I Met A Man... Can I Give Him HIV?

I met a man and OMG he was just simply charming. Now I usually don't give my number to random men on the street, but did I say he was sooooo charming?!

Even Chloe liked him, but ummm now that I think about it, Chloe likes everyone she sees. But the fact that he took the time while macking to bend down and speak to my baby girl was a brownie point. But umm that could have been a part of the Mack game to. LOL But unmm I still gave him my number. Did I say how charming he was?

We made it through the first round of "gettin to know" each other. And I'm not sure if we are even going on a date. I try not to make assumptions because that's when feelings get hurt. Now don't get me wrong, I have standards like mutual respect etc. etc. etc. What I'm talking about is not marrying him in your head before you know if he puts the toilet sit down, look at you like you're the only woman in the room and most importantly not some misogyntic butt hole. Like for real for real. But now that I think about it, charming men tend to love women, all of them. What have I gotten myself into? But then again, I try not to make assumptions even about charming men.

 So here I am, I've given my number to a very charming man and we have gotten beyond at least the introduction. Now I have to be honest, this created some anxiety  that I haven't felt in years; Mainly, I got to tell this man that I have HIV but on top of HIV that I'm this super famous woman who goes around the country talking about having HIV. This is not an easy thing. 

It's been years since a man approached me that didn't already know who I was and this sent me back to a place that I haven't been in years. Since my divorce well over 17 years ago, I've learned that being famous with HIV is collateral damage. Even when a man likes you, they are faced with the stigma that comes with dating a person with HIV. And don't be in denial, it does come. Why would he date her? Does he have HIV also? Will she give him HIV? And the list goes on and on. 

Prior to the cover of Essence, there was no need to tell a man that I had HIV until we had been on a few dates and I've made sure he wasn't crazy crazy. It was always about, do I think this man is worth my energy, worth me and once I reached that point, I would have the "kitchen conversation" sitting at the table with my clothes on explaining that I am HIV positive; answering all of his questions and explaining the ramifications of what dating a positive woman means for him. But back then it was a mutual secret. Remember, those first 7 years I told like 5 people that I was positive, other than the men I dated.

So the "kitchen conversation" is important. I've always believed that a person should be informed so that they can make what they feel is the best decision for their life. Everyone has that right, even the right to not date a person who is living with HIV. That goes for whatever the reason, stigma, risk and even I don't want to be bothered with dating a person with a chronic Illness. 

But today the "kitchen conversation happens a lot earlier for me.  I almost have to have the, "I am a public figure" conversation. Now what if I don't tell him right away, and we bump into someone who recognizes me? People come up to me often in public, and what if THAT PERSON who says. "Ain't you that lady with AIDS" bumps into us having dinner. And once I tell him my last name and he googles me or send me friend request me on Facebook, it's a wrap. Like, being this public person flows into every area of my life. So much pressure being "THAT GIRL." Now for sure, I wouldn't change a thing. God has given me a gift and I would rather use my gift  and be single for the rest of my life if that be the case.

Now again, I have no idea if this is going anywhere. Shoot, I'm writing this blog and may never talk to him again. But this situation got me to thinking about  being infected and dating with HIV in 2016. 

 Its crazy that the risk of infecting a person is so very very low today, unlike it was let's say even 17 years ago. But the stigma is at a freaking stand still. Its like people can't move beyond 1994 when I was on the cover of Essence. So I thought that I would take this opportunity to update you on the risk factors of dating a positive person and the new medical advancements. If I never talk to this man again, well at least he got me to write a blog for you, and y'all know I've not been that inspired to write very much as of late. So it's all good. 

OK! Let me lay it out for you. I'll give it to you in lay terms as much as I can. I have also provided links.  It's a tad long, but its good information, and I'm going to ask all of you to share this blog on your Social Media sites.

1) A person who is living with HIV man or female who's viral load is undetectable is very unlikely to transmit HIV to another person. Let me say it this way, even if you do not use a condom or the condom breaks, if the person living with HIV viral load is undetectable the risk of infecting another person is significantly low. Scholars have been playing it safe, and saying 96% safe.  My former doctor, whom I trust with my life,  said to me and I quote, "it's zero infection Rae" 

The latest study was 30,000 sexual acts with a positive and negative person and Zero inflections. WHAT THE HECK DOES ALL OF THIS MEAN???? Glad you asked. It means that a person in treatment with an undetectable viral load both in their blood, semen ad vaginal secretions, CANNOT transmit HIV. Now let me expand viral load.

A) Viral Load is the amount of HIV that has copied in your body. The more it copies, the sicker a person is likely to be, and the greater risk there is of infecting their partner. 

Thirty-Five years into the AIDS pandemic, treatment is remarkable. There are 32 different HIV medications, which we call antiretrovirals and five different classes of antiretrovirals. Taking a combination of antiretrovirals is often referred to as HAART. When a person takes HAART medications it actually reduces the HIV virus from the body and blocks copies of newer resistant strains when the virus copies. This viral suppression means that a person will less likely develop AIDS Related Complex or even transition to AIDS. 

