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QUESTION: -- but you felt you had no choice. Then you were able to get some temporary work and then you began to work for another company whic h had different systems -- ANSWER: Yes.
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QUESTION: -- that you felt comfortable with that you weren' t going to, through your hepatitis consequences and symptoms, make any mistakes? ANSWER: Yes.
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QUESTION: But I think you have had to adjust the way in whi ch 9 you work in order to accommodate that. Can you tel l us a little bit about that? ANSWER: Well, I am working for another company now, also Australian (they tend to pay better than the Britis h companies) and so I do work for them. I am actuall y still registered with Universal Credit because my hours are still quite limited and that really is linked to the depression and the associated concentration, motivation issues and fatigue and ho w long I can work each day. So some months I do bett er than others. The work tends to be pretty much, oth er than Christmas and so on, always available but I am limited by how much of it I can take off from them and that's sort of the current situation.
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QUESTION: So you are essentially working part time doing wh at you feel physically and mentally able to do? ANSWER: Yes.
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QUESTION: You are working purely from home? ANSWER: Yes.
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QUESTION: And that has both the benefit that you don't have the pressure of interaction with others but the disadvantage for you of isolation? ANSWER: Yes, yes, and I've taken steps. I've given mysel f a kick up the backside and, you know, I've taken st eps to try and get out a bit more. I've joined a choir0 again, I used to sing a lot, and that kind of thing to sort of help that.
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QUESTION: You say in your statement that you have a longer term worry about the future, that your future is unclear and you're concerned that there will be a serious ongoing impact on your ability to obtain or sustain employment. ANSWER: Yes, I think so and that's a bit of a mixture, no t just of how I feel within myself but applying for a job outside of the home requires references and I 've not done so well having been fired from a job and s o on, and last time I did have an outside job where I was employed as opposed to self-employed there we re some issues there with the occupational health discussing the hepatitis C infection and the depression and so on and they -- I did get the job but there was quite a lot of kind of queries and questi ons over it. So I'm not sure how that will play in either. But, yes, it's mostly how well I think I could cope with it or whether I could get a job o r if I got a job whether I could keep it.
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QUESTION: I understand again from your statement that there was an impact upon your education because there was a particular qualification you were studying for. ANSWER: Yes. I was doing a proof-reading qualification 1 because I mean I've worked informally as a medical proof reader, but I wanted to get a formal proofreading qualification to allow me just to exte nd what I could do a bit and also because I was workin g from home possibly get work outside of -- when I'd done the proofreading work it was mainly for the consultants I was working for and I thought if I ha d a qualification I could offer myself as a proof rea der to possibly medical journals and the like or in a non-medical area. Many years ago I went to theological college as well and I thought maybe I could offer myself in th at area which has got some quite specialist language a nd so on, but I had to give up the course before -- I just couldn't study properly or get to finish tha t so I had to give that up.
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QUESTION: I think a number of years ago before you were inf ected you spent quite a lot of time travelling? ANSWER: Yes.
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QUESTION: Been to a number of different countries? ANSWER: Yes.
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QUESTION: You've described the change for you through the hepatitis C and the consequent depression as a chan ge from being a highly self-motivated individual who taught herself languages to having no motivation or2 interest in doing anything at all? ANSWER: Yes, I think that's fair to say. I mean, if you are somebody who knew me even, I don't know, 10/15 year s ago they would probably describe me very differentl y. I was well respected at work. I was very busy. I did a lot of singing as a soloist and in groups, in ope ra and other areas. I taught, I got together groups t o learn to sing as a choir of singers. I taught singing. I taught needlework and so on when we had our shop and before that. I was involved -- you kn ow, I went overseas doing relief and development work. I was quite involved in the church I belonged to wi th caring for homeless people and I was a lay preacher and all these sorts of things and liked being able to participate and be of -- you know, give back to the community, as it were. Yeah, I've reached the point where I really don't do anything and sort of try not to hide from the world. I've been trying to not to, especially for the last few months, but making positive steps there bu t, yes, it's been a real turnaround from the kind of l ife and the sort of person I was, I suppose, yes.
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QUESTION: You've got a close community of friends -- ANSWER: I've got -- yes, some close friends.
