%@ Language=Inherit from Web %>
"The South Bank HIVe
at Seminary Square"
Michael W. Connett
1043 Russell Street - Suite 1
859-291-2214
Wednesday, January 13, 2010
According to UNAIDS estimates there were 37 million adults and 2.5 million children living with HIV at the end of 2003, and during the year 5 million new people became infected with the virus. Around half of all people who become infected with HIV do so before they are 25 and are killed by AIDS before they are 35.
95% of the total number of people with HIV live in the developing world. But HIV still remains a threat to people of all ages and nationalities.
photo from www.greatercincinnatiglbtnews.com
Four large panels from the AIDS Quilt were displayed from January 12th to 16th at Simon Kenton High School in Independence, KY. The memorial display was organized by students from the school. At the opening ceremony, senior John Mains said, "We hope to bring awareness to our peers about the real danger of HIV infection which leads to AIDS deaths. A lot of youth look at AIDS as a disease that attacks only gays."
I've been thinking a lot about World AIDS Day and wanted to share these thoughts as well as resources and experiences from my last eleven years...
I Never Expected to Live
this Long...
As you know; this year World AIDS Day is the Sunday following Thanksgiving on December 1st, and we are now into the third decade of this global catastrophe. The focus on this years observance is the I recently taped an interview for a World AIDS Day program being produced to air on local cable outlets. Sitting here in the living room/office space of My South Bank HIVe, I looked into the camera after being asked my thoughts and replied: "I Never expected to Live This Long". I've been thinking about that ever since. I have been a Witness since the beginning and a survivor for the last eleven years. After I was tested and diagnosed in 1991, I began writing about my experiences and compiling them under the title: "Coming OUT of Hiding: A Retrospective Journey through AIDS..." .
The
purpose and goal of this endeavor:
The
importance of telling such stories was recently addressed by a keynote
address given by Mary Fisher during National AIDS Awareness Month (http://www.hivcouncil.org/mary_fisher.htm).
To continue; I've been thinking a lot about that statement
in my interview, looking back over my last eleven years and
having a hard time coping with My Life with HIV. Today, I finally
seem to have emerged from this current Blue Spell and wanted to share
these additional thoughts as well as begin compiling them on my web
site.
Although
we now know that the Virus doesn't discriminate against who it infects
anymore, I think that the overriding point that SOCIETY still does is
what the theme of Stigma and Discrimination was developed to
address. It is that Stigma and Discrimination that continues
to present obstacles to an infected persons "Quality of
Life" and I fear that the current medical advances and
increased longevity have come to sugar coat the reality of Life,
and Living, with HIV/AIDS:
"U.S.
Supreme Court decision: "Subsequent decisions have held that AIDS
is protected as a handicap under law not only because of the physical
limitations it imposes, but because the prejudice surrounding AIDS
exacts a social death which precedes the actual physical one.
This
is the essence of discrimination - formulating opinions about others not
based on their individual merits but rather on their membership in a
group with assumed characteristics." from the movie "Philadelphia"
My
friend Tex wrote: Hi!
Michael, I know it's really none of my business, but what kind of
problems are you having coping. Anything I can do to help?"
That
is what this part of the story is about. You know how fond I am of
Quotations; as Marlene Dietrich is now quoted as saying: "I
love quotations because it is a joy to find thoughts one might have,
beautifully expressed with much authority by someone recognized wiser
than oneself".
This one describes my recent fog:
"A
time comes in your life when you finally get
it....when, in the midst of all your fears and
insanity, you stop dead in your tracks and somewhere
the voice inside your head cries out ENOUGH! Enough
fighting and crying or struggling to hold on. And,
like a child quieting down after a blind tantrum, your
sobs begin to subside, you shudder once or twice, you
blink back your tears and begin to look at the world
through new eyes. This is your awakening..."
from
AWAKENING - author unknown
I
cried out ENOUGH! after I obsessed over my last eleven
years and took an emotional roller coaster ride. I missed
meds by putting off ordering refills while I wrestled over whether or
not I could, would or should. However; they arrived today and I've
had a re-awakening. I will be sharing my story In honor of and
on World AIDS Day.
