HIV: The Morning After

Dan Hall

An oral history and public-education audio archive documenting the lived experience of people living with HIV in the UK. The series captures testimony at a moment when institutional memory, peer support, and long-term survivor narratives are being eroded, despite medical progress. Led by Emmy award-winning documentary producer Dan Hall, the project is building a long-form archive of recorded testimonies for public, community, and educational use. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

  1. 14h ago

    Saul Silva: Silence, Survival and Scaffolding

    Content note: this episode discusses substance use, homelessness and a violent eviction. In 2008, Saul Silva was diagnosed with HIV in Leeds, and told to keep it quiet. This episode follows the decade he spent running from that diagnosis, through homelessness and addiction in London, to becoming an advocate who helped build a widely used tool for disabled people applying for benefits. SummarySaul Silva was diagnosed with HIV in 2008, in Leeds, and told his restaurant manager that same evening. She laughed in his face and accused him of lying to get the weekend off. What followed was years of running: changing cities, changing phone numbers, and avoiding care rather than face a diagnosis he couldn't process. A move to London in 2009 brought him into contact with St Thomas' Hospital, but also a spiral of self-medicating, a relationship built on partying, and eventually homelessness, including a night in a police cell after a violent eviction. The turning point was Positive East, the East London HIV charity Saul was too ashamed to walk into for months, and a clinical director who helped him rebuild his life from the ground up. Saul now works on system-level change, including a widely used tool that helps disabled people navigate Personal Independence Payment applications, and speaks openly about the funding cuts now threatening the same charities that saved him. The conversation closes with a tribute to the generation of AIDS survivors he calls "the scaffolding." Key Moments[00:02:00] Diagnosed with HIV in Leeds in 2008[00:05:02] Telling his restaurant manager, and being laughed at[00:07:24] Years of moving cities, changing numbers, and avoiding care[00:11:29] Homelessness, self-medicating, and a violent eviction[00:16:19] Walking past Positive East's door for months before going inside[00:21:36] Facing his diagnosis for the first time, a year on, with Dr John White[00:27:12] Helping build a tool that guides disabled people through PIP applications[00:32:07] On the funding cuts threatening Positive East and Positively UK[00:33:38] Shame that started long before the diagnosis[00:36:03] A tribute to the AIDS generation he calls "the scaffolding" About Saul SilvaSaul Silva is an HIV advocate based in London, diagnosed in Leeds in 2008. After years avoiding care, homelessness and addiction, he rebuilt his life with support from Positive East. He now works on systemic change, including a widely used online tool that helps disabled people navigate Personal Independence Payment applications, and speaks publicly about HIV stigma, peer support and the funding pressures facing HIV charities today. Resources & Further ReadingTerrence Higgins Trust – information, testing and THT Direct support for anyone living with or affected by HIV in the UK.National AIDS Trust – campaigning on HIV stigma, discrimination and the law.Positive East – the East London HIV charity that supported Saul's recovery.Positively UK – peer support and advocacy for people living with HIV; its Gay Men's Project, mentioned in this episode, closed in 2025 due to funding but relaunched as Positively Connected in February 2026.Turn2us – independent UK charity helping people navigate benefits, including Personal Independence Payment. If you've been affected by anything discussed in this episode, support is available through the Terrence Higgins Trust or Positive East. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Saul Silva: Silence, Survival and Scaffolding
  2. Oct 22

