The online diary of a gay courtesan.

I am about to write this blog with the full knowledge that it could set off a series of conflicts later. I also want to preface what I’m about to say by admitting that I am in no way perfect in regards to safe sex. In fact, I’m not very good at being consistent with practicing it. I know the risks, I know the consequences, but (like a huge number of people) I have not completely embraced 100% safe sex (and I don’t believe other people when they say they have: I’ve hooked up with far too many people who claimed 100% and then fell short with me for me to buy into all their nonsense).

All of this stems from the following: 1) Most of the condoms I’ve tried have either desensitized me or hurt me (however, Pleasure Plus are almost awesome and Lifestyles SKYN are passable), 2) Condoms have been served to me (and the rest of the U.S.A.) with a hefty dose of guilt and fear, instead of eroticism and empathy, and 3) Gay + Artist + Middle Class + America = worthless (if I’m not rich, straight, and corporate then I don’t have any real value in this country anyway, right? Imagine the potential extra layers of burdensome self-loathing for people who are poor and/or non-White).

But I recognize that this is not good! I recognize that this needs an adjustment in behavior on my part. I own that I am making bad choices when I opt for natural, rather than safer, sex. I know I am valuable and deserve better, that I should be respecting my partners. I know this. It is one of the reasons I am so intent on helping with promoting the safer sex strategies Dr. Terry Gerace wants to implement on his website. It’s because I truly want to acclamate to taking better care of myself, my partners, and my community/world. I feel bad that I’m not there yet. But I definitely never advocate barebacking.

So, after acknowledging that I need to practice safe sex with better than 50% regularity, I am going to go out on a limb here and call Mason Wyler out as the single most irresponsible person I can think of in adult entertainment. I saw that he was wanting writers for his site/blog, and I submitted my name before I read his content. All I knew of him was that he is a bottom with a reputation for being a gutter slut. However, I’d not actually read his own words before…

Utterly irresponsible… It is bad enough that gay porn is reinforcing the notion for gay men that bareback sex is “better,” but the outright smut from Mason’s own pen breaks my heart a little for him. In his entry “I want Brock Armstrong” Mason Wyler writes that Armstrong is hot specifically because he does bareback sex videos. He then defends this outrageous statement by saying, “That’s right, I said it!” beaming with pride, as if he has liberated himself and his readers from the cold, dark abyss that is safe sex. BULLSHIT!

I’m sorry, but at what point do we start holding people accountable for the net they cast? Yes, everyone is free to make choices in their lives, but at what point does your personal life start affecting everyone else too? Thomas Jefferson said that one man’s rights end where the next man’s begin… okay… so… The porn industry works with people who, in their personal lives, make the choice to practice bareback sex. Fine. However, once the industry becomes saturated with this imagery/attitude, and once the public begins responding by imitating this behavior more and more (and then STD infections explode again), isn’t the industry responsible on some level? Yes, there is still a freedom of choice innate to the consumer, but underneath it all, wasn’t that free choice heavily weighted towards the self-destructive?

Tobacco companies are being held responsible for addicting people to their product and for the health consequences of the general public. Don’t be surprised when the same becomes true for restaurants that offer fat/salt/sugar-laden food. These foods are addictive. Don’t fool yourself – these chains train their customers to want only bad food, to the exclusion of more healthful options. There’s a push to hold these purveyors of toxic food responsible for the product they make. So then, why not adult entertainment too?

I offer this question for debate: Is a person who takes Mason’s opinion into himself, practices the same behavior as his dysfunctional role model (with Mason’s example specifically in his mind), and is consequently infected with a disease, not in a position to hold (himself and) Mason Wyler responsible?

If we as a culture could be gobsmacked by 0.03 seconds of Janet’s titty (which is so completely ridiculous on so many levels that I’m not even going to entertain addressing them), then why aren’t we outraged by Mason Wyler’s wholly chaotic attitude towards safe sex in the midst of a resurgence of HIV infections? I believe that people imitate what they see, and I don’t think it’s fair that gay men seem to see only bad examples. Where are the portrayals of healthy, compassionate, generous same-sex interactions?

