Tuesday, July 15, 2014

"I Contain Multitudes"

Sun, sand, booze, drugs, flesh. It was a full moon also. This past weekend, Fire Island swirled together into some hazy vision of what fun looks like.

I wandered from party to party, from Cherry Grove to the Pines, and back again, crossing through the Meat Rack seemingly countless times, that gorgeous walk, made all the more beautiful by the light being cast by the moon on the dunes.

A party was happening in the middle of the Meat Rack. Someone had hauled out speakers and DJ equipment there. Some pagan rite I seemingly stumbled upon. Inebriated naked men under a full moon dancing and having sex with one another all over the place. A fundamentalist's nightmare; my vision of what heaven might look like. Everyone was insanely beautiful and sexy. Needless to say, I stayed at this party until the sun rose, enjoying the festivities, enjoying these men.

I stumbled back to the hotel room I was crashing in with five other people and cuddled against the guy next to me. A few hours later, I was on the beach again, under the hot sun, diving under waves, and taking in all of these men around me, flirting with a few of them. There was such a current of sexuality pulsing through Fire Island - I felt electrified by it - this intense desire circulating around, felt in each passing person's glance.

I fell asleep in a station wagon on the way home. I remember stopping at a gas station somewhere on Long Island, somewhere that looked like anywhere, and I got a thing of Combos, the Pepperoni Pizza flavor. I then remember waking up at the White Castle by my house. I was let out of the car and stumbled to the burrito place by my house.

Yesterday though was when the memories of all of that fun became tempered with reality, with what it is to be a sexually active gay man in 2014, that it may be fun, insanely fun, to engage freely in some orgy rave party happening under a full moon in the middle of the woods, but that I can't do so, not to the extent I did, that even though what I did was on the lower risk end of the spectrum of unsafe sex it was still unsafe and still possibly risky. I have been meaning to go on PrEP for the past couple months but wanted to wait until I settled into a new job and got my insurance situation settled - I didn't want to start it and a month or two later figure out how I was going to pay for it. Anyways, the point is that time old tale: would have, should have, could have.

So I found myself early yesterday morning at Callen-Lorde trying to get PEP treatment. After waiting for about an hour there, they then made an appointment for me two hours later and said I might actually get seen even later. I told them that I really couldn't spend all day there since I was supposed to be at work and they directed me instead to CityMD since I had insurance.

It's really unfortunate how difficult it is to get PEP. Yes, I made a mistake, but it seems crazy to me how annoying these barriers to receiving this drug are that can prevent HIV, that for a lot of people, that commitment of time required at Callen-Lorde is probably a prohibitive barrier. Anyways, CityMD was quick but frighteningly clueless - I don't think the doctor knew anything about this treatment and she tried to dissuade me from it since I didn't have any symptoms (um, not how it works Doctor). I finally got the prescription but then had a whole other series of annoyances to deal with - namely that of my insurance company as well as my COBRA administrator. Even though I wrote a massive check to continue paying for my health insurance from my last job through COBRA, Aetna did not have me enrolled anymore, and so it was literally hours and hours while at work that I spent on the phone with various parties trying to get this fixed, which was hours and hours that I couldn't pick up this prescription for since I don't have several thousand dollars to pay the out of pocket price that pharmaceutical companies gauge the healthcare system for for HIV medication, which meant hours and hours of a delay in starting a time-sensitive treatment where each passing hour makes it less effective. 

I finally got the drug though, Atripla, and felt nauseous and slightly dizzy for most of the evening once I took it. Hopefully that side effect will wear off, won't occur when I take it again today.

There is the balancing and the rebalancing of what memories mean. These erotic memories, fun moments in the sand with a guy, are reconsidered, become something else, when you are on the phone with various people trying to get your insurance situation figured out so you can start taking a pill that makes you feel nauseous. Fun too often comes at a price. That hangover. That sense of shame. That waiting in a doctor's office. But for a moment, before all of that sets in, before those after moments occur, you are as alive, as present, and as happy as it might be possible to be on this planet when you are fucking that dude in the dunes under the light of the moon. But that means little to nothing when you are sitting on a toilet with diarrhea wondering why you can't exercise more self-control.

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