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Maybe This Time

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As I write this blog post, America is still celebrating the rights of same-sex couples to marry. Of course not everyone is celebrating. Surprisingly, along with conservatives and individuals who have opposition based on their illogical religious beliefs, there's another small group of dissenters. A small rising group of LGBTQ community members who recognize the fight for marriage has distracted from issues such as rights for the trans community, the continuing racial divide in the gay community and most importantly, the impact of HIV/AIDS which has lost its significance. It's not as if members within the gay community don't feel same-sex marriage shouldn't be celebrated but asking- is it our time again? With this battle won is this the time for HIV/AIDS to come back to the fore front? Is this the moment when we look to see what needs to be addressed and maybe this time, using the same energy and efforts to pass gay marriage, do the same to end or reduce HIV/AIDS?

For myself I celebrate the notion that people can get married but also recognize it's not high in what I consider important. I say this as a gay black man living with HIV and recognize the many issues that declaration comes with. Gay. Black. Man. Yes the gay part of me joins in the celebration but the black male part of me doesn't see the progress. Not when those in my community, the gay black, are still impacted by this disease. Make no mistake, despite being a gay man I will always be identified as black despite my HIV status. Even if I don't place the 'black' distinctiveness on myself, the minute I walk outside the doors of my home, society has placed this identity on me and treats me accordingly. So understand that this victory is bittersweet when HIV continues to heavily impact communities of color and the resounding silence it brings within the LGBTQ community.  

As important as the issue of marriage is, even in the early days of fighting for the right to marry, it was evident it was going to shift the focus from HIV/AIDS. One reason being the white gay men, who were the early victims of HIV, were no longer exposed at the same rate as young gay black men of color. The call for action and the rambunctious protests of groups such as ACT-UP had now turned a different corner. With the shift was the loss of financial support. Funding agencies, whether public or private, once provided support to communities along with resources. These resources addressed the issues of stigma and testing, other factors which contributed to HIV infection. Admittedly there were some abuse in the funding system as some agencies were not accountable for monies given, but it was more reckless to throw the baby out with the bath water as crucial services were either cut or defunded.

One unintentional ally was the media, as it spread the news of how HIV was affecting people's lives. Past the sensationalism coverage were also the stories of people who placed a human face on the disease. Across the country we were able to see that HIV was not a gay man disease, but the impact it had on women, children and those who identified as straight. The press helped to make HIV relevant and kept it on the radar of America's conscious- even if one thought they were not affected.

The war for the right to marry took away the warriors and left people living with HIV, alone on the battlefield. They were stripped of their armor and weapons and left to fend for themselves. LGBT organizations which provided the call to battle left their post for a new dawn. A non-concern rose among the medical ranks as they now saw the disease as a life long illness and not the death sentence it once was. In their absence there was now a single pill which was to be the salvation for those either infected or as a PReP for others.

So with the recent victory of gay marriage, I believe that I and others are wondering if maybe this time people will bring the focus back on a community which never left and in fact has grown. That maybe this time, we can bring back our stories and in the telling of them, hear how the lives of those with HIV are affected. And mostly, maybe this time, the financial support which supported many community driven efforts are replenished for both the existing soldiers on the battlefield and the new ones to come. 

Maybe this time next year, we have another reason to celebrate as we see the rates of infection are decreasing across the board. And we can start to see victory.



Aundaray on: On the web




Damn, I'm gay, have HIV and black. It seemed the odds were not stacked in my favor. I was just entering my twenties but it felt like my life was already over. Asking myself, 'why me?' was an empty gesture but it didn't stop me from asking anyway. Of all the emotions I experienced, hurt was more pronounced. The stigma of HIV made it difficult to find someone to share my hurt and I defiantly had it to spare.

I should have been used to this feeling called hurt as it came early in my life when I was sexually abused as a child. Not once or twice, although I don't know if it would have been any better, but over a years' time.

The hurt came from my family who suspected I was gay at a young age and as if to scare it out of me, letting me know what they thought about 'faggots'. This was further compounded by a mother who pulled me aside to let me know, "if you ever turn out to be gay, I'll kill you." The hurt came from the person who gave me the virus as I gave my 'stuff' to him thinking he was going to be the one. And like an absentee father, left me alone with my 'gift' to bring into the world.

