Saturday, October 1, 2011

HIV / AIDS Series #7



Can you hit jackpot in HIV the very first time? Apparently, you can. What is more important is how you rise to the occasion when life needs you to suck it up and be a man (or woman) in order to live a full life... This is the story of Lucia. Read her interview:


This Positive Life: An Interview With Lucia


September 15, 2011


"Don't give up. Educate yourself and find something that appeals to your psyche and to your inner peace to help you deal with the information you will be getting, because some of it is scary," says HIV advocate and long-term HIV survivor Lucia. In 1989, this Cuba native received a mandatory blood test in the hope of gaining her U.S. citizenship, but was utterly shocked when she was told her test results came back positive for HIV. Lucia, who was also pregnant at the time of her diagnosis, opens up about being pressured to have an abortion, the long journey it took for her to feel at peace again and why speaking publicly breaks down the walls of stigma in her community.
Lucia
Lucia

This is Bonnie Goldman reporting for TheBody.com. Welcome Lucia to This Positive Life.
Thank you for having me.

Tell me, how did you first find out that you are HIV positive?
It was 1989 and I went to the immigration office in hopes of beginning the process of becoming a U.S. citizen. The first step is to become a resident of the United States, and at that time, I was given a blood test for all STDs [sexually transmitted diseases], including HIV and that came back positive.

So what happened?
I was given a year to get my affairs in order. I definitely had no interest in pursuing my citizenship at this point; I needed to have so many other things in place. I was also pregnant, and at the time I was advised heavily to have an abortion.

So the journey began as far as finding out how the heck I had possibly become infected since my spouse of, at that time, 13 years was negative. I didn't have any more of an answer than they did. I had never been hospitalized or been a drug user or displayed any risky behaviors. Had only been in two serious relationships in my life. The only thing I did contribute at the time was that I had been sexually active one time with my previous boyfriend. That was dismissed, because that was over 10 years ago and there was no way I could be alive given how short of a lifespan people with the virus were living at that time.

The doctors believed that I had been recently infected. My blood, after many, many, many tests, ended up at the CDC [U.S. Centers for Disease Control and Prevention], which was the final confirmation that I was in fact positive, because it was just not being accepted too easily. I can't even tell you how many labs -- how much blood work -- I had to undergo just because they were in total denial.

But after awhile, I realized that I was infected at the age of 16 by a hemophiliac boy I was with in high school. He passed away a couple of years ago. Neither one of us knew he was positive, and we were having unprotected sex. I was a virgin and didn't know much about sex. It was a one-time thing, because I wasn't thrilled about it, just the first time.

Why did they not think you were positive?
Because I didn't fit "the category." I was not promiscuous and had been in serious monogamous relationships in the past. I was 27, 29 at the time when I was diagnosed. Without a hospitalization, blood transfusion or any drug use, they just didn't know how the heck I could have possibly contracted HIV. But they told me to abort the child and that was that.

What did you do with the recommendation about abortion?
That was the hardest choice I ever made in my life, to give up something I desperately wanted, but that was what I had to do. I was put through a lot of guilt -- mainly by my spouse and the medical community as well. The chances of the child being born positive were high from what they were telling me.

My ex-husband was an accountant and he took the chances as being stronger than the facts and he would ask how could I be so selfish to want to bring a child into the world with this.

How many months pregnant were you?
Maybe a month.

You had a lot to deal with in a month! That just seems like so much.
Yes it was. But I was fortunate. I don't know if I'd have called it fortunate at the time. I'd call it fortunate now, because the stress I was under was going to kill me faster than the actual virus that had managed to live within me for who knows how long.

I had to get a grip and I did: I had enough people, good people, my so-called angels that came into my life. Religion was the first journey, eventually leading to psychology. I found some wonderful psychologists that worked with me. We didn't really talk about HIV -- this therapy was more about saving my marriage. It was what I needed at the time to get strong and the journey turned out to be more about self-love and learning to just count each day as a blessing. Consider it a gift to be alive and breathing.

