.
. >>>
. >>> WELCOME BACK TO GREAT DAY.
YOU MAY REMEMBER MY GUEST FROM
THE BIGGEST LOSER.
NOW HE'S BRINGING ATTENTION TO
A TOPIC THAT HAS A STIGMA
ATTACHED TO IT, STDs.
THERE'S 110 MILLION IN THE U.S.
RIGHT NOW.
RIGHT NOW. MOST DON'T KNOW THEY HAVE IT.
HE OUTLINES IT IN HIS BOOK,
SEX, LIES, STDs.
DOCTOR, GOOD MORNING.
>> ALL RIGHT.
WE KNOW YOU AS THE INTERNIST.
YOU WERE ON THE BIGGEST LOSER
AND HELP PEOPLE LOSE WEIGHT.
WHY THE SHIFT TO STDs?
>> I BACK INTO THIS.
I WAS ON THE CHARLIE DEAN SHOW.
CHARLIE CAME OUT AND DECLARED
HE HAD HIV.
HE LIFE ON TV SAID I'VE HAD
INTERCOURSE WITH SEVERAL
GIRLFRIENDS WITHOUT A CONDOM
UNDER A DOCTOR'S CARE.
THE INTERNET BLEW UP.
YOU ENABLING HOLLYWOOD DOCTOR.
I REALIZED A FULLY TREATED
INDIVIDUAL WITH HIV ON
MEDICATION CANNOT PASS IT TO
THEIR PARTNER EVEN WITHOUT A
CONDOM.
CONDOM.
CONDOM. PEOPLE HAVE NO IDEA.
THERE'S A STIGMA.
IT'S NOT A FATAL DISEASE
ANYMORE IF YOU GET DISEASED.
HALF THE PEOPLE AREN'T
DIAGNOSED OR NOT FULLY TREATED.
40,000 PEOPLE GET HIV EVERY
YEAR.
YEAR.
YEAR. IT'S TOTALLY TREATABLE AND
CURABLE.
CURABLE.
CURABLE. THE IGNORANCE, LACK OF
AWARENESS IS ASTOUNDING.
>> LACK OF AWARENESS AND SHAME
ALSO.
ALSO.
ALSO. COUPLE THINGS HAPPENED HERE.
OBVIOUSLY PEOPLE COULD PRACTICE
PREVENTATIVE MEASURES THAT
COULD BE GREAT.
IN THE HEAT OF THE MOMENT,
PEOPLE ARE THINK OF THAT LATER.
>> WE COULD PREVENT IT IF WE
WERE AWARE.
WERE AWARE. 25MILLION AMERICANS WILL GET AN
STD.
STD.
STD. VAST
STD. VAST MAJORITY ARE PREVENTABLE
IF WE THINK ABOUT IT BEFORE.
>> DOCTOR, YOU DON'T
UNDERSTAND, THAT GUY OR GIRL
DOESN'T LOOK LIKE SHE'D HAVE AN
STD.
STD.
STD. >>
STD. >> HOW MANY TIMES, PEOPLE OUT
THERE DATING, YOUR PARTNER SAYS
I'VE NEVER HAD AN STD.
THEY DON'T KNOW BECAUSE THE
NUMBER ONE PRESENTATION IS NO
SYMPTOMS AT ALL.
98% OF PEOPLE HAVE HAD HPV.
WE'VE ALL HAD AN STD.
IT'S A QUESTION OF DO YOU HAVE
AN ACTIVE ONE NOW.
OVER 100 MILLION AMERICANS DO
NOW.
NOW.
NOW. THE
NOW. THE VAST MAJORITY DON'T KNOW.
>> WHAT EXACERBATES IT IS THE
CULTURE NOW.
CULTURE NOW. THE DATING APPS, THEY SWIPE,
HOOK UP, AND THAT'S THE DEAL.
SO THERE'S EVEN MORE OF THAT
TODAY.
TODAY.
TODAY. >>
TODAY. >> IF YOU'RE AT HIGH RISK, YOU
NEED TO GET TESTED.
>> WHAT IS HIGH RISK?
IT DOESN'T MEAN IF YOU'RE NOT
AT RISK IF YOU'RE HAVING SEX.
>> HIGH RISK IS IN A NEW
RELATIONSHIP WITH HETEROSEXUAL
WITH MULTIPLE PARTNERS, MEN
THAT HAVE SEX WITH MEN, WOMEN
LESS THAN 30.
THEY GET CLAMYDIA.
DON'T FORGET PREGNANT
INDIVIDUALS.
