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QUESTION: That was through the medium of a local radio stat ion? ANSWER: Yes, it was, yes. 8
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QUESTION: So you began the treatment, the AbbVie triple the rapy regime, in September 2016? ANSWER: Yes.
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QUESTION: That was a six-month course? ANSWER: Six months, yes.
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QUESTION: So that took you through to March 2017? ANSWER: Yes.
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QUESTION: What was the outcome in terms of the virus? ANSWER: So it took a little bit of a while for the virus to go. That's why I think I had the extended three months also because of having the cirrhosis. I did have Ribavirin six tablets a day for six months, wh ich I thought was actually going to kill me. I believe it's because of that drug that I have -- my hair hasn't grown back and it's two years SVR now, which means undetected. I'm sorry, what was your question again?
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QUESTION: That's all right. The outcome of the treatment a fter six months was that the hepatitis C virus was now undetectable? ANSWER: Undetected, yes.
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QUESTION: You were talking about the side effects. ANSWER: Oh it was -- I had terrible -- I felt worse, I fe el worse now and especially when I was on treatment th an when I actually had the virus live. The pains, 9 I can't explain to you the pains. People who have suffered will know what I mean. It's like pain in your bones, the aches, the -- they just -- I would be sleeping for 16 or 17 hours a day. I just could no t get out of bed. I've never experienced anything an d I kept saying to my hepatologist I've got continued pains and I was then under a bowel specialist. I h ad been under a cough -- the respiratory for this chro nic cough that I had and, finally -- sorry, I'm going t o have to step back a bit. In I think it was February 2016 I think it was that -- it might be '17 but it was '16, so the pain s were so, so, so bad and I was coughing up a little bit of blood that I phoned 111 and eventually an ambula nce came. They said no, because my blood pressure was really elevated, my sugar level had gone up, I was taken into hospital and it was found there that I'd got acid reflux and I'd got a disease of my oesophagus, but I needed to have my gall bladder removed because there was lots and lots and lots of stones and that's what the pain was. I said to the lady nurse, who was dosing me with morphine because the pain was that bad, that I had hepatitis C. I need to -- the one thing I needed t o let them know that. Looking on my records now, it' s 0 the records that I've been able to get, it's actual ly got -- I've got a printed that when I was admitted in it said I was HIV positive. So I'd actually had -- I'd asked to be tested for HIV and the letter come back saying I was negative, so to have had that letter saying negativ e and then to look at a hospital record which was typ ed, it wasn't even handwritten, to say I was HIV positi ve was just -- whoa. So that then was investigated by my GP and she was satisfied that the bloods were fine and that was just an error on the hospital's point but that's a big error.
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QUESTION: You have had in terms of other physical and medic al complications, you have referred to the removal of your -- or to your problems with your gall bladder and you eventually had your gall bladder removed? ANSWER: Yes, I did.
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QUESTION: You've had bleeding in your eyes? ANSWER: (The witness nodded)
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QUESTION: Do you know, have you ever been told whether ther e are any connections between the hepatitis C or the treatment for hepatitis C and any of these other matters? ANSWER: No.
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QUESTION: You don't know? 1 ANSWER: No, nobody's ever said. I don't know and nobody' s ever said. My eyesight's predominantly got worse. I'm still under the hospital. I had to have injections in my eye, eyeball, and yeah this one's starting to go now, so I don't know if there's a connection there. But I had hep c for 29 years.
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QUESTION: You've said in your statement that we one of the difficulties associated with having all these other medical complications, whether or not they are rela ted to the hepatitis C, is you have this distrust now o f the medical profession -- ANSWER: Absolutely.
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QUESTION: -- and yet you are constantly having to put yours elf in the hands of the medical profession? ANSWER: When I had my gall bladder out, I had to sign a document that said that I could possibly bleed to death on the operating table because of the cirrhos is. I needed to stay in hospital overnight where usuall y it's just a day case, and I kind of -- it was just there in the back of my mind. It's a really, reall y silly thought but I just thought do you know, it wo uld just be so easy to quieten me down, just to give me a little bit more anaesthetic and that was going wh at was going through my mind. They could get rid of o ne more. It would have been simple because I'm 2 overweight. You have a risk when you are having an operation anyway, so when I actually woke up afterwards I was rather shocked. I was still here!
