Nine new stories about experiences of Hep C treatment so that … C Stories 2... · 2019-07-26 ·...
Transcript of Nine new stories about experiences of Hep C treatment so that … C Stories 2... · 2019-07-26 ·...
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Nine new stories about experiences
of Hep C treatment so that you can
stop worrying about all the myths and
half-truths and get some treatment
for your self
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Free to download at www.saolproject.ie
Copyright SAOL Project 2019
Please acknowledge SAOL Project when using any of this material.
Our continued thanks to our Funders who make this work possible: HSE, DSP,
CDETB, Probation, NICDATF
Corrections or further information [email protected]
This publication is a gathering of stories from people who have experienced Hepatitis
C in their lives. It is not meant to be a textbook on Hepatitis C.
We have tried to ensure that all information is accurate at the time of publication.
We advise all people with Hepatitis C to discuss their particular case with their GP
and a Liver Clinic.
Any opinions expressed in the stories do not necessarily represent the opinions of
the SAOL Project or its Board of Management or any of our funding agencies.
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In the search for truth, the investigation that an ethical
memoirist undertakes—examining both verifiable facts
as well as potentially distorted memories and
assumptions based on perspective—may often yield
better results than an examination of the record alone.
By better I mean both truer and more credible. In
addition to revealing a person behind the facts
reported—and thus the possibility for connection—the
focus on transparency and framing leads to questions
of the self-reflective kind.
‘The Essential Role of Storytelling in the Search for Truth’, Lise Saffran
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SAOL is project that works with women who have addiction issues. We are based in the
North Inner City of Dublin. We offer an integrated programme of education,
rehabilitation, advocacy and childcare. SAOL has worked over the last 24 years to promote
the needs of female drug users and their children. We have tried to highlight the many
extra difficulties that face women who use drugs including the stigma, lack of appropriate
facilities and programmes as well as difficulties with access to appropriate programmes.
We also have specific supports for people with Hepatitis C; we encourage everybody with
Hepatitis C to seek treatment and we are happy to help and guide you with such an
endeavour.
For more details, www.saolproject.ie and [email protected]
Thanks to:
All the people who gave of their time and privacy to tell us their stories. We are so
fortunate to have to you linked to our project. The tradition of storytelling is
almost as ancient as Ireland itself; it is instilled within the soul of our country. We
might seem to depend on paper and emails and social media to share our stories
but in truth, it’s our seanachaí that we need the most - the story teller who passes
on essential truths to help us all on our journey. To our group of seanchaidhthe,
thank you very much.
To Jennifer for gathering the stories
To the Hep C team here and in City Clinic and Chrysalis for all your amazing work
in the aim of wiping out this disease.
To the people and organisations that fund our work – especially NICDATF, HSE,
DEASP, Pobal, Probation and CDETB; thanks also the universities and colleges
around Ireland (and beyond) that send us your brilliant students to enhance our
work.
To the participants, peers, volunteers, staff and Board of SAOL for your dedication
to the cause.
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Contents:
What is Hepatitis C? 5
Story 1 by Ann 6
Story 2 by Trish 11
Story 3 by Kim 15
Story 4 by Pamela 19
Story 5 by Tara 23
Story 6 by Eugene 29
Story 7 by Laura 34
Story 8 by Sabrina 37
Story 9 by Mark 41
Please acknowledge the author and SAOL Project if you use any part of these
stories.
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What is Hepatitis C?
Hepatitis C is an infection of the liver caused by a virus called Hepatitis C . Only
about 1 in 5 clear the virus when they first get it; most people, 4 out of 5 develop a
life-long infection that, over time and if left untreated can cause serious health
problems like liver disease, liver failure and liver cancer.
How do you get Hepatitis C?
When blood from someone who is already infected gets into your body, you are likely
to be infected. Sharing drug equipment (not just relating to injecting; sharing snorting
equipment also spreads tiny amounts of unseen blood) spreads Hepatitis C. Sexual
transmission is possible but is rare. If you have HIV, have multiple partners or a
partner who has Hepatitis C will increase the risk. You can also get Hepatitis C when
getting tattoos or body piercing done, but only if non-sterile equipment is used. A
small number of babies also become infected from their
What are the Symptoms of Hepatitis C?
Symptoms: rarely any at the start. You might have a fever or feel tired or lose your
appetite. Symptoms with long-term Hepatitis C can take years and years to develop.
When they do emerge, it’s often a sign that you have advanced liver disease.
What is Hep C Stories 2?
Hep C Stories 2 is a collection of 9 stories about people who have had to be
tested for Hep C and their stories of what happened next. Nearly all the stories
are from people who have undertaken the new treatment and they tend to
agree on one thing – do the treatment! It’s easier and more effective than the
old treatment. Don’t believe the street stories; move past the fear and change
your life.
We are very grateful to all those who told their stories to Jennifer; we hope we
have been faithful to you in transferring them from recordings to paper.
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By Ann
I caught Hepatitis C when I was 21. It was the night
of me 21st birthday. I think I was diagnosed the same
year. How I found out was that my doctor took blood
from me and the results came back positive for Hep
C. To be honest I wasn’t surprised really. It was
2001.
I remember very vividly how I contracted the virus; as I said it was the night of
me 21st birthday and we were at to having a great night. We all went back to
me friend’s house for a party. At the time I was strung out on heroin, but I only
usually smoked it (I had tried using a needle a few times prior to this night). We
had bought gear to bring back to the gaff and I asked me friend had she any
new barrels, but she didn’t. I think I knew she had Hepatitis C, but I was
thinking I was lucky that’s all I caught. I ended up using with a fella at the party
with a works that my friend had used previously. That’s the only way I think I
could have got it. I was so careless and reckless that night, I could have caught
HIV. As it was me birthday and I was already out of it by the time I went back
to the gaff; I was out of me head on coke and ecstasy at the time.
When I was in active addiction I would have accessed a needle exchange quite
regularly. Me partner would have went a lot to get the packages, the brown
bags. It was usually Merchant’s Quay but there was an odd day you could get
them out of one of the clinics. I never really used after anyone other than me
partner at the time. He had Hepatitis C when I met him so when I think of it
now, I could have been giving myself different strains. He was so stupid, we
lived out of town so there was no really exchanges so one day he seen a spike
on the ground and he was gonna pick it up and use it. I was like how fuckin
stupid can you be!
I found out I had Hep C off me GP. I can’t really remember what she took
bloods for; I think I may have asked her, I can’t really remember as it was that
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long ago. I don’t think she knew much about it herself. She didn’t offer me any
treatment options or anything like that. I don’t even think she had any leaflets;
sure I didn’t know much about it myself, I just thought it didn’t kill you. At the
time H.I.V was really like scary, like there weren’t the medications they have
today. I don’t know why but I wasn’t that scared of having Hep C.
Before I came to the Saol project I was never offered nor had I discussed
treatment for Hep C with anyone. Actually a couple of years ago, maybe 8
years ago I was in James’ Hospital and I went for an appointment with a doctor
and he told me that I wasn’t suitable for treatment at the
time that there were numerous amounts of people who
would need to be offered treatment before me. So I
never went back. So it wasn’t until last year when I heard
of the new treatments that I decided to put myself
forward for it. I had heard horror stories about the old
treatment. My ex ended up in a psychiatric unit after it. So when I heard about
the new treatments I decided to see if I could be put on them.
I linked in with the Hep C support in Saol where the caseworker went through
the treatments and side effects and all that and filled out a referral form to the
Mater for me. I was really excited about it, having seen it on the telly it really
did seem like a wonder drug. I thought that if I ever got the chance to get the
treatment it would be years down the line; I couldn’t believe how quick I got
offered it.
I started treatment in 2018 in the Mater hospital, Clinic 6. I have to say
everyone was so helpful and kind to me. It was a real nurse-led care. For most
of the appointments it was just with the nurse Jeremy. He was so helpful. He
always explained everything to me. When attending appointments I always
had the support of me Hep C support worker with me. That was a great service
in that they would remind me of appointments and all that. Sometimes I’m
quite slack and would have been late for appointments; I found that having the
support of someone encouraged me to get there on time.