Believe it or not, this is the response I got from three different people in D.C. last weekend. I’d asked three people if they’d like to be part of an advertising campaign to promote safe sex. All three rejected me. Two said, “Condoms are so 1985,” and the third said, “Condoms are so 1980′s.” A fourth person finally said “yes,” but I’ve not heard from him since. It had never occurred to me that safe sex was trendy, much less that condoms were connected in some way to fashion. This attitude may explain why D.C. has the highest rate of new HIV infection for 2008 in the United States. Perhaps condoms should be so 2009?

I am trying to help a doctor friend of mine in the capital to get free safe sex kits into various venues throughout the city. We are hoping to generate some new stategies for encouraging safe sex/safer sex alternatives. It is obvious that the standard American model for teaching anything sexual to anybody is a general failure, and I think it’s because the well-intended professionals in this country have done everything possible to make safe sex look like a sterile, dehumanized, anti/non-sexual hassle. Droning on and on about numbers, and threatening people with consequences isn’t working. (Of course it doesn’t help when medicines are advertised showing stunning models.) A different approach is definitely needed.

Dr. Terence Gerace, a medical professional in Washington, D.C., will be exploring options for eroticizing condoms, and will eventually be producing videos that allow users of his website, www.fc-kits.org, to interact in creative ways with the multimedia that will eventually be added to the site. (Just a head’s up: I plan to interview Dr. Gerace soon, so don’t be surprised when you see his name come up again). If you are interested in being part of this project, check out www.fc-kits.org and contact the site administrators.

There are going to be some changes to the blog in the coming weeks. I announce this here in this particular entry, because it is connected to what is happening behind the scenes in D.C. I may be exploring a new avenue of adult entertaiment. One that has, at its core, a philosophy that is not like any other I’ve heard of or seen. Not to be cryptic, but I may have some big announcements about the direction of my career by the end of this summer.

I ate recently at a Greek restaurant in Atlanta called Taverna Plaka. It was an amazing experience, not only because of the food, but because of the process involved in eating it. I was reminded of how wonderful food can be, and the way it is celebrated at every meal in places like France and Italy. It really was wonderful. If you ever go, ask for Tatiana. She is sweet, and is very good at describing the food.

This was the first time I’d ever gotten to grind my own hummus. The chick peas, olive oil, lemon, herbs, and garlic were brought to me in a wooden mortar with a wooden pestel. The process of mashing it up and smelling the aromas comingling was so satisfying. And watching Tatiana set my flaming cheese on fire was fun. I’d forgotten how much I love interacting with food. Food is a treasure – it really is! As someone who has dealt with eating disorders, I cannot stress enough how important it is to not feel guilty about eating, to enjoy your food and appreciate it.

I had the lamb chops, and they were amazing. They were like marshmallows. They were soft and spongy, yet they had a good, meaty texture, and they wrapped around my teeth when I bit into them. And the dessert, Ek Mek, was just about the most decadent piece of heaven I’ve had in my mouth since Alan. (Whoops! That was dirty… but there you have it!)

So, why go on and on about a meal? Because it made me feel real joy. The tables were stable and sturdy, and there were signs posted all around that read “Dance At Your Own Risk.” People get drunk and dance on the table tops! This is what eating is supposed to be: Fun.

Too often in the United States were have a horrible relationship with our food. We either wolf it down while working (or thinking about anything other than the food), consume fake substitutions for food, eat it alone in our cars or some gray cubicle, and generally take it for granted. But food is the stuff of life, man! You are not only what you eat, you are how you eat!

Look at the Mediterranean peoples: They have low cancer rates, low obesity and obesity-related complications, long lives, and a tradition of forming life-long interpersonal relationships. They have a reputation for being friendly, loud, happy, passionate, and generous. How can you not be if you eat communally and dance on table tops to live music? These people live to eat, whereas in the United States we tend to eat to live.

