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   <title>Mark and Vinny&apos;s Blog</title>
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   <updated>2008-10-18T01:01:08Z</updated>
   
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<entry>
   <title>Mark&apos;s Testimony at NYC City Hall on City Term Limits Legislation</title>
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   <id>tag:www.markandvinny.com,2008:/blog//1.79</id>
   
   <published>2008-10-17T18:37:44Z</published>
   <updated>2008-10-18T01:01:08Z</updated>
   
   <summary>Mark de Solla Price Testimony on Friday, October 12, 2008 Public Hearings on New York City Term Limits Legislation Good evening. My name is Mark de Solla Price; it is a privilege to speak before you tonight and thank you...</summary>
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      <![CDATA[<strong>Mark de Solla Price Testimony on Friday, October 12, 2008  <a href="http://council.nyc.gov/html/action_center/term_limits.shtml">Public Hearings on New York City Term Limits Legislation</a></strong>

<img alt="Mayor Mike Bloomberg, Speaker Christine C. Quinn and Comptroller William C. Thompson, Jr." src="http://www.markandvinny.com/blog/Bloomberg.jpg" width="675" height="450" align=right>

Good evening. My name is Mark de Solla Price; it is a privilege to speak before you tonight and thank you for your perseverance at this late hour. I have lived in Manhattan since 1980 and live with my husband, Vinny Allegrini, in our small, rent-stabilized apartment in Greenwich Village since 1994. I’m speaking today in favor of extending current terms to being limited at three terms. I want to thank the Speaker Christine Quinn and City Council for the opportunity to hear from so many constituents like me.

Thirty years ago, U.S. Senator Hubert Humphrey said that “...the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; those who are in the shadows of life; the sick, the needy and the handicapped.”

I am one of those people in the shadows of life. I have been living with HIV/AIDS since 1983 and have been medically disabled for the last two years. Vinny is also living with AIDS and on disability, but he is mainly homebound these days, so today, I’ll be speaking on his behalf as well.

Vinny and I are two of more than 100,000 people in New York City who are living with HIV or AIDS. That’s approximately 1 out of every 70 people in this city. In my part of town, it’s one out of every four gay men who are HIV-positive.

And the folks most at risk in a time of great change are the more fragile members of our city, people like Vinny and me; our seniors, our children’s education, everyone’s healthcare and public safety.

Because our great city is the financial capital of the world, we are going to be one of those hardest hit by this once-in-a-generation financial crisis. It might well be a “perfect storm” of Wall Street losses, raising costs, escalating climate crisis and global political challenges. 

Our city’s elected political leaders will have to make unprecedented budget cuts for the next few years at the very least. We are not talking about merely some belt-tightening, a little trimming of fat or downsizing some programs. From a budget point of view, you folks are going to have to do what would have been unimaginable, unthinkable and inhumane only a year ago. And then we’re all going to have to work together to make it work, somehow.

Rather than take a hatchet to our city budget and have across the board cuts in all our programs, we need a scalpel to cut what we must, and save what we can, to build our best future together. That scalpel needs to be wielded by the most qualified and the most experienced elected officials both in this room and in the mayor’s office.

So who are those scalpel wielding political surgeons? As we all know, not only is our Mayor facing term limits in 2009, so too are two-thirds of our City Council members. I ask you to think about what effect that would have in this emergency situation. Now is not the time for on-the-job training and getting new folks up to speed. When the voters instituted two-term limits, it may well have been a great idea, but they could not have possibly foreseen the circumstances that we’d be in today. Is this really the time we want to lose our city’s remarkable leadership?

Mayor Mike Bloomberg is a compassionate pragmatist, a non-partisan, a titan of business, and one of the best mayors that this city has had in my lifetime. Our City Council is experience and one of the most effective and functional that we’ve seen in years.

One of the problems with being a voice of the disabled is that I am disabled. It is difficult for me to have the stamina to be here today. There are a lot of voices like Vinny’s who are not able to be here today, and I ask that you listen to them too, even in their absence.

As a Unitarian Universalist and the Board of Trustees chair of The Community Church of New York, I feel that it is my moral duty to advocate for the inherent worth and dignity of every person and to promote justice, equity and compassion in human relations.	

A true democracy is like alcoholics anonymous, where there aren't really any leaders just trusted servants acting on the group consensus. But the United States is a republic, where citizens select leaders who work for the good of those citizens, but those leaders make their own choices based on their personal intelligence, information and ethics and not necessarily the consensus view of their constituents. The most important, bold work can never be achieved just through popular consensus.

As a liberal democrat, I urge you to be republican today -- with a lower-case “r” -- and to do the bold thing that is most definitely in the best interests of the city and the voters by extending term limits in this time of crisis and opportunity.

Thank you.]]>
      
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</entry>
<entry>
   <title>Op Ed on &quot;Radicals of the &apos;60s, &apos;70s change with the times&quot;</title>
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   <id>tag:www.markandvinny.com,2008:/blog//1.78</id>
   
   <published>2008-10-09T23:00:00Z</published>
   <updated>2008-10-16T03:23:16Z</updated>
   
   <summary> The Toledo Blade ran a story titled &quot;Radicals of the &apos;60s, &apos;70s change with the times&quot; on October 9, 2008, which got some hate mail that I found objectionable. I posted the following response: If you believe in the...</summary>
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      <![CDATA[<img alt="Bill Ayers, Laura Whitehorn and other Radicals of the '60s, '70s change with the times" src="http://www.markandvinny.com/blog/Bill_Ayers_Laura_Whitehorn.jpeg" width="500" height="311" align="right">

<strong>The Toledo Blade ran a story titled "<a href="http://toledoblade.com/apps/pbcs.dll/article?AID=/20081009/NEWS09/810090364/-1/NEWS">Radicals of the '60s, '70s change with the times</a>" on October 9, 2008, which got some hate mail that I found objectionable. I posted the following response:</strong>

If you believe in the theory of our justice system, as I do, then ex-offenders have already been justly punished for their crimes and hopefully are rehabilitated. It is our job as a just society, to help ex-offenders be constructive members of our society.  That means working and living together with them. If they weren’t convicted (like Bill Ayers) then they must be assumed innocent. That’s our system. There are no throwaway people. Any other viewpoint is a self-fulfilling prophecy that causes recidivism.

As for Laura Whitehorn, not only has she paid her debt to society, the fact that after coming out of our unjust “justice system” she isn’t disillusioned, angry with society, and trained as a career criminal is a remarkable reflection of the quality of person she is. Instead, she’s been working tirelessly for the common good. That’s pretty uncommon. As an AIDS activist and author myself, I’m lucky to count Laura Whitehorn as a personal friend.

Don’t get me wrong, I don’t support all the radical activists’ actions from the 60s and 70s, but calling them “terrorists” isn’t very helpful. My mother joked that she was a “terrorist” in World War II in Copenhagen making daily life as difficult as possible for the occupying Nazis. I’m sure Harriet Tubman would have also been called a “terrorist” for her civil disobedience with the Underground Railroad and for women's suffrage. I know that there are sociopaths out there, but these folks certainly aren’t sociopaths. Their track records speaks for themselves. There is a lot wrong with our world, and we need all the help we can get to make things better. I too support Barack Obama for President, because the alternative for me is unthinkable.

-- Mark de Solla Price, New York, NY]]>
      
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<entry>
   <title>Pegasys Ate My White Blood Cells</title>
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   <id>tag:www.markandvinny.com,2007:/blog//1.77</id>
   
   <published>2007-12-25T05:17:19Z</published>
   <updated>2008-04-08T03:34:50Z</updated>
   
   <summary>Well, I&apos;ve taken WELL OVER 1,000,000 HIV/AIDS pills in my life and countless shots and procedures. Thanks to to speedy diagnosis hepatitis C genotype 1a/1b and polycythemia and an aggressive 48-week Ribavirin/Pegasys (alpha interferon) treatment, Mark will be one of...</summary>
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      <![CDATA[Well, I've taken WELL OVER 1,000,000 HIV/AIDS pills in my life and countless shots and procedures. Thanks to to speedy diagnosis hepatitis C genotype 1a/1b and polycythemia and an aggressive 48-week Ribavirin/Pegasys (alpha interferon) treatment, Mark will be one of the lucky few who become actually cured of hepatitis C by the time you read this. The next step is unknown; how quickly will he recover from the toxic consequences from treatment and to what level of function will he rebound to?

Before starting Hep C treatment, I had so much fatigue that I couldn't function, and I was ready to try anything. I had expected these additional treatments to be "more of the same" -- sure, with their unique side effects and related nastiness.

