Rectal herpes

I write a lot of medical stuff, although not as much as I used to as I get further and further away from my former job (veterinary medicine library). Today someone visited my site looking for “rectal herpes,” so I checked to see what I’d written, and found a 2006 article about what must be one of the dumbest characters in the anals annals of medicine. Not only did he smoke a pack of cigarettes a day, but was also a user of marijuana and meth AND he was a promiscuous 31 year old gay man.

“He has AIDS, rectal discharge, pain when defecating and blood in his stool, pelvic pain, nausea, and weakness. It's the pain, not the AIDS that has sent him to the doctor this time. He has regular anal intercourse without condoms with his "usual partner" who also is HIV positive, and he has other partners.” NEJM, Jan. 19, 2006 .

He was diagnosed with AIDS as a teen-ager (12 years before) and over the course of his disease has received at various times zidovudine, lamivudine, nelfinavir, ritonavir-lopinavir, cephalexin, clarithromycin ethambutol, didanosine, stavudine, and efavirenz. In addition to AIDS he developed Kaposi's sarcoma, oral thrush, rectal herpes simplex and anal condylomas because even with all this medical treatment (or because of it) he never gave up his promiscuity. Then he was treated with acyclovir, fluconazole, and dapsone; for the current problem, he got ceftriaxone and azithromycin. Now he had lymphogranuloma venereum proctitis. A series of lab tests showed he didn’t have gonorrhea, herpes simplex, chlamydia and syphilis--all common among gay men--maybe those bacteria couldn‘t survive the chemical soup floating through his body.

I’m sure that under Obamacare, these careless, do-nothings (except for bath houses, male prostitutes and voting) will have full access to the government run pharmacies, and the elderly and poor will have fully managed and minimum care of aspirin and 7-Up.