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“You didn’t get it from me!”

By: Mary Adams-Powers

“You didn’t get it from me!” These were the first words out of my mother’s mouth when I told her I had tested positive for hepatitis C. She didn’t mean to hurt me with this comment; she just couldn’t believe she might have taken part in innocently sentencing me to the same slow, painful death she was experiencing at the time.

In October 1991, I received a call from my father that changed our lives - one I will always remember. My mother had gone to Mayo Clinic where she was diagnosed with hepatitis C. Her liver was failing, which I later learned explained the years of fatigue, itching, abdominal bloating and memory loss. Reviewing her life, a history filled with dedication to wellness, it was determined that, given the advanced stage of this disease, she had probably contracted it from a blood transfusion during a gall bladder surgery in 1949.

From 1991 through 1998, I watched my mother slowly become a shadow of the woman I knew. Each day she faded from view as the disease began to ravage her body. Simple conversations tired her to the point where she would spend hours recovering in bed.

I went home for Thanksgiving in 1997 feeling it may be the last Thanksgiving I would spend with her. I was right. That is how insidious this disease can be. We took pictures and cut pie together on Christmas Day 1997. She passed away Jan. 24, 1998.

During the last years of my mother’s life, conversations about HCV rarely came up. My family was in denial, unable to face the possibilities, yet alone the blatant realities. With my mom’s death came the end of any talk about hepatitis C. My small-town family was experiencing the fear and shame many of us still do. I experienced anger, fear, sadness, which escalated while sitting at my mother’s bedside watching her take her last breath. Will my daughter experience this same ugliness? Little did I know how important educating myself would be.

Had my mother given birth to me, I could have been infected at birth. But since I was adopted, that was not the case. I remember all the times I would try to be like my mom, enthusiastically brushing my teeth (grabbing the wrong toothbrush), or in spite of her protests, using her razor to shave my legs. In all the times I used my mom’s items, neither one of us knew the silent killer that was quietly stealing my mother’s life away, and perhaps now starting to steal mine.

After the initial shock of receiving my diagnosis, I was sent home with no information. In fact, I stopped at a store on the way home to buy rubber gloves to peel the potatoes for dinner that night. I felt “diseased.” I was cautious about with whom I shared my “secret.” I think in part I was leery because I had no information to back it up. How could I tell someone I was HCV positive and expect them to understand what that meant any better than I did?

Without proper education, the stigma present for the HCV community resembles that which was experienced in the early years of AIDS. I lived the ignorance this diagnosis carries. Many of our lives are filled with questions about IV drug use and comments such as, “Can we drink from the same glass?” The misinformation, which still exists around HCV infection, is astonishing. People still associate bad oysters and fecal matter with HCV. When you add the stigma of being HCV positive to the “how did I get it?” syndrome, you have a recipe for disaster and heart break.

Early in my diagnosis, the “flu- like” symptoms and fluctuating nature of the disease compounded my fear and sent me on an emotional roller coaster. In beginning my treatment, language like LFTs, PCRs and genotypes were all a foreign language to me that sent me spiraling into depression.

Fear and living with little or no information led me to national resources, which were few. Support and education were even scarcer. One result of my quest was to start the Michigan Hepatitis C Foundation. With a handful of homemade fliers and some stale granola bars, I cheerfully greeted the first member. Although our focus is Michigan, thousands of people have contacted or attended our support group over the past eight years. People call or walk into our support group meeting, often afraid, frustrated and uneducated. Some are the breadwinners who fear discrimination if they tell their employers or colleagues. Others who attend are caregivers.

In our meetings, the discussion ranges from insurance, both health and life, treatment options, being too ill to jump the hurdles for health care and transplant, and the expense of treatment if you can coordinate it.

The regular questions I hear are: “How did you get it?” “Are you a drug user?” and “Can I catch it?” Those of us living with HCV understand the implications. The questions I would like to hear are: “What can happen?” ‘What is it like?” “Who is at risk?” “Should I be tested?” and, perhaps most importantly, “How can I help?”

My experience is that the only way you truly understand HCV infection is if it affects your life personally.

My Mom was diagnosed in 1991 and I was diagnosed in 1996. Over the years, no one suggested I might be at risk and should get tested. Although the disease affected our family, I continued to be uneducated. This is not about manufacturing hysteria but about broader testing and educating doctors, counselors and communities.

My focus on the HCV issue is not about record keeping and statistics. It is about providing the necessary materials for all human beings to live fuller lives.

How can you and I make a difference? Find a place where people understand and share your feelings. Learn to talk about this disease without shame or guilt. Continue to educate yourself and others. Learn to be your own advocate. Find a physician committed to treating you as a whole being rather than just a patient. Avoid “all or nothing” thinking, because healing begins in the mind. Most importantly, keep a sense of humor.

The best way to fight misinformation and a lack of education is to care about yourself and others along the journey. We must not turn our back on suffering. It is up to us to pave the way for others who come after us. Theories don’t heal people - people heal people.

I realize I have a role in shaping the future of this epidemic and have made the personal commitment to make a difference. I wake each day knowing I will not walk this journey alone. I can rest each night knowing that positive thinking is the key. And as Martin Luther King Jr. said, “Everyone has the power for greatness, not for fame but greatness, because greatness is determined by service.”

Mary's Biography