Somedays,
Life in The HIVe's a Bitch!!!
For now though, just about everything I've written is contained in my web site or one of the many files that litter The HIVe and continues to be a "work in progress". My dream has always been that when I cease writing and have left this earth, it would be published and passed along to others making the same Journey. That's the goal that helps me get out of bed each morning. However, as I was looking back over it all and considering where I am now, I felt that it had all been in vain. Even though I seemed to be beating the deadline, I had failed to live up to my mission statement.
A
friend from the UK said:
Years
ago I thought that World Aids Day was a pretty good idea. Something to
make Joe Public think about aids a little bit more than normal. Since
WAD was instituted I've seen it go from a consciousness raising event to
an occasion where everyone says "yes, well, it's all terribly sad,
but..."
A
couple of years ago I was reading about people doing special stuff on
their websites for WAD and I decided I'd had enough. As
far as I'm
concerned,
every day is World Aids Day.
I created the gallery at
http://www.craftman.co.uk/aids/
, which is available 365 days a year. I've
suckered a few people who, when they've viewed the main index page of
the
site, expect the link "aids" to take them to a list of
"helper" programs
that I might use :)
"Don't
wait till World Aids Day to do something about aids: do it now."
Steve
He's
right, of course, and that's what I've been trying to do, everyday with
every breath I take. But as I said,
"Somedays,
Life in the HIVe's a Bitch!". That's why I still
have to believe that World AIDS Day is important.
Perhaps
for no other reason than it does
make Joe Public think about AIDS a little bit more than
normal.
And
it comes at a perfect time of the year and this year on a perfect Day on
a perfect weekend...
From
what I've seen and heard so far, locally we seem to have let the
opportunity turn into an
occasion where everyone says "yes, well, it's all terribly sad,
but..." rather
than a well publicized and planned consciousness
raising event.
The planned cablecast that I participated in taping is the only thing
I'm aware of here.
"He
who conceals his disease cannot expect to be cured."
an Ethiopian Proverb
As
Mary Fisher talked about recently, it is the telling of our stories
that is key to making sure that every day is World
Aids Day. To
honor World AIDS Day, I
wanted to use the strength
and creative energy from my recent re-awakening to continue the telling
of my story.
Although you may not have read anything I've written yet, you have lived through the same times and seen many of the same headlines, stories and events that I have. In her recent remarks, Mary Fisher said: "When first I was diagnosed with HIV in 1991, and when first many of you joined the fight, the AIDS community had its own story. It was a story of mysterious reports and sudden wasting, of an unnoticed community of hemophiliacs whose lives were suddenly being cut short and a previously hidden gay community whose fabric and texture was suddenly, brutally, being exposed by AIDS. Headlines told stories of families making three discoveries simultaneously: their brothers were gay, their brothers were sick, their brothers were dying." This spoke strongly to me as I was also diagnosed in 1991 and am a gay man. However, I came out to my family with the first discovery in 1978. The response wasn't pretty and I was told I'd have to leave my childhood home.
In
her magazine, Oprah says in part:
"Think
back for a moment on your history -
not just where you were born but the circumstances that contributed to
your being here. Consider what you believed about yourself
based on what others told you directly and indirectly, since 93 percent
of communication is through nuance and action, not words.
How were you treated? That is what defined how you
experienced the world - both the moments when you felt valued and wanted
and the moments when you felt wounded and sure you'd never be
fulfilled. Though you've probably had times when you didn't want
to press on, you have survived your path. You are still here,
still standing - and what an amazing journey your life has been...
What
I know for sure is that your life is a multipart series of all your
experiences - and each experience is created by your thoughts,
intentions, and actions, to teach you what you most need to know. Your
life is a journey of learning to love yourself first and then extending
that love to others in every encounter. How can you travel on
that road without fear? Whenever I'm faced with a difficult
decision, I ask myself: What would I do if I weren't afraid of making a
mistake, feeling rejected, looking foolish, or being alone? Remove
the fear, and the answer comes into focus.