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QUESTION: -- who have been a tremendous support to you? 3 ANSWER: Yes.
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QUESTION: But you also say in your statement that your infe ction has had an impact upon that relationship because yo u have been a worry to them and you haven't been able to do with them some of the things you would have want ed to do. ANSWER: Yes. Again, I think that's more the outcome with the link to fatigue and depression. At one point a few years ago my very best friend, and she said it kind ly, said, "You know, sometimes when you're in the room, it's just like having a dark cloud in the room", an d that was really painful and I've learnt ways over t he years. I now call myself a cheerful depressive because quite a lot of people wouldn't know how I sometimes felt inside and, actually, sometimes I think, well, it's a choice how we, you know -- or a good friend of mine says you fake it to make it a nd, you know, there's some truth in that if I choose to be cheerful, you know, it feels better and that's obviously better for my friends. So you're right, it was very painful to see the effect I was having on people that really cared a l ot about me and, you know, as I said, that was one of the things that really made me think about suicide beca use I didn't want to do that to them. I think since th en 4 I've found ways of actually being better when I'm w ith people so that that hasn't got such a big impact on them.
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QUESTION: You've told us about the financial impacts throug h your employment and The Skipton Fund which you say it's helpful, covers your mortgage, but isn't enoug h to cover bills, food, other outgoings? ANSWER: No.
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QUESTION: Can I just ask you about The Skipton Fund applica tion. ANSWER: Yes.
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QUESTION: You made an application in about 2012 and you got the stage 1 payment, which was the lump sum payment. ANSWER: Yes.
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QUESTION: Then in due course it was recommended to you by y our doctors I think that you should apply for a stage 2 payment? ANSWER: Yes.
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QUESTION: What happened in relation to the progress of that stage 2 payment? ANSWER: Yes, well, I'd been diagnosed with stage 4 fibros is and the word cirrhosis was sort of bandied about an d the consultant said that's definitely enough to qualify for the second stage payments. So I sent i n the application form and, you know, the doctors fil led that in and that was refused and when I tried to fi nd 5 out why, it appears that in the NHS they use in pathology they use the Ishak Staging System to classify levels of fibrosis of the liver and, apparently, at that stage, it was borderline cirrhosis. It turned out that the Skipton Fund peo ple used a different staging system which was also borderline but whereas in the NHS system I was over the border, with the Skipton system I'm not sure wh at they called it, the classification system, I was slightly under and my consultant wrote back to them saying, you know, to all intents and purposes, Kate has this degree of liver damage which is, you know, and she is eligible for this, but they refused it again. I just left things at that point and it was I think, I'm not quite sure of the timing, maybe it was a couple of years after that that I had a fibroscan which showed that the damage had increa sed quite a bit and so it was suggested that I reapply and at that stage The Skipton Fund granted me the secon d stage payment.
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QUESTION: Which I think you finally got in February 2017. ANSWER: That sounds about right.
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QUESTION: That's the date in your statement. ANSWER: Yes. 6
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QUESTION: Although you eventually got that, you spent some time trying to get it? ANSWER: Yes.
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QUESTION: But, in fact, I understand there was quite a significant period of time, you're not exactly su re when but between your diagnosis in 1997 and more recent years in which you simply weren't aware of t he existence of The Skipton Fund at all and so didn't make an application. ANSWER: No, I wasn't aware of it and I was just rereading my notes earlier and last night, and there is a note somewhere -- I did write it down if it is important in a letter, 1416011, which is 2012, where the doctor there is actually confirming the diagnosis and he s ays he encouraged me to apply for the Skipton funding. Even once I knew about it, actually, the initial payment I decided not to apply for it because at th e time I didn't realise what the implications would b e financially. I didn't -- I wasn't in financial trouble at that time and I'm a bit -- I don't like the idea of applying for compensation for the sake of i t, sort of thing. I wasn't quite sure if it was compensation anyway but, you know, I'd raged on abo ut UK is going to become like America. We're going to demand money for, you know, falling over a pin or 7 whatever. So it was, I think, a couple of years later when I really realised that I was struggling financially and that it was reasonable that I receive the money and fair and I applied for it then. That was the initial one, the initial stage payment.
