A Walking Plague

“Oh, I thought that was a negative sign, not a positive one.  Ok well then if we have sex I’ll have to use a condom.”

“If we date we’d have to take precautions.”

“Ddf and std free only.”

“100% clean only.”

Things that are said to me and/or posted on profiles on a daily basis. 

How can members of a community in the United States that is so disproportionately impacted by a virus be so ignorant about it? 

Now, I’m all for everyone being responsible for their own health.  People should be responsible for their health and no one else.  However, these people still know close to nothing about HIV, how it’s treated, and how infection works. 

Use a condom, that’s great.  Do not only use condoms with men who are HIV positive and not with men who are “negative”.  I use negative very loosely because as we all (should) know, most infections are caused when someone is infected with HIV and is unaware of it, has a high viral load, and passes it to someone else.

That “negative” guy you just had sex with was tested 6 months ago and has had 15 partners since.  After the first partner, his status was unknown.  Same goes for all of the other STDs.  So you can take your 100% clean and ddf crap elsewhere.  You don’t know that.  Nor do they. 

Treat me like a leper, and there’s no way I will ever want anything to do with you.  It’s hard enough to try and educate a person after being spoken to like a walking plague, let alone have any interest in going on a date or even coming close to having a sexual relationship. 

I am not a walking virus.  I am not a disease. 

Dealing with this for 3+ years, one might think that it gets easier to handle the vast amount of ignorance that is the real plague in our society.  But it’s not.  It still hurts.  I’m tired.  I’m running out of patience and compassion for ignorant people.  Not the people who want to learn, and ask me questions.  The ones who will so matter-of-factly state that precautions must be taken with me, but no one else. 

Please, please, PLEASE use google to educate yourself and give HIV positive people a break. 

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Quick update! 

I know I have been slacking super big time with my posts and I will start to post regularly again! Just wanted to let everyone know that my Webinar on HIV went AMAZINGLY! If you’d like to watch it, it’s a little over an hour long, please email me and I will find a way to send you a copy of the video. 

To my friends who are HIV positive I have a question; what questions did you have when you were first diagnosed?  What information would have been helpful to you?  What do people ask you?  

🙂 

Dan

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An Open Letter to HIV

Dear HIV, you suck.  Today I had a rough day because of you.  I have to jump through hoops so I can afford to treat you.  I have to think about you before I think about myself.  I always have you in the back of my mind.  Do you think about me? 

Do you think about how you have changed my life? My love life?  My finances?  My health?  My mind?  My future? 

Why did you choose me?  Why do you choose anyone?  What have we done to warrant your infection?  Am I not a good person?  Do I not help others?  Is there something that drew you to me? 

I have so many questions to ask you and yet I can get no answers.  Why?  Do you want to know what I think is the answer to that?  It’s because you’re a coward.  You don’t have reasons for anything.  You don’t think about me or how you have changed the course of my life.  But let me tell you something that you may not know.  You will not win. 

I will not submit to you.  I am stronger than you are.  I am a good person.  I will find love.  I will find peace in my life, even with you as a passenger in my body.  I will be healthy, my mind will be strong, my future will be great.  I may even have you to thank for that.  You gave me the motivation to become stronger and ensure all of those things happen. 

I know you’re fighting back.  Trying to outsmart me at every turn.  There will be days like today that you make my life miserable.  That you make me feel like I cannot win, but it will only make me want to defeat you more.  I may not know my calling in life, I may not know what tomorrow holds, but I am searching for that thing that will give meaning to my life, where yours has none.  

I know you can learn, and evolve, but I can learn and evolve faster.  I am one step ahead of you.  I am your worst nightmare. 

I will tell people about you.  I will teach them that you are nothing to fear.  That you can be beaten.  That you are a coward.  You hide in my body because you’re not strong enough to beat me.  And that one day, and I pray I will witness the day, you will be wiped from this earth. 

You will be nothing but a memory.  A disease I once had, but overcame.  I wish I could say this to you, but you are a coward.  But I know you will feel it.  With every fiber of my being at war with you, you will feel how strong I am and that I will not let you win. 

HIV, you suck.  But I will win.  

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You Have the Right to Go to Prison

There have been a lot of stories surfacing recently about individuals be sentenced to time in prison for exposing people to HIV. 