If you're holding anyone else accountable for your happiness, you're wasting time. You must be fearless enough to give yourself the love you didn't receive. Begin noticing how every day brings a new opportunity for your growth. How buried disagreements with your mother show up in arguments with your spouse. How unconscious feelings of unworthiness appear in everything you do and don't do. All these experiences are your life's way of making itself whole - sometimes whispering, often screaming. Pay attention. Every choice gives you a chance to pave your own road. Keep moving. Full speed ahead."
And
the headlines, stories and events that are part of my
experience:
I'm
doing the best I can, but it's not easy. That's my story and I'm
sticking to it. I recently sent a note to Oprah suggesting
that she do a story on: "Life, and Living, with HIV/AIDS in
America" as a result of this article. As a witness from the
beginning and a survivor for the last eleven years, I expressed my deep
concern that the current medical advancements and increased longevity
had only served to sugar-coat the reality doing a disservice to the
public and actually impeding prevention efforts. This was brought
home to me in the headlines, stories and events that are part
of my experience.
I am very well aware that mine is a rather dark story that people do not want to hear, but I tell it to counter the sugar coating for the sake of prevention. I'm hoping that a heaping dose of my honest reality about "Life, and Living, with HIV/AIDS in America" - "that most of the time, it sucks... Big Time!" might succeed where the other side of the story hasn't.
"... either get busy dying or get busy living, which would you choose?"
New
Mexico AIDS InfoNet Fact Sheet
T-Cell Tests
What Are T-Cells?
T-cells
are a type of lymphocyte (white blood cell). They are an important part of the
immune system. There are two main types of T-cells. T-4 cells, also called CD4+,
are “helper” cells. They lead the attack against infections. T-8 cells,
(CD8+), are “suppressor” cells that end the immune response. CD8+ cells can
also be “killer” cells that kill cancer cells and cells infected with a
virus.
Researchers
can tell the T-cells apart by specific proteins on the surface of the cells.
These proteins are also called “receptor sites” because they can lock onto
certain molecules. So a T-4 cell is a T-cell with a CD4 receptor on its surface.
This type of T-cell is also called “CD4 positive”, or CD4+.
Why Are T-Cells Important in HIV?
When
HIV infects humans, the cells it infects most often are CD4+ cells. The virus
becomes part of the cells, and when they multiply to fight an infection, they
also make more copies of HIV.
When someone is infected with HIV for a long time, the number of CD4+ cells they have (their T-cell count) goes down. This is a sign that the immune system is being weakened. The lower the T-cell count, the more likely the person will get sick.
There
are millions of different families of T-cells. Each family is designed to fight
a specific type of infection. When HIV reduces the number of T-cells, some of
these families can be totally wiped out. When this happens, you lose the ability
to fight off the particular infections those families were designed for. When
this happens, you might develop opportunistic infections.
How Are the Test Results Reported?
T-cell
tests are normally reported as the number of cells in a milliliter of blood.
There is some disagreement about the normal range for T-cell counts, but CD4+
counts are between 500 and 1600, and CD8+ counts are between 375 and 1100. CD4+
counts drop dramatically in people with HIV, in some cases down to zero.
The ratio of CD4+ cells to CD8+ cells is often reported. This is calculated by dividing the CD4+ value by the CD8+ value. In healthy people, this ratio is between 0.9 and 1.9, meaning that there are about 1 to 2 CD4+ cells for every CD8+ cell. In people with HIV infection, this ratio drops dramatically, meaning that there are many times more CD8+ cells than CD4+ cells. The T-cell value bounces around a lot. Time of day, fatigue, and stress can affect the test results. It’s best to have blood drawn at the same time of day for each T-cell test, and to use the same laboratory. Infections can have a large impact on T-cell counts. When your body fights an infection, the number of white blood cells (lymphocytes) goes up. CD4+ and CD8+ counts go up, too.
Because
the T-cell counts are so variable, some doctors prefer to look at the T-cell
percentages. These percentages refer to total lymphocytes. So if your test
reports CD4+% = 34%, that means that 34% of your lymphocytes were CD4+ cells.