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QUESTION: You have said in your statement that the infectio n and I think also the fact that it was undiagnosed for s o long has had profound effects on your mental wellbeing? ANSWER: Oh absolutely. Oh yeah, to be fair, I've been an absolute monster at times, literally. I mean, how my husband puts up with me I don't know because someti mes you, and I'm sure others can relate to this, someti mes you wake up and I feel like I'm in a black cloud an d there's nothing that can bring me out of that. I j ust have to be alone, and my husband's learned now just to -- it's hard for him watching me suffer that way and then just crying for no reason, and then the mo st simplest of things, you're flaring your temper, you 're angry, so I don't think I've ever got over that initial diagnosis and then I get angry thinking abo ut the doctor that sent me away. I just think all the m emotions. It just gets a bit too much sometimes. So then with your -- when we go back to talking about brain fog, you know, I could be saying, I mig ht be wanting to say hello to you and this is Caz, the n I will look at Caz and I can't think of her name. 3 I know it's there and then you get frustrated becau se you can't remember, so then with my husband I'll be , "You know, you know", and it's really frustrating. I mean, don't get me wrong, it's got easier but I still have moments when that cloud is there and i t just goes. It's the most awful thing I've ever experienced.
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QUESTION: You have had and you still have I think terrible anxiety. ANSWER: I do. Yes, there are times when we're at home an d my husband will go, "We've been in for a week, doing h ome shopping. We need to get out. We need to go out", and I'm like, "No, no, we don't. No, no, I'm too busy. No, no", it's because I don't want to see people. I don't want to -- sometimes, I think I st ill sometimes get that little bit where I need to go ba ck into myself to think and reflect and -- because it' s only still been, what, three and a half years for m e and I'm like a sponge trying to absorb all this knowledge and understanding and it's not just what happened to me with transfusions, then there were t he haemophiliacs that I'd kind of heard of but didn't understand, and then suddenly there's a whole new l ot of people and then you start thinking my goodness, this is terrible. How's this been allowed to happe n 4 for 40 years?
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QUESTION: You've, as well the anxiety, you have been experiencing depression. ANSWER: Yes.
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QUESTION: You're not currently taking antidepressants. ANSWER: No.
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QUESTION: But you've had dark days. ANSWER: Yes.
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QUESTION: Particularly after the initial diagnosis. ANSWER: Yes.
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QUESTION: And I think to the extent that you had on occasio ns suicidal thoughts? ANSWER: Yes, very, yes. At the beginning there was no re ason for me to get out of bed because I was useless. I lost my job. I'd lost 30 years. What good was I anymore? And that is really difficult to deal wi th, to feel that you're worthless and that you don't me an nothing to anyone anymore and I don't mean my famil y but in terms of your job. You know, my work was good with me, really, really good, I have to say, and I was -- I was quit e happily there, you know, I did the farm to fork wit h the children. I did some in-house magazine work, reporting, et cetera, and that's gone. That will never come back because I'm just so flipping tired all 5 the time. I couldn't commit from one day to the ne xt.
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QUESTION: Although the virus has cleared -- do you need a b reak Michelle at all? ANSWER: No, no, I'm fine, thank you.
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QUESTION: Although the virus is clear you still have to go for scans every six months -- ANSWER: Every six months, yes.
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QUESTION: -- to see whether there is further damage to your liver? ANSWER: Yes.