Sadly hurt became a tapestry of my life. A thread I couldn't remove no matter how I tried. The more I pulled the more it unraveled the broken child inside. My greatest hurt came from the feeling of rejection as I was made to feel like the 'other'.  It seemed everyone was clean and I was 'dirty'. My hurt prevented me from reaching out for support as I didn't have the words to explain my situation. Even within my community, the 'gay' community, I was the 'other'. This was shown to me time and time again once my status was known by those I shared. I was never asked to be someone lovers but was often told, "We can still be friends".  And after that announcement, it seemed the phone stopped ringing and I was blocked, not only from their address book but also from knowing their heart. So my secret became my secret. It wasn't to hurt or to deceive. It was to feel loved. It was to enjoy the pleasures of someone, even a stranger, to hold me close. The hurting pain of rejection caused me to live this double life.

My hurt with HIV was also physical as I struggled to swallow pills that stuck in my throat and refused to go down. Dry heaves overcame me as it felt like my insides were coming up to greet the sunlight. And my satisfaction was short when I was reminded I would go through the same experience the next day. The needles pushed into my arm to monitor my t-cell levels were always moments of fear. I grew up hating needles but as the years passed they no longer caused pain. Just like my life with HIV I became used to pain.

My greatest hurt was my belief that I was being punished by God for being gay. I was always a religious person and had a strong faith but now that faith was being tested. Was I really that bad a person that I deserved this? Was I cursed? Even in my darkest moments when I felt no one had my back I knew I could always count on God. But it seemed like even he stopped shining his light on me. I felt I had no one. My back was against the wall. It was me against the world.



The hate in me came in like a storm. My wings of anger morphed the more I walked my path. The shadow that once walked behind me turned into my hatred which now walked in front of me. I hurt people because I was hurt. And I had no shame in letting people know how I felt.

My hateful actions meant turning off my inner voice and simply living life with no regards for people or their feelings. I simply didn't care. I was so hateful that if you told me you loved me, I told myself it was a lie. I saw it as a trick for me to lower my walls in order for that person to come in and do more damage. That simply wasn't going to happen to me anymore. I had been hurt enough. My hurt didn't allow me to be held or experience a hug. The thought of someone attempting to hug me out of affection made me jump. It was a knee jerk reaction of me pulling away. To touch me also brought forth in me those memories as a child when I didn't have the power to say no. I had to regain that control.

Lie, cheat and steal was my motto. I was living for the moment as a life with HIV meant I didn't have no future. It was the dawn of my destructive behaviors. I didn't do drugs or over indulge in alcohol. No my vice was sex. The one thing that was forced on me, the one thing that gave me this curse, was the one thing I turned to in order to heal my pain.

I swam in the lake of promiscuity with no life vest. I pushed myself into years of anonymous sex, standing in rooms of unknown naked men all with the goal of inserting their manhood into each other. My apartment door was replaced with one that revolved as one after the other, men of all races walked through to take pieces of me away. If by chance there was an attraction or a show of affection, I sabotage it right away as there was no way anyone could love me. I didn't love me. I created online profiles and in the HIV status field, I placed the word 'negative' because that was how I felt. I wanted to live my life as I didn't have a disease.  I was in a place where I simple didn't care.

I hated myself. I felt I never would find love and dreaded holidays like Valentine Day as it was a reminder of what was out of reach. Looking back I actually was presented with people with loving ways but rejected them as they didn't fit my list of what I was looking for in a man. Yet ironically I didn't use that same list when it came to having sex as my standards were lowered when it came to someone entering my ass as opposed to my heart.

I simply hated. I hated my father who ran didn't raise me. I hated my friends and family who didn't have to live with this disease day to day and asked me things like, "what's wrong" and me unable to share that truth. I hated the gay community as it was not at a place where I could say I was gay-yet jealous they could live that life freely. I hated life and wished my disease could take me sooner than later. I hated people who were in love.

I was on a crash course with myself. Tears which fell only at night were now falling at all times of the day. They fell because I knew my actions were not me. I knew the young boy with the innocent smile was trying to come out and I didn't know how to let him. The last time I let him he was hurt. Like an overbearing mother I built walls so no one could ever hurt him again. My tears fell because I spent most of my life living in shame, holding my head low instead of raising it to see my potential. My tears fell because I felt I let my mother down. I didn't listen to her warning and was paying the price. I was crying because simply dealing with HIV was a luxury as my daily battle was more about me being black than the disease itself. I was trying to survive in a world built with systems not designed for me and as a gay black man the only time I was visible was when I saw myself on posters holding a condom.

