Sarah Feagan has been living with HIV for 12 years. Her story begins in Melbourne. As a troubled teen, Sarah left home and her youth became a rollercoaster of homelessness, and drugs, which evolved into a bohemian life of self-discovery. After falling in love with a partner who didn’t know their status, later Sarah was diagnosed with HIV at 21, but while effective treatments were available, this was not enough and stigma nearly killed her. Today, Sarah is an HIV peer navigator and one of Australia’s most dynamic leaders in HIV advocacy, especially for women. TRANSCRIPTEPISODE 4: SARAH FEAGAN’S STORYUploaded: 13/10/2020 Heather EllisHi, I'm Heather Ellis your host on our stories, ending HIV stigma, a podcast by women living with HIV, where we share our stories of our diverse lives and challenged the myths and stereotypes that feed HIV stigma are stories as part of the women and HIV tell the story project made possible by Gilead Sciences and produced by Positive Women Victoria in Australia. Sarah Feagan has been living with HIV for 12 years. Her story begins in Melbourne. As a troubled tee, Sarah left home at 14 and her youth became a roller coaster of homelessness, and drugs, which evolved into a bohemian life of self-discovery. After falling in love with a partner who didn't know their status. Later, Sarah was diagnosed with HIV. But while effective treatments were available. This was not enough and stigma nearly killed her. Today. Sarah is a Peer Navigator and one of Australia's most dynamic leaders in HIV efficacy, especially for women. Welcome, Sarah. Sarah FeaganThank you so much. Hello. Thanks for having me. And thanks for a beautiful introduction. Heather EllisYou're such an inspiration. I want to start by asking as a teenager you were living on and off the streets of Melbourne. And this is often a lifestyle that is termed the University of Life. What were some of your learning experiences that made you the person you are today? Sarah FeaganYeah, I think being on the streets, you know, and that comes in different forms as well. Sometimes you sleeping rough sometimes, you're couch-surfing. But you really feel like you're at the whim of other people. And I think though that can be a really good thing and really bad thing because it can teach you about how the kindness of strangers or the gentleness of other people but it can also teach you the realities of, I guess, how cruel and how bad people can be as well and I was really lucky that during my time, when I was homeless that I had really good people that did help me and I have to say that there would have been more positive experiences, than negative ones. Heather EllisYou were telling me your parents stood by you during those years? S what would be your advice to other parents who might have teenagers going through a similar situation? Sarah FeaganMy parents, a shout out to those beautiful humans, I put them through and back and, you know, at 14, you don't know, I thought I knew everything. And I thought that I could understand certain things in my life that had happened or certain moments that had made me act out in different ways. And I was so confused and so angry and I was going through puberty and it's just a toxic mix? But I couldn't verbalize. I couldn't say what was happening for me. So it came out in really poor behaviors. And, yeah, my parents went through that and they had to watch sort of me self-destruct, when they were willing and able to support me. So we are, we are really close now. Like we speak every day, and we're really good friends. But I think to other parents, I'm not a parent myself, so I can't, I can't sort of speak to that. But definitely their unconditional love. The door was always open, even when they wanted to lock it and change the keys change and change the locks, they still kept that door open. And I think that I had to go on my journey of self-discovery and my journey of self-awakening and understanding a lot of things about my past and maybe why I was reacting the way I was, and they allowed me to do that. Maybe it was from afar, but the very supportive, frustrated kind of moment, but they were always there and at the end of the day, that's the reason why I'm still alive. Your child is always your baby at the end of the day. That little animal that's driving you nuts is your baby. And that yeah, that love is always felt as a child, I have always felt that love. So I'm really lucky Heather EllisWhen you suddenly found yourself in this sort of Bohemian lifestyle living in a house full of artists and musicians, how was that a turning point for you? Sarah FeaganSo I was actually sleeping rough at a train station and somebody I think he knew my sister and he recognized me and he introduced me to this home and it was such an amazing experience. Like they didn't know me, I rocked up at their door with like, my big bag of stuff, and they let me come in and they taught me music and so many things that really shaped