    Stephen Hart: Section 28, Survival and the Stage

    Content note: this episode includes a detailed account of drug-facilitated sexual assault, rape, and suicidal thoughts. In October 2006, Stephen Hart's drink was spiked and he was raped. Months later he learned his attacker was HIV positive, and so was he. This episode traces how a boy raised under Section 28 in 1980s Glasgow became one of the UK's most visible HIV advocates. SummaryStephen Hart grew up in 1980s Glasgow under Section 28, watching famous gay men die of AIDS on television with no one in the classroom explaining why. In October 2006, his drink was spiked in a Covent Garden bar and he was raped. Months later, a doctor told him his attacker was HIV positive, and so was he. What followed were two years of withdrawal, isolation and suicidal thoughts, listening to Whitney Houston and waiting to die, largely because the only image of HIV he'd ever been given was of dying men in the 1980s. What pulled him back was hearing other advocates tell their stories, and the memory of his friend Alan Sloane, who had shown him that a life with HIV could still be full of fun. In 2009, a trip to New York led Stephen to write 'Shadowed Dreamer', a one-man show about his life that ran for nine months off-Broadway. Today he's a Positive Voices speaker for the Terrence Higgins Trust and London Ambassador for Stamp Out Spiking. Key Moments[00:01:03] Growing up gay in 1980s Glasgow under Section 28[00:08:56] A night out in Covent Garden, and a drink that didn't taste right[00:13:15] Waking up 12 hours later, and realising something bad had happened[00:19:50] A doctor's diagnosis: the man who raped him was HIV positive[00:23:57] Two years spent waiting to die, and withdrawing from everyone he loved[00:29:09] Alan Sloane: the friend who taught him to live, not just survive[00:32:10] A 2009 trip to New York, and standing in Times Square[00:35:36] Writing 'Shadowed Dreamer', and taking it off-Broadway[00:43:12] What Stephen would say to anyone still "waiting to die"[00:48:11] A moment of remembrance for Alan Sloane and Pedro Zamora About Stephen HartStephen Hart is an actor, writer and HIV advocate from Glasgow, now based in London. Raped in 2006 by a man later found to be HIV positive, he wrote and performed the one-man show, 'Shadowed Dreamer', which ran for nine off-Broadway. He is a Positive Voices speaker for the Terrence Higgins Trust, London Ambassador for Stamp Out Spiking, and hosts the YouTube channel Hart Talks. Resources & Further ReadingTerrence Higgins Trust – information, testing and THT Direct support for anyone living with or affected by HIV in the UK.National AIDS Trust – campaigning on HIV stigma, discrimination and the law.Stamp Out Spiking – the UK charity, and Stephen's own cause, working to end drink spiking.1in6.uk – UK support for men affected by unwanted or abusive sexual experiences.Hart Talks – Stephen's YouTube channel, featuring conversations with HIV advocates and activists. If you've been affected by anything discussed in this episode, support is available through the Terrence Higgins Trust or 1in6.uk. SEOSEO Title: SEO Description: This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Stephen Hart: Section 28, Survival and the Stage
  3. Oct 15

    Luke Adams: Activism, Addiction and Asylum

    In the mid-1980s, at 24, Luke Adams was told he had two years to live. Forty years on, he's a psychologist, ACT UP veteran and recent political refugee from the United States, now living in London. SummaryLuke Adams was 24 and living in Santa Cruz, California, when a test came back positive for what doctors then called HTLV-III. His nurse, Ed, gave him two years to live, then brilliantly made Luke furious enough to act. Luke channelled that fury into decades of AIDS activism: building safer-sex education programmes with student volunteers, joining ACT UP alongside Larry Kramer, and watching Anthony Fauci go from adversary to convert. He survived the brutal monotherapy era of AZT, a near-fatal AIDS diagnosis in 1996, and the addiction that followed years of grief, before getting sober with help from a friend at the Haight Ashbury Free Clinics. Now 63, and more troubled by arthritis than HIV, Luke has recently left the United States for London, describing himself as a political refugee after his activism, his marriage to a Latino man and his support for trans rights drew scrutiny from the Trump administration. The conversation closes with his verdict on today's PEPFAR, USAID and UK foreign-aid cuts, and a moment of remembrance. Key Moments[00:02:04] Becoming a political refugee: why Luke left the United States for London[00:08:03] Nurse Ed's blunt delivery of a positive HIV result, and the fury that followed[00:11:27] What ACT UP actually was, and why Larry Kramer built it[00:14:26] A reunion with Larry Kramer at the NIH — and a young doctor named Anthony Fauci[00:21:08] Fighting Lyndon LaRouche's ballot initiative to intern people with HIV[00:31:20] Compound S to AZT: inside the toxic monotherapy years[00:38:19] A T-cell count of 30, and a summer he wasn't expected to survive[00:46:01] Crystal meth, grief and finding sobriety through the Haight Ashbury Free Clinics[00:53:33] A moment of remembrance for his friend Doug Rasic About Luke AdamsLuke Adams is a psychologist and HIV activist who tested positive in Santa Cruz, California, in the mid-1980s. He helped build early safer-sex education programmes, worked alongside Larry Kramer in ACT UP, and co-wrote community materials on HIV prevention. Now 63 and sober for decades, he recently relocated from the United States to London, describing himself as a political refugee. He continues to practise psychology and campaign against HIV stigma. Resources & Further ReadingTerrence Higgins Trust – UK support and information for anyone living with or affected by HIV.National AIDS Trust – campaigning on HIV stigma, discrimination and the law.Sisters of Perpetual Indulgence – the drag activist order Luke references, still fundraising and educating worldwide.Diseased Pariah News – background on the zine co-founded by Luke's housemate, Beowulf Thorne.ACT UP Historical Archive – records and capsule history of the AIDS Coalition to Unleash Power. If you've been affected by anything discussed in this episode, support is available through the Terrence Higgins Trust. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Luke Adams: Activism, Addiction and Asylum
  4. Oct 8

