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Tag Archives: Treatment

The immigration officer at the border didn’t expect Elias to live very long, so he wrote the word “forever” in his passport.  He and his brothers were returning to Malawi to get the medical attention he desperately needed.  What that officer had seen was a gravely ill man, weighing just over 100 pounds.  He was too weak to walk, talk or eat.  He remembers being placed in a wheelchair, his head propped up for him, his powerless legs lifted to put his feet on the footrests.

His brothers convinced Elias to get tested for HIV.  He remembers feeling afraid, but he was willing.  After learning that he tested positive, his sister encouraged him to get help at the Partners in Hope Medical Center (PIH).  He recalls the kindness and respect shown to him at his first appointment.  The nurses and doctors gave him food and his first dose of anti-retroviral medication (ARVs) for AIDS.  Most importantly to him at that point was the “light” given him…the hope that, with treatment, he could still have a future.

After an early battle with meningitis, he began to improve on ARVs.  He put back on some of the weight he’d lost, and he noticed that he felt much stronger. He attended the classes offered at PIH, which included information on nutrition, gardening and the importance of adhering to the medication regimen each day. 

Elias spoke of this time in his life being more than a physical recovery; it was also a spiritual one.  He remembers feeling guilty about a girl he may have passed HIV onto.  He imagined her parents taking him to court, ending up in prison.  Then, in his mind, he stood before a door.  He ‘heard’ a voice saying, “You have been forgiven.  With your HIV, kneel down and receive God as your Savior.”  He responded with a sincere and grateful heart that day.

With his renewed health, and gratitude for God’s forgiveness, he determined to tell his story to others.  He has met with several pastors and gotten invitations to speak in their church services.  He tells people, “With HIV, it doesn’t mean it’s the end of your life.  When you know your condition, it’s the start of your life.”  People find him afterward and thank him for his honesty.  He says, “There are even pastors who have become open about their own HIV status.  This makes their followers free to talk as well.”

Elias has lost many friends to AIDS.  “People are too shy about HIV, especially youth”, he says.  “They refuse the help they need.  They worry about what people will think of them.  They assume they’re dying.  If we don’t talk with them about HIV, we are just spoiling their futures.”

Today, Elias weighs 175 pounds and radiates health and enthusiasm.  He would say that he has a new lease on life, that he has “power to work” and earn a living.  He has a deep purpose, that of encouraging others to know their HIV status, get the help they need, and get on with life.  He said, “If I’m afraid to talk, I won’t help this world.”

“Rabecca’s story is not finished yet”
She held tightly to her walking frame on wheels, taking each step with care, as she came to meet me. My first impression of Rabecca was made by her smile and the warmth in her eyes. However, as she began sharing her life’s story, her smile left her face, and her eyes revealed much sadness.
At the age of eighteen, Rabecca’s life changed dramatically when her mother died and her father sent her and her five siblings away. Soon afterward, perhaps in search of love and daily survival, she got married and became pregnant, giving birth to a daughter named Isabelle. Sadly, she then learned that her husband was not faithful to her, having had sexual relationships with many other women. The STI’s (sexually transmitted infections) he passed onto her, and the loss of trust, motivated her to divorce him. She chose to return to school with hope for a brighter future. However, she was unable to give her studies the focus needed, and she failed her exams.
At the age of twenty-three, she got married again, hoping to begin a new life. She and her husband got jobs at a local “health training center”; he worked as a health surveillance assistant, and she worked as a research assistant, doing two nutrition studies. She felt she had the beginning of a stable family life at that point. However, the emotional pain leftover from her previous marriage made her cautious about having children with this husband. After observing the kindness he showed to Isabelle over two years, she agreed to have a child; their son, Henry, was born a year later.
When Henry was one year old, Rabecca began getting sick, having unexplained rashes and fevers. She became aware of her husband’s reckless living, including “womanizing, drinking, and sleeping in beer halls”. She feared that he might have passed HIV onto her, so she made the decision to get tested. Her fears were realized when she was told she was indeed positive. She had her children tested too, then learning that little Henry had also been infected with HIV.
Rabecca was unable to afford the AIDS medications (ARVs) at that time, for it was before the Malawi Government provided them for free to hospitals and clinics. She became sicker and, a year later, was diagnosed with Tb (tuberculosis). She went through Tb treatment, but it failed, because her immunity was too weak.
Her husband continued his wild behavior, though his wife grew sicker by the day. He was even caught in adultery with another man’s wife. He narrowly escaped being killed by her husband in a fit of rage. Though a village chief was consulted, he was not willing to intervene, so Rabecca informed her husband’s employer who helped them relocate to another town. Though he could have taken the opportunity for a fresh start, he continued in the same pattern of sexual immorality there.
One day, a nurse at the health center where he worked noticed how sick and frail his wife and young son had become. She arranged for a visiting doctor to come and examine them the next day. He recognized the seriousness of their condition and recommended that they begin ARV treatment immediately. He explained to them that there was serious risk involved; he would normally address their other infections first, but they may not live long enough without the ARV treatment. In fact, he told her that she had a 50/50 chance of survival.
Both Rabecca and two-year-old Henry began their fifteen-day starter pack of ARVs. On day four, Henry complained of pain in his stomach. This continued for the next three days, and very sadly, he died on day seven. Rabecca hadn’t prepared her heart for this, so the shock was followed by intense grief and depression. This was complicated by pain in her head, side and feet, perhaps side effects of the ARVs. She was physically and emotionally unable to care for her daughter, Isabelle, so she sent her to live with her sister.
Rabecca’s husband provided a little money for food, but wasn’t around to really care for her needs. Instead, he continued in his careless behavior, staying out late each night. After a month or so, Rabecca felt even sicker, so she phoned her sister for help. She came and brought Rabecca to her home, and then to the hospital three days later. She was diagnosed with Tb (again) and meningitis. She slipped into an unconscious state, and remained that way for four days.
When she woke up, she was unable to move. She was confused and unable to remember things. She went through Tb treatment again, and began a slow, tedious process of recovering her strength. After three months and some physical therapy, she could get to a sitting position. It took much patience and determination from her and her caregivers to work toward each milestone. She had many setbacks along the way, including a serious bedsore that remained for a year, and a period of vomiting that lasted 4 months. Though extremely weak in body, she had the drive to face each day, never giving up.
Her husband visited her after a while, and she could see that he was not healthy. She encouraged him to get the medical help he needed, but he refused. His brother tried to convince him as well, but failed. His choice to deny his status and refuse help eventually cost him his life.
Rabecca is now a patient at Partners in Hope and is much stronger and healthier. They have provided a modern walking frame which enables her to be more independent. She is making progress with the help of her physical therapist who clearly loves her, and she has regained the weight she’d lost. Life has dealt her some big blows, but she has pressed on. She’s not a quitter. On the contrary, she talked about her desire to live on her own, to have some kind of employment, and to support her teenage daughter again, evidence that she has hope for her future. Rabecca’s story is not finished yet.