This percentage is more stable than the number of T cells. The normal range is
between 20% and 40%.
What Do the Numbers Mean?
The
meaning of CD8+ cell counts is not clear, but it is being studied.
Most researchers believe that the CD4+ cell count is a good measure of the health of the immune system. The lower the count, the greater damage HIV has done. But some people with almost no CD4+ cells have stayed healthy for a long time.
CD4+ counts were used to estimate how long someone would stay healthy. However, the viral load test is better for this purpose. CD4+ counts are now used to indicate when to start certain types of drug therapy:
When to start antiviral therapy:
When the CD4+ count
goes below 500, most doctors begin antiviral drugs such as AZT, ddI, or 3TC.
Also, some doctors use the CD4+% going below 15% as a sign to start aggressive
antiviral therapy, even if the CD4+ count is high.
However, the viral load test has become at least as important as the CD4+ count in deciding when to start antiviral drugs.
When to start drugs to prevent opportunistic
infections:
Most doctors
prescribe drugs to prevent opportunistic infections at the following CD4+
levels:
Less than
200: pneumocystis carinii pneumonia (PCP)
Less
than 100: toxoplasmosis and cryptococcosis
Less
than 75: mycobacterium avium complex (MAC)
Understanding
Viral
Load
By
Octavio Vallejo, MD, MPH
”Together,
these two tests are
like
a train racing towards a
big
hole in the tracks. CD4+
cell
counts tell you how far the
train
is from the hole and viral
load
can tell you how fast you
are
moving towards it.”
“What is Viral Load?
Viral load means
the amount of HIV in the blood of an HIV+ person. While CD4+ T-Cell counts
often help doctors determine how healthy your immune system is, viral load can
help you figure out how fast the immune system is being damaged. If your
viral load is high, your immune system may be getting weaker. When your
immune system gets weaker, other infections and diseases can move into the body.
Also, if a woman with HIV has a high viral load while she is pregnant, her baby
has a higher chance of being infected with the virus.
How can you test for your viral load?
By taking a blood
test, doctors can measure the amount of virus in your blood. The result of
this test can be used with your CD4+ cell count to determine how healthy your
immune system is.
There are two
major kinds of viral load tests. One test is called PCR and the other one
is called bDNA. These tests are different and they measure HIV
differently. It is important that you and your doctor choose one kind and
use this same kind each time you take this test.
Does it help to know what your viral load is?
You can use the
viral load test to help keep track of how well you are and also help you decide
when to start taking anti-HIV drugs or switch to different new drugs. Some
doctors and scientists say that if you have more than 10,000 “copies” of the
virus in your blood sample, anti-HIV drugs should be started. This can
help stop HIV from destroying your immune system and even reverse some of the
damage already caused by the virus.
The viral load
test can also show how well the anti-HIV medicines are working for you.
Before you start taking the medication, you should take the viral load test two
times to be sure of the results. After taking the medicines for several
weeks or a month, you should take the test again to find out if the anti-HIV
drugs are helping to reduce the amount of HIV in your blood.
Undetectable: what does this mean?
Maybe you have
been taking anti-HIV drugs and your doctor has told you that your viral load is
“undetectable”. This means that the viral load tests could not see any
virus in your blood. This is good news, as it means the drugs are working
well against the virus. However, the virus is probably still there.
These tests cannot see small amounts of the virus in the blood. HIV can
also hide in other parts of the body and cannot be seen using these tests.
What’s the bottom line?
Taking the viral
load test is a very important step for people who have HIV. Remember, you
need this information to have discussions about your health. Take time out
to think about it and to make your life better!”
NOTE:
In regard to the standard Viral Load test, <50 is the lowest benchmark
reported and is considered as a “less than Detectable” Level.
AIDS
symptoms create double threat
Randy Dotinga, Gay.com / PlanetOut.com
Network
Tuesday, December 24, 2002 / 06:16 PM
SUMMARY: New research suggests that AIDS presents a double threat when it attacks the brains of patients: Besides wiping out the ability to think clearly, the virus can also prevent them from remembering to take the drugs that could keep the disease from getting worse.