The team in the hospital are brilliant. Everything is said to you exactly how it
is; there was none of that medical talk, which I thought it would have been, it
was so laid back.
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It was explained to me that I would have to stop taking extra vitamins that I
was taking; I think this was just in case it collided with the meds. I was told to
make sure I took it every day and was given advice on what to do if I missed it
or I got sick or anything like that. I was given a list of any possible side effects.
For me the treatment was just one pill a day for 12 weeks. I was given the
numbers of both the nurse and the pharmacy and told to ring in case there
were any problems at all. I couldn’t have asked for any more support;
everyone was brilliant.
I couldn’t believe how quick the appointment date came for me to start the
treatment. It felt like me referral was only gone in and I had an appointment
for me first bloods. I really thought it was going to be months and months
down the line before I started the treatment. I felt a little bit nervous but I
think I was more excited than anything. I was excited to know that I was being
given the chance to have that gone out of my body. I know there are so many
people in so many countries that aren’t given that chance; some people die
from it, so I count myself lucky.
I was prescribed a 12 week course of a treatment called Epclusa.
It was given to me through the pharmacy in the hospital. I had to go back
every 4 weeks to get bloods taken and to collect my next bottle of pills. I didn’t
need a medical card to avail of this treatment, all I needed to have was a PPS
number.
My experience on treatment was really positive. For the first week or two I
was a bit tired on the treatment and for the last couple of weeks I noticed my
hair to be shedding a lot more than usual. During the treatment there were a
couple of days where I got very tired.
My experience is a little bit different as I am living in homeless accommodation
so I don’t have the luxury of resting when I needed to. I have to be out from
morning to evening which can be a little bit difficult if you’re not feeling great.
The nurse in the hospital was very accommodating when I explained this to
him. He gave me a letter to give to the staff to tell them about my treatment
and some of the possible side effects. I have to say they weren’t always helpful
in regard to my situation. Depending on the staff member on, on any
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particular day, it got to the stage where I didn’t even ask for bed rest, I just
used to keep myself busy. I spent many a day walking around the shopping
centre in Blanch. This was actually a great help because when I did get to go to
my room I was exhausted and slept.
There was one or two nights were I suffered from broken sleep but I wouldn’t
even class it as a side effect. Also whilst I was going through the treatment I
came down a bit off me methadone and other street drugs. This could account
for some of the symptoms I was feeling like a bit of anxiety near the end. I also
suffer from PMS so this could account for some symptoms.
One thing that I do notice since finishing the treatment was that my eyes were
a bit sensitive to light. It wasn’t something that really bothered me, but I did
notice that when I woke up in the morning my eyes were streaming a bit.
Another thing I’m noticing is better since being off treatment is that my
concentration levels have improved. I’m finding me hair is still not great since
finishing treatment. I find it comes out a lot more than before treatment. I’m
back taking me vitamins so hopefully this will help. I think I managed the
symptoms and side effects really well; I think that the fact that I knew that, for
example, the tiredness was a common side effect made it easier to manage. I
knew it would come to an end and at the end of it I would have a healthy liver.
I was expecting a lot more intense symptoms, but no, they were grand, they
were very manageable.
If I was having a bad day I had a lot of supports from SAOL. I wonder where
other people who are not involved in Saol get their support from. I feel that
everyone should have a support system whilst going through treatment as I
found it really helpful.
I’m now finished me treatment nearly 11 weeks and I feel great. About a week
or two after finishing treatment I started to feel much more energetic. I was
waking up with much more energy. I was delighted that I got through the
treatment, the biggest concern I had was me hair. But I’m finding that now me
memory is much clearer. I’m remembering appointments and things like that.
Another thing I’m noticing is that me skin is great; I’m getting less spots and
stuff like that. I’m also finding that me mood is much better, I feel like I’m
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coming back to meself. Since finishing the treatment I’m on a new anti-
depressant and I’m finding this is helping me PMS and that.
To get through the 12 weeks basically what I did was took it as it was. I just
fought through it. The fact that I knew that I had a good support system made
the journey much easier. If I was to advise anyone on the treatment I would
say don’t be nervous. It’s nothing like the old treatments. It’s over before you
know it and the side effects are very, very minimal. Just take every day as it
comes and drink plenty of water. I would recommend the treatment to
anyone.
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By Trish
I found out I was Hep C positive in and around 1999. I know exactly when I
caught it; it was the first time I ever used. I was living in Ballymun and me
friend’s older sister was a sex worker and I was dying sick and she offered me a
skin pop. At the time I didn’t know anything about Hepatitis. I was only on the
gear about 6 months. I let her give me a skin pop and I knew she had Hepatitis
and I know that’s how I caught it as the works wasn’t clean or anything. At first
I was only smoking the heroin but after that experience I started skin popping.
Once I was using intravenously continuously I always attended the needle
exchange, but in hindsight it was too late anyway.
Apart from that first time, in regards to sharing using equipment and
paraphernalia, I would have always only used my own works; the only things I
would have shared would have been spoons and filters. We didn’t know
anything about spoons back then; so apart from the spoons and the filters
everything else would be spotless.
I got me blood tests in me methadone clinic when I was 19 (in Castle St). They
just said, “You have Hepatitis but you’ll be alright”. That was it. They said you
can see a counsellor if you want. I didn’t see the counsellor. They weren’t
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pushing the counselling on me; they said you have Hepatitis but sure nearly
everyone has it, it will be ok. I was on my own during this. I didn’t really
understand the whole diagnosis. It was just one of them things. Yeah, I’m on
gear, I have Hepatitis, it’s not gonna kill me; it’s not the virus (HIV).
For a month or 2 after diagnosis I was fine but then after a while I broke down,
I was out in me Ma’s and I broke down. I was devastated when it sank in; I was
on my own, given this diagnosis with no other information. I never wanted to
tell people about my Hep C diagnosis, because I feared they would treat me
different. I was always aware or self-conscious of things like blood, whenever I
was in me Ma’s or family members’ houses and say I cut myself I was always
panicking; people who didn’t know would be like ‘What’s she panicking
about?’ I always had a fear about people touching me blood. There was always
something niggling in the back of me head, ‘You have Hepatitis UR fucked’.
From that initial diagnosis I was 20 years waiting to be put on treatment. I first
attended James about 10 years ago where I was given a biopsy and told me
Hepatitis was dormant. I know they don’t say that anymore but that’s what
they told me then. They said I was alright that I was to come back in a year, but
I never went back. I had a bad experience with the biopsy; I didn’t like it and
plus the fact that I was attending the appointments on me own.
It was another 10yr until I got meself refereed to the Mater Hospital Clinic 6
through my job. The Hep C caseworker sent in a referral and I was about 6
months waiting for an appointment. I was quite anxious during this period and
eager to start on the meds. I had a number of different symptoms that I was
experiencing, with fatigue being a major one. I was also suffering with pains in
me shoulders. I eventually got me appointment in clinic 6 where I met with a
doctor who went through me history, I got bloods taken and also had a
Fibroscan done. The results of my Fibroscan were really positive; my score was
6.3 which is quite low. I thought after living with Hepatitis for 20 yr the results
would be much worse.
I was started on an 8 week course of a treatment called Harvoni. This was a
once a day pill. For the first 5 weeks of my treatment I had very little side
effects, I couldn’t believe that I was sailing through this treatment. But for the
last few weeks of the treatment I experienced bad headaches and also poor
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sleep. The constant headaches left me feeling a bit down in meself. I can’t
explain it but I just hadn’t got the energy to do anything. I was constantly tired,
like I had never been in me life but yet still couldn’t sleep. This left me feeling
moody. When the headaches were really bad my tolerance and patience were
really low, so I was a bit moodier than usual and not really in the humour of
talking to people. At one stage I was contemplating going to the doctor for
antidepressants thinking I was depressed but I wasn’t - it was just tiredness.