In one particular case, Michael L. Johnson, a 23 year old who may be spending the rest of his life in prison, infected (allegedly) one person with HIV and exposed 4 others (who are filing complaints). 

Let’s look at this a little closer.  I don’t see anything in the story from abcnews.com that states that this persons strain of HIV was matched to Michael’s, but apparently that’s worth 30 years in prison. 

I understand that he knew his status and did not tell his partners.  Of course that’s not right, but do we know the whole story?  Do we know he wasn’t going through some sort of psychological trauma from the diagnosis?  It can be much harder for some people to deal with.  How come he wasn’t followed closely by a social worker to get him into treatment?  Who was there for HIM?? 

I have so many questions.  Especially to the state of Missouri.  Why are you criminalizing HIV?  For what purpose must you add 30 years to a sentence for exposing 4 people to HIV, but who are still negative?  Why are none of the people he came into contact with responsible for their own health?  How can you hoist that responsibility onto someone who the body doesn’t belong to?  

When will these laws from the 1980s be changed?  People don’t only live for 10 years after being diagnosed anymore.  Those days are LONG gone. 

I am not saying that he shouldn’t take responsibility for his actions.  However, he should probably be evaluated by a mental health professional.  Sentencing a 23 year old young man to spend the rest of his life in prison is barbaric and horrible. 

And imagine, if he had NOT been tested and passed HIV to 50 men, he wouldn’t be responsible; he would not have been arrested, and wouldn’t e spending his life in jail. The message the state of Missouri is sending to their residents is quite clear; “Don’t get tested for HIV, if you do and are HIV positive we will find a way to put you in jail”.  This is what the gay youth will hear, adding even more fear of getting tested than there is already! 

I’m not sure what an appropriate punishment for Michael should be.  Maybe being listed as a sex offender, and only if he is evaluated and determined to have sound mind. 

If you are newly diagnosed or you know someone who is and you or they are having a hard time dealing with it, speak to someone.  There are so many people to speak to.  They don’t have to be a professional.  Email me if you want!  Just speak to someone so you can accept it and be stronger than it.  Don’t let HIV put you in a place of fear, ever.  

Please share your thoughts with me!  What do you think would be a reasonable punishment?  Do you think 60 years in prison is fair?  What’s your reasoning?  Keep in mind, you’re speaking to someone with HIV, so I know what it’s like to live with (and it’s preferable to a lot of things). 

Vegan Dan 💚 

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My Story

The longer it’s been since I was diagnosed with HIV, the more I realize that I don’t actually take the time to tell people my story.  It’s not really special or extreme, it’s just my life.  However, I feel like if I share my story with people, it might bring me closer to them; let them see more of me and understand me better maybe.  

There are only a few people who were there with me when I was diagnosed, so most people won’t know this story.  To those of you who were there and lived it with me, I just want to say thank you.  I have been blessed with some of the most amazing friends and family and I don’t know if I would have made it if I didn’t have the love, support, and strength of those around me.  I love you all, so much.  

Alright, where the heck do I start?  It’s 2012, I’m 23 going on 24, working as a nurse in a doctor’s office and pediatric homecare.  I live in Buffalo, NY; my parents live in Los Angeles.  Between the two jobs I’m working about 52-60 hours a week with one day off.  I have no life; I watch Netflix when I’m home, eat take out food like it’s going out of style, go to work, and sleep.  Occasionally though, I may meet a guy and make time for sex or possibly a few dates with sex in between.  

I was really great at serial dating men.  Meet a guy, think he’s great, date for a couple weeks, have lots of sex, get bored with him or he with me, or maybe I actually start getting to know them and when I see who they are I decide we aren’t a match for whatever reason.  On to the next.  

At some point in November, just a few weeks before my birthday, I start dating someone.  We have sex of course; we make the conscious decision during the heat of the moment not to use a condom simply by ignoring it and getting right to business.  We discuss if afterwards, decide that we should, then continue to ignore them.  

After a couple weeks of seeing this person with our fair share of unprotected romps in the hay, we decide it’s not a fit.  Little did I know that I got an early birthday present. 

