HIV Testing Training March 9-11 Bozeman

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Bozeman Registration Information

(1/2 day) HIV/STD/HCV Update,

(1/2 day) OraQuick Rapid Test &

(2 days) HIV CTRS Training

(Counseling Testing and Referral Services)

March 9th – March 11th, 2015

8:00 a.m. – 5:00 p.m. each day

C’mon Inn 406-587-3555

Room Block:  DPHHS HIV Training

Bozeman, Montana

Register for the CTRS Conference by March 4th!!!

Register Here:

https://aetcnec.virtualforum.com/pifidform.cfm?erid=45460&sc=936088&aetccode=11

Marginalization

Sermon to the Unitarian Universalist Fellowship of Bozeman, 1.25.15

Good morning- it’s so great to be back here!

I’d like to continue with Nina’s theme from last week.

Dr King and Bayard Rustin are heroes for standing up for their race- a springboard for civil rights. They were the precursors of Stonewall, the feminist movement, Occupy Wall Street, It Gets Better- and much more.

Marginalization.

It means not being part of the body- on the margins.

Marginalize: “to put or keep (someone) in a powerless or unimportant position within a society or group.”

There are many ways to marginalize and be marginalized.

Socially. Economically. Politically. Physically. Ideologically. Theologically, Spiritually. Religiously. Scientifically. Literarily. Geographically. Hygienically. Racially. By almost any reason human beings can think of.

There’s a psychological principle that’s used to keep people in their place.

It’s very effective- and it’s become so commonplace that most of us don’t realize that it’s happening. And it’s all around us.

It’s called shame. And it’s a killer.

Shame is used by persons or institutions in power to promote powerlessness. It’s often confused with guilt, but it’s very different.

Guilt is a feeling that arises inside from trespassing a value. I feel bad.

Shame comes from the outside and it’s a judgment “You are bad”

We can internalize this shame, believing it ourselves, that because someone or something in power thinks we’re bad, their authority is accepted and we believe it ourselves.

Does this make sense?

Guilt can often be helpful because it helps us define our values- keeps us from doing things against what we believe and hold dear.

I have never found shame to be helpful.

Shame is what often brings young people to hurt or even kill themselves. Shame is disguised as bullying. Shame is disguised as wealth. Shame is disguised as political or religious power. Shame tells us that we aren’t who we “should” be.

I want you to be very clear about the disease of shame in our world. I want you to be able to recognize it so that you can avoid it in your own lives and can counter it when you see it in the world around you.

And I’ll give you the best example I know. Every time you hear a “should” or shouldn’t”, you’re more than likely about to hear a shaming statement or question.

You should know better. You shouldn’t act that way. You shouldn’t complain. You should sit down and be quiet. You shouldn’t ask for what you need. You shouldn’t rock the boat.

Does that make sense?

Which brings us back to marginalization.

What are some of the reasons people are marginalized in our world?

What are some of the ways people are marginalized in our country?

What are particular ways people are marginalized in Bozeman, Montana?

In the US we have a particular social theory called capitalism that was supposed to equalize all people who worked for a living. The theory is that if you work hard, you will be able to thrive.

It is sadly and deeply untrue at this point in our history.

The minimum wage cannot support a family of four unless both parents work over 40 hours a week.

People who have millions- perhaps billions- of dollars in this country have never worked a hard day in their lives. They simply were born into the “right” families. Families of wealth, power and influence. Sounds a lot like Feudal Europe.

I don’t think that this was how it was supposed to work.

We have enshrined wealth in this country, further marginalizing the poor, the disenfranchised, the disadvantaged. Some to the point of despair.

As spiritual people, it is not our job to create despair; it is in fact, the opposite of our job.

There once was a group of people who “were together and had all things in common. They would sell their property and possessions and divide them among all according to each one’s need.” They cared for the widow and the orphan with great care and “They were of one heart and one mind and no one claimed that any of his possessions was his own, but they had everything in common.”

Any guesses?

These quotes are from the book of the Acts of the Apostles- they describe the early Christian community.

Sounds a lot like socialism doesn’t it?

Oops- I said the S word.

All spiritual traditions recognize the marginalized as a part of their mission- and all spiritual traditions recognize the importance of restoring humanity to every human being.

In my tradition, we believe God is in love with every human being- not just those with wealth or power or prestige.

Our job is to bring humanity back to the forefront.

Our job is to see those on the margins and bring them in. Our job is to speak for them when they can’t speak for themselves. Our job is to bring the truth of systems of government and society to the surface- if they don’t serve all equally, they don’t serve at all.