To manage the side effects and the headaches I was advised to take
paracetamol and to uptake my intake of water; I also found that going for a
walk helped. I didn’t always find the paracetamol worked but found that the
water and getting a bit of fresh air helped lessen them (headaches).
Other things that I found helpful throughout the treatment were the support I
received through my job, through the Hep C worker and also the Hep C
support group that I attended. My family were really supportive; they helped
out with childcare when I needed some time out. I feel like that if it was a few
years ago that I started this treatment, I wouldn’t have had the same support
and I probably wouldn’t have finished the treatment or started it to be honest.
I found my support through the Saol Project; they have Hepatitis C workers
who can refer you for treatment to either Clinic 6 in the Mater or the Liver
Clinic in Eccles St. The support worker attends hospital appointments with you
if you want them to, which I found to be a good source of support. Also I found
the Hep C Support group really beneficial. It was open to people who were
either starting treatment or just finished treatment, it gave me an opportunity
to talk to other people who were going through the same or similar experience
to me.
I’m finished my treatment now a week and a half and I have to say it felt great
to finish the treatment. I’m still awaiting my post 3 months blood to give me
the all clear but I know my viral load had dropped so low that my Hepatitis is
gone. This is a big weight off my shoulders. I feel great in me self since
completing the treatment, me memory me sleep and me mood are all better. I
am at the moment breaking out in hives but I don’t know if this has anything to
do with the treatment. In relation to the headaches, they are much better,
even though for the last 2 weeks I felt like a poker was going through me head.
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How I coped and managed my treatment was just getting on with things and
getting meself out. Kept meself busy and kept me structure going in me life.
Also mixing and socialising with people even on the days I didn’t want to.
I was talking to me friend on Saturday. He is due to start treatment this
Thursday and my best advice to him was to drink loads of water and eat
healthy. The treatment is well worth taking. I know I was complaining of
headaches etc. but it is definitely worth doing. I lived with this virus for 20 yr
and now after 8 short weeks my viral load is 0. Now don’t get me wrong, I
would never put me self in the situation where I would have to do the
treatment again but still I would recommend the treatment to everyone.
Image when finished is positive, but the headaches are what sticks with me.
It’s kinda like when u have a baby you have pain, but when the baby comes
you forget about the pain; well it’s kinda the same I had headaches but now I
don’t have Hep C.
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By Kim
I know exactly how I got Hep C. I don’t remember the year I got it but I know
exactly how I got it. At the time I was using coke and there was me and
another person sharing, but it was my coke so I was getting the most. We had
two works, mine and theirs, but it was my coke so there was more in my
works. But what happened was that they picked up mine and used it because I
wanted that coke. I convinced myself that much that it was mine. I knew this
person had Hepatitis but the urge for the coke was so strong that I still
convinced myself that it was mine and I used it. Normally I didn’t share
anything with anyone, down to spoons, everything I always used my own. The
clinic used to give me new works. I was very particular with my stuff; I used to
burn the side of me works so I knew it was mine. But it was just that one time
and I knew what I was doing, but I wanted it. I had been using coke all day and
this was the last bit of the day and I wanted it. I convinced myself that it was
mine even though I knew it wasn’t. I said it was only this once, nothing will
happen, I never did it before and I was never going to do it again.
I ended up going for a test in City Clinic; I think the doctor actually asked me
did I want to be tested. He sent me down to the nurse where the test was
done there and then which was great as it didn’t really give me time to change
me mind or talk meself out of it. I had put testing off for months because I was
worried as I didn’t really know what this person I had used after really had.
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When the bloods came back I was told that the test came back negative for HIV
but positive for Hepatitis C, so I was kinda just happy with that, that it wasn’t
anything else. I don’t recall ever being told anything about treatment In reality
there was no information given to me. I was given me results and that was it.
There was no counselling offered after it, there was nothing, I mean nothing.
You got your results and that was it, off you go.
I didn’t even think about treatment or anything until I was offered through my
workplace the option to be referred for treatment for my Hep C by the Hep C
support worker. For ages I was hearing on the streets about this new
treatment but you never think that you’re going to be offered it, you just don’t
think it’s going to be offered to you. It’s like other people get offered it but not
you, like someone who’s clean or who has been for years, but you don’t think
that your gonna be offered it. But I was very happy when I was. I was referred
to the Mater for treatment. I got me bloods done and was told to come back
in a months’ time to get the results. When I went back I met with Jeremy the
nurse who explained everything to me. The way he explained it, it sounded
easy enough. Hepatitis treatment has a bad reputation, from people who
were on it before the treatment sounded rough. To me this new treatment
sounded like you were going through a course of strong antibiotics. I was told I
was gonna be on this treatment for 12 weeks, I would have to come back to
the hospital every 4 weeks for bloods. I was able to discuss my treatment plan
with both Jeremy the nurse, the pharmacist in the hospital and also Jennifer
my case worker. I was given a little chart to help me remember to take my
medication every day. I was on one pill a day for 12 weeks. The name of the
treatment I was on was Epclusa. Every time I went back for appointments I had
the support of my caseworker. She attended all my appointments with me. I
found this really helpful as we had discussions each time about what would
happen next and discussed side effects etc. I found Jeremy great; he explained
everything in layman terms, not in big words that I couldn’t understand.
Jeremy explained to me the name of the treatment I would be on, how long it
would be for and also the success rate. I feel it was explained to me really well.
The first day I went to the hospital they took my bloods, I was dreading this as I
have a thing about needles, but I have to say the nurse was great. She got
bloods straight away, there was no jabbing about, she was in and out straight
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away. Needles are a trigger for me, but this time it wasn’t as
she was in and out. That would have been one of the fears I
would have had, I have a thing with needles, but a trick I
learned was just not to look.
I wasn’t long waiting on treatment at all, but the waiting period was a bit
anxious for me, as you never really know what is gonna come back when
you’re waiting for bloods to come back.
When I first started the treatment I was taking it in the morning,
but it was making me really tired all day; me arse print was in
the sofa I was sitting on it that much. So I switched it up and
started taking it at night which really made a big difference to
me, it actually helped with my sleep which meant I was awake during the day
because it was knocking me out.
I did get a few headaches at the beginning and did feel tired but when I
changed to the night time I was ok. In relation to hair loss I didn’t feel like I lost
hair but what I did notice was that there was more hair in the hairbrush when I
brushed it. Headaches, poor sleep, fatigue and light-headedness was some of
the side effects I experienced whilst on the treatment, but nothing was severe.
In relation to the headaches I’d say they were 6 out of 10 at a bad day. The not
being able to sleep was horrible, but that eased when I changed when I took
the meds at night. I managed the headaches with water; I found the headaches
eased quicker when I drank more water than when taking a painkiller. I could
have been dehydrated as I don’t drink a lot of water generally. When I think
about it I was thirsty a lot.
The support during treatment was brilliant, I had the support of my job, my
Hep C support worker and also the hospital were brilliant.
At the moment I’m just nearly finished my treatment; I have about 3 tablets
left to take. I should have been finished last week but due to missing a couple
of days here and there I just am continuing taking them until I have none left.
The difference I feel in meself since starting treatment; I’m not as tired as I
used to be, I don’t need as much sleep and I feel more alert in meself. I’m
looking forward to being completely finished to see if there is any other
differences I see in meself. If I was to advise anyone on the treatment I would
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tell them to find a time of day that suits them to take their pills. I don’t think
the treatment was that severe. The only thing that really affected my daily life
was the tiredness other than that it didn’t affect it. Another tip I would give to
anyone due to start is the importance of water. It’s 12 weeks out of your life
and it flies by.