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QUESTION: How do those appointments make you feel? ANSWER: Oh, I hate it. I'm a bag of nerves two or three days before. I'm churning up inside thinking, "My goodness, are they going to find something now?" We've heard about Sally Vickers, what happened to o ur dear Sally. And that's always at the back of your mind, is there? And our hospital, where I'm under, you have your scan, you might wait three or four we eks for a letter and then you see your hepatologist, if you're lucky, and then you get sent off for bloods. So there's no -- not like at King's, where you have your scan in the morning, your bloods, and the n you see the person in the afternoon. That's all do ne and dusted. So this can be over a space of a month from having a scan to seeing a hepatologist and hav ing 6 to have -- then before you know it, you're having another one and it's just like -- and it's always there at the back of your mind because, you know, you're trying to press the sonographer or radiographer, or whatever they're called, to say, "Well, can you see anything?" "Oh, we'll send it o ur specialist and then it will be sent off to you" and then every time the phone rings, you're like, "Oh, is that the hospital? Have they seen ..." So, yeah, it's horrible and you have that twice a year and I' m going to have that until I've popped my clogs.
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QUESTION: What's the impact been on your family life and on your family? ANSWER: Well, my family have all grown up and moved away and I think it's been pretty hard on them because I thi nk it took me a long time to realise that they were affected victims. It took me a long time to understand that actually it's probably been a lot worse for them, although I've had the physical pain and it was all "me, me, I'm not well, I'm tired, me , me, me" sort of thing. But when I sort of stopped and looked and I think just being and meeting all the lovely people and looking at the -- listening to th e different people that are affected, it suddenly hit me, oh my goodness, my husband and my family are 7 affected victims. It just didn't -- you know, it just didn't click and I think it's been hard, it's been very hard for them.
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QUESTION: They had to be tested, I think? ANSWER: Yes, my husband -- yes, they had to be tested and thankfully they all come back clear. So that was a blessing in disguise.
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QUESTION: Your daughters were worried because they might ha ve used a razor or a toothbrush? ANSWER: Yes, definitely. My youngest daughter when she w as like, "Oh Mum, we used to use your razor and you ne ver knew" and then you're thinking "oh my goodness" and toothbrushes and all -- you know, you don't know wh at your kids are getting up to behind your back. So, yeah, that was a really, really worrying time and it wasn't only that, it's that there's grandchildren there as well. So that was my fear t hat if I had sadly passed it on, would it have gone on maybe into grandchildren. But thankfully they was all clear, as is my husband.
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QUESTION: And it's had an effect on your relationship with your husband? ANSWER: Yes.
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QUESTION: Because you've said in your statement some days y ou 8 are bright and bubbly and others you don't seem to be able to get out of bed. ANSWER: No, that's right and I just don't want to interac t. I just don't want to talk, which is not like me. B ut when you wake up in that feeling of that blackness around you -- I once described it as like a coil an d you go down and down and down and down and you kind of get wedged down there and you're trying to get back up and it's really, really difficult -- really difficu lt.
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QUESTION: You had a particular concern about going to the dentist. Tell us about that. ANSWER: So during -- I'd always -- well, as my GP had onc e said to me because I had bleeding gums that I'd got gingivitis and it was -- I can't remember if it was during the treatment or just before the treatment, I was pulling my teeth out. I could literally pull -- I did not need no pliers, I just pulled them out. I could just literally be sitting there and I think "oh" and my husband's "What you doing?" I go, "Oh, I've just pulled a tooth out" and he'd be like, "Oh , my God". Literally, I think it was about eight tee th. No, I wouldn't go to the dentist when I knew because I was so worried in case I could pass it on to somebody else just in case the instruments haven't been sterilised properly. 9
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QUESTION: The impact upon the family finances. You describ ed how you have had to give up work. ANSWER: Yes.
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QUESTION: You ended up being medically retired -- ANSWER: Yes.
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QUESTION: -- in 2016. What kind of work had you done prior to that? ANSWER: Okay. So I spent about eight or nine years as a learning support assistant in a school and I work ed with children with ADHD, that kind of thing. I spe nt five years in a solicitor's office as a PA and then when we moved to Norfolk, because in between I had breaks in between because I was so exhausted it wou ld be like I'd had to take a year-and-a-half out and t hen I'd think, "No, I want to work", you know, and then do it for so long and I'd think, "I can't do it". And then the last one was when I was employed by Tesco' s and, like I say, they was very good to me.