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QUESTION: The way you put it in your statement is after you did finally find out about The Skipton Fund, and the precise dates don't matter, Kate, you didn't apply for some time because you felt like you didn't deserve it? ANSWER: Yes, yes.
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QUESTION: And then when you finally made your application f or the stage 2 some years later, you had debts and tha t's the point at which you realised you shouldn't be ashamed to take this money? ANSWER: Yes, yes.
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QUESTION: Is there anything else, Kate, that you would like to add? ANSWER: I don't think so.
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QUESTION: Steve, you were diagnosed with haemophilia B when you were about one years old. ANSWER: That's correct, yes.
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QUESTION: Initially, when you were diagnosed you didn't hav e many difficulties with it in the very early days. ANSWER: No, I think it was a classic diagnosis of a haemophiliac. Before one, you were bruising a lot under your arms and the parents became alarmed and you were going to the GPs and to the hospitals and, aga in, there's the classic parents coming under the radar of is this child abuse, is this baby battering, before the diagnosis because obviously it's very unusual f or a child to be bleeding and have things. But about one years' old is when the formal diagnosis of haemophi lia came through, yes.
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QUESTION: But from about the age of four you had more regul ar and severe bleeds? ANSWER: Yes, I think as a haemophiliac starts growing and growing fast is when the joints are developing and that's when the bleeds really come fast and furious , yes.
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QUESTION: You were treated with cryoprecipitate until you w ere about six? ANSWER: Yes.
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QUESTION: Then changed over to Factor IX concentrates? ANSWER: Yes.
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QUESTION: As far as you're aware were there any discussions with your parents of any risks involved in that change? ANSWER: Absolutely none at all.
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QUESTION: About that time you were also put on to home treatment? ANSWER: I was, yes.
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QUESTION: Now, can you describe for us what the impact of haemophilia B was having on you by the time you wer e about age 6 or 7. ANSWER: Personally, my memories of pre-five would just be pain and hospitals, that's all I can remember, and dread of going to the hospitals, upsetting my parents. At five, school age, trying to attend the mainstream school, being sent to a mainstream school, missing more than what I was able to attend because I was bleeding. Pain, yeah, pain and constant bleeding really constant bleeding.
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QUESTION: You mentioned missing a lot of schooling? ANSWER: Yes.
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QUESTION: At about six or seven your parents applied for yo u to go to Treloars School? ANSWER: That's right, yes. They'd heard through a person al friend who was given a teaching placement there of this school in Orton Hampshire that was recruiting a lot of haemophiliacs and there they were getting a really good education and it was geared up and th e medical treatment was freely available on site.
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QUESTION: When did you start attending? ANSWER: I started attending when I was about eight years old.
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QUESTION: So about September 1976? ANSWER: Yes.
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QUESTION: And you still believe that Treloars was the best place for you to go? ANSWER: I do. I understand why the decision was made for my parents because obviously they wanted to give me a good education, they wanted me to have the best medical treatment and at that time you would report to my local hospital which in that case I was living i n Portsmouth, which was St Mary's and you were litera lly fighting for treatment because the treatment wasn't readily available, you wouldn't see the same doctor more than once. It would usually be a houseman. The general consensus was go home, bring him back in the morning to see if it's any better. Obviously, you quickly learn it will never get bett er so the bleeds got worse because the treatment just wasn't as freely available, but at Treloars it was made clear that if you had a bleed you would be treated within hours.
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QUESTION: In terms of your schooling and being able to atte nd school? ANSWER: Obviously, yeah, and Treloars, yes, it was educational. I'll tell you a little bit about the geographics of Treloars. There was three establishments of Treloars within about three and a half miles of each other. There was what was known as Lord Mayor Treloar College, which was a very grand old-style school, which was purely boys from the ag e of around 11 upwards; there was Florence Treloars School which was just down the road, which was predominantly girls, and haemophiliacs, boys and ot her boys under ten were put in that unit for the first two years until they were able to move up; and there wa s Treloar Hospital which again was about a mile down the road where first -- where all the treatment was administered in the early years.
