When Lamont Valentin was a kid, no one had to tell him to keep his HIV status quiet. He just knew.
"It was something that was a secret, that you couldn't' share," said Valentin. "Even if they didn't tell you, you could feel it."
Valentin was born HIV positive in 1984, his mother died six years later and Valentin entered the foster care system.
As Valentin grew up, the adults in his life warned him he probably would never live to adulthood.
But then something happened with HIV medications. In the mid 1990's, after years of fits and starts, new medications taken together in a drug cocktail, started to show promising results in HIV and AIDS patients.
While some people showed remarkable progress after taking the new medications, for Valentin the change in his disease was slow and steady.
"Think of HIV as being in the boxing ring," said Valentin. "You have one [medication] punching HIV and it's doing a good job but not a great job and then you get another guy who is better. [The medicine] was able to beat the HIV down more and more and more."
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Each new medication helped Valentin manage his disease until it was no longer a death sentence, although pneumonias and asthma were a staple of his childhood.
"My HIV never grew, it never got smarter, it got dumber," said Valentin. "Right now my HIV is at the dumbest form that it can be because it doesn't replicate. [But] You gotta keep punching it."
In spite of what he heard as a child, Valentin got to grow up. He finished school, met his wife and had a son named Mason. Both his wife and son are HIV-negative. His viral load is currently undetectable and his t-cell count is stable.
But on the 25th anniversary of World AIDS Day, Valentin has a difficulty fully celebrating how far the medical world has come to treat HIV.
Although he was able to grow up, HIV has still irreparably affected his health.
Just before the birth of his son, Valentin became extremely ill with pulmonary hypertension and chronic obstructive pulmonary disease (COPD), which were the cumulative effect of his pneumonias and other lung afflictions he had growing up.
As a result he remains on oxygen 24 hours a day and now needs a lung transplant to survive.
HIV, the disease that was supposed to kill him at as a child is basically completely managed by daily medication, but it is still affecting his health in unexpected ways.
Due to Valentin's HIV status, doctors in New York have been unwilling to put him on the transplant list.
"It's so tiring. All my life all I've been doing is fighting," said Valentin. "Sometimes you want to relax and get a vacation. I don't get a break. I don't get a break at all."
While doctors in other states have said they may be able to work with Valentin, his young family and limited financial resources have made moving extremely difficult.
Currently Valentin's friends have helped him set up an online fundraiser for medical costs, so that he can hopefully visit with a doctor who will agree to put him on the transplant list.
A law passed earlier this month, may help Valentin by allowing the study of HIV positive organ donors for HIV positive recipients. It could potentially provide a donor pool that would be specifically for HIV positive recipients and that could make a lung transplant for Valentin more likely.
Called the HOPE Act, the law is indicative of how far society has come in helping the HIV/AIDS population, said Dr. Joel Gallant, Chair of HIV Medical Association.
"It really reflects the progress we've made," said Gallant, who points out that it was only in the last 10-15 years that HIV positive people were allowed to receive any organ transplants at all.
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Gallant also said from a scientific standpoint it's remarkable how far medical options have come for HIV positive patients.
"For me primarily as a treatment focused person it's been incredible to see this from go being a real horrible death sentence to being easier to treat than diabetes or congestive heart failure or arthritis," said Gallant. "If you had to pick one of those three it would be HIV."
Valentin says he is obviously happy about these innovations and treatments, but that they have also had the unexpected consequence of making him feel like he's from a lost generation.
"A friend of mine, we call of ourselves…the generation that was forgotten, we were suppose to die at 5 or 12 or 13 and now we're 29 because we have our own babies," said Valentin.
Although Valentin is grateful that medications have kept his HIV in check and his son and wife HIV negative, he reacts like survivor of any trauma in that he wants people to remember that the disease can have lasting consequences even when it is afflicting a person.
Lamont said he still remembers his last image of his mother, dying of AIDS with Jello in her mouth barely able to move. It's an image that has driven him to keep looking for a cure for his lung diseases, so that his son, now a 18-month-old toddler, does not have to grow up without a parent.
"Not having a parent around or not having a mother around was hard," said Valentin. "It's important to me to have that parental connection with my son. It's the most important thing in my life."
According to the World Health Organization, more than 35.3 million people are living with the virus. In the U.S. 1.1 million people are living with HIV and approximately 20 percent are aware they have the virus.
A video of Lamont Valentin's story is available to watch here.
In honor of World AIDS Day, ABC Health will be holding a tweet chat this Tuesday, December 3rd at 1 p.m., ET. Dr. Richard Besser, ABC News' cheif health and medical correspondent will be moderating the chat and we'll be joined by some of the top experts in the world as well as patients who know first hand what it's like to live with the disease.
Join us to learn everything you need to know about AIDS and HIV. We'll also discuss the bright spots -- recent advances in research and treatment that offer hope and a better quality of life for those living with this disease.
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