Join Biddy, Erin, Jon and Sam as they welcome special guest Dr. Stephen Goldstone for an insightful discussion regarding anoreceptive intercourse patient cases, conditions, communication and counseling strategies.  (This episode contains explicit content and may not be suitable for general audiences) SPECIAL GUEST Stephen E. Goldstone, MD, FACS Dr. Goldstone is an Assistant Clinical Professor in Surgery at Icahn School of Medicine at Mount Sinai in New York, a position he has held since 1987, and he has a surgical practice in New York City. He is a Fellow of the American College of Surgeons and a Member of the American Society of Colon and Rectal Surgeons. Dr. Goldstone’s clinical focus includes anal cancer, sexually transmitted infections, and human papilloma virus infections. He has developed a surgical technique to treat anal HPV-related dysplasia and is currently involved in testing both prevention and treatment procedures for HPV. He is a member of the AIDS Malignancy Consortium. He is President of the Albert Einstein College of Medicine Alumni Board of Governors. He resides in New York City. Dr. Goldstone is known for his commitment that all patients “find a provider with whom they can talk and feel comfortable in bringing up their issues.” He is a member of the Gay and Lesbian Medical Association where he has served in the past as a Board Member. “Whether someone is gay or straight, getting good medical care means being able to talk with your provider about your sexual practices and sexual fears. You have to be completely honest, because your sexual life is important to your overall health and well-being. If you’re having sex with multiple partners, then you need to discuss what kind of sex you’re having so your risk of STDs can be evaluated. There are many people who have same-sex partners but who would never say to a clinician “I’m gay” because they don’t consider themselves that way. What’s important to discuss is what you actually do when you’re intimate, not how you view yourself….. We do have rights as patients to expect quality care, dignity, and attention to our needs from our clinicians… Just tell your provider what you expect, and what you need to know.” Dr. Goldstone is author of almost a hundred articles, as well as the book, “The Ins and Outs of Gay Sex: A Medical Handbook for Men” (1999). When he noticed how many gay men in his New York practice were ignorant about basic facts concerning sexually transmitted diseases and sexual practices, he responded by writing the book. He uses the time he has with every patient to teach about safe sexual practice and sexually transmitted diseases. Some patients are surprised by his frank discussions of topics usually kept “in the closet” by most doctors.   OUR CO-HOSTS   Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston.   Erin King-Mullins, MD, FACS, FASCRS Atlanta, GA (Twitter @eking719) Dr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship