hepcBC.bull December '97

DISABILITY - OTHER OPTIONS

We don't look sick. That's rather convenient sometimes, but it can be a drag, as well. When it comes to work, for example, many of us find it hard to be able to do our normal amount of work, due to fatigue or other problems. Since we don't look sick, we have a hard time convincing our employers of the fact.

What if our employer thinks we're not really sick? That's where HeCSC may be able to help.

HeCSC, both local and national, is willing to write letters to your employer, giving him or her information about the disease and its common symptoms. A letter from your doctor is another option. Once we recognise the problem, fatigue and other symptoms, and identify it as something that needs a solution, we may often be able to continue working, if our employer is willing to make reasonable accommodations. One possibility you might wish to discuss with your boss is getting time off for things such as interferon treatment or for days you are extra-tired. If you have a job that requires a great deal of physical activity, at some point you may wish to find out about being transferred to a more sedentary job. Another option to consider is working from home. You may be able to work out something like job sharing.

The best thing for each of us is to continue working for as long as possible. Not only does working benefit us economically, but it also promotes emotional and physical well being by confirming our place as contributing members of society. (There are rumors in other parts of the Hep C world that a person is a more favored organ recipient candidate, the longer he/she remains a member of the work force.) However, when it is no longer possible for us to work, we must believe that we have the right and obligation to rest and take care of ourselves.

Joan Diemecke

FROM THE OKANAGAN

Greetings from the Okanagan.

I was fortunate this month to do a little more traveling and hear some more of the concerns of persons infected with Hepatitis C. I know we have a gigantic task ahead of us, when I contact the B.C. Center for Disease Control and am told "there is no data to support hydrogen peroxide or bleach killing the Hep C virus." I find it unreasonable that we can access so much info on the Internet yet, our own B.C. Center for Disease Control is not aware of any data to support (or deny) some of the questions presented.

I was promised copies of what reports they do have last Thursday, but as of the time of writing I had still received nothing.

An interesting and very descriptive book hit the press this month. It is called Living With Hepatitis C: A Survivor's Guide by Gregory T. Everson, M.D. and Hedy Weinberg. It supplies an interesting approach to this disease, and, as it is the first of its kind, offers lots of interesting information. Comments expressed about hydrogen peroxide killing or inactivating Hepatitis C, or that liver biopsies do not hurt have been heard, but, all in all, it is worth reading. A must for newly diagnosed! If you have trouble getting it, it can be ordered directly from the publisher at 1-800-367-2550.

I have been hearing horror stories about individuals who are headed for the poor house paying bills for Interferon. Please check out Schering Commitment to Care at 1-800-521-7157. They help anyone who cannot afford to pay for the treatment.

Roche/Roferon produces a newsletter as an educational service for patients with chronic Hepatitis C and their caregivers. It is a free subscription. For your copy call 1-888-300-PATH.

Are you aware that any person who has Hepatitis C should be immunized against Hepatitis A and Hepatitis B? See your local health unit. Hep B shots are covered but you will be responsible for the Hep A. Many have got the Hep A shots covered as well by making lots of noise!!

You should also have an annual flu shot. These are free to any persons suffering from chronic illness, as well as to immediate family members. See your public health for further information.

Do you suffer from brain fog? Lactulose has been proven to help clear your thoughts. It works to clear the ammonia from the colon, so it can not be reabsorbed in the blood.

Do you suffer from itching? I have had many tell me of the success they have found from using "Questran." It is an orange powder that calms the itching and offers relief from the inside out.

Well, it is complete, the first panel of our Hepatitis C mural, "Hands Tell the Story"! It will be displayed for the first time in Toronto at a press conference at 10:00 am Friday, November 21st, 1997. This mural is awesome-6 x 15 feet, 90 squares containing red and yellow hands, joined together to symbolically stop the spread of Hepatitis C. This is the same day the Krever Report will be handed to the Government. We have waited 3 long years to see the outcome of this report and hope it will contain all the answers we have been waiting for.