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QUESTION: Yes. You've said in your statement that they kep t you on the payroll for a number of months after you wer e unable to work but it couldn't carry on indefinitel y. ANSWER: Yes.
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QUESTION: Hence medical retirement in June 2016? ANSWER: Yes.
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QUESTION: Your husband's also had to stop work in order to look 0 after you. ANSWER: He did because the state of me at that time I cou ldn't be trusted with a kettle, with the simple things. I've got very bad balance issues where I can -- it' s like I'm just going to -- I don't know. I don't kn ow if it's to do with the hep c but I get a bit dizzy. And of course there's that worry when I went through those times of thinking it will be easier j ust to go to sleep and never wake up again, and he stop ped work to care for me. So of course when I was on my medication for six months he had to deal with that because I would never have remembered to have taken them tablets or, of my own, I might have just thoug ht "blow it" and took them all.
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QUESTION: You've had to apply to the Department of Work and Pensions for benefits? ANSWER: (The witness nodded)
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QUESTION: What has been your experience of that process? ANSWER: Not very good, actually. Nobody likes to go with a begging bowl pleading, having to explain when you don't even know what you are trying to explain beca use you still don't really understand the full effects of it yourself. I think it was in around about 15 months I had three DWP appointments. When I was called for the 1 middle one, I actually got rather cross about that and I phoned up and asked them what did they know about hepatitis C and contaminated blood. And, you know, the guy was a bit off with me and I asked to speak to his line manager and he said, "Oh, he's in a meetin g". I said, "Oh, that's fine. I'll carry on chatting t o you. That's not a problem". And then I kind of mentioned that I was part of a working party group for the DWP, said we'll use this as a two-way exercise for us both because I can then report back to the group , the support group, if there's any problems. And I mentioned a couple of names, policy makers that attended, and suddenly the manager was there, thankfully. We had a conversation and I said to him, you know, I'm not disputing the fact that I have to com e along to have an interview, I'm not disputing that, but when I speak to somebody, I want to be speaking to somebody who understands what we've been through an d what we're going through and -- anyway, he said, "I 'll ring you back, I'll ring you back". Of course he didn't. I went along to the appointment and waited about half-an-hour. As soon as I walked in the doors I w as in tears, I was shaking, I felt I was going to star t 2 hyperventilating. I had to go up and say, "Is it going to be much longer because I can't cope". It' s embarrassing because it's all people all around, sitting there looking and poor Dean's, like, "Dear ..." It's humiliating. I felt humiliated. You know, it's not my fault. I'm here. The guy then came round to me from the reception and said, "Oh, you won't be seeing the original per son now. You'll be seeing somebody else". And thankfu lly she was the most loveliest lady ever and she understood. She was very kind, she was very patien t, and, yeah, she was very nice. But it's those pre-feelings that you don't need. You know, you're sitting there and you think I'm go ing to throw up in a minute, I can't cope, I just can't cope. I suppose I got as near to a break-down possibly as you-- I don't know what you go through but I was in a really, really bad place, really bad. B ut we got through that, that was fine. Then I applied for PIP and that was relatively okay. But, you know, at the end of the day they've got our records from -- well, I was Skipton, now EIBSS. If you're on a stage 2, I can't understand -- or a stage 1 payment depending how poorly you are - - why you necessarily have to keep going through thes e 3 procedures, these upsetting times. You know, if I was a vulnerable person that could possibly tip me over the edge where you've had enough of it. It's the form-filling. It's the reliving everything. You know, it was really -- it needs to stop.
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QUESTION: Have you ever been offered any form of counsellin g or psychological support? ANSWER: There is a lady at our GP surgery that I can go a nd talk to but there's a long wait. I was never offer ed it at the hospital when I was first diagnosed. The re is a letter that says "I have counselled Michelle a nd expressed that her children and husband should be tested". But, no, apart from what's at the local G P, no, nothing.
