Episode 1 Unsafe Sex in the City


Episode 1

Series about life at a Manchester STI clinic. The staff treat Kervin, who has some issues to address after a one night stand leaves him with more than just a smile on his face.


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Transcript


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This programme contains strong language

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Britain is in the grip of an epidemic

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of sexually transmitted infections.

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-Everyone's shagged everyone.

-Urgh!

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Going to call him in.

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Behind every rash, lump and itch...

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Men will come in with puss coming out everywhere.

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And you said there's some itching around the back passage as well?

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..is a patient terrified they may have caught an STI.

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What is scabies?

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This series follows the staff as they treat patients

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at the Manchester Centre for Sexual Health...

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Some of the things you see,

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especially when you see herpes and warts,

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some of them look really nasty.

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I'm going celibate!

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-Come this way.

-..and we work with the clinic

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to invite Manchester's young people to get checked out...

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-Was it protected or unprotected?

-Unprotected.

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One...two...three.

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Ah, I could feel that!

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That has actually come back positive for gonorrhoea.

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THEY CHEER

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..before learning how the fall out from unprotected sex...

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It's going up in increments -

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next you'll have syphilis, with holes in your cock.

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..affects them...

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I feel like it's ruined my life.

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Hey, I just wanted to get my results.

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..and their relationships.

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I'm calling because I just got a message from the clinic.

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Oh, don't do that!

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Ooh!

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This week, after a drunken one-night stand,

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Kervin has some issues to address...

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If I have, you know, give you something, then I'm sorry, innit?

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But I didn't know I had anything.

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..17-year-old Courtney heads to the clinic

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for a comprehensive sexual health checkup...

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-I've just...

-Where's the most adventurous place you've had sex?

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-On the bus!

-On the bus?

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No, in the cinemas, actually.

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You've had sex on the bus?!

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..and we'll follow the clinic's outreach programme

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as they head into Manchester's gay village to carry out HIV testing.

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'Obviously, HIV and AIDS, you've got that for life'

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and, yeah, I am quite scared to see what the results will be.

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A good half hour before

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the Manchester Centre for Sexual Health opens its doors,

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a queue has already formed outside.

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-Morning!

-Morning!

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The staff face another hectic day swabbing, probing and examining

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up to 15 patients each.

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'Is Carol in today?'

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-No, she's off today.

-Right.

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I like to get in early so I can have a brew

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and get my head straight before I get going!

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This morning, senior specialist nurse Tanya,

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allocates jobs to the 25-strong team.

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So, we need someone to do the lab in the morning and the afternoon,

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someone to do HIV bloods,

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someone to work in the health advisors,

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HIV team and on the GU floor.

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So we look at what staff we've got in

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and, sort of, balance it out as best we can.

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Right, so I want Nikki and Karen to be doing the HIV bloods,

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Chris, I want you to be doing training with David.

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So, Pam, you're going to do, into the HAs to do neggies

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and everyone else knows where they're working

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and what they're doing, yeah?

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Please can I ask who's doing the lab tonight?

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Erm, it is Lisa.

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Thank you.

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Does everyone want to get going then?

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So, just a full sexual health check?

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You've no current symptoms or concerns at all?

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If you just take a seat.

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Read the laminate front and back, fill all the forms in -

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as soon as you finish just bring it straight back up.

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Thank you so much.

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'Hi, there, come through.'

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Hiya, my name's Kati Perez, I'm one of the doctors.

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We're just going to go through this way, OK?

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22-year-old security trainee Kervin

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recently indulged in unprotected sex

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but not with his girlfriend.

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'Well, I had a one night stand, didn't I?

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'I suppose I should've strapped up, innit?'

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But I don't like strapping up.

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-Do you check your own testicles?

-Yeah, I do.

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-You just, sort of, feel them every month or so?

-There's no...

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The liaison left him with more than just a smile on his face.

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For the last three days,

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puss has been seeping from the tip of his penis.

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-So, this is what's been going on with it.

-I can see that.

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Well, what we need to do then is just to get a swab, if that's all right?

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-It's a bit uncomfortable.

-It's a BIT uncomfortable?! Jeez!

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It's over. Are you all right? Are you happy for me to do it?

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Go on, go on.

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It's over very quickly, just take a deep breath. Are you ready?

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-Try not to jump off the bed. That's it well done.

-Whoa!

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-All right there? Well done, OK?

-"Well done," she says!

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Kervin will wait at the clinic to find out the results of his swab.

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If it's bad news, he'll have to tell his girlfriend

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and the one-night stand that he's got an STI.

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'Do you not worry about these things?'

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Of course I get worried about them things

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but when you're drunk, you're not...

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you're not really thinking about that are you, really?

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Courtney and Danielle are both teenagers from Rochdale.

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17-year-old Courtney is here for a checkup.

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She sees one-night stands as a no-strings alternative to a boyfriend.

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'If you don't want to be in a serious relationship

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'and you just want to maybe have one-night stands, that's your choice.'

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But if you want to be in a relationship

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and would rather be with them and just them, then that's fine as well.

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I'd rather be safe than, than sorry, to be honest.

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'Do you ever try and tell Courtney? Give her a bit of a telling off?'

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Yeah, I always tell her to use condoms

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but if she doesn't want to use them, she's not going to use them, is she?

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-Courtney, please.

-Yeah, that's me.

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Yep, do you want to just come in here?

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Courtney's appointment is with Clinic Support Worker Lauren.

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At just 21, she's the youngest member of the team.

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OK, when was your last sexual intercourse?

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About four days ago

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-OK, was it regular, casual?

-Just casual.

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-Male partner, yeah?

-Yeah.

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OK, was it protected or unprotected?

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Unprotected.

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Have you ever had sex with anyone that's ever injected drugs?

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Would you class steroids as drugs?

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Yeah. Yeah, such as it's still injecting.

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-Do you know if he shared needles or anything like that?

-No.

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-He used all his own needles, yeah?

-Yeah.

-OK.

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Courtney will provide a self-taken vaginal swab

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and have her blood taken.

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These will be tested for chlamydia, gonorrhoea, HIV and syphilis.

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Even without symptoms, it's possible she could have any of these STIs.

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OK, there is an incubation period on chlamydia and gonorrhoea, OK?

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So, basically it can take up to two weeks to be detected

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-so cos you only had sex four days... Was it four days ago?

-Yeah.

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Four days ago, you might want to get re-screened if you are worried, OK?

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-Yep.

-And also, do you never use protection?

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-No, not regularly.

-Is there are reason why, or...?

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-No...

-Just heat of the moment?

-Yeah.

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Thing OK? Well, obviously your contraceptive covers you

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for, obviously, not getting pregnant but not with STIs

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-so we do advise that you use condoms, OK?

-Yeah.

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-Do you want any today?

-Erm, yes, please.

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Yeah? That's fab. Just press down on there for me.

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(Cheers.)

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-OK, that's everything. Do you have any questions?

-No, that's it.

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-OK, then. Thanks very much.

-Cheers, bye.

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'Will you be at all nervous about getting the results?'

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Yeah, a bit.

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Not so much the chlamydia one but the HIV one, yeah, definitely.

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'Do you think you are at risk of that?

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'Do you think there is a chance of you having it or...?'

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Erm...there's a chance with anyone, but I don't really,

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I don't sleep with anyone that's not from this country

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or...that are high risk.

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And I would think that if they did have it then they would tell me

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cos it's a big deal,

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it's not just like chlamydia where you can just go and get rid of it.

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It's something that you can't get rid of.

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If you come across as lecturing you find that they just agree with you

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and they'll say, "Yeah, yeah, I will next time, I will,"

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and then they'll come in in three months time

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and it's just the exact same situation as last time.

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So I suppose they make their own choices,

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all we can do is try and guide them.

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Courtney might've been unwise

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to trust the word of the men she's been sleeping with,

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and she could find out the hard way

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if she tests positive for a sexually-transmitted infection.