    Emma McAnally: Stigma, Strength and Superpower

    Content note: this episode discusses domestic abuse and suicidal thoughts. In 2016, Emma McAnally was diagnosed with HIV in a Scottish sexual health clinic while in an abusive relationship. This episode follows how that diagnosis led her to challenge outdated NHS maternity guidance and become an HIV educator in Scotland today. SummaryEmma McAnally was diagnosed with HIV in 2016, in a Scottish sexual health clinic, while in an abusive relationship. Isolated and convinced she was the only person in Scotland living with the virus, she reached her lowest point before falling pregnant gave her a reason to leave. Motherhood brought fresh battles: she was denied a water birth because of her status, discouraged from breastfeeding, and, by 2023, discovered that Scotland's maternity guidelines for women living with HIV hadn't been updated since the early 1990s. Her research helped change them. Emma later met her partner, Paul, through a wild swimming group, and found in their mixed-status relationship the acceptance she'd feared she'd never get. Now a mental health nurse turned Senior Learning and Engagement Officer at Waverley Care, she delivers HIV-awareness training to health and social care staff, the same profession that once told her, wrongly, that HIV could be caught by sharing a toothbrush. The conversation closes with a moment of remembrance for the teenage HIV educator Krista Blake. Key Moments[00:01:43] Diagnosed with HIV in 2016, inside an abusive relationship[00:05:05] Googling the symptoms in the clinic waiting room, and the moment the penny dropped[00:12:22] Reaching a lowest point, and finding purpose in pregnancy[00:13:18] Denied a water birth because of her HIV status[00:17:51] Fighting outdated guidance to win delayed cord clamping for women living with HIV[00:24:07] Meeting her partner, Paul, through a wild swimming group[00:30:50] Told, wrongly, by a nursing lecturer that HIV could be caught by sharing a toothbrush[00:37:02] A moment of remembrance for teenage HIV educator Krista Blake[00:44:14] A postcard to her newly diagnosed self: "HIV can be your superpower" About Emma McAnallyEmma McAnally is a mental health nurse and HIV advocate from Scotland, diagnosed with HIV in 2016. She successfully campaigned to update outdated NHS guidelines on childbirth for women living with HIV, and now works as Senior Learning and Engagement Officer at Waverley Care, delivering HIV-awareness training to health and social care staff. She is a mother of two and lives with her partner, Paul. Resources & Further ReadingTerrence Higgins Trust – UK support and information for anyone living with or affected by HIV.National AIDS Trust – campaigning on HIV stigma, discrimination and the law.Waverley Care – Scotland's HIV and hepatitis C charity, and home of the HIV Informed training Emma now delivers.Prevention Access Campaign – the research behind Undetectable = Untransmittable (U=U).In Memory of Krista Blake – background on the teenage HIV educator Emma remembers in this episode. If you've been affected by anything discussed in this episode, support is available through the Terrence Higgins Trust. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Emma McAnally: Stigma, Strength and Superpower
  5. Oct 1