And God is here for everybody.

Despite what some of those in power would have us believe.

What I Learned In Therapy

This is written by a patient and shared with permission.

I feel like I could make this a super duper short thing, a medium thing, or a super looong thing. I’m going to aim for some happy medium, though.

For the tl;dr crowd, here is the distillation of what I learned and what I apply in challenging moments: Ask yourself: What do I want? Be honest (about what you want). Be kind (to yourself and others). Tell the truth.

“Once we lose our fear of being tiny, we find ourselves on the threshold of a vast and awesome universe which dwarfs – in time, in space, and in potential – the tidy anthropocentric proscenium of our ancestors.” ~ Carl Sagan

By the end of 2010 I was a worn-out husk of a human. I’d managed to leave my job gracefully, but not without paying a price. I’d lost all my self-confidence. I didn’t trust myself. I thought I was just exhausted and needed to rest. But after two years, it became apparent that rest wasn’t the only thing I needed.

I knew I was having problems when I was interpreting everything with the same level of fear. It didn’t matter what it was. My internal sense of things was waaaay off, but I could only tell by extrapolation. So I found a therapist.

There were many things that I worked on over the almost two years I worked with G:

Read the rest here.

Christmas Sermon 2014

I wonder how many of you remember Art Linkletter. He originated this program called Kids say the Darndest Things. He would get a child or two or even a small group and ask them questions and the responses (at least the ones we saw) were truly hilarious. I remember two interviews in particular. The first was a little girl about five or six with a heavy Brooklyn accent:

Mr Linkletter: How do you feel about being in school?

Girl: I LOOOOVE School!

What do you think of your teacher?

I LOOOOVE my teacher!

Well what do you think of your mommy and Daddy?

I LOOOOOOOOVE my Mommy and Daddy!

Do you like ice cream?

I LOOOOOOOOVE ice cream!

You seem to love everything I ask you about.

Well, I’m a very loving person!

I love that story because it’s really true, isn’t it? Deep down we’re very loving people. There are things that we love, people that we love, animals that we love, places that we love, foods that we love, seasons that we love, books that we love, movies that we love music that we love- and the list goes on and on.

We love what speaks to us.

The other interview was with a group of kids and Art Linkletter asks them:

Have you ever been in love?

And this boy, who’s probably again five or six says “Oh Yes!”

Mr Linkletter asks “With whom are you in love?” He was very correct in his grammar.

And the little boy, without missing a beat, says pointing to a girl in the group “I’m in love with her!”

The little girl memorably shrieks and starts crying.

Whereupon Mr Linkletter says to the little boy “I’m not really sure, but that little girl doesn’t seem to share your love.”

The little boy says “Well, I’m In love with her, I don’t just love her. And I don’t suppose she can do anything about that.”

Out of the mouths of babes….

Today we celebrate Christmas- The feast of the birth of Christ. The Christ Mass.

The celebration that God’s love for us became manifest in a baby born in a barn. Not a palace or the suburbs or a gated community or a hospital or even a house.

He was born in a barn.

In a country occupied by a foreign power.

To poor parents who probably didn’t really know what they were doing- as most parents of their firstborn will attest.

Born also to a people who yearned for God’s light. And to the whole world as well.

I love the Christmas story because it’s so simple.

And because it’s so filled with complicated richness.

For centuries the Jewish people had walked in anticipation of Isaiah’s words “you who walk in darkness shall see a great light”.

I’ve known a few Rabbis in my life and one of the things they have taught me is this:

For hundreds of years The Jewish people had cultivated a relationship with this God who delivered them from oppressors and violence and injustice and who asked them to wrestle with theology- to get down and dirty with questions and curiosity- because if anyone can take a question God can.

Being an Episcopalian means using our heads as well as our hearts. We get to question things. We get to wrestle with things, just like Jacob wrestled with the angel.

Today, I’m going to ask you to wrestle with this: God is in love with you.

God is in love with you.

And there’s nothing you can do about it.

Who’s been in love?

When a person falls in love, the world changes, does it not?

And if that love is returned- well, we might even say that we’ve experienced the Divine.

Being in love is not about doing the right things, saying the right things, wearing the right clothes, showing up at the right place, ordering the right food…. Love is much simpler than that.

True love is delighting in the presence of the Other- and knowing that they delight in the presence of me.

This is the essence of Christmas: God delights in us.

I’ll say it again- God delights in us.

Yeah, I know we don’t always get it right, but we’re trying.