I will start the second mural and encourage all infected persons to become a part of this message. My dream would be to collect 300,000 hands from every infected Canadian and proudly display the magnitude of the disease. Should you want a square, an address, or further information, call Leslie Gibbenhuck, P.O. Box 21058, Penticton, B.C. V2A 8K8, Phone (250)490-9054, Fax (250) 490-0620.

If COMPENSATION (not to be confused with litigation or class action) is to be discussed, who would you like to represent you? This question has come to mind on many occasions, and is something all transfused persons need to consider. Who would best meet the needs of all-lawyers or an organization or a combination of both?

Do you want the Hepatitis C Society of Canada to actively negotiate on your behalf, or do you think a new organization should be formed to represent B.C.? Do you want representation by persons who will be affected by these compensation decisions? Or do you have something else in mind? These are questions which need your careful consideration and we need your input. If you can let me know by mail or phone I will report back to you in the next newsletter. I believe everyone should have a say, so contact me as soon as possible. Something to think about, until next month...

Stay positive, stay well.

Leslie

Memberships:

There is still some confusion between being a Member in Good Standing of the Hepatitis C Society of Canada and Subscribing to the hepcBC.bull, the BC Chapters News Bulletin. The former costs $20.00 per year and together with a completed New or Renewal Application Form is forwarded to the Toronto Office and you will then receive the National Newsletter plus an Income Tax Receipt. Our negotiating power carries more weight the more paid up memberships we have. To help you remember when it's time for Renewal on becoming a member, the expiry date appears on your Newsletter label in the box marked N/Exp: If it's blank, it means you are not a member in good standing.

If you subscribe to help get the hepcBC.bull Newsletter out each month (not the National Newsletter) and have forwarded a donation of $10.00 or more if you can afford it, the expiry date appears in the BC/Exp: box of the label. We strive to solicit donations to help carry on our work whether you subscribe to the Newsletter or not. We do urge you to consider being a member in good standing with the Society, and many thanks to you who have become members and also subscribe to the hepcBC.bull Newsletter.

Reminder:- Any change of address, phone number or Postal Code, please let me, your phone contact (in Victoria) or your Chapter Secretary (B.C.) know at your earliest. It saves our meagre funds. Thanks.

Jim Lodge 386-8227 e-mail:-ut301@freenet.victoria.bc.ca Vice-chairperson & Membership

Victoria Chapter HeCSC acknowledges the personal donations, donations in kind and memorial donations received to date, and the following for discounts, donations of services, or equipment: Monk Office Supply. CFAX 1070 Radio, and Apple Canada.

SUBSCRIPTION FORM

Please fill out include a check made out to HeCSC - Victoria Chapter, Send to: Hepatitis C Society of Canada Victoria Chapter 1611 Quadra St. Victoria, BC V8W 2L5 or FAX to: (250) 479-5290

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(A limited number of newsletters will be available free of charge at the meetings, as well.)



CANADIAN LIVER FOUNDATION

by Michele Scarborough-Cruz

The CLF and the Vancouver HCV Support Group will have a joint support group meeting at the Heather Pavilion, VGH on level C in the Board Room on December 4 from 6:30-9:00 pm. This support group will be open to individuals with all types of liver diseases and the information will be available for those newly diagnosed and those with other specific questions. This first meeting will focus on the group consensus as to how they would like things structured. The facilitators will be Yvonne Kwok, a nurse specializing in hepatitis; Audrey Ostaf, and Herb Moeller, both formerly of the HeCSC Vancouver Chapter; and Guilda, the Greater Vancouver Chapter's Chair of Patient Services. Speakers will be invited once a quarter beginning January 1.

March is "Help Fight Liver Disease Month" and we are still looking for volunteers to help in both the public and corporate portions of the campaign. The more individuals we have promoting an awareness of the CLF and liver disease, the more support we will be able to provide in building long lasting educational programs and support in the endeavors of the research which really needs our dollars. Volunteer training for both components of the March campaign will commence as follows:

1. February 21-

AM-Public Venue Volunteer Training.

PM-Corporate Volunteer Training

2. February 28-

AM-Public Venue Volunteer Training.