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QUESTION: When you first went to Treloars you were receivin g both cryoprecipitate and freeze dried Factor IX? ANSWER: I have memories of having cryoprecipitate at Trel oars but very quickly they pushed for everybody to be changed on to factor concentrate. It became appare nt that I was one of the first ones to be put permanen tly across, yes.
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QUESTION: When you were put permanently across to the facto r concentrate, again, was there any discussion with either you or your parents about the risks of that treatment? ANSWER: Definitely not to my parents. To myself and the other boys it was being sold to assist this is a miracle to you guys. To have cryoprecipitate would mean you would be lucky to get out the treatment that day. It would take two or three hours to administer. You'd be under a drip with your arm out, two to three hours, and then they invite you to rest for two hours befo re you went back to normal life. Sometimes it was lon g, depending on the size of the dose. This was coming in a 60 ml syringe which could be administered within quarter of an hour/20 minutes and you could get up and walk away. And, of course, this was in little bott les which you could take home with you, administer yourself at home. So cryoprecipitate couldn't be administered at home. You had to report to hospita l.
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QUESTION: When you were about 11, so about 1978, you went o n to prophylactic treatment? ANSWER: I did.
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QUESTION: Can you describe how that was carried out at Trel oars? ANSWER: Prophylactic treatment is basically they would gi ve you treatment every other day, usually, maybe two t o three times a week on a routine basis, which would prevent bleeding virtually because, obviously, your factor levels were high so you didn't bleed. There was a really, really big push in those years to get as many haemophiliacs as they could onto prophylactic treatment. Again, there was no risk assessment done to me. They didn't say this stuff contains a risk. Obviou sly the more you have, the greater the risk. That wasn 't explained at all. It was just sold to you purely, "This will give you a more normal life. You'll hav e more free time. You'll be fitter, so take it".
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QUESTION: You've described the treatment room at Treloars? ANSWER: Yes.
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QUESTION: Could you describe that for us in your own words. ANSWER: As I say, go back the very early days, all the treatment was administered at Treloar Hospital and that would mean that every morning there will be transit vans pull upside Treloar School or College, the 12 haemophiliacs would get in because that's ho w many they seated, and they would be ferried to the hospital where the treatment was administered. In those days, it was mainly cryoprecipitate. You would be down there three hours and then they would ferry you back to the school and these vans w ere running three or four times a day. After I had bee n there about two years, the actual haemophilia centr e moved to the school; so it was administered actuall y on site.
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QUESTION: What was the room like on site? ANSWER: The room on site was -- contained, I would say, i t contained the sink, eight to ten tables, eight to t en chairs and a doorway which went through to where th e storage area where the factors were being stored.
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QUESTION: When you went in for treatment what did you find? ANSWER: In the early days --
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QUESTION: In the treatment room on site? ANSWER: In the treatment room on site, physically what wa s in there? When I was having treatment you mean?
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QUESTION: You described when you arrived pre-mixed doses wo uld already be out on the tables. ANSWER: Yes, at Treloars there was, in the heyday when I was there, there was probably up to 50 haemophiliacs in attendance and you think if they were pushing for these most people were having three doses a week so every morning there would be 20/25 haemophiliacs queuing up for their treatment. The treatment room itself contained eight tables, when you went in there it was very regiment ed at Treloars, you were known by your surname , you we re given a number, a laundry number and your surname there was no Christian names. Again, these were al l pseudonym names, like Big Ears, Joe Smith and Blogg s written on a white Luxon sheet on the table with pre-mixed doses. So there would be syringes with j ust a clear substance in it, some may have peoples' nam e on, around the room. So you'd report there, look f or your name. If your name wasn't in there, you may w ait until your name was called.
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QUESTION: You've described that in the early days if a boy hadn't turned up for treatment and there wasn't a syringe ready with your name on it you could simp ly be given someone else's dose? ANSWER: Exactly. If Thursdays they knew it was again pseudonyms, Smith, Bloggs' and Harry's day, if you turned up and your name wasn't in there and they sa id, "Where's Harry today?" "Didn't you know he's got an exam?" They'd say, "Well, you may as well have it", because he was com ing back later, so there was absolutely no way you knew what was in that particular syringe, what product w as in that syringe. All you know is it had been pre-mixed and it had your name on it.