Throughout winter I got sick a few times but I didn’t think anything of it.  I worked in a doctor’s office where sick people were constantly invading my space and the staff liked to pass around bugs as well.  Not to mention that I was a smoker and got bronchitis yearly around winter time.

Come January 2013, I’m at work with an ingrown hair on my poor cheek.  My supervisor basically orders me to go see my doctor.  She’s such a mom, but I appreciate her and she was awesome so I listened.  I made a sick visit at my doc’s office and went in.  Apparently, I was 6 months overdue for a physical.  Ok, ok I’ll make an appointment for a physical. So I did.

While I was seeing the Nurse Practitioner, I asked her if she would order all of the blood work they would need for the physical, “Oh and hey while you’re at it, test me for HIV and any other STDs you can with blood,” or something close to that.  So she did, that way when I came back for my physical they would have all of the blood work and could go over the results with me.  How convenient, right? 

February 2013, physical time!  My favorite Physician Assistant Linda sees me, goes over my blood work with me, everything looks good.  “Oh wait, where’s the HIV results?  Hmm, let me go call the lab and have them fax the results over.”  Well the lab wouldn’t give the results to anyone other than the person who ordered the test.  Understandable.  The NP I saw wasn’t there that day so Linda kindly told me she would have her call me with the results the following day. 

Here it is, the day that changed everything.  Thursday, February 7, 2013.  I get a call from Liz, the NP I saw, while I’m working so I give her a call back on my lunch break.  She asks if I’ll come in for my results, I say no.  I signed the release which states that you can give me a positive result over the phone.  “Ok well it looks like it came back positive.”  Those words I will never forget.  I can hear her voice echoing in my head as I type this. 

She was very kind and gave me information to the Immunodeficiency Clinic’s Erie County Medical Center intake nurse.  She told me if I needed anything not to hesitate to call and speak with her. Part of me wishes I would have gone in just so I could have gotten a hug with my results.  

I immediately called one of my best friends Peter, told him what happened and hyperventilated in my car.  That day all I got for lunch was coffee.  There was no way I was going to eat.  I don’t remember the conversation at all.  All I remember is going back to work and trying to keep busy.  It definitely didn’t even come close to hitting me yet. 

I called and made an appointment to meet the intake nurse at ECMC, I think the next morning.  She told me that the appointment could take 2-3 hours.  Holy crud that’s a long time.  

When I got into work, I asked to speak with my boss in her office privately.  I told her what day I had a doctor appointment and that it was at 8am and it may take 2-3 hours so I would be late that day.  She asked me if everything was ok once I told her the length of the appointment.  “Yeah, yeah I’m fine.” 

“Daniel, is everything ok?” She even used her mom voice on me.  I couldn’t hold it in any longer.  I said no as tears started shooting uncontrollably out of my eyes.  After a moment of crying when I had a moment to speak in between spastic breaths all I could say was, ” My mom is going to kill me.” Then I laughed a little.  Back to the serious tears when she asked what happened.  

“I tested positive for HIV.”  Less than 24 hours after my diagnosis and I’m telling my boss and blubbering in her office.  She hugged me while I cried a minute longer. I could not have asked for a better boss.  She told me that any time I needed a day off for an appointment or anything not to worry about it.  I gathered my composure and went to work.  I already felt better having told her and receiving support. 

I’m not sure the exact time I told my other close friends.  I don’t know if it was the day I was diagnosed or if it was a day or two later but eventually I told them and they were awesome.  They were so supportive and all of them were shoulders to cry on.  There is no way that I can thank them fully for what they did for me.  The only thing I can do is pay it forward to others who come to me newly diagnosed. 

Now it’s my appointment.  They do some things but I have my dads insurance.  No way am I going to allow them to do tests like that so he can see the charges!  The last thing I wanted to do was tell my parents, I was TERRIFIED of telling them. 

So I decided to wait for the state assistance insurance to go through to get the tests done.  The plan I made with the assistance of my friends was that I would tell my parents about my diagnosis after I got the tests done and started medicine so I could tell them I was healthy and they didn’t have to worry. 

Quick side note: my mother and I are tremendously close.  We speak to each other about everything, including unpleasant body functions.  Being in the healthcare field has opened that door for us both and it’s not awkward or weird at all.  Lying to my mom every day when she asked me how I was doing and saying that I was doing well was the worst feeling I’ve ever had.  Every single time I was on the phone with her I was tempted to tell her.  It was torture for me. 

