Dr. Paul Benson is the founder, owner, and Medical Director of Be Well Medical Center in Berkley, Michigan, a family medicine practice established 45 years ago. He is proud to share he was the first LGBTQ physician to open a medical practice in Metro Detroit, creating a safe, affirming space for patients of all backgrounds, especially those too often overlooked or mistreated in healthcare. While he did not set out to become an HIV specialist, the timing of opening his practice in 1980 placed him at the very beginning of the AIDS epidemic, when fear and stigma kept many providers from treating gay men. What began with caring for friends quickly grew into a trusted medical home for LGBTQ patients and a lifelong commitment to HIV medicine and advocacy.

In this candid conversation, Dr. Benson and Dr. Joe Kort reflect on the early years of the epidemic, the loneliness many patients endured, and the enormous changes that arrived as treatments evolved and prevention became possible. Dr. Benson explains why HIV care is an intellectual challenge, not just medically, but emotionally and psychologically, because great care requires seeing the whole person, including mental health. They also discuss today’s realities. PrEP is highly effective, but many people who could benefit from it still are not using it consistently. Dr. Benson shares optimism about long acting injectable prevention options and the future of cure research, and he gives a clear, reassuring answer to a question Joe hears often. If someone is not having intercourse, do they need PrEP or other HIV prevention medications? His answer is no.

The episode also dives into gender affirming care and what responsible, ethical transgender healthcare actually looks like in a primary care setting. Dr. Benson talks about his decades of experience providing hormone therapy, why careful lab monitoring matters, the risks of using higher than recommended dosing, and his measured approach to puberty blockers and surgical interventions for adolescents. He closes with a message he wants every listener to hear. Mental health is a vital part of total healthcare, and patients deserve a strong support team, including providers who collaborate and patients who advocate for themselves, and who cancel appointments when they cannot make them.

Listen to this Smart Sex, Smart Love episode as Dr. Joe Kort talks with Dr. Paul Benson about LGBTQ affirming primary care, the evolution of HIV treatment and prevention, the reality behind transgender medicine, and why mental health support belongs in every healthcare plan.

Support the show

“I often am asked, ‘why on earth would you want to run for office in such dangerous political times?’ My response is simple: if we back down now when we are afraid, we’ve already lost.” Kali Scales is running for State Representative of District 5, which encompasses Oak Park, Royal Oak Township and Northwest Detroit. If she wins, she will be the first transgender person elected to an office in Michigan. The question that naturally comes to mind for many, including Scales, is this: “will they vote for me because I am trans, or will they vote for me because they support the issues I stand by?” Her campaign focuses on “Back to Basics” – AEIOU: autonomy, education, inclusivity, opportunities and unions. “A good and honest life is built on these,” she asserts.

The nationally syndicated radio host, writer, performer and storyteller has been in the public eye since she was 16. “I came out of the closet publicly, I did my whole transition publicly, and I’ve seen some of the best and worst that humanity has to offer,” she notes. “It’s time to make the world know we are not going to stand for what is happening now. This will help combat the feelings of hopelessness and loneliness a lot of people are dealing with. Fear thrives in loneliness; many feel the decision already has been made, but that day is not here yet! There still is hope. Get involved! Stay in the fight. We need you, and we will see the other side of this,” she says with confidence.

Listen to this inspiring Smart Sex, Smart Love podcast where I ask Kali Scales some tough questions about the current political climate, the new pressures and divisiveness the LGBTQIA community is encountering, and how she will handle the personal attacks that already are coming her way since she has entered the political race.

Support the show

Patriarchal expectations of men remain strongly embedded in our society and culture, but it’s time to break the guy code.

Men are stuck in a bubble internally; they are supposed to be stoic, strong and masculine, and uphold rigid norms placed on them from the past several generations, reports Dr. Christopher Wilson, a certified sex therapist who works with cishet and non-cishet men who are struggling with the patriarchal negative and want to break free of it.

Women have been hurt disproportionately through the years by the patriarchal model – voting rights, wage discrepancies, financial freedom – but this is changing. Unfortunately, the traditional model for men is not. They feel an internal battle; they don’t want to give up their position, but at the same time, they feel trapped in a small rigid box of social expectations that they cannot step out of or there will be repercussions, they feel.

Men want emotional expression, but in many cases, their female partners shut them down because they, too, are not prepared for this patriarchal change and don’t know how to handle it.

In this Smart Sex, Smart Love podcast, Dr. Wilson will talk about why men struggle with emotional recognition, the four domains where men can get hurt, and how men can break the guy code in a healthy way and be free to be who they are, which ultimately will lead to a better society for everyone.

Support the show