PM-Corporate Volunteer Training

We are also looking for volunteers who would like to become trained speakers, to educate the public about liver disease and the issues facing BC communities. These individuals do not have to have had prior experience as we will be training those volunteers for these types of positions.

The Living with Liver Disease Program: Vancouver General Hospital, 7-9 pm every Monday beginning January 28, 1998- 8 sessions

The very successful Living with Liver Disease Program is now going into its second year and has made great progress. Topic additions are still being made at the request of patients who hav previously attended and it looks like the '98 program will be bigger and better than ever. In 1998 the program will take a look at the liver, its functions, its diseases and treatments. We will also have a seminar on viral hepatitis and treatments and research will be included here as well. Drug therapy will make up another session in combination with research methods and we will still include topics on nutrition, diet, alternative therapies, psychological aspects of illness and other related topics.

COMING UP:

Victoria Chapter Meetings: Last Wednesday of each month 1 - 3 PM, and again at 7-9 PM, St. John the Divine Church Lounge,1611 Quadra St. (Entrance through the rear, marked Annex)

NEXT MEETING: NOTE: Dec. 17th.

Kelowna Chapter Meetings: Last Saturday of every month, 1-3 PM, Rose Avenue Education Room in Kelowna General Hospital. ]

NEXT MEETING: NOTE: Jan. 31st

Vancouver Chapter Meetings: Vancouver Chapter Meetings: Second Thursday of every month, 7:30pm, 5745 Wales Street, at the First Lutheran Church, Vancouver. (between Nanaimo & 42nd on Wales Street)

Penticton Chapter Meetings: Third Thursday of every month, 7-9 PM, Penticton Health Unit - Board rooms.

NEXT MEETING: Dec. 18th

Kelowna Chapter Meetings: Last Saturday of every month, 1-3 PM, Rose Avenue Education Room in Kelowna General Hospital.

NEXT MEETING: Dec. 27th

Nanaimo Chapter Meetings: Second Thursday of every month, 7 PM, Health Unit-Central Vancouver Island, 1665 Grant St.

NEXT MEETING: Dec. 11th

Vancouver Support Group Meeting on Dec 4th, 1997 from 6 to 9 PM Heather Pavillion, C Floor - Board Room. Please enter off Heather Street.

HOW TO REACH US:

CO-EDITORS Joan Diemecke TEL&FAX:(250) 479-5290 pdiemecke@compuserve.com Darlene Morrow FAX:(604) 987-7396 hepcbc@sprint.ca VICTORIA CHAPTER OFFICE: TEL:388-4311 xx204@freenet.victoria.bc.ca

PENTICTON CHAPTER: LESLIE GIBBENHUCK TEL:490-9054 bchepc@bc.sympatico.ca

KELOWNA CHAPTER: ELAINE RISELY TEL:768-3573 eriseley@bcinternet.com

CASTLEGAR/GRAND FORKS/TRAIL: ROBIN TOMLIN TEL:365-6137

NALA PAQU CHAPTERS: RIA KLOMP TEL:248-6072

(Parksville) TED KILLOUG TEL:752-1718 (Qualicum Beach) gjones@qb.island.net (Gary Joneson) HELEN HUBBART TEL:245-8759

(Ladysmith/Nanaimo)

DISCLAIMER: HeCSS cannot endorse any physician, product or treatment. Any guests invited to our group to speak, do so to add to our information only. What they say should not necessarily be considered medical advice, unless they are medical doctors. The information you receive may help you make an informed decision. Please consult with your health practitioner before considering any therapy or therapy protocol. The opinions expressed in this newsletter are not necessarily those of the organization.


The deadline for any contributions to the next issue of hepc.bull is Dec. 22nd. Please contact: Joan Diemecke at Tel/FAX (250) 479- 5290 or Darlene Morrow at FAX (604) 987-7396 1203 Plateau Drive, North Vancouver, BC, V7P 2J3

email: pdiemecke@compuserve.com or hepcbc@sprint.ca

The editors reserve the right to edit and cut articles in the interest of space.