    Veda Lady: Secrets, Sequins, Solidarity

    For over a decade, Veda Lady was the most recognisable drag queen in Dublin. They talk to Dan Hall about a childhood spent dodging the word "AIDS", the partner who begged them not to tell, and the 2019 disclosure that led to Ireland's first podcast made by and for people living with HIV. SummaryVeda Lady has spent three decades as Dublin's reigning drag mother, but for a long stretch of that career they were keeping the biggest secret of their life. Growing up gay in 1970s and 80s Catholic Ireland, they were accused of having AIDS at twelve, years before they understood what it really meant. It was a fear that resurfaced when they received their own HIV diagnosis in the early 2000s. Veda describes the deal they made to stay silent, and then the 2019 disclosure timed to a new marriage and a song, "I Came Out One Night". Veda also traces the drag lineage behind their activism, from San Francisco's Trannyshack to Dublin's Alternative Miss Ireland, and explains how a lockdown drag show streamed from their kitchen grew into Poz Vibe, the podcast and social enterprise they now run with Doctor Robbie Lawlor for people living with HIV across Ireland. Timestamped Takeaways[12:06] Introducing Veda — three decades a fixture of queer Dublin, and the first podcast made for and by people living with HIV[16:48] A grey childhood in Catholic Ireland — bullied, and accused of having AIDS at twelve[21:26] Dropping out of Trinity College — for the door of a Dublin cabaret club[26:52] San Francisco, 1996 — a first night in drag at the club now known as T*Shack (its original name has since been retired), run by the late Heklina[33:21] Alternative Miss Ireland — drag family, chosen sisters, and a tribute to Thom McGinty, "The Diceman"[42:44] The double life — an HIV diagnosis, a frightened partner, and a promise to tell no one[45:34] Atripla, insomnia and anxiety — years spent blaming her mental health for the medication[51:16] Coming out in 2019 — "I Came Out One Night," the Irish charts, and the kitchen drag shows that became Poz Vibe Guest BioVeda Lady is a Dublin drag artist, broadcaster and HIV activist who has performed across Ireland for over three decades. Diagnosed with HIV in the early 2000s, they kept their status private until 2019, when they came out publicly and co-founded Poz Vibe Podcast and Poz Vibe Tribe with Doctor Robbie Lawlor — now one of Ireland's largest peer-led HIV communities, over 100 episodes deep. ResourcesIf you have been affected by the themes in this episode, support is available at Terrence Higgins Trust and HIV Ireland. LinksPoz Vibe PodcastHIV IrelandTerrence Higgins TrustNational AIDS TrustPrevention Access Campaign — U=UI Came Out One Night (SONG) This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Veda Lady: Secrets, Sequins, Solidarity
  6. Sep 24