And when someone is in love with you, they forgive when you apologize, right?

So does God forgive us.

God delights in us so much that that delight became a person.

It became Jesus.

He is the manifestation of God being in love with us.

Which is pretty amazing if you stop to think about it.

God is in love with you. God is in love with me. Are you wrestling?

We celebrate it in the words of scripture we hear and in the Eucharist- the ultimate sacrifice of someone in love.

Listen to the words “This is my body broken for you- this is my blood shed for you”-

Words of love from a parent to a child. “I give my life for you.”

Words of the lover to the beloved “All that is mine is yours.”

I also want you to remember something else:

God is in love with the people we find it hardest to love- that’s the most important thing to remember.

When you find a person hard to love remember this: God not only loves them, God is in love with them.

God is in love with some “miserable people”.

And sometimes those “miserable people” is us.

And when you have a bad day and feel unloved and find it hard to believe that anybody loves you, remember this: God not only loves you but God is in love with you.

And I don’t suppose there is anything you can do about that.

Except to try and love back.

Like Jesus did.

Amen

Steve Daines defends the Sanctity of Marriage- with Charles Manson

Found on the internet:

Steve Daines Defending families….

Steve Daines Defending families….

Transgender Day Of Remembrance Prayer

I was asked to give the opening prayer of the TDOR at MSU this evening- it was a memorial- it was a celebration.
The truth sets us free….

Loving God,

You have created us all in your complicated image.

But the love you ask of us is not complicated.

It is universal.

It is unconditional.

It is simply and perfectly- love.

With no distinctions or preferences for

gender, sexuality, race, religion, geography, education,

wealth, social status, language, practice or belief.

I have to believe that you are sad that we must gather tonight to remember

your children who are and have been victims of violence and ignorance.

But I also believe that you are delighted to celebrate the great courage of

your trans* children- and the courage of those who love and defend them.

They are the bravest and most wonderful people I know.

Made in your image and likeness, God.

Forever and ever.

Amen.

The Effects Of HIV On The Body

Once the human immunodeficiency virus (HIV) enters your body, it launches a direct attack on your immune system. It gradually weakens your natural defenses against disease and infection and can affect every part of your body. Find out how here.

world-aids-day-300x300The human immunodeficiency virus (HIV) seeks and destroys CD4+ cells, a type of T lymphocyte (T cell). T cells are critical to the immune system. They’re responsible for warding off diseases and most infections, including viral infections.
HIV targets the type of cells that would normally fight off an invader like HIV. As the virus replicates, it damages or destroys the infected CD4+ cell and produces more virus to infect more CD4+ cells. Without treatment, this cycle continues in most infected people until the immune system is badly compromised, leaving them open to many serious infections and illnesses. Many of the illnesses that people compromised immune systems get are rare in people with functioning immune systems.
How quickly the virus progresses varies from person to person. Factors like your age, overall health, and how quickly you’re diagnosed and treated can make a difference.
Acquired immunodeficiency syndrome (AIDS) is the final stage of HIV. At this stage, the immune system is severely weakened, and the risk of contracting opportunistic infections is much greater. Not everyone with HIV will go on to develop AIDS.
Importantly, many of the effects described here are related to the failure of the immune system in progressing HIV and AIDS. Many of these effects are preventable with early antiretroviral treatment, which can preserve the immune system. However, for anyone without access to effective antiretroviral treatment, these effects remain possible.
Immune System
Your immune system prevents your body from acquiring the diseases and infections that come your way. White blood cells defend you against viruses, bacteria, and other organisms that can make you sick.
When HIV enters the body, it goes straight for the CD4+ T cells that are a lynchpin for the operation of the entire immune system. As the virus infects and kills more of these T cells, your immune system grows weaker, and you become more susceptible to illness.
Early on, symptoms may be mild enough to be dismissed. Within a few months of becoming infected, most people experience a flu-like sickness that lasts a few weeks. Symptoms may include:
fever
chills
night sweats
diarrhea
headache
muscle aches
joint pain
sore throat
rash
swollen lymph glands
mouth or genital ulcers
The first stage of HIV is called the acute infection stage. The virus reproduces rapidly at this stage. You may not have much in the way of serious symptoms, but there are usually large quantities of virus in your blood. Many people are unaware of their HIV status at this point, but the risk of transmission during the acute infection stage is very high. Acute infection may cause flu-like symptoms, including decreased appetite, headache, night sweats, and others.
The next stage is called the clinical latent infection state. On average, it lasts 8 to 10 years. In some cases, it lasts much longer than that. You may or may not have symptoms during this stage.
As the virus advances, CD4 count decreases more drastically. This can lead to symptoms like:
fatigue
shortness of breath
cough
fever
swollen lymph nodes
weight loss
diarrhea
If HIV infection advances to AIDS, the body becomes prone to opportunistic infections. People with advanced HIV/AIDS are at increased risk of a number of infections, including a herpes virus called cytomegalovirus. It can cause problems with your eyes, lungs, and digestive tract.
Kaposi’s sarcoma, another possible infection, is a cancer of the blood vessel walls. It’s rare among the general population, but common in people who are HIV-positive. Symptoms include red or dark purple lesions on the mouth and skin. It can also cause problems in the lungs, digestive tract, and other internal organs.