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QUESTION: And then you just mentioned the Skipton Fund? ANSWER: (The witness nodded)
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QUESTION: You weren't, I think, ever given any information by anybody about The Skipton Fund. You found it yours elf through the internet? ANSWER: Just through searching. Yes, I didn't have a clu e. I wasn't told about it at the hospital, doctors, we ll, I wouldn't expect him to know because he didn't rea lly understand it. But no, not at the beginning.
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QUESTION: When you did find out about it and you did apply, what was the process of seeking financial assistance fro m 4 The Skipton Fund like? ANSWER: So they need -- what's their evidence? It's got to be more likely probable that you've got hepatitis C through a blood transfusion and you have to prove i t. You have to show proof. So for me that was really difficult because my maternity records had been destroyed as they're only kept for 25 years. I couldn't find anything else. I'd never kept anything from the pregnancies because they take all their records back. And then I had an idea to ring the GP's surgery and speak to the medical secretary and I said, "Hav e you got anything? Is there anything there?" So sh e said, "What I'll do is I'll print out" -- I think i t's a primary summary sheet. I think it's just literal ly where you go into hospital, that's -- yeah, and whe n I went and collected it, it was there. It was writ ten there that in '87, I'd had 4 units and after the tw ins the 2 units, plus I had my little blood card as wel l which I'd managed to keep.
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QUESTION: But without those bits of documentation, you thin k you would, in all likelihood, have had your application rejected? ANSWER: Oh, absolutely. Yeah, definitely.
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QUESTION: The other concern I think you had about The Skipt on 5 Fund was that none of the payments that you receive d were backdated; is that right? ANSWER: No, that's right. You know, at the end of the da y, whenever they started the schemes up, you know, I don't see why that those monies shouldn't have be en backdated to when it first started because, you kno w, being turned away several times and misdiagnosed, that's -- again, it's not our fault. So, yeah, I wasn't very happy with that to be fair. I didn't think that was very fair.
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QUESTION: I think in terms of support you've derived your support on an ongoing basis from your husband and y our family? ANSWER: Yes.
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QUESTION: And then also from the campaigning work that you' ve become involved with? ANSWER: Yes. It was very -- I was adamant that when I wa s very, very angry that I was going to try and use th at anger for something, rather than be negative to tur n it into something positive, and I kind of thought i f I can find one other person like me -- because if that's happened to me, who's just an ordinary, you know, family, wife, et cetera, how many more of mes could be walking out there and not knowing? You kn ow , they may have had operations in the past, not even 6 realised they'd had blood transfusions. So that was my most worrying thing and I was very lucky with BBC Radio Norfolk, I'd written to o ne of -- there's a lovely presenter there and he phone d me and we had a long chat and he invited me in and, to be fair, it's kind of started from then and it's escalated. Then the local newspaper got involved a nd they've actually supported me and my journey throug h every step of the way, and they've been actually amazing, you know -- really amazing.
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QUESTION: Michelle, those were the questions I had for you but is there anything else you would like to add? ANSWER: Yes, if you don't mind thank you, Jenni. Our community, I feel, has been divided by the Government. Well, not anymore. We are united as o ne and together we stand tall. We are louder but, mos t of all, we are stronger and we are not going away. The haemophiliacs and the whole bloods must work in unison as we are not only representing ourselves but, sadly, for those who are no longer with us. A lso plus the families of victims who have been abused b y the old schemes and the confusion that EIBSS (the English Infected Blood Support Scheme) continue to cause. Test, test, test. People must be tested for 7 hepatitis C. It is a killer. How many more like m e have died without knowing, where families haven't h ad that chance to understand? The Government must -- must -- test people. We are not going to get the elimination of hepatitis C if people are not tested . Just to finish off, I would actually really personally like to thank the people that have come to support me today but also for the media for allowin g us, to give us a platform, to help raise that awareness in trying to find other victims. To Sir Brian and the Inquiry team for your trust and support and to the Hepatitis C Trust for just being there always. And this is where I might get a bit tearful. This is for my incredible husband, Dean, who has really been my rock during this horrific roller-coaster of a journey. I couldn't do this without you, darling. I love you. Thank you.