Well, since when does anything go according to plan?!  A few weeks before my appointment that was going to tell me my results and start me on medicine I was on the phone with mom doing our normal chit chat about life, sans HIV talk.  At this point in time my grandmother (mom’s mom) was living at my parents house half the week and staying in an apartment nearby half the week. Mom says she has to take grandma back to her place and asks if I would like to talk with dad.  I say sure and start talking with my father. 

Now understand, the plan of telling my parents involved me telling mom only and having her tell dad for me.  I did not want to tell him myself.  When I came out at 17 to my parents the first thing my dad said to me was, “There are disease issues.” The last thing I wanted to do was hear him tell me, “I told you so.”  

So during our conversation I tell my dad about all of my illnesses or maybe we spoke about the illnesses recently and he asks me, “Dan, why are you getting sick so much?  Are you working too much?  Not getting enough rest?” 

Well crap.  Isn’t that the PERFECT question.  So I dug deep, like down to China, for the guts to tell my dad what happened.  

“Well actually there’s something I wanted to tell you and mom.  Back in February I was diagnosed with HIV…” 

At this point I am chain smoking cigarettes like they’re vital to my existence, walking up and down my street because I can’t stand still.  

I had no clue how he was going to react.  I’m pretty sure I was on the verge of throwing up, I was nervous.  He was AMAZING.  He’s a businessman, so he kept true to himself and was very businesslike about the situation. 

“Ok so where do we go from here?  What’s next?  Do you have a plan of attack?”  I explained to him about my appointment in the coming weeks and he surprised me once more by asking if I wanted him to tell my mom for me. I said that I would do it.

Now mom’s home and he hands her back the phone.  I continue chain smoking but I’m a lot less nervous after dad taking it so well.  I break the news to mom, still worried about what kind of reaction I’ll get.  

Mom was great.  As a medical professional, she was medical about it.  “Ok so what’s next?  Do you have a doctor?  What kind of treatment options do you have?”  I explained all of the information I explained to dad.  

Phew!  My parents knew.  Now I can share it with anyone.  They were definitely the hardest to tell and once they knew, I wasn’t afraid of telling anyone.  

Of course I had meltdowns every few weeks for a couple months.  And about a year and two years I had meltdowns also.  No matter what happens though, I have amazing family and friends to help me through it all.  I will always come out stronger than HIV.  It might always be inside me, but it will never define me, and it will never overpower me. 

I know that was long but I hope it will help people understand or encourage other people living with HIV to share their stories.  These stories are all different and the more we share, the more education there is. 

Sending love and compassion,

Vegan Dan 💜

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PrEP for Dummies

I wanted to write a blog about PrEP because I am doing extensive information gathering on all things HIV so I can put together a slide show and do a 30 minute presentation for (forgive me momma, I forgot the official name haha) Board of American Medical Transcriptionists, of which my mother is Treasurer, because she’s awesome like that. 

So now the pressure is on to learn more than I already know so I can talk for half an hour, which is kind of a lot!  However, I am determined to get enough information for it and then I’d like to contact local high schools and ask to present to their health classes. 

Now on to the topic for this blog 🙂

PrEP had been a pretty controversial issue among the gay community especially.  Of course, it’s not only meant for gay men, it’s meant for ANYONE who is at risk for contracting HIV.  So let’s start out with some FACTS then I’ll get to my 2 cents 😉

PrEP stands for Pre-Exposure Prophylaxis.  The drug they use as PrEP is called Truvada which contains two medicines: tenofovir and emtricitabine.  Try to say those five times fast.  

PrEP is supposed to be taken one time a day, every day.  If taken as prescribed (daily), the medicine in your bloodstream can OFTEN (not 100% of the time) stop HIV from taking hold and spreading.  If it is not taken daily, there may not be enough medicine in the bloodstream to block the virus. 

Although it does not prevent HIV 100% of the time, it lowers risk of contraction by 92%.  

A person who uses PrEP must be able to take the pill every single day and get a check up every 3 months for HIV testing, refills, and a general follow up with their physician. 