I didn't realize my tears were falling because it was cleansing me. Not knowing It was getting me ready for my final transformation.....healing.


I never set out to find a place of healing. I felt I was always going to a person walking with rage. I was scared that if I let go of my anger, I would be setting myself up to be hurt again. My anger was my shield of protection.

My healing came when I allowed myself to cry. When I stopped trying to hold back my tears. When I stopped punishing myself for tears which were due to me. I earned each drop for all that I suffered. The child abuse. The rejection from family. The announcement of my HIV. The times I was called a nigger, those tears were mine and I was denying myself each drop.  I  never knew that those moments I would cry I was actually healing. The water was nurturing the open wounds that existed on me. Cleansing my soul.

The biggest moment came when I stopped blaming myself for my circumstance. It wasn't my fault that I was sexually abused as a child. It wasn't my fault that I was gay, as I came to accept that I was born this way and it was something to be celebrated instead of hated. And although I placed myself in the situation to be exposed to HIV, I had to stop blaming myself for my life choices and find a way to move away from the bitterness that was overtaking my life.

Instead of living in a place of blaming I started to exist in a place of forgiveness. That included all of the negative actions of my life when I was so angry. In that forgiveness I started to see the person I was supposed to be. I let the child in me, out, to experience the world again. I was learning how to fly again and be free.

My healing allowed me to let God back into my life. It made me understand that although I was giving him the silent treatment, he never did the same to me. That he was always there for me, through all the pain. And it was because of him I was able to bear.

The last act of healing was me coming to a place of acceptance. I think for so long I was in moments of denial and never fully embraced my circumstance. It seemed I was always living someone else's lie. I was living other people life. Constantly trying to be that someone that others wanted to see. I was the 'straight black man', I was the' passive bottom', I was the 'strong male', I was a 'cumdump', I was 'HIV negative', I was everything people wanted me to be. Always morphing my identity, auditioning in the hopes I would be liked. I never allowed myself to simply be me. I never took the time to make that discovery.  I was now giving myself that permission.

I finally place myself on that journey to find not only who I was but who I was supposed to be. I had to rediscover my voice. And to truly move on I had to forgive the people who I felt place hurt on me. That included the person who took my childhood and most importantly the person who gave me HIV. I couldn't move on if I held on to the anger I felt toward them. And yes I had to forgive myself.

I had to let people go. Those who only wanted to take and not give. I had to recognize that family can be the greatest source of pain and sometimes you have to sever the ties of hurt. I had to understand that if someone didn't accept me as a gay black HIV positive man, then they couldn't appreciate and deserve the beauty I had to offer. I could no longer fragment myself for others. Giving people only the pieces they liked. They had to accept the wholeness of me.  I had to stop giving my body away to strangers and those who only saw me for their sexual pleasure. Stop placing my body parts on social media as if I was standing on an auction block. Giving myself away to the lowest bidder. I had to stop asking for love until I knew what love was. I had to learn the difference between the acts of someone simply wanting to just having sex with you and the act of someone wanting to be in love with me.

Since the discovery of my truths I've never been freer. I'm no longer tied to people's opinion of me. I don't mean this as a disregard of people or to say they don't matter, I say this knowing my actions will be dictated by how I can best show I love myself. And that's the greatest gift you can give yourself, the ability to love the skin you're in.

The greatest thing is accepting that I'll have some doubts and may even have some setbacks on this healing journey.  But to use those setback moments as reflections and restart my journey toward healing and love of self.

Now when someone asks me who I am I can say proudly I'm gay, black, HIV Positive, caring, crazy, Extrovert, outspoken, soft spoken, funny, impulsive, introvert, moody, sincere.........the list goes on. But one thing I know is that they all add up to one thing...loving. That's me. Aundaray

Aundaray on: On the web

Spring Into Fitness

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At the beginning of the New Year we all make a resolution to start working out and/or eat healthier. But let's face it- who likes to work out during the cold winter months? Before you know it our resolution becomes an impossible task. That's the great thing about Spring- we all get a start over and an ability to design a realistic health program. A fitness program is great for anyone and all body types but especially for those with HIV. I make this testimony as I feel my health routine over the last ten years has contributed to my continued well-being despite my status.