INDIVIDUALS. THEY'RE NOT AT HIGH RISK.
THEY HAVE TWO INDIVIDUALS AT
RISK.
RISK.
RISK. THERE'S NO REASON ANY STDs
SHOULD AFFECT A NEWBORN.
THEY DO IN HUNDREDS OF
THOUSANDS OF CASES.
>> IT CAN HAPPEN.
YOUR POINT IS YOU HAVE TO KNOW
WHERE YOU STAND SO THAT YOU CAN
BE TREATED.
BE TREATED. MOST OF THEM CAN BE TREATED.
>> THE VIRUSES WE HAVE GREAT
PREVENTION.
PREVENTION. BACTERIA CAN BE TREATED.
YOU CAN'T TREAT SOMETHING YOU
DON'T SCREEN FOR AND DON'T KNOW
ABOUT.
ABOUT.
ABOUT. >>
ABOUT. >> ALL RIGHT.
THIS IS A STATISTIC YOU'VE GOT
TO STOP AND THINK ABOUT.
32,000 CASES OF AIDS IN
HOUSTON.
HOUSTON.
HOUSTON. THIS IS ONE OF THOSE THINGS, IF
YOU'RE WITH ONE PARTNER, IT'S
ONE THING THAT IT CAN MULTIPLY
QUICKLY.
QUICKLY.
QUICKLY. >> IF YOU'RE FULLY TREATED,
YOU'RE NOT GOING TO SPREAD IT
F. YOU'RE AWARE, YOU'RE NOT
GOING TO SPREAD TO YOUR
PARTNER.
PARTNER.
PARTNER. >>> BECAUSE OF VIAGRA, WE'RE
SEEING STDs IN A MUCH OLDER
POPULATION THAN BEFORE.
>> NURSING HOMES.
>> THERE WAS A NURSING HOME
WHERE THEY HAD THE CAMERA IN
THE HALLWAY.
THE HALLWAY. THE NURSE TOLD ME, LOOK AT
THIS.
THIS.
THIS. THEY'RE GOING FROM ROOM TO
ROOM.
ROOM.
ROOM. THEY'RE PLAYING CATCH UP.
THEY ARE CATCHING UP.
OKAY.
OKAY.
OKAY. I
OKAY. I THINK THE OTHER PROBLEM WE
HAVE FIRST OF ALL, HOW MANY OF
YOU ALL IN THE AUDIENCE DID
YOUR PARENTS TEACH YOU ABOUT
THE BIRDS AND BEES?
ABOUT FOUR OF YOU.
OKAY, GOOD.
OKAY, GOOD. RIGHT.
RIGHT.
RIGHT. THE FACT I HAVE TO SAY BIRDS
AND BEES AS OPPOSED TO SAYING
WHAT IT IS.
A LOT OF PARENTS SAY OH NO EGG
THE SCHOOL WON'T TEACH MY
CHILD.
CHILD.
CHILD. I
CHILD. I WLL DO IT.
OR MY CHILD IS NOT GOING TO DO
THAT UNTIL THEY'RE MARRIED.
>> ABSTINENCE IS WHAT PARENTS
THINK IS SEX EDUCATION.
ORAL INTERCOURSE AND OTHER
THINGS GO UP.
IT DOESN'T LOWER STDs.
THE PROBLEM WITH ORAL, PEOPLE
THINK I CAN'T CATCH ANYTHING
THAT WAY?
THAT WAY?
THAT WAY? >> THAT'S INCORRECT.
THERE'S SKIN TO SKIN
INFECTIONS.
INFECTIONS. THERE ARE MANY EASILY SPREAD
WITH ORAL INTERCOURSE.
THE OTHER ISSUE IS YOU CAN GET
STDs WITH TOUCHING.
WE HAVE TO START TEACHING KIDS
AT A YOUNG AGE.
THEY USE THE BILL CLINTON
DEFINITION OF SAFE SEX.
THAT DOESN'T WORK ANYMORE.
>> RIGHT.
>> RIGHT.
>> RIGHT. EVEN BEDSHEETS.
EVEN BEDSHEETS. >> IT'S POSSIBLE TO GET CERTAIN
THINGS LIKE GONORRHEA.
THAT'S RELATIVELY RARE.
YOU KNOW, CERTAIN THINGS LIKE
CRABS CAN BE PASSED WITH BED
SHEETS.
SHEETS.
SHEETS. EVEN AIR BNB PEOPLE AREN'T OUT
OF THE WOODS AND NEED TO READ
THIS BOOK.