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-Hiya, is it Chantelle?

-Yeah.

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For shy and retiring types, the clinic can be intimidating.

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The staff probe into the patients' most private areas.

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Have a seat, Chantelle.

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-OK, have you ever had sex with anyone that's bisexual?

-No.

-No.

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-Is there any oral sex with your partners?

-Yep.

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And have you ever paid for sex?

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Have I paid for it? No.

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Have you ever had sex with a man?

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-No.

-No. OK.

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-And you don't use sex toys to have penetration at all?

-No.

-Fine.

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-When you have sex with your partners, do you give oral sex?

-Yeah.

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You do, OK.

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'We do ask quite intrusive questions'

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but if you, if you make them feel comfortable and at ease,

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then it's not a problem for them.

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And do you receive any anal sex?

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-Sometimes.

-Sometimes, OK.

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Have you ever had sex with someone that wasn't born in the UK?

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Er, Italy...

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-Greece, Sweden.

-Sweden.

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-And do you have oral sex?

-Yeah.

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-Is that both ways? You to her and her to you?

-No, it's just me.

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-You to her...?

-Mm-mm, yeah.

-OK.

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Kervin may not receive oral sex

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but it turns out he has been in receipt of an STI before.

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Apart from the chlamydia,

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-have you ever had any other sexually transmitted infections?

-Nope.

-No.

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Well, actually, no...

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genital warts, or something like that, I think I had.

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Yeah, we've got that down here, actually, yep.

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'When you're drunk and you cheat on your girlfriend,

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'I call that a mistake.'

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Like, you're not in your right mind.

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So if you go and cheat on your girlfriend when you're drunk...

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it's not excused but it's not as bad as when you're sober, obviously.

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So...it can be excused sometimes.

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Kervin could soon be weeping as much as his penis.

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He has all the symptoms of gonorrhoea.

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Gonorrhoea looks like, on a slide,

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it looks like little kidney beans.

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Kidney, kidney shapes,

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and they're kind of in pairs, kind of dotted round.

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So I don't know whether you can see this,

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but that's what I'm kind of looking for on the microscope.

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That's what you call pus cells.

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Usually if you look under a slide and you see more than 10 pus cells,

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you're then looking for gonorrhoea.

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Last year the number of people diagnosed with gonorrhoea rose by a quarter to over 20,000.

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It's an adaptable STI that thrives anywhere from the penis,

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the vagina, the anus and even the throat.

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And when you see gonorrhoea under a slide,

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although they look like little kidney shapes,

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they have to be inside the cell for you to call it gonorrhoea.

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And then when you do call it gonorrhoea,

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you've got to get it right, cos obviously it's this person's relationship

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that you're, you know... It's like, their relationship in your hands.

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Sorry, I'm taking extra long on this.

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With it's distinctive discharge,

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it's the STI of choice for many clinic staff.

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-I love drippy willies!

-SHE LAUGHS

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Cos then I know it's easy to diagnose.

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When they come in and say, "I've got a spot," you think, bloody hell, it could be anything.

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When they come in with drippy willies, you know exactly what to do with them.

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Simple. Gonorrhoea.

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I wasn't aware of most of the stuff until I started working here,

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and then I was like, "Oh, my God!" Do you know?

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How easy it is to catch infections

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and obviously how common HIV was and stuff like that.

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It is really scary, you know, and you just try and advise, like, your friends and stuff.

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Cos half of your friends and that don't even know what it's like

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and how serious things can be.

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I'm going celibate!

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Celibacy is the last thing on the mind of most young Mancunians,

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and their sexploits have led to patient numbers at the clinic exploding.

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It was May 2008 that we actually moved to this new clinic,

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we used to be in this really, little tiny place in the hospital.

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So this is where we store all the records and they thought

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this would be enough to store all the notes. And I think it was

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within a couple of years, by 2010, early, we ran out of space.

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On a daily basis we print out all the results from the previous day,

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and then we have to go through them, see which ones are positive and who's negative.

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If you look at here, this is meant to be a photocopier room

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but when we ran out of space,

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we had to start using this again to store more notes.

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This is the biggest pile, which are all the negatives,

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so we're doing not so bad.

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These are positives for things such as chlamydia,

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so they have chlamydia detected, or gonorrhoea or herpes,

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there's a lot, a lot of herpes at the moment.

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Now this is our admin manager's office,

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and things are so desperate that we're having to store notes here, now. These.

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After a tense wait,

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Kervin is about to learn the medical term for drippy willy.

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His results are ready.

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Right then, OK, we've had a look at the slide in the lab next door,

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and we have found some infection there, we found gonorrhoea.

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-Gon...? Wow, that's a first.

-Have you heard of that before?

-Yes, I've heard of that.

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-Yeah?

-That'll be the first time. Wow.

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OK, so gonorrhoea, it's a common bacterial sexually-transmitted infection, OK?

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So it's not something that we see infrequently.

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Um, we need to give you an injection, if that's OK.

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-Where?

-Where? Usually we give it...

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-In me arse!?

-HE LAUGHS

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OK?

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It's very quick, and when it's over that means you've had all the treatment that you need.

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-In me arse. OK.

-You know where you're going?

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Yeah.

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-Right and right again. Bye bye.

-Bye.

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Bloody hell.

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Seriously, gonorrhoea. First time, first bloody time.

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First one-night stand, first gonorrhoea, never again,

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no way, no how.

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Me, drunk and sex ain't going right no more.

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Disappointed. Can't believe it.

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Gutted. Going to have to get a needle in my arse.

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At the moment, um, gonorrhoea is building up a resistance to antibiotics,

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so since I've been here, I've been here nearly 4 years now,

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since I've been here, the treatment has changed.

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We give them, like, a double whammy of treatment, basically.

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Tell you this, feel like I'm prison bait, now.

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Kervin's terrified of needles.

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I'm going to have some cold sweats.

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You'll be fine. Keep still, keep turning that way.

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Oh gosh, wait, hold on. Hold on.

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You need to keep still, pet, because I've got a needle in my hand.

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Yeah, I realise that, let me just... Go on. (Oh, my days.)

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Keep still, just relax.

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Kervin must keep it in his trousers for the next week.

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If he doesn't, he risks spreading the infection to his girlfriend

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or any other future mistakes.

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I'll pop a plaster on it, OK? You all right?

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-Is that a joke with the plaster?

-No.

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-Oh, you really are putting a plaster on?

-Yeah.

-Oh, right.

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If it's left untreated, gonorrhoea has got long-term side effects.

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It can cause testicular pain and swelling,

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it can cause ectopic pregnancies in women,

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pelvic inflammatory disease in women, you know, and you can be hospitalised

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with pelvic inflammatory disease if it's that bad,

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and it can cause problems with fertility in the future in men and women.

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You know, it's got far-reaching long-term side effects if it's left untreated

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or if you keep getting it, you know, on a regular basis.

0:16:230:16:26

We've always seen a lot but, you know, we are seeing more and more gonorrhoea now.

0:16:260:16:30

Kervin should now be on the road to recovery,

0:16:320:16:35

but he needs to let his one-night stand know about his STI as soon as possible.

0:16:350:16:40

Hello?

0:16:400:16:42

Um, hi, it's Kervin. Do you remember me?

0:16:430:16:48

It's Kervin, do you remember me?

0:16:480:16:50

All right, well, I'm just letting you know I'm in the clinic,

0:16:530:16:58

and I've got... Um, I've got gonorrhoea,

0:16:580:17:02

so I have to let you know.

0:17:020:17:05

I've just... I'm in the clinic right now.

0:17:050:17:07

And I've just found out that I've got, like, I've got STI, so...

0:17:070:17:13

I don't know, I'm just letting you know. I'm supposed to let you know, innit?

0:17:130:17:16

All right, then. Well, if it's...

0:17:180:17:21

If I have, you know, give you something,

0:17:210:17:24

then I'm sorry, innit? But I didn't know I had anything.

