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Primary Care Issues in HIV

The remarkable progress in treating HIV/AIDS has transformed the disease from a terminal illness to a chronic condition. Often, HIV specialists serve as a de facto primary care physician for their long-time HIV patients, and, in doing so, encounter some perplexing treatment challenges. This Expert Practice Series is designed to help HIV specialists manage the whole health of their patients.

Moderated By:
Donna E. Sweet, MD, MACP
Professor of Medicine, The University of Kansas School of Medicine - Wichita
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Expert Practice Series Presentations
Donna E. Sweet, MD, MACP
Professor of Medicine, The University of Kansas School of Medicine - Wichita
(715)
182 Comments
Jonathan Applebaum, MD
Director, Internal Medicine Education, Associate Professor, Florida State University College of Medicine
(861)
177 Comments
Kristen Ries, MD
Professor of Medicine, University of Utah
(871)
161 Comments
Polly E. Ross, MD
Medical Director, WNC Community Health Services, Asheville, North Carolina
(409)
113 Comments
Steven Johnson, MD
Professor of Medicine, University of Colorado at Denver and Health Sciences Center
(299)
81 Comments
Sharon Lee, MD
Associate Professor of Medicine, University of Kansas Medical Center
(729)
141 Comments
Andrew Angelino, MD, DFAPA
Associate Professor of Psychiatry, Johns Hopkins University School of Medicine, Director, General Psychiatry Unit and Dual-Diagnosis Inpatient Unit, Johns Hopkins Bayview Medical Center
(869)
188 Comments
Elaine Thomas, MD
Professor, Division of Infectious Diseases, Department of Internal Medicine, University of New Mexico Health Sciences Center
(778)
172 Comments
Andrew Angelino, MD, DFAPA
Associate Professor of Psychiatry, Johns Hopkins University School of Medicine, Director, General Psychiatry Unit and Dual-Diagnosis Inpatient Unit, Johns Hopkins Bayview Medical Center
(651)
119 Comments
David Hardy, MD
Director of Infectious Diseases, Cedar-Sinai Medical Center
(714)
157 Comments
Latest Comments
"This was an excellent, well-organized succinct presentation entitled “Women's Health” in your series “Primary Care issues in HIV.”  Your lecture was greatly enhanced by your experience as an experienced practicing Physician concerned with Women’s Health issues related to HIV.  In addition, to your position and expertise as an Associate Professor of Medicine @ the University of Kansas Medical Center made you the excellent candidate to provide this section of your series. 

 

You thoroughly reviewed Women’s Health issues with regards to prevention and education towards reducing the risk of HIV.  You cited a research study which provided interesting factual information concerning why we need to perceptive with patients from other countries.

The program offered prevention strategies, transmission exposure i.e. vaginal, penile, oral, rectal, biologic factors and characteristics.  Being cognizant and culturally sensitive to patients from other countries is necessary in order to gain the respect and trust from the patient/family regarding any type of care or treatment.  However, when dealing with sensitive matter concerning sexual issues, HIV and Hep C where prevention is of the utmost importance, to be knowledgeable about the culture and know who to address is key to gaining the pt/family's trust before confronting the topic.

 

As you mentioned, abstinence is practiced in many cultures and anal sex may be an alternative to vaginal intercourse before marriage.  I was shocked when informed of a school where sixth graders were engaging in outer course i.e. anal sex to avoid pregnancy.  As providers the comprehension level of sexual matters in pts between 6th-12th grade may be varied widely, therefore, I speak with the parents first about sexual matters and then allow them to make the choice of discussing the topic with their child.  I do provide age appropriate literature to the parent/child to address in privacy. 

Again, a very informative and interesting series.

Thanks,

Valerie"
Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
141 Comments
"This was an excellent, well-organized succinct presentation entitled “HIV and Mental Health from a Primary Care Point of View” in your series “Primary Care issues in HIV.”  Your lecture was greatly enhanced by your experience as an experienced practicing Physician.  In addition, to your position and exposure as the Medical Director @ WNC Community Health Services in Asheville, North Carolina concerning Mental Health issues in HIV patients.

You thoroughly reviewed Mental Health issues in HIV patients regarding the prevalence, history, physical and the need to custom tailor made treatments intended for your particular patient. Again, very informative and great tools to utilize in in ROS and physical exam.

Thanks,

Valerie"
Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
113 Comments
 
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