New research suggests that AIDS presents a double threat when it attacks the brains of patients: Besides wiping out the ability to think clearly, the virus can also prevent them from remembering to take the drugs that could keep the disease from getting worse.
"Whenever possible, doctors need to opt for simpler medication regimens over more complex ones," said Dr. Charles Hinkin, an associate professor of psychiatry at the University of California at Los Angeles School of Medicine.
Hinkin and colleagues studied 137 patients in the Los Angeles area who were taking the AIDS "cocktail," also known as HAART (Highly Active Anti-Retroviral Therapy). Some patients had developed AIDS, while others were only HIV-positive.
The findings of the study appear in the Dec. 24 issue of the medical journal Neurology.
One in three of the patients had cognitive impairments, and they took their medications as directed only 70 percent of the time. By contrast, the patients without cognitive problems managed to take their drugs correctly 82 percent of the time.
Missed doses are important because doctors fear that the virus can mutate into new, more powerful forms when it's not being attacked by drugs.
Researchers found that patients with cognitive decline had an especially hard time remembering to take three doses of pills each day. They did so only 52 percent of the time, compared to 79 percent among the other patients.
Patients can usually remember to take doses in the morning and at night, but a mid-day dose can throw them a curve, Hinkin said.
The researchers did not rely on reports from the patients, but instead placed tiny electronic devices in pill bottles to track when they were opened.
Even in the age of powerful AIDS treatments, cognitive decline is still common. Patients continue to report difficulties with concentration and memory.
Cognitive problems can appear even if opportunistic infections have not started to attack the body. Scientists suspect the villain is inflammation in the brain caused by the immune system's attack on the virus.
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As I look back and review the coverage given World AIDS Day 2002 by our local media (in particular the Sunday newspaper- The Enquirer) and the views they chose as representative of the community, it would seem to me that they still think that "yes, well, it's all terribly sad, but..."...
"Self-control the real cure for AIDS"
Tony Lang notes in his piece from Sunday's Forum section (Dec. 8) that a "free and open" discussion of AID must be had. I agree wholeheartedly. Unfortunately, when the topic is AIDS, the discussion is rarely "free and open" to the truth. The truth is this: AIDS is not an epidemic. Using even the most liberal estimates, those infected (and living) with AID totals approximately 60 million people. That is barely 1 percent of the entire world's population. By comparison, the black plague killed nearly 30 percent of Europe's population during the Middle Ages.
The other truth about AIDS is the fact that, excepting anecdotal cases, it is transmitted and acquired almost solely as a result of an individual's behavior. In Europe, Asia and the Americas, drug use, prostitution and homosexual behavior contributes to over 80 percent of all AIDS (HIV) infections.
Pouring money into the coffers of Third World countries where it will be misappropriated or stolen outright will not solve the problem. A big dose of self-control and common sense will, though. -Mount Airy
"AIDS, Holocaust are not synonymous"
Jim Borgman's cartoon in the Dec. 8 Forum section equating the African AIDS epidemic with the Holocaust of World War II is an insult to the families of the millions who perished 60 years ago. Has he forgotten that the vast majority of AIDS patients contracted the disease through voluntary actions of their part? This is totally different from the Holocaust, where the deaths were caused by a deliberate plot by a deranged government and none of the victims, at least after 1939, had any choice.
Not even Osama Bin Laden has chosen to blame the West for the AIDS epidemic, whereas the West, by its inaction of Munich and elsewhere, bears considerable blame for the Holocaust.
Of course, we should help where possible, but helping will be a lot easier and more effective if everybody acknowledges that the biggest obstacle to ovecome is the lack of education of the African masses, which is caused in large part by the brutal governments in place on much of the subcontinent. -Amberley Village
"Abstinence education is the only way to go"
What's the best age to contract a fatal disease? 13? 18? 23? How about never? [Facing the AIDS challenge" Dec.8].
Bono is dead right that abstinence is the best weapon against AIDS; delaying sexual activity is crucial - stay clean, wed clean, live long and prosper.