If  a person has already transitioned to AIDS, like in my case, HAART therapy will suppress the virus from doing any new damage to my body. But the damage that has already been done to my immune system cannot be reversed. ( that's why I have more health problems then the average person today with HIV) 

The success of HAART is why its important for people to be tested at lest once a year. Being diagnosed early, getting into treatment, complying with treatment and staying in treatment will prolog your life and the quality of your life.  Furthermore, this alone will reduce the new cases of HIV. About 38% of newly diagnosed persons with HIV are infected by a person who did not know that they were infected.

B) There are some factors in transmission of HIV with an undetectable viral load, such as, other sexually transmitted diseases, menstruation, and the level of virus in a woman's vaginal sectarians and male semen. Usually, HAART medication reduces ones viral load in both blood, semen and vaginal sectarians, but there are some instances where this has not been the case. Read here

C) An Undetectable Viral Load does NOT mean that you no longer have HIV. Yes, HIV is still in your body, but in very small amounts. The smaller the amount the more difficult it is to transmit HIV. Undetectable is optimum.

D) What if a persons Viral Load goes up? Well it then means that the risk factor of infecting someone goes up, and this also increases their chances of disease progression. So for example, back in 1997 my viral load for 400,000 thats a lot of virus, My T-Cell Count was 8 and I was very sick. During this time the risk of me infecting someone was far greater then today. 

E) Why does a person Viral Load increase? Drug resistance. HIV in your body has developed a resistance to the medications, whether it's one in your combination, or all? 

F) Why does a person develop resistant to HAART therapy? Typically failure to comply with ones treatment is the reason resistance sets in, but not exclusively.

• When a person does not take their medication as prescribed; missing dosage, stopping and starting at random all of these can cause a resistance. BUT if a person does what they are supposed to do then the chances of resistance is low. Of course their can be just plain old drug failure, but if a person is in care their doctor is on top of it.  

• For example, my viral load gets tested every 3 months. And BTW my Viral Load has been undetectable for 13 years and staying steady, thanks be to God, but ummm I do what the fuck I'm supposed to do too. POW!! If you don't do good, you can't expect good results!

G) Ok I know, I know what you are saying, nothing is full proof. I agree, that's why condom use is still important.  Plus I'm not trying to get Zike from anyone. BOOM! But we have come a long way from those early days when risk factor was so much higher. I'm going to also remind you that female to male transmission has always been very low. Its like 20-1 that a woman will infect a man.

2) PrEP is also a medical breakthrough in HIV Treatment and Care!

What the heck is PrEP! I'm glad you asked. Its a pre-exposure prophylaxis; a once a day antiretroviral that a person who is not infected takes to prevent HIV infection. Yep, one pill, once a day. I've covered this topic in my Charlie Sheen blog here. But the bottom line, PrEP does prevent HIV. I think a person must determine for themselves, based on their lifestyle if they should consider taking PrEP Now that I'm back in the groove. I will write another blog about PReP in the next week or so to give you my detail thoughts, in the meantime you can learn about it here.

For sure we have come a long way in thirty-five years. What I want for you, is to advance your mind with the medical advancements. This staying stuck and not embracing these new and exciting advancements around HIV is like ummmm still trying to use My Space. This staying stuck also perpetuates stigma. If you continue to relegate AIDS to be this horrible death sentence that it once was, you continue to deny those living and thriving  with HIV the beautiful miracle of life. Keeping HIV in a time warped continues to push the paradigm of hopelessness. Does that impact our dating, you damn right cause who wants to date someone who society believes is a walking death sentence!? Come on y'all, help a sista out, change your mind and your ass will follow....

Charlie Sheen: And This Is What I Think!!

When actor Charlie Sheen said, "I'm not living in that prison anymore" I felt that deep in my soul.  It resonated loud and clear. I kept my own HIV infection a secret for seven years. For Real! My first seven years I only told 5 people that I had HIV, other than the men I dated. And even then I was afraid that someone would take my information and sabotage my life working at the national level as a young savvy political organizer.  I can image that being blackmailed is crazy madness. So, yes I'm glad that Charlie Sheen made this decision to step outside of that madness and disclose his HIV status. I remember when I disclosed my HIV status, it felt like tons of bricks had been lifted off my shoulders...

 Now, I'm not sure what my readers and supporters want me to say about all of this, but as usual, I'm going to speak the truth as I see it and know it to be.

1) It is a SHAME that in 2015, thirty four years, yes I said 34 years after the first documented HIV cases by the Center for Disease Control that a person still lives in fear of disclosing their HIV status. When are we going to stop shaming people who are living with HIV? Huh? WHEN? Even now, everyone has a freaking opinion about what Charlie Sheen should have done with his life. HIS LIFE! I'm sadden, not just for Charlie, but for all the people who reach out to me daily via Social Media that are living with HIV and are afraid to disclose their HIV status for fear of judgement. I get it, just by watching the reaction to Charlie today.

