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Sunday 11 December 2011

My Own Country

Sometimes, when I have finished a book, there is a paragraph or sentence that my mind harks back to, something that will have made a deep impression on me. Afterwards I flick from cover to cover looking for those elusive words so I can savour them once more.

Abraham Verghese specialised in infectious diseases at the outset of the AIDS epidemic. There were many long years when he seemed to be tackling this vile disease in the dark with a lack of support from the medical community, and in the face of terrible ignorance among the general public. In the beginning there was no real help he could give his patients beyond listening to their stories, treating them as individuals, and learning to give them an easier death. At one stage he lit on the discovery that vitamin C seemed to help; to me that feels like using an aspirin to try and cure pneumonia.

AIDS was reviled because it was thought to be a strictly male disease, a plague that only attacked the gay community brought upon themselves by their reckless sex filled lifestyles as if this was divine retribution for aberrant behaviour. When Verghese took care of a husband and wife who were both infected (him through a blood transfusion, her through sexual contact with her husband) there was an element of being ‘innocents’ as though others were ‘guilty’ of causing their own illness. This couple couldn’t tell anyone for fear of being rejected by their church, their grown children and the possibility of never seeing their grandchildren again. There were also many haemophiliacs who were infected through blood products as if life wasn’t already such a hardship for them, their battle for survival made ten times worse, the stigma and fear damning them to hell and back.

One patient, James, had strong opinions that he had no hesitation in voicing as he was going through the final stages of this life threatening disease: “Mind you, I wouldn’t take anything back. As much suffering as I have gone through – my lover’s death, my illness – I would not take any of it back. Most gay men have travelled to several countries, have seen the best shows, movies, plays, have taken an interest in art, in their clothes, in the way their house is decorated, have experienced more of this world than any heterosexual. To me, a heterosexual male is a slob. If he gets divorced the walls of his house will stay as bare as when he first moved in, and it will be dirty, dirty, dirty. If he gets married – that’s it – he has no desire to improve himself past that. His idea of a good time is to get a six-pack and park his truck on the side of the road with his buddy and drink. He might beat his wife, be mean to his kids, and ultimately die where he was born having seen nothing, done nothing. But by God the one thing he knows is how he feels about queers! When he sees a queer he can look down on him, feel contempt, beat up a queer because it’s justified.”

Verghese relates each person’s story as if the men and women were personal friends that mattered to him. He held their hands, treated where and when he could, attended meetings, and rarely made any money at all, a failure when judged by his more lucratively successful peers.

Eventually, the drug AZT came along, coupled with a more enlightened approach to HIV and AIDS but those earlier victims who suffered horribly had few friends beyond the enlightened Verghese and those of his ilk. I look back on that time now and remember Princess Diana making a difference by merely shaking hands with an AIDS sufferer. This seemed to be a turning point though the fear still persisted; many thought that this virus could be transmitted by any contact, however limited, as was cancer in its earliest days.

I sit here sniffing with a minor cold that has me feeling terribly sorry for myself. I’m going to milk the sympathy my family feels for me for all it’s worth and take whatever help is on offer. I simply can’t imagine what it must have been like for those earlier victims of HIV and AIDS who suffered so horribly with an illness whose only outcome was an agonising death: shunned by family, neighbours, fellow churchgoers, and many health care professionals. And I listen, with great sadness, to the news of yet another country making it punishable by a lengthy jail sentence for anyone to partake in a same sex relationship. Two steps forwards, one step back with people like Verghese there to pave the way to a greater understanding of who and what we are. Vive la différence!

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Sunday 4 December 2011

Hitting the Books

My back is sore, the chair is uncomfortable, I can feel a draught at my feet, I’m peckish, I want to pee, my mind is wandering, I’d rather clean the drains! Guess what I’m doing this morning?

I’m studying in my front room, gazing out the window at the rain, thinking about many things least of which is how do I get out of this pending exam on January 7th. I’m in this boat with others who feel exactly the same way so I’m not alone. I feel stupid, bored rigid, scared of my sure failure, thinking up excuses that are believable (the dog at my homework is so passé), and dreaming of the cruise my best friend is going on in one week’s time.

We should always strive to better ourselves, to resist stagnating and becoming yesterday’s news. Moving forward, learning new skills, improving our knowledge base, these are what I firmly believe in, what I try to live by. But…

When certain people, in their academic wisdom, decide to create a new course there is sometimes a tendency to chuck every single bit of information into each module just in case something vital were to be left out. That way, no one can accuse them of being derelict in their duty. The problem for the student is that they have to wade through mountains of information - some cunningly repeated in a different form - that has been presented in a disorganised fashion with no thought for the novice in the particular field.

I have taken it upon myself to take each section, re-write in a clear, concise, easy to read form, and pass on to my fellow students; that way we’ll all benefit. It’s doing my head in, dear reader, and I may well give in to all my childish needs.

Placed beside the couch is My Own Country, A Doctor’s Story by Abraham Verghese (author of Cutting for Stone), a memoir that I’m thoroughly enjoying and want to get back to as soon as possible. I’m at the part where he’s decided to specialise in infectious diseases right at the onset of the AIDS epidemic in the US and the way he deals with patients and their relatives - efficient thoroughness and a humane kindness - shines through in his writing. I know that Verghese spent years and years studying to eventually become Professor for the Theory and Practice of Medicine at the Stanford University School of Medicine and Senior Associate Chair of the Department of Internal Medicine so I’m going to take a leaf out of his book and knuckle down. Promise!

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