Common side effects of Truvada reported by patients were mild nausea, loss of appetite, and some with a mild headache.  Generally, these went away after the first month.  Of course, if your side effects are severe, let your doctor know and go from there.  

Who is PrEP for?  The CDC recommends PrEP to people who are HIV-negative and at substantial risk of HIV infection. This includes:

Having an ongoing relationship with an HIV-positive person. 

Not mutually monogamous with an HIV-negative partner. 

If you are gay or bisexual and not mutually monogamous with an HIV-negative partner and have had unprotected anal sex or been diagnosed with an STD in the past 6 months. 

If you are a heterosexual man or woman who does not regularly use condoms during sex with partners of unknown HIV status who are at risk of HIV infection (people who inject drugs or have bisexual male partners). 

If you have injected illicit drugs in the past 6 months and who have shared equipment or been in drug treatment for injection drug use in the past 6 months. 

For heterosexual couples who are serodiscordant (one HIV-positive and one negative), PrEP is one of several options to protect the negative partner during conception and pregnancy. 

Phew that’s a long list of people.  Not many people realize how many different kinds of people would benefit from taking PrEP.  A couple more things before I start my rant. How to start PrEP!

This can be tricky for some people.  If you have a good relationship with your doctor, speak with them first.  Even if you don’t have that great of a relationship, try it out.  Chances are they will hear you out and evaluate you for risk.  If they don’t want to help you out for whatever reason, find the closest HIV clinic.  There will be a doctor there who will help you. 

Once they agree that you would benefit from PrEP, you’re going to have to go through some poking and prodding.  A general physical, STD and HIV testing for sure, and liver and kidney function testing. 

Now not many people are aware but HIV drugs, including PrEP, are pretty rough on the kidneys and liver.  The doctor is going to want to make sure you’ve got healthy insides before they start you on treatment.  

Insurance can be an issue for some people, but they do have medication assistance programs that may be able to help you cover the cost of the meds.  Just ask for help.  Look for your local AIDS foundation and speak with someone there, they’ll be able to point you in the right direction. 

Now let’s talk efficacy.  Truvada is not going to be at its 100% protection level after your first pill.  These things take time to get into your system and build up.  Unfortunately, there aren’t any exact numbers, but there are a few studies that suggest that rectal tissue is protected after 7 days, vaginal after 20 days, and maximum protection is also 20 days.  

That’s assuming you take the pill daily like a good patient.  Intermittent treatment is NOT recommended nor is it nearly as effective.  If you’re going to do this mode of protection, you’ve got to be responsible and take it as directed.  Of course we’re all human, I myself have missed 2 whole doses over the last 2 years.  Just do your very best not to.  

Alright the first part of this is going to be what the CDC says and then I’m going to sprinkle my thoughts in there…

PrEP and condoms.  The big question.  According to the CDC you should always use condoms along with PrEP.  PrEP offers a lot of protection from HIV, but not 100%.  Condoms offer protection from HIV and other STDs, but again, not 100%.  Although PrEP may offer increased protection from HIV, it does not protect against gonorrhea, chlamydia, and hepatitis.  Only condoms offer a level of protection against those. 

Alright opinion time. How many people are taking PrEP so they feel like they don’t have to use condoms?  Probably A LOT.  Let’s be real, I don’t think there is a single person on the planet who prefers condoms to condomless sex.  That being said, it’s time we put those lovely brains we were given to use.  It’s easy to use poor judgment in the heat of the moment, but do your best people.  If you’re having sex with your partner, especially if you are monogamous, you can probably ditch the condom.  If you’re going home with someone you met at the club, you’re going to be much happier the next morning when you remember you used a condom instead of finding out in a few days that you have a sticky, painful, sore-ridden genital area.  

PrEP, in my opinion, is a really great addition to ways we can protect ourselves and other from the spread of HIV.  No matter what your circumstances are, no matter what sexuality or gender you identify with, if you think you’re at risk for contracting HIV please, please, PLEASE speak with someone about PrEP.  Trust me, speaking to someone about how to protect yourself is a much easier conversation than speaking to a doctor about treatment options for HIV.  