There's been studies which shows that there's a relationship between a healthy lifestyle and an increase in one t-cell numbers. Also working out has benefited my overall well-being, and for many who participate in a health program, it has helped keep depression and anxiety in control.

And not to mention the added benefits one with HIV can receive such as:

·         The prevention of muscle loss and strength often seen in those with HIV

·          Lower levels of blood fats and sugars which can raised by HIV medications

·         Higher levels of HDL cholesterol (the good stuff) and lower levels of LDL cholesterol- the bad kind which has been connected to faster HIV progression.

So as we spring forward I offer my seven ways to have a healthy season.

1.       Do it for you- The worst mistake one can make in starting a fitness regime is to do it for the benefit of someone else. We all want to look attractive to others but when you step into the gym or start exercising, how someone sees you that shouldn't be your marker of being fit. The person we should make happy when looking in the mirror is ourselves. Keeping that in mind you'll find yourself more motivated and determined to get the results you want.

 Start at your own pace- Whether it's jogging or lifting weights, don't compare yourself to others. If you see someone jogging without breaking a sweat or lifting a huge amount of weight-just know they were once like you, starting from the beginning. The worst thing you could do is to try to keep up with someone who has been doing a routine for months. You not only risk hurting yourself but you also may get frustrated and give up.

Check with your doctor before beginning- This may seem like an obsolete suggestion but for those who are HIV it may have an added benefit. One reason is that there may be a medical reason you don't feel motivated to work out. You may find yourself always without energy and don't know why. It has been shown that those with HIV may experience low levels of testosterone based on many factors. For many that's the fuel to provide the boost you need to even do the simple day to day activities. Because we often don't know our levels are low it's best to check In with your doctor and they may start you on a testosterone treatment program.

Control the vices- In our busy lives we sometimes wish we had to time to have a proper meal, but the reality for some is that fast food is usually the only option. Yet making fast food your go to is not good for you or your body. In addition other vices like smoking and drinking can make a health regimen redundant. Look at ways to reduce eating junk food by always having healthy options around. Also seek support from others if you're trying to stop smoking or excessively drink. Remember your body is your temple so if you want it to be nice to you- you have to be nice to it.

Keep a diary- We sometimes don't give ourselves enough credit for our successes, even the small ones. A diary is an excellent roadmap of where one used to be and where they're at now. There are so many online options which make it easy to collect your results and place them in a place where you can review them. Also many are now creating a picture diary which allows them to visually see the results their making.


6.      Stay off the scale- If you want to really get frustrated and derail your efforts, step on a scale. A scale doesn't accurately inform you of the progress you're making. People who work out can't understand why it looks like they're gaining weight. The truth of the matter is you're not. As you lose fat mass you're gaining muscle mass which is good. So when you step on the scale it's reflecting the muscle which you're developing. Understanding this you'll see that a daily scale check is often misleading and not an accurate barometer of your real results


7.       Find what works for you- For some going to the local gym is a preferred way to stay in shape. For others it may be jogging through the local park. Other non-traditional programs such as yoga are considered a good way to workout. No matter what you do, do something and you'll not only feel good but feel good about yourself. And most importantly you can start today as it takes one step at a time to be the best health you want to be.

 So as the warms sunny days of summer slowly approach, start making today your day to spring forward into a healthy life! 

Aundaray on: On the web

The Specialty of HIV


It was a normal day when I saw my pharmacy calling me. It wasn't unusual to receive a phone call from my pharmacist. Sometimes they would call to remind me my prescriptions were ready and yes, even check-in to see how I was doing.  I was fortunate as I frequent them often for my prescription needs. They have been so much part of my life in the last eleven years that I even wrote about them in a previous blog post.  For those who are unfamiliar with that blog, I spoke of how the people at the pharmacy helped me find my new HIV doctor, encouraged me to seek a simpler medication regimen and the greatest help, connecting me to the AIDS Drugs Assistance Program (ADAP). At that time I was struggling to pay my co-pay which was rising faster than my paycheck. So when my phone rang I wasn't expecting to hear anything bad from them. Unfortunately it was the beginning of my hell and my unfortunate introduction to 'specialty pharmacy service'.