0:17:240:17:27

Just go and check. Get that checked out.

0:17:300:17:34

So make sure you're cool.

0:17:340:17:36

All right, later.

0:17:380:17:40

She sounded so guilty. Yeah, that was her dad's phone.

0:17:440:17:48

So, the phone she'd been texting me off, or, like, chatting me up on,

0:17:480:17:53

frigging father's, her dad's phone!

0:17:530:17:55

Imagine if I'd text her, like, "Er, I've got gonorrhoea."

0:17:550:17:59

You imagine?!

0:17:590:18:02

Oh, no!

0:18:020:18:03

Kervin's gonorrhoea should be on the way out.

0:18:030:18:06

The question is whether or not his girlfriend will follow suit once he spills the beans to her.

0:18:060:18:11

So, ask Alison about when she first started here.

0:18:150:18:19

They know about patting the willy. They know about that.

0:18:190:18:22

-What happened?

-What happened?

0:18:220:18:25

I'd not been here that long, so I was just training,

0:18:250:18:28

and I did a urethral swab like you do,

0:18:280:18:31

and I finished it and I put it on the slide and everything

0:18:310:18:34

and I still had hold of his willy. I should say "penis," shouldn't I?

0:18:340:18:37

So I still had hold of it, and I didn't know what to do then, cos what's polite?

0:18:370:18:40

You can't just sort of fling it to one side and leave, can you?

0:18:400:18:44

So I just went like that, "There you go," and walked off!

0:18:440:18:47

I was just trying to be polite. Right.

0:18:470:18:50

STIs are spread by unprotected sex, and the more people drink alcohol,

0:18:580:19:02

the less likely they are to bother with condoms.

0:19:020:19:06

Grant, do you want to finish that vodka, then I'll give Courtney a Kopparberg?

0:19:080:19:11

I feel like I've non got enough make-up on.

0:19:110:19:14

With her test results still up to a fortnight away, Courtney is relaxed and ready to party.

0:19:140:19:18

Where's the most adventurous place you've had sex?

0:19:180:19:21

-On the bus.

-On the bus?

0:19:210:19:23

-No, in the cinemas, actually.

-You've had sex on the bus!? I just clicked on.

0:19:230:19:27

-I know, you were like, "Oh, on the bus."

-You've actually had sex on a bus?

-Yeah.

0:19:270:19:31

How did you manage to have sex on the bus?

0:19:430:19:45

It wasn't full on sex. I was just trying it to see what it was like.

0:19:450:19:49

-You had sex on a bus.

-Yeah. And in the cinemas.

0:19:490:19:52

-And in the cinemas. Oh, dear.

-Film was boring.

0:19:520:19:55

-Was there not people in the cinemas?

-Ooh, whoops! Whoops!

0:19:550:20:00

When I met you, how many people had you slept with? Like 25?

0:20:170:20:20

-Yeah.

-Now it's 34? 33?

0:20:200:20:24

-33.

-33. That's a lot of people, that.

0:20:240:20:27

When did you lose your virginity?

0:20:270:20:29

-I don't know, I was quite young

-How old?

0:20:300:20:34

Year 7, Year 8. How old are you then?

0:20:340:20:36

-Shit, Year 7 and 8?

-How old are you then?

0:20:360:20:39

-12, 13?

-He lived on my street. He was at my house every day.

0:20:390:20:43

That's quite young that, to lose your virginity though, mate.

0:20:430:20:46

How many are you planning to sleep with by the time you're 18?

0:20:480:20:52

-Another like...

-Are you going to get into the 50s?

0:20:520:20:54

No. 40, maybe.

0:20:540:20:58

-How many months is that? What month are we in?

-Three.

0:20:580:21:02

Three months and you want to sleep with seven more people? Wow.

0:21:020:21:06

It's an unhappy fact that the greater the number of sexual partners you have,

0:21:060:21:10

the greater your risk of contracting an STI.

0:21:100:21:14

Kervin has been living with his gonorrhoea diagnosis for several days now.

0:21:270:21:31

He's met up with best friend Joe, a self-proclaimed player

0:21:310:21:34

who has never yet been diagnosed with an STI.

0:21:340:21:38

Birds were just coming up to me,

0:21:380:21:41

-it was so, like...

-It's nice, though, innit?

0:21:410:21:44

I were just smashing it, mate.

0:21:440:21:46

It was a case of all eyes on me.

0:21:460:21:48

What happened at the clinic the other day, then?

0:21:500:21:53

-Pressure.

-Pressure!

0:21:530:21:56

You're laughing, it's funny, but still...

0:21:560:21:59

That frigging... That little thing they put in your pee hole?

0:21:590:22:03

Is it like a little parasol or an umbrella kind of thing?

0:22:030:22:06

It looks like a Q-tip, man. You know what a Q-tip is?

0:22:060:22:09

Yeah, yeah, yeah. You mean a cotton bud?

0:22:090:22:11

-Yeah, a cotton bud.

-Oh! Right down your bell-end?

0:22:110:22:14

It weren't that big, it weren't that big, but shit hurt, it stung.

0:22:140:22:18

It stung, man, it was like someone was pinching or a bee stung me on my dick head or something, man.

0:22:180:22:23

As a good friend, I should say, don't be a fool, wrap your tool.

0:22:230:22:26

You don't know what's going around. You've had clap, well, chlamydia.

0:22:260:22:30

-Clap!

-HE LAUGHS

0:22:300:22:32

Now you've got gonorrhoea. It's going up in increments mate,

0:22:320:22:35

next you're going to have syphilis with holes in your cock, or something.

0:22:350:22:38

Yeah, you're going in, man, you're going in.

0:22:380:22:40

I hope this is a lesson to you.

0:22:400:22:41

Does it hurt?

0:22:410:22:44

What, now?

0:22:440:22:45

-Yeah, does it hurt, like?

-No! it's been dealt with now.

0:22:450:22:48

-So you're clear?

-Well, I've got to go back to make sure everything's all clear,

0:22:480:22:52

but I've not had sex or anything like that.

0:22:520:22:53

Not even been wanking, man, fucking hell.

0:22:530:22:56

Courtney lives with her mum, Sherry.

0:23:030:23:05

She is exasperated by her daughter's behaviour.

0:23:050:23:09

This day and age, protection, it doesn't even come into

0:23:090:23:13

the conversation. It's like, "Oh, I'm OK, you know, he looks all right."

0:23:130:23:16

Or "I know her, she's fine we don't need to use anything."

0:23:160:23:19

And then that's it, you know, before you know it, chlamydia, gonorrhoea, syphilis.

0:23:190:23:24

-What can you do?

-I've tried.

0:23:240:23:25

I've bought condoms and said, "You know, here's..."

0:23:250:23:28

I've even been out and bought condoms, I've left her leaflets on the bed

0:23:280:23:32

when she's come home from college, about AIDS, syphilis, gonorrhoea, herpes.

0:23:320:23:36

I don't think she reads them. I think she says, "Yeah, Mum I've looked at them,"

0:23:360:23:40

but I don't think... She makes her own decisions, and I don't think me,

0:23:400:23:43

unless I'm behind her when she goes out and saying,

0:23:430:23:46

"Right, Courtney, if you're going to sleep with him, use protection!" I don't think it's going to happen.

0:23:460:23:50

With Courtney failing to act on a leaflet's advice,

0:23:500:23:53

Sherry hopes a more personal approach might help.

0:23:530:23:55

-So, Saturday, you're going to Danielle's?

-Yeah.

0:23:570:24:00

You're going out around Rochdale. Do you take lads back to her nana's?

0:24:000:24:05

-No, I go back to theirs.

-You go back to their house?

-Yeah.

0:24:050:24:08

Normally before, before I was with Vinnie, if they'd have said,

0:24:080:24:12

"Oh, come back to mine," I probably would.

0:24:120:24:15

-Just go back to a stranger's house. You don't know them.

