light in that is outside the optical zone created by the laser. Therefore, this light is reflected in a different manner than light inside the optical zone; this leading to night vision complaints. A study published in a peer-reviewed journal has suggested this is wrong. At this point, it is unclear as to the true answer. However, pupil measurement is a standard part of the preoperative workup. A major development in laser vision correction has been the measurement of higher order abberations. It is felt that these abberations, such as spherical abberation and coma cause a lot of the post-operative visual symptoms that may cause a patient to have a less than satisfactory post-surgical outcome. The development of wavefront abberation treatment or custom cornea treatment is designed to address the treatment of these pre-existing abberations and to minimize the induction of these abberations. It is felt that by treating these abberations symptoms such a night vision haloes and glare can be minimized. Many surgeons will agree that the advancement with this technology in addition to creating smoother optical zone treatments has minimized these symptoms compared to earlier generation lasers.