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QUESTION: Q.ANSWER: A.
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QUESTION: Mr B, you have beta thalassaemia? ANSWER: Yes.
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QUESTION: Please can you tell us what that is. ANSWER: It's a genetic blood disorder, chronic anaemia. My body doesn't produce red blood cells and, yeah, it' s not a good thing. Without red cells, we can't breathe, we can't function and we would die. So the treatment for that will be -- is regular blood transfusions.
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QUESTION: How frequently do you have those transfusions? ANSWER: So currently, at this age, it's every four weeks I have three units of blood. As a child, you didn' t need as much blood and it might be two units every six weeks and as you're getting older, they step it up.
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QUESTION: Are there any side effects of having regular transfusions? ANSWER: Yes, absolutely. So with the constant infusion o f blood, what happens is iron starts to build up in y our body, and the iron will build up in your vital orga ns, mainly your heart, your pancreas, your thyroid and various different parts of the body, and if it gets too much those organs will fail, so we need a treatment for that.
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QUESTION: How is that treatment administered? ANSWER: So the treatment has evolved over the years. As a child, from about the age of five it was an injection in the backside administered by the nurse and then my parents. Now, it evolved to a more effective treatment but a much harder regime where you had to inject pu t a butterfly into your stomach, a butterfly needle w ith a little pump. We used to do it in the evenings an d it had to stay for ten hours, slowly pumping in the drug. Now, at first, my parents used to do it but then, from about the age of probably 11/12, I was doing that myself.
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QUESTION: And now how is it dealt with? ANSWER: Now it's evolved into tablets. There's different forms of tablets on the market but some patients ar e not tolerant to those tablets and still have to go via the old regime of long injections.
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QUESTION: You were having, you still have and you were havi ng very regular blood transfusions. Were you ever war ned of any risks involved in those transfusions apart f rom the iron issue? ANSWER: No, it was only the iron.
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QUESTION: You contracted hepatitis C from one of those transfusions. ANSWER: Yes.
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QUESTION: But understandably you don't know which transfusi on infected you. ANSWER: No.
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QUESTION: You were told that you'd contracted hepatitis C i n 1988 or 1989, somewhere around that time? ANSWER: That's what we believe, yes.
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QUESTION: How were you told? ANSWER: I was called in to my -- my consultant called my parents -- well, me, my parents went to the haematology department and our consultant just came out with it, "You've got hep c". Now, our consultant had looked after us since we were little kids, babies, and she never put sugar coating on anything. She just told us the way it w as. We -- my parents had no idea what it was but, as parents who or immigrants I guess, their understand ing is limited and they started to fear the worst, you' ve got a virus, et cetera, et cetera, and that was it really. The consultant turned around and said to u s don't worry are we're going to beat this and that's how -- that was the whole content of the meeting.
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QUESTION: You were in your early 20s at that point. ANSWER: Yeah, yeah.
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QUESTION: You have said that your parents were in pieces. ANSWER: Oh absolutely, because having to, one, accept the y've got two kids with thalassaemia major, beta major, a nd then to be told this, it really hit them hard, and they were aware of AIDS at the time and they though t it was kind of the same thing, you know. But, yeah , they reacted badly.
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QUESTION: You said there were no leaflets, no handouts, the re really was no available information. ANSWER: No.
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QUESTION: How did you react to the news? ANSWER: I thought, okay, here we go, another problem to d eal with but then it manifested in my mind a lot more a nd it started to make me think why am I bothering with , at the time, the painful treatment, why bother with all of that if you've now got this virus that's attacking your liver. And I wasn't great at biolog y but I know you need a liver. So, yeah, it started to manifest itself as very negative thoughts.
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QUESTION: At that stage you told your partner that you coul dn't carry on taking your iron chelation therapy for thalassaemia because, "What's the point? Even if I 'm treating the thalassaemia, the hepatitis C is going to kill me". ANSWER: That's exactly what I said to her. It just felt like all of the suffering from the years before, this wa s just -- it just felt too big for me to overcome at the time, you know, I was young and I told my girlfrien d exactly how you put it. There's no point.