I am feeling such a deep connection to my belly right now, and it is completely invigorating. So invigorating that I need to nap before I get ready to go to the club. I am not writing this blog as some kind of shameless plug for a restaurant that doesn’t even know I exist (although one of the waiters came to me and asked in broken English if I was Devon Hunter – how funny!). I’m writing this blog, because I was reminded that a passionate life is a beautiul one. I sincerely hope that you are doing what makes you happy in this life, and that you are sharing that wealth with as many people as possible. Life is a miracle - EAT!

Before I begin, I want to first acknowledge (though not necessarily apologize) for the way in which my writing goes through some definite mood swings. There are times when I have a great many situations to discuss, and I can pick more variety of tone; however, I am having one of those weeks where everything blog-worthy is heavy… I’m writing this at 5:30 a.m., which seems to be more the norm than the exception lately. I do this, because some experiences are best described after some times passes, and others need immediate comment.

I know a patron who has always spoken to me in spiritual terms. The first time I ever met him he wanted to give me a massage and align my chakras. Such is the club: You meet people of all backgrounds and beliefs. This particular person is a mystical type, though I am not quite convinced his powers are attuned to the level he himself believes. At any rate, when he asks me to pray for something on his behalf I generally agree to the wish and send out a private moment of hope. I have done this, because his requests have always been constructive and/or productive (if not odd and eccentric).

This time, however, I am having difficulty…

He wants me to pray for his father to die. Dude, I just wanted to dance naked for you for like eight minutes. This is getting to be rather more than I bargained for. On the one hand I understand that he wants his father’s suffering to end (and by extension, his mother’s), but on the other hand how am I supposed to send out an earnest wish for this person to fall down dead?

“Well, when I had a prayer circle to ask for his recovery after his first surgery, that went well. So I figured if I could get enough people to pray for him to die during his second surgery, he’d finally just get on with it.”

Normally I would just smile and nod at a strange request without really doing anything about it, but something about the way this patron sincerely hopes his father dies struck me as something worth talking about, even if I’m not entirely sure how I feel about being asked to contribute in any way to someone’s demise. I have known friends and family members who have sickened, or been injured, and who have passed away. I have had many friends who have had this experience and talked about it with me. Of course I don’t want their deaths to be painful or protracted, yet do I dare to admit that I hoped for their passings? Maybe, but only as a reprieve from suffering. But I suppose the real question behind this post is this: How lonely (or insert other adjective here) does someone have to be to ask in the middle of a nude dance an exotic dancer he sees once or twice in a month to synergize with the others who are sending out a prayer for death?

What am I even supposed to pray, even if I agree to this (which I’m not sure I do)? “I ask for a peaceful resolution and transition for this person’s spirit.” That’s an eloquent way of saying “God, please kill this person.” What if this patron’s father goes into his operation praying for life? (This is a good example of how ridiculous it is when opposing armies of the same faith both intone God’s favor as justificiation for victory on the field of battle.)

Honestly, this may very well be the first post I’ve written on here for which I feel absolutely zero closure after describing what I’ve experienced. Jeez… I was just shaking my pecker at him… and he unloads this on me… I need to be charging more for VIP’s.

Devon Hunter: Please tell me: a) the contact info you would want used in the interview, b) a brief description of the organization’s history,  c) and how the organization fills a gap in standard attitudes towards sex workers.

Stacey Swimme: I am the Development Director of St. James Infirmary.

St. James Infirmary provides compassionate and non-judgmental health care and social services for all sex workers, while preventing occupational illnesses and injuries through a comprehensive continuum of services. We offer free, confidential medical and social services for female, male, and transgender, sex workers.

We are the first peer run occupational health and safety clinic for sex workers in the United States. In our case, peer run means that the majority of our staff, current or former sex workers and are active clients of the clinic-that is they also receive our services. The nature of peer-to-peer services creates a safe space where sex workers can feel safe in discussing their sexual health, seek out services that are appropriate to meet their needs, and receive culturally competent care. Sex workers tend to be pathologized in medical environments, resulting in fractured relationships with medical providers and inadequate care. At the St. James Infirmary participants have no fear of their occupation interfering with their right to receive quality medical care.