This shamming has created a vicious cycle, especially when it comes to testing for HIV. Who even wants to know their status in this climate of judging and lack of compassion.  Testing is critical, because 38% of those newly infected with HIV are infected by someone who does not know that they have HIV. So people don't great tested because of fear of judgement and they infect others unknowingly. Learning your HIV status late also means that treatment comes late. This is sad because studies, show the earlier you know the longer you live.

Furthermore, the fact the Matt Lauer even asked Charlie how he contracted HIV is some 34 year old "Good AIDS" "Bad AIDS" crap. First off, it ain't none of your freaking business how! Does knowing how change how you feel about him?  If it does, shame on you. All it takes is one person, one time.

2. Charlie admits that he has had unprotected sex, but that his partner(s) knew that he was HIV positive and was also under his doctor's care. People seemed to be outraged by this fact, like they fucking Charlie. *Blank Stare*  The problem I see is not Charlie, but the mass majority have not caught up with the medical advancements around HIV.

a) It is true that an HIV infected person with an Undetectable Viral load CANNOT infect another person with HIV. It does not matter, how many times they have unprotected sex, you cannot transmit HIV when your Viral Load is Undetectable.

b) Charlie said that his partner was also under his doctor's medical care. So I am assuming that just maybe the person (s) he was having unprotected sex with was also taking PrEp. Which is a once a day pill that will PREVENT a person from becoming HIV infected. That's a double positive people. You cannot infect a person if your viral load is undetectable and your partner can also take PrEp. These are medical FACTS! There is no BUT!

3) Charlie admitted having sex with prostitutes and in those cases he used a condom and also disclosed his HIV status. BRAVO! Now, I know people with HIV who use a condom  100%,  but do not disclose their HIV status. They feel, if their viral load is undetectable, why should they  have to disclose.  There are now doctors who share this same opinion. Personally, I think disclosure is the best policy, especially if the relationship grows. But at the end of the day everyone has to decide how they choose to live their life with HIV. I dare not judge another. So I say BRAVO that Charlie was upfront and honest.

Now, what's really jacked up in this case, is that someone took the information given to them for there protection and used it against him. Even sadder, is the climate  around HIV that creates an opening for someone to be blackmailed. If people didn't judge those living with HIV so harshly, those living with HIV wouldn't be afraid to disclose, nor would there be any room to blackmail a person. Yep, I came full circle back to STIGMA!

4) I cannot tell you where Charlie is in disease progression.  If I had known his T-Cell Count and his Viral Load when he was first diagnosed, I could give you a good guess on how long he has actually been infected. Once you start treatment, there is no way for a lay person to figure it out. That is information he and his doctor knows. I do wonder about the night sweats, which sounds like an AIDS Related medical issue, rather than an HIV. There are no HIV symptoms.

These are the facts as told by Charlie,

He has been infected at least 4 years
He is in treatment
His viral Load is Undetectable
He is on an 4 HIV medicine Cocktail ( BTW-So Am I)

5) Charlie is an addict. Addiction is not good for people living with HIV. First off, addiction has it's own medical issues, depending on your drug of choice. Secondly, alcohol and drugs can have an adverse effect on HIV medication. Even some over the counter  and alternative medications can effect the viability of HIV medication. So lets hope he is getting the help that is needed to control addiction.

6) Charlie talked about Manic behavior. It has been long speculated that he might be BiPolar. IF this is the case he will have an up hill battle. Mental illness can be a barrier to complying with medical treatment of any kind. Also, depression is very common among people living with HIV. I have also had an up hill battle with depression that requires me to both be medicated and see regular talk therapy.

Lastly, should he have disclosed, earlier. I think a person should disclose when they are ready. He spoke another truth "HIV are three words that are hard to absorb." I get that. It took me 7 years and I still only disclosed because I thought that I was dying. Well with a T-Cell count of 8 I was, but then I had a great doctor and I did what was asked of me, no matter how difficult it was. I have also been drug and alcohol fee.

I have some compassion for Charlie Sheen. Is he my hero, no. Hydeia Broadbent is my HIV hero, born with HIV, she became an AIDS Activist at age  6 and has not stopped well into her thirties. Sheryl Lee Ralph is my HIV activist hero, an actress who is NOT infected but made a decision to do speak out for the rejected and locked out.  YOU are my hero, those of you who follow me on my social media sites, read my blog, buy my bracelets because your support keeps me going, and growing, 32 years living with HIV.

I do however, think in an era where HIV is no longer a sexy topic, Charlie Sheen can help to open space for new dialogue. Charlie Sheen can use his money and his celebrity status to help. I mean really help. Does he have to become an AIDS Activist per say, no, but he can truly help. Shoot, I would love to partner with Charlie to speak at colleges across this country.

For sure there is still work to be done. Every 10 minutes a person becomes infected with HIV in the United States. Yes there is work to be done.

My hope is that Charlie Sheen will continue to get the needed help to live and thrive living with HIV.