                Specialty pharmacy service basically limits how and where you can get your prescription filled based on your disease. For me, according to New York University (NYU), the issuer of my medical coverage, my HIV diagnoses fell into the specialty category. That meant my only choice was to receive my prescriptions by mail or visit any national CVS drugstore. The small neighborhood pharmacy I frequented for the past years would no longer be able to fill my HIV prescriptions. So instead of walking the three blocks in my neighborhood, I'm now forced to ride a subway to a pharmacy twenty blocks away.  In addition instead of the specialized care one gets from a local pharmacy, I'm now one of thousands at a national corporation. What's so special about that?  

The other option for me is the mail delivery option. This is a monthly drop-off service of your pills at your doorstep. This may sound ideal but for those who have yet to share their status or living in a situation where it's not safe to reveal, this is not an option to consider. And since each package has to be signed for, the added expense of a P.O. Box along with the additional cost, makes it less attractive. Besides anyone who has a package delivered by UPS, knows the frustration of getting a pink slip letting you know you missed them. This often leads into a frustrating game of playing tag to get your package so you won't have to miss any dosages. There is also an option of delivery to your work space but again if your co-workers don't know about your status they may start to wonder about the regular shipments of pills.

I wanted to opt out of the specialty care program and continue my relationship with my current pharmacist. I first had to discover where this mandate came from. That meant my first call went to United Healthcare, the name of the insurance company on my card. They informed me their hands were tied and I had to speak to the HR department at NYU as this order came from them. From there I went into representative hell as the people I called were the first line to protect the decision makers. I knew the frontline staff wouldn't be able to help but I had to start somewhere. It was an endless game of repeating my frustration to each person as I was shifted from one to the next.

          I was always polite as I knew it wasn't their fault. I called so much they even knew me by name and we would talk about the weather. Some also sympathized with me and felt it wasn't right I was being pigeonholed. One rep even wanted me to keep her updated on my battle. I finally made headway but only by letting NYU know that I was planning a protest of this decision. My protest would consist of me refusing to set up new service at CVS which of course meant that I would be without meds. I was prepared to not get my meds refilled and inform NYU that their decision was affecting my health and life.

        It was a gamble but it worked as I finally spoke to a senior official in the HR department. She told me that NYU was doing me a favor by making it easier for me to obtain my pills and they were doing this for me. It was as if she had the script prepared for this conversation. I wanted her to know I found this discriminatory to those with HIV and in a way a punishment. I asked her where she got her prescriptions filled and was met with a non-response as I'm sure she could go anywhere, even if it was a local pharmacy three blocks away. NYU is not looking out for my health as she claimed. They are looking to save money. That's the only reason this was decided. Their ability to save dollars overruled my health.

      I have yet to have them reverse their decision as it's a waiting game. They don't have to worry about their refills running out. So those who are in the processing of fighting this requirement often give up as they're interrupting their medication regime, something strongly advised not to do.

     As usual my local pharmacy provided me with good insight as they have seen other HIV customers simply give up fighting. I'm not the only one. There are others like me with HIV who has spoken out against specialty pharmacy programs and tried to remain with their local pharmacy instead of a chain. In fact last year New York passed the Anti-Mandatory Mail Order Pharmacy bill. The bill closes a loophole in state law that currently allows the health insurance industry to prevent local pharmacies from qualifying to fill prescriptions deemed "specialty" by the industry, even if they match the cost. Unfortunately for me since NYU pays full coverage they have found a loophole to allow them to discriminate.

     Claims of discrimination may seem harsh but there's no other way to look at it. There's no other word that describes the fact that because you have a certain health condition you have these limited options versus others who have the same insurance but because they don't have HIV, have a range of choice.

     And that's what it comes down, choice. And I feel simply because I have HIV my choice shouldn't be taken away, especially so someone can make a profit. At this moment my battle continues to restore that choice and I hope in the end to help others like myself who are forced to fight for the right to choose where they get their prescriptions filled.

    I would love to hear from others who were forced into specialty pharmacy programs and how you handled it. The more sharing of this blatant discrimination, the more ammunition can be used to defeat this practice.

So shame on you NYU for treating me like the 'other' and adding to the stigma of HIV. 

Aundaray on: On the web

The Ouchiness of HIV


Recalling a conversation I had early in my life, it was a simple question asked by a colleague. I was sharing my news of being HIV positive and he appeared to have sympathy to my story. I wasn't looking for it but nonetheless it was offered. Unfamiliar speaking to someone HIV he then asked me a question that made me winch, "Was I going to die?" Again I knew he wasn't coming from a place of malicious intent but unknowingly to him he brought forth in me an uncomfortable state. It was an 'ouch' moment. A statement that was inappropriate based on the sensitivity of the subject-me, and my current situation-my status. But again, not knowing- him, he asked an inappropriate question.