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QUESTION: You've said in your statement that all the thalassaemia patients were told at about the same time? ANSWER: Yeah. All of those who tested positive for HCV a nd HIV at the time, it was like one in one out. You know, there was a special clinic that they held, th e one I went to, and we were just told.
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QUESTION: Were you aware that you were being tested? ANSWER: No. I mean, I have every month -- before having blood, you have to have a cross-match and multiple other blood tests. So, no, it was just either anot her tick in the box or write off forms but we never use d to see the forms back then.
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QUESTION: When you go in for transfusions you often see the same people, don't you? ANSWER: Absolutely.
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QUESTION: You say there's a thalassaemia community? ANSWER: Yes.
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QUESTION: And that going in for blood used to be a bit of a social event. ANSWER: Absolutely.
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QUESTION: Especially when you had to stay in overnight? ANSWER: Yeah, back in the day, it was -- for us that work ed or who couldn't come during the day we'd stay overnigh t, normally on a Friday night, and yeah it was a party atmosphere. We'd take crisps and food and our litt le ghetto blasters, you know. It was great. But we w ere all friends, kind of we're called like blood brothe rs and sisters because we're linked by this blood disorder and we started, you know, that's when you started to hear, like, "Psst, did you get any results", or, you know, and that's how it started, you know, people talking to each other, you know.
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QUESTION: But within that community you said that people di dn't really say whether they were infected or not. ANSWER: No. There were some people that, you know, it's only like now 30 years later that you're hearing, "Oh, d id you know ..." People were very, very secretive abou t it. I only ever openly talked about it with one ot her patient.
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QUESTION: You called the virus something particular? ANSWER: Yeah, we -- so when we were talking we would refe r to the virus as the plague, yeah. That's what it felt like to us, something that was destroying us and we would, you know, we'd get our plague updates from o ne another and so on and so forth.
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QUESTION: Why do you think that within the thalassaemia community people weren't saying that they were infected? What was it? ANSWER: Well, it was, in its simplest terms, it was a vir us transmitted via blood which immediately kind of peo ple start looking at you and stigmatising you and then thinking, well, is it like HIV? Are you -- you kno w, there was a lot of stuff on the news about HIV and all that. So we felt that we were contaminated or infected by blood, so we didn't want to kind of tal k about it or put it out there because as you go thro ugh the statement you'll see later on there was stigma from medical professionals.
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QUESTION: You describe it as: "All I knew about it back then was AIDS, but then as time progressed and there were a few clinic s where we found out they would treat hepatitis C [yo u] started to see a few people that were attending tho se clinics with [you] and it was a nod. Many chose to be secretive about it because of the stigma associated with being infected." ANSWER: That's right.
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QUESTION: In about 1990, you started treatment for the hepatitis C. ANSWER: Yes.
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QUESTION: That was interferon? ANSWER: Yes, just interferon.
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QUESTION: You became even more depressed at that point? ANSWER: I think one would say that's when the real depres sion started, yes. So it was just with all of the other side effects that I think we all know about, the fevers, the insomnia, the inability to sleep, came a depression and it wasn't good for me in the sense that I was taking it out on my treatment of the thalassaemia. So, yes, around that time is where I started to feel generally low and I just felt lik e, you know, I kept saying to myself, my girlfriend, "What's the point, what's the point", you know. So, yeah, we went through the treatment.
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QUESTION: You thought it would kill you, was what you were thinking? ANSWER: Yeah, it was hard on the body, even worse on the mind. That's the thing, because the physical symptoms com e and go, you know, but it's I guess the mental impac t it had on me that, yeah, it was -- I thought it was going to kill me or I was going to kill me, yeah.
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QUESTION: When you started treatment you will still working . ANSWER: Yes.
