Are you very busy at work?
I used to be, but I now try to manage my time better so I can have more time for myself. My workaholic phase, when I was always on duty at the Jarocin hospital, vaccinating patients against Covid and running a clinic, is a thing of the past. I still do all those things, but I keep a very different schedule now. You can't just look after others; you have to attend to your own needs too.
Was your desire to look after others the reason you chose this profession?
No, it was partly by chance and partly due to the encouragement of my aunt, who is a fantastic paediatrician at the Jarocin hospital. I used to think I wasn't cut out for this job and only changed my mind after I found my own path in the field, which I suppose we'll discuss shortly.
If it weren't for the advice of your aunt, the doctor, what would you be doing today?
I would probably be a biology teacher. I've been into nature since I was a kid and was very interested in biology at school. This seemed like a natural path for me.
So you had to choose between one of the worst-paying and one of the best-paying professions?
It's no surprise that when planning your career, you consider your income and your chances for a comfortable life, and the earnings of teachers and doctors are indeed worlds apart.
Are you a Jarocin native?
I am, born and raised. And like every gay person, I dreamed of leaving my small town as soon as possible. I did just that immediately after graduating from high school, ending up in Poznań. Of course, in hindsight, I began to see Jarocin differently and can now understand why many people consider it a nice place to live.
Had you visited Poznań before?
Rarely. My first time in Poznań, I believe, was to see Katarzyna Nosowska's concert at the Castle. As a huge fan of hers, I knew all the lyrics and even managed to snag a photo with her, which was amazing. Back then, I dressed all in black, wore combat boots, and had long hair.
What year were you born?
1986, so I haven't turned 40 yet.
Let's talk more about Jarocin.
My dad worked in a furniture factory and was active in the Solidarity trade union, my mom supervised production in a ketchup factory in Kotlin, and my grandparents grew tomatoes and strawberries. I think I inherited my workaholism from my grandmother, who worked in the fields until a very old age. I grew up with my brother, who graduated from the Poznań University of Technology and who designs bridges.
What did people do for leisure in Jarocin at the turn of the millennium?
We hung out with our mates. I'm still in touch with them today - three straight guys and me were the group. They never had an issue with me being gay. Today, they are happily married to wonderful partners. After school, we usually hung out in Jarocin park, playing drums and drinking cheap Komandos wine. Looking back, I consider myself very fortunate because a gay boy in a small town can't always count on having straight friends who accept his sexuality without making a fuss.
How did they find out you were gay?
I came out to them quickly, and I never really tried to hide it, so they weren't surprised. They just said, "You thought we didn't know?"
Did your family know?
They eventually found out, and no one saw it as a problem - not my brother, not my sister-in-law after she got married, and not even my parents. What surprised me the most was my dad's reaction, considering he is deeply religious and staunchly right-wing. It's funny now when I think about it: Dad just asked me straight out, "Tomek, are you gay?" Eventually, tired of the recurring question, I admitted I was.
Since it was a recurring question, you must have denied it.
No, I didn't deny it. I'd say, "What is it you want to know?" Today, I'm amazed by my father's interest in my life.
Looks like you had a pretty happy life in Jarocin.
Were you expecting some sort of gay trauma? Are you disappointed?
No, more curious than anything.
I think I was very lucky, though I wasn't widely out in school. I'm not sure if it was due to my own fears or not fully understanding my orientation.
So, what made you decide to leave Jarocin and the good life you had there behind?
I thought I was the only gay person there, and I wanted to find my tribe and experience life in a big city, which led me to Poznań. I enrolled in medical studies there in 2005, but I also applied to biology and chemistry programmes just to make sure I would get admitted somewhere, and I got accepted to those as well.
What was your first experience in Poznań?
Poznań completely captivated me - lots of people, parties galore, just a whirlwind of everything. I started skipping classes more often, which eventually led me to having to repeat the year. This was a wake-up call. I realised that gay hangouts like Voliera and Pokusa could wait. I had to put my studies first. And I did.
What other LGBTQ+ spots were popular locally?
There was Barracuda and Hallo Café, where you could get beer for three zlotys until 8 p.m., so we'd stock up early and drink all night. It was during this time that Edward Pasewicz, who is now a famous author, and who was seen there almost daily for a year, started to struggle with alcoholism.
Did you still keep your hair long?
I did, for another two years, I think. After that, I experimented constantly with my hair. There isn't a dye colour I haven't tried. It's actually a bit of a miracle that I still have any hair left on my head.
Did you attend the early pride parades?
I missed the first one, which was violently broken up by the police, but I haven't missed a single parade since. The early days under Grobelny[1] weren't easy, but I don't think I fully grasped the danger I was putting myself in. We were a hundred or so, surrounded by police officers and counter-demonstrators many times our number. Everything changed when the Stonewall Group took over organising pride parades, marking a new chapter in Poznań's queer history.
