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Faces of AIDS

"I get off on teaching.
I get off on advocating.
I get off on raising hell."

-GiGi Nicks

GiGi Nicks (1952 - 2004)

IT'S NEARLY IMPOSSIBLE TO CONDUCT AN UNINTERRUPTED CONVERSATION WITH GIGI NICKS. INEVITABLY, HER PHONE RINGS, UNEXPECTED KNOCKS SOUND AT HER OFFICE DOOR, AND HER PAGER VIBRATES UNINHIBITEDLY. BUT THESE INTERRUPTIONS ARE SUPERFLUOUS WHEN WEIGHED AGAINST WHAT SHE HAS TO SAY.
When I entered her office, GiGi was on the phone counseling a client. She simultaneously beckoned me in while urging the person on the line, "Don't hesitate to ask; it doesn't hurt to inquire."

GiGi was diagnosed with HIV-positive in January 1991, as a result of an eight-year heterosexual relationship with an intravenous drug user. She had battled an unexplainable illness for weeks. One day, her suburban health provider asked if she'd be willing to take an HIV test.

"Ms. Nicks," he said, "would you subject yourself—would you be willing to subject yourself —to an HIV test?"

"Not only did I not know what an HIV test was, but I didn't care. At that point I just wanted to know what was wrong with me and whatever it was, I wanted to get it treated.

"Two weeks later, I got a phone call from the clinic nurse who told me that my test results were back and they were positive and I needed to make a follow-up appointment with my primary care provider as soon as possible. Well, I already had a follow-up appointment scheduled with my primary for two weeks from then, so I wasn't about to bother. I'll just wait, you know. I didn't know what HIV was. Curiosity kicked in then. 'What is HIV? What does it mean?' I was totally ignorant of HIV. I had heard the word AIDS but I didn't know what HIV meant. Hearing the word AIDS, I heard it all within the context of gay white men."

Three days prior to receiving her diagnosis, GiGi had been laid off from her job. Thus, in addition to researching HIV/AIDS, GiGi was looking for a job. She left her suburban (read: costly) provider and sought out free medical care. She called her local board of health.

"I said, 'Hello, can I get an HIV test?' 'Sure! Come anytime.' 'Okay, my name is…''Oh, we don't need your name.' Well, how are you going to know me when I come for my appointment?!' [Laughs] I mean total ignorance, but ignorance is bliss though. I can't say I regret being ignorant because it saved me.

"I remembered going into the place like a dummy, walking up to the desk and saying, 'My name's GiGi and I have an appointment for an HIV test' Well, the whole room cleared out and I didn't understand why. The young lady whispered on the phone and here comes this guy rushing from the back of the clinic, whisking me away with him to the back. He says, 'You don't have to give your name.' And I replied, 'Well, I don't speak in code. I am not a number. I am a human being and I do have a name.' So I'm going off on him…" She pauses and laughs, then laughs some more. We laugh together.

"It was news to me that I was supposed to be ashamed. He showed me what HIV is and what it's not. When he showed me the risk factors, I saw that I was clearly at risk. The whole world opened up because of the knowledge he shared with me. Unprotected sex, with an injection drug user. Duh; there I am, right there!

"When he told me about the odds at that particular time of people progressing on to an AIDS diagnosis, I automatically told him, 'I might progress on to AIDS, but you can rest assured that I will certainly exceed that life span that you shared with me. Thanks for sharing with me, but that doesn't apply to me. So in the meantime, you said something about treatment. That's all I heard. Where can I go to get this treatment?"

GiGi's doctor sent her to Cook County Hospital.

"Meeting my provider—we had been talking for maybe two minutes before she asked, 'Are you interested in maybe speaking to people with HIV?' I said, 'Look, I just got here. I don't feel that I can educate anybody else yet. But there is something else…I need a job. I'm unemployed at this moment. I'm an independent person. I've always supported myself. I don't have any food for my kids when they come home from high school today. Do y'all have any jobs?' [Laughs] She said, 'How would you like to work with HIV-positive people?' I said, 'AIDS folk?' At that time they had these peer educators who would go over to the AIDS ward and educate people and hold hands. And I thought that was what she was talking about. And I said, 'Oh, no,' and left it at that.

"At the next visit, she gives me the results from the lab. And I said, 'You find me a job?' She said, 'Well, I asked you if you wanted to work with me and you said no. 'So I said, 'Okay, look at my resume and tell me what do you have on your staff that can fit my qualifications.' She went into the hallway and called the administration building. She came back and said her administrator wanted to see me. I ran over there. They offered me the position of administrative assistant to their program and I said, 'Fine, I can do that.'

"That was the stepping-stone to making me draw upon the experiences I use in the field of advocacy. After coming to terms with my own diagnosis and watching other people come through being newly diagnosed, I realized I could be a real asset, have a real positive effect in their lives. It sort of, like, took off like a whirlwind. Before I knew it, I was spending more time at the clinic, meeting patients and helping them along. It came to be something that I actually enjoyed doing. It became bigger than life."

I asked GiGi to share with me some of her thoughts about advocacy.

"I stand firm on what I advocate for. I'm selective in what I advocate for, what aspect of HIV/AIDS I advocate for. My passion is women and children, African American women and children; I identify more with that population. That's the population I can speak authoritatively on. If I have any opportunity to be at anybody's table, that's usually who I tell them I'm representing. I think that gives me so much, so much to work with. I could never run out of work. In the light of the numbers, you know I'd never run out of work.

"Because I've been involved, I think I got it. I understand it now. I continue to evolve because I continue to be involved. I think that's my key to surviving healthy with HIV—being involved. Every ounce of knowledge I acquire, I have an obligation to share, to get it out of me and to someone else. I'm taking it in and I'm putting it out, because I don't think it's mine to keep. I get off on teaching. I get off on advocating. I get off on raising hell. All those things make my T-cells rise and keep my viral load low."

I asked GiGI how she gets African American women and children involved in the fight against HIV and AIDS.

"We need to be more utilized, those of us who are impacted by HIV and AIDS. People need to be given an opportunity to be educated enough to be able to reach out to those like them. I have never, ever, spoke to an audience that had people like me—and when I say like me, I mean African American women—who didn't hear my message. It has never not worked for me. So I think what we need is still education, because we're not working with anything else as far as a cure is concerned. We're going to have to continue educating people on a level that they can be educated.

"I may not ever benefit from [patient advocacy], but I'm saying I know the needs of my peers and I respect them. God forbid if I'm ever in the position some of them are in and need those services. I clearly would want them to be available. I'm not just doing this on a selfish note. But I tell you, it's a wonderful thing to do something you love to do and get paid for it, too. It's the best thing in the world."

GiGi still works at the place where she acquired a job 10 years ago, shortly after being diagnosed; she is an HIV/AIDS patient advocate for the Women and Children's Program at Cook County Hospital in Chicago.

Written by Chris Bell
Photographed by Jason Smith

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