What services do you offer at the Infirmary, and how are these services funded?

About one third of our funding comes from the City of San Francisco and state of California through their respective AIDS prevention funds. This support has been slashed in 2009 as the city and state are both facing severe budget cuts. We also receive in-kind support from other clinics and HIV/AIDS prevention organizations.

We’ve recently become qualified for some third-party billing programs such as Medi-Cal and FamPACT (a family planning fund). Through these programs we’re able to receive reimbursements for some of the clinical services provided, such as gynecological care. These reimbursements are helping to off-set costs, but often still do not cover the full expense that we put out for these services.

The rest of our funding comes through private foundation grants and private contributors. Individual private donors who contribute small amounts, anywhere from $20 to $200, are really helping us keep our program going.

Our services include Primary Care, Transgender Hormone Therapy, HIV/STD/HCV Counseling and Testing, Hepatitis A/B Immunizations, Acupuncture, Massage and Reiki, Peer and Mental Health Counseling, Support Groups, Health Education Workshops, On-site and Street-based Syringe Access & Disposal (NEX), Street and Venue-based Outreach, Wound/Abscess Care, Food and Clothing, Harm Reduction Supplies, Apprenticeships and Internships, Community Research, and Education. We are open 3 days a week: Tuesdays 1-6pm (NEX) and Tuesdays 3-6pm (wound and holistic care); Wednesday 6-9pm (drop-in and appointment-based Medical services); and Thursdays 1-4pm (appointment-based transgender healthcare) and Thursdays 6-9pm (drop-in primary medical care).

A full list of the support groups, meetings, and other opportunities to participate or receive services is available at our website at www.StJamesInfirmary.org.

What type of political/social/cultural climate is required for a city to have an organization like St. James? What kind of cooperation is needed from local authorities?

This project was made possible because of the unique vision of Sex Worker rights activists from COYOTE and the Exotic Dancers Alliance (EDA). In 1999, via collaboration with the Department of Public Health STD Control and Prevention Section (known as “City Clinic”), the University of California San Francisco, COYOTE, and EDA the St. James Infirmary started as a private non-profit 501(c)(3)

Having a rich history of sex worker rights organizing in San Francisco (first with COYOTE, then BaySWAN, and later the Exotic Dancers Alliance) was central to ensuring that this would be a strong peer-led effort that would honor the true needs of sex workers. Several things happened that made this possible. In 1996 the San Francisco task force on prostitution made recommendations that the City should fund occupational health services for sex workers. In 1998, sex workers rights activist from COYOTE and EDA called the Director of STD Control and Prevention of the San Francisco Department of Public Health, Dr. Jeffrey Klausner and proposed a clinic model for sex workers that went beyond HIV and STI testing. This was the beginning of conversations and alliances to be made that provided the framework for a peer led occupational health and safety clinic for sex workers.

First we were just open one night a week at City Clinic. For five years, every Wednesday night 6-9pm, City Clinic was open to sex workers and their current partners for services ranging from primary care, STD screening and prevention, and free sexual health resources to items such as condoms. In 2003 we got our own clinic! Our hours were expanded, and a wealth of services were added.

How do you protect the privacy of the people who seek your help?

Participants are never required to provide identification. Whatever name, gender and other identities an individual wishes to be known by at our clinic are what goes into their medical records. The records are only accessible by staff who need them. Since we are mostly peers and share a desire for privacy, participants have no reason to fear that we will be insensitive about this. Medical records are protected under privacy laws and can only be shared with outside sources at the request of the participant (patient) or through a court ordered subpoena. However, we are not an anonymous test site, we are a confidential test site. Under the law, positive HIV and STI test results are disclosed to the Health Department. But if a person is using an alias, than that is the name that is reported with the test result.

What measures would you suggest if someone wanted to pursue founding a similar organization for their own area?

