What Is the Most Pressing Issue in HIV Care Today?
By Warren Tong
July 23, 2013
Non-HIV Primary Care
"What I spend most of my visits with my patients on is actually everything other than HIV.
"In other words, the virus is controlled, the CD4s are doing well, the regimens are minimally intrusive. So it's depression, blood pressure, sugar control, weight, exercise. It's internal medicine, the rest of health, because we've done a pretty good job in finding the right regimens that control the virus and don't cause a lot of problems.
"Of course, there are some toxicities -- diarrhea or whatever it may be -- or people that don't like their regimen, the number of pills or what have you. Nevertheless, that's a minor part of our visit. We focus most of the time on the rest of medicine, which is obviously great in a lot of ways. We've done the hard work and now we can focus on the 'easy' part, which is: It's tough to have a healthy life sometimes."
-- Calvin Cohen, M.D., M.S., Director of Research, Community Research Initiative of New England, Boston, Mass.
Warren Tong is the research editor for TheBody.com and TheBodyPRO.com.
Comment by: John Marshall
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.
Comment by: bcilla13
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.
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