When you were first diagnosed, did you tell your parents at all?
I told my spouse immediately and then I told my mom and she was just the most supportive and just an incredible person -- still is my best friend. I couldn't tell my father, because he had passed away.

During this time, HIV was really stigmatized. Did you tell any of your friends?
You're right, HIV was very stigmatized and the information out there wasn't the best. Home computers were not something everyone had at the time. The information that was available catered mainly to the medical profession and not the everyday person. Given that, I fully began to do public speaking behind my husband's back, which he was not happy about. I would speak when I was off from work.

What were you doing at the time?
I worked for an air-conditioning company as an accountant.

Why didn't your husband want you to speak publicly about HIV?
He was a sole practitioner and was afraid that people were going to find out and destroy his reputation and his business. I think he still is worried about it to this day. [Laughs.] We remain friends, but I believe he's had a long journey with this.

Speaking of jobs: Have you disclosed at any of the jobs that you have had over the years? And if so, did any co-workers bother you or anything?
No, as a matter of fact, if anything, I've been in their lives. I had one girl that was undergoing MS [multiple sclerosis] treatment. She felt that I was the one person that she could come talk to about what was happening to her. Another had hepatitis C for example. Cancer, whatever disease, you name it, I was the person to go to for strength.

So what has given you the strength to come out about your status?
Although I'm Hispanic, I don't come across as Hispanic. When I moved out here, I had no clue what was happening within my community. It prompted me to take action and do something. The next thing you know, somebody's offering me a job in this business and one thing is leading to another. I did not speak very fluent Spanish and the next thing you know, I'm brushing up on my Spanish.

Earlier you mentioned that you were trying to gain your citizenship. Where are you from originally?
Cuba.

What information should every HIV-positive person know?
First, that you have to take care of yourself. Your mind is the first thing that needs to be intact. I know we talk about diets, but in my opinion, your mind is the most important. You have got to grab a hold of yourself and come to a place where you are happy with who you are.

From that point forward, you start doing all the right things for yourself. Reduce stress as much as possible. Most importantly, don't lean on drugs and alcohol to help -- I can't see how they could possibly help you. But to be clear, I'm not including marijuana in that. I'm leaving that alone, because I think there are more benefits than negatives.

What has HIV taught you about life?
It's taught me how precious life is. It's taught me how important family is. How important your friends are.

Over the years, have you mostly kept the same friends?
Yes, I have lifelong friends from way back when I was married. But I have to admit, nowadays, I don't have enough time for friends unfortunately. [Laughs.] My commitment to doing what I'm doing really limits my free time.

Are most of these friends in Florida or California?
Most of them are in Florida. Most of them are attorneys [laughs] from my office where I worked or previous family members from when I was married.

How long were you married before you got divorced?
All together, we were together 20 years.

Wow. So were you recently divorced?
God, it feels like a lifetime, but I think it's been 10 years.

He lives in Florida?
He does.

Have you found love since?
Oh, yes. Yes.

Is it easy to find love when you're HIV positive?
No. No, it is not.

What do you think are some successful ways in which to find love?
I think when you're not looking for it to come. I'm sure you've heard that a million times. When you're not looking for it, and you are more focused on your passions, it seems to open you up to all of these possibilities -- and even a lot of people.

But I did find a really wonderful man and he's just an incredible human. He is on my side, incredibly encouraging and supportive of the work I do and who I am.

Do you think it's easier for positive people to meet or have successful relationships with other positive people?
I think it is. I think the Internet, even though that's how I met him, is probably not the best way to meet someone. I think there is something that's missing from that -- you know, that attraction that you get with a person from the get-go in a normal encounter. But I do believe that, when two positives meet, it sort of makes everything normal again.

I'm not your typical dater. Let's put it that way. I'm very conservative in whom I date. In terms of disclosure, I knew that I had to disclose before it got any further than a kiss. That was always a heavy trip to have to undergo. You know, having to tell someone, because it was his life in my hands and I was not about to destroy anyone's life. You just need to let that person make a decision. It's the right thing to do.