-Yeah.

0:24:150:24:18

You're drunk, you get in the taxi and go to their house?

0:24:180:24:20

-Yeah. With Danielle, obviously.

-Oh, Danielle's there as well?

-Yeah, with Danielle.

0:24:200:24:24

But if Danielle wasn't there and Danielle had gone home with a lad,

0:24:240:24:27

and a lad said to you, "Oh, come back to my house," would you go?

0:24:270:24:30

-Probably, yeah.

-On your own in a taxi to a stranger's house?

0:24:300:24:34

Yep. If they was good-looking enough.

0:24:340:24:36

Good looking!? You don't even think about your safety?

0:24:360:24:39

Do you not think, "Oh, this lad could be... He could have loads of lads back at his house."

0:24:390:24:44

You just think, "Oh, yeah, he's good-looking, I'll get in his car!

0:24:440:24:48

"I'll get in the taxi with him."

0:24:480:24:50

-COURTNEY GIGGLES

-Yeah.

0:24:500:24:51

And then what happens when you get back there?

0:24:510:24:53

Whatever happens, happens.

0:24:530:24:56

Sleep with him.

0:24:560:24:57

And do you use protection?

0:24:570:24:59

-No, cos it don't feel as good.

-Lads will say anything.

0:24:590:25:03

-I don't... It's not lads that say it, it's me.

-You say it?

-Yeah.

0:25:030:25:07

-Is it just bang, bang, bang, let's get on to it?

-Yeah.

0:25:070:25:10

So the conversation about protection doesn't even come up?

0:25:100:25:12

No, it's just kissing leading to in the bed, leading to sex.

0:25:120:25:17

Come on, Courtney.

0:25:180:25:20

The next time you sleep with someone, I would like you to use protection.

0:25:200:25:23

And if they say to you, "I'm not using condoms,"

0:25:230:25:26

then don't be with them, Courtney.

0:25:260:25:27

If they're not willing to put a condom on, then just leave it.

0:25:270:25:31

I think if I say, "Have you got a condom? I won't do it without a condom."

0:25:310:25:34

Then they'll go, "She's shy, her, she doesn't do anything unless you've got a condom."

0:25:340:25:38

And...? What's...?

0:25:380:25:40

I just don't want to be known for that.

0:25:400:25:43

But why can't you go out and have fun and not have sex?

0:25:430:25:46

-I can do that!

-So why don't you do that?

0:25:460:25:50

I do, sometimes.

0:25:500:25:51

But most times you go home with lads.

0:25:510:25:53

Or with lads when I'm out, end up wherever.

0:25:530:25:58

-Exactly.

-Whether it's in a park, in a house...

0:25:580:26:02

-A park?

-Or wherever you end up.

0:26:020:26:05

-In a park?

-Yeah.

0:26:050:26:08

That's disgusting.

0:26:080:26:09

Tough.

0:26:100:26:12

Girls will be like, "Slag. Look at her, she's a slag.

0:26:120:26:15

"Sleeping with lads in parks."

0:26:150:26:17

That was once.

0:26:170:26:18

Once? Once doesn't matter. Once can still get you an STD.

0:26:180:26:22

Once can still get you AIDS.

0:26:220:26:24

Yep, probably.

0:26:240:26:26

Probably? That's a really good attitude, isn't it?

0:26:280:26:30

I know she's only trying to, like, protect me and things like that,

0:26:300:26:35

but if I'm going to do it, I'm going to do it, and obviously she can't stop me.

0:26:350:26:39

So... Just annoying sometimes.

0:26:400:26:44

It's like, "Let me just live my life, you live yours."

0:26:440:26:48

For Joe and Kervin, there are pros and cons to having safe sex,

0:26:510:26:54

but mainly cons.

0:26:540:26:56

No, no, like... It's just... You know what?

0:26:560:27:01

You know when you're with a girl and you've got a condom on

0:27:010:27:04

and it feels like crap.

0:27:040:27:07

Mate, it's not, it's not... Right, it's not my fault that

0:27:070:27:11

she's, like, riding me and then I'm like,

0:27:110:27:13

"Yeah." Feel like I'm going through the motions, like, "This is shit."

0:27:130:27:17

and next second she jumps up, just rags it off my dick and chucks it.

0:27:170:27:21

They need to invent something better.

0:27:210:27:23

Some kind of gel shit, man, that don't fuck about with the feeling.

0:27:230:27:26

You know, the feeling's what matters, isn't it? Really and truly.

0:27:260:27:29

Yeah, I mean, even to escape gonorrhoea, you know,

0:27:290:27:32

you can't even talk her into doing anal, can you?

0:27:320:27:35

No, fuck that man. You're going deep, you.

0:27:350:27:39

-Something different, innit?

-Yeah.

0:27:390:27:42

It's always great, as well, when you find a bird that's like,

0:27:420:27:45

"Yeah you can stick it in my backside."

0:27:450:27:47

I suppose you've got a point.

0:27:470:27:49

I'm lucky I've not caught anything. I admit it. I need to go.

0:27:490:27:52

Wait, wait, let me get this straight - so you put your bare dick in someone's booty?

0:27:520:27:56

You serious!? That has to be worse than me! It has to be!

0:27:560:27:59

-How's that worse? You've got gonorrhoea.

-Yeah.

0:27:590:28:03

The only thing in my favour is one of the girls I slept with about two week ago,

0:28:030:28:08

well, I've been sleeping with her on and off for about six week,

0:28:080:28:12

I've quit now, but she went and got herself checked out and she's got nothing, she's all good.

0:28:120:28:16

-Wahey! So that possibly means you're all good.

-Possibly means. I need to go and get checked out.

0:28:160:28:21

Joe may like it, but unprotected anal sex

0:28:240:28:27

is the riskiest sex you can have when it comes to catching STIs.

0:28:270:28:30

Tell James his results are ready.

0:28:400:28:42

Where's that asym, Alison, do you know?

0:28:420:28:44

For every patient like Kervin the clinic put back on the road to recovery...

0:28:440:28:48

Hi, Steven, it's Cheryl again.

0:28:480:28:50

I'm ringing you from the clinic at Manchester Royal Infirmary.

0:28:500:28:53

..there's plenty more who still need help.

0:28:530:28:55

Um, we need to give you some more of those injections just to make sure

0:28:550:28:59

that you have no long-term problems from the syphilis infection.

0:28:590:29:03

A phone call from this place isn't one you want to receive.

0:29:030:29:06

And you know we do two rectal swabs and one's on a culture plate?

0:29:060:29:11

That has actually come back positive for gonorrhoea.

0:29:110:29:14

We'll just take a little prick from your finger.

0:29:160:29:21

Fiona has found herself in a tricky appointment.

0:29:210:29:23

-So I'm just going to clean your skin.

-I'm scared already, you know. HE LAUGHS

0:29:230:29:28

So take deep breaths for me.

0:29:280:29:31

Her patient, Rolla, is terrified of needles.

0:29:310:29:35

To calm his fears, Fiona is using the finger prick method.

0:29:350:29:39

-Are you ready?

-Yeah.

-One, two, three.

-Oh, now, it didn't even hurt!

0:29:390:29:44

See? Well done, you.

0:29:440:29:47

Fiona has spared Rolla the trauma of having a full-sized prick in the arm.

0:29:470:29:51

Excellent, good. Thank you very much. So that's it, you're free to run away.

0:29:510:29:55

-All right, thank you.

-You take care.

0:29:550:29:57

-I'll see you.

-Bye.

0:29:570:30:00

I probably would've had it done a long time ago

0:30:000:30:02

if I knew that I could get it done with just a little prick in the finger

0:30:020:30:06

and they didn't have to get any needles out, but... Yeah, man.

0:30:060:30:09

Just waiting for the results now, innit?

0:30:090:30:11

Get me wellies on.

