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HIV Care Today


Injection Drug Use-Related HIV Cases Increase in Massachusetts -- Is This the Start of a Trend?
By Paul E. Sax, M.D.
December 11, 2017

Recently the Massachusetts Department of Public Health sent out this concerning notice:

The Massachusetts Department of Public Health (MDPH) has noted an increase in newly diagnosed and acute HIV infections among persons who inject drugs (PWID). To date in calendar year 2017 (through November 21), there have been 64 HIV infections reported among individuals who inject drugs in Massachusetts ... Over the past 5-10 years, newly diagnosed HIV infection in PWID amounted to 32-62 cases annually, representing a stable proportion of 4-8% of all reported HIV infections. Investigation of cases is ongoing.

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Could We Safely Reduce the Frequency of Treatments for HIV-Positive People?
By Caroline Petit
December 7, 2017

Most HIV-positive people in France under treatment take a daily dose of antiviral drugs for life. However, a major trial is currently underway that may confirm that patients could omit several days of treatment a week without risk to their health.

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Price's 'Quarantine' Comment a Startling Example of Remaining HIV Stigma and Ignorance
By Paul E. Sax, M.D.
October 23, 2017

In case you missed it, Betty Price, a Georgia state representative, said the following last week:

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The Best Antiretroviral Therapy for Pregnant Women? The Controversy Continues
By Paul E. Sax, M.D.
October 17, 2017

There's considerable controversy in an area of HIV medicine that one would think should be all but solved by now.

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What Should We Do About Persistent Low-Level Viremia?
By Paul E. Sax, M.D.
October 10, 2017

Here's a most entertaining email about a tricky case (some details changed for the usual reasons), with my annotations in brackets:

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How to Help Long-Term HIV Survivors Embrace an Unanticipated Life
By David Fawcett, Ph.D., L.C.S.W.
September 25, 2017

I never expected to have AIDS, let alone to survive. I got sober in my 20s and could count my sexual partners on one hand. When diagnosed in 1988, at age 34, I had been out as a gay man less than a decade, was years into my first significant relationship and was quickly progressing in my career. Out of the blue, that first opportunistic infection began an endless series of precarious conditions that, almost overnight, wrenched my life into a non-stop struggle for survival. After countless hospitalizations, coming close to death with non-Hodgkin's lymphoma and losing more friends than I could count, a dark sense of hopelessness and inevitable doom settled in that was validated by everything around me. I spent my 30s and 40s preparing to die, having little energy to feel loss, sadness and anger.

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Really Rapid Review -- Paris IAS 2017
By Paul E. Sax, M.D.
July 30, 2017

Last week, the International AIDS Society meeting returned to Paris for the first time since 2003.

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Should You Answer Medical Questions From Clinicians You Don't Know About Patients You've Never Seen?
By Paul E. Sax, M.D.
July 9, 2017

This email popped into my inbox the other day from a person I've never met:

Hi Dr. Sax,
I do mostly hospital-based ID in Pennsylvania, and was consulted on a newly diagnosed HIV patient with CD4 10, viral load 210,000, and lymphoma. I started him on Truvada and dolutegravir, which is going well so far. Because he complained of blurred vision, he had an ophtho evaluation yesterday which showed CMV retinitis. My drug-interaction checker says I can't use valganciclovir with either tenofovir or abacavir, and if I replace the Truvada with a boosted PI, it will interact with his chemotherapy. What should I do for his ART?
Thanks so much.
Marie

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The Curious Case of M184V, Part 1
By Paul E. Sax, M.D.
May 21, 2017

Most of you are clinicians -- doctors, nurses, PAs, PharmDs. A smaller proportion are researchers, lab-oriented types who wandered over here unexpectedly after an errant search, expecting the latest in CRISPR-Cas9 gene editing and instead getting an ID Link-o-Rama, a rumination on vintage medical photos, and a mysteriosis about listeriosis.

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This article was provided by TheBodyPRO.com.
 

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