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QUESTION: You describe that it was very much like a cattle market for a particular period of about four years. ANSWER: It was. It remained that way for around four yea rs, yes.
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QUESTION: In about 1982 when you were about 15 the push for prophylactic treatment you say seemed to slow down. ANSWER: It did, yes. Obviously, boys being boys there we wanted to play football, be out riding bikes. The last thing you want is to keep being called up for prophylactic treatment all the time and there was - - yes, we didn't like it but if you could stand it th ey would push for it. But as the boys got older obviously refusals started to happen, "I'm not doing that, I'm not doi ng that". But it wasn't because of the risk of infect ion because it wasn't known then. It was just purely because your veins, your physical body couldn't tak e it.
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QUESTION: You also say the way in which treatment was organ ised from the when you were about 15 changed completely.0 ANSWER: Absolutely, yes.
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QUESTION: Can you describe what changed? ANSWER: There was locks put on doors. You weren't allowe d in the treatment room on your own. A mixer was instal led in the treatment room. The bottles were in the treatment room. The treatment product was mixed in front of you in the mixing machine. It was pulled up in front of you. Records were kept. It was clear that every batch number was being taken off the product and you noticed a change there, yes.
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QUESTION: Was the reason for this change ever explained to you? ANSWER: No.
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QUESTION: In about 1983 you recall media reports circulatin g about a link between haemophiliacs and AIDS. ANSWER: Yes.
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QUESTION: In your statement, you describe that around this time some of your friends at the school started showing symptoms of illness. ANSWER: Symptoms of illness, yes.
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QUESTION: Can you describe what was happening? ANSWER: There was always -- I mean, this will sound very flippant to you but there was -- people were ill at Treloars. We accepted that, that there were ill people there. There would be cases of hepatitis there, many, one of the haemophiliacs would go yell ow, 1 he would get no special treatment at all, he would attend school as normal, he would play football as normal. In fact, he would be teased about being yellow. That's just the way it was.
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QUESTION: I think you said there was a name used to call th em? ANSWER: Yeah, he just used to be called banana or somethi ng like that. A month later he'd be better and it wou ld be someone else. It was just so normal. It happen ed on a monthly basis.
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QUESTION: But 1983 you've indicated that it was a little bi t different? ANSWER: With, sorry --
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QUESTION: In 1983 there had been rumours circulating about AIDS and you said that -- ANSWER: There was rumours circulating about AIDS , yes, an d the link was being established between AIDS and haemophilia.
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QUESTION: You said that: "Around this time some of my friends at school started showing symptoms of illness that was nothin g to do with haemophilia bleeding. It was an incredi bly scary time for us." ANSWER: It was, yes. People were becoming flu-like sympt oms. People were going home for the half-term break and they wouldn't be returning. Yes, there was a lot o f 2 people, glandular fever, throat infections becoming a lot more prominent. Everybody was worried becaus e the link, it was the press story was just breaking that there was a link between haemophilia and HIV, yes.
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QUESTION: You've described a pact that you and four of your closest friends made. Do you feel able to tell us about that pact? ANSWER: That was probably a year later. I was either in my very last year or the first year that I'd left when the first haemophiliacs were starting to die and everybody was really scared and, yeah, four or five of us in the room and we realised that this is serious and this is killing us or killing haemophiliacs and we said, "This is going to happen to us, we can see it ", and we said, "Right, we've stuck together right through our childhood. If it happens and it kicks off we're going to rely on the person still alive to pursue it and find out why and what went wrong", an d I'm the only one left. That's tough. I think abou t that every day and ... it's tough.