Parents, talk to your kids.  Sex should never be an issue your children can’t speak with you about.  Knowledge is power, give your children the power to make smart decisions.  Don’t wait until they are 18, or even 16.  Statistically speaking, young people from ages 13-24 make up 26% of new infections every year; 72% of them being gay males.  The younger they are when you speak with them about sex, the more comfortable they will be with speaking about “taboo” subjects like sex with their friends and with you as they get older.  I would rather have a child who educates his or her peers than one who is being misinformed from their peers.  

I hope this was helpful to one person who needed to learn about it 🙂

If you have any questions or comments, please leave one!  Also, if you have any other questions regarding HIV ask me!  I’d like to make sure I put it in my presentation 🙂 

Sending love and compassion,

Vegan Dan 🙂

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Commandments of Diagnosis

A guide to your responsibilities as an HIV positive individual. 

Being diagnosed with HIV can be the most terrifying, stressful, anxious, depressing moment of your life, but that doesn’t mean you get to stop being an adult. 

Imagine how you feel, or felt, when you were told the news.  Do you think anyone would want to feel that?  Absolutely not!  And I, for one, wouldn’t wish it on anybody. 

Once you wrap your head around that fact that your life isn’t over, you need to contact the people you have had any sexual contact with.  I don’t care if it was only oral, with a condom, or if you were dressed up as superheroes, you NEED to tell EVERYONE.  Making up excuses so that you don’t have to tell people your diagnosis is a cowardly way to avoid confrontation. 

There are different ways of going about it.  In NY, where I was diagnosed, the health department had a guy who’s job it was to contact the people I could tell him and then I wouldn’t have to worry about it. I decided to do it personally, but I’m sure you contact the health department in your state and see if they have someone who can help. 

If you decide to do it personally, like I did, be realistic.  You’re going to be dealing with a lot of emotions from these people.  Only one person I told actually asked me how I was doing.  Every other guy was freaking out, and I understood.  Just make sure you keep it to facts. 

For example, “Hey there’s something I need to talk to you about.  I got tested the other day and it came up positive for HIV.  Please go get tested ASAP, I’ll go with you if you’d like.” 

Try your hardest not to apologize.  I’m pretty sure I did, but in hindsight, they don’t get an apology from me.  I didn’t contract HIV on purpose, and would never wish it on anyone else.  They may blow up and get really angry, that’s normal.  Stay calm and give them space.  Tell them how you feel too.  They aren’t the only one with an overload of emotions. 

When people make excuses to avoid telling people about their diagnosis, they are promoting the spread of the virus for absolutely no good reason.  Find the strength inside you to deal with the situation like a responsible adult.  Otherwise, you may be condemning a lot of people to hear the same news you heard. 

Lest we forget to be open about our status with sexual partners henceforth.  Condom or no condom, undetectable or not, TELL THEM BEFORE YOU HAVE SEX.  Honestly, it won’t change your sex and/or dating life THAT much.  With some education, a lot of negative guys are ok with sleeping with and having relationships with positive men.  If they don’t understand and are afraid of it, or judge you based on your status, then honey, they weren’t worth it anyway. 

Make sure you know who you’re having sex with.  Don’t just assume that because they know your status that it doesn’t matter who you sleep with.  Ask them too.  People don’t like to ask questions and I don’t get it.  If I’m going to sleep with a positive man, there are some things I want to know.  What medicine is he taking? Does he seem like he’s a very heavy drinker or drug user?  I tend not to trust that men who are alcoholics or drug addicts will take their medicine regularly, and therefore are putting me at risk for a strain of HIV that may be resistant to a certain drug, worst case scenario, MINE. If you just want to have sex without all of the investigation, I suppose your best bet is to just make sure there is a condom involved.

Well that covers my rant for the day 🙂 

Have a lovely April, folks! ❤

Vegan Dan 🌱

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HIV Boot Camp

Being someone who is open about their HIV status brings a lot of questions, usually daily, and can make me feel like a broken record.  Just incase someone who is negative is stumbling upon this, or someone who has HIV and is still learning or newly diagnosed, I figured I would put some common questions and answers in one spot :).