It seems like a no-win situation if people who don't know about HIV, are unable to ask questions based on the perceived insensitivity. How can people not offend or place one in a box? It's a tricky question as like my friend, it's not their intent. They just don't have the understanding that there are certain sayings that should be avoided to not invoke an 'ouch' moment.

To help bridge the dialogue I'll point out certain remarks which can cause an 'ouch.  Not everyone will agree with the list as we all have different level of tolerance. Not to mention the overly politically correctness of said statements and how some may feel a backbone is needed. In my defense as a man who has lived with HIV for twenty something years, my 'ouches' are less painful but for someone newly diagnosed, they may have yet to build a resilience to such questions.

So I present my 'ouches'

1.       Are you going to die?

We're all going to die, so my immediate response would be yes. In relation to HIV the answer is no. This question establishes a connection between death and one's status which today is not the case anymore. This stigma belief has been attached to the HIV since its birth when men were literally dying. Yet unlike previous years medical treatment has advanced greatly and the numbers of death from HIV has decreased. Someone with HIV today is more likely to get hit by a bus than die from the disease.

2.       Who gave it to you

For me this is 'none of your business' question. It resonates with gossip as any information I provide won't help me with the support system I need. It also makes a person relieve that moment that some may want to forget. Also there may be a perception that judgment will be placed and questions will be raised about a person sexual practice. For those who haven't come out, the question is especially terrifying and may prevent them from seeking additional health services. The only one who may ask this question in a different way is a doctor as he/she is asking to determine a course of treatment for you based on your sexual history.

 Are you clean?                                                


This is a question not asking about the condition of your house or whether you've taken a bath lately. This is another way to ask whether you're HIV positive. You'll most likely be asked this on online hook up sites. There are various campaigns which points out the detrimental aspects of this term and the stigmatizing aspects of this phrase. Immediately one relates the opposite of clean is dirty and by asking, if the answer is yes the assumption is that the person is dirty, unworthy, damaged goods. Asking someone their status before sex is smart, for everyone, not just those HIV negative. Yet to use this particular phrase is troublesome.

 Are you undetectable?

This is a fairly new question usually by those who have a desire to engage in unsafe sex. Unfortunately this term has created a subgroup within a group. The intent to have sex with you is not based solely on you as a person but on a set of numbers provided to you by the doctor. There are recent studies that show if someone is undetectable and regularly follow their regimen the risk on HIV exposure is small, yet there is still a chance. Also for those who aren't undetectable for any reason they can still use safe sex methods and not be disqualified. The worrisome nature of this question also provides the impression HIV is the only concern and not any other STD's which should also be in the dialogue.

 You don't look like you have HIV

This is more a statement than a question and I still laugh when people share this with me after all these years. I always feel it's someone's way of giving me a compliment. It's unfortunate that after all these years there are those who insist that one can look at a another person and know whether or not they're HIV positive. This has existed since the early days of HIV when people developed gaunt features and visible sores, but that is no longer the case. HIV does not have a look, smell or feel. You can be muscular or thin as a rail, rich or poor, any race or gender and still have HIV. So sharing this statement is also sharing that you don't have full knowledge about HIV.

 Are you infected? 


This is my own 'ouch' statement and may not exist on anyone else list. The word just doesn't bring forth to me a positive image. The word itself has such a similarity with words like contaminate, ruin and blight. To me it builds on the stigma that having HIV makes one less of an individual. In my writings I tend to use 'exposed' when describing a person's status. It doesn't seem to have such a negative image that the word infected creates. But again this is just my own feeling.

What are your 'ouch' moments or am I and others being to overly sensitive. Share and discuss how we can move past the 'ouchiness' of HIV


Aundaray on: On the web

6 Reasons to Swallow


One of the biggest decisions when it comes to one's HIV care is whether or not to start taking HIV medication. It may sound like a no-brainer but for those directly affected it's not an easy decision to make. Until a cure is found, starting a HIV treatment is a lifetime commitment filled with new rules and schedules. Not only does one have to deal with the reality of HIV but also other factors come into play like cost, fear of side effects and stigma. It's a lifestyle adjustment and yet it has its benefits. Benefits such as making one's HIV manageable and the allowance of a normal life. But how does one make that choice and what should one consider before taking HIV medication?