Hep C treatment, for me, was much more like chemotherapy. I've spent 60%+ of the last year sick at home. I can't imagine folks who can work through this, or care for kids, or even keep active in a hobby.

My T-cells went from 450 to 83 or less

On Halloween 2007, I had my blood test (pretty normal stuff) and I had ALL THREE of my Doctors (Paul Chambliss, Leslie Seecoomar and Randy Levine) ALL called me urgently. I had never seen lab reports that actually had a bold and underlined "<strong><u>Alert</u></strong>" message.

Within 24 hours, I had gotten messengered over $10,000 for ten syringes of Neupogen, that would boost my white blood cells just enough to keep going with the toxic treatments. 

<img src="http://markandvinny.com/blog/images/Lab_Alert.jpg" width="784" height="570" alt="Lab_Alert.jpg" hspace="10" align="left" />]]>
      
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<entry>
   <title>Mark and Vinny Holiday Letter 2007</title>
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   <id>tag:www.markandvinny.com,2007:/blog//1.76</id>
   
   <published>2007-12-25T04:19:56Z</published>
   <updated>2008-04-08T03:04:49Z</updated>
   
   <summary> In 2008, we will celebrate 15 years together. Our annual Holiday Cards embrace diversity with a multi-cultural/multi-faith inclusive, secular and atheist-friendly message. You can see past cards on our website. Up until a few years ago, we also wished...</summary>
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      <![CDATA[<img src="http://markandvinny.com/blog/images/Holiday_Wishes.jpg" width="500" height="380" alt="Holiday Wishes.jpg" hspace="10" align="right" />

<img src="http://markandvinny.com/blog/images/Mark_Vinny_Troika_on_Pier_2007.jpg" width="500" height="833" alt="Mark Vinny Troika on Pier.jpg" hspace="10" align="right" />

In 2008, <strong>we will celebrate 15 years together</strong>. Our annual Holiday Cards embrace diversity with a multi-cultural/multi-faith inclusive, secular and atheist-friendly message. You can see past cards on <a href="http://www.MarkandVinny.com/gallery"> our website</a>. Up until a few years ago, we also wished “Remarkable Ramadan” but because of a quirk of the Islamic calendar, Ramadan migrates through the seasons (this year it was Sept. 13 to Oct 12), so this year’s omission is one of timing, not because we aren’t inclusive of Islamic faith.

In many ways Vinny is more active and happy than he’s been in years. He’s still living with AIDS and end-stage liver disease from hepatitis B. He is also now diagnosed with narcolepsy; like the tin man, he can get stuck mid-action. Back in July, he was hospitalized with aspiration pneumonia from falling asleep while drinking water.

In 2008, <strong>Mark will have been HIV-positive for 25 years</strong>. He’s positively not dead yet either (wink). But this last year has been a difficult one. His HIV disease is still well managed, but as we wrote last year, in October 2006, Mark was also diagnosed with hepatitis C genotype 1a/1b and polycythemia. Thanks to speedy diagnosis and an aggressive 48-week Ribavirin/Pegasys (alpha interferon) treatment, Mark will be one of the lucky few who become actually cured of hepatitis C by the time you read this. The next step is unknown; how quickly will he recover from the toxic consequences from treatment and to what level of function will he rebound to?

Being largely homebound has given Mark the opportunity to focus on his writing again, including <strong>starting a new book</strong>, blogging for POZ, a few public speeches and <strong>Alternative Conflict Resolution</strong> training as a <strong>professional Mediator</strong>. We’ve both become more involved at <a href="http://www.ccny.org"> Community Church of New York Unitarian Universalist</a>.

I’m sorry to write that Mark’s sister Linda Demichele’s fiancé, Andy Zartolas, died on November 26 after a really difficult year (both for Linda and Andy). Andy had a kidney transplant back in 1993, and his on-going story was inspirational. He really knew how to battle chronic illness the way we have. Andy was wise, caring and his encyclopedic knowledge, conversation and dry sense of humor will all be missed.

For our latest news with all the details, web links for more information, lots of photo galleries, and Mark’s various writings, visit our website: <a href="http://www.MarkandVinny.com">www.MarkandVinny.com</a>]]>
      
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<entry>
   <title>Health and Sicko</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/06/health_and_sicko.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.75</id>
   
   <published>2007-06-28T04:30:00Z</published>
   <updated>2008-04-08T03:09:04Z</updated>
   
   <summary>First of all, I’m overwhelmed by the positive feedback, e-mails and cards I’ve gotten from my audience (both live and on the internet) for my the Pride 2007 speech that I gave this last weekend. If you’ve come looking to...</summary>
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      <![CDATA[First of all, I’m overwhelmed by the positive feedback, e-mails and cards I’ve gotten from my audience (both live and on the internet) for my the <a href="http://www.markandvinny.com/blog/2007/06/pride_diversity_and_assimilati.html">Pride 2007</a> speech that I gave this last weekend. If you’ve come looking to read that speech, you can either scroll down to the next blog entry or <a href="http://www.markandvinny.com/blog/2007/06/pride_diversity_and_assimilati.html">follow this URL</a>.

Today I give myself <strong>Pegasys</strong> shot number 25, so I’ve just past the half-way point in my <strong>48-week Pegasys/Ribavirin treatment</strong>. Both my 12-week and 24-week <strong>hepatitis C viral load was has been undetectable,</strong> which means that the treatment is an unqualified, total success. That’s a wonderful but rare outcome for folks like me with hepatitis C genotype 1a/1b.

Successfully battling the hepatitis C has come at a pretty high cost, though. My t-cells have plummeting to 151 (my all-time low, where they seem to be staying) but at least my HIV viral load remains undetectable too. I'm also now on <strong>Bactrim</strong> to ward off <strong>Pneumocyctis Pneumonia</strong> (PCP).

<strong>Each weekly shot incapacitates me for a good four-plus days at a time, so I only have two really human days each week.</strong>

In June, <strong>my muscle aches, pains and spasms</strong> have gotten a lot worse. These are the direct effect of the anti-virus fighting of the regime. Think of how your body aches when you have the flu. The muscles (and skin) are the immune system’s battleground against viruses.

I’ve always had really muscular calves and thighs. Great as a gay man in New York City. Not so good recently -- the bigger the muscle, the more it can hurt. On those bad nights each week, I’d use an electric massager on my leg muscles, take a few <strong>Flexeril</strong> (a muscle relaxants) and then soak in one or two <strong>hot baths</strong> during the night. I’ve switched to <strong>Skelaxin</strong>, which is a new and really expensive drug (both to my insurance company and to me with the $50 co-pay), but it’s working for now, which makes all the difference.

Two weeks ago my doctor sent me for urgent tests in the hospital to figure out <strong>why my right leg developed a vascular bump the size of cherry tomato which hadn’t been there two weeks before. </strong>It’s not a blood clot, so we’ll worry about fixing it after the Pegasys 48-weeks are over.

This week, I went in for a <strong>tongue biopsy</strong> (and culture) to figure out <strong>why some of my taste buds are the size of small capers</strong> or large grains of rice. No word yet. It may well be the same direct effect of <strong>Pegasys</strong>, just like the skin rash/hives I used to get an now treat with lots of antihistamine before and after each shot. 

<hr>

<strong>I always give myself my Pegasys injection on Tuesday at bedtime,</strong> but due to some <strong>uncharacteristically poor planning on my part</strong>, coupled with 90+ degree weather in New York City (32 degrees Celsius), which <strong>slows the shipping and delivery of this multi-thousand dollar refrigerated package of four syringes, </strong>I had to wait until tonight, Wednesday night.

Medically, being a day late with the injection once every few months isn’t ideal, but certainly isn’t a crisis either.

<strong>From my point of view, getting a whole extra good day is major.</strong>

I need to schedule my whole life in my Mondays and Tuesdays. Dinner with friends, long chats on the phone, doctors appointments, working out at the gym, grocery shopping and household chores, filling out the endless medical paperwork, paying bills, and e-mailing friends, posting to this blog. It all has to happen in those two days. The other five days, I often don’t answer the phone, check my e-mail or do much of anything. My week's worth of life compressed into two days each week.

<strong>Today was like found money. An unplanned, EXTRA Good Day.</strong> Vinny happened to be away for a couple of days visiting his sister in Connecticut, I could do ANYTHING. Well, with <strong>decidedly limited physical stamina</strong>, <strong>even more limited finances</strong>, <strong>a knee-brace (to stop the vascular bump from getting worse)</strong>, and <strong>90 degrees Fahrenheit</strong> (32 degrees Celsius) <strong>with 75% humidity</strong>, perhaps I could do SOMETHING special.