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QUESTION: What was the school's response to the rumours and the increasing illness of the students? ANSWER: Okay, in Treloars we've established that the scho ol and the haemophiliac centre they were on the same 3 site. There was just big double doors between them . This side was the school, the education; that side was the haemophilia centre. They didn't hide it but the way it broke at Treloars was the newspapers. No-one had mentioned the word AIDS or anything. It was just all over the newspapers. Obviously the haemophiliacs wanted answers and started to ask questions. I think, first of all, I think they said, you know, "Don't worry, don't worry, just carry on as normal just carry on", and we sort of accepted that . So Treloars was -- we were exposed to mortality at a very young age at Treloars. Obviously, there was some very sick people there and through the -- I wa s then for six/seven years so I saw a handful of peop le die. I will give you one example where we were playing football and one of the lads just dropped d ead on the floor. Obviously, we're 13/14-year old lads , so one of us jumped on the bike, quickly rode round to the haemophilia centre where the doctor was on call , he came running down with a bag, got there too late . He'd gone.
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QUESTION: So that was somebody before the AIDS -- ANSWER: Yes, this was before.
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QUESTION: In terms of how the school responded and talked t o you 4 about what was going on, was there any discussion f rom the school about what was happening? ANSWER: Not when I was there, no, not when I was there.
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QUESTION: Now I want to move on to look at some of your rec ords and your own infection. You've obtained your recor ds from Treloars. How did you come to receive them? ANSWER: I've received patchy records. They're not comple te by any means. There are large sections missing. Thre e to four attempts were applied for because Treloars is no longer. It's now all moved to Basingstoke. Initially on request they said, "No, They've all go ne. We haven't got them anymore". Kept trying, receive d dribs and drabs through and then one day I went to Treloars -- over to Basingstoke to the thing, they said, "Oh, Stephen, you were after records". There 's a new haemophilia doctor had arrived. He said, "We 've just unearthed boxes of records in a cupboard of th e Treloars days. Would you like them?" Of course I said, "Very much I would, yes." They weren't complete but there was three or four g uys who got a reasonable set of notes there, found in t he cupboard, yes.
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QUESTION: Paul, can we have document 1432006, please. We should be able to highlight, thank you, the date here is January 1977. You can see that on the 5 left-hand side of the screen and you've been identified in the bold letters as a hepatitis risk? ANSWER: Yes.
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QUESTION: Were you told about this at the time? ANSWER: No.
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QUESTION: If we can go to document 1432005, if you look dow n the middle column you first tested positive for hepatit is antibodies in January 1979. Were you told about th is at the time? ANSWER: No.
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QUESTION: Were you even aware that you were being tested? ANSWER: No.
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QUESTION: Please can we have 1432007. Could we highlight t hat second paragraph, please. It says your SGOT was slightly raised and had been since January 1979. What's your understanding of what that means? ANSWER: I have no idea.
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QUESTION: Okay. ANSWER: Honestly. I'd imagine it's something to do with the liver function test, I would assume.
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QUESTION: You said in your statement you understand that ra ised SGOT is an indication of damage to the liver? ANSWER: Yes, liver function test, but I do not know what SGOT actually stands for.
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QUESTION: That's okay. Were you told about this at the tim e? 6 ANSWER: No.
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QUESTION: Now, you remember being told to avoid alcohol whi le you were at Treloars? ANSWER: Yes.
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QUESTION: But you say you were certainly never advised that you had or were at risk of hepatitis. ANSWER: No, the first time they ever discussed liver prob lems with me was when a highly respected haemophilia nur se and it had been mentioned at this stage to avoid alcohol because of liver problems and they said, "Y our liver's under enough strain as it is coping with th e amount of factor you're having; so don't give it an y extra pressure by drinking alcohol".
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QUESTION: And you weren't told about your hepatitis infecti on until 1991 which we will come on to -- ANSWER: Okay.
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QUESTION: -- in a moment. Now, you are aware that your blood was being tested regularly while you were at Treloars? ANSWER: Absolutely.
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QUESTION: Why do you think that was? ANSWER: It was the norm to have blood taken, I would say, on a fortnightly basis, if not a weekly basis, sometim es every other dose you would have it would be, "Oh, Stephen, we just need some blood from you", and you 7 would literally stick your arm out, they would pull 60mls back in a syringe, start squirting it into bottles, connect your factor up and you'd have your factor and you'd go. You didn't question it. It w as normal to every -- not just me. As I say, I'm speaking for the whole of the Treloars boys. It wa s normal for people to be giving blood on a weekly to fortnightly basis, large quantities, not test tubes , tens of test tubes.