ADVERTISING: The deadline for placing advertisements in the hepcBC.bull is the 15th of each month. Rates are as follows: Newsletter Ads: $10 for 1/6th page, per issue $100 for 1/6th page, 12 issues (in advance) $20 for 1/3rd page, per issue (vertical or horizontal) $200 for 1/6th page, 12 issues (in advance) whole page: $60 per issue $600 for 12 issues 1/2 page: $30 per issue $300 for 12 issues



ADVOCACY ANNOUNCEMENT CLASS ACTION SUITS:

BRITISH COLUMBIA

Camp Church and Associates Sharon Matthews / Kim Graham 4th Floor, Randall Building Vancouver, B.C. V6B 1Z5 1-800-689-2322

Lemer Kambas Bruce Lemer Suite 1550,625 Howe Street Vancouver, B.C. V6C 2T6 (604) 669-4004

Before 1986 and after 1990 Klein Lyons David A Klein 805 West Broadway, Suite 500 Vancouver, B.C. V5Z 1K1 (604)874-7171 (604)874-7180 (FAX)

also:

Dempster, Dermody, Riley and Buntain William Dermody 4 Hughson Street South, 2nd Floor Hamilton, Ontario L8N 3Z1 (905) 572- 6688

The toll free number to get you in touch with the Hepatitis C Counsel is 1-(800)-229-LEAD (5323).

TRACEBACK PROCEDURES:

This information is for anyone who has received blood transfusions in Canada, if they wish to find out if their donors were Hep C positive. TRACEBACK INQUIRIES

Contact: Dr. Lisa Jeppesen, Dr. P Doyle, or Glenda The Canadian Red Cross Society 4750 Oak Street Vancouver, BC, V6H 2N9 1-888-332-5663 (local 207)

CUPID'S CORNER

This column is a response to requests for a personal classified section in our news bulletin. Here is how it works: To place an ad: Write it up! Max. 50 words. Deadline is the 15th of each month and the ad will run for two months. We'd like a $10 donation, if you can afford it. Send checks payable to HeCSC Victoria Chapter, and mail to R. Hicks, Box 263-453 Head St., Victoria, BC V9A 5S1. Give us your name, tel. no., and address. To respond to an ad: Place your written response in a separate, sealed envelope with nothing on it but the number from the top left corner of the ad to which you are responding. Put that envelope inside a second one, along with your check for a donation of $2, if you can afford it. Mail to the same address as above.

Disclaimer: R. Hicks and/or HeCSC cannot be held responsible for any interaction between parties brought about by this column.

Ad No. 5

SWM 7/7/47. Employed. Healthy. 5'8 1/2", 170 lbs. Considered attractive. Spiritual. Dreamworker. Tai Chi. Mindful/Awareness-Meditation. Vegetarian. Seven years sober and celibate. No assets. Poor but happy! Trained caregiver. I do not expect you to be like me. Be yourself. Reach out. Seeking Soulmate/Lover.

SQUEEKY'S CORNER

____________________

Disability: Running the Gauntlet

Fortunately, disability is not something that the majority of people with hepatitis C have to think about. Most cases of Hep C are asymptomatic, and/or many of us have just not progressed-and may never progress-to a state where our liver disease disables us. But the harsh reality is that hepatitis C is and can be a disabling disease.

