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HIV Care Today


A Doctor's Perspective: Care Then and Now
By Philip Berger, M.D.
Winter 2016

These peculiar infections resolved, and the doctors just attributed these temporary illnesses to another infection picked up in the bathhouses or through needle sharing on the streets. No one put these individual cases together and wondered whether some common condition could explain their individual patients' illnesses. Yet an epidemic -- the AIDS epidemic -- was exploding before our very eyes.

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IV and Injectable HIV Treatments Are Much Discussed -- But Won't Be Here Anytime Soon
By Paul E. Sax, M.D.
January 18, 2016

Something interesting happens when you poll people who treat HIV -- and people who have HIV -- about whether they'd prefer a treatment option that consists of a periodic injection or infusion in place of the pill or pills that they take every day.

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Medical Marijuana and Painful Neuropathy -- An Opportunity to Make Us Believers
By Paul E. Sax, M.D.
January 10, 2016

Medical marijuana is now officially available in New York, the city with by far the largest number of people living with HIV/AIDS in the country. Reporting on the first dispensary in Manhattan, the aptly named Julie Weed (yes! her real name!) writes:

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Do Electronic Health Records Make You a Better (or Worse) Clinician?
By Paul E. Sax, M.D.
December 6, 2015

Earlier this week, JAMA Internal Medicine published a study entitled, "Level of Computer Use in Clinical Encounters Associated with Patient Satisfaction".

A more descriptive title would have been "More Computer Use in Clinical Encounters Associated with Reduced Patient Satisfaction", as here's the take home point:

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Five (OK, Six) ID/HIV Things to Be Grateful for This Holiday Season, 2015 Edition
By Paul E. Sax, M.D.
November 26, 2015

Some quick ID/HIV gratitude items for 2015, done rapidly as we're hosting a big meal later today.

I wonder what that might be.

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New HIV Treatment Genvoya Is Really All About the TAF Part
By Paul E. Sax, M.D.
November 10, 2015

The U.S. Food and Drug Administration today approved Genvoya (a fixed-dose combination tablet containing elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide) as a complete regimen for the treatment of HIV-1 infection in adults and pediatric patients 12 years of age and older.

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An HIV Vaccine: Imagining the Future of HIV Prevention
By Tian Johnson
November 6, 2015

In this article, South African HIV prevention activist and member of the Vaccine Advocacy Resource Group -- a small, global group of advocates specifically focused on the HIV vaccine research field -- Tian Johnson reflects on his participation in the recent HVTN Conference in Cape Town, his hope for a vaccine and the necessity of advocates' involvement in the search. This first appeared in NGO Pulse.

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Should Doctors Still Be Allowed to Wear White Coats? You Decide
By Paul E. Sax, M.D.
November 1, 2015

I almost wrote "raging controversy" -- but the adjective "raging" doesn't really fit the sort of people who specialize in Infection Control, who are some of the most measured, data-driven, and methodical individuals in all of medicine. You know the stereotype of the brash, volatile, and cowboy surgeon, the person that everyone tiptoes around?

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The Most Important HIV Study at IDWeek 2015
By Paul E. Sax, M.D.
October 29, 2015

After reporting my choice for the most important HIV study at ICAAC, I received this email from a colleague:

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WHO Decision to Recommend Treatment for All With HIV an Easy One -- Now Comes the Hard Part
By Paul E. Sax, M.D.
October 1, 2015

In the newspaper today -- and yes, we still do get it delivered (some habits die hard) -- is this headline: "Millions More Need H.I.V. Treatment, W.H.O. Says"

It's true -- these updated guidelines say that all should be treated soon after diagnosis, regardless of CD4 cell count or whether they have symptoms.

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