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By Pamela
I only tested positive for Hep C last year. I can’t be really sure how I caught it
but if I’m honest I think it would have been from the time I was on the snow
blow. This was a bad period of my life; I was homeless and living on the streets
and injecting snow blow which I was buying from the hemp shops. At the time
there was a group of us 6 or 7 that all used together, we were all in and about
the same age and had come through the care system together. We shared
literally everything! When I was diagnosed with Hep C, my initial thought was
lucky I don’t also have H.I.V as I had been openly sharing with a friend of mine
who was H.I.V positive. This friend of mine used to get me and on many
occasions we shared a works. I feel blessed that I didn’t contract anything else.
The only reason I ended up getting tested was that my doctor who also
prescribes my methadone told everyone that he was not dispensing until
people were tested. He had been asking people to be tested for months and
no one was getting it done so he ended up putting us all on DNDs (this is a “do
not dispense” until we got bloods done).
When my results came back, I remember the doctor and the nurse who works
out of the Thompson Centre calling me into a room and telling me that I had
the Hepatitis C virus, I was given a leaflet and that was that. I remember
coming into work quite upset as I didn’t know what to do or where to go from
here. I met with one of the keyworkers who informed me that we had a new
Hepatitis Case worker starting in the job, so she linked me in with her.
We did a few one to ones where we talked about things like coming to terms
with the diagnosis, discussing your results with family and other things like
dealing with shame and stigma. Initially my Hep C caseworker was just dealing
with the emotional side of the diagnosis but when I felt like me doctor kept
adjourning my referral, my case worker put in a medical referral. I wasn’t too
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long waiting on a hospital appointment; I think it was about a couple of
months. I do remember feeling very anxious during this period. I had heard a
lot of war stories about the old treatments and I was thinking the worst. My
fears were that I was not going to be able to mind my children or go to work
etc. I ended up getting an appointment for Clinic 6 in the Mater Hospital. My
Hep Support worker attended the first appointment with me where they took
bloods and done a Fibroscan on me. The nurse and the doctor had done a
Fibroscan on me previously but couldn’t get a clear reading.
Jeremy was the nurse I dealt with in the Mater and he was brilliant. He
explained everything to me and made me feel quite at ease. When he did my
Fibroscan, he was able to get a reading. The score showed that my scan levels
were above 12, placing me in the category of having cirrhosis. Jeremy was
really good at explaining to me what this meant and reassured me that my
blood results were not matching up to a diagnosis of cirrhosis; he explained
that the reading could be because of fatty tissue. I felt assured when dealing
with him. Also the fact that I had a support worker with me helped because if
there was a time I didn’t feel comfortable asking a question or forgot to ask
something she was there to remind me. Sometimes you’re not able to say
things so when you have a bit of support it makes it easier to say things and
then it’s out in the open.
The advice given to me was to me in the hospital was to eat something small
before the medication, drink plenty of water and try take the meds at the
same time every day. I was put on a treatment called Zepatar. This was a once
a day pill for 12 weeks. I found the first 2 weeks tough; I had just had a chest
infection and had just finished a course of antibiotics prior to starting so I
wasn’t feeling 100% either way. After 2 weeks I had to go back to the hospital
to collect my meds but when the pharmacist seen me she didn’t like the look
of me. I have to say they were great. They sent me for a chest x-ray and done
bloods. I was given another course of antibiotics which I probably wouldn’t
have got as quick if I hadn’t have been linked in with the Mater. When I went
home my ma was so happy to know that I was getting this care.
In regards to side effects as I said after the first 2 weeks I was ok; then I started
to get these really bad headaches. It had been explained to me at my first visit
that sometimes headaches can be a side effect but was told if I couldn’t
22
manage them with water and paracetamol to present to clinic, so I knew what
to do. My Hep support worker rang the pharmacist in the hospital and they
told her to bring me in to clinic where Jeremy prescribed me a migraine pill
called Acupan. These worked for a while but then again the headaches got
more intense. There were days when I was sitting with me head in me lap or
couldn’t get up for work. Once again my Support worker rang the pharmacist
where they told me to take paracetamol on top of my migraine pill and if this
didn’t work to take an ibuprofen also. So this is what I did for the rest of my
treatment regime.
Another possible side effect I found on the treatment was poor sleep. Now I’m
not a great sleeper at the best of times in any way but when we said it to the
nurse he said that sometimes this can be a side effect. I did feel a bit more
depressed but this could be to do with dealing with the constant headaches.
Also I did once get a little bit of itchy skin but this was easily managed with
anti-histamines. To manage the headaches I used to close the curtains and
light me oil burner with lavender and try to keep the headaches at bay,
because once they started they were hard to get rid of. I was often left in tears
because of the headaches; there were a few occasions where I had to leave
work because of them.
I’m a week finished my treatment and I’m feeling happy that I succeeded in
finishing it as I have never followed anything through in me life. I do feel that
having the support of the team in Saol was one of the reasons I did complete
the treatment. I haven’t had a headache in the last two days and this has made
me so happy. The sleep is a bit better but as I said this has always been a
problem for me. The fatigue seems to be lifting a bit. I feel like completing the
treatment has increased my confidence, ‘cause now I don’t have Hepatitis. In
my house it has always been a big thing. Like me ma would always worry about
my toothbrush lying around and things like that. The fact that I had Hepatitis
made me feel different to the rest of me family but now I don’t have it, I have
more confidence. I feel like people can throw it in your face that you have
Hepatitis, but now I don’t have it no-one has that power over me. It feels good.
There is a lot of stigma attached to Hepatitis C, for me it was a big secret. I
would have never even have said to me friends that I had Hepatitis C, but now
23
it’s like I’m proud to say that yes I did have it but I done the treatment and I
cleared it. I try to encourage other people on the clinic to do the treatment.
For anyone thinking of going on the treatment my advice to you is to be honest
with the medical team 100%. I can tell you from my experience the nurses in
Clinic 6, whether it be Jeremy or Eileen, they won’t judge you in any way. If
you’re still on street drugs just be honest about what you’re taking as some
drugs can interact with the treatment medication. But if you tell them what
exactly you’re on they will work something around you without judgement.
Also water, water, water drink as much as you can because it really does help
with the headaches. My final point would be to tell people to do the
treatment. It is adding years on to people’s lives. Although I was kind of
unlucky with the headaches, I must say they are nothing in comparison to what
the treatment does for you.
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By Tara
I found out I was Hep C positive in 1999 when I was pregnant on my first child.
The hospital had done bloods on me and when the results came back they
called me into a room and told me they had a bit of bad news for me. At the
time, how stupid and naïve I was I was just happy they didn’t tell me I had HIV.
The doctors were looking at me like I was mental; this woman has just been
told she has Hepatitis C and she’s happy. When I think about it now, there
were probably more people dying from Hep C than HIV. My belief at the time
was that it was nothing to worry about; I just thought I’ll be grand. Although
that was the year I was diagnosed, I think I would have had it for a few years
before that.
I contracted the virus through using; in fact I even know who gave it to me. I
was 16 at the time and injecting heroin. I had been smoking heroin for about
three years and then I began using needles. I remember the day. There was a
drought on and good heroin was hard to get. I went to me dealer and he told
me that what he had was not for smoking, it was just chasing on the foil. So I
had no option other than to use, after that one time I never went back to
smoking, I thought it was a waste of time. I never went to a needle exchange,
in fact I didn’t even know there were such things that existed. I never asked
questions as to where people got the needles from. I was so innocent in
regards to contracting anything; these were my friends I was sharing with and I
had no worries about getting anything from them.
25
For a long time after diagnosis I never thought about the Hepatitis. Then I
ended up on Castle St Clinic where I was referred to James’ Hospital. Now I
used to turn up for some appointments and not for others. You have to
remember I was actively using at the time, so showing up to a hospital
appointment was not on my list of priorities. If I had stuff to wake up to I
would go, if I didn’t I wouldn’t go; so chances were that most of the time I
didn’t go.