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QUESTION: What were you doing?0 ANSWER: I was a computer engineer, qualified Olivetti engineer, and also I was studying C programming and I was also had the ability to do assembly language programming at the time, which --
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QUESTION: During the treatment you stopped? ANSWER: Yeah, I couldn't. The physical toll and the ment al, you know -- my capacity to work was gone completely .
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QUESTION: After six months of the treatment, you hadn't responded so the treatment was stopped. ANSWER: That's correct, yeah.
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QUESTION: But a few years later you were treated again, thi s time with peginterferon and ribavirin? ANSWER: Yes.
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QUESTION: What can you recall how you felt during that seco nd round of treatment? ANSWER: What I would say it was worse, much worse than th e first round. In terms of physical impact, you know , pretty similar to the first round but the mental impact, you know, there were some very dark thought s going through my mind, dark, and I -- and I went through a phase of just closing people out rather t han having to face anyone, just closed the doors on everyone and I would be in my own little world with my thoughts, yeah.
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QUESTION: You've said you started worrying about things you 'd 1 never worry about before? ANSWER: Yes.
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QUESTION: While you were on treatment you had no positive thinking? ANSWER: No.
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QUESTION: You kept thinking that you were going to beat the thalassaemia but that you were going to die of live r failure? ANSWER: Yes, that's exactly how I felt and also it's this irrational worrying about everything, a kind of paranoia, anxiety, you know. I would, as I think it's on my statement, I would get in my car and I'd start panicking, thinking what if I crash, what if something happens to me on the way? Just completely irrational thoughts , you know. I could find something to worry about on anything, on any event, you know.
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QUESTION: That second round of treatment also failed? ANSWER: Yes, that failed.
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QUESTION: And in 2002 you had a third round of treatment. ANSWER: That's correct.
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QUESTION: This time again with ribavirin and interferon. ANSWER: Yes.
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QUESTION: This time you suffered with a loss of appetite, t he fevers again -- 2 ANSWER: Yes.
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QUESTION: -- and your lymph glands became swollen -- ANSWER: Yes.
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QUESTION: -- and you became very emotional? ANSWER: Yes, very emotional. I -- it's also I think the first time I noticed that I've lost my sharp responses to questions and my wit and all those wonderful things that I was proud of as a younger man. Things were slowing down up here in the head because it was a brutal 18 months of treatment, you know. There's a picture of me, you don't have it, but I was at a party, a thalassaemia event, and I look back at t hat picture now and I just see a skeleton, a skeletal, you know. It's frightening.
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QUESTION: You've described that again you suffered from ver y severe anxiety. ANSWER: Yes.
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QUESTION: You felt completely sad and empty inside? ANSWER: Yes.
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QUESTION: You started worrying about how you would get anyw here. If you were travelling on a train you would be worr ied that the train was crashing. What if you got robbe d or mugged? ANSWER: Yes, I would worry about everything.
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QUESTION: But the hardest thing, I think, in this stage of 3 treatment was the insomnia? ANSWER: Yes.
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QUESTION: What can you tell us about that? ANSWER: I was working at the time and what I had to do in preparation for this treatment was I downgraded job s. I found the job that I could do, so I worked in a s hop selling mobile phones, and I would go -- I would actually get home, I was so tired, I would eat, go to bed, I would not be able to sleep but it was the thoughts and the fears and that darkness in my head again that just kept going and the worry, just rand om things to worry about, and I really -- I'd be lucky if I got, say, two hours, maybe three at best, worth o f sleep before having to get back to work.
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QUESTION: That meant that when you went back to work the ne xt day ...? ANSWER: It meant I weren't in great shape. I was very ti red. The treatment was harsh enough, the physical effect s of the treatment. Luckily at the time my manager i n the store was an old friend so he would put me on b ack office duties. When I used to say to him, "It's a bad day for me today", he put me in the back to just do -- so I wouldn't have to deal with the public and be o n my feet all day, but it was hard focusing, you know , doing the simple tasks I struggled.4
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QUESTION: You underwent that treatment for about 18 months? ANSWER: Yes.