Members refused drug testing or monitoring of their blood by doctors and treatment facilities, seemingly unwilling to submit their bodies to regulation deemed necessary by the punitive welfare state. A client diagnosed with HIV and kidney SB203580 order failure turned Inhibitors,Modulators,Libraries down treatment until his health failed and he passed. A transgender client living in a single room only hotel was thrown out of the second floor window to her death on the streets below. Countless clients passed from HIV related complications, as well as Hepa titis C. Another client left her new child at home with her husband, went on a five day drug run only to return to find her husband dead from a heart attack. Her son had starved to death. Others faded away seemingly con sumed by the hostility, neglect, and violence of the street.

Random violence was constant. Our van driver drove to go meet Inhibitors,Modulators,Libraries a friend on election night in 2004, only to be fatally shot in the back on his trip. I remember calling a staff meeting and trying to share the news, not knowing how to convey it appropriately. Grief and mul tiple losses have long been part of work around HIV and harm reduction. Yet outside our rituals, there Inhibitors,Modulators,Libraries were few outlets for those involved to collectively grieve or cope. Witnessing these losses, feelings were often messy and ambivalent among staff, many of whom were for mer clients. Approaches to self care were inconsistent. Many Inhibitors,Modulators,Libraries neglected the need for it. The trend is not un common. Throughout it all, Michael coped and counseled, as well as provided survival supplies to those coming into our syringe exchange program.

I remember one night he borrowed a copy of Midnight Cowboy to show at the Fri day night syringe exchange movie night at CitiWide. It took one of our usually jovial members down a melan choly path about his life and world. Michael was there to talk him through it. Yet, what of Michaels own pain Inhibitors,Modulators,Libraries Even then, I knew he struggled to cope and supported his decision to leave the syringe exchange program. As a sporadic user, he said it was good for him to finally move on from CitiWide and its syringe exchange. In 2004, I gave a presentation on the CitiWide Model at the Harm Reduction Conference in New Orleans. Charles King started the conference by talking about the loss of his partner Keith Cylar of Housing Works, who had passed after years of struggling with HIV the prior Spring.

His open tears were refreshing, yet the pain of kinase inhibitor Wortmannin Cylars loss as well as the countless others was some thing with which many in the field were struggling. Few really knew how to cope except to get back to work. For many of us, this pattern was simply part of the common ethos in social justice struggles you just keep going! But this trajectory is often very harmful.The notion of A Luta Continua the struggle continues pervades the field of social justice.