<img src="http://markandvinny.com/blog/images/Michael_Moore_Sicko_Movie.jpg" width="500" height="739" alt="Michael Moore Sicko Movie Poster" hspace="10" align="right">

As you may have guessed from the large image to the right, aside from being able to write this blog entry, I went to an afternoon showing of <a href="http://www.michaelmoore.com/sicko/">Michael Moore’s new film Sicko</a>, which opens everywhere else on June 29, but opened a week early in New York. 

As a lefty-liberal, I like Michael Moore’s previous work (<strong>Fahrenheit 9/11</strong>, <strong>Bowling for Columbine</strong> and the TV series <strong>The Awful Truth</strong>). More importantly, I think regardless of if you love him or hate him, Michael Moore’s work promotes a controversy that makes people think and talk and not just blindly support their side. Sicko isn’t partisan and even historical Moore-bashers like FOX News have praised this film.

<strong>I found <a href="http://www.michaelmoore.com/sicko/">Sicko</a> an incredibly moving film. I urge everyone to see it!</strong>

The audience I saw it with (an afternoon show near Lincoln Center) <strong>audibly laughed, cheered, gasped, wept</strong> (you could really hear the sobs) and we all gave a resounding applause at the end, the way you would for a live show. They even waited silently until the very end of the credits. Partially because they wanted to read about what we just saw. And partially because we all needed a few minutes to recover before returning to the world outside the movie.

After I left the theater, I needed to go for a long walk in <strong>Central Park</strong>, down <strong>Writer’s Walk</strong> to the <strong>Great Mall</strong> to <strong>Belvedere Fountain</strong>. It one of Vinny and my favorite walks. These days it always reminds me of <strong>Angels in America</strong>, both the play and HBO movie.

How did this great country, the richest and most powerful nation the earth has ever known, end up with such a <strong>broken health care system</strong>? So far from <strong>Universal Health Care</strong>, that is considered to be <strong>a basic human right</strong> in all the rest of the developed world. Of course, I don’t really mean “<strong>how did it happen?</strong>” but rather “<strong>how can we fix this?</strong>”

As catastrophically broken as the system is, would it even be possible to federalize all the hospitals, doctors and rest of the health care system? What happens to the <strong>Big Pharmaceutical</strong> companies? <strong>Big Insurance</strong> companies? Can we close them ALL overnight like we closed the bars, breweries and distilleries during the prohibition of alcoholic beverages in the US from 1920 to 1933?

<img src="http://markandvinny.com/blog/images/Captain_Jack_Harkness.jpg" width="500" height="750" alt="John Barrowman as Captain Jack Harkness in Torchwood on BBC " hspace="10" align="right">

I WOULD like to think we can change things before it’s too late – I am gay and positive, after all <grin>

The more burned out side of me wonders if that <strong>Vacation to London</strong> that Vinny keeps promising me at the end of this whole treatment year shouldn’t become our <strong>Emigration to England instead</strong>.

How much of our daily battles would just go away living under <strong>socialized medicine</strong>, not to mention <strong>legal recognition of being a same-sex couple</strong>.

In my case, it might even be considered to be <strong>repatriation</strong> rather than emigration. Both parents and both siblings were British subjects when I was born in New Haven, Connecticut. I have both a British and an American birth certificate. As a child, I had to travel on a British passport, as being an American was too dangerous in many parts of the world – just like it is today.

I’m probably too much a life-long New Yorker to ever leave. Besides, our apartment is rent stabled in a national landmark neighborhood.

I guess I’ll just have to stay content as an expatriate having scones at <a href="http://teaandsympathynewyork.com">Tea and Sympathy</a>  and ordering my British TV shows on DVD from <a href="http://Amazon.co.uk">Amazon.co.uk</a> that only play on a special UK-only DVD unit.

It’s worth it, though. The best show on TV isn’t available here in the US. It’s the BBC dark and sexy adult science fiction <a href="http://www.bbc.co.uk/torchwood/">Torchwood</a> (a spin-off from the new <a href="http://www.bbc.co.uk/doctorwho/">Doctor Who</a>) stars the out gay hunk and Broadway singer <a href="http://johnbarrowman.com/">John Barrowman</a>  as <strong>Captain Jack Harkness</strong> – he’s the world’s only main-stream polysexual superhero (see right).

After I posted this blog entry, I got an e-mail that <a href="http://www.bbc.co.uk/torchwood/">Torchwood</a> is coming to the US on <a href="http://www.bbcamerica.com/">BBC America</a> this September. <strong>It gives me hope for the USA in twenty-first century!</strong>]]>
      
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<entry>
   <title>Pride, Diversity and Assimilation</title>
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   <id>tag:www.markandvinny.com,2007:/blog//1.74</id>
   
   <published>2007-06-24T16:00:00Z</published>
   <updated>2008-04-08T03:24:10Z</updated>
   
   <summary> [Here is the text of Mark’s remarks for Pride 2007] About once a year as I’m hurrying along on the sidewalk in mid-town Manhattan, someone comes up to me on the street and asks if I’m Jewish. Well, my...</summary>
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      <![CDATA[<p><img src="http://markandvinny.com/blog/images/Pride_2007_1.png" width="500" height="776" alt="2007 Pride Program Page 1" hspace="10" align="right">

<img src="http://markandvinny.com/blog/images/Pride_2007_2.png" width="500" height="776" alt="2007 Pride Program Page 2" hspace="10" align="right">

<img src="http://markandvinny.com/blog/images/Pride_2007_3.png" width="500" height="777" alt="2007 Pride Program Page 3" hspace="10" align="right">

<img src="http://markandvinny.com/blog/images/Pride_2007_4.png" width="500" height="776" alt="2007 Pride Program Page 4" hspace="10" align="right"></p>

<p>[Here is the text of Mark’s remarks for Pride 2007]</p>

About once a year as I’m hurrying along on the sidewalk in mid-town Manhattan, <strong>someone comes up to me on the street and asks if I’m Jewish.
</strong>
Well, my father was a British Atheist and in the 1930s a Communist from a rather well known <strong>Sephardic Jewish</strong> family – that’s the “<strong>de Solla Price</strong>” part of my family name. My mother was a Danish Atheist and Communist from the same era who was Christened in the Lutheran Church, but had almost no other church attendance since.

For my parents religion, like nationalism, was something that separated people into groups of “us” and “them” and caused hostility and intolerance.

As a child, I was a devote Atheist, being quite vocal in my silence during anything god-related in public school or boy scouts. As a very little child, I would sit defiantly as my classmates stood and recited the <strong>Pledge of Allegiance</strong>. My mom found it chillingly close to the forced Nazi pageantry of her school years in occupied Copenhagen during the war.

My parents would read to me fairytales by <strong>Hans Christian Andersen</strong>, stories from <strong>One Thousand and One Arabian Nights</strong>, Classic Myths from the Greeks, Romans, and Vikings. All sorts of folklore and legends, from all over the world. There were tales of <strong>King Arthur</strong> and <strong>King Solomon</strong> and <strong>Martin Luther King, Jr.</strong> with illustrated histories and biographies.

As a family, we celebrated <strong>Halloween, Thanksgiving, Christmas, Passover and July 4th</strong> with equal secular enthusiasm with feigned an ignorance that others might attribute some religious meaning to any of these.

As a teenager at <strong>The Choate School</strong>, where I lived during my high school years, I learned that I was considered to be Jewish regardless of my views on religion. And the rebel in me was quite proud of that badge of honor. In my junior year, it even had the fringe benefit of my being invited to dinner with <strong>Golda Meir</strong> at the Waldorf-Astoria Hotel.

As an adult I found my own spirituality as a mix of <strong>Quaker</strong>, <strong>Taoist</strong>, <strong>Native American</strong>, <strong>Jewish</strong>, <strong>Universalist</strong> and <strong>Humanist</strong>. Today, I think of myself as a <strong>humanist Unitarian Universalist</strong> and pretty non-thetics. I’ve been a member of <a href="http://ccny.org">Community Church of New York Unitarian Universalist</a> since 2003.

Although the <strong>Unitarian Universalist</strong> movement branched off from liberal Christianity, a recent study found that today <strong>most members identify themselves as Humanist</strong> (54%), followed by <strong>Agnostic</strong> (33%), <strong>Earth-centered</strong> (31%), <strong>Atheist</strong> (18%), <strong>Buddhist</strong> (16.5%), with <strong>Christian</strong> (13.1%) and <strong>Pagan</strong> (13.1%) being tied for smallest segment.