    Adrian Hyyriläinen-Trett: Parliament, Pills and Powerlifting

    In 2015, Adrian Hyyriläinen-Trett became the first openly HIV-positive parliamentary candidate in UK history, standing for the Liberal Democrats in Vauxhall. This episode follows their 2004 diagnosis at Camden's Mortimer Market Centre through twelve years on AZT, a complex PTSD diagnosis, and a new life as president of the LGBT Powerlifting Union. SummaryAdrian Hyyriläinen-Trett was diagnosed with HIV on the 3rd of June 2004, at Camden's Mortimer Market Centre. Twenty-five and living in Beckton at the time, they made the journey home alone on the DLR, before waiting six months to tell their parents, on Boxing Day, that they were both gay and HIV positive. Eleven years on, standing as the Liberal Democrat candidate for Vauxhall, Adrian chose to go public about their status ahead of the 2015 general election, becoming the first openly HIV-positive parliamentary candidate in UK history. This conversation follows that journey through twelve years on AZT to a new single-tablet regimen, a 2016 mental health crisis that led to a diagnosis of complex PTSD, and an unlikely second act: powerlifting. Adrian is now president of the LGBT Powerlifting Union and competed at this summer's Gay Games in Valencia. The episode closes with reflections on the growing divide between the LGB and wider LGBTQ+ community, and a moment of remembrance for Dean Street's David Stewart, the friend who first got Adrian through the door of a therapist's office. Key Moments[00:02:24] Why the single-tablet switch: protecting kidneys and liver while staying undetectable[00:04:15] 3 June 2004: an HIV test at Mortimer Market Centre, Camden[00:05:12] "Absolutely nothing": the empty state of HIV education in 2004[00:08:13] A solo journey home on the DLR, processing a new HIV diagnosis alone[00:18:41] Coming out as gay and HIV positive to parents on Boxing Day 2004[00:22:20] Twelve years on AZT, drug resistance, and the road to today's regimen[00:28:17] The decision to become the UK's first openly HIV-positive parliamentary candidate[00:32:52] LGB versus LGBTQ+: the case against leaving trans and non-binary people behind[00:39:16] From a 2016 mental health crisis to president of the LGBT Powerlifting Union[00:44:46] A complex PTSD diagnosis, and a moment of remembrance for David Stewart About Adrian Hyyriläinen-TrettAdrian Hyyriläinen-Trett is a Liberal Democrat politician and HIV advocate who, in 2015, became the first openly HIV-positive parliamentary candidate in UK history, standing for Vauxhall. Diagnosed with HIV in 2004, they have advised the House of Lords, worked with over 400 organisations worldwide, and wrote the party's 2010 same-sex marriage motion. They are president of the LGBT Powerlifting Union, competed at this summer's Gay Games in Valencia, and are married. Resources & Further ReadingTerrence Higgins Trust – information, testing and THT Direct support for anyone living with or affected by HIV in the UK.National AIDS Trust – campaigning on HIV stigma, discrimination and the law.LGBT Powerlifting Union – the trans-inclusive powerlifting organisation Adrian now leads.Mind – support and information for anyone affected by the mental health themes discussed in this episode, including complex PTSD. If you've been affected by anything discussed in this episode, support is available through the Terrence Higgins Trust. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Adrian Hyyriläinen-Trett: Parliament, Pills and Powerlifting
  7. Sep 17