Yet the Enquirer quotes local experts who totally missed Bono's point. Rather than only discuss abstinence in schools, they want to have our permission for risk-taking, a.k.a. condoms.
Never mind that even adults have a high failure rate with condoms. Never mind that product defects keep the condom makers from claiming what the experts assert. Never mind that teen condom carrying is not associated with condom use.
Let's focus on abstinence-only education: There's no such thing. It's always abstinence-plus - plus goal-setting, decision-making, risk/benefit analysis, assertiveness training, character awareness, social skills. Also, promoting mental, emotional and physical health.
As Bono knows, abstinence has innumerable pluses. What abstinence education leaves out is the minus of floating a kid's future on the leaky vessel of a condom. -Fort Thomas
Having recently smacked
through a patch of turbulence, I thought I'd include a report on my
"...balls in the air".
After my emergence, re-awakening and triage; I will guardedly say
none have shattered. However; they are indeed, irrevocably
scuffed, marked, nicked,
damaged. They will never be the same".
I will be sharing my story In
honor of and on World
AIDS Day. Till then; know that I'm well, Take Care and have a
wonderful Thanksgiving. I'll keep y'all posted...
----- Original Message -----
Sent:
Wednesday, November 20, 2002 6:11 AMSubject: [hiv-aids-support] Thoughts to ponder....
Dear friends
Imagine life as a game in which you are juggling some five balls in the air.
You name them work, family, health, friends, and spirit--and you are keeping
all of these in the air. You will soon understand that work is a rubber
ball. If you drop it, it will bounce back. But the other four balls -
family , health, friends and spirit - are made of glass. If you drop one of
these, they will be irrevocably scuffed, marked, nicked, damaged or even
shattered. They will never be the same. You must understand and strive for
balance in your life. How?
1. Don't undermine your worth by comparing yourself with others. It is
because we are different that each of us is special.
2. Don't set your goals by what other people deem important. Only you know
what is best for you.
3. Don't take for granted the things closest to your heart. Cling to them as
you would life, for without them, life is meaningless.
4. Don't let your life slip through your fingers by living in the past or
for the future. By living your life one day at a time, you live "ALL" the
days of your life.
5. Don't give up when you still have something to give. Nothing is really
over until the moment you stop trying.
6. Don't be afraid to admit that you are less than perfect. It is this
fragile thread that binds us to each other.
7. Don't be afraid to encounter risks. It is by taking chances that we learn
to be brave.
8. Don't shut love out of your life by saying it is impossible to find. The
quickest way to lose love is to hold it too tightly and the best way to keep
love is to give it wings.
9. Don't run through life so fast that you forget not only where you've
been, but, where you are going.
10. Don't forget a person's greatest emotional need is to feel appreciated.
11. Don't be afraid to learn. Knowledge is weightless, a treasure you can
always carry easily.
12. Don't use time or words carelessly, neither can be retrieved. Life is
not a race, but, a journey to be savored each step of the way. Yesterday is
history. Tomorrow is a mystery and Today is a gift. That's why we call it
"The Present."
Peace be with you,
Miguel-Angel
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
© Copyright 2002
Miguel-Angel Carmen de Santiago-León
(all rights and privileges reserved)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Once you find out you are positive you have one of two choices, either get busy dying or get busy living, which would you chose?
Best Regards!
Michael
Message: 2
Date: Fri, 22 Nov 2002 14:37:29 -0600
From: "H C Covington"
Subject: From the Consultant's Journal - we are not dealing with creatures of logic - "Us" or "Them" - November 22, 2002
From the Consultant's Journal .............
To: Those that are moving from being 'Service Providers'
to Homeless Support and Housing Organizations:
~~~~~~~~~~~~~
"When dealing with people, let us remember we are not
dealing with creatures of logic. We are dealing with
creatures of emotion, creatures bristling with prejudices
and motivated by pride and vanity." – Dale Carnegie
~~~~~~~~~~~~~
The above describes both "us" and "them" wherever we are.
There is nothing logical about homelessness although we
must develop a rational and logical path of Life Recovery
solutions to help those who find themselves in this
condition.
