Advertisement
Advertisement

TheBodyPRO.com covers CROI 2013

What Is the Most Pressing Issue in HIV Care Today?

July 23, 2013

 11/14 

Joseph Gathe, M.D.

Morbidity and Mortality Rates

"I think the most pressing issue is the need to decrease the morbidity and mortality of HIV-treated patients with CD4 counts above 200. That is what the biggest issue is in my practice now, as far as treatment is concerned.

"I can treat people who have AIDS with effective regimens. I can keep people undetectable when they're on [treatment], but I'm still seeing death rates that I'm not happy with, [despite] good CD4 counts. We have to have some impact on that.

"It goes along with what is going on with the patients and their cardiovascular, liver, kidney -- all these toxicities, some of which is related to drugs, but some of it is because people have had HIV for five, 10, 15, 20 years. The question is: Can we make an impact on those inflammatory pathways that have been associated with all these toxicities? Do we have markers to find these inflammatory pathways that may be a benefit to the long-term survival of HIV patients?"

-- Joseph Gathe, M.D., Private Practice, Houston, Texas






This article was provided by TheBodyPRO.com. It is a part of the publication The 20th Conference on Retroviruses and Opportunistic Infections (CROI 2013).
 


Reader Comments:

Comment by: John Marshall (Essex, Mass) Sat., Oct. 19, 2013 at 2:17 pm EDT
Thank you doctor, you understand what living with HIV means. Spread the word.
Reply to this comment


Comment by: John Marshall (Essex, Mass) Sat., Oct. 19, 2013 at 2:12 pm EDT
Like most doctors, he tries to minimize the side effects of the meds. Severe adverse events stage 3/4 can happen. The number may be as high as 25% of patients. The meds are highly toxic and can be debilitating. The NRTIs cause a lot of irreversible damage to body chemistry. Diarrhea my ass.
Reply to this comment


Comment by: bcilla13 (atlanta, ga) Tue., Sep. 10, 2013 at 12:49 pm EDT
treatment is without doudt the key to our survival i encourage everyone suffering from this illness to get into care and remain in care, the only way to sustain life span is by treating this disease aggressively.
Reply to this comment


Comment by: todd jackman (Vancouver, bc) Fri., Aug. 2, 2013 at 4:15 pm EDT
is Cambrigde Ontario a good place for an HIV+ individual.Honestly please tell me if they are up to speed?
Reply to this comment


Add Your Comment:
(Please note: Your name and comment will be public, and may even show up in
Internet search results. Be careful when providing personal information! Before
adding your comment, please read TheBody.com's Comment Policy.)

Your Name:


Your Location:

(ex: San Francisco, CA)

Your Comment:

Characters remaining:


Please note: Knowledge about HIV changes rapidly. Note the date of this summary's publication, and before treating patients or employing any therapies described in these materials, verify all information independently. If you are a patient, please consult a doctor or other medical professional before acting on any of the information presented in this summary. For a complete listing of our most recent conference coverage, click here.

Advertisement