Naturally, all that’s too much to say when asked on the street corner, so at first I said “<strong>why yes, I am Jewish</strong>”

And that lead to my being hustled off the street corner into a nearby waiting van. No, this wasn’t some anti-Semitic hate crime. The “Mitzvah Van” (the Hebrew word for “Good Deed”) was there so I could be “helped” by an ultra-Orthodox Lubavitch Hasidic Jew to and have “the word of the lord” – as in Tefillin or little leather boxes with excerpts from Deuteronomy – tied onto my hand, and head and being coached to repeat a phonetic Hebrew so I could perform my morning prayers. Not my idea of them doing me a good deed.

After that experience, I now answer “No, I’m not a religious Jew.” But of course, my Jewish family heritage is very important to me, and I treasure a whole host of traditions, stories and heirlooms.

Today, being “Pride Sunday” got me asking, like the quintessential Broadway musical <strong>A Chorus Lin</strong>e, “Who am I anyway?” What am I proud of?

Well, that’s not easy to answer. Politics is something that defines me and I’m proud of.

<strong>Senator Barack Obama</strong> wrote in his 2006 book, “<strong>The Audacity of Hope</strong>”:

I am a Democrat, after all; my views on most topics correspond more closely to the editorial pages of the New York Times than those of the Wall Street Journal. I am angry about policies that consistently favor the wealthy and powerful over average Americans, and insist that government has an important role in opening up opportunity to all. I believe in evolution, scientific inquiry, and global warming; I believe in free speech, whether politically correct or politically incorrect, and I am suspicious of using government to impose anybody’s religious beliefs – including my own – on nonbelievers. Furthermore, I am a prisoner of my own biography: I can’t help but view the American experience through the lens of a black man of mixed heritage, forever mindful of how generations of people who looked like me were subjugated and stigmatized, and the subtle and not so subtle ways that race and class continue to shape our lives.”

Okay, from that I think I’m clearly a Democrat too, although I have crossed party lines for particular candidates and issues in the past, but luckily my mother never found out.

From my work with HIV/AIDS, I know that there are lots of MEN who like to have sex with other men, but consider themselves heterosexuals, not even bi-sexual. We know that <strong>Abraham Lincoln</strong> (1809 –1865), <strong>Eleanor Roosevelt</strong> (1884 –1962) and <strong>George Washington Carver</strong> (1864 -1943) all had multi-year, live-in same sex lovers, but none of them would consider themselves to be gay.

It's kind of like "<strong>being a vegetarian</strong>" which to some folks means only eating plant-based foods, to others it includes fish and eggs, and other it's that they don't eat red meat except when they do.

That duality must add lots of stress to live. Vinny, you don’t have to worry; this has never been a borderline issue for me. Clearly, I’m 100% gay male.

<strong>What else defines who I am as a person?</strong>

I’m also the author of a book, a magazine and blog writer, subject of various newspaper, magazine, TV stories and even an HBO documentary. I’m political and civil rights activist, never missed voting, even in the local elections and a second-generation life-long ACLU member,. I’m married to a same-sex husband, I’m a person who lived with HIV since 1983 now living with AIDS, I’m the long-time caregiver of a chronically ill spouse; we live with Troika, a Doberman-mix dog rescued from hurricane Rita and from Texas. (making our adopting her a double Mitzvah)

For thirty years, I was a technology consultant, but for the last six months, I’ve been out on disability while I my body and mind undergoes some pretty brutal weekly anti-hepatitis C treatments, so I can’t really claim any business card title right now, which feels odd. Although I still am an avid reader and a Macintosh and TiVo user.

Ethnically and culturally, I’m Danish, English, and Jewish; Vinny’s culturally Italian and toughly recovered from being raised Catholic.

Well that was a pretty long list of important parts of who I am. But today is the Gay Pride parade, so let me talk about that part for a bit, and then get back to those other things.

Thirty-eight years ago, on June 27, 1969 a bunch of local fags, dykes and drag queens hanging out at Stonewall Inn, the local gay bar on Christopher Street at Seven Avenue, got feed up of being shaken down by the routine corrupt cops. The ensuing riot lasted for days. In hindsight, it is often used to mark the start of the modern Gay, Lesbian, Bi- and Transgender Civil Rights movement here in America.

My friend <strong>Dennis Daniel</strong> from POZ Magazine, did a little research on the original news coverage of those riots:

<strong>The New York Post</strong> ran the simple headline "Village Raid Stirs Melee"

<strong>The New York Times</strong>, told a more in-depth version: “<strong>Four Policeman Hurt in 'Village' Raid / Melee Near Sheridan Square Follows Action at Bar"</strong>

<strong>New York Daily News</strong> had, how shall I say, it’s own point of view with the headline "<strong>Homo Nest Raided / Queen Bees are Stinging Mad</strong>"

To mark the year anniversary of the riots, on last Sunday in June 1970 there was an angry politically rally that demanded “gay liberation” and “gay power” It was a protest and defiantly NOT a parade anymore than the 1965 march out of Selma, Alabama was a parade.

But over the years a funny and wonderful thing happened:

Mae West is quoted as saying “For a long time I was ashamed of the way I lived.” To which a reported asked “Did you reform?” and Mae quipped back “NO! I’m, just not ashamed anymore.”

We learned, from the Black Power movement that “Black is Beautiful” and that taught us that “We’re Here, We’re Queer, and We’re Fabulous” – we learned to be proud of being gay.

By the time as a teenager in the late ‘70s, when I first marched in New York City’s Gay Pride Parade, it was a rite of passage for me. I’m an adult. I’m sexual! The gay disco party parade was in high gear, pun intended. 

The early 1980s were a GREAT PARTY and there are lots of amazing stories to tell from that era. Unfortunately the details are a little fuzzy in my mind. Luckily, since I worked at Studio 54 and some of the other legendary discos of the age, I was able to be on camera and identified in print, so I have an archive of photos, clippings and memorabilia that reminds me of the events, even when the brain cells are missing. Yup, that’s me in the photo.

Even more Unfortunately, this was also the ground zero for HIV infection in America. By the end of the 1980s, 150 of my friends and colleagues and dance buddies would be scratched out of my address book by the virus.

For many of us, it’s stopped being a parade and returned to a defiant protest. I was part of the Healing Circle, dressed all in white with custom T-shirts for the day announcing that “Love Heals”. Every few blocks, we’d form a circle, bang on chimes and chant in a new age way.

A drag queen came up to our group and said “I love heels too – just can’t walk in flats” and I realized that it was both a march and a parade. That was the same year a I famous disco star looking cadaverous was pushed in a wheelchair down Fifth Avenue waiving. I vowed I would never miss marching in the Gay Pride Parade.

Then another 100 of my friends died, and it was harder to protest and harder to party. I retreated to the Connecticut shores for a few years to lick my wounds, heal my soul.

Well, I’ve been back in New York for well over a decade now, but haven’t returned to either marching or parading, not because I’m not proud of being gay, nor that I’m not mad as hell and not going to take it anymore, but there are lots of facets to who I am, and lots of things worthy of celebration.

When I asked Vinny, what made him proud of his Italian heritage, he was quick to answer: Art, architecture, design, fashion, Opera, passion, <strong>Leonardo da Vinci</strong> (1452 – 1519), <strong>Michelangelo</strong> (1475 – 1564), and <strong>Gianni Versace</strong> (1946 – 1997). Great food and the best red wine – especially those from the <a href="http://allegrini.it">Allegrini Family Vineyards</a>, just north of Verona in northeastern Italy.

When contemplated my Danish heritage, I thought of the sensible Socialist Order of things, of the architecture and modern design and <a href="http://Tivoli.dk">Tivoli Gardens</a> (my favorite place in the world) and a few dozen cakes, pasties, and candies that I know fondly by Danish name. Then I thought of a story my mother told of the Danish king of her dark childhood days:

During the Nazi occupation of Denmark, <strong>King Christian X</strong> (1870 –1947), would ride on horseback through Copenhagen each day as a defiant symbol of Danish sovereignty. The king even refused to have of the Nazi flag over <strong>Christiansborg Palace</strong>. During the Nazi occupation, a senior general raised the Swastika anyway. The king instructed him to remove it. When the general refused to do so, the king declared, "Then a Danish soldier will remove it." The German officer said that such a soldier would be shot. The king's reply was "I think not. For I shall be that soldier." The general immediately ordered the removal of the flag

Remembering that story help me understand that figuring out who I was as a person and what my heritage was. It does not require some personality quiz like eHarmony- with a laundry list of check boxes. It’s about learning and retelling the our cultural myths and legends.

I needed to return to those fairytales and folklore I learned a child. These are not just fiction. They are our profound truth. They are who we are as people.

