I hate taking pills. As I unscrew the tops from each
prescription bottle and fill my hand with the various shape and colored pills I
go through a robotic motion as they make a small mound in my palm. Funny thing
is that after so many years of swallowing them you’d think it’d be easy. That I
would operate on auto-pilot. That after fourteen years of taking many assortments
of tablets, my mind would be okay with the fact that my health is dependent on
something no bigger than my pinkie finger.
I had
gotten away scot free for the first 12 years of my diagnosis of not having to
take them. I was reluctant to even consider them when I learned of my status.
It already seemed my life was now out of control and the last thing I needed
was a pill to dictate how to live my life. I didn’t want to build my life
around a schedule of pills. Especially the pills that was available to me at
the time. I didn’t always want to swallow something on a full stomach or take
so many hours after a meal. I didn’t want dispense pills in a blue pill
reminder that made me think of senior citizens. I wanted to sit in the driver
seat but it seemed like more than ever I was being forced to scoot over and sit
in the passenger seat.
At the time
I made a deal with my doctor that I would only consider the pill if my blood count
reached a point where it was in the danger zone. He didn’t question me but
respected my feelings as he knew that if you’re not in a frame of mind to
follow a daily regime, you’ll do more damage if you’re inconsistent with your
medication. The rule of thumb is that your body will build up a resistance to
the HIV drugs if you take them only when you feel like it. Having your body
resistant to medications leaves you with few choices of antiviral drugs that
will keep the virus at bay.
“Someone once asked me that if there was something that
could save your life why not take it?” It wasn’t that simple to me as I had
several unspoken fears. The first fear was me not knowing what the drugs would
do to my body over time. Knowing that my liver and kidney has to take the blunt
of the medication and praying they have the tenacity to hang in there as I get
older.
The second
fear was the side effects that some of the pills can cause. I heard from other
people about their ill such as headaches or upset stomachs. I didn’t want to
endure that. I didn’t want to take a pill to take a pill, an endless
merry-go-round with no gold brass ring to catch. I basically didn’t want my
medicine cabinet to look like a drugstore.
Speaking of
drugstore, I was scared at the time of the stigma of simply getting my
prescription filled. What used to be my secret would now be known by strangers
behind the counter as a young person barely out of high school rings up my
co-pay. I could have looked at it as business as usual but to me it was my
business and my circumstances were unusual as I still questioned why me.
My choice
was finally taken out of my hand when the agreement I made with my doctor came
to pass. My blood work numbers were starting to not look good and if I didn’t
do anything while I had the ability and my body was strong, I would probably
reach a point when it would be too late.
I learned
then that you are considered to have AIDS when your CD4 number went below 200. Although
mine hovered around the 300 range, in a weird way I felt that as long as I had
HIV and not AIDS that I was okay. I rationalized that I had it, but didn’t have
it. That balloon of my reality soon burst when my doctor informed me that my CD4
was below 200. I had AIDS. It was now time for me to look at my pill option.
I still don’t
like my pills but the reality is that without those pills I would be in a
different situation. And I probably would have waited until I was lying in the
hospital bed, when things were now considered to late. My argument is that I wanted
control over this virus but the truth was that by letting it go unchecked, it
was in control. And not in a good way.
I learned
to love chocolate milk as it seemed to be the only thing that helps the pills go
down without me gagging. I also learned to talk to my doctor to find a regiment
that was easy for me to handle. If something didn’t make me feel right I could work
with him to find something that did. Luckily in all my years there has only
been one pill that didn’t agree with me, and it was quickly replaced. I felt I made
the right choice and was using something that could help. And whatever felt
stigma I perceived would happen, would have to be removed from my life as I
wanted to live without the authority or perception of others.
Do I still have fears and concerns? Yes but as I see my
viral load remains undetectable and my CD4 being the highest it’s ever been, I feel
better knowing that finally I’m no longer ignoring the actuality of my health. And
for me the bitter pill I swallow is knowing that although I have HIV and I have
to take medication, I also have control.