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The descriptions of his decline, in whispered calls from back home, had a dreadfully familiar feel to them. Weight loss at a frightful pace. Losing interest in the world. Suddenly looking very old indeed. Most gay men of a certain age have heard those words, have seen the patient, have buried the friend. This case was different, though. It wasn’t AIDS, it was cancer.

And the patient was Dad.

Dad and MarkThe disease had swept rapidly through my father since his initial diagnosis. The inevitable was approaching, but the territory was completely unfamiliar to my family, who hadn’t seen a death in more than 30 years. They were about to get a tour through hell. I have traveled it many times.

“Well, he’s lost a lot of weight,” Mom said on the phone, “and sometimes, he will say the same thing more than once. That does scare me a bit.” You think you’re scared now, I thought.

“Have you checked into hospice care?” I asked. It’s exhausting for a man in his thirties to care for a dying lover. Mom was 75.

“Well no, honey, I thought we could wait on that…” Her voice drifted.

Something inside me went on AIDS auto pilot.

“Call the doctor and ask about hospice care,” I practically ordered. “They can help avoid another hospital stay, Mom.” The family would do anything to prevent that scene again.

I flew home within days. Still no hospice care. My family was stunned into inaction, it seemed. Had anyone spoken to dad about getting nursing help, about his illness, about how everyone was dazed into speechlessness? Heads shook slowly, eyes looked downward.

After 15 years living with my own HIV infection, my medical choices — powers of attorney, “no resuscitation” instructions — had long been settled. Mom was uncomfortable with the decisions, much less the reality.

On my second day home, I found myself alone with Dad. He was bundled on the sofa, and whatever his thoughts, they seldom found words. His condition looked hauntingly familiar, leading me to a nonsensical conclusion. “Dad has AIDS,” my mind insisted.

“Can I talk to you about what’s going on?” I asked him.

“Yeah..?” he said weakly.

“This is really horrible Dad, and everyone is freaked out and doesn’t know how to act.” His eyes never left me. “Mom is afraid to ask for help. You need a nurse. Do you think that’s okay?”

“Well… yes. I do.” He meant it. “Your mother… your mother works very hard.” I took his hand. “This is hard for your mother, I think…” he continued. “Your mother and I, we are one mind, together. One mind.”

I had never heard anything so romantic from my father. He saw it in my face, and he found the sadness, too.

“Don’t worry,” he said, and his hand tightened around mine. “It’s okay. I’m all right. This is all right…”

I wanted to say everything at once. Every declaration of love I had for my father, the retired Colonel who loved his family fiercely, laughed heartily, and equated only happiness with success.

“I will talk about you my whole life,” I said. “All the stories, all the things you’ve done for us… but how do I explain you to anyone?” My voice choked, and my attempt to properly organize my father’s last days was awash in unexpected tears.

I looked up and was stunned to see damp eyes staring back at my own. A tear escaped and rolled tentatively down and across his cheek, as if unsure of the path, so alien was the terrain.

We began words and abandoned them, floating silently in a moment I hoped could delay the inevitable. I thanked God for a gift that, in the distorted world of AIDS, I had wanted so badly over the years. I would outlive my father.

Only after having collected the courage before to say goodbye, to realize the fear and talk about it anyway, did I have the strength to address it with my dad.

This is not a story about AIDS. But it is a story because of it.

(This was originally published in The Advocate on May 22, 2001, but has never been posted to my blog. Thanks for letting me share it with you now.)



Marius 2In 2000, when Jo Jowett found five children dying of AIDS in a bare room in Romania, she knew she had found her life’s mission. She established Love Light Romania, providing services and end-of-life care to people living with AIDS throughout the area, and if this sounds like dire work, wait until you see the stark beauty of the brief videos created to highlight their services. Told through gorgeous photography and voice over, the first video is Jo with one young man in his last days, as she expresses her devotion to him and explains how the program began. My other favorite is of Marius, a Romanian man very much alive today as a result of loving care (he’s even friended me on Facebook!). The images of his life in Romania as a man with HIV are beautiful and unforgettable.

LabsDo you ever wonder what exactly all that blood is for, when the draw it for your lab work? The dizzying assortment of tests and numbers give me a headache. Lucky for us, D. Gregory Smith has sorted it all out for us in a terrific piece on the Bilerico Project about all the most common labs tests for HIV patients (and trust me, it’s an exhaustive list). It’s a simple primer, printable and ready to take along to your next appointment, and staying informed like this has all sorts of benefits, according to Gregory: “…a proactive stance by a patient is more likely to decrease feelings of depression, helplessness and fear, and increase feelings of strength, health and well-being.” Check out his excellent guide.

davidevansFor those of you keeping score of the Pre-Exposure Prophylaxis (PrEP) debate (whether or not we should embrace the notion of people taking meds prior to risk behavior, as a prevention tool) the latest points go to the pro-PrEP camp. Last week, Regan Hofmann’s searing blog post on Poz.com dismissed PrEP as an overly expensive pipe dream. But this week, Project Inform’s Director of Research Advocacy, David Evans (right), made his inaugural post on Poz.com by countering that, although he agrees with much of Hofmann’s thinking, there may be ways to make PrEP affordable and widely available, and these avenues are worth exploring. Among his many compelling arguments for PrEP, David took offense at Hofmann referring to PrEP as “a profit-driven sex toy for rick Westerners.” He responds, “Whether intended or not, this statement implies that some people in whom PrEP might actually be appropriate (can she possibly mean gay white party boys?) are somehow less deserving of this tool than others.”


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