THIS BOOK. >> WHAT ABOUT THIS I HEARD FOR
YEARS.
YEARS.
YEARS. THE TOILET SEAT?
>> THIS IS AN INCREDIBLY RARE
FORM.
FORM.
FORM. IT'S USUALLY MOIST SURFACES
THAT CAN BE AN ISSUE, MOIST
SURFACES WHERE THINGS ARE
PASSED AROUND FROM INDIVIDUAL
TO INDIVIDUAL.
TO INDIVIDUAL. >> ONE THING IS YOU CAN GO TO A
DOCTOR AND ASK TO BE TESTED.
>> A LOT OF DOCTORS ARE ASLEEP
AT THE WHEEL.
SAY DOCTOR, AM I GETTING A
COMPLETE STD SCREENING.
A LOT DON'T SCREEN FOR ALL OF
IT.
IT.
IT. DOCTORS ARE TOO EMBARRASSED TO
GET A GOOD SEXUAL HISTORY FROM
YOU.
YOU.
YOU. THEY
YOU. THEY CAN'T KNOW WHO'S AT HIGH
RISK AND WHO TO PINPOINT FOR
EVERY SIX MONTHS SCREENING.
>> YOU POINT OUT CRISIS MAY
NEVER HAPPEN.
NEVER HAPPEN. >> IF YOU'RE AT HIGH RISK,
MULTIPLE PARTNERS, MEN THAT
HAVE SEX WITH MEN, PEOPLE DOING
DRUGS WHEN HAVING SEX.
THEY NEED TO BE IN THEIR EVERY
SIX MONTHS FOR A SCREENING
BECAUSE YOU MAY NOT GET
SYMPTOMS.
SYMPTOMS.
SYMPTOMS. >> YOU MAY DESCRIBE TIME LINES.
THE WHOLE THING IS BE OPEN AND
HONEST.
HONEST.
HONEST. >> THERE'S ANOTHER THING.
IF YOU GO TO THE DOCTOR AND SAY
I HAD A RISKY ENCOUNTER A WEEK
AGO.
AGO.
AGO. DOES
AGO. DOES YOUR DOCTOR KNOW HOW LONG
IT TAKES FOR STDs TO PRESENT
FOR BLOOD TEST TO BE POSITIVE.
IT PROBABLY TAKE THREES WEEKS
FOR IT TO TURN POSITIVE.
THERE'S EXCEPTIONS.
THERE'S EXCEPTIONS. IF YOU RUN TO THE DOCTOR THREE
DAYS AFTER THE ENCOUNTER, TEST
MAY BE NEGATIVE BUT YOU'RE
INFECTED.
INFECTED.
INFECTED. IT' NOT AS IF SOMEBODY SAYS
I'VE BEEN WITH THE WORLD.
LET ME TELL YOU THAT NOW.
I'M A DRUG USER AND BEEN WITH
EVERYBODY.
EVERYBODY. I DON'T DISCRIMINATE.
WHEN YOU FIRST START DATING --
.
.
. >>
. >> A
. >> A CLOSED BOOK.
>> ONE THING IS DISCUSS YOUR
SEXUAL HISTORY.
SEXUAL HISTORY. I HAVE A COUPLE FRIENDS THAT
SAY THERE'S NOTHING GOING TO
HAPPEN UNTIL BLOOD WORK IS
PRODUCED.
PRODUCED.
PRODUCED. >> THE PROBLEM IS THEY
SOMETIMES GO TO A DOCTOR THAT
ISN'T FULLY INFORMED.
EVEN BLOOD WORK IS NOT FULLY
INFORMATIVE.
INFORMATIVE. >> HOW DO WE PRACTICE SAFE SEX?
>> SAFE SEX IS UNDERSTANDING
AND READING ABOUT IT.
NOT LOOKING FOR QUICK SOUND
BITES.
BITES.
BITES. THE INTERNET IS NOT A PLACE TO
FIND THAT.
FIND THAT. SAFE SEX IS ARE YOU AT HIGH
RISK, NEW RELATIONSHIPS,
CHECKING YOURSELF, GETTING A
FULL LEGITIMATE SCREENING THAT
WE TALK ABOUT.
>>> THIS ISMENT DIRECTLY
RELATED TO THE FACT WE STILL
HAVE HANG UPS ABOUT SEX.
HOW TO TALK TO CHILDREN ABOUT
THIS NATURAL PART OF OURSELVES
AS HUMAN BEINGS.