Our heritage does not require that you carry some particular inherited DNA. We are all children of the earth and all worlds’ epic stories and myths are our legacy. We just have to figure out which ones resonate with each of us.

At our annual Passover Seder as we celebrate it here at Community Church, we are told to each new generation, that we are all Jews freed from Slavery.

In this same way, we are all proud drag queens and queers at the Stonewall Inn on of June 28, 1969 who said, “never again to being shaken down by the corrupt cops and beaten up by intolerant thugs.

We are all Danish subjects living under all powerful and seemly invincible Nazi regime, but watch our noble king defiant riding free, showing us that – just by the power of right – we all will eventually triumph and be free ourselves.

We are all segregated but proud black men and women who shared a dream on August 28, 1963 on the steps of the Lincoln Memorial with Dr. Martin Luther King, Jr. 

We are all the impassioned protester standing proudly alone against the unstoppable force of a whole column of tanks in Tiananmen Square on June 5, 1989.

For years and years, my late mother did a weekly radio op-ed piece similar to Andy Rooney where she’d comment on the state of the world. These 90-second nuggets would be broadcast throughout the week. Each segment always ended “and I’m <strong>Ellen de Solla Price</strong>, and that’s my point of view” Everywhere she’d go, bank tellers, shop clerks, business executives would recognize her name and love her or hate her.

Mostly she talked about political issues and social injustice in a way that got folks to notice. Some time between Thanksgiving and Christmas, however, she’d kept returning each year to her reminder that although Men are far more visible in the world of politics and business, it is the Women – our wives, our mothers and our grandmothers – who were the keepers of our cultural identity, our ethnic heritage and our family traditions. These women taught us how birthdays were supposed to be celebrated, how Christmas was supposed to look and feel, and holiday dinners were supposed to taste.

In honor of today’s Pride Parade, I’d like to ask you to think what stories made you proud of who you are? Re-read these stories. Re-rent those videos. Tell the stories to your children, your friends at parties, or to a web-cam for YouTube. Write them down, type them up, or post them on-line. Who you are, who you will be, and who you will be remembered as, are all determined by the stories you choose in your life. I know many of you here today. You’re not a shy bunch, nor have you lived dull boring lives. Go tell some impassioned stories!]]>
      
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</entry>
<entry>
   <title>Mark &amp; Vinny 14 Year Anniversary</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/06/mark_vinny_14_year_anniversary.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.73</id>
   
   <published>2007-06-19T17:43:45Z</published>
   <updated>2008-04-08T03:26:23Z</updated>
   
   <summary> This past weekend marked the fourteenth anniversary of the day in 1993 when Vinny and I met and were randomly assigned to work together at a Marianne Williamson HIV support group in New York City. And those 14 years...</summary>
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      <![CDATA[<img src="http://markandvinny.com/blog/images/Mark_Troika_Vinny.jpg" width="499" height="800" alt="Mark Troika Vinny and Calla Lilies" hspace="10" align="right">

This past weekend marked the fourteenth anniversary of the day in 1993 when Vinny and I met and were randomly assigned to work together at a <strong>Marianne Williamson</strong> HIV support group in New York City.

<strong>And those 14 years together were lived with AIDS, so there should be a multiplier, like there is for dog years.</strong> Although we've both had to face so many life-and-death obstacles which at the time really sucked, being told that we really don't have too much more time alive together has made us seize the day and take that extra effort to makes those moments special. And all those quality moments add up to lots of happy years of lives well lived. 

Hell, Vinny lived for <strong>four years with home hospice care and "only weeks to live"</strong> and still isn't dead yet either. Taking turns at being caregiver helps, but of course there are those times when we both need to be taken care of, and Troika does the best she can (being a dog and all).

Actually, when one of us is sick, <strong>Troika really does act like a mother caring for a sick puppy</strong> with licks on what hurts and snuggling up or standing guard nearby in her Sphinx-like guard posture. Unfortunately, being on <strong>Pegasys/Ribavirin</strong> means that Troika spends altogether too many days staying close by me.

<strong>In 1995, we had a big wedding</strong> with 125 guests in the garden of my brother's Wilton, CT home and were married by my brother's Rabbi, <strong>Chuck Lippman</strong>, who insisted that he wouldn't do a "civil union" ceremony, only a wedding. Pretty revolutionary for those days.

Vinny and I wrote our vows together in Strawburry Fields in Central Park and had them made into a wedding <strong>Ketubah</strong> or contract that all our family, friends and other wedding guests signed. In the Quaker tradition that a couple isn't married under the authority of a church or state, but under the care and stewardship of those attending. This seemed particularly appropriate for a gay wedding in 1995.

We even got a congratulatory note from note from <strong>President & Mrs. Clinton</strong>

In 2000 I had made the required small donation to the Vatican to purchase a blessing. I expected to be turned down, so I could protest. Instead we got a hand-calligraphied blessing on our fifth anniversary from <strong>Pope John Paul II</strong>. 

You can see photos of all this stuff at <a href="http://www.markandvinny.com/Wedding/">markandvinny.com/Wedding</a>

 In 2003, after two years of hospice care for Vinny, we renewed our vows with the hospice champlin, who happend to be a Catholic Priest, <strong>Father Cesar Espinoda</strong>.

Finally, in 2005, we got married legally in Provienceton, MA at the <a href="http://uumh.org">Universalist Meeting House</a> by <strong>Rev. Alison Hyder</strong>.

With all those multi-cultural marriages and aniversaries, you can see why we choose to celebrate the day we met. Vinny's said that he won't marry me again until we can do it in a way that's Federally legal <grin>

The photo above is Mark (left), Troika (middle) and Vinny (right) with 15 Calla Lilies (my favorite flower, 14 + 1 to grown on). The painting behind us is my Great-Great-Grandfather, <strong>Benjamin de Solla</strong> (1816 - 1894) who was a Professor of Music at the Guild Hall in London.]]>
      
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</entry>
<entry>
   <title>Six-Month Anniversary on Disability</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/05/sixmonth_anniversary_on_disabi.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.72</id>
   
   <published>2007-05-31T01:00:00Z</published>
   <updated>2008-04-08T02:13:42Z</updated>
   
   <summary>I love the Memorial Day holiday here in the US. It is the unofficial beginning of the summer, especially in New York City. The bulky Winter clothes are replaced with skimpy Summer fashions and everyone seems to plan frequent escapes...</summary>
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      <![CDATA[I love the <strong>Memorial Day</strong> holiday here in the US. It is the unofficial beginning of the summer, especially in New York City. The bulky Winter clothes are replaced with skimpy Summer fashions and everyone seems to plan frequent escapes to the beach, mountains or "their country place."

This week is also the six-month anniversary of my having to stop working at <strong>POZ Magazine</strong> and having to go out on disability.

As those of you have been reading along, you’ll know from my description of my experience with <strong>Pegasys/Ribavirin</strong> treatment, it’s been pretty brutal for me. I take my shots on Tuesday night, and then spend about 70% of the rest of my week -- sleeping, aching or waddling through with my scrambled brains and precious little strength, stamina, or focus.

It’s been two months since I was last able to post to this blog. Frankly, these two months from end of February through the end of April are one long blur. Each week’s treatments knocking me down just as I started to be human again.

<strong>But from the end of April and May, things got a LOT better, with a whirl-wind of good things filling my precious few good days, so there just wasn't the time left to blog. I apologize for posting such a long and fact-filled entry, but there's so many details I've been wanting to share as soon as I was able, and that's now!</strong>

<hr>

Back in October, when I was first diagnosed with hepatitis C, we ran an <strong>RNA analysis</strong> that showed that my <strong>hepatitis C is genotype 1a/1b</strong>. This type is the most common with gay men in the US but unfortunately it’s the least likely to respond to treatment.

I’ve heard that as many as 80% of folks like me are kicked out of <strong>Pegasys/Ribavirin</strong> treatment after the 12-week lab-tests because the treatment just isn’t doing enough good to be worth all the pain, suffering and other ill effects. Naturally, I was worried as there aren’t really any other good options for treatment.

<strong>Before treatment my hepatitis C viral load was 42,900,</strong> after 12-week of Pegasys/Ribavirin treatment my <strong>hepatitis C viral load was measured as (drum roll, please) UNDETECTABLE.
</strong>

<img src="http://blogs.poz.com/mark/upload/HCV_RNA.jpg" width="672" height="190" alt="HCV RNA Undetectable" hspace="10" align="center">

Clearly good news. Most of my other blood tests were keeping about the same -- my CD 4 T-cells did drop of 304 to 154, but the probably bounce back after treatment.