Looking at your own personal experiences, is disclosure the hardest part about being HIV positive?
Yes.

The other thing that's difficult is not having a role model or mentor. It's quite frightening when you test positive and there is so much you don't know. You're learning all these medical terms and you're just not sure what's going on. Your labs can be up and down, and it does take an emotional and physical toll on you if your labs are not encouraging over time. I've been very fortunate to have gotten, and still get, good ones. Very fortunate, but I can also tell you, just from observing a lot of people, how much a negative result can bring them down terribly.

Are you on treatment now?
Yes, I am.

Could you tell us what your treatment is?
Atripla [efavirenz/tenofovir/FTC].

Have you had side effects?
Nope.

When did you start?
I started almost five years ago.

That was the first time you started?
Yes.

Wow. It hasn't interrupted your life very much?
Not really. If anything, I'm obsessed with what I'm doing as a living; I need to take a vacation from it. It's been a while since I've been on vacation. But it's hard for me. I know that I'm just one person, but when I get the call to speak, I do it, because there are a lot of women who just don't want to speak out publicly.

It takes a lot of bravery.
I don't think it's bravery. You have to look at the bigger picture. I understand the fear that takes place, that overrides the beauty that all these Latin cultures have, because they don't understand. My community to many times allows myths to shape its understanding of this epidemic. And it's really sad, because when a person is first diagnosed, what they need the most is their family. If they have the main thing there, anything is possible for a long healthy life.

You think too many people are isolated?
Yes.

What advice do you have for someone who is recently diagnosed with HIV?
Don't give up. [Laughs.] Educate yourself. It is extremely important. Find something that appeals to your psyche and to your inner peace to help you deal with the information you will be getting, because some of it is scary. It's scary as hell. If you have something inside you that keeps you calm, you will navigate through it beautifully.

What do you have inside of you that keeps you calm?
God. I guess that's it. I'm not religious though, but I have an incredible belief in something greater than myself.

That keeps you steady and balanced and ...
Yes. I also adore animals, so that's another thing. [Laughs.]

What kind of animals do you have?
I have a cat right now.

Have you always had animals?
Yes. For as long as I can remember.

How do they help you?
They help you find that peace. There is something so remarkably beautiful about their innocence. If you're having a bad day, all you have to do is look at their little faces and it all makes sense.

How did you educate yourself about HIV -- or how do you on a regular basis?
Mainly reading, just information on the Internet, but the majority of my knowledge on the disease came from books. My partner studies medicine. He's very up to date on just about everything that's going on. He's a great person to turn to.

Were you always knowledgeable about HIV?
No. No, I've had to learn a lot more things than I ever thought possible.

Where are you working now?
I work for an agency called AIDS Community Research Consortium; better known as ACRC. I'm actually here teaching a class, because a lot of the clientele here have issues as far as getting on a train and coming down to Redwood City, which is in San Mateo County. I'm finding out that it' s not so much that they are afraid to get on the train; it's the time of day. We usually do it in the evenings, because most of my clients work. It seems to be different in the city. Most of the people do not necessarily work. Different health care plans.

I see, so this is just kind of your satellite location.
Correct.

What do you think is the most important thing that someone with HIV should know?
That they should not give up -- that's a hard one. I would say they're not alone. There is help. All they have to do is just look for it. But there is plenty of help and assistance in every possible area. Not to give up.

And with that, this interview will come to an end. Thank you so much for sharing.

This transcript has been edited for clarity


Source: http://www.thebody.com/content/63806/this-positive-life-an-interview-with-lucia.html?ic=700100

Tuesday, September 20, 2011

順子 - 回家

Tonight, I am feeling a lot of love... Jiwang! Suddenly, I recalled one song that I like from Shunza and started searching for it on YouTube. My God, she's a talented woman.

From Beijing, she migrated to San Francisco and studied in Switzerland. Speaks several languages. Nice "Velvety" voice. Very European and very Cocktail... VERY HOT!!