    Nathaniel Hall: Secrecy, Shame, Standing Ovations

    An actor and activist who was diagnosed with HIV at 16, kept the secret for 15 years, turned it into a one-man show that earned 53 five-star reviews, and was cast in It's a Sin while still performing at the Edinburgh Fringe. SummaryNathaniel Hall grew up in Gatley, a suburb of Stockport. He was a straight-A student, head boy, and quietly realising he was gay in a school where Section 28 was still in force and the only mention of homosexuality in his entire education was a video of a man dying from AIDS in a PSHE lesson taught by his maths teacher. He wanted to wear a cream tuxedo to the prom. The hire shop didn't have one ready, so he sat on a bench in a park playing Snake on his phone. A man with bleach tips in his hair came and sat next to him. That summer fling - possibly grooming, a question he still works through in therapy - ended when Nathaniel's parents found out. On holiday in Menorca, in a 45-degree heatwave, he fell violently ill. It wasn't the water. It was seroconversion. Two weeks before his 17th birthday, he was taken down a long corridor at Stepping Hill Hospital to a room with two chairs and a box of tissues. The nurse told him his result before she'd even sat down. For 15 years, Nathaniel told almost nobody. He went to theatre school, graduated, worked as an actor, fell into a toxic relationship fuelled by drugs and alcohol, and watched himself lose all sense of who he was. The turning point came at a party when he looked in the mirror and couldn't recognise the person staring back - a slow-motion car crash he could see happening but couldn't stop. He started showing up for himself. He told a filmmaker he'd been working with, who said: let's make it. The result was First Time, a one-man show that premiered at the Edinburgh Fringe in 2019 to 53 five-star reviews, two awards, and standing ovations every night. Russell T Davies saw it and cast him in It's a Sin. He got the phone call about the part while holding a five-star review from The Stage. But performing his own trauma had a shadow side - what he calls a shame hangover, the feeling after a show of having opened his soul a bit too much. His second show, Toxic, sat in the messiness of life rather than offering a neat ending. Audiences found it harder. Life isn't linear. His third show, A Whole, is about finding joy in anal sex after sexual trauma, and will premiere in Manchester in 2027. Key Moments[01:18] The kid from Stockport - head boy, straight As, Section 28, and the only queer representation at school: a man dying from AIDS on a TV in maths[03:47] The wallpaper of death - growing up absorbing the association between gay visibility and AIDS as so normalised it didn't even register as abnormal[06:31] The bench, the prom, and the cream tuxedo - waiting for a hire suit that hadn't arrived, playing Snake, and a man with bleach tips who sat down next to him[10:42] The question of grooming - something that comes up often in therapy, and the tension between wanting something and being too young for it[11:17] Menorca, 45 degrees, seroconversion - falling violently ill on holiday, presenting to a GP with his mother, and being told it was a waterborne virus[13:09] Two weeks before 17 - the long corridor at Stepping Hill, the box of tissues, and a nurse who delivered the result before she'd sat down[16:34] Shame entering the body - how discovering sexual pleasure and acquiring a virus at the same moment tainted everything that followed[17:35] Fifteen years of need-to-know - a long relationship that ended, the return to dating, and the fear of criminalisation that hung over every disclosure[18:30] The toxic relationship - drugs, alcohol, physical violence, and enabling each other on a downward spiral[22:30] The party and the mirror - the slow-motion car crash, losing all sense of self, and the decision to start giving a shit about himself[25:20] First Time - telling a filmmaker, getting a commission, 53 five-star reviews at Edinburgh, and the phone call about It's a Sin on the same day as a Stage review[26:57] The shame hangover - performing your own trauma night after night, the feeling of having opened too much, and falling back into drinking[30:01] It's a Sin and the limits of visibility - why visibility is not the same as acceptance, and the German footballer attacked in his home after a public proposal[33:50] Not another f*****g AIDS play - why Nathaniel's second show sat in the mess of living with HIV, and why audiences prefer a tidy ending[37:11] The great-uncle - a man who never married, lived in a council house, loved cricket, and left a surprising amount of money. Nathaniel is writing a novel that re-imagines his life as a gay man who lived in secret DedicationNathaniel remembers his great-uncle, a quietly spoken man who never married, loved cricket, and liked a glass of wine. Nathaniel is writing a novel that imagines the life he might have lived - and through him, all the men before decriminalisation who carried their shame in silence. About Nathaniel HallNathaniel Hall is an actor, writer, and HIV activist from Stockport. He was diagnosed with HIV at 16 in 2003. His one-man show First Time received 53 five-star reviews at the Edinburgh Fringe and led to his casting in It's a Sin. His second show, Toxic, explored the messier realities of living with HIV. His third, A Whole, about finding joy in anal sex after trauma, premieres in Manchester in 2027. He is currently writing his first novel. ResourcesNathaniel Hall - official siteGeorge House Trust - Manchester HIV supportTerrence Higgins TrustLGBT Foundation - ManchesterNational AIDS Trust If you have been affected by the themes in this episode, support is available at tht.org.uk. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Nathaniel Hall: Secrecy, Shame, Standing Ovations
  8. Sep 10