0:30:160:30:18

Nearly 3,000 patients a month come through the doors of the clinic,

0:30:180:30:22

but the staff are not content to simply wait for the problem to come to them.

0:30:220:30:26

-That's it, are we ready?

-We're ready.

0:30:260:30:29

One afternoon a week, two staff members take the fight against STIs out into the community.

0:30:290:30:34

-Well, we're off to... um...

-LGF.

0:30:360:30:40

Which is the Lesbian and Gay Foundation,

0:30:400:30:42

and we do 30-minute HIV tests there every Thursday night between three and six.

0:30:420:30:46

So I mean, what exactly is a 30-minute HIV test?

0:30:490:30:52

It's a rapid HIV test so we can test the blood on a little strip

0:30:520:30:56

and we get the result back in 30 minutes.

0:30:560:31:00

There's a lot of people come because they feel they've been at risk

0:31:000:31:04

so they come to get their results straight away because they want to know.

0:31:040:31:07

And sometimes some of them if they get a negative result

0:31:070:31:10

-they're jumping up and down, aren't they? Give you a big hug.

-Big hugs.

0:31:100:31:13

-And they're just full of tears and really happy, aren't they?

-Yeah.

0:31:130:31:16

And then those that it does come back positive, everybody's different there.

0:31:160:31:21

You get some that say, "Yeah, I thought I might've been,"

0:31:210:31:23

-and they're OK, and you get others that just fall to pieces.

-Yeah.

0:31:230:31:27

Give you this and I'll get the change.

0:31:270:31:30

-Thank you very much.

-Thank you.

-See ya.

-Bye-bye.

0:31:360:31:39

They're not letting us in.

0:31:390:31:42

-'Hello?'

-It's the nurses.

0:31:420:31:43

BUZZER

0:31:430:31:45

This afternoon, Pam and Alison can expect to see up to 14 patients.

0:31:460:31:51

Adam? Just come in and take a seat, OK?

0:31:510:31:54

All hoping for a negative result on their rapid HIV test.

0:31:560:31:59

And not a lot of people wear condoms for oral sex, OK?

0:31:590:32:03

So you never wear a condom?

0:32:030:32:05

Never wear a condom.

0:32:050:32:07

OK. That's what I thought.

0:32:070:32:08

When I'm giving anal.

0:32:080:32:11

OK.

0:32:110:32:12

Manchester has a thriving gay community.

0:32:120:32:15

The Lesbian and Gay Foundation was set up to serve their needs.

0:32:150:32:18

I've come in today to get a rapid HIV test.

0:32:190:32:24

It gives me peace of mind because I can get the results within an hour

0:32:240:32:28

whereas at the hospital you have to wait two or three weeks,

0:32:280:32:32

so it's something I come and do quite regular.

0:32:320:32:35

I'm an escort, so keeping fit and healthy is really important.

0:32:350:32:41

I get an average of about four to five clients weekly.

0:32:410:32:45

One of my clients, he's quite young,

0:32:450:32:51

he comes to the apartment

0:32:510:32:53

and he'll want me to kick him with full force into his penis

0:32:530:33:00

and, er, he likes that.

0:33:000:33:03

And I have to kick him several times whilst he masturbates to that.

0:33:030:33:08

So, yeah, that can be quite fun!

0:33:080:33:10

Tim? Hiya, come in, have a seat.

0:33:130:33:18

Thanks very much.

0:33:180:33:20

Sorry, brought my cup of tea in with me.

0:33:200:33:22

That's all right, not a problem.

0:33:220:33:24

Right, I'm Alison.

0:33:240:33:26

Is that a Welsh accent I can hear?

0:33:260:33:28

-It is. From Swansea.

-Oh, are ya?

0:33:280:33:30

-Right, OK, so your last HIV test was in April, yeah?

-Yeah.

0:33:310:33:35

That was negative, yeah?

0:33:350:33:36

-It was, yes.

-And you've been treated for syphilis in the past.

0:33:360:33:39

-Was that at Manchester Royal Infirmary?

-It was. The infection was detected by yourself.

0:33:390:33:44

-Yeah.

-But I had... I had the full symptoms of it so...

0:33:440:33:46

Right, OK.

0:33:460:33:47

And you have had sex with someone that's HIV positive, is that right?

0:33:470:33:51

-I have, yes.

-Right, OK.

0:33:510:33:52

-And you both give and receive anal sex, yeah?

-Yes.

0:33:520:33:56

Do you always use condoms?

0:33:560:33:58

Um... not with my partner.

0:33:580:34:00

-OK

-But with everyone else, yes.

0:34:000:34:02

Has your partner been tested for HIV?

0:34:020:34:04

He has.

0:34:040:34:05

He's negative. OK.

0:34:050:34:07

I'll do your finger prick first and then I'll take your blood if that's OK.

0:34:070:34:10

That's fine.

0:34:100:34:12

-Do you know much about HIV?

-I do, yeah.

0:34:120:34:15

You've read up on it and everything?

0:34:150:34:17

It's not something anybody wants, but there's loads we can do now.

0:34:170:34:20

-Yeah.

-You know we can look after people really well

0:34:200:34:23

and it's treated like a chronic condition now.

0:34:230:34:26

Yeah, it's just like diabetes.

0:34:260:34:27

Yeah, it's a chronic condition like diabetes is.

0:34:270:34:30

If a diabetic doesn't take their insulin they become really poorly and possibly die, so...

0:34:300:34:35

It's similar with HIV.

0:34:350:34:36

If you don't attend for treatment, if you don't get monitored regularly

0:34:360:34:40

and if you don't take your medication then you could potentially die as well, yeah.

0:34:400:34:44

-Right, so that's your test done.

-Right.

0:34:440:34:48

What we need you to do is go and wait out there for 30 minutes

0:34:480:34:51

and as soon as we've got your test results back I'll come and get you.

0:34:510:34:54

-OK, yeah, that's fine.

-OK?

-Great.

-OK.

0:34:540:34:56

Waiting for HIV test results is not a new experience for Tim

0:34:560:34:59

and the wait is always agonising.

0:34:590:35:02

Oh, yeah, don't forget your brew.

0:35:020:35:04

-Thank you.

-You're welcome.

0:35:040:35:06

Bye.

0:35:060:35:07

'Obviously HIV or and AIDS, you've got that for life'

0:35:070:35:11

and yeah, I am quite scared to see what the results will be.

0:35:110:35:15

I mean, he gets tested really regularly.

0:35:150:35:17

We would never say to anybody, "Oh, there's no risk, you're absolutely fine."

0:35:170:35:21

There's always a risk, which is why it's important you come and test.

0:35:210:35:24

-Cover it up with the towel.

-That's what colour my case is. It is.

0:35:350:35:39

No one's going to miss me on the beach, are they, with that towel?

0:35:390:35:41

Courtney's test results are due

0:35:410:35:44

but with her and Danielle off to sunny Spain,

0:35:440:35:47

a positive result would ruin her holiday.

0:35:470:35:50

Oh, it's off, er... it's off the clinic.

0:35:550:35:57

It says "Your most recent test results from MCSH are negative."

0:35:570:36:03

-Ah, that's good.

-Yeah, I'm quite chuffed with that, actually.

0:36:030:36:06

-Good.

-Whoooo!

0:36:060:36:08

You're free of an STI.

0:36:080:36:09

I know. Know that I'm safe now. Know that I've not got HIV.

0:36:090:36:13

-Are you happy?

-Yep, I am.

0:36:130:36:15

You are? Good.

0:36:150:36:18

Do you think you'll use protection now?

0:36:180:36:20

Yeah. I will try and use it a lot more.

0:36:200:36:22

Can't say for definite because sometimes it's just in the moment,

0:36:220:36:26

but, yeah, I will try and do it a lot more just to be safe.

0:36:260:36:31

As Courtney had unprotected sex four days before the test,

0:36:310:36:34

her results are in fact no guarantee she is all clear of infection.