Those called homeless sometimes have a mind set of hurt
or battered "vision goggles" that limit their ability to see
the path for a season and we must make it plain and - at
times - have someone to walk it with them.
Remember, about 25% of those called homeless feel that
"home" is a 'four letter word' and that home was not a safe,
sanitary and secure place. It was a place of what is now
called "domestic violence" a place of "personal terrorism."
There are those called to plan, to fund, to organize, to
build housing, to drive vans, to be health care workers,
to be care (case) managers, to be mentors, to be encouragers,
to be teachers, and there are those that are called just to
"BE" there to listen and care and not be as concerned with
the "Doing." As you are concerned about others, find your
place and do all you can with all of your heart to help.
We wish you a full and complete Thanksgiving for where
you are in your journey of life this year. Be blessed as you
are a blessing to those that know you.
Sonny
H. C. [Sonny] Covington, Editor
Nonprofit Information Specialist
Housing and Homeless Recovery
Voice support 1-800-678-5774
icanamerica@egroups.com
~~~~~~~~~~~~~~~~~~~~~
"Remember - to be truly helpful to those called homeless, we must make HOPE possible, rather than despair convincing"
The depression era taught us that there is something worse than being forced to work.
It is being forced
not to work.
---Unknown
Greetings, & Welcome to the group!
As you suspected; this is, indeed, a familiar predicament but I also suspect that it is of greater concern to those of us considered long-term thrivers/non-progressors. This Month marks my 11th year thriving with HIV and this is an issue that I've given much consideration in this year since celebrating my 10th Anniversary.
Earlier this year, I wrote:
While HIV is not transmitted in the majority of workplace settings, the supposed risk of transmission has been used by numerous employers to terminate or refuse employment. There is also evidence that if people living with HIV/AIDS are open about their infection status at work, they may well experience stigmatisation and discrimination by others.
"Nobody will come near me, eat with me in the canteen, nobody will want to work with me, I am an outcast here".
(HIV positive man, aged 27,)
Pre-employment screening takes place in many industries, particularly in countries where the means for testing are available and affordable.
In poorer countries screening has also been reported as taking place, especially in industries where health benefits are available to employees. Employer-sponsored insurance schemes providing medical care and pensions for their workers have come under increasing pressure in countries that have been seriously affected by HIV and AIDS. Some employers have used this pressure to deny employment to people with HIV or AIDS.
"Though we do not have a policy so far, I can say that if at the time of recruitment there is a person with HIV, I will not take him. I' ll certainly not buy a problem for the company. I see recruitment as a buying-selling relationship. If I don't find the product attractive, I'll not buy it."
(The Head of Human Resource Development)
----- Original Message -----Sent: Wednesday, October 09, 2002 9:59 PMSubject: [Living with HIV] Seeking AdviceAs a new member of the group, I'd like to start by saying hello and
thanking responding members in advance for their time and advice.
Here's my problem (and I suspect it's a sadly familiar one):
I've been HIV positive and on disability for several years. In the
past few years I have seen my health improve enough to consider a
return to work. I currently have Medicare parts A and B, with
Tennessee's answer to Medicade ('Tenncare') providing prescription
drug coverage.
I have an excellent job offer in Atlanta Georgia that offers a good
salary, a way back into the workforce, and maybe most importantly a
way out of the isolation that comes with being disabled.
Unfortunately this new job doesn't offer group medical insurance and
my attempts to find an individual medical policy, some state funded
medical assistance, or some other means through which I can afford my
HIV meds in the state of Georgia have all failed miserably. My
projected income in this new job puts be over the earning limit for
means-based programs like ADAP or Medicare (or so I've been told),
but my income is not so wildly extravagant that I can afford to pay
everything out of pocket. I understand that as a working disabled
person, I will be able to keep my Medicare A/B coverage but will
loose the vital perscription drug coverage provided by Medicade/
Tenncare. Further, no private insurer in the state of Georgia will
allow me to participate and my inquiries to the various HIV/AIDS
service organizations in Atlanta into how to find insurance or some
alternative healthcare/perscription drug mechanism have gone nowhere.