Being a math geek, I had brushed up on the math formulas I'd need to understand the relative meaning of the test results.

Please feel free to skim over the next section, <strong>How To Compare Viral Load Test Results</strong>, which is more of a technical tutorial and pick up my story again at <strong>Mark's Treatment A Spectacular Success!</strong>

<hr>

<strong>How To Compare Viral Load Test Results</strong>

One can’t just compare viral load numbers (of hepatitis or HIV or any other virus), as the significance of viral load  is <strong>not linear but logarithmic</strong>.

If the relationship were <strong>linear</strong> (which it’s not) 100,000 would be twice as bad as 50,000, three times as bad as 33,333, and four times as bad as 25,000.

Since significance of viral load change is <strong>logarithmic</strong> 100,000 is twice as bad as 10,000, three times as bad as 1,000 and four times as bad as 100.

As a math geek, I'd write the formula as:

<strong>Measure of Improvement = log (starting value) - log (ending value)</strong>

Luckily, anyone who has access to a computer with <a href="ttp://docs.google.com/">Google Documents</a> (or Excel) can use a spreadsheet to do the math for them. You can even do all the math from the Google search window in any web browser, as it has a built-in calculator. I'll show both ways. First the spreadsheet method, so you see all the steps.

Since my starting value for <strong>hepatitis C viral load</strong> was measured as <strong>42,9000</strong>, I typed the following into the spreadsheet cell:

<img src="http://blogs.poz.com/mark/upload/%3Dlog%28429000%29.jpg" width="181" height="60" alt="formula =log(429000)" hspace="10" align="center">

Then by hitting the enter key, it will calculate what the log of that number is:

<img src="http://blogs.poz.com/mark/upload/4.632.jpg" width="184" height="54" alt="Result = 4.632" hspace="10" align="center">

My current ending value for viral load was measured as "undetectable" which (for my lab) mean the value is less than or equal to 50. Assuming the worst case, I used 50 as the ending value:

<img src="http://blogs.poz.com/mark/upload/%3Dlog%2850%29.jpg" width="184" height="59" alt="formula =log(50)" hspace="10" align="center">

And hitting the enter key and have it do the subtraction:

<img src="http://blogs.poz.com/mark/upload/2.933.jpg" width="181" height="115" alt="Result = 2.933" hspace="10" align="center">

Now let's do it again in one-step using the Google search page from any browser:

<img src="http://blogs.poz.com/mark/upload/Google_Calculator.jpg" width="401" height="182" alt="Google Calculator Mode log(42,900) - log(50" hspace="10" align="center">

Type in the full calculation <strong>log(42,900) - log(50)</strong> and hit enter (or click <strong>Google Search</strong>). The result is displayed as follows. Pretty cool.

<img src="http://blogs.poz.com/mark/upload/Google_Calculator_Result.jpg" width="520" height="185" alt="Google Calculator Result = 2.933" hspace="10" align="center">

My treatment has given me <strong>about a 3 log improvement</strong> in the first 12-weeks.

Had the <strong>log improvement</strong> computed a negative number, my infection would have been worse.

For hepatitis C treatment, had the <strong>log improvement</strong> been between zero and one, most doctors would probably say that you're getting some improvement but not enough to justify all the torture and side effects.

A <strong>log improvement</strong> of closer to two or more would be considered a success.

<hr>

<strong>Mark's Treatment A Spectacular Success!</strong>
 
Hitting a <strong>3 log improvement resulting in "undetectable"</strong> is like batting a home run in base ball or a golf hole-in-one.

I’ll still have to be on the brutal treatment regime until about Christmas (the full 48 weeks) and then I’ll have some months of rehab, but <strong>studies show that with this level of response, there is a really good chance that I could actually be cured of hepatitis C.</strong>

<hr>

<strong>Spring Retreat in Warwick</strong>

With that news under my belt, I felt up for a two-day weekend retreat sponsored by our local <a href="http://ccny.org/">Community Church of NY Unitarian Universalist</a>. I had very limited stamina, but boy was it great to be outdoors in Warwick in upstate New York on a picture perfect weekend. We have a few photos from that weekend, plus the funny results of our "art therapy" -- as always in  <a href="http://markandvinny.com/gallery/">MarkandVinny.com/gallery</a>

<hr>

<strong>Mark's Birthday Party</strong>

Because that outing went so well, in turn, made Vinny feel that I should have a few friends over to celebrate my 47th birthday on May 17th – actually, my birthday was on a Thursday this year, so Vinny smartly pushed the party to the Tuesday, catching me at my best.

I had such a great time (<a href="http://markandvinny.com/gallery/">check out the photos in the gallery</a>), and it made me feel that there really was going to be a life AFTER Pegasys/Ribavirin.

At the party, I showed the really stupid way they ship Pegasys in refrigerated glass syringes with glass necks that you have to push a needle on to – <strong>twisting it just right to get the fit without breaking the glass</strong>.

<img src="http://blogs.poz.com/mark/upload/Pegasys_Bad_Design.jpg" width="800" height="317" alt="Pegasys Bad Design" hspace="10" align="center">

After the guests left, I gave myself the injection and -- for the first time -- half the drug sprayed on my leg. I guess I didn't show the correct way to put it on <grin>. Not good. Pegasys is about $550 per shot, so that’s a costly error, plus Pegasys is one of those drugs you really don’t want to have a double dose of, so Vinny and decided that I probably got close to a full dose.

Based on my side effects that week, I did NOT – but if there is any good time to take a little semi-break, it’s for my birthday week. Still some aches and pains, but nothing like a normal week.

<hr>

<strong>Mark, Vinny and Troika in picturesque Milford, PA</strong>

We had also somewhat overly ambitiously planned a weekend get-away to visit Sean Strub in Milford, PA from Saturday through Tuesday. Milford, PA is a picturesque town 90 minutes from NYC and Sean has been instrumental in the it’s new-found renaissance. Check out the 8-page story in Instinct Magazine's May issue.

Since I had such an easy week, it made the whole trip that much better. <a href="http://markandvinny.com/gallery/">As always, check out the photos in our gallery. </a>We ate great food in Sean’s wonderful new <a href="http://hotelfauchere.com/">Hotel Fauchère</a>, Troika (our Doberman-mix rescue dog) loved bounding though the woods for half an hour at a time. We played with horses and watched Bald Eagles nest and ate at the other two good restaurants in town – the <a href="http://waterwheelcafe.com/">Water Wheel Cafe</a> and the <a href="http://www.dimmickinn.com/">Dimmick Inn</a>.]]>
      
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<entry>
   <title>Pegasys/Ribavirin Week 12 and my Upcoming Physical</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/03/pegasysribavirin_week_12_and_m.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.71</id>
   
   <published>2007-03-24T21:08:41Z</published>
   <updated>2008-04-08T02:13:42Z</updated>
   
   <summary>On Tuesday I&apos;ll start Pegasys/Ribavirin Week 12 and once the bad days pass, then I go in for a full physical (on April 2) to evaluate both how successful the treatment is likely to be (since it&apos;s so hard to...</summary>
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      <![CDATA[On Tuesday I'll start Pegasys/Ribavirin Week 12 and once the bad days pass, then I go in for a full physical (on April 2) to evaluate both how successful the treatment is likely to be (since it's so hard to take, it's not worth it, if it's not doing anything) and also we'll see how my body is holding up to this rough treatment. <strong>I know I've lost 35 pounds so far and a lot of stamina.</strong>

Reuters broadcast the following item (which was also carried by <a href="http://AIDSmeds.com">AIDSmeds.com</a>), and addresses exactly my treatment and  the importance of this treatment milestone.

<hr>

<strong>Early HCV Response Predicts Outcome</strong>

March 15, 2007 (Reuters Health)

Early virologic response to an <strong>interferon-based regimen plus ribavirin for hepatitis C virus (HCV)</strong> infection predicts sustained virologic response in patients who are also infected with HIV.

Several studies have already shown that early virologic response predicts sustained virologic response in patients infected with only HCV, Dr. Montserrat Laguno from Hospital Clinic Universitari de Barcelona, and associates explain. But it is unclear whether this holds true in patients co-infected with HIV and HCV.

Dr. Laguno's group investigated the utility of an early virologic response to predict a sustained virologic response to HCV therapy in 95 co-infected patients.

Early virologic response was associated with a sustained virologic response, with a positive predictive value of 64%, the authors report in the February 1st issue of the Journal of Acquired Immune Deficiency Syndromes. In contrast, none of the patients without an early virologic response had a sustained virologic response, the report indicates.