Let’s start with ettiquette.  Please, for the love of all things holy, INTRODUCE YOURSELF.  I’d really appreciate a conversation starter before you decide to barrage me with questions and scenarios.  Get to know me a little, let me get to know you.  Nothing is more rude to me than seeing a message from someone and the first thing they say to me is, “How’d you get HIV?”/”Who gave you HIV?” Or some other personal inquiry without knowing anything else about me.  Don’t forget, I am not a virus, I am a PERSON with a virus.  It is not something that defines me, it’s just a small part of me.  I know that sometimes curiosity is overwhelming and you just need to ask questions, and that’s totally awesome because I’d love to educate people instead of letting them continuing along with ignorance regarding HIV, just be polite. Manners go a long way :P. 

Second, remember that I am not, in fact, your personal HIV-radar, nor do I have one!  I do not know if you got HIV last night from whatever act you committed with a man you don’t know.  I don’t care how well you explain the scenario, I still won’t be able to tell you whether or not you got anything.  Please just go get tested, and on a regular basis.  It’s really the only way to know.  I know it’s scary to get tested.  No matter how sure you are of being negative, you ALWAYS have doubt while you wait for the test results.  I may not know what your status is by listening to your sex stories, but I will go with you to get tested.  Going alone is terrifying, all you have to do is ask if I don’t offer beforehand.  

Next, for those of you who are newly diagnosed, or just felt too overwhelmed to remember, here are some HIV basics.  The very first thing to remember is that it’s not a death sentence.  The first two things my doctor told me were that my life expectancy was shortened by only about 6 months compared to the average HIV negative person, and that if I wanted to have children of my own, I still could.  

Upon diagnosis, you will find out a few things.  Your Viral Load, CD-4 Count, and Resistances.  The viral load is how many copies of the virus are in 1 milliliter of blood.  If you don’t know how much that is, it’s a very small amount of blood.  Like, really small.  One teaspoon is 5 milliliters, so if you can imagine one fifth of a teaspoon, that’s one milliliter. Some people have viral loads up to or over 100,000 copies when they are diagnosed.  That’s a lot bro. The viral load is what needs to be treated with medication. 

CD-4 count is a class of your immune cells, also known as T-cells.  These guys are like the generals of your immune system.  They boss the other immune cells around and tell them where to go, but go with them and fight alongside them.  The more you have, the stronger your army.  

They also test for drug resistances when they do initial bloodwork.  This will tell them if you’ve got a strain of HIV that won’t respond to a certain drug.  For obvious reasons this is important for treatment options.  

Now once treatment is started, the goal is to bring the viral load down to what is referred to as undetectable.  That means that there are less than 20 copies of the virus per milliliter.  Some doctors are now referring to it as the new negative because the transmission rate from an undetectable person to a negative person was 0 in a 4 year study of serodiscordant couples.  Good news for people who want to date someone with a different HIV status than themselves.  

Now the CD-4 count fluctuates on its own depending on whether or not your body is fighting something or not, but typically as your viral load goes down, your CD-4 will go up.  Everyone’s body is different and will have a different number as their average but typically it’s 400-600ish.  

Quick side note: a CD-4 count of 200 or less is considered AIDS. 

Let’s be clear here, AIDS is not a virus.  AIDS stands for Acquired immunodeficiency syndrome.  It is caused by HIV, but is not itself a virus.  It means that the immune system has been weakened to the point that it is difficult to fight off any kind of illness, even simple bacteria.  AIDS is not very common in the U.S. because of the advancements in HIV treatment.  Remember the difference and don’t ask me if I have AIDS, it will make me think I look sick or something.  

For all of my HIV-negative readers, we need you to be a voice for us.  Unfortunately the way that society/medicine approach the topic of HIV is to scare the negative community by telling them how horrible the virus is, but then turning around to the HIV-positive person newly diagnosed and reassuring them that they will live a long healthy life and not to be disheartened.  This is a large part of why there is so much stigma against HIV positive people.  They are terrified of it and take out their fear on people who carry the bug.  I’m not trying to say that people should just not care if they get it or not, I’m just saying, it’s not something to fear.  Be smart, be safe, be cautious, but don’t give it so much power that you live in fear from it and ridicule people who have it.  There is a lot of ignorance regarding HIV out there.  The more people we have educating, the better.  At the very least, send them to this blog where they can read a bit about it. 