HIV/AIDS also puts you at higher risk of developing lymphomas. An early sign of lymphoma is swollen lymph nodes.

Respiratory and Cardiovascular Systems
HIV increases the risk of colds, influenza, and pneumonias. According to the American Lung Association, HIV/AIDS can lead to opportunistic lung diseases. Without preventive treatment, people with advanced HIV are susceptible to tuberculosis, pneumonia, and a disease called pneumocystis carinii pneumonia (PCP). PCP causes trouble breathing, cough, and fever.

HIV raises the risk of pulmonary arterial hypertension (PAH). PAH s a type of high blood pressure in the arteries that supply the lungs. It puts added strain on the heart.
If you have HIV and have become immunocompromised (have a low T cell count), you’re susceptible to tuberculosis (TB), a leading cause of death in people who have AIDS. TB is an airborne bacterium that affects the lungs. Symptoms include chest pain and a bad cough that may contain blood or phlegm. Symptoms can linger for months.
Digestive System
A common HIV-related infection is called candidiasis. Symptoms include inflammation of and a white film on the tongue. It can also cause inflammation of the esophagus, which can make it difficult to eat. Another viral infection that affects the mouth is oral hairy leukoplakia, which causes white lesions on the tongue.
Salmonella infection is spread through contaminated food or water and causes diarrhea, abdominal pain, and vomiting. Anyone can get it, but if you have HIV, you’re at higher risk of serious complications from this infection.
Consuming contaminated food or water can also result in a parasitic intestinal infection called cryptosporidiosis. It affects the bile ducts and intestines. It can be particularly severe and cause chronic diarrhea in people who have AIDS. Cryptosporidiosis infection can occur in people with effective immune systems, but it can become a chronic problem in people with CD4 levels under 200.
HIV-associated nephropathy (HIVAN) is when the filters in your kidneys become inflamed, making it harder to remove waste products from your bloodstream.
Problems with your digestive tract can decrease your appetite and make it difficult to eat properly. Weight loss is a common side effect of HIV.

Central Nervous System
There are significant neurological complications of AIDS. Even though HIV doesn’t generally directly infect nerve cells, it does infect the cells that support and surround nerves in the brain and throughout the body.
All of the mechanisms of HIV-associated neurologic damage aren’t completely understood, but it’s likely that infection of these support cells contribute to nerve injury. Advanced HIV infection can damage nerves (neuropathy). Small holes in the conducting sheaths of peripheral nerve fibers (vacuolar myelopathy) can cause pain, weakness, and difficulty walking.
HIV/AIDS can cause HIV-associated dementia or AIDS dementia complex, two conditions that seriously affect cognitive function.
Toxoplasma encephalitis is another possible complication of advanced HIV. People with AIDS are at increased risk of inflammation of the brain and spinal cord due to this parasite found commonly in cat feces. Symptoms include confusion, headaches, and seizures.
Some common complications of AIDS include memory impairment, anxiety, and depression. In very advanced cases, hallucinations and frank psychosis can occur. Some people experience headaches, balance issues, and vision problems.

Skin
One of the more obvious signs of HIV/AIDS can be seen on the skin. A weakened immune response leaves you more vulnerable to viruses like herpes. Herpes can cause you to develop sores around your mouth or genitals.
People with HIV are at increased risk of shingles, which is caused by herpes zoster, the virus that gives you chickenpox. Symptoms of shingles include a painful rash, often with blisters.
A viral skin infection called molluscum contagiosum involves an outbreak of bumps on the skin. Another condition is called prurigo nodularis. It causes crusted lumps on the skin, as well as severe itching.

– See more at: http://www.healthline.com/health/hiv-aids/effects-on-body#sthash.IOtHxYfO.dpuf