Achieving undetectable HCV RNA at week 4 (a very early virologic response) predicted sustained virologic response with a positive predictive value of 89% and a negative predictive value of 70%, the researchers note.

A very early virologic response had higher positive predictive value for sustained virologic response when patients received pegylated interferon as opposed to interferon, the results indicate.

"The results of our study suggest that the rules of reduction of 2 log of the viral load at week 12 of HCV therapy in co-infected patients have the same value as those in mono-infected patients," the investigators conclude.]]>
      
   </content>
</entry>
<entry>
   <title>No Pain, No Gain?</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/02/no_pain_no_gain.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.70</id>
   
   <published>2007-02-25T03:00:00Z</published>
   <updated>2008-04-08T02:13:42Z</updated>
   
   <summary>Now that I&apos;m working to prevent the weekly hives, it seems that it&apos;s taking me day longer to bounce back. Pegasys injection of Tuesday evening. Wednesday, Thursday and Friday a total write-off and Saturday mid-day I start to bounce back....</summary>
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      <![CDATA[Now that I'm working to prevent the weekly hives, it seems that it's taking me day longer to bounce back. <strong>Pegasys injection of Tuesday evening.</strong> Wednesday, Thursday and Friday a total write-off and Saturday mid-day I start to bounce back. I'm really having a rough time eating most days. It's not much fun.

On the positive side, when I complained to a well-informed friend, this person said <strong>"folks on Pegasys who have an easy time are the ones for whom the treatment isn't working."</strong>

I have no idea if it's really true -- part of me doesn't even want to research it, because it is such a powerful reinforcement if true -- and I really need to believe it is true.

Feeling like shit 70% of the time is because my body is being cleansed from hepatitis C virus as fast as it can is really a good thing. <strong>If that's what is going on, </strong>I'd want as many really bad days as I could possibly tolerate to win the battle. 

And that's what I've got. So, for now, that's what I'll choose to believe the the hurt is worth every minute of it. 

Hopefully tomorrow I'll feel good enough to go to <a href="http://ccny.org/">Community Church of New York</a> to hear Vinny sing with the choir as part of the celebration of Black History Month tribute <strong>“Music In The Black Tradition."</strong> My <strong>brother Jeff and wife Esta</strong> are coming into the city to join us for the program. I'm really looking forward to it. I hope I have enough umph for that [I did, <a href="http://markandvinny.com/gallery/">check out the photos</a>] and for the <strong>Oscars</strong> later [I took a nap, so I did. Vinny didn't and didn't].]]>
      
   </content>
</entry>
<entry>
   <title>Savoring Those Good Days</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/02/savoring_those_good_days.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.69</id>
   
   <published>2007-02-21T03:00:00Z</published>
   <updated>2008-04-08T02:13:42Z</updated>
   
   <summary>One of the good parts of having so few good days, is that it makes each one special. Last week on my one good day, my nephew Tom Demichele came into New York for a day of fun. This week,...</summary>
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      <![CDATA[One of the good parts of having so few good days, is that it makes each one special. Last week on my one good day, my nephew <strong>Tom Demichele</strong> came into New York for a day of fun. This week, I went to a <strong>Mardi Gras Party</strong> and then my sister <strong>Linda Demichele</strong> (Tom's mother) came in a we celebrated her 57th birthday -- actually, she did more for us that we did for her.

<img src="http://blogs.poz.com/mark/upload/Aveeno.jpg" width="300" height="408" alt="Aveeno Bath" hspace="10" align="right">

She even scrubbed down the bathroom (again), did some household repairs, and even paid the <strong>ConEd</strong> bill (again!). But Vinny and I had the birthday party hats for her and lots of love. Being a couple <strong>with both folks on disability</strong> isn't great for either the money or the household chores. But we have some great memories and <strong>plenty of photos</strong>, which you can all see at <a href="http://markandvinny.com/gallery">markandvinny.com/gallery</a>

I feel really happy about all the good times, but I didn't get much else done, and I don't have much human-time left until next week. And now, after a wonderful day, I just took my week number seven shot. By tomorrow, I'll probably be feeling miserable again.

This week we're <strong>trying to stave off the hives</strong> before they kick in. My elbows, knees, and ankles look like I've been sleeping in poison ivy. I'm told that <strong>strange rash-like things are pretty common</strong>, although they act very differently for each person. Technically, they are NOT allergic reactions and can be difficult to treat, but it should be easier to prevent from coming into full bloom.

Our current attempt is to dose up with <strong>Benadryl</strong> (actually <strong>DiphenhyrdrAMINE Hydrochloride</strong>, the MUCH cheaper generic) and <strong>Tylenol</strong> before the shot and then again morning and evening of the first day. The <strong>Benadryl</strong> really knocks me out, but I'll be sleeping all Wednesday anyway, but at least this way, I won't wake up with full hives. I'll have an itchy rash, but soaking in the tub once or twice a day with <strong>Aveeno</strong> colloidal oatmeal bath powder and slathering on the <strong>0.5% Hydrocortisone Cream</strong> should help... <strong>Mostly</strong>.]]>
      
   </content>
</entry>
<entry>
   <title>Werewolf Envy</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/02/2007-02-13.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.50</id>
   
   <published>2007-02-13T14:00:00Z</published>
   <updated>2007-02-13T01:11:39Z</updated>
   
   <summary> Ever wonder how Werewolves have to schedule their lives? Werewolves have a really bad day or two every 28-days where they have to clear their schedule. But it’s predictable, so I guess you can learn to live with it....</summary>
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      <![CDATA[<img src="http://blogs.poz.com/mark/upload/werewolves.jpg" width="364" height="339" alt="werewolves" hspace="10" align="right">

Ever wonder how <strong>Werewolves</strong> have to schedule their lives? Werewolves have a really bad day or two every 28-days where they have to clear their schedule. But it’s predictable, so I guess you can learn to live with it. You certainly don't want to get your days mixed up and end up at a wedding or something on a <strong>bad day.</strong>

In my world of <strong>Pegasys</strong> treatments is measured by the weekly injections, not monthly full moons. I do the injections every Tuesday evening, so every Wednesday and Thursday, I’m pretty miserable. My whole body just aches. I’m pretty much bed-ridden and out of it.

I don’t even check e-mail, read, or watch movies or anything. Fridays are my “hump” day and about half the week’s I’ve read my e-mails (if not replied to them yet), opened my postal mail, and basically taken stock of what’s happened in the world since I stopped being part of it. By Saturday, I’m somewhat worse for ware, but mostly functional again. <strong>Stuff that needs actual thinking, like this blog or working on tax returns or disability paperwork, that can only happen on Mondays or Tuesday. Period.</strong>

Werewolves have it easy. They only loose out on about 7% of their lifetime. On <strong>Pegasys</strong>, I loose about 50% to 70% of my usable lifetime. There’s just no way to push through on those bad days. You’d be surprised how much less one gets done with 70% less usable lifetime. I miss that lifetime!

Today will be my sixth injections of my 52-weeks of shots. There’s something strange about physically giving yourself an injection that I know is going to beat me up so much. 

<strong>Henny Youngman</strong>, the Jewish-American borscht-belt comedian “King of the One Liners,”  used to joke: "Doctor, it hurts when I do this." "Then don't do that!"

But it’s the best shot I’ve got (pun intended) at long-term health, so I’m getting used to having to clear half my life for a while.

<strong>And if you’re looking for me on-line, I’m only human Sunday through Tuesday for now.</strong>]]>
      
   </content>
</entry>
<entry>
   <title>I Have Health Insurance Again</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/01/i_have_health_insurance_again.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.67</id>
   
   <published>2007-01-22T21:00:00Z</published>
   <updated>2008-04-08T02:13:42Z</updated>
   
   <summary>Thanks to the herculean efforts of Dennis Daniel, the POZ human resources person and Wendy Frank, the insurance agent and Jeanine Muzzi battling the bureaucracy of Oxford Health Insurance, I once again have both health insurance and prescription coverage! I...</summary>
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      <![CDATA[Thanks to the herculean efforts of <strong>Dennis Daniel, the POZ human resources person</strong> and <strong>Wendy Frank, the insurance agent</strong> and <strong>Jeanine Muzzi</strong> battling the bureaucracy of <strong>Oxford Health Insurance</strong>, I once again have both health insurance and prescription coverage!

I was actually able to swing by <strong>Village Apothecary</strong> and pickup my outstanding prescriptions.  There was no gap in coverage, so all the things that got rejected in the last week should be able to be resubmitted and just work.

