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Addiction can exert a deadly pull on HIVers.
Here's how five Los Angelenos began their climb toward recovery.
HIV and addiction are the ultimate codependents.
Indeed, HIVers from wildly different walks of life often share
a history of addiction, if nothing else. Research shows that
an increasing number of HIVers resort to illicit drugs and,
most often, alcohol to defer the virus' physical and psychic
toll. But indulgence merely depresses the immune system further,
goading HIV by encouraging spotty med adherence and, therefore,
viral resistance. (Even marijuana, supposedly an HIVer's best
bud, ain't innocent.) And compulsive sex, meanwhile, can be
just as nasty. But how much is too much? When does the party
end and the pain begin? When do drugs, booze and booty stop
easing the stress of living with disease and start aggravating
it - perhaps becoming disorders unto themselves? Should you
cut down or go cold turkey? Do it alone or with help? Must
you dance the 12-step, swear off everything, always and forever,
and find God? There is no one answer. Just ask the five HIVers
you'll meet here - a former boozer, crackhead, dope fiend,
speed freak and sex addict - fallen and redeemed in the City
of Angels. Each took a different path to their do-or-die juncture
and each found a different way on the road back to life. Even
if you think you don't need help, their stories can help you
help someone who does. Because addiction, like HIV, can be
a chronic, manageable illness rather than a death sentence.
Here, a users' manual. (For recovery, harm reduction and treatment
resources, see Recovery Rooms .)
Last Call
John Smith, 60, Retired shipping-company
rep
DIAGNOSED WITH HIV: 1985
ADDICTION: Alcohol
SOBER SINCE: 1987
I came to America at 21 from England. I began
drinking at 16, but I wasn't an alcoholic until my late 20s.
At 35, after a breakup, drinking became a daily habit. For
gay men like me, partying in the disco era was all in a day's
work. Sexually, there were no rules. Everything could be cured
with a shot of penicillin.
I was an alcoholic but far too proper to let
anyone see me drunk. My drinking was tied to sex and I kept
it separate from the rest of my life. I'd fall apart when
I was alone, crawl across the floor crying.
Then one morning, I woke up at 6, and the next
thing I knew, it was 5 p.m. and I was still sitting there,
staring at the wall. I realized, Oh, boy, I need help.
I went to AA. At first I didn't want to be there, but the
people put me at ease.
Sobriety has helped me see my life is a lot
better without drinking. I've learned I can have intimate
relationships with men that aren't sexual. It's even helped
me deal with HIV. In 1996, I got very sick, down to 140 pounds.
I was put on Marinol, which made me eat, but I hated being
stoned. Protease inhibitors came along, and I was saved. AA's
12 steps help me stick to my meds.
For 15 years I was nonsexual. But a few months
ago at an AA meeting, I met somebody. He's also positive -
and 20 years younger than me! Now I'm in the crazy throes
of love - and having sex in a way I never thought I would.
I wish I could give you a logical reason for how well I'm
doing, but I can't. My search is for the God within me.
Church Lady
Charlon Davis, 54, treatment center operational
manager
DIAGNOSED WITH HIV: 1986
ADDICTIONS: Heroin, crack cocaine
SOBER SINCE: 1987
I chose the road I traveled. I started dropping
pills at 15, shooting dope at 21, and kept at it for some
20 years. The first 10 were good. I got married, had two kids
and made about $3,500 a day forging prescriptions.
Then I found crack. I went from living in a
two-story home and driving a Rolls to living in alleys and
shooting galleries, walking barefoot. Finally, I realized
I was an addict and thought I was going to die. Then someone
told me about a treatment center, and I went. I thought it
would be like a Hollywood rehab and I'd learn to play tennis.
Instead, they taught me to deal with my feelings.
In treatment I learned I had HIV. "Do I
have five days, five months or five years?" I asked the
doctor. He said he didn't know. I left the center without
completing the program and went on a two-month death mission,
hanging around people I thought were beneath me, doing degrading
things. I didn't tell anyone I had HIV when we had sex. I
felt so nasty, ashamed, worthless and hopeless because of
my HIV. I felt as if I were walking death.
I was lucky, though. People who loved me more
than I could love myself told me I needed to go back to treatment.
This time, I learned to accept who I was, virus and all. I
used to think: I will never remarry, have a loving husband
who is not afraid of me, see my children grow up.
But God has blessed me with all those things.