I can't shake the song out of my head:-


Monday, September 19, 2011

RM70/=

Tonight was great. Unbelievably great! Why? My petrol cost me only RM70/= for a full tank.

When I pulled over at Shell in Petaling Jaya to pump petrol, the RON97 pump was down. So I had no choice but to pump RON95 into my car. When my car was apparently filled up to full tank, I turned to look at the total cost and I was shocked. RM70.

I had to start my engine to look at the petrol needle to believe that it was indeed a full tank.

My usual RON97 would have cost me around RM100 to RM110. We are talking about RM30 savings here! That's a lot of money...

I go to Shell 4 times a week and at times 5. So we're talking about at least RM120 savings a month and RM1,440 a year in petrol consumption. Ahahahaha.

This is what I call IMPACT! (or maybe I was just slow in realising it).

I must start looking at my other expenses and start trimming the "fat"!!!

Sunday, September 18, 2011

HIV/AIDS Education Series #3




Living Longer by Living With Purpose

July 6, 2011


Some years ago a friend of mine sold his successful veterinary practice in the Midwest, bought a van, and headed to California to pursue his lifelong dream of writing music. People no doubt thought he had lost his mind, or at least regressed from being a responsible adult to a frivolous adolescent searching for himself. Years later, he has had some success with his music, but most of all, he has experienced the thrilling notion that he followed his heart.

Not all of us, of course, have the opportunity to drop out of our lives and begin anew, but we all certainly have the chance to discover what gives our life meaning and follow it to our best ability. The daily satisfaction is enormous, and so are the health benefits. A study at Rush University Medical Center in Chicago found that people who followed their life's purpose were only about half as likely to die over the follow-up period as compared to people who expressed less sense of purpose. These findings have been replicated in other studies: following your dreams is a protective factor for your health.

For many of us, identifying our personal mission, goals, and objectives is not an easy task. There are many helpful resources, one of which is Martha Beck's Finding Your Own North Star. She outlines several steps that are useful in identifying and following through on living your dreams.

The first step is articulating what is important to you. Many experts recommend sitting down without distraction and writing freely about questions such as what makes you smile; what activities cause you to lose track of time; what do people ask you for help with; or what would you regret not fully doing, being, or having in your life. It will take time and numerous lists before a convergence of themes appears, but it will. These are your core desires.

Once you have a notion of your own purpose, it's important to compare it to how you live your life. Many of us have unconscious beliefs about ourselves that hold us back -- these need to be identified and repaired. For example, a client of mine had a childhood learning disability that affected his performance in school. He not only had trouble studying, he also believed (and was told) that he wasn't as smart as others and would never be able to succeed in school. As an adult he wanted to become a nurse, which required college courses in biology and chemistry. He took a chance and enrolled, asked for help where he needed it to overcome his learning problems and develop good study habits, and became an "A" student. He realized his core belief about his intelligence and learning was wrong.

A second critical step is to compare what life offers you with your own mission and objectives. The opportunities we accept must align with our goals. Without the guidance of our life's purpose in making choices about which to pursue and which to let go, we can become frustrated, disillusioned, or simply burn out.

With practice it becomes increasingly easy to know when our activities resonate with our life's purpose. Nurturing our intuition can be a corrective force when we temporarily get off track from the real source of satisfaction and health: cultivating and living our dreams.


_________________________

Is Lack of Sleep an Obstacle to HIV Treatment Adherence?

September 12, 2011


Past studies have shown that over 70 percent of people living with HIV-positive have had issues sleeping, compared to 10 percent to 35 percent of the general population.

Lack of sleep can make one more susceptible to developing colds; it can impair your memory and can lead to serious health issues such as heart disease, stroke and diabetes. Most importantly, according to new data out of the University of California, San Francisco, not getting enough Zzz's can also negatively impact the likelihood of someone adhering to their HIV medications.