It will be a clerical mess, but I can deal with that. Boy that feels better!]]>
      
   </content>
</entry>
<entry>
   <title>Bitten by a COBRA: a week without health insurance</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/01/bitten_by_a_cobra_a_week_witho.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.66</id>
   
   <published>2007-01-20T23:00:00Z</published>
   <updated>2008-04-08T02:13:42Z</updated>
   
   <summary>When I try to explain the draconian machinations of the US health insurance system to my friends and family in Europe, they just can’t understand why we allow it. In Denmark, where my mother was born, and were my cousins...</summary>
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      <![CDATA[When I try to explain the draconian machinations of the US health insurance system to my friends and family in Europe, they just can’t understand why we allow it. 

In <strong>Denmark</strong>, where my mother was born, and were my cousins still live, there is <strong>universal practically free health care</strong>. Hospitals, tests, doctor’s appointments, prescriptions – everything is almost completely covered for EVERYONE. In fact, <strong>health insurance is illegal in Denmark.</strong>

Of course, the Danish people are willing to make trade-offs that we Americans will not.  They think it’s reasonable to share the total health care budget with the whole population, so they won’t approve expensive tests and treatments that we in the US consider routine. For example, because of Vinny’s age and multiple, terminal diagnoses, the Danish system wouldn’t consider the ridiculously expensive course of treatment that’s kept him alive for the last ten years.

The Danish people also share this view. I remember when my mother was in the last years of her life and her routine level of health care was equally ridiculously expensive, she wondered if it was moral for her to accept this level of care to extend her life for another few years, if that meant the health care funds were unavailable, say, for fifty poor mothers to be able to get adequate prenatal care.

I guess I’m hypocritical. I’ve been very politically active for years fighting for universal health coverage in the US, but as someone with great health insurance, <strong>I love the huge piles of money that are spent keeping us alive and healthy.</strong> Well, I love the positive effects anyway.

In New York State, we are fortunate that folks with chronic medical conditions like HIV/AIDS and hepatitis can get health insurance. Most US states allow insurance companies to exclude preexisting conditions or deny coverage if you flunk a physical. That was our problem when we lived in Connecticut and why we had to move.

But individual policies can be really expensive. For example, Vinny’s health insurance is <strong>$975.70 per month</strong>. Group plans can be easily half that. I had a pretty good health insurance through <strong>POZ</strong>, so I was going to take advantage of a 1986 a federal law called “COBRA” that permitted folks who left a job that provided health insurance (like I did going out on disability), to continue that coverage by reimbursing the former employer for the complete cost (<strong>$416.03 per month</strong>) for 18 months (28 months if continued disability).

<img src="http://blogs.poz.com/mark/upload/Oxford_COBRA.jpg" width="250" height="319" alt="Oxford COBRA" hspace="10" align="right">

In theory, submitting a COBRA form, like mine on the right, should be only minor bookkeeping item. The health insurance is not supposed to be effected. You don’t even get a new card. It’s the same old policy.

On Tuesday, I saw my Ear, Nose & Throat Surgeon <strong>Stacey Silvers</strong> to figure out why I’ve been gagging and throwing up so much. I was worried that it was a complication from my tonsillectomy in 2005. It turned out that it was “just” that I’ve developed <strong>acid reflux disease,</strong> but that’s treatable with a prescription and regulating how and what I eat.

Next stop was <strong>Village Apothecary</strong> to get the prescription filled and pickup some other refills. They said the computer said I didn’t have health insurance. I said “you mean this prescription isn’t covered by my plan” and Chris said “no, it’s covered, but your policy has terminated.”

<strong>I was shocked.</strong>

Right there from the pharmacy counter I called the <strong>Dennis Daniel, the POZ human resources person</strong> who called <strong>Wendy Frank, the insurance agent</strong>. These are two terrific people and they too were dumbfounded with the insurance company’s response: “most of the time COBRA transitions are seamless, but sometimes one record has to be deleted and another added, and that can take ten days to straighten out.

There was nothing more I could do that night, and besides, I needed to go home a take my <strong>Pegasys</strong> shot.

This week my Pegasys side effects were a bit rougher than the previous week, so I didn’t do too much out of bed on Wednesday, Thursday or Friday.

On Friday, I was starting to really freak out. Every number I called at Oxford just told me I wasn’t insured. I hadn’t been able to pick up any prescriptions all week. Some insurance person suggested that I pay out of pocket and then submit for reimbursement. This week would be over $1,000. Next week will be over $2,000. That’s just not an option. Next, two of my doctor’s offices called that I was coming up uninsured and that I had to have this resolved before my next appointment.

Everything is just so automated, it’s impossible to make any headway. I don’t usually “borrow trouble” but I got to worrying what would happen if my crappy side effects got worse and I had to head to the hospital over the weekend. There was no way I could convince them I really had health insurance and that it was just a clerical glitch.

Fucking “A”, I’ve beat HIV/AIDS for almost 25 years and now I might be derailed by an insurance company clerical glitch.

On Saturday, I woke up and was feeling MUCH better, so it doesn’t feel so life and death, but I HAVE TO have this resolved before the next Pegasys shipment has to go out next week. It would be REALLY BAD to have to stop and restart this treatment. I won’t worry about that now. I’m sure collectively we’ll figure out how to escalate this next week.

Also, I got a little more perspective on all this. <strong>We're damn fortunate to have such great health insurance, even though mine had a little glitch.</strong> For both Vinny and me, our injectables cost more than our pills, but somehow the huge pile of pills are more tangible to show our efforts in working to be well. Between the two of us, we take more than 25,000 pills each year:

<img src="http://blogs.poz.com/mark/upload/Pill_Pouring_Guide.jpg" width="600" height="801" alt="Pill Pouring Guide" hspace="10" align="left">]]>
      
   </content>
</entry>
<entry>
   <title>Pegasys + Ribavirin Week One</title>
   <link rel="alternate" type="text/html" href="http://www.markandvinny.com/blog/2007/01/pegasys_ribavirin_week_one.html" />
   <id>tag:www.markandvinny.com,2007:/blog//1.16</id>
   
   <published>2007-01-12T07:00:00Z</published>
   <updated>2007-01-14T07:22:09Z</updated>
   
   <summary>It&apos;s now Friday and I had my first Pegasys shot and first round of ribavirin capsules on Tuesday evening. The Pegasys shot is once a week, the ribavirin capsules are 3 capsules, twice each day with food. Tuesday night and...</summary>
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      <![CDATA[It's now Friday and I had my first <strong>Pegasys shot</strong> and first round of <strong>ribavirin capsules</strong> on Tuesday evening. The <strong>Pegasys shot</strong> is once a week, the <strong>ribavirin capsules</strong> are 3  capsules, twice each day with food.

Tuesday night and Wednesday morning I felt <strong>dizzy, disoriented and sweaty,</strong> but hell, in the old days I had to pay good money for cocktails or recreational drugs to feel this way.

I'm still sleeping 14 hours each day, which kind of sucks, but that is one of the main reasons we've opted for treating my hepatitis C aggressively.

On Wednesday and Thursday, about half the time I felt fine, and half the time I ached all over. The kind of body ache you get when you're really hung-over, or when you have the flu. It hurts to move, it hurt to sit, it hurts to drink cold things, it hurts to drink hot things. Hell, even my hair hurt. I felt hot and flushed, but wasn't actually running a fever.

Unlike the flu, after a few hours (or even half an hour in one case), the ache would ebb away and I'd feel fine. That's the good part.

The bad part, is that I have not yet figured out any pattern as to when the aches come back.

On Wednesday evening I had a committee meeting where five of us were evaluating groups to support with grants. As a child, when I was asked what I wanted to be when I grew up, I'd say "a <strong>philanthropist</strong> and a <strong>philanderer</strong>." I certainly got the later covered for many years, but this is my big chance at the former.

Since I was feeling okay, I went to the meeting, with Vinny in tow, just in case. Good thing. Three quarters through the meeting, the aches kicked in, and Vinny and to help me down the stairs and into a taxi home. By the time Jay Leno was on, I was feeling fine.

On Thursday, I had an appointment with my hematologist, <strong>Randy Levine,</strong> and we're going to put my phlebotomies on hold for the next month. <strong>Pegasys and Ribavirin</strong> often causes anemia, so with luck it will perfectly balance out my polycythemia. We'll run blood tests weekly, and if we need to take action, we can. I was starting to get problems with my veins from all the needles, so I'm happy we can give them time to heal.

It's almost 2 PM on Friday, and so far today I haven't had any of those body aches today -- which is wonderful. I know some people only have side effects for a few days, so many mine are past for the week, but I'm going to sick close to home anyway, just in case.]]>
      
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