0:36:340:36:38

When she returns from her Spanish adventure

0:36:380:36:41

she will need to retest again in three months' time.

0:36:410:36:44

At the Lesbian and Gay Foundation,

0:36:530:36:57

after a nerve-racking 30-minute wait, the HIV test results are back.

0:36:570:37:01

OK, Adam, just wanted you to know that you've come back negative, OK?

0:37:010:37:05

So that's, er, that's good news.

0:37:050:37:10

-Thank you for all your help.

-It's all right, that's what I'm here for. It's a pleasure.

0:37:100:37:14

I feel, like, really great, cos I told you I've not been tested for a year so that's a very long time.

0:37:140:37:20

-Mmm.

-And at the back of your mind, knowing that, like...

0:37:200:37:24

but now with the...gone, I feel a lot better.

0:37:240:37:28

Come in!

0:37:310:37:32

Bit warm.

0:37:320:37:34

It is warm, isn't it?

0:37:340:37:36

I'm not complaining.

0:37:360:37:37

Have a seat for me.

0:37:380:37:39

Can I just double-check your date of birth for me, Tim?

0:37:410:37:43

Yep, 'course you can. It's the fifth of the fourth, 1982.

0:37:430:37:46

OK. Right, your HIV test has actually come back positive.

0:37:460:37:51

-Has it?

-Yeah. How do you feel? You OK?

0:37:510:37:54

-Has it really?

-Yeah.

0:37:560:37:58

It's a very, very faint line, OK, but there's a line there.

0:37:580:38:01

My colleague's checked it as well, so what we're going to do,

0:38:010:38:05

we're going to send that blood off I took to the lab

0:38:050:38:07

and we'll check it again for you. OK?

0:38:070:38:10

You OK?

0:38:110:38:13

-Has it really?

-Yeah. I wouldn't tell you that if I didn't think it had.

0:38:190:38:23

Do you want me to show you? Or do you not want to see?

0:38:230:38:26

So what's the next process?

0:38:290:38:31

What happens now is we'll send your blood off, OK,

0:38:310:38:35

and we'll get that blood back as fast as we can.

0:38:350:38:38

Hopefully tomorrow.

0:38:380:38:40

If you want to come in to clinic tomorrow, you can do, OK?

0:38:400:38:43

And we can take some bloods for you tomorrow at clinic.

0:38:460:38:49

-Sorry.

-It's fine, honestly, it's fine, it's fine.

0:38:540:38:58

Let me get you a tissue.

0:38:580:39:00

Are you OK? There you go.

0:39:050:39:07

I don't want you to panic cos I'm going to...

0:39:150:39:16

It's a very faint line, OK, and I'm not saying that doesn't mean it's positive

0:39:160:39:20

but what I'm saying is we're going to send your blood off

0:39:200:39:23

and check and double check that that's an accurate result, OK?

0:39:230:39:27

I just don't know where I could've caught it from...

0:39:290:39:32

..cos...

0:39:330:39:34

Sorry.

0:39:390:39:41

Honestly, honestly,

0:39:410:39:42

you've got absolutely nothing to be sorry for at all.

0:39:420:39:45

I know you don't know what to do at the minute.

0:39:470:39:50

I don't know how I'm going to explain this to my partner.

0:39:550:39:58

Right, OK.

0:39:580:39:59

'When they're really shocked, of course it affects you, you know.'

0:40:020:40:06

'I'm only human and I don't, like, as a person, cos I'm really soft,

0:40:060:40:09

I don't like to see anybody upset or in pain or anything like that.'

0:40:090:40:12

'So it is difficult but you know, it is part of what we have to do.'

0:40:120:40:16

You do care about them and obviously you're sitting here

0:40:180:40:21

and you will it to be negative.

0:40:210:40:22

You don't want anyone to have a positive result, but unfortunately that's what's happened today.

0:40:220:40:26

Hi, you all right?

0:40:290:40:30

Was it difficult?

0:40:350:40:36

-It's never nice, is it?

-No.

-Having to give someone a positive result.

0:40:390:40:43

Alison has just given Tim the most difficult news

0:40:500:40:53

anyone in sexual health work has to deliver.

0:40:530:40:55

As night falls on Manchester

0:40:580:41:00

the clinic's work is done for another day.

0:41:000:41:02

Tomorrow, Kervin's mate Joe will be going to the clinic

0:41:150:41:18

for his first sexual health checkup in months.

0:41:180:41:21

He's at high risk of having an infection,

0:41:210:41:24

but enjoys the challenge of seeking out new partners to have unprotected sex with.

0:41:240:41:29

I've said daft shit in the past like joking, but got away with it.

0:41:290:41:32

Like, one girl I walked up to and was like,

0:41:320:41:34

"Don't want to know your name, don't want your phone number,

0:41:340:41:37

"but you come home with me, you'll have the best night of your life and in the morning you'll go home."

0:41:370:41:42

You know, you get laid off stuff like that, it's crazy.

0:41:420:41:45

-I like the fact that your eyes are colour co-ordinated with your hair.

-Yeah, that's what I do.

0:41:450:41:50

See, you got it going. You got sense, girl, you got sense.

0:41:500:41:52

What do you do for a living?

0:41:520:41:54

Don't ask that! I go college and I work at the same time.

0:41:550:41:58

-Where do you... what do you study at college?

-Nail technician.

0:41:580:42:01

I had my nail done today, this one thumbnail, this one nail. Right.

0:42:010:42:05

Basically, I started a blog.

0:42:050:42:07

Now the reason behind me doing this blog is you have so many articles written for women

0:42:070:42:11

but no-one ever does it for guys.

0:42:110:42:13

So I started a blog talking what men care about,

0:42:130:42:15

you know, as far as relationships go - love, sex, everything.

0:42:150:42:19

So I did "How to get laid in under five hours."

0:42:190:42:22

Which was my spin on... my thoughts on what I've learnt over the years

0:42:220:42:27

and what other guys have writ for years before, you know? The Game.

0:42:270:42:31

-You come over as an idiot. I'm probably an idiot to you.

-I'm not an idiot!

0:42:310:42:35

But you laugh it off.

0:42:350:42:37

Don't walk away from me in a mood, cos that's...

0:42:370:42:39

-I wasn't walking away in a mood!

-That's arrogant!

0:42:390:42:41

Yeah, accessorising.

0:42:410:42:44

Now, accessorising, what I've put is,

0:42:440:42:46

"Now this is something that guys tend to believe is only for women

0:42:460:42:49

"and as I have done with all of the notions of style and what looks good,

0:42:490:42:52

I'm here to tell you to get your head out your arse.

0:42:520:42:55

"Men have just as much right to take time into looking good as our female counterparts,

0:42:550:42:59

"such as those little issues that make something go from looking amateur to professional."

0:42:590:43:04

So if you have like say, a dodgy ear, wear a lip piercing.

0:43:040:43:08

It takes the attention away from your ears to your lips.

0:43:080:43:10

If you're going out to get laid you want to use everything you can.

0:43:100:43:14

In about 20 minutes, when I'm having a drink inside maybe we can chat a little bit more and...

0:43:140:43:19

No, because I'd say to me friends, "Oh, that's that fucking knobhead from before that I was speaking to."

0:43:190:43:24

Yeah, but...am I still a knobhead now that you're chatting to me?

0:43:240:43:28

I put that cocky as being a really good thing in the one-night-stand game.

0:43:280:43:32

"Let's take a look at cockiness. This is a great trait to have, whether or not...

0:43:320:43:35

"When it comes to dating somebody, it's considered to be a massive no-no.

0:43:350:43:39

"We're not talking about dating and romance, we're talking about an overnight session."

0:43:390:43:43

You know, cockiness helps.

0:43:440:43:46

-Are you cocky?

-I'm cocky, yeah, I'm cocky! I'm cocky, I'll smile about it!

0:43:460:43:50

This is what I say, if you're going to be cocky you've got to get the cheeky smile.