    Dr Tristan Barber: Prescription, Patient, Pioneer

    A leading HIV consultant who went from writing prescriptions to needing them in the summer of 2002 - and became the first person living with HIV to lead the British HIV Association. SummaryTristan Barber was born in Cornwall in 1975, took his A-levels at 16, and arrived in London in September 1992 as a gay man from a rural county where nobody was out. Medical school felt like a small homophobic village. London in the 90s did not. He went to clubs every night, nearly failed his studies from enjoying himself almost too much, and eventually landed his first job in sexual health and HIV at a busy East London clinic in 2002 - the year everything changed. Towards the end of that rotation, Tristan got sick. A ten-day viral illness in the middle of summer. His GP prescribed antibiotics and didn't ask anything else. Tristan went for an HIV test himself, struggled to find a clinic where he didn't know anyone working, and bumped into an old colleague in the waiting room who asked why he was there. The test was positive. He enrolled in a seroconverter trial at Imperial College - four drugs for three months - and became rapidly undetectable. Then the trial required him to stop treatment, his viral load rebounded, and a small depression set in. That was his summer of 2002. What followed was a career that took in research at Imperial, clinical trials recycling old drugs for people who had run out of options, an elective in San Francisco where HIV drugs were advertised on bus stops, and fieldwork in rural Nepal supporting doctors who were delivering HIV care with a manual and a telephone line. In 2018, he set up a dedicated HIV and ageing service at the Royal Free Hospital - the first of its kind - built around the idea that your birthday age and your HIV age are not the same thing. He became the first person living with HIV to chair the British HIV Association, led the campaign to allow people with HIV to donate sperm and eggs, and helped change Civil Aviation Authority rules so commercial pilots with HIV could fly. He is clear-eyed about the mixed messaging in HIV medicine: one pill once a day does not mean it's sorted. Key Moments[01:26] The summer of 2002 - starting a first job in HIV medicine at a busy East London clinic, and the ten-day illness that made him suspect something was wrong[03:23] Finding somewhere to test - the difficulty of getting an anonymous HIV test when you work in the field, and bumping into a colleague in the waiting room[04:18] The seroconverter trial - quadruple therapy at Imperial College, rapid undetectability, treatment interruption, viral rebound, and the deflation that followed[05:41] Shame and sex - why we can't shame people for having sex or for acquiring STIs, and the fact that most sexual activity globally is condomless[08:07] Cornwall to London - A-levels at 16, arriving in 1992, and the 90s gay scene: Love Muscle, Popstarz, and smoking in every pub[12:12] From Brighton to San Francisco - Martin Fisher as a leading light, HIV drugs advertised at bus stops in 1998, and a city still in shock[14:42] Coming back to HIV - leaving the field for A&E, thinking it was too obvious a career choice for a gay man, then realising it was the perfect fit[15:20] Two waves of optimism - 1996 and triple therapy, then the mid-2000s when drugs became well-tolerated and effective against resistant virus[19:14] Being your own field of expertise - the privilege and the complication of clinical literacy after diagnosis, and the newspaper articles his father left on the kitchen table[30:35] HIV and the ageing brain - Tristan's MD research into cognitive impairment, and the finding that most people on contemporary treatment do not have a direct HIV-related cognitive problem[32:59] HIV and ageing - the Royal Free service, the interplay of birthday age and HIV age, nursing homes where staff have never knowingly met a gay older person, and the 2025 HIV Action Plan's promise to address stigma in care settings[38:11] Mixed messaging - one pill a day doesn't mean it's sorted, and why even HIV professionals can minimise the lived experience of a lifelong condition[41:06] Law catching up with science - changing rules on sperm donation, commercial pilots, and the armed forces, and why criminalising HIV transmission perpetuates stigma[44:15] Nepal - two months in far western clinics, supporting doctors delivering HIV care in rural isolation DedicationTristan remembers a young heterosexual patient who never fitted the model of HIV care, who couldn't take oral antiretroviral therapy because of the weight of her own self-stigma, and who once surprised his ward round team by jumping out of a cupboard in fancy dress. She lost her life to HIV. About Dr Tristan BarberDr Tristan Barber is a consultant in sexual health and HIV at the Royal Free Hospital, London, where he runs a dedicated HIV and ageing service. He is the first person living with HIV to chair the British HIV Association. His MD research focused on HIV-associated neurocognitive impairment. He led successful campaigns to allow people with HIV to donate sperm and eggs and to permit commercial pilots with HIV to fly. ResourcesBritish HIV Association (BHIVA)National AIDS TrustTerrence Higgins TrustThe 2025–2030 UK HIV Action Plan If you have been affected by the themes in this episode, support is available at tht.org.uk. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

    Dr Tristan Barber: Prescription, Patient, Pioneer

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An oral history and public-education audio archive documenting the lived experience of people living with HIV in the UK. The series captures testimony at a moment when institutional memory, peer support, and long-term survivor narratives are being eroded, despite medical progress. Led by Emmy award-winning documentary producer Dan Hall, the project is building a long-form archive of recorded testimonies for public, community, and educational use. This podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp

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