The first week of the semester was as crazy as could be. It wasn't enough that I was juggling my new classes, settling into my new apartment, and all that other stuff that I'd expected to do. Now, on top of all that, I was setting out on a new relationship— and that was the part that terrified me the most.
I still hadn't gotten used to the word "boyfriend". Chad and I had only used it a few times, and only in private. The sound of it still seemed weird to me. That one word acknowledged we were gay, and that we had feelings for each other, and that we were having sex— none of which we wanted anyone else to know.
Oddly enough, that same word could also make my heart skip a beat. Now that I'd admitted how I felt about Chad, I had a hard time keeping those emotions in check. It was a lot like when I'd let myself admit I liked boys, and the way it had unlocked urges I'd never realized I had. Now I found myself obsessing over Chad, wanting to be with him at all hours, and getting excited whenever I was about to see him.
I wish I could say I was on cloud nine, but it was never that simple. Reality kept intruding on our little world. One day I had a run-in with a pain-in-the-ass professor, and I worried she'd keep torturing me for the rest of the semester. Chad and I also stressed about the Kap Eps; although we both liked those guys, we didn't like having to cover up the truth. Even family phone calls were tricky, since there was so much we couldn't say.
The
most complicated day of all came that weekend, when Chad and I went in for our HIV tests. We made doubly sure no one would see us: we drove to the county health department, which was on the other side of town, and we tried to time it so that no one else would be there.
The clinic was in a crappy little building, surrounded by sketchy neighborhoods on all sides. Most of the other patients were poor, and I assumed they couldn't afford to go anywhere else. I felt a little guilty about that, considering we were just there for the anonymity. But I figured the place was a public service, so there was nothing wrong with us using it too.
The most awkward part was when a crotchety nurse took me into a room, and she made me give her my sexual history. The lady went through her checklist like a robot. "Have you been diagnosed with any STD in the past six months?"
"Never."
"How many sex partners have you had in the past year?"
"A few," I said. "I, well... I haven't kept count."
"Were any of them anonymous?"
I cringed but tried to hide it. "Yes...."
The nurse peered over her glasses. "Was any of that sex unprotected?"
"With my boyfriend," I said. The words came out so quickly, I barely realized I'd just come out to her. The nurse didn't seem to notice.
"When was the last time?"
"For unprotected sex?" I asked. "Well, last night I guess—"
"So with anyone else, what kind of protection did you use?"
"Condoms."
"And when was the last time for that?"
I didn't want to answer, but I forced myself to say the words. "About two weeks ago," I said, "I-I mean, my boyfriend and I just started dating."
"Did any of those condoms break?"
"W-well once, at least that I know of—"
"Were you the receptive partner in any of that?"
"You mean was I bottoming?" I asked. "Yeah, I mean, sometimes...."
"Have you taken any kind of pre- or post-exposure prophylaxis, like Truvada?"
I took a deep breath. "No."
"Okay then," she said, "now let me see your arm."
I did as I was told, and she took a vial of blood. Then the nurse left the room, and I sat there by myself.
I pulled out my phone and texted Chad.
Any news?
I wrote.
Yeah
, he wrote back.
Mine was negative
.
I hadn't expected anything else, but I still felt relieved.
Cool
, I wrote.
Still waiting on mine
.
Eventually the nurse came back in the room. "All right kid," she said, "I have good news and bad news."
I felt a pang of anxiety. "Okay...."
"The good news is, you tested negative. But the bad news is, with your history, you're at pretty high risk. You'll need to be tested again to be sure."
"I— what?"
"HIV takes a while to show up on tests," she said. "If you were exposed two weeks ago, it's too early to tell. These tests really measure your immune system's response. If you do get infected, it takes about a month for the antibodies to show up in your blood. Which is why you'll need to get another test later."
I swallowed. I remembered learning about this stuff in health class, but I'd never thought I'd need to deal with it myself. "W-what about that PrEP stuff? Truvada?"
"It's too late for that," she said. "It only works if you take it beforehand, otherwise it's like putting on a condom after you finished. There's another treatment, basically a morning-after pill, but you have to start it within 72 hours. So at the stage you're at, your ship has sailed. All you can do is wait and hope for the best."
"Shit," I said. "B-but if I did get it... I mean, it's not the 80's anymore. HIV isn't deadly now, is it?"
"Humph," she said. "Tell that to the million people a year who still die from it. I mean yeah, HIV is treatable now; so with good enough care, you can still live a normal life. But it's no joke. You have to watch yourself each and every day, and it's not cheap either. Just the medications cost thousands of dollars a year. So no: if you think it's something to trifle with, you've got another thing coming."
I tried to wrap my mind around what I'd just heard. "Y-you're saying I won't know for a month? Or more?"
"Well," she said, "you could always try a Nucleic Acid Test. It's not part of our free testing, but it tests for the actual virus, which means it picks it up a lot sooner. So if you want the peace of mind—"
"Yeah I do," I said without thinking. "Can I get it today?"
"Nope," she said. "You'll need to set a follow-up appointment. In your situation, I'd say come back in ten days." She got up, stuffed her chart notes under her arm, and fiddled with her glasses. "And do yourself a favor, kid: stay safe from here on out."
I didn't say a word as she sent me on my way. Ten days still seemed like a long time, but I thought I could live with it. At least it was better than the alternative.
The drive home, though, felt like it would never end. Chad and I spent most of it in silence. I was so queasy that I wanted to throw up. I kept imagining the worst, and I thought of all the ways this could fuck up my life.
The ironic part was that I'd started to understand why I'd slept around. When Chad and I were apart, I'd kept trying to get what I needed from somebody else. But no matter how hard I'd tried, none of my hookups could've really hit the spot. The result was that I'd now put Chad at risk, and I hated myself for that.
"I dunno," Chad finally said, "I'm hoping she just laid it on too thick. I mean, it can't really be that bad, can it?"