0:43:500:43:54

You get the cheeky smile? Sorted.

0:43:540:43:56

Oh, see, you were giving me the cute face!

0:43:560:43:59

-You were like...

-Only because... Your teeth are clean!

0:43:590:44:01

Because my teeth are clean? It's not the smile then?

0:44:010:44:04

-Not the smile?

-No.

0:44:040:44:06

Morning! Morning, Lauren!

0:44:140:44:15

-Morning!

-What are you up to today?

0:44:150:44:19

I have not a clue where I am.

0:44:190:44:21

Don't know until I go down and see the board.

0:44:210:44:24

Unpleasant odours can on occasion

0:44:240:44:26

be an occupational hazard for the clinic staff.

0:44:260:44:28

Fiona has her own way of preparing the nostrils at the start of a long shift.

0:44:280:44:32

This is good for your skin.

0:44:320:44:36

It's poppers, Lisa. Poppers!

0:44:360:44:38

I spent three years training to be an aromatherapist.

0:44:400:44:44

It's... What's it, neroli?

0:44:440:44:46

That smells like the eau de cologne me nanny used to wear.

0:44:460:44:49

Friends come round and go, "Oh, my back aches, I'm feeling a bit run down, I've got this..."

0:44:500:44:56

So I go, "Come to Fiona's parlour."

0:44:560:44:58

Any men welcome. I shall massage you! Special massage!

0:44:580:45:02

Special massage! Come hither.

0:45:020:45:05

I got a job interview tomorrow though.

0:45:110:45:12

Kervin and Joe are at the clinic.

0:45:150:45:17

Today Kervin will discover whether he got away with only catching gonorrhoea

0:45:170:45:22

or if he's also infected with HIV or syphilis.

0:45:220:45:24

Or the worst case scenario, both.

0:45:240:45:26

One thing he doesn't have any more is the girlfriend he cheated on.

0:45:260:45:31

'For a while, it was a bit iffy.'

0:45:310:45:32

'I didn't know if me and her wasn't talking or we was talking, but then I saw her at a party.

0:45:320:45:39

'She completely ignored me. She's pissed.'

0:45:390:45:43

Like, quite literally pissed.

0:45:430:45:46

Probably still is pissed.

0:45:460:45:47

Do it every day, at least three or four times a day.

0:45:470:45:50

-Joseph, please.

-Hello.

0:45:500:45:53

First up, though, ladies' man Joe.

0:45:530:45:56

This is his first screening in a year. He could have anything.

0:45:560:46:00

All these questions are personal but we ask everybody them, OK?

0:46:000:46:04

-Are your partners male or female?

-Er, female.

0:46:040:46:07

So in the past three months, how many sexual partners?

0:46:070:46:09

I don't even know where to begin counting.

0:46:110:46:14

Give me a rough number.

0:46:180:46:21

-Er, 20s plus.

-OK. Have you ever paid for sex?

-No.

0:46:210:46:24

-Have you ever been paid for sex?

-No.

0:46:240:46:27

-Have you ever had a blood transfusion?

-No.

0:46:270:46:29

When was your last sexual intercourse?

0:46:290:46:32

-Two days ago.

-Two days ago.

0:46:320:46:33

Casual or regular?

0:46:330:46:35

Um, for me it was a regular because it's been about a week.

0:46:370:46:41

OK, protected or unprotected?

0:46:410:46:43

-Unprotected. It's not my fault, they rip 'em off me.

-No!

0:46:430:46:48

-They rip 'em off me.

-Yeah, OK.

-I can't take the blame for that.

0:46:480:46:51

Come in, have a seat.

0:46:560:46:58

I'm telling ya, I am dreading this.

0:46:580:47:00

What you dreading?

0:47:020:47:04

Just...because I'm not... I don't know about them blood results, innit.

0:47:040:47:08

Let me have a look for you, we can soon sort that out.

0:47:080:47:11

-Yeah, put a smile back on my face.

-Yes.

0:47:110:47:14

Let's have a look.

0:47:140:47:15

So your HIV test was negative and so was your syphilis.

0:47:170:47:21

-Everything's fine with regards to your blood test, OK?

-Oh, gosh!

0:47:210:47:25

Kervin has finally had some positive news

0:47:250:47:27

by testing negative for syphilis and HIV.

0:47:270:47:29

What were you feeling before you went in there?

0:47:290:47:33

Before I went in there my stomach was churning

0:47:330:47:36

because punk-ass Joe is, like, "You've got HIV."

0:47:360:47:40

"You might have AIDS. It might be syphilis."

0:47:400:47:43

And he just... he just got me paranoid,

0:47:430:47:45

so I was really worried what...

0:47:450:47:48

Once I got in there and she was like,

0:47:480:47:50

"You ain't got HIV, your test came back and you've not got any of this,"

0:47:500:47:55

I was like, "Fucking right! Fucking right!"

0:47:550:47:58

But obviously now that I've gone through all of this with gonorrhoea

0:47:580:48:02

I can't.. So I'm not going to not wear a condom.

0:48:020:48:04

I don't want to be getting swabbed again

0:48:040:48:07

or getting injected in my backside again or, you know, so...

0:48:070:48:12

Do you not like having needles?

0:48:150:48:16

Don't bother me, I just don't like looking at it.

0:48:160:48:19

Joe's blood will be tested for HIV, hepatitis and syphilis.

0:48:190:48:23

All I need you to do now is a urine sample.

0:48:280:48:30

But when it comes to doing his urine sample,

0:48:320:48:34

smoothie Joe can't resist trying out a line on Lauren first.

0:48:340:48:42

To Lauren, though, it's water off a duck's back.

0:48:420:48:45

Everyone's just totally different

0:48:450:48:47

so obviously you get people being a bit smarmy, some are a bit smug and think they're all dead cocksure.

0:48:470:48:52

I think they're quite embarrassed, to come here

0:48:520:48:54

so I think they try and make themselves dead cocksure to make themselves feel better.

0:48:540:48:58

So... it makes your day go a bit faster, so it don't bother me.

0:48:580:49:01

Right that's it. We're all done.

0:49:010:49:02

-We sorted?

-Yep.

-Wey!

0:49:020:49:05

Um, do you want me to leave this here?

0:49:060:49:08

Yep, just leave that there.

0:49:080:49:10

-All right. Well, is that it?

-Yep, that's it.

0:49:100:49:12

-Nice to meet you, then.

-Thanks a lot. See ya.

0:49:120:49:14

-Cheers.

-Bye.

-Have a good day.

0:49:140:49:17

What I need you to do is just...

0:49:170:49:19

Can you just pull your foreskin back for me so I can just...?

0:49:190:49:23

Poor old Kervin thought he'd seen the last of the penile swab.

0:49:230:49:26

Don't panic.

0:49:260:49:28

Oh! Don't do that!

0:49:290:49:31

Don't jump cos I could slip and I could hurt you.

0:49:310:49:33

Unfortunately there is one more for him to endure.

0:49:340:49:37

-Go on, go on.

-Ready? Keep really still.

0:49:370:49:39

-All right.

-Cos if you keep jumping about...

-Promise.

-I'm worried I'll catch you.

0:49:390:49:42

-Promise.

-Promise?

-Promise.

0:49:420:49:44

Nurse Alison has dealt with thousands of penises in her career

0:49:440:49:47

but it doesn't make it any easier for Kervin.

0:49:470:49:49

-That's all it is, done.

-Do you know how much it stings?

0:49:490:49:53

-Listen, I've had three babies.

-Ah, here we go!

0:49:540:49:58

That's the thing our male patients hate the most.

0:50:000:50:03

They come in here a lot of the time with tales from their friends,

0:50:030:50:06

"Oh, you'll have an umbrella up your willy." We don't use umbrellas.

0:50:060:50:09

It's a little tiny loop and I know I've not got a penis

0:50:090:50:12

so I don't know what it feels like, but it's really small

0:50:120:50:14

and we are really quick and gentle.