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QUESTION: You have said: "I am convinced that many of the pupils at Treloars were monitored very carefully and that the y did all the tests that they could possibly for commercial interest and/or financial gain." ANSWER: I do. I think Treloars had access to virgin haemophiliacs, so to speak, pups is another word. They had boys there from 8 years old who had obviou sly never been exposed to any drugs, sex, alcohol, any other of the ways any of these infections could be contracted and they were monitoring us. They were taking blood and looking how things were developing , how fast is this progressing, who is getting what, what is happening here. We didn't even know anythi ng was happening. It was just the norm for blood to b e taken in large quantities to all the boys there.8
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QUESTION: What impact has that had on your willingness to a ttend medical appointments once you left Treloars? ANSWER: I don't have much faith in the medical -- I find trust very hard because sometimes they're not telling you exactly as it is. There's an ulterior motive for w hat they want you to do and that is the beauty of the internet now. You can research things and the good thing about Treloars was, as I say, 89 boys went th ere and I'm one of the 16 still left. But we still tal k. We can confer with each other, even at the other en d of the country, "What is happening to you, what is happening". He's been told something totally different to me and you can question it. So I'm very fortunate to have those companions, those people who are going through exactly the same thing as you to confer with, so we're a tough bunch to be because we can talk to each other.
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QUESTION: In those early years after you left Treloars, wha t was the emotional impact on you of what was happening t o your friends? ANSWER: Oh, it was astounding. The bonds that were built , Treloars, as I say, you know, we ate together, we learnt together, we were treated together, so the bonds that were built become like brothers. They weren't just like school mates, you know. Close 9 friendships, close bonds were built there and to se e your friends dying one by one and it's always in th e back of your mind there but for the grace of God go I, I could be next. That was -- obviously we were feeling it but people handle it in different ways. My way was I j ust blotted it out, just focussed forward and told no-o ne and that nobody included -- obviously, my parents k new I was a haemophiliac but they didn't know the probl ems that was going on with it. I sheltered them from that.
484
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QUESTION: You were first told that you had hepatitis C in a bout 1991. ANSWER: Yes.
485
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QUESTION: How were you told? ANSWER: I was told face-to-face by the doctor flippantly, I would say is a good word. It was in a routine examination, "Oh, Stephen, by the way, you've teste d positive for this". I didn't really know what it meant. I was fully aware of the HIV because that w as in full flow by this time. I thought, "What are yo u saying?" He said, "You know, not too much to worry about but life expectancy could be affected here bu t my advice to you is just carry on as normal, carry on as normal", and that's what I did.0
486
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QUESTION: You've said that the doctor was extremely guarded and simply told you to be careful. ANSWER: Yes.
487
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QUESTION: Did he tell you anything about the possible route s of transmitting the infection? ANSWER: No, not then.
488
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QUESTION: How did you feel when you were given that diagnos is? ANSWER: Obviously, you know, the death of haemophiliacs w hen this was happening was really, really massive scale . You know, it was one a month and I attended many funerals and I suppose when you attend so many and you see 30/40 of your friends die, it's always in the b ack of the mind there but for the grace of God go I, bu t you do become slightly hardened to it, you do, and I thought there is could be it, this one. And, yea h, I was shattered. I really -- it took a while to si nk in and for me to decide how I'm going to cope with this and what am I going to do, and so I decided to just crack on with what was left, don't look back. I became very anti-Treloars for a while because I thought it's not worth going back there. There's none of us left, but I pulled myself together and thought just live for the day, just keep going, jus t keep going and that's what I did.
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QUESTION: One thing you did after you were told about your 1 hepatitis C is you became worried about your own financial position; so you found a job at the parks department of the local council? ANSWER: Exactly. I mean, again, it was well aware at thi s stage that haemophiliacs couldn't get life insuranc e and, therefore, couldn't get a mortgage. I thought , "Well, how am I going to get around this?" and I think, logically, let's pursue going for jobs with accommodation and that's what I did. Again, I didn 't declare it. At that time, I was a reasonably well man. I was -- I told nobody and got a job.
490
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QUESTION: So you particularly went for that job because of the tied accommodation that came with it? ANSWER: That's what attracted me to it, yes.