When you graduated, did you still question if medicine was your calling?
My head was still in the clouds. When my classmates had already mapped out their specialisations at university, I was completely clueless. I ended up taking the first job that came my way, which was in a hospital emergency unit, part of the primary health care system for non-trauma patients, and I made the mistake of specialising in family medicine.
Why was it a mistake?
Family medicine requires immense patience dealing with people, which can wear thin quickly, especially during night shifts - and I won't even delve into the kinds of health complaints people bring to the ER.
Didn't everything change in 2018, the year you met Paweł Ziemba, featured in the book "A Different City"?
I reached out to Paweł for purely personal reasons. My partner and I wanted to get on PrEP but had no idea where to start. I knew that Paweł, who had been involved in health-related activism in the LGBT+ community for years, would have the answers. We combined his activist knowledge with my medical expertise and founded Poznań's first PrEP Centre.
Did customers come quickly?
Almost instantly. I set up a Grindr account and started messaging about the new PrEPs centre in Poznań, which proved incredibly effective. It also gave me a break from other unsatisfying and unenjoyable activities. I took to it immediately. For the first time since becoming a doctor, I genuinely enjoyed in my work.
Can you explain what PrEP is?
PrEP stands for pre-exposure prophylaxis, a drug taken prophylactically to reduce the risk of HIV infection. How you take it depends on your sexual habits. People engaging frequently in high-risk sexual behaviours may take a daily tablet. For those with more predictable encounters, such as weekend sex plans, two tablets are taken twenty-four to two hours before intercourse, followed by one tablet daily for two days. This is known as occasional PrEP.
How much does PrEP cost these days?
A 30-tablet pack costs around PLN 200. It's affordable for some but steep for many, especially young people. Sadly, PrEP isn't reimbursed at all. I hope this changes one day, as prevention is always cheaper than lifelong HIV treatment.
In addition to PrEP, there's also PEP.
Indeed, PEP has been gaining popularity lately. As mentioned earlier, PrEPs is taken before sex, whereas PEP, or post-exposure prophylaxis, is taken after high-risk exposure, ideally within seventy-two hours for maximum efficacy. Unsurprisingly, it's common for people to come to us for PEP after weekends. It's important to note that PEP isn't free either. This three-drug combination requires a prescription only and costs around a thousand zlotys. Complimentary PEP is only available to rape victims at the ul. Szwajcarska hospital. I recommend using the excellent national online consultation site prepomat.pl - many people do.
In 2022, the Poznań PrEP Centre relocated to ul. Półwiejska and rebranded as the Stonewall Clinic. Why the transformation?
The move and rebranding were prompted by a surge in patients, driven by our extensive preventive efforts and the marketing reach of the Stonewall Group. It was a great move, as - by recent count - we now see about five hundred visitors a month. They come not just for PrEP or PEP, but also for STD testing, vaccinations, and hormone therapy for transgender people in transition.
The clinic introduced a unique loyalty programme. Were you surprised by its popularity?
I didn't expect it to be this successful, but I'm certainly pleased. We introduced "Weneraks", or plush STD cuddlies, which were my idea, although they were named by Łukasz Jurewicz, a former clinic staffer. When I discovered a company making stuffed toy animals shaped like bacteria and viruses, including STDs, I couldn't resist. Our loyalty programme allows patients to earn stamps for each visit, with ten stamps redeemable for a Wenerak of their choice.
The stamp shapes aren't random, are they?
No, they're shaped like either aubergines or peaches, prompting plenty of laughs when our queer patients choose one.
That's because in the emoticon world, aubergines stand for penises that thrust, while peaches stand for backsides that are being penetrated.
I don't know what you're talking about, we simply promote the health benefits of fruit and vegetables.
Weneraks quickly went viral.
They made it big online and received significant national media coverage. Much credit for this attention goes to Kaja Godek, who claimed we were promoting getting STDs. Of course, no one wants to contract a disease for a stuffed toy, but that's Mrs. Godek's perspective. Regardless, visit our clinic for testing - prevention is key. And by the way, Andrzej Krętek (Andrew Spirochete, named after the bacterium causing syphilis) and Marzena Gonorrhoea, are waiting for everyone.
How many new HIV cases are there in Poznań?
The numbers are actually quite encouraging. While there was a thirty percent spike nationwide last year, Poznań remained stable and even saw a symbolic drop by one case. Only about a hundred new cases annually are detected in Poznań. This is largely due to increased awareness, in which the Stonewall Clinic plays a significant role. Poznań could rightly be called a "green island" in terms of HIV/AIDS incidence.
Some call it queer island.
Indeed. When I bought my flat in a Jeżyce district tenement house, I had no idea that less than a decade later, the neighbourhood would become so vibrant, trendy, and in fact the gay heart of the city.
[1] Ryszard Grobelny, former president of Poznań