Every Sunday, I put on a hat, dress and heels, and thank Him
for that in church. I have a loving family, work I love, and
friends who don't sugarcoat my bullshit. I have hepatitis
C, diabetes, am in menopause and I go to the doctor every
90 days. I've stopped smoking and started walking. Most of
all, I've learned to take life one day at a time.
Meth Wish
Antonio Martinez, 22, student
DIAGNOSED WITH HIV: 2001
ADDICTION: Crystal Meth
SOBER SINCE: May 2003
Both my parents were heroin addicts. They tried
to hide it, but I started finding needles around the house
when I was 5. My dad died of pneumonia recently, because of
his use. My mom stopped heroin and started using cocaine.
I've been on my own since I was 15. I moved
to LA after high school to study at the American Academy of
Dramatic Arts. I lived in an apartment complex where everyone
was on crystal meth. Every chance I got, I did it.
My boyfriend and I supported ourselves by escorting.
I was ashamed and didn't enjoy it, so I'd use drugs to numb
out and feel euphoric. If guys said we didn't have to use
condoms, we wouldn't. So there are a lot of guys from whom
I could have gotten HIV.
Then the crystal stopped working and it was
nothing but paranoia and chaos. I realized drugs had killed
my dad, they were killing my mom and they were killing me.
They were turning me into a person I hated. So I joined a
12-step program and started going to meetings. Today [October
14] I have 163 days clean from everything. My life is slowly
turning into something. I have hopes and dreams again. And
most important to me is that I've been an example to my mom,
who is starting to get it. Today, she has 73 days of sobriety.
I'm proud of my story because I survived it.
Girls Cry
Kim Hall, 48, mental health technician
DIAGNOSED WITH HIV: I've been positive for 23 years
ADDICTION: Crack Cocaine
SOBER SINCE: 1998
I'm from New York City and I've always identified
as transgender. My father was homophobic and couldn't accept
me, so I ran away when I was 10 and became a prostitute. He
was prone to violent rage, and I grew up to inherit that.
At 14, I was arrested and sent back home. My
parents had split up and my mother was working three jobs
to support us. I prostituted myself at school, then I'd dress
up and sneak out to bars at night. My lesbian cousin and her
girlfriend lived with us and got me into heroin.
I hung out in shooting galleries where they'd
rent you a syringe, wash it out and rent it to the next person.
Then everyone I did drugs with was getting sick and dying.
Around that time, I went to prison for 10 years for killing
my boyfriend. That's where I tested positive for HIV.
After prison, I moved to LA and began shooting
crack. I did things I never thought I'd do, got in cars with
men who thought I was a [non-trans] woman, went to hotels
with four men at a time. I wanted to quit but couldn't. Eventually
I stopped shooting crack and cut down to just smoking it.
When I finally got busted, I knew God was rescuing
me. I pulled my life together in prison. When I got out I
was scared my old behavior would get me loaded, so I asked
for treatment. I ended up at a Hollywood center and learned
how to stay sober.
Now I help other people recover. I go to school.
I'm in a relationship. And I want to make the road easier
for girls like me.
Man Mania
Chris Perry, 36, health educator
DIAGNOSED WITH HIV: 1997
ADDICTION: Sex
IN RECOVERY SINCE: 1999
I started acting out sexually after I was molested
at 14. A 19-year-old neighbor gave me gifts and manipulated
me till he got what he wanted. I kept it a deep, dark secret.
This set up a pattern.
I started sneaking out at night, roaming the
streets for sex. At 15, another guy in my neighborhood would
get me and my friends drunk and stoned and we'd let him suck
our dicks. I graduated to adult bookstores. By 17, I was driving
to Santa Monica Boulevard to meet boys. I ended up prostituting.
I used sex as a drug, and used drugs to have
more sex. I was always on the hunt, thinking that being with
another guy could fill the void I felt inside. It didn't.
AOL took my addiction to a whole new level.
It let me be any person, say whatever I wanted. As soon as
I did one guy, I'd be on to the next. But I still had that
emptiness. Eventually I felt so ugly about myself I had to
do something. I ended up dealing with my problem in therapy.
I've made tremendous progress. The fire of my addiction is
gone, and though I still act out now and then, when I do,
I'm aware that I'm "in" my addiction.
My HIV weighed heavily into my decision to get
help. I realized if I was going to do something with my life,
I'd have to do it now. There are no more tomorrows - there's
only today.
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