Results showed that 68 percent of study participants reported sleep pattern changes, 50 percent reported difficulty falling or staying asleep, and 21 percent reported problems with vivid dreams. 
In addition, depression, suicidal thoughts, unemployment, drug abuse, history of incarceration, and high HIV viral loads (amount of HIV in the blood) were associated with poor quality of sleep. 
Participants taking Sustiva (efavirenz) were more than two times more likely to report problems with vivid dreams, which are a known side effect of the drug; however, this was not associated with overall poorer quality of sleep … 
Individuals who woke up several hours earlier than they used to and could not go back to sleep had a 66 percent higher chance of non-adherence compared to study participants who slept normally. Individuals who had experienced problems falling or staying asleep or problems with vivid dreams in the past three months had a 42 percent and 31 percent higher chance of non-adherence, respectively.
Researchers suggest that health care providers need to screen for sleep issues and treat them in order to improve adherence.

The study also found other factors that created obstacles to adherence: Depression and suicidal thoughts, bouts with homelessness, drug abuse and race (African-Americans were 35 percent more likely to not adhere to therapy compared to their white counterparts).

Kellee Terrell is the news editor for TheBody.com and TheBodyPRO.com.

Come Back!

My goodness!! The last time I posted something here was way back in March 2011. How time flies. Very happy but at the same time, equally worried! I am growing old and I am sure that is not the only thing that is growing... So what's on my mind lately?

- Weight (!)
- Money (want more of it)
- Health (tie this to weight!)
- Future (typical yuppie)

(btw, they are not in any particular order because at this point in time, all the above are equally important!)

Over the past 5 months, I've seen and experienced so many things, they are quite difficult to explain in a paragraph (or two). However, very simply put, whatever that I've seen and experienced can be condensed into two simple words: Live life! (VIVA Me)

Therefore, moving forward, what you see and read in "I'm JOHN TEH" will be things that have impacted my life in one way or another. This includes articles and / or videos. There'll be less ramblings (i.e. less crap). Keyword: LESS.

I will also continue to post issues relating to HIV / AIDS because I believe that this group of minority is gravely misunderstood by the public.

Sunday, March 20, 2011

HIV/AIDS Education Series #2



Recently, I learnt that our local hospitals (at least the public ones) do not do viral load lab test on positively charged individuals until their T-cells count fall below dangerous level??

I feel that it is not right for not doing so. It is a measurement for one to gauge the rate of reproduction of the virus. It puts a person's mind at ease knowing that his/her viral load is either low or undetectable. This would also mean that the risk of transmission through whatever medium is low! Hospitals should look at their policies once again. Take the above test as part of HIV/AIDS prevention. I believe it is prudent to perform the test to know one's viral load versus the T-cells count. One would then know the number of soldiers available to battle the number of enemies. Otherwise, how to do risk management?

Read below:-


Community Viral Load: A New Way to Measure Our Progress

March 2, 201

We know that when persons are infected with HIV and have not been diagnosed, the virus replicates silently in their bodies for several years. During this time, their immune systems are being damaged and they are very likely to spread the virus to others since they are unaware of their infection. That is why the National HIV AIDS Strategy has identified a specific target for increasing the number of persons who have their HIV infection diagnosed in a timely manner: "By 2015, increase from 79% to 90% the percentage of people living with HIV who know their serostatus (from 948,000 to 1,080,000)."

If you are diagnosed with HIV, your health care provider will evaluate the state of your infection by ordering a number of laboratory tests, including a viral load (VL) test. Viral load is the clinical laboratory test that gauges the level of viral replication by measuring the actual amount of viral genetic material present in a person's bloodstream. When the viral load is high, it indicates that the virus is actively reproducing -- not a good thing. Generally speaking, the higher the viral load, the greater the potential damage to the immune system -- and the greater the likelihood of transmitting the virus through unsafe sex or needle-sharing activities. But persons who are on effective antiretroviral (ARV) treatment will have very low viral loads -- often so low that they are "undetectable" at the current level of testing sensitivity. Because having an undetectable viral load is one important measure of quality HIV care, it, too, has been identified in the NHAS as a target. Under the goal of "Reducing HIV-Related Disparities," we are asked to increase, by 20%, the proportion of HIV-diagnosed gay and bisexual men, Blacks, and Latinos who have undetectable viral loads.