According to the CDC just half of HIV-positive men who have sex with men got the treatment that could save their lives in 2010. During the moments after my own HIV diagnosis, one of my fears was feeling I had to rely on pills to maintain my health. I considered myself a self-sufficient person and wanted to be in the driver seat when it came to my health. I defiantly didn't want the dependency on any external factors. Especially something I seemed I had to swallow on a monthly basis. 

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Despite my doubts I finally gave in and it wasn't as bad as I thought. One of the deciding factors was knowing it was much easier to address my status while I was healthy and not waiting until it became more complex. Also after seeing my t-cells drop low and watching my viral level reach new heights, I knew I had to do something and attempting to place my head in the sand wouldn't change my HIV status.  So starting a HIV medication wasn't easy but it was one of the best decisions I could make. Of course it took some adjustments but nothing I wasn't able to manage. In fact I feel starting a medication regimen has contributed to my current well being.

Not everyone who tests positive needs to take HIV meds right away. Starting medication consists of several factors your doctor will take into account. They'll take into consideration your T-cell count, viral load and any other health conditions you may have. So for those undecided I would like to offer six good reasons to consider swallowing.

1. It allows you to be proactive rather than reactive

Starting a medication regimen allows one to gain control over their health rather than feel as if you're losing control. You're now taking charge of your health and not having a feeling of 'whatever happens, happens' emotion. You're telling your own self that although you never asked for the disease, its control of you stops right here! Control is the key word as you don't give it up by taking medication. You instead are making the choice to have a long healthy life.


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2. You're healthier than those without HIV

I know it may be hard to believe but in some cases those who follow a regular medication schedule which includes doctor visits, have a greater chance to receive preventive care. Taking medication requires regular visits to your doctor to see how effective the pills are. Starting out it may be monthly but as you both track your health, it can be as long as three months between visits. It's during this time your doctor check for other issues which may need addressing or show up in your blood work. Compared to those who are negative and may see a doctor only when symptoms appear, HIV positive have a more proactive head-start. So although HIV was the primary reason for your visit, you can now address any new unrelated concerns.

3. It has become simpler

In the past when a person started taking HIV medication it wasn't abnormal to take several pills a day, often as much as 10. In my case it seemed like I was taking a gazillion based on what I was prescribed. That's no longer the case for me and many others. HIV medication has become simple to take and based on when one starts, it can be easy as one pill a day. Just like taking a vitamin. It also helps for those who are not ready to explain why they have so many pills bottles in their medicine cabinet in addition to making it easier for those traveling.   

4. It's not just the pills keeping you healthy

When deciding to take HIV medication, understand it's only one part of your health plan. Just because one becomes positive doesn't strip them of their ability of self-care. Sometimes HIV medication gets all the credit when the credit is because you were already a strong individual. You just got help during this difficult time. Your medication isn't and shouldn't feel like a crutch. Knowing your determination plays a big role is crucial.  

5. Not all doctors are the same

The reality is that one may have attempted to start HIV medication but the doctor prescribing it didn't seem to care what the patient needed or wanted. With a one sided doctor-patient relationship, it may seem hopeless especially if you're having trouble with your medication. Know that there are always options especially if communication with your doctor seems like it's hitting a brick wall. No matter what your health plan is, everyone has the right to change their doctor. You want to find one that listens to you and give you options that work for your life. On the other hand if another doctor is reinforcing what your previous doctors have recommended it may be an opportunity to hear them out and make a wise decision.

6. Everyone HIV is not the same

It's true that there are some people who have been HIV positive for years and never been on medication-yet they seem to be doing fine. If your decision to delay HIV medication based on someone else's history, you should reconsider. HIV affects everyone differently. Those on a lifestyle without meds for years are not usually the norm. Your experience will be your own and shouldn't be measured simply on others. Before deciding to not take HIV medication, just realize it won't hurt to get a second opinion from a professional.


So as I write these words, understand I was a person who was strongly against taking meds. In all my years there has been only one case when a medication caused me side effects. As I enter my 29th year with the virus, I give myself much of the credit but also have to acknowledge the assistance of the pill. So now if I'm asked if I swallow, I will gladly say yes!


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