the way that I engaged with the world for the rest of my teenage years. You know, I was always going to festivals or parties and being around really interesting people. So it was a really special time but I guess with that as well and with any creative culture or subculture this subculture. Because of that I definitely fell into a bit more of a drug taking side of things like drugs were there, but drugs definitely consumed me and I consumed them? And yeah, that's sort of where I ended up focusing and needing to get out of Melbourne just because my drug use had gone through the roof. Heather EllisYou're telling me that you moved to northern New South Wales. That would have been like paradise after Melbourne, warm sunshine and the like. And it was here that you fell in love. So where did that take you? Sarah FeaganYeah, so it was like I said, my drug use was out of control. And I was about 19 by this stage, and we ended up north living with a really good friend of mine. And she was really supportive and part of my healing and then I've headed into town and I met this like super hot guy, and yeah, I fell in love. But unfortunately, there was a lot that he didn't know about himself. Yeah, I mean, ultimately that that took me down. The road that I'm on now so Heather EllisWhen people are infected with HIV, they go through what they call seroconversion. So this is when the virus is basically, creating antibodies and attaching itself to cells. You still had no idea but you fell ill and then you went to the doctor and it was similar from what you're telling me, a similar story where first off the doctors really don't suspect HIV. Was that the way it was for you? Sarah FeaganYeah, so I guess yeah, that's what I was alluding to is definitely like this guy was unaware of his HIV status. His sera conversion illness was minimal, just flu-likes symptom that he could identify after and diagnosis, probably five, six years ago and he was fine. He was pretty healthy, and just showed no signs or symptoms to me though. After meeting him, we were having unprotected that I got sick, I was covered in a rash. I was losing weight, I couldn't eat. I just was very, very sick. And then I went to the hospital like I am typical Anglo Australian, you know, blonde curly hair, blue eyes, and they were testing me for tropical diseases that weren't even in the country because HIV was not on their radar. And that unconscious bias that women and men and trans people are subjected to by clinicians and doctors, they look at you and they think, Well, no, that's not their behavior, they might not be at risk. And it's about instead of it being about what you perceive as a clinician or doctor. It's about, well hang on, these are the symptoms that this person is presenting. Because I mean, HIV, it's not a kind of behavior. You can have one time. You can have experiment with drugs one time, and that's all it takes. And so yeah, finally, I can't remember because I was so unwell. And I'm pretty sure there was a nurse who came in and just sort of went: She needs a HIV test. And sure enough, he was right. Sarah FeaganThis was around the year 2000, so there wasn't really that much talk about HIV. So it probably wasn't really on the radar. I was very lucky that the nurse came in and thought, Well, how about we have HIV tests? Because you would know of this yourself that there's people who have a late stage diagnosis purely for the fact that they're not tested for HIV until like the last minute.So that unconscious bias, and I think, we're not looking for it. I think though they come in 2008. HIV has been around already for 40 years. But this speaks to rural and regional areas where there isn't that education, understanding or even just being exposed to it. But you know, through my work as well, and through my own lived experience, we hear and say about people being mis-diagnosed late with really, really detrimental effects on the people. And, you know, it's not good enough that especially even today in 2020, we're still saying it, it's about educating ourselves and being really health literate. Health aware about our bodies and maybe the risks or not risks that we're taking. But just knowing that HIV does exist, and it is out there, and it doesn't really care what you look like, or how often you have , or how bad you are in the eyes of society, it's a virus and it will do what it wants. Heather EllisSo when you fell ill did you even think about HIV at that time. Did it cross your mind? Sarah FeaganNo, not at all. Not at all. And this is a weird, I guess, part of my story is that my mom nursed HIV AIDS patients before they had a name for it in the late 70s, early 80s. And so it was just it's not that it was spoken about, but it was definitely like it wasn't on my radar. It wasn't on my radar. Even with my mom's experience, it wasn't there. Just I was young. I didn't care I've been having this pretty brilliant, easy lifestyle and I trusted this man, I