When I did link in, one of the times they did a biopsy on me and to tell you the
truth I never even went back for the results of that. They’re probably sitting in
a file somewhere in James’. I remember getting it and thinking, ‘Jesus this is
going to be a big lump of me liver they take out’ and when I saw it in the urine
pot, it was like a little worm and there was me thinking I was gonna die. But I
wasn’t that worried as I never even followed up after that. There were
numerous letters sent that I never responded to. They end up saying that I
would just have to be re referred back through my GP. I literally just put it to
the back of me mind and continued using drugs. For years I didn’t take a break
from me drug use. I had periods where I was stable but never clean or drug
free. Even when I felt I was stable I was still on 100mls on methadone and a
few trays of tablets.
How I ended up getting the treatment, I was living in Ballymun at the time and
woke up one morning dying sick. I thought, ‘I can’t do this anymore’, so I got
the bus into Castle St. and asked Dr Margaret Burke to take me back on
because I was dying sick and rattling. She said she was gonna put me on
Suboxone. I didn’t want Suboxone, I wanted methadone. That’s how I ended
up back linked in with the Clinic. It was during this period that I ended up
pregnant again. On one of my visits to the hospital I was told there was fluid
on the baby’s neck. They thought it might be that the baby had Down
syndrome but rather than feeling sorry for the baby I thought, ‘Poor me’ and
ended going out using that day and over-dosed. Lucky enough I was found. I
ended up being admitted to the Coombe because I was deemed a danger to
myself and the unborn baby. From there I was transferred to Cuan Dara and
then to Ashley house. After graduating from Ashley, I found meself with little
or no support and hence ended up doing what I know best, back using. During
this time a letter came to my mother’s from Castle St Clinic offering me the
26
new treatment for Hep C. I ended up back in Castle St, back on the Suboxone
and that’s how I got the treatment.
Both the Doctor and the nurse, Gail, in Castle St explained everything to me. I
had a good relationship with them as Gail had offered me the treatment
before whilst I was in Ashley House but I wasn’t ready to go on it. I only had a
baby and mentally I wasn’t prepared for it. The day that I was offered
treatment I was on my own in the Clinic but that wasn’t a problem. I voiced
my concerns to the doctor but she was very good at putting my mind at ease. I
was thinking I’m gonna get sick and I’m doing so well on the Suboxone that I
don’t want to jeopardise it. But the doctor was great at explaining. I have to
say I always know that Margaret has my best interest at heart; she knew that I
would be well able for it. If I ever went into her complaining of anything her
answer would be, ‘There’s no side effects, your grand!’ But actually she was
really supportive about it. I started me treatment in Castle St Clinic. The
medication that was prescribed for me was a drug called Epclusa; I was on this
for a period of 12 weeks and it was one pill a day.
When I first started taking the treatment I was waiting for these side effects to
start. Every morning I would wake up waiting for something to start. I was
waiting for a headache; I was waiting for this and that, but it didn’t! So for the
first few weeks I flew it. I started a new job and sure no one even knew I was
on it until I happened to mention one day that I was five weeks into it.
When I first got me bloods done me viral count was very high, I think it was
close to a million, but after five weeks of treatment it was down to under 100.
Now I did find as me viral count dropped I did start feeling off.
First of all me sex drive went completely; I didn’t want anyone near me or
touching me. Also I did feel a little bit nauseous at times, but that was only if I
didn’t eat anything with the tablet, so maybe if I was rushing out the door I’d
end up feeling sick, but I suppose it’s like taking any tablet it can rip the
stomach out of you if you take it on an empty stomach. But I have to say I
didn’t get headaches, me sleep was a bit fucked-up but I still managed to get
some sleep. I mean from what I gained from it, I got very little side effects. I do
hear other people saying about side effects they experience but personally I
found my side effects very minute; I think I flew threw it.
27
The only time I experienced side effects were during the last few weeks, but
when I brought this up with the nurse she explained that because my viral load
had dropped so low and I was still taking the same strength of medication it
was having an effect on my body. The Hepatitis was gone but I had to continue
the last few weeks of medication to keep it at bay. I felt very fatigued but as I
said this was only at the end of the treatment cycle.
I made a decision when I was starting the medication to start eating healthy.
This meant stopping with the takeaways, making me smoothies, having a
breakfast, lunch and dinner. I would do me prep the night before and get
meself organised. I do think this helped a lot. In relation to support whilst on
treatment I did have one friend who had been through the treatment herself,
so she was a great support to me. I didn’t really need to ring her or anything
but it was good to have someone to chat to who understood my journey and
where I was coming from.
Another great support was my family, I was a bit surprised of this as me Ma is
78; she doesn’t really understand what any of this is. Me Ma was so proud of
me for doing it, and even me 19 year old son. To sit and explain to him was
hard but he ended up being a great support to me. And I also ended up starting
work in the Saol project where the Hep C support team were a great support,
but at that stage I was almost finished me treatment.
I’m finished me treatment now 10 weeks, and I have to say within 2 weeks of
finishing I started to feel this energy I never had before. I feel better now at 40
than I did at 20. I’ve recently had a bout of sickness and even through that I
still felt like I had more energy than I did previously, I was still up hoovering the
stairs and things like that. Now that I’m finished and Hep C free I do still
sometimes forget, like I went to the hospital last week about an upcoming
operation I’ve to get and I found meself saying I have Hep C, then it was like
Jesus no I don’t. And that’s a great feeling, I feel proud of meself for
completing it. It’s amazing how one tablet a day for 12 weeks has added so
much to me life Whether you’re talking added years or even the energy to run
around with the kids, because before I started the treatment say I brought the
kids to the balls, well I would be sitting down looking at them, whereas now I
28
can get up and run around with them. Even the kids notice the difference in
me. Other things I’ve noticed since finishing the treatment is a difference in me
hair and me skin, all for the better. Another positive for me was that I lost a bit
of weight, nothing to do with the treatment but me diet was better, I was
taking more care of meself whilst on it. On the treatment I did have a little bit
of foggy brain, but since completing it, I find me memory is getting better (now
it was never major memory loss, a few stupid little things).
My advice to anyone thinking of going on the treatment would be to 100% go
for it. I have to say I was terrified; I refused the treatment because of my fears.
I came up with every excuse imaginable not to go on it. These fears were based
on seeing my friend going through the old treatments and this frightened me.
But these new treatments are so easy so I would say just go for it! If I can get
through it without moaning anyone can. My top tips would be to try eating a
bit healthier, getting yourself into a routine, even if you don’t feel tired get
yourself to be and if you find your head racing try a bit of meditation. Also
increase your exercise, even if it’s going for a walk because it also helps clear
the head.
Don’t let your head do a number on you, it’s only 12 weeks and I assure you,
they fly in. I couldn’t believe when the clinic told me that they were giving me
my last dose of tablets. Another tip I would give is to drink plenty of water and
also don’t be afraid to talk to someone who knows and ask for a bit of support.
Mentally the impact of getting rid of the Hepatitis is that you no longer have to
be embarrassed about having Hepatitis, because people do judge you. Now I
feel proud to be able to go into a Doctor and say yeah I had Hepatitis but I
cleared it, and there again you don’t have to mention it all if you don’t want to.
There’s a feeling of power in that, not having to declare it because I don’t have
it! I’ve recently had a post treatment Fibroscan done and the results just
amazed me. My Fibroscan score has dropped to 3.5 now. It was never bad to
begin with (+I started with a score of 5.7) so I didn’t think there would be any
change; I nearly fell off the bed! The nurse told me that my liver was healthier
than her liver! It’s funny to think that in the past I wouldn’t have been giving
the treatment because I wasn’t bad enough, it’s great that now the treatment
is given to everyone no matter how low their score. If you test positive you are
entitled to be treated.
29
My biggest regret is that I didn’t take the treatment sooner. Knowing what I
know now I would have definitely taken the treatment when it was offered to
me last year. I would have no reservations like I did last year. Whether it was
just having a baby or detoxing etc. I know now that I could have easily done
the treatment regardless.
