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LGBTQIA+ identities in the bleeding          had been through so much pain and               THOMAS          9
disorders world deserves space and           suffering that they were just glad I was        SAVAGE
support to address the unique needs          alive.” Thomas had a slightly different
one’s experience may bring.                  experience when coming out to their           LATE SUMMER 2020
“Growing up with hemophilia helped           mother. “She said, ‘I always imagined
me when I was coming out because it’s        you would be the kid to get married and
one of those things that we have that        have grandkids first. I know that can still
no one sees. If I didn’t tell someone I had  happen. I just need to change the way it
a bleeding disorder, they didn’t know,”      happens in my head.’”
                                             Parents whose child is the first in their
“Growing up with                             family to be diagnosed with a bleeding
                                             disorder are already familiar with the
  hemophilia helped                          experience of adjusting their anticipations
  me when I was                              for their children. Thomas stresses that
  coming out because                         their mother’s emphasis on talking about
  it’s one of those                          what they were going through,
  things that we have                        both on the inside and
  that no one sees.                          outside, was a big part of
  If I didn’t tell                           coming to understand
  someone I had a                            themself.
  bleeding disorder,                         “Sadly, within the
  they didn’t know.                          hemophilia world,
                                             there are still a
                    —­ Thomas Savage         number of people
                                             who blame the
recalls Thomas Savage of Iowa. “I came       gay community for
out to my HTC because I thought it was       their [HIV] infections,”
important [information] for them to know     Mark Ward, founder of
how to support me. They didn’t really        Haemosexual, an online support
know what questions to ask but were          and information resource for LGBTQIA+
great about it.”                             people with bleeding disorders, said in a
                                             2018 interview.
Mental Health                                Both the LGBTQIA+ and the bleeding
                                             disorders communities were decimated
A significant number of people living with   by the HIV/AIDS epidemic. Despite
chronic illness experience depression and    significant improvements in detection
the Centers for Disease Control report       and treatment, men who have sex with
higher rates of depression among people      men are still routinely discriminated
who are not cisgender or heterosexual.       against in health policy and the public
The Trevor Project, an organization that     eye as potential transmitters of the
supports LGBTQIA+ people in times of         virus. Some people want to distance
crisis, shares the heartbreaking statistic   themselves from HIV because they
that those who come from families where      believe it is caused by irresponsible sex
their identity is not accepted are more      practices or illicit drug use, but with more
than eight times more likely to have         than 10,000 hemophiliacs unknowingly
attempted suicide than those who come        infected through their medications, this
from supportive families. One shouldn’t      community, more than others, should
make the mistake of assuming that            understand that moral or social failing is
mental health challenges are part and        not the cause of HIV.
parcel of being LGBTQIA+.                    “I didn’t grow up with the hemophilia
“When I came out to my parents, it           community. I grew up with the HIV+
was a non-issue,” says Guadalupe. “We        community,” says Shellye. “My dad was
                                             infected when I was in	 middle school.
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