Then a chart I reviewed was a married man who went to Europe on business and got a massage with an oral "happy ending" he came in to the ED absolutely terrified he got an STD and thought he was going blind. I think guilt took him over. He will never be doing that again!
This reminds me of a really sad case, early in my career. It was the late 80's or maybe very early 90's - definitely long before we had any treatment for AIDS. Saw a patient in urgent care, a nice businessman in his late 30's, he and his wife had adopted his orphaned niece and nephew, nice family. Turned out he had thrush; I ordered an HIV test on him as he had no reason to have thrush - it was positive. He'd been on a business trip to Bangkok and had had sex with a hooker there. I was the one that had to tell him he had AIDS.