30
By Eugene
I was first diagnosed with Hep C in 2006; I had been an active IV heroin user at
the time. I’m not really sure how I got it to be honest but I think I got it from
using someone else’s spoon. That’s the best guess I can give ye because I didn’t
ever use anyone else’s works or anything like that but I did borrow a spoon off
someone so I think that’s how I might have got it. As I said I never used after
anyone else. I regularly attended needle exchanges but there would have been
times when I didn’t get to an exchange but then I would just reuse my old
ones. Now they would be blunt and all, but they were me own.
At around the same time I would have also been into using coke. I would have
been snorting it. There was a group of us who used together and we would
share notes and straws and that kind of stuff. Now I know that I could have
picked it up that way but other than that it had to be from a spoon. I didn’t
know about things like spoons and that. I would have been really conscious of
having my own works and spikes but I wasn’t aware of the dangers of sharing
spoons and stuff. But, again, I can never be sure of how I contracted it.
How I found out I was positive was that the clinic I was on were checking my
blood for Phy’ levels and they obviously tested my blood for Hep also. The
nurse from the clinic called me in to her office and she explained to me that I
had Hep C. Funny enough it was the same nurse who called me into the office
years later to offer me to go for the treatment. When I was diagnosed although
the nurse did explain to me about Hep C, I still hadn’t got a clue about it. I just
lived in denial for years about it.
The first time I was offered to go on to the treatment I said no. It was the old
treatment where you had to inject yourself with a needle (interferon). It was
only then that I started to become interested in it. I was told from a friend that
it could be cured and this led me to go back to the nurse and inquire about it
again. I was offered it again two years later and when the nurse explained to
me that it was tablet based and no interferon that’s when I said yes. I filled out
31
the forms with the nurse in the Clinic and then I was referred to Eccles St for
treatment. City clinic sent off all my details to the Liver Clinic and then they got
in contact with me through the post. I can’t remember how long I was waiting
for the appointment date but I don’t think it was that long. On my first visit to
the Liver Clinic in Eccles St they took my bloods, blood pressure etc. and told
me to come back in three weeks. On me second visit I met with the doctor who
explained to me that I was going to start on the treatment for 3 months and
explained everything about it.
For each of these times I met with a medical professional in relation to either
my diagnosis or treatment I was on my own. I particularly remember going to
Eccles St to begin the treatment and I have to say I was shitting it. I didn’t know
what to expect. I didn’t know whether they were going to tell me I had more
than Hepatitis. I was shitting. Looking back I definitely regret not having
anyone with me. I really think it would have helped ease my nerves. When
you’re on your own the thoughts that were going through my head were just
leg it, fuck it you’ve been living with Hepatitis, just continue. It was a very
frightening experience.
Prior to starting the treatment I didn’t really know much about Hepatitis. To
tell you the truth I didn’t even know which Hepatitis I had. I didn’t know
whether it was A or B or what it was. In the end it was Hepatitis C, genotype
one. I have since found out that this is the most common type in Ireland. I was
put on treatment for three months. The name of the treatment I was on was
Zepatir.
Everyone on the street were telling me horror stories about the treatment,
some of the things they were saying were, “you won’t be able for it,” “you will
go through hell on that treatment,” “you will suffer awful headaches,” in my
opinion that’s ‘street doctors’ telling you what they don’t know.
In reality they hadn’t got a clue. When I started on the treatment, Caroline the
nurse gave me a pamphlet with a list of the common side effects of the
treatment. I took it off her as I didn’t want to be rude, but when I got home I
threw it in the bin. The reason I threw it away is because I am the kind of
person who, if I had read it, would have felt like I was experiencing every one
of the listed side effects. In reality what I did experience was tiredness for the
32
first week and from then on the rest of it was a breeze. I probably would get a
little bit narky at times but other than that I was fine. I did experience one or
two headaches whilst on the treatment but these were nothing that a
paracetamol didn’t get rid of. To be honest at first I didn’t even realise that the
fatigue was a side effect, it was only in chatting to the nurse on my visit that I
explained to her about the tiredness coming up hills and that, and she assured
me that it was sometimes an effect of the treatment.
I managed the side effects as best as I could, I rested when I got the chance
and as I said the paracetamol worked for the headaches but other than that I
was fine.
I have to say the nurses in the Liver Clinic were very helpful. They went
through everything with me and when I told them that I didn’t understand
some stuff they took me aside and went through everything with me in
language that I understood. The Hep C specialist nurse was very good to me.
She went through my treatment plan with me and she also gave me a pack for
dividing my treatment into day and night which I found really helpful. Every
time I went up to the Liver Clinic, we would have little talks about the
treatment and how I was finding it and stuff. These little chats really changed
my mind-set and started me thinking about how beneficial this treatment was
going to be for me.
When I first attended Eccles Street for treatment, Caroline the nurse offered
me support from a Hep Buddy. I didn’t accept the offer as I had a friend who
had just gone through the process and I leaned on him for support. He was a
great support to me; he offered me a listening ear whenever I needed one. I
could drop down to him whenever I wanted for a chat. I could tell him things
that I couldn’t or wouldn’t tell me mother or father or brother etc. I could say
whatever I wanted to him and I wouldn’t be judged. The fact that he could
relate to me as he had just completed the same journey as me made it easier
for me to talk to him, we were on the same level. I was doing a day programme
at the time so I got a bit of support off them also. I think if I hadn’t of got the
support I would have found the journey a lot harder as I wouldn’t have known
a lot of stuff.
33
I’m finished the treatment now about eight months. The difference in me since
I finished the treatment is that I feel like I have more energy. I feel like I look
different like I have colour back in me face; me mood has changed. I feel like
I’m back to me old self, I’m having a laugh with people again, I’m able to have a
buzz. Since I cleared the Hep me life has changed for the better; I’m able to do
things that I hadn’t been able to for a long time, things that you would take for
granted like going for a game of pool. I wasn’t able to do this as I simply didn’t
have the energy. Even things like getting up in the morning, having your wash
and not feeling like you have had to drag yourself out of the bed. Even down to
having a bit of breakfast. I didn’t do that before I went on treatment, I just
couldn’t be bothered.
One of the highlights of completing treatment for me was the fact that I was
able to sit down with me ma and explain to her what exactly I was going
through and had been going through in the past. It was great. I felt brilliant to
be able to say to her I had this illness and now I don’t. She would have been
aware that there was something wrong but I never actually sat down with her
and discussed it. I did give her a few pamphlets but that would have been it. I
would have had all of my own personal hygiene items such as nail clippers and
stuff like that which I would have kept in me room. So she knew there was
something going on but wouldn’t of known exactly what. Sure how could I ever
sit her down and fully explain something that I didn’t fully understand myself.
But when I was able to sit down and tell her it was gone, the excitement in the
gaff was unreal, it was like a party for a week, she was delighted.
Another positive of the medication was the fact that my sleep improved. Prior
to starting the medication me sleep pattern was very bad. Now that I’m
finished, I’m sleeping like a baby, I feel like I’m able to walk further distances.
I’m able to have a game of football with the lads, me energy is so high. I can’t
thank the nurse who put me forward for the treatment enough. Since finishing
the treatment I have started to look at other areas of my health where I need
to work on, for example I’m linking in with a dentist to get me teeth done, also
I’m waiting to go into Beaumont to detox. Prior to treatment I wasn’t
interested in any of that but since finishing the treatment I’m starting to look
at my life differently and starting to make plans for the future.
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I didn’t tell anyone other than family that I was going on the treatment; I didn’t
feel like anyone needed to know. There’s a lot of shame and stigma attached
to having Hep C. People view you different.
For anyone thinking of starting treatment my advice to them would be to not
listen to anyone on the street (street doctors as I would call them). Don’t listen
to people with negative stories to tell because most often they don’t know
what they’re talking about. Listen to the professionals and the peer workers,
people who know what they’re talking about. You will feel a lot better after
speaking to people who know. If I could change one thing about the treatment,
it would be the fact that I never started it sooner.
35
By Laura
My name is Laura. I first found out I had Hep C around 2010. I
don’t really know how I got Hep C but I do know that my partner
was positive for Hep C and we were having unprotected sex and
also I would have used stuff like his toothbrush, razors etc. At the
time I was smoking heroin so I know I didn’t get it through
sharing equipment. I did eventually go to using needles but that
was after I was already diagnosed.