Without a doubt, viral load is a very important tool in the clinical management of HIV disease. But now, there is a newly emerging way to use viral load as a population measure: community viral load (CVL). Here's how it works. We can group individual viral load measurements from various groups who have been diagnosed and are receiving HIV care, for example, African American women, Latino men who have sex with men, transgender women, or White injection drug users. Then we can compare the average viral load for each of these groups to identify disparities across the groups. Since the goal is for all persons who are under HIV care to have an undetectable viral load, if a neighborhood or a community or a particular group has a higher CVL, it indicates a need to intervene. An elevated CVL can mean that persons are being diagnosed very late in the course of their infection, or that they are not receiving timely referral into medical care or even that they might require additional adherence counseling in order to maintain consistent ARV use.

Given its emerging importance as an aggregate measure of HIV programmatic efforts, we are seeing more and more references to CVL. At this week's CROI meeting in Boston, researchers from New York, San Francisco, Baltimore, and Washington, DC all shared information about how they are using CVL to monitor access to diagnosis, care and treatment for HIV infection. In San Francisco, reductions in community viral load have even been associated with decreases in newly diagnosed and reported HIV infections. Public health leaders at the CDC and elsewhere are working to improve the capacity of state and local health departments to be able to monitor this increasingly useful population measure.

Ronald Valdiserri, M.D., M.P.H., is the Deputy Assistant Secretary for Health, Infectious Diseases, U.S. Department of Health and Human Services.




Tuesday, February 22, 2011

Great Day

Ooh la la... Today was quite a day!

I went to work. Felt so energised until the extent that I actually put "Progress 3x" into my FB status. The status doesn't say much really, but the energy that went into thinking about it and typing it... Awesome!

After a good 'ol day of work, I went to the gym to have a good run. Yeah! Sweat like a pig! Felt so good after that. Cooled down at the lounge but still dripping with sweat (in a nice way, not the drenched way). Then showered, got dressed. Drove home. That's when the problem came staring at me: my mom's nasi lemak. A good problem. :-)

To eat or not to eat - that was the question. Of course I ate. I'd be a fool not to eat. I love my mom's nasi lemak. Guilty! Didn't finish the whole plate though. I took less than 2/3 of the rice. Potentially, whatever that I've "let go" at the gym, I had piled it back after my dinner. (Alamak!). But at least I felt that the "damage" was somewhat "controlled".

Anyway, it was good. Great day. Great run. Great dinner (albeit sinful). Now I just have to wait until 12am before I can sleep. Sigh...

Saturday, February 19, 2011

My Saturday Night Ramblings

Saturday evening. Everyone is out either partying or hanging out with friends. I am stuck at home, by choice. Feeling lazy. Rather spend my time at home, doing nothing than going out and spend a fortune unnecessarily. LOL. How things have changed for me!

Also not helping - I have sore throat again and I am also coughing, again! I was down with these two problems for a month just less than 2 weeks ago. Now they are back. What the hell! I hope it will not be a monthly recurrence. Haha.

Anyway, ramblings done. Happy weekends to all. :-)

Tuesday, February 15, 2011

Did You Know?

My friend sent me this link to a YouTube video about how we have progressed through time and some nifty facts about the world we live in... :). Quite a revelation (to me). Have a go at it and tell me what you think!


Sunday, February 6, 2011

Petronas' 2011 CNY Advertisement

I just have to post this up there. This is the Petronas' 2011 CNY advertisement. I have this feeling that I can't explain inside of me after watching this ad. Perhaps this feeling is a sign that is trying to tell me that I am also guilty of committing this act of negligence... For all of you (us) out there, cherish your folks. Attention & Love. They don't earn it... They deserve it.