The Curbsiders Internal Medicine Podcast22 Okt 2018

#121 HIV Care for the Internist

HIV care for the internist with author and HIV expert, Michael Saag MD, Professor of Infectious Diseases at University of Alabama and founder of the 1917 Clinic. We discuss the specifics of screening & diagnostic testing in HIV, monitoring CD4 counts and viral loads, first line antiretroviral therapy, harm reduction, and how to provide excellent HIV care in your primary care clinic.

Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written & Produced by: Elena Gibson MS4, Justin Berk MD MBA MPH

Artwork by: Elena Gibson MS4

Hosts: Matthew Watto MD, Paul Williams MD, Justin Berk MD MBA MPH

Editor: Matthew Watto MD

Guest: Michael Saag MD

Time Stamps

00:00 Disclaimer, intro, and guest bio
04:35 Getting to know our guest, a movie recommendation, and words of wisdom
08:48 Clinical case, HIV screening, in-depth discussion of HIV testing & diagnosis
15:56 New diagnosis of HIV, counseling after diagnosis, confirmation, follow-up testing, the second visit
24:20 Treatment - what to start and when; some basic comments on therapy
30:05 Primary care after diagnosis, vaccines, cancer screening, cardiovascular disease prevention
34:35 Monitoring CD4 counts and viral load; interpreting CD4 count; time course of response for CD4 and viral load
42:02 Harm reduction counseling; addressing medication non-adherence
47:40 PCP prophylaxis
49:43 The 1917 Clinic, Ryan White Clinics, and linking patients to care
53:10 Take home points
55:40 Plugs
57:45 Will a cure or vaccine for HIV emerge?
59:16 Outro

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