So that’s how I think I became infected with Hep C, you know yourself when
you’re with someone a long time, you don’t think anything of sharing personal
items. When I think back now it must have been that his gums were bleeding
and mine must have been also and that’s how I got it; or else it was through
unprotected sex.
For a long time after I was diagnosed I didn’t do anything about it as my drug
use was so chaotic, it had spiralled out of control. I was homeless; I was on the
hemp shop stuff and my life was basically a mess. It wasn’t until about 3 or 4
years ago that I start taking an interest in myself again. I linked in with Ana
Liffey and they referred me to the Mater. I was about a year waiting for the
first appointment. It was also Ana Liffey who then referred me to the Saol
Project once my appointment date was coming up as they offered support for
women going through the treatment. It was there that I met Vanessa. She was
a great help to me during this time. She accompanied me to hospital
appointments and also broke down in terms that I understood what had been
said to me. She also gave me the courage and confidence to ask questions for
meself about my treatment. Before meeting Vanessa I was nervous about the
whole thing. I was going on what I had heard on the streets. While I was
waiting on my appointment date I was very nervous about starting the
treatment. I had been told stories that it’s going to do this to you and it’s going
to do that to you, you will feel this way etc. etc. But I knew it was something
36
that I needed to do, I was feeling weak and I knew myself that my body just
wasn’t right, I wasn’t feeling right in meself.
I had to attend the Liver Clinic once a week on a certain day and time. I got
bloods taken and also my blood pressure. I would then head over to the main
hospital to the pharmacy to get my meds for the week. I was on a medication
called Harvoni for 12 weeks, one pill a day. I was advised by both the nurse and
also the pharmacist that I was to try take the pill at the same time every day. I
had a genotype of 1a which is the most common type in Ireland. Before getting
my treatment I had gotten a Fibroscan done, the score of that was a little bit
high (12.5) and it showed that I had mild cirrhosis of the liver. Vanessa
explained to me that this was scarring of the liver.
I was grand on the treatment; the nurse in the Liver Clinic was very good at
sitting me down and explaining all the symptoms that I might get, such as slight
headaches, tiredness. But I have to say that I was grand, I didn’t suffer with
anything. At the end of treatment, for about a week after I was narky,
everything my partner was saying to me I was taking up wrong, but other than
that no, nothing. An odd time I did get a slight headache but not that bad that I
would look for a paracetamol. I was given good advice by both the nurse and
also Vanessa about drinking water and this is what I would do if I felt a slight
headache coming on. I have to say, me personally, I found I flew through it.
I had a lot of support whilst going through treatment. Vanessa from Saol would
have been a big support and also Rory my keyworker in Ana Liffey was a great
support and my partner was also a great support to me. I also knew that I had
the support of Saol and all the women there.
I’m now finished me treatment about 5 or 6 months. Since finishing the
treatment I feel like I have lost a bit of weight. Me liver is not swollen anymore.
Before going on treatment if I had put me hand on the right side, where me
liver is I would have been able to feel that me liver was swollen. I also think
that me skin has changed completely, I’m getting a lot of compliments on how
well me skin is looking. Also me nails and me hair are looking much better. But
the biggest physical difference in me is the weight, cause me belly was so big
with the liver being bad.
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All through the treatment me sleep was good, but I did find that the week I
finished the treatment I was a bit snappy, but I wasn’t long coming round from
this. Another big thing I noticed was the energy after I finished the treatment.
I felt I had a lot more energy. I was able to jump up out of the bed and straight
into the shower. Before the treatment everything was an effort to me, so I felt
great. Once I was finished the treatment I felt proud of meself, I felt like I had
done something good for me. I had put my party days behind me and was
ready to start looking after me. I felt proud that I stood up and didn’t listen to
others who were telling me don’t do that treatment it’s going to make you ill.
So yeah, I was proud of meself. Unlike others I have never felt ashamed or
embarrassed of having Hepatitis C.
For anyone that is thinking of going on treatment my words to them would be
don’t listen to other people telling you about treatment, everyone is different
and everyone’s body is different. This new treatment is not like the old
treatment on Interferon. Don’t be afraid; drink plenty of water and if you do
get side effects drink more water and basically just go do it because you need
to look after yourself. Also if you’re not feeling great, speak to someone: a
doctor, a nurse, or a friend. If I had to, I would do it all over again.
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Sabrina
My story is a bit different to
others; I have been through
treatment twice, once on the old treatment and then again on the new
treatment. I first did the old treatment of interferon and ribavirin in 2007 for
12 months and cleared it. I did an injection once a week on a Thursday and I
think 5 or 6 pills a day. I remember I would only be coming back to myself and
the week would come round again and I had to get me injection and this would
but be back 10 paces. It was a harsh regime but I felt I sailed through that old
medication. Now I did see others who suffered through that treatment but
personally I didn’t find it that bad. But in the end I cleared the Hep C.
This brings us back to 2014 when I was diagnosed positive with Hep C for a
second time. I had been doing really well and was living out of town at the
time. I was living with my partner and for one reason or another we ended up
losing the house we were living in. This I feel was when it all started to go
wrong again. We ended up moving back into town and that’s when the vicious
circle of using drugs started again. Although I had been treated for the Hep, my
partner had never been treated for it, and as you do when you’re in a
relationship we shared everything, we were having unprotected sex and also
sharing drug paraphernalia. We were back injecting heroin and also on the
crack and head shop stuff. Although we did go to the exchange when we could,
this wasn’t the norm. If I’m honest, it was like your birthday when you got new
works, because of the damage you were doing to your veins when using the
blunt ones. So as you can see I can’t say for sure how I got it again but there
were plenty of risk factors involved in me getting re-infected. I had ended up
back on Pearse St Clinic and this is where I got retested for Hep C. When the
results came back positive I wasn’t too shocked as I kind of expected it. After I
was diagnosed I just wasn’t ready for treatment again. My life was chaotic. I
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wasn’t in the right head space for it. As time went on I was hearing more and
more about this new treatment, there was great reviews about it. The
treatment times were much shorter than the old treatments and also there
were no injections this time; they were interferon free.
When I eventually felt ready for it, it was through Pearse St. that I ended up
getting referred to the Mater, Clinic 6. I think I was one of the first people on
Pearse St Clinic to be offered the new treatment. I had a really hard time on
this new treatment, I thought it was going to be so much easier than the old
one, but not for me. Maybe it had something to do with me having done
treatment before, but I found this treatment really tough. Personally I felt it
“booted me around”. I had to do a course of 24 weeks, and I think I spent most
of this time in bed, I was exhausted. Me mood was all over the place. Talk
about mood swings, I was constantly in a bad mood! I was like the anti-Christ
himself. I also lost weight and me hair thinned out on this treatment. I seemed
to be getting a lot of urinary tract infections which for a while were being
misdiagnosed; I eventually got an injection of some sort which seemed to clear
them up. In regards to waiting for treatment, I wasn’t long waiting for
treatment at all: I was put on a priority list because my liver was so bad. I had
got a Fibroscan and it showed that I had cirrhosis. I was told that if I didn’t do
treatment straight away I was heading for a liver transplant and even at that I
wasn’t guaranteed a transplant.
When I was on treatment Jeremy in the Mater was a great support. He was
great at explaining everything to me about what to expect etc. Another way
he helped me was getting my partner on to treatment. He was supposed to get
treatment in another hospital but they were giving him the run-around. As he
used to accompany me to my hospital appointments, Jeremy got to know him
and offered him treatment also. I think that this is someone everyone needs to
know. If you are getting treated and your partner is also Hep C positive it
makes sense for both of you to be treated together. My partner and family
were also great supports to me; another person who would have supported
me was the counsellor in the Clinic. Well, in all honestly, I probably talked
more to the receptionist than him, but I did have good supports. There was
also a Hep C specialist nurse in Pearse St who I could call on if needed.