0:50:140:50:16

But obviously some patients can get a bit agitated and a bit concerned

0:50:160:50:20

and frightened that it's going to hurt so they get a bit jumpy.

0:50:200:50:23

It's good!

0:50:230:50:24

You all good? You're not going to die on me?

0:50:240:50:28

Is this going to teach you some lessons?

0:50:300:50:32

-Let's hope yours comes back all good.

-I'm clean as a whistle, mate. Clean as a whistle.

0:50:320:50:36

You don't know that. You've just got your test.

0:50:360:50:38

You've just got your test. You've just got your test.

0:50:380:50:42

All right, I've never seen you so bouncy and happy.

0:50:420:50:44

I'm all good.

0:50:440:50:45

Aw, I can share my cig with you now.

0:50:450:50:48

-What do you mean NOW?

-I'm not going to anything.

0:50:480:50:51

With 6,000 STIs been diagnosed every week in the UK,

0:50:510:50:54

Joe may need more than a cheeky smile when he gets his results.

0:50:540:50:58

Last week, Tim received the devastating news that he had tested positive for HIV.

0:51:080:51:13

I left the clinic and went to catch the train home.

0:51:160:51:19

My mind was just all over the place.

0:51:190:51:22

I couldn't focus, couldn't think, didn't know who to talk to.

0:51:220:51:25

Luckily, I had my partner who was being supportive.

0:51:250:51:30

Never cried so many tears.

0:51:300:51:32

I just wanted to forget about it so I went to the shop

0:51:320:51:36

and bought a large bottle of vodka

0:51:360:51:38

and just got really drunk that night.

0:51:380:51:41

The day after, though,

0:51:420:51:44

Tim's blood was sent for routine secondary screening at the labs.

0:51:440:51:48

When the testing was complete, nobody could've predicted the astonishing results.

0:51:480:51:52

The test that was positive in LGF

0:51:540:51:56

on the point-of-care test, um, was a false positive

0:51:560:52:00

as the blood test actually came back negative.

0:52:000:52:03

The rapid HIV test is unreliable in around one out of every 200 samples.

0:52:030:52:08

Incredibly, Tim was that very rare one.

0:52:080:52:11

Pam just said, "You're a very lucky boy."

0:52:130:52:16

"Your results have come back negative."

0:52:160:52:20

And I couldn't believe it and I burst into tears.

0:52:200:52:25

Tears of joy, to be honest, and I just kept asking her "Are you sure?"

0:52:250:52:30

"Are you sure it's right?"

0:52:300:52:31

and she was saying, "Yes, we've had several doctors look over it."

0:52:310:52:35

"We've used the full blood sample and every test has come back negative."

0:52:350:52:41

I'd never ever had the happen to me before

0:52:410:52:43

and I've been going to outreach for about two years now. That's never happened to me.

0:52:430:52:47

Getting HIV now, it's... it's a big reality

0:52:470:52:50

and, yeah, it's totally changed my life and totally going to practise safe sex,

0:52:500:52:55

totally going to keep my health in order,

0:52:550:52:59

and yeah, it's totally changed my life.

0:52:590:53:02

It's the moment of truth for ladies' man Joe.

0:53:160:53:18

A week ago, he was cocksure, but now he's not sure at all.

0:53:180:53:23

For the past few days, it's like, like just been up there,

0:53:250:53:27

on my mind like circling around like... I've never...

0:53:270:53:31

Usually I get checked up regularly

0:53:310:53:33

but because I've left it so long

0:53:330:53:35

and I've been with so many girls now,

0:53:350:53:38

I actually kind of like, not even thinking have I got chlamydia,

0:53:380:53:41

I'm thinking have I got something else or something that's like...

0:53:410:53:45

like gonorrhoea or syphilis or... I could have anything.

0:53:450:53:48

All right, come in. Have a seat.

0:53:500:53:52

You seem chirpy. You've got all my dirty little secrets in that folder.

0:53:540:53:58

So, going over your results from your blood test, OK,

0:53:580:54:02

your HIV and syphilis was negative, OK?

0:54:020:54:05

-OK.

-Which is good, that means you're OK.

0:54:050:54:08

-Yeah.

-And your urine test for gonorrhoea and chlamydia has also come back negative.

0:54:080:54:12

Joe's in the clear and it's straight back to being Mr Cocky.

0:54:120:54:17

Oh, Trish, go on, high-five me.

0:54:170:54:19

High-five me! Oh, yes, I'm the man.

0:54:190:54:21

But the thing is at the minute,

0:54:210:54:24

if you keep having unprotected sex, you are playing Russian roulette.

0:54:240:54:28

Yeah, I've got it, I'm being stupid.

0:54:280:54:30

Well, I don't want to say anybody's stupid, you know,

0:54:300:54:32

and it's up to you how many partners you have, absolutely,

0:54:320:54:35

but if you keep having unprotected sex with lots and lots of partners

0:54:350:54:39

then potentially, eventually, you're going to get an infection.

0:54:390:54:42

-Definitely.

-Have you any questions you want to ask me?

0:54:420:54:45

Do you want to go out for a drink to celebrate?

0:54:450:54:48

(LAUGHS)

0:54:480:54:49

He's been given the all clear and a stern warning from Alison,

0:54:500:54:54

but if sex-mad Joe doesn't change his ways

0:54:540:54:56

it's only a matter of time before he'll be back in the clinic.

0:54:560:55:00

You look after yourself, all right.

0:55:000:55:02

I'll look after the fella as well.

0:55:020:55:04

Yes, make sure you do. Keep him covered.

0:55:040:55:06

I'm ecstatic, you know.

0:55:060:55:08

I didn't have no symptoms or anything

0:55:080:55:11

so I was like, I don't really think I've got anything

0:55:110:55:14

but there's always a chance and, you know,

0:55:140:55:16

when you're actually waiting for the results you're like, oh, my God.

0:55:160:55:19

You convince yourself you're going to have summat,

0:55:190:55:21

then they're, like, "You haven't got anything," and I'm like, "Why did I even worry?"

0:55:210:55:25

Why did I even worry? I've got the man thing.

0:55:250:55:28

Don't get nothing. Don't get illnesses of any kind.

0:55:280:55:31

I'm sweet, I'm sweet.

0:55:310:55:33

I'm actually over the moon now. I think I need to go get laid.

0:55:330:55:38

Nah, I've gotta do business and then I'll get laid.

0:55:380:55:40

Have you ever high-fived a patient?

0:55:400:55:42

I have never high-fived a patient in my life.

0:55:420:55:45

But you know, you just go with the flow, don't you? (LAUGHS)

0:55:450:55:49

Joe's results are good news for now.

0:55:510:55:53

See you later, love. Ta-ra.

0:55:540:55:57

As he had unprotected sex yet again in the last few days,

0:55:570:56:00

he'll need retesting in three months' time.

0:56:000:56:03

The clinic's never-ending battle against STIs continues.

0:56:060:56:11

Next time on Unsafe Sex in the City...

0:56:120:56:15

How many partners have you been with in the past three months?

0:56:150:56:18

Just as a guess, is it more than 100?

0:56:180:56:20

No, 80.

0:56:200:56:22

The highest I've known is 150 and they were HIV positive.

0:56:220:56:27

Just under the sack, yeah.

0:56:270:56:28

What the fuck is scabies?

0:56:280:56:30

If I'm told that I can't have children, I'm going to be very sad.

0:56:300:56:33

Hiya, I just wanted to get my results.

0:56:330:56:35

Subtitles by Red Bee Media Ltd

0:56:370:56:39

At the Manchester Centre for Sexual Health, the staff treat 22-year-old Kervin, who has some issues to address after a one night stand leaves him with more than just a smile on his face. 17-year-old Courtney shocks her mum with lurid confessions of unprotected encounters in the park, while ladies man Joe discovers if putting it about has landed him in it.


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