Hopefully this is helpful to at least one person out there 🙂 I hope everyone has a wonderful weekend! 

All my positivity, Dan 😜

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Financial Frustration

Why is having HIV so expensive?  Really think about it.  People diagnosed with HIV have to go through an awful phase of accepting that they have this virus attached to them for the rest of their lives and will now be judged and treated like a leper by most people. But that’s not enough, let’s make one month supply of medicine over $2,000. Thankfully there are state programs for assistance but of course there is an income cap.  Unfortunately it’s not very high, which I am experiencing right now.  I have just enough to pay my paper bills, buy food, put gas in my car, and save maybe 5% of my net income.  I’m so afraid of going over the income cap that I got a job that pays less and limit my hours there so I don’t lose the government assistance.

I found out the other day that if I lost that assistance, I’d basically be screwed.  I would then be responsible for paying the premium for my marketplace insurance, the deductible ($600) and then 20% of the meds until I reach the out of pocket maximum (which I believe is $1,700). This means that the first month of the year I would pay $1,040 for 30 pills then $440 for the following 3 months. WHAT!? It’s not like the income cap is $60k.  Can you imagine if it were someone who had a family to support?? This system is better now that I can get insurance through Obamacare, but having to shell out $3,500 in the first 4 months of the year isn’t exactly what I thought I’d have to handle. 

What exactly are the drug companies charging $2,200 a month for this medicine for? Am I secretly ingesting gold!? I don’t want to hear about cost or labor, we all know the pharmaceutical companies are not hurting in the least.  What makes these pills almost $74 each? Can you imagine if someone had insurance through their work, if they lost their job or simply got a new one and switched over to another insurance. They’d have to wait 3 months until you can be eligible right? That’s $6,600.  Sounds fair. 

What happens if they can’t pay that?  I know I couldn’t.  If it were me I’d be forced to forego medicine and allow my virus to grow and no longer be undetectable and most likely become resistant to that medication.  Great now I get to try a new drug and see what kinds of side effects I’ll have.  If a person switched jobs 6 times they’d end up resistant to all of the meds and die of AIDS.  There has GOT to be a better way.

Keep in mind this is only meds.  Nevermind the labs being done every 3-6 months and doctor visits just as often, most likely more often with multiple specialties.  

After hearing how much I would be responsible for I became so frustrated with the way things are that I decided I should write this. It’s just a venting and I feel better 🙂

Oh!  I almost forgot!  While on facebook I complained about it as well, haha, and someone showed me this organization called Patient Access Network.  If you have insurance and a chronic illness, check it out.  They can help with a few thousand bucks and there are tons of eligible conditions.  Even things like asthma!  I hope that’s helpful at least!  

Have a great week everyone! 

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Bad Luck, Sore Muscles, and Cancer Sticks.

Hope everyone’s having a great week so far! The universe likes to hit me with a few not-so-great things weekly it seems lately! I got a bill for a traffic camera ticket from 4 years ago. Seriously. Seriousssslllyyyyyy???? Whatever, please let me tax return help me pay off that ticket! Not to mention the stomach bugs I’ve been having. Thankfully I was off work while I was sick, so hooray for that! But tummy issues are not fun at all :(. Glad to report that I’m almost back to normal now. 🙂

This week I did what I said I was going to! On Sunday I started my exercise program and did all 4 of my workouts this week. I AM SO SORE, but I know it will be worth it!

Also, my last cigarette was on Wednesday night. Watch out, I’m kranky and emotional. Everyone would do well hiding from me for a week or so haha. I was going to wait to quit smoking after I got into the exercising a bit longer, BUT I saw an article from POZ magazine and it was just that little extra push I needed.

For someone who is HIV positive and on retroviral therapy smoking is EVEN WORSE than people who aren’t! I have more than twice the chance to die from cardiovascular disease and more than 8 times likely to die from a non-HIV related cancer, and lose about 8 years off of my estimated life span. Which by the way is 77.5 (give or take a year, I don’t remember exactly). I definitely plan on living until AT LEAST 90!

If anyone has any helpful tips of how they quit smoking or if you smoke now and want some motivation to quit or a partner to quit with, contact me! I need all the support I can get as well!

Have a great weekend everyone! Love, peace and all that jazz ❤

Dan

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