Collaborate! Start by building a relationship with a local clinic that sex workers in your community trust. Sometime Planned Parenthood is a good place for sex workers, sometimes they’re not. Clinics that serve LGBTQ communities also tend to be kinder to sex workers, but again, it’s hit or miss in some towns.

You also need a strong sex worker community to advocate for a rights-based approach to healthcare. Team up with your nearest Sex Workers Outreach Project (SWOP) chapter or other regional sex worker rights group. Talk with other sex workers in your community about what their actual needs and interests are. Remember, sex workers had been building community in San Francisco for over 25 years before SJI was created. That foundation and well-connected members of our community are how this was possible.

In 2006 you offered a scholarship. Can you tell me how that happened and whether or not it is an on-going program?

The scholarship program we offered was a one-time program that was the result of unclaimed settlement money in a class action lawsuit. In 2003, a group of exotic dancers filed suit against some strip clubs in San Francisco and then settled the case (Siefred v. Centerfolds, et.al. Case No. 305470). After the court exhausted attempts to reach all the original plaintiffs in the case, the Court ordered that unclaimed money from the settlement be used for a grant program focused on education, job training assistance, and alcohol/drug treatment counseling for members of the dancer community. The St. James Infirmary was one of several agencies that received grants from this program. We decided to use our grant money for scholarships to any dancer who could verify that they were currently enrolled in school or a job training program and had danced in San Francisco since 1998. The money was then paid directly to the educational institutions. It was a really amazing opportunity for us to redistribute that money to the community. All together we awarded over $60,000 in scholarship money to about 30 exotic dancers.

Which organizations do you collaborate with and how/why?

In San Francisco:
SF DPH, San Francisco AIDS Foundation, SRO Collaborative, Coalition on Homelessness, Coalition to Save Public Health, the DOPE Project (Harm Reduction Coalition), City Clinic, TransTHRIVE, Positive Directions, Harvey Milk Democratic Club, BaySWAN, and others.

Sex workers rights: We are a community organization member of the Desiree Alliance, we work with other sex worker rights groups as well including SWOP.

What benefits do you see your community enjoying because of the work done at St. James?

Most importantly we are a safe haven with understanding supportive peers. From personal experience and from speaking with others, I know that having a sense of community and a place where you feel welcome contributes to a sense of self-value that motivates us to be healthy and informed. In addition to all of the free services we offer, such as massage or accupuncture, we make friends here. We meet other participants here who will be a safe call when we do outcalls, or who can tell us about a new website to market whatever our unique service is. We circulate a bad date list to help people avoid dangerous clients. People can not only pick up condoms here, but also get info on how to use them or how to be assertive with a client who doesn’t want to use protection. These little details that we understand make huge differences in the lives of sex workers, and these details are often not available at other health clinics.

Are there any obstacles or challenges that hamper your efforts?

Lots! We’re running out of money. That’s the biggest thing. We’ve been holding on for as long as we can to avoid service cuts and cutting back staff hours. But with the reduction in support from city and state, plus the huge cuts that private foundatiuons are experiencing due to the economy, we are in a very tight place right now.

Other challenges: People’s attitudes toward sex workers; the fact that we see sick people arrested and cycled through the jail system; and them then coming out at the other end with their health in even worse a state… all of these things are hard for our staff to see and experience. The criminal status of some of our participants is a driving force in blocking their access to healthcare and safety resources. While we are running low on funds we continue to see money wasted on prohibiting prostitution, which is directly working against our mission to help sex workers stay healthy.

What is the over-arching goal of the organization, and how do you measure effectiveness?

The main goal is to give sex workers access to the tools they need to be safe and healthy. More than 70 per cent of participants say that they heard of us through a friend who has been here. This is a major sign of how effective we are being at providing culturally competent care to a very marginalized group of people.

This year is our 10 year anniversary! We’re having a huge anniversary party on June 5th, 2009 in San Francisco. Info will be at our site at http://www.StJamesInfirmary.org.

I was wondering if you might be willing to link to http://www.BoundNotGagged.com, a blog for sex workers?

I would be happy to list your links. And thank you for sharing this incredibly helpful information with me and my readers.