Surely I'm not the only HIV positive person transitioning back into
the workforce to hit this most serious of snags.
I'd appreciate any advice and direction anyone in the group can offer
me. Thanks!
Optimism may work against HIV patients
Thu Oct 10, 8:30 PM ET
Randy Dotinga, Gay.com / PlanetOut.com Network
SUMMARY: A new study suggests optimism often breeds bad decisions for people who are infected with HIV (news - web sites).
It might seem logical that pessimistic HIV-positive people would take more health risks than their counterparts, but a new study suggests that the exact opposite is true: optimism often breeds bad decisions.
In a survey of 220 people infected with HIV, researchers at the University of Pennsylvania found that those with the most hopeful views of the future were most likely to skip doses of AIDS (news - web sites) drugs and have unsafe sex.
"Optimism appears to be a factor in how adherent one is to medications and safe sex practices," study co-author Dr. William C. Holmes told the Gay.com/PlanetOut.com Network. "The results do seem to be intuitive. In general, people do tend to be less preoccupied by things in their life that don't worry them."
Holmes, an assistant professor of medicine and epidemiology at the University of Pennsylvania, and colleague Dr. Joseph L. Pace reported their findings in the September issue of the Journal of General Internal Medicine.
The two researchers judged levels of pessimism and optimism by asking HIV-positive people to describe their feelings when first diagnosed, their feelings now and how long they expect to live.
Members of minority groups, along with women and drug users, were most optimistic about their futures. White people, those with low levels of education and those with weaker immune systems, were more likely to be pessimistic.
The researchers found that 26 percent of optimists sometimes failed to take their medications, twice as many as in the pessimist group. And about 57 percent of optimists said they sometimes had unprotected sex, again about twice the rate among pessimists.
Optimists tended to have stronger immune systems than pessimists, and their good health may allow them to become distracted by other things, like their jobs, Holmes said. Also, optimists may avoid activities that remind them of the days when they weren't healthy, he said.
Other factors may be at work too. "Though I have no evidence to support this, some folks who are quite knowledgeable about their HIV disease may consider that a low viral load in the blood infers a similarly low viral load in other body fluids and might decide that some sexual acts are not as risky as when their viral load was higher," he said.
The irony is that levels of the AIDS virus may rise if patients also develop a cavalier attitude toward taking their drugs, he said.
"I’m
only a man in a silly red sheet
Digging
for kryptonite on this one way street
I’m
only a man in a phony red sheet
Looking
for special things inside of me, inside of me
Inside
of me, yeah inside of me, inside of me..."
“Superman”
by Five for Fighting
Each
day, and the living of it, has to be a conscious creation in which
discipline and order are relieved with some play and pure foolishness.
- May Sarton
New Hiv+ member looking for... Have been trying to find sites for Poz people to meet, but havent found them, if you know of some please send to me. Dont want to be isolated. Just found out on Monday, it has been a long week. Looking forward to making some new friends... from the POZMEN YaHoo Group
"This recent posting struck a chord in me on several measures and I wanted to get some feedback, especially from the long term residents of the HIVe...
I am also a recipient of HUD Housing Assistance in the form of a "Housing Choice Voucher" which is now replacing the old Section 8 Certificates. I pay $88.00 on a $335.00, 1 Bdrm, non-equipped (no stove/refrigerator provided-which is also unusual) kitchen unit where all the utilities are separated out and I am responsible for (including water & sanitation which is unusual). My gas & electric is even billed at $72.00/mo and I get a quarterly bill for water & sanitation (I've not yet received my first one). My SSDI is $696.00 monthly. I have been on Disability and qualified for Section 8 since '93. This is my fourth attempt to make a "Home" in a HUD qualified apartment. This is the reason I noticed and joined this group. I am wondering what other peoples experience with HUD/Section 8 has been. Mine has been a real learning experience and quite stressful at times and I've found that Low-Income Housing comes with stigma and discrimination all its own. At least it does here in Northern Kentucky:
Post Office Box 2363 * Covington, KY 41012-2363