From: Experiences of an HCV Patient engagement group: a seven-year journey
Irvin “Finton” Brown (FB) | |
I was diagnosed with HCV in 1998 by my primary care physician. I do not know how I contracted the virus. I can thank my doctor for suggesting that I should get tested since I am a “boomer.” I had a liver biopsy in 2000 and it showed that there was virtually no liver damage. These tests were done at the University of Nebraska Infectious Diseases Clinic since I was living in Omaha. My doctor decided that the treatment at the time was not worth the effort since I am a mixed-race male part being African. He advised that I should wait and monitor my condition over the years. I moved back to NC in 2010. Here I got a new doctor at the UNC liver clinic. I was again monitored until a treatment was acceptable to my doctor. I took HARVONI for 3 months and have been HCV free ever since. While I was being tested at UNC Liver clinic, I got a call from Donna (Evon) at UNC. She asked if I would join a group of others who had also had experiences with HCV. I said yes and the UNC HCV-PEG was formed to help with PROP-UP. Then UF asked if we would help with PRIORITIZE. So here we are today. | |
Lourdes Chaney (LC) | |
I was born in Puerto Rico. My journey with HCV began in 1991 when pre-testing for surgery and test results showed that I was positive with the virus. In 1993, with minimal understanding of the disease, I was given my first treatment with Interferon/Ribavirin. After 2 months of treatment, a high white blood cell count kept me from continuing the treatment. For the next 20 years I attempted two more treatments spaced years apart but still had detectable virus. Finally, in 2014, Sovaldi was approved and a few months later, I started treatment with Sovaldi/Ribavirin and was cleared after 12 weeks. I joined the UNC HCV-PEG in 2014 and continue to be an active member. I am currently a Staff assistant for the local government in Florida with a degree in Business and working on bachelor’s degree in Computer Technology. | |
Alan Franciscus (AF) | |
In 1966 I began traveling throughout the United States doing odd jobs including working in a warehouse, string factory, civil service, highway worker, and retail before settling down and earning a work degree in computers and accounting. Subsequently, I began work as an accounting clerk in two organizations in the San Francisco Bay Area. During this time, I went back to college and earned an associate degree and was applying to college when I was diagnosed with hepatitis C (HCV). | |
In 1989 I was diagnosed with HCV genotype 1. Shortly after my diagnosis, I was treated three times before being cured – daily injections of interferon (Intron-A) for 6 months; a high dose of daily injections of interferon (Infergen) for 10 months; a weekly injection of interferon (Pegasys) for 70 weeks. | |
After my diagnosis, I found that there was a lack of information about HCV available to patients and their medical providers. As a result, I decided to start the Hepatitis C Support Project (HCSP), an HCV Advocate Website, and a national training program to help educate and support people living with hepatitis C, their medical providers, and other advocates. | |
In 2013 I joined the UNC HCV-PEG. In 2019 I retired from UNC HCV-PEG, HCSP and HCV Advocate Website due to health concerns and did not participate in authoring this manuscript. I will cherish the memories and always be proud of the many people that were helped by my efforts. | |
Larry Huston (LH) | |
I am from a small town in North Carolina. I graduated high school in 1968 and East Carolina University in 1976. After graduation I moved to Richmond, Virginia where I got married, got divorced and used drugs to numb the disappointment. Despite myself, I worked hard and started a career selling merchandise to major retailers on the East Coast. As my business grew so did my drug use. | |
Love found me again and was married in 1990. I became a father and responsible for a family of five. Drugs became my escape. | |
On a routine physical, I was diagnosed with Hepatitis C, and my doctor gave me a choice: wait for the new drug options coming or go ahead with the current treatment plan. For the next 48 weeks I took Interferon, Ribavirin, and Telaprevir, and was cured. | |
During my treatment I met Donna Evon. She was my treatment “shrink.” She asked me if I would review a binder that she was putting together to help educate people on HCV. I was happy to help. I learned so much about HCV, most of which I was clueless. Donna was also establishing a PEG study and invited me to participate. In the meantime, I was reinfected and treated with Epclusa and cured again. 7 years later, I am still here. | |
My journey has been rewarding. I have learned so much about the HCV virus and treatment while meeting outstanding physicians and nurses. I have had a chance to work with my peers - free of judgment or prejudice. Today, I feel grateful and blessed to have been able to participate in such an important study. | |
Scott Kixmiller (SK) | |
My HCV journey began in 1998. While in treatment for Substance Use Disorder, I tested positive for HCV. I am certain I contracted it through IV drug use sometime between 1996 and 1998. I was afraid of what HCV was, but I spoke with a nurse at that treatment center who had knowledge of HCV and she provided me with a referral for further testing. In 1999, while seeing my gastroenterologist and my viral load had increased to over 9 million, I was invited to take part in a drug study using Interferon and Ribavirin. At the time, I was participating in 12-step groups and had several people who had experience with HCV treatment try to discourage me from getting treated with the drugs. They kept telling me that I would get depressed and that the medications would not work (at the time, one in ten successfully had sustained virologic response - SVR). I remember praying about it and one day, when I got home from work, I found in my mail an acceptance letter from Schering-Plough that said all my medications would be covered for the entire study. | |