My own Story

In 1994, I used to teach at a university, read and write really complicated stuff, do recreational triathlons (i.e., run 5 miles uphill in 40 minutes, or bicycle 30km an hour, etc.), body build, zoom about all day if I had to, and then spend the evenings designing some fantastic meal or plunging into some complicated discussion into the wee hours of the morning. Not exactly a party animal-but close. Now?? No More!! Nada!! Nulto!! Non! Zilch!! Gone forever. I began to get so sick and woozy that sometimes I would get lost on streets that I knew like the back of my hand. I would need to ask people to help me get home because I felt like I had to just lie down on the sidewalk and curl up. I was too dizzy and frightened to ride a bicycle-cuz there was no guarantee if I made it somewhere, that I could make it back. My attacks of what I call wooze (which included dry mouth, aching upper back muscles, noticeable pain in the upper abdomen, disorientation, itchiness all over my body, blurry vision, diminished hearing and general disorientation and the feeling that my blood had turned to thick mud), but which doctors label "Fatigue," continued to worsen. For me, the worst part was the unpredictable nature of the attacks. I never knew when they would happen. So, for instance, I might feel good for two weeks, and then when I was ready to go grocery shopping, or do my weekly cooking, I would just collapse. I could not guarantee my employer that I would be able to honour my teaching contracts (I did "faint" at work 3 times, and scared the heck out of my students and colleagues), or that I would be able to grade papers, or that I would be able to drive home. I was really lucky. I had really good friends who were there for me and would help me shop, or bring me over stuff to put in the microwave that I bought when I realised that I was losing the ability to cook for myself. The most important thing was that they believed in me-because the medical profession didn't. And the more I continued on down the path to dysfunctionality, the medical profession, in general, accused me of making it all up: basically, their position was that, yes, I had Hep C, but the symptoms I had were caused by my weird and overburdened brain. In a nutshell, I was a liar and a fraud. My friends, many of whom, being professors and artists, and so forth, were very well respected, wrote letters on my behalf to the provincial government, which had (since I could no longer work) put me on a type of temporary medical welfare. The problem with this type of assistance, however, was that I had to do a lot of running around, fill in many many forms, and was always being cut-off without warning, and for no explicable reason. I also had letters from my neighbours and friends at the local Y, who knew me and my love of sports and who had participated with me in various "fun-runs" and other fund-raising events. I had a letter from the chair of the department where I taught at a prestigious university-13 letters in all-but the medical welfare board refused to read them and denied me a more permanent medical disability status, to the amazement of everyone who knew me! Now don't get me wrong: If I could wake up tomorrow feeling great, or at least 50% better than I do when I get heppy, I'd be working at 2 jobs yesterday. I love to work, and I am often ashamed that I am unable to guarantee my reliability-but more on this later. So: we went to appeal. Now the funny thing is that my own hepatologist clearly stated on one of the government forms that my illness was permanent, irreversible, and that my fatigue was debilitating. These were her words; she's a big name hepatologist back east, and nobody twisted her arm. But, the disability review board doctors ignored her analysis. I didn't know this at the time, but the people at HQ for the HeCSC told me that roughly 80% of all applications for disability are rejected first time around. Now my hepatologist is a busy lady. She is running around 14 hours a day doing liver transplants and lots of other really serious stuff-so filling in the same form 3 times for nothing is not something she likes to do. Besides which, she had already told them. In the end, after almost 3 years, 2 appeals, 13 letters, and many forms, I was granted a small federal disability that nobody could really live on-but finally, and this is the big point for me, I didn't have to cope with the accusations that it was all in my head. Whoopee-doo! Some victory! I mean it's nothing to be congratulated on-know what I mean? Now I'm disabled-for real!! But guess what? It didn't end there, no siree! Now because my federal pension was so small, I was granted a top-up by the provincial government, which was not enough to live on, and if not for friends and a very resourceful social worker (Thank you Sylvie J ) I would not have been able to eat or afford to live anywhere. Sylvie got me into subsidised housing (actually, it was a partial-care residence for seniors; I was placed there because, believe it or not, I actually was too sick at that time to take care of myself). Suffice it to say, these events only made me more ill. When it was all settled, I moved to BC, had to forfeit my provincial subsidies and was really worried about getting caught on another merry-go-round. Well, sumbuddy upstairs must luv me, cuz, the provincial disability people here, and the doctors I saw here, and the people at the Hep C office here all helped me through the process as quickly as possible. I'm still waiting for my own housing; but I can eat and live with a great measure of dignity-which, when you're feeling rilly crappy and facing your own mortality, is a rilly important thing to have. Talk atcha later Squeeky

BTW: if any of you have questions about or problems with disability, don't forget to call us. After all, that's what we're here for.

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