491
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QUESTION: After about two years in that job you left the ro le. ANSWER: Yes.
492
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QUESTION: Can you tell us what happened. ANSWER: Somebody spotted a disabled sticker in my car and obviously started to dig and first thing I knew is you've got an appointment with human resources, I think, and she was called in and there was a lady sitting there I'd never met before and started aski ng questions, and I was totally flabbergasted by the questions she was asking. But somehow she got the information. She knew I was a haemophiliac. She 2 didn't ask me directly but I could see exactly wher e she was coming from. Obviously, I couldn't deny it . So I listened to what she had to say and they were -- made it very clear they were uncomfortable me being there. They wanted to know what I wanted to do. They made me feel very uncomfortable. They wanted me to resign or -- which I wouldn't and it was sort of left for about a day and I thought where's this goi ng to go? Then I was called back and, you know, "Have you had any thoughts about the thing", and they sai d, "We'd like you to leave and leave quietly", and I said, "Well, but my accommodation's tied what am I going to do?" They said, "Well, short-term we'd ju st like you to go sick for up to a year. There will b e no questions asked and during that year we'll find you a council house".
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QUESTION: So you and your first wife moved into a council f lat? ANSWER: Yes.
494
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QUESTION: You became a service engineer for household goods ? ANSWER: I did. When that happened I felt broken again bu t I was still reasonably well at that time and I thought, "I can pick these pieces up and start again", and I did and I thought, "Well, how are you going to hide it again?" I thought, "You're going to have to do it". So we had plans, we wanted a famil y, 3 we wanted a normal life and I thought, "Well, I'm going to have to go and get another good job here", so I thought, "I'm going to have to reinvent, basicall y", which is what I did. I went for another job, didn' t tell them, got a good job. We wanted to buy a house. I knew you couldn't get a mortgage, a haemophiliacs got no chance but, you know, I admit it, I applied for a mortgage and I didn't tell them. I lied. I got a mortgage and life went on for ten years, I suppose, ticking alon g quite nicely. I was earning well, we had a family. Then my health started to suffer. I was getting tired a lot and I was struggling to do the job and I'd gone up and I was training the engineers at the tim e. I sort of worked the day around it and thought you' re not going to be able to do this for much longer and I wasn't ready to throw the towel in. So I thought , "Well, what can you do?" So I thought, "You're goi ng to have to reinvent again". I thought I'll even se t up my own company doing exactly the same thing wher e I'm in control.
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QUESTION: Before we talk about that, can you just describe for us a little bit more about the symptoms you were experiencing towards the end of your time when you were employed.4 ANSWER: Fatigue. Fatigue was the main one, tiredness. I t's hard to explain. It's a brick wall at 2 o'clock in the afternoon. It's not tiredness. Your body is j ust telling you you've got to sleep, not you need rest. You've got to sleep. You've got to. I was driving around and I knew I had to pull over and I had to sleep and then try and get through the day. That's what it -- it creeps up fairly gradually and probably had been creeping up for many years before that but that's the time I realised it's getting dangerous now because you're working with electricity, you're working in people's houses, thi s isn't fair. The risk is getting too much and you can't carry on like this safely and that's why I ch ose to leave that employment, yes.
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QUESTION: So you set up your own business. ANSWER: Yes.
497
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QUESTION: It did very well -- ANSWER: It did, yes.
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QUESTION: -- to start with. ANSWER: Yes.
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QUESTION: How did you manage your symptoms while you were running your own business? ANSWER: Obviously, I was fully aware that my health was declining and it was declining reasonably fast. So 5 I wanted to be able to cope and manage my day to -- so at that time I had two young children, a mortgage d eal and I knew it had to succeed. So I used to get up at 8 o'clock and I may work until 11 o'clock and I wou ld work hard flat out. The business I had was a service engineer. I used to go round peoples houses fixing cookers an d washing machines, et cetera. I'd cram four in an hour, get them as close to each other, bang, bang, bang, and then by 12 o'clock I'd just come home and go to bed because I was exhausted. I may get up at 7 o'clock for something to eat and go back to bed again and then do the same the next day and that we nt on for years.