Duovir-N (Lamivudine, Zidovudine, Nevirapine)


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Duovir-N (Lamivudine, Zidovudine, Nevirapine)
WHEN FIRST DIAGNOSED: UNDERSTANDING AND COMMUNICATING ABOUT
HIV-TELLING PEOPLE ABOUT THE DIAGNOSIS: HOW OTHERS REACT
Often, these worries are without foundation, and people, when told, react much differently from how we expect them to react. Alan’s mother says she feels guilty for not having somehow protected him against the virus, but she is able to talk freely to him and thinks of ways for him to get out of the house. Dean’s mother had stopped going to church, but when she noticed that the other members of her church were still talking to her, she began going again. Steven’s sister makes a point of leaving her children with him, and his co-workers asked the social worker at the local hospital how to help Steven out if he got sick. Helen’s father, who had always been reserved with her, “dropped his mask,” she said, “and changed. He became warm and loving.” Alan says not to underestimate your family and friends.
Unfortunately, worries about other’s reactions are sometimes justified. Just as sympathy and sensitivity are part of human nature, so are fear, discrimination, and avoidance of illness. After the newspaper article on Lisa was published, she talked to her friends about her husband’s illness: “I said, ‘I want to tell you, I learned my husband has AIDS.’ And my friends said, ‘Why are you telling us this?’ And I said, ‘I love my husband, now he’s going to die, and I need your help.’ But they couldn’t help. They couldn’t call, not even the priest.”
Sometimes, as with Lisa’s friends and priest, these unpleasant reactions come from those you most count on. Alan’s dentist refused to treat him, and his pastor barred him from church. Dean said, “My dentist told me to go somewhere else. My father went behind me and cleaned the phone with disinfectant. My pastor didn’t want me touching anything he had to touch.” Helen’s stepmother insisted on protective papers over the toilet seat; Helen said, “She acted like my house had a plague in it, like it had devils in it.” Lisa went to the hospital for a chest x-ray and found written on the orders for the x-ray, “Husband has AIDS”; the nurses held her hospital gown by their fingertips. When June’s son was in the hospital, the staff left meal trays outside the door of his room; the same thing happened to Dean in a different hospital.
In some people, these reactions are only temporary: Lisa’s friends finally began visiting and bringing in meals; Dean’s father and Helen’s stepmother both stopped worrying about the telephone and the toilet seat. For other people, these reactions, in spite of being unpleasant, are probably not going to change. Inevitably, you will tell someone who cannot handle the news.
This starts a series of reactions in you. You may feel rejected, angry, isolated. Sometimes these feelings are reinforced by other worries: that people are right to reject you, that you brought the virus on yourself, that you are to blame for your diagnosis. This series of reactions is understandable; people are especially vulnerable when the diagnosis is still new.
But these reactions confuse issues that are really separate and unrelated. People who cannot handle your diagnosis are probably not rejecting you personally. In any case, their actions toward you have no bearing on your worth or your good opinion of yourself. Instead, people who reject you are rejecting what they fear. HIV infection reminds them of fears they have?about contagion, illness, sexuality, mortality, dependency?which they cannot face. Rejecting you because you remind them of their fears helps them keep their fears at a distance. They are not thinking about you at all; they are concerned only with their own problems, they are only protecting themselves.
Perhaps, while you are still vulnerable to people’s reactions, it is best to keep silent. Wait until your feelings stabilize and you feel more sure of yourself. Then decide who to tell. If people disappoint you, the best policy might be to accept them as they are and, if necessary, avoid them.
*20/191/2*

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