“HIV divides, but it also brings people together.”
Losing her father when she was a teenager impacted Emma’s life more deeply than she understood then. Her longing for a sense of family and security lead her to join a group of girls who took her further down a path of despair, for they were prostitutes. The next seven years in this lifestyle would prove to cause more pain, guilt and disease than she could have anticipated.
Years later, a severe headache and stiff neck sent her to a doctor for help. Treating her with antibiotics dealt with the acute problem, but there was something much more serious and life threatening going on in her body; it just hadn’t yet been exposed. Three years later, it was the pain of shingles, a fast heart rate, and weakness that drove her to the doctor again. And it was then that she had an HIV test. . . . . she was positive.
She had 3 young sons by that time, with no husband/father to care for them. How would she manage? She turned to her mother and sisters for assistance, only to have them push her away, saying that she would have to deal with this alone. Thankfully, she did have some friends who stood by her, and they continue to do so to this day. In her own words, “HIV divides, but it also brings people together”.
Alone in her house one day, still suffering from the shingles, and very low in spirit, she watched a TV pastor talk about Jesus. He encouraged viewers to surrender the pain of their past, and to receive His forgiveness and love. As though he was talking to her personally, she responded by tearfully confessing her sins to God, handing over the guilt she carried from her past, and receiving the peace that she so desperately needed. She then began attending the church she had belonged to years before, but as a new person, a forgiven one. Over the next several years, she grew in her faith in Jesus, and her love for Him.
Though she was HIV positive, her immune system remained strong enough to hold off the need for treatment. In fact, ten healthy years passed by. During that time, she shared her story in many churches, schools, hospitals, and with individuals in her home. Emma shared the hope that she had found with countless people, including groups of teenage girls, warning them of the risks of bad choices that can impact their futures. She said to me, “If someone had taught and warned me about the dangers, I never would have gotten involved in prostitution.” She doesn’t want other girls to suffer like she has.
Just a few months ago, her health declined, and it was suggested that she see a doctor at the Partners in Hope Medical Center (PIH). She learned that her CD4 count (blood test indicator) was down to 12! Given that patients often begin treatment when it drops below 250, this was quite alarming. Dr. Jansen did recommend beginning antiretroviral therapy (AIDS medications), and she has regained her health and strength since then.
Soon after her initial appointment with Dr. Jansen, her youngest son began showing signs that he too might have been infected with HIV. She convinced him to come into the medical center with her, explaining that knowing the truth would be very important for his health. After having some pre-test counseling, he bravely agreed to have a blood sample taken. Moments later, Dr. Jansen came in to talk with Emma and her son, giving them the sad news. He recalls, “I was moved, seeing the tears well up in this 9-year-old boy’s eyes and then roll down his cheeks.” He talked gently with him, relieving some of his fears, explaining that kids with HIV can live fairly normal lives. He encouraged him to continue reaching for his dream of someday becoming an accountant.
Emma was deeply grateful for the way that Dr. Jansen handled the situation, telling me, “Our friendship with him made it easier. We trust him.” For her son’s sake, she maintained her composure during the doctor visit, but then went to a nearby restroom to cry. The weight of regret was heavy on her as she accepted that the virus would have been passed from her to her innocent son at the time of his birth.
Though she lives with the harsh realities and consequences of her past, Emma doesn’t live a sad, sickly life. She lives under the umbrella of God’s love and forgiveness, with freedom from guilt and fear. She often prays, “Lord, it’s because of You that I live”. Deep peace and joy radiated from her beautiful face as she spoke. She said, “The whole world might not know me, but God knows me. My name is written in the Book of Life”.