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I was on a good few tablets; I had to take four in the morning and five at night.
The hospital was great, they used to give me the treatment in blister packs so
it was much easier to take, and I knew what I had taken.
Some of the advice I was given when I did start on the new treatment was to
be careful of me skin in the sun. (I was advised to wear caps and that). I was
also suffering from a terrible itch of my skin, (Jeremy prescribed me anti-
histamine and also tubes of Silcock’s Base to keep my skin moisturised). I was
also advised not to take Pharmaton and also told that the drinks I was drinking
Vithit that had ginseng in that to avoid them. Initially I had to go to the hospital
once a week and as it progressed, I would be only up once a month for me
blood tests to check the virus levels. Once you start the medication it is vital
that you take it every day until the course is finished.
Managing side effects: what I did find was that I did more apologising during
that period that I have ever done in me life, because I was aware that I was so
snappy. I was also aware that I needed to apologise to people as it was my shit,
not their fault. My family and friends were very understanding; they gave me a
bit of leeway. Other than that I just got on with it as you do.
It’s two years since I finished treatment. Since finishing, I feel like I’ve just
came back around to meself. I’m not snapping all the time anymore and am
not so easily irritated by the least thing. I stopped getting the mad horrible
agitated irritated feelings. I do feel that I have a lot of anxiety since finishing
the treatment; I also feel that my skin has never been the same since
treatment. Only recently I got a severe reaction from the sun, me face flared
up terrible. Whilst on treatment me sleep was a bit all over the place but I’m
finding it coming back now. I’ve heard of people with issues relating to
memory both before and during treatment but this was never a problem for
me.
For anyone that is about to begin the treatment my advice to you would be to
be careful of your skin, especially in the sun because you do become a bit more
sensitive. Another thing I would say to anyone is to just mind your mind, look
after your mental health when you’re going through treatment. The mind can
play tricks on you and if you suffer from depression of any sort it can escalate.
Also watch what you’re eating and drinking,. Try having a healthy diet with
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plenty of water. People forget that when your liver is down or not working to
its full capacity you get tired and lose energy and that, so when you’re on the
medication this adds to the tiredness so you’re losing more energy. Therefore
you need to be eating appropriately to keep your energy levels up. Make sure
you’re getting enough protein as this helps repair the body.
For meself I know I need to follow up with the hospital, even though I went
back for my final bloods, I never went back for my follow on care. I’m now in a
group where I have been learning more about the liver and how it works and I
know that I need to go back to check on my cirrhosis. Clearing the virus is one
thing and although this is great for anyone that is living with cirrhosis of the
liver, it is important to know that this can develop into cancer if left
unchecked. Annual appointments with your liver specialist can help keep an
eye on your liver. Also lifestyle changes such as incorporating exercise into
your daily routine; reduce your salt intake and learn ways to manage your
stress.
EAT LESS SALT
DO MORE EXERCISE
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By Mark
My son passed away in October 2001 due to suicide. At the time, I had a
mental breakdown and was admitted to the Mater hospital. It was there that I
got tested for both Hep C and HIV. When the results came back I was told that I
had Hep C but the HIV test was negative. The words of the Doctor were that I
had Hep C but it was lying dormant therefore I was not to worry about it. Prior
to this I had been caught up in active addiction and was using both heroin and
cocaine intravenously. At the time when I was using I was always careful about
not sharing any equipment with anyone else but I remember one time I went
on a weekend trip to England where I shared a syringe with another person. I
think this must have been how I came to be infected with Hep C. After I lost my
son and I went through the breakdown I became free from drugs, it was like his
death was the catalyst for change that shocked me into becoming drug free. I
was still on methadone but I never went back using drugs intravenously. As far
as I was concerned and from what I took from the Doctors, I had this virus
inside me but it wasn’t causing me any harm. It was lying dormant so they said
and the only way it would flare back up was if I start using drugs again.
Late last year I became involved in an education and support group which took
place in City Clinic. It was here that I heard for the first time that the term
dormant was an incorrect term to use in relation to Hep. It was old
terminology. You either have it or you don’t. This prompted me to go and get
re-tested in the clinic. It was about two weeks later that Peter the nurse called
me to say my results were back and they were negative; I did not have Hep C.
My initial reaction was shock; it was a sigh of relief to be told that I did not
have Hep C but after the initial reaction I became angry and frustrated. I had
been living with the thought of this disease for the past number of years. I had
had difficult and awkward conversations with my loved ones about this virus
and now I am being told I don’t have it at all. My partner had been on at me all
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the time about it; she didn’t have it and she couldn’t get this “lying dormant”
thing out of her head.
Looking back, the thoughts that I was living with Hep for 8 or so years has had
a profound impact on both my lifestyle and my relationships with both loved
ones and immediate family members. I remember having to sit down with my
late mother and tell her about the initial diagnosis. She was old fashioned from
the country and she just didn’t understand. I tried explaining to her that it was
in me system and that there was a chance I could fight it off but she didn’t
understand. There was so much shame and stigma at the time in relation to
H.I.V and Hep C that she thought I was going to pass it on to everyone.
Rather than being happy about my new diagnosis I began to get angry about
the years I spent believing I had this virus and the impact it had on my life. I
brought it up a number of times to different doctors and nurses and that was
always the same reply “it’s lying dormant”. I feel that my initial diagnosis has
caused rifts in both my romantic relationships and also with my immediate
family. From the day I was diagnosed I felt different. I felt like I was pushed out
or banished somehow. I began to feel like family members were always going
to be out if I suggested I would drop up to them. I stopped going to the family
home so much. Even when I was there, I always felt that I didn’t fit in. I always
felt like I was treading on egg-shells and although it wasn’t made a deal of, I
had me own bowl and me own plate and cup. If someone was making a cup of
tea or whatever it would be said Mark’s cup is there in the corner, or Mark’s
knife and fork are in that drawer. Stuff like that hurts, but also I don’t really
blame me mother or me family as it all stemmed from fear.
For years the torment I went through believing that I could infect someone
else, even down to my own kids. I remember when they were smaller and if
they fell and got a cut or something, I was always nervous about treating them
in case I infected them somehow. Stuff like this affects your relationship with
your children. I feel like I was let down by the system, the fact that I was still
attending a clinic and yet I was left for years internalising something, when a
simple blood test could have told me the correct information years ago. Maybe
if things had been different and I was given the all clear sooner, maybe my life
could have been different, maybe my relationship wouldn’t have broken down
and maybe my life in general would be different. It wasn’t only a diagnosis of
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an illness; it had other effects on me, for one I feel like I lost me confidence
and also my self-respect to a degree.
I know I’m not alone with this story. I know there are many more like me who
were diagnosed and left be. If I was to give a message to someone, my
message would be to go and get rechecked, no matter what your status
is.There is no such thing as lying dormant, you either have the virus or you
don’t. There are 30% of people who will come into contact with Hep C but
their bodies will spontaneously clear it, so even if you were given a diagnosis in
the past make sure you get re-tested. For me, I don’t know how I lost it, but
maybe because in the past I would have done the gym a lot so therefore I
probably had a good immune system. I only wish I would have found out
sooner that I had lost it. Although there are no physical scars or reminders in
my body to say that I had Hep C, I have been left with plenty of emotional
baggage from the initial diagnosis.
In regards to the treatment, the treatment now I believe is so much easier than
the old treatment. I have observed a few people going through it and from
what I see, once completed the person is transformed. I see the confidence
instilled back in them. I believe they stand taller. They are getting rid of
something out of their body that was invading it and this in itself brings about
change; it’s like they are set free. Again, I feel like I was completely let down by
the system. In hindsight, my life could have been so much more, my
relationships could have been so different. But today the message I want to get
out to people is get tested, get re-tested and if necessary do the treatment.
There is no need for anyone today to go through the years of hell that I went
through. There is a cure and the treatment is available to everyone who tests
positive. There is no such thing as ‘lying dormant’; if you test positive, get
treated.