I cleared my HCV at 12 weeks but continued to administer medication and remained in the study protocol for a total of 44 weeks. I remember giving myself a shot of what felt like a mild flu every day at first, then three times a week. I used my support network to help get me through the tough times. Since clearing, I have been tested periodically through the years and remain with SVR. | |
Nine years later, while pursuing a Master of Social Work degree, I found a position as a research assistant on one of Dr. Evon’s studies entitled, “A Randomized Controlled Trial of an Integrated Care Intervention to Increase Eligibility for Chronic Hepatitis C Treatment” [5]. I graduated in 2010 and became an addiction and mental health therapist as a Licensed Clinical Social Worker and Licensed Clinical Addictions Specialist in the state of North Carolina. Two years after the publication of Dr. Evon’s paper, I was invited to join the UNC HCV-PEG in August 2013. My experience as a master’s student enabled me to be able to volunteer as the lead author of our paper starting in early 2019. | |
Anquenette P. Sloan (AS) | |
I am what you may call a “military brat” born into a Marine Corps family living on Navy and Marine Corp bases until age 18 when I left to attend college. If you have spent any time around the military you know once a “brat” always, a “brat.” In the following 16 years I worked to finish my degree in Public Health working as a Personal Banker for a Record Company, as a Personnel Manager, and a Pizza Store Owner. I was married twice, had a blended family of 10 children: yours, mine, ours and someone else’s. Today, I am the proud grandmother of 15. My career in Public Health started at the height of the HIV/AIDS epidemic in the late 1980’s while working in the state of Ohio. I worked with the American Red Cross, the CDC, and the State Health Department of Ohio. For 28 years, I helped develop education programs and services for people living with HIV/AIDS and prevention programs as a Public Health Administrator Specializing in Infectious Diseases. I was appointed by the Governor to the State of Ohio Medical Board and served for 7 years. | |
My journey with HCV began unbeknownst to me in 1990 when I received blood products during a five-hour surgery. I never thought about HCV but during the years that followed I had fatigue, loss of appetite, and fever, which can be written off as anything. My life was so busy I never thought that I could have a disease and of course we were all tested many times for HIV because of the proximity to infected people. In 2008, I retired and moved back to North Carolina. In 2011, I had a life-threatening accident that caused brain damage and loss of some motor skills on my left side. I received the diagnosis of being positive for Hepatitis C while in the hospital. I was being treated at UNC and was referred to Dr. Donna Evon in 2012, where she and the team recommended that I wait for new medications to be made available before I received treatment. Dr. Evon invited me to join the UNC-HVC-PEG in 2013. I began treatment at the UNC Gastrointestinal Clinic through a medication assistance program in 2014. I used Harvoni for 12 weeks in 2015, cleared the virus, and remain virus-free. I serve as a Co-Chair of the PEG and a member of the Steering Committee. | |
Kim Thomas (KT) | |
For most of my adult life, I was dealing with a lengthy period of physical or medical problems that stemmed from an auto immune disease (HIV), which I contracted from my male partner of many years. Once getting out of denial and getting my health in alliance with a regimen of medications, I became undetectable and have been for over 20 years. | |
In between this time, I tested positive for HCV. Because I was already under a provider’s care, I was offered treatment under a research study that used a combination of daily Pegylated Interferon injections with twice a day Ribavirin medication. The study/treatment regimen was supposed to last 48 weeks, but because I did not respond to treatment, it was discontinued. | |
Later in 2013–2014, another new drug, Harvoni was introduced that my insurance paid for, so I began a 24-week regimen. It was successful and I was cured of HCV. Also, in 2013, my providers chose me to share my experiences and be a part of a randomized controlled trial which is an Integrated Care Intervention that is to increase the Eligibility for Chronic Hepatitis C treatment. I joined the UNC HCV-Patient Engagement Group and continue to be a regular contributor. | |
I have worked, volunteered, and retired at clinics and psychiatric hospitals. I started my career with a bachelor’s degree in Organizational Psychology Development with a concentration in Dual Diagnosis Disorders. | |
Summer Wadsworth (SW) | |
In the early-1980’s after severe flu-like symptoms, I was diagnosed with non-a/non-b Hepatitis now known as Hepatitis C or HCV. At the time, there was not much that was understood about HCV nor was there a treatment. I lived life with chronic pain, fatigue and was treated for depression. Still over the decades, I participated in local theatre, graduated college, got married a couple of times, had a daughter who is now in college, and taught middle and high-school theatre. Several years ago, I participated in an HCV clinical research trial but became anemic, had viral breakthrough, and had to discontinue the trial. Following a year post treatment failure, I decided to try again using standard of care treatment which included not only Interferon and Ribavirin but also Solvaldi. Within 12 weeks there were no levels of virus detected and I was considered cured. I used to like to say that I was living “harmoniously” with my hepatitis, but the truth is I really did not understand how sick I was until I wasn’t anymore. I joined the UNC HCV-PEG in August 2013 and